And we wonder why 50% of the users started on CPAP blow it off because they say it doesn't help. I would be hard pressed to stick with something 1 month if I saw no improvement at all. Education is the key to success.mallen4258 wrote:So on my next visit, I will see a Dr. that I have never seen before and following the line of treatment suggested I would STILL be at CPAP 8 and would be there for another month (over 3 months). At this rate it would have probably taken a year (OR MORE) to get to the point in treatment that I am now.
Should I be up front with Sleep Doc???
Re: Should I be up front with Sleep Doc???
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| Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
| Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
I may have to RISE but I refuse to SHINE.
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SaltLakeJan
- Posts: 776
- Joined: Sat Jan 17, 2009 8:49 pm
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Re: Should I be up front with Sleep Doc???
Hey Pugsly
Good for you.
Jan
No doubt, our gal Pugsly comes from the "Show Me" state of Missouri. Nobody is goin' pull the wool over her eyes.Pugsy wrote: And we wonder why 50% of the users started on CPAP blow it off because they say it doesn't help. I would be hard pressed to stick with something 1 month if I saw no improvement at all. Education is the key to success.
Good for you.
Jan
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| Mask: Mirage Quattro™ Full Face CPAP Mask with Headgear |
| Additional Comments: Began CPAP 1-16-2009, Pressure=10 cm, Mask, CMS 50Plus Oximeter |
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ProfessorEd
- Posts: 86
- Joined: Thu May 31, 2007 4:03 pm
Re: Should I be up front with Sleep Doc???
Two key questions are what you want and whther he has a conflict of interest? SI assume your goal is to get the best machine, probably one with data so you can fine tune your treatment.
Some practices have an interest in Durable Equipment Suppliers. With current insurance rules, their interest is usually giving you the cheapest machine.
If the doctor has no cnflict it seems clear you could say I feel I need this type of machine and can manage certain details. If asked he probably will help you. Since he may not wish to have extra money spent on features the patient will not use, or cannot use, it is probably wise to explain why you plan to use these features and are able to understand them.
If there is a conflict of interest, you may not wish to state your goal so bluntly. Instead you might describe symptoms that make such a machine wise (having trouble adjusting to high pressures, sleep in different positions, etc.) and perhaps threaten taking your business elsewhere. Saying a certain machine will be more confortable or is wanted for non-medical reasons (easier to travel with, more attractive on bed table, etc.) may not be persuasive, especially if it is clear you will use the machine either way. However, if there is a "compliance" related problem, there may be a medical benefit to certain machines and he can justify prescribing them. Making you ability to use the machine at all, or for a full night, dependent on certain features can them make it medically necessary.
The doctor who has a financial interest in patients not being able to adjust settings etc. may be less willing to help (word may get to other patients who start asking for more expensive machines). sometimes the patient may not be unethical (i.e. putting money ahead of the patients welfare) but simply uninformed because most of his information of the machines is coming from the in house equipment supplier. Hence it is worth educating him if you can.
If you do not get help, you may then want to look for a new doctor without conflicts of interest.
Some practices have an interest in Durable Equipment Suppliers. With current insurance rules, their interest is usually giving you the cheapest machine.
If the doctor has no cnflict it seems clear you could say I feel I need this type of machine and can manage certain details. If asked he probably will help you. Since he may not wish to have extra money spent on features the patient will not use, or cannot use, it is probably wise to explain why you plan to use these features and are able to understand them.
If there is a conflict of interest, you may not wish to state your goal so bluntly. Instead you might describe symptoms that make such a machine wise (having trouble adjusting to high pressures, sleep in different positions, etc.) and perhaps threaten taking your business elsewhere. Saying a certain machine will be more confortable or is wanted for non-medical reasons (easier to travel with, more attractive on bed table, etc.) may not be persuasive, especially if it is clear you will use the machine either way. However, if there is a "compliance" related problem, there may be a medical benefit to certain machines and he can justify prescribing them. Making you ability to use the machine at all, or for a full night, dependent on certain features can them make it medically necessary.
The doctor who has a financial interest in patients not being able to adjust settings etc. may be less willing to help (word may get to other patients who start asking for more expensive machines). sometimes the patient may not be unethical (i.e. putting money ahead of the patients welfare) but simply uninformed because most of his information of the machines is coming from the in house equipment supplier. Hence it is worth educating him if you can.
If you do not get help, you may then want to look for a new doctor without conflicts of interest.
Re: Should I be up front with Sleep Doc???
It is your life , whatever makes you feel better probably is better. Your body is pretty smart about what it likes or doesn't.
Nate