Does this sound right?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
tbas
Posts: 34
Joined: Mon Feb 15, 2010 1:23 pm
Location: New Jersey

Does this sound right?

Post by tbas » Thu Feb 18, 2010 7:04 pm

After being informed on this site that I should swap my machine for a data capable one, I tried calling my doctor. I told him I was having trouble with the masks, and not sleeping well at all, and that the dme people had a new mask for me on order. I told him that I felt more tired than I ever did. I asked him if he could change my machine so he could moniter my therapy. He bluntly answered no. When I asked him why, he said he didn't have equipment to read it. He didn't try at all to suggest & help me. His answer was to try the new mask when it comes in or I would have to go to another sleep study. Does this seem right. I just had 2 sleep studies done this December & January. I'm confused. Am I being unreasonable with my requests, or is he giving me the brush-off?

_________________
Mask: Mirage Quattro™ Full Face CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: pressure goes from 6 - 20/have S9 SD card
tbas49

jules
Posts: 3304
Joined: Mon Nov 27, 2006 10:51 pm

Re: Does this sound right?

Post by jules » Thu Feb 18, 2010 7:16 pm

he doesn't want you to discover that you know more than he does

User avatar
tattooyu
Posts: 1618
Joined: Mon Feb 09, 2009 11:57 am
Location: Valley Village, CA

Re: Does this sound right?

Post by tattooyu » Thu Feb 18, 2010 7:17 pm

jules wrote:he doesn't want you to discover that you know more than he does
BINGO!
Sleep well and live better!

jules
Posts: 3304
Joined: Mon Nov 27, 2006 10:51 pm

Re: Does this sound right?

Post by jules » Thu Feb 18, 2010 7:33 pm

or maybe he thinks a woman's place is in the home barefoot and pregnant and knowing anything is way over any woman's head

after all he is the almighty Medical Deity and us women need to bow down and wash their feet.

User avatar
Wulfman
Posts: 12317
Joined: Thu Jul 07, 2005 3:43 pm
Location: Nearest fishing spot

Re: Does this sound right?

Post by Wulfman » Thu Feb 18, 2010 7:34 pm

He's one of those "control freaks" we've heard about for years. These pages are filled with posts about them.
They wouldn't tell a person with diabetes not to monitor their blood sugar (especially if they're taking insulin), so why would they not want their CPAP patients to monitor their therapy? It's all about MONEY. They want you to keep coming back and having additional (expensive) sleep studies and office visits......where they can only ask "How do you feel?"

It's NOT his therapy.....it's YOURS!


Den
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05

User avatar
Jersey Girl
Posts: 690
Joined: Thu Feb 04, 2010 9:28 am

Re: Does this sound right?

Post by Jersey Girl » Thu Feb 18, 2010 7:36 pm

Yes, this is strange! I knew very little about sleep apnea and machines when I went for my sleep study. My doctor wrote a letter of medical necessity and got my insurance company to pay for a data capable machine. I just sent my first data card into the DME company, who will be sending the report to my doctor and the insurance company. You'd think that your doctor would want the very best for his patients!

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Additional Comments: Pressure - 8, CMS 50D+ Pulse Oximeter, Regenesis cpap pillow, Pursleep scents, padacheek fleece hose covers

Happiness is from the heart out, not the world in.

jules
Posts: 3304
Joined: Mon Nov 27, 2006 10:51 pm

Re: Does this sound right?

Post by jules » Thu Feb 18, 2010 7:46 pm

Jersey Girl wrote:You'd think that your doctor would want the very best for his patients!

nah - not these sleep docs - they want it all to be hidden from us - even mine when I started out told me software was a waste of money as it was just compliance data -- this was just over 4 years ago and cpap.com sold the software for GoodKnights, Respironics and Resmed machines - I kind of blew his mind when I went in with graphs and all - he didn't like me getting an APAP and stopped me from having an APAP for my first machine -----

User avatar
BleepingBeauty
Posts: 2454
Joined: Thu Apr 02, 2009 5:30 pm
Location: Aridzona ;-)

Re: Does this sound right?

Post by BleepingBeauty » Thu Feb 18, 2010 8:19 pm

tbas wrote:After being informed on this site that I should swap my machine for a data capable one, I tried calling my doctor. I told him I was having trouble with the masks, and not sleeping well at all, and that the dme people had a new mask for me on order. I told him that I felt more tired than I ever did. I asked him if he could change my machine so he could moniter my therapy. He bluntly answered no. When I asked him why, he said he didn't have equipment to read it. He didn't try at all to suggest & help me. His answer was to try the new mask when it comes in or I would have to go to another sleep study. Does this seem right. I just had 2 sleep studies done this December & January. I'm confused. Am I being unreasonable with my requests, or is he giving me the brush-off?
I'm not clear on this: Is this your sleep doctor or a PCP? If he's not a sleep doctor, he probably doesn't have the software needed to read a data card. If he is a sleep doctor, I would advise you to try to find another one (who IS willing to read the data from the card and help you with your treatment).

