Why do i need a prescription?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
cpapreborn
Posts: 1
Joined: Mon Dec 30, 2013 8:03 am
Location: South Florida

Re: Why do i need a prescription?

Post by cpapreborn » Mon Dec 30, 2013 9:26 am

And how about needing a prescription to tweak the pressure delivered by the cpap machine ?
After using the same machine (and same pressure) for a little over 3 years I noticed that some nights I was not resting as I did before... I thought I would need a little bit more pressure. I spoke with my PCP and he prescribed a new titration test. As a result the sleep doctor interpreting the results (which by the way I have never seen OR spoken to) concluded that I needed to have the pressure raised 3 notches! (even though on the night of the test it felt like too much pressure for me). He wrote a prescription for my machine to be tweaked. (even though they claim to be independent doctor office's passed all my information directly to the provider). The cpap provider I originally purchased the machine from changed the pressure of my machine.
After a couple of months I am still not comfortable because it is way too much pressure.
Spoke with the provider and he said he will not change the setting without a prescription and that if the new pressure was not working for me I needed to go back to the doctor for another prescription...(this all sounds like BS to me)

I would like to try it my self (gradually reducing the pressure one degree at the time each night to see if a little less will work for me). The tests are trial and error after all...
I looked for instructions on how to adjust it myself but cannot find them anywhere...? (the provider will not give them to me, of course)
Does anyone know how to get the instructions? Can anyone help ?

wardmiller
Posts: 294
Joined: Mon Sep 17, 2012 6:29 pm
Location: Upstate New York

Re: Why do i need a prescription?

Post by wardmiller » Mon Dec 30, 2013 9:59 am

-tim wrote:
wardmiller wrote:
SuddenlyWornOut45 wrote:...pure high grade oxygen is extremely flammable and even explosive.
Eric
Simply not true. The atmosphere is about 21% Oxygen and if it were flammable, we'd all have burned up long ago. Oxygen is not a fuel but is necessary for some fuels in order to support combustion. It is an oxidizer and when present in large quantities makes some fuels burn vigorously.

I'm an EMT and handle compressed oxygen daily. I also breath it 24/7. <g>
A friend was involved with the Apollo 1 life support systems and would disagree about the flammability issues.
My point was and still is, Oxygen is not flammable, nor is it explosive. (Flammable: easily ignitable and capable of burning with great rapidity.) It is an oxidizer and when present in large quantities, causes some fuels to burn with amazing intensity. But it is the fuel that burns, not the oxygen. See U.S. DOT's Emergency Response Guidebook, used by all First Responders in the U.S. and Canada, Guide #120, page 204. It is an inert gas.

We hear many stories about Oxygen burning, but that is a common misconception. I've been a volunteer firefighter and Emergency Medical Technician for 15 years and can tell a lot of stories about accidents involving oxygen, especially oxygen in its compressed state in cylinders. However, we deal with medically pure oxygen and administer it to patients daily, without incident. But we must treat it with the required respect.

_________________
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-tim
Posts: 710
Joined: Sat Dec 03, 2011 7:46 pm
Location: Melbourne Australia

Re: Why do i need a prescription?

Post by -tim » Wed Jan 01, 2014 7:21 am

wardmiller wrote:
-tim wrote:
wardmiller wrote:
SuddenlyWornOut45 wrote:...pure high grade oxygen is extremely flammable and even explosive.
Eric
Simply not true. The atmosphere is about 21% Oxygen and if it were flammable, we'd all have burned up long ago. Oxygen is not a fuel but is necessary for some fuels in order to support combustion. It is an oxidizer and when present in large quantities makes some fuels burn vigorously.

I'm an EMT and handle compressed oxygen daily. I also breath it 24/7. <g>
A friend was involved with the Apollo 1 life support systems and would disagree about the flammability issues.
My point was and still is, Oxygen is not flammable, nor is it explosive. (Flammable: easily ignitable and capable of burning with great rapidity.) It is an oxidizer and when present in large quantities, causes some fuels to burn with amazing intensity. But it is the fuel that burns, not the oxygen. See U.S. DOT's Emergency Response Guidebook, used by all First Responders in the U.S. and Canada, Guide #120, page 204. It is an inert gas.

We hear many stories about Oxygen burning, but that is a common misconception. I've been a volunteer firefighter and Emergency Medical Technician for 15 years and can tell a lot of stories about accidents involving oxygen, especially oxygen in its compressed state in cylinders. However, we deal with medically pure oxygen and administer it to patients daily, without incident. But we must treat it with the required respect.
Is the oxygen flammable from the chem lab point of view? No. Can a high pressure cylinder burst into flame because a bit of oil seeped in along the threads of the valve and cause a fire or explosion? Yes.

It is like calling my plastic laminate particle board desk "organic", it you ask a bio chemists the answer is "yes", if you ask the local caged chicken egg farmer the answer is "no".

So will pure oxygen explode? No. but you can't get pure oxygen anywhere outside of lab and since one part per billion of other things can make it go boom, I would say it is explosive and flammable.

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Julie
Posts: 20052
Joined: Tue Feb 28, 2006 12:58 pm

Re: Why do i need a prescription?

Post by Julie » Wed Jan 01, 2014 8:04 am

To Cpapreborn - you have a PM.