He does not write a yearly script, only did the initial one for the DME so I could get a machine. Not sure where you got that(?)
Yeah — I mixed it up with others who get scripts once a year. Sorry.
He does not write a yearly script, only did the initial one for the DME so I could get a machine. Not sure where you got that(?)
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: ResMed AirFit F30i Full Face CPAP Mask with Headgear |
Additional Comments: ResMed ClimateLineAir Heated Tubing |
You are touching on a topic that I raised some months ago, that is the qualifications of the denizens here.Grumpy48 wrote: ↑Wed Aug 24, 2022 6:37 pmI would not solely entrust my health to internet forums where the qualifications to give advice comes into question. And while an OSCAR graph may be useful and help to fine tune settings, it doesn't factor in a persons full medical history, prescripts, lifestyle, etc. which may be key factors to issues a person might be having related to apnea and subsequent therapy.
Machine: AirSense 11 Autoset |
Mask: FlexiFit HC431 Full Face CPAP Mask with Headgear |
Humidifier: DreamStation Heated Humidifier |
Not only are there few Doctors here, there are also dishonest liars, like dataq1.
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P30i Nasal Pillow CPAP Mask with Headgear Starter Pack |
Additional Comments: Min EPAP: 8.2, Max IPAP: 25, PS:4 |
So let me tell you my personal story. 20 years ago, I was referred to a cardiologist for PVCs, by my employer's doctor. After taking a extensive medical history (but before he did anything), he referred me to a pulmonologist because I had said that frequently woke up with headaches. (to the best of my recollection I had never been ask about that before). The pulmonologist scheduled me for a sleep study and that study was the basis of my OSA diagnosis. I was given a choice of several DMEs, and the pulmonologist wrote the equipment order and signed the statement of medical necessity. and I was on my way (to greatly reduced morning headaches).Mel0806 wrote: ↑Wed Aug 24, 2022 9:29 amWhy would you have a PCP evaluate your progress regarding sleep apnea when he is clueless? In my opinion you should get a referral from your PCP and see a real sleep specialist who can and will read your results. My PCP referred me to a pulmonologist with no hesitation and that’s who I see for sleep apnea. I have my next follow up in October and he will go over my stats and progress.
Machine: AirSense 11 Autoset |
Mask: FlexiFit HC431 Full Face CPAP Mask with Headgear |
Humidifier: DreamStation Heated Humidifier |
When all else fails, immediately resort to unfounded baseless personal attacks
Machine: AirSense 11 Autoset |
Mask: FlexiFit HC431 Full Face CPAP Mask with Headgear |
Humidifier: DreamStation Heated Humidifier |
You know exactly what I am referring to, you even PMed me about it, which I responded to and explained my position. You didn't address any of my points in the topic, nor in the PM that you sent me.
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P30i Nasal Pillow CPAP Mask with Headgear Starter Pack |
Additional Comments: Min EPAP: 8.2, Max IPAP: 25, PS:4 |
I agree. Your posts indicate that you need all the help you can get.dataq1 wrote: ↑Thu Aug 25, 2022 4:09 pmthe pulmanologist required that I come to see her and we went over my compliance, my Respironics download and or Sleepyhead and or OSCAR data. We would discuss the need to alter the min and max settings as well as the comfort level with EPR and ramps. She would examine my nose, my throat, my ears, take a expiratory blast test, and ask if I had any concerns or questions. We would discuss any other health issues that might impact my respiratory health (BMI, aerobic exercise, etc) including sleep hygiene and humidification.
You see, my personal preference is to see the specialist whose area of expertise is in the issue I want/need addressed.