I've never had a sleep doctor who was interested in the data from my machine, so I got the card reader and the software, and I monitor my therapy. With the help and advice of more experienced users here, I'm finally getting my therapy dialed in to where I feel good every day. You can do that, too, with or without (if need be) a good sleep doc.
Veni, vidi, Velcro. I came, I saw, I stuck around.

Dx 11/07: AHI 107, central apnea, Cheyne Stokes respiration, moderate-severe O2 desats. (Simple OSA would be too easy. ;))

PR S1 ASV 950, DreamWear mask, F&P 150 humidifier, O2 @ 2L.

tbas
Posts: 34
Joined: Mon Feb 15, 2010 1:23 pm
Location: New Jersey

Re: Does this sound right?

Post by tbas » Thu Feb 18, 2010 9:02 pm

The doctor in question is my sleep doctor. I think it's time I find another. I don't even know how to look for one. I'm so sick of poor doctors, and anyone in the health profession saying they're concerned for people's well being, until they're put to the test!

_________________
Mask: Mirage Quattro™ Full Face CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: pressure goes from 6 - 20/have S9 SD card
tbas49

jules
Posts: 3304
Joined: Mon Nov 27, 2006 10:51 pm

Re: Does this sound right?

Post by jules » Thu Feb 18, 2010 9:05 pm

one thing you can do is start a new thread indicating general area of the country you live in (reasonable driving distance for example) you would be looking and ask for suggestions via pm

User avatar
KatieW
Posts: 1671
Joined: Sun Sep 27, 2009 11:07 am
Location: southern AZ

Re: Does this sound right?

Post by KatieW » Thu Feb 18, 2010 9:09 pm

Do you have a copy of your sleep study and titration reports? If not, be sure to get a copy for your medical records. And a copy of the original prescription.

_________________
Mask: Pico Nasal CPAP Mask with Headgear
Additional Comments: Resmed AirCurve 10 ASV and Humidifier, Oscar for Mac
KatieW

DreamOn
Posts: 1920
Joined: Fri Oct 23, 2009 10:13 am

Re: Does this sound right?

Post by DreamOn » Thu Feb 18, 2010 9:18 pm

Hi tbas,

You may want to approach your DME supplier directly regarding machine replacement. You don't need to mention anything about the doctor at all. Just pay a visit to the DME with your CPAP in hand, tell them that this is not the machine you want and you'd like to exchange your machine for the one you need. Go in without fear and tell them exactly which specific model you need. If your prescription just said CPAP machine, and didn't specify a particular model, the DME should have some leeway to give you what you want. If they want your continued business in the future (and referrals), it's in their best interest to please you.

I think that it's already been mentioned that the insurance company is billed using the same billing code, whether it's a basic CPAP/APAP machine or a more sophisticated one. The DME is out to make the most profit, so that often drives their decision as to which model they give you (often the most basic one!). You are purchasing this item, and as a consumer you have a choice! You could always tell them that you'll take your business elsewhere if push comes to shove. I'm sure there are other DMEs you could use. In fact, it wouldn't hurt to call around first to confirm. It would help to know what your prescription says first. You have a right to your prescription and your sleep study results too.

It's unfortunate that so many of us encounter these problems. It boggles the mind that so many doctors don't even care about our results. Sure, we can go by how we feel, to a certain extent. But for those of us who do have difficulties, having a machine capable of reporting full data makes troubleshooting SO much easier!

Best of luck with this. Perhaps others here have additional suggestions for you in how to best approach your DME regarding this. A lot of us (myself included) have had to put up a fuss to get what we need. This is YOUR therapy, and you have to live with it every night! Be strong and confident!

~ DreamOn

tbas
Posts: 34
Joined: Mon Feb 15, 2010 1:23 pm
Location: New Jersey

Re: Does this sound right?

Post by tbas » Thu Feb 18, 2010 9:29 pm

Thank you, dream on and everyone else. My dme was not agreeable when I suggested a new machine. If it weren't for the people here, I would feel alone and helpless!

_________________
Mask: Mirage Quattro™ Full Face CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: pressure goes from 6 - 20/have S9 SD card
tbas49

User avatar
Wulfman
Posts: 12317
Joined: Thu Jul 07, 2005 3:43 pm
Location: Nearest fishing spot

Re: Does this sound right?

Post by Wulfman » Thu Feb 18, 2010 10:04 pm

tbas wrote:Thank you, dream on and everyone else. My dme was not agreeable when I suggested a new machine. If it weren't for the people here, I would feel alone and helpless!
You may need to be a little more "assertive"....... (alternative word - "demanding")


Den
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05

jules
Posts: 3304
Joined: Mon Nov 27, 2006 10:51 pm

Re: Does this sound right?

Post by jules » Thu Feb 18, 2010 10:07 pm

Wulfman wrote:
tbas wrote:Thank you, dream on and everyone else. My dme was not agreeable when I suggested a new machine. If it weren't for the people here, I would feel alone and helpless!
You may need to be a little more "assertive"....... (alternative word - "demanding")


Den
How about a "sit in" protest?