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: ResMed AirFit F30i Full Face CPAP Mask with Headgear |
Additional Comments: ResMed ClimateLineAir Heated Tubing |
Sounds like good thorough care.dataq1 wrote: ↑Thu Aug 25, 2022 4:09 pmSo let me tell you my personal story. 20 years ago, I was referred to a cardiologist for PVCs, by my employer's doctor. After taking a extensive medical history (but before he did anything), he referred me to a pulmonologist because I had said that frequently woke up with headaches. (to the best of my recollection I had never been ask about that before). The pulmonologist scheduled me for a sleep study and that study was the basis of my OSA diagnosis. I was given a choice of several DMEs, and the pulmonologist wrote the equipment order and signed the statement of medical necessity. and I was on my way (to greatly reduced morning headaches).Mel0806 wrote: ↑Wed Aug 24, 2022 9:29 amWhy would you have a PCP evaluate your progress regarding sleep apnea when he is clueless? In my opinion you should get a referral from your PCP and see a real sleep specialist who can and will read your results. My PCP referred me to a pulmonologist with no hesitation and that’s who I see for sleep apnea. I have my next follow up in October and he will go over my stats and progress.
I've had several DME's over the course of the past 20 so years, including Lincare, Apria, US Medical, Rotech, and a local medical equipment supplier. In every case, the DME required an annual order from the pulmonologist/sleep specialist. In order to get that order, the pulmanologist required that I come to see her and we went over my compliance, my Respironics download and or Sleepyhead and or OSCAR data. We would discuss the need to alter the min and max settings as well as the comfort level with EPR and ramps. She would examine my nose, my throat, my ears, take a expiratory blast test, and ask if I had any concerns or questions. We would discuss any other health issues that might impact my respiratory health (BMI, aerobic exercise, etc) including sleep hygiene and humidification.
2-3 years ago my PCP informed me that he had completed an online course and was now "entitled" to issue Cpap equipment orders, and wouldn't that make it real convenient for me, I'd no longer have to see my pulmonologist for the order for my Cpap supplies for the following year.
I respectfully declined.
You see, my personal preference is to see the specialist whose area of expertise is in the issue I want/need addressed.
For that same reason, I see an Ophthalmologist annually rather than Optician.
Machine: AirSense 11 Autoset |
Mask: ResMed AirFit N30 Nasal CPAP Mask with Headgear |
Additional Comments: Newbie who loves her machine! |
Now, if we're LUCKY there'll be another 14 years before your next post.
Most of this thread I can't see because I use my foe list frequently but this one came through. You sir win the internet for today !Midnight Strangler wrote: ↑Thu Aug 25, 2022 4:48 pmI agree. Your posts indicate that you need all the help you can get.
Others can easily do it themselves.
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ N20 Nasal CPAP Mask with Headgear |
This response is meant for any newbie concerned by the above statement:
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Machine: Resmed AirSense10 for Her with Climateline heated hose ; alternating masks. |
you often post the most well thought out and expressed comments on this forum. while i may not agree with everything you say, on this particular point, you are spot on.
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
IMO, annual Sleep Doc follow-ups may be required by your insurer to cover equipment. So if you are paying OOP, and your supplier does not need a "fresh" prescription, followups are discretionary (like if you've a problem or question that you want a professional's advice.
IMO, Dataq1 got it right when he summarized with:ozij wrote: ↑Thu Aug 25, 2022 9:16 pmOf course, dear newbie, if you take dataq1 seriously, you may decide that you should trust no one here, and that you had better run for your life. That would be a big pity - many have been helped by tips and advice they got here. Do trust your ability to sift through nonsense and posturing and don't give up on improving your CPAP therapy. And don't let occasional nastiness turn you away. If you take the time to figure out who is knowledgeable and helpful, you will gain a lot.
I didn't see any nastiness in that, simply an emphasis on what the host of this forum has posted at the bottom of each and every forum webpage. Newbies should take note of that seriously and act or react accordingly with that context in mind.The tag line to this forum says this:
"The information provided on Cpaptalk.com is not intended nor recommended as a substitute for professional medical advice."
The information provided on this forum is provided by the contributors and not intended nor recommended as a substitute for professional medical advice. Seemly everything here is opinion, provided by contributors who have no known qualifications.
Machine: AirSense 11 Autoset |
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Humidifier: 60 Series Heated Humidifier for Non-Heated Tubing |