Very frustrated/Getting Bipap Precertified

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
User avatar
49er
Posts: 5624
Joined: Mon Jan 16, 2012 8:18 am

Very frustrated/Getting Bipap Precertified

Post by 49er » Wed Mar 11, 2015 11:14 am

Need to rant so if you don't want negativity, this is not your thread.

Just called pre surgical admitting in preparation for my 3/19 septoplasty

49er - How do I get my machine certified ahead of time so it is ready to go in recovery room.
Woman I am speaking with - "We don't want you to bring you your machine because otherwise, the RT would have to deal with 1000 machines. Sound familiar?
49er - I was told by anesthesiologist to bring my own machine
Woman - Oh really? Then she says something like I am going to have to get it certified on the day of the surgery.
My response - I am concerned that would take way too long and cause a holdup as I need that machine in the recovery room immediately.
Woman - Well, we deal with sleep apnea patients all the time. I will transfer you to pre-op to find out how to go about this.

What I wanted to say - Actions speak louder than words and so far, all you are doing is putting roadblocks in my face which is not a nice thing to do to someone who is having surgery next week. Stop saying you deal with sleep apnea patients all the time and prove it with actions that facilitate the process and doesn't put roadblocks in my face.

Preop woman had no clue and when I started getting very frustrated in having to play find the right person, she agreed she would try to find out where to send me.

I tell you, it is about hospital convenience, and not patient comfort and well being. Very frustrating.

Thanks for listening.

49er

PS - If I continue to feel I am hitting roadblocks, I will the surgeon's administrative assistant and ask for help in resolving this.

User avatar
Sleep2Die4
Posts: 167
Joined: Thu Feb 02, 2012 1:54 pm

Re: Very frustrated/Getting Bipap Precertified

Post by Sleep2Die4 » Wed Mar 11, 2015 12:30 pm

What kind of surgery are you having?

_________________
Mask
99% of lawyers give the rest a bad name.

User avatar
robysue
Posts: 7520
Joined: Sat Sep 18, 2010 2:30 pm
Location: Buffalo, NY
Contact:

Re: Very frustrated/Getting Bipap Precertified

Post by robysue » Wed Mar 11, 2015 12:34 pm

49er wrote:Need to rant so if you don't want negativity, this is not your thread.
Sometimes you need to rant. This is one of those times.

PS - If I continue to feel I am hitting roadblocks, I will the surgeon's administrative assistant and ask for help in resolving this.
I'd suggest going ahead and contacting the anesthesiologist who told you to bring your own machine and let him/her know about the run around you've been getting from the hospital. Perhaps his office could get the hospital to be a bit more cooperative.

_________________
Machine: DreamStation BiPAP® Auto Machine
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Additional Comments: PR System DreamStation and Humidifier. Max IPAP = 9, Min EPAP=4, Rise time setting = 3, minPS = 3, maxPS=5

User avatar
49er
Posts: 5624
Joined: Mon Jan 16, 2012 8:18 am

Re: Very frustrated/Getting Bipap Precertified

Post by 49er » Wed Mar 11, 2015 12:40 pm

Sleep2Die4 wrote:What kind of surgery are you having?
Thanks for asking.

Septoplasty/Turbinate Reduction/Nasal Valve Repair. Surgeon said if I used the Full Face/Fit Life Mask, I could use the machine right away. Otherwise, I would have to wait a week which I didn't want to do.

User avatar
49er
Posts: 5624
Joined: Mon Jan 16, 2012 8:18 am

Re: Very frustrated/Getting Bipap Precertified

Post by 49er » Wed Mar 11, 2015 12:42 pm

robysue wrote:
49er wrote:Need to rant so if you don't want negativity, this is not your thread.
Sometimes you need to rant. This is one of those times.

PS - If I continue to feel I am hitting roadblocks, I will the surgeon's administrative assistant and ask for help in resolving this.
I'd suggest going ahead and contacting the anesthesiologist who told you to bring your own machine and let him/her know about the run around you've been getting from the hospital. Perhaps his office could get the hospital to be a bit more cooperative.
Great idea and since I need to speak to these folks anyway, I will kill two birds with one stone. Thanks RobySue for listening and providing your usual great suggestions.

User avatar
SleepDisturbed
Posts: 276
Joined: Thu Apr 25, 2013 1:52 pm
Location: East Texas

Re: Very frustrated/Getting Bipap Precertified

Post by SleepDisturbed » Wed Mar 11, 2015 12:42 pm

As you are discovering, the entire medical establishment is organized to maximize the convenience AND PROFITS of the members of said establishment.

The well being of patients is barely considered at all.

_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: 9.6 - 15 Pressure on APAP. EPR 2 / Sleepyhead software
What I lack in verbosity, I make up in brevity.

User avatar
49er
Posts: 5624
Joined: Mon Jan 16, 2012 8:18 am

Re: Very frustrated/Getting Bipap Precertified

Post by 49er » Wed Mar 11, 2015 12:52 pm

SleepDisturbed wrote:As you are discovering, the entire medical establishment is organized to maximize the convenience AND PROFITS of the members of said establishment.

The well being of patients is barely considered at all.
Definitely SleepDisturbed.

Anyway, just left a message with the anesthesiology department secretary about my concerns thanks to Roby Sue's excellent suggestion so stay tuned.

User avatar
SleepDisturbed
Posts: 276
Joined: Thu Apr 25, 2013 1:52 pm
Location: East Texas

Re: Very frustrated/Getting Bipap Precertified

Post by SleepDisturbed » Wed Mar 11, 2015 1:10 pm

Also, some hospitals have a "patient advocate" office. I have dealt with a few of these and some helped me a bit.

However, I think you are moving the right direction. Mostly I have found that only doctors can get much done, so getting the surgeon or anathesiologist on your side will probably work.

_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: 9.6 - 15 Pressure on APAP. EPR 2 / Sleepyhead software
What I lack in verbosity, I make up in brevity.

User avatar
Pesser
Posts: 547
Joined: Sat Jan 11, 2014 4:41 pm
Location: Nova Scotia Canada

Re: Very frustrated/Getting Bipap Precertified

Post by Pesser » Wed Mar 11, 2015 2:32 pm

49er wrote:
SleepDisturbed wrote:As you are discovering, the entire medical establishment is organized to maximize the convenience AND PROFITS of the members of said establishment.

The well being of patients is barely considered at all.
Definitely SleepDisturbed.

Anyway, just left a message with the anesthesiology department secretary about my concerns thanks to Roby Sue's excellent suggestion so stay tuned.
Is duck-tape a Canadian invention? We have it all over the place here!!!! I would "duck-tape" my machine to my chest and simply show up. This would be funny if it appeared on the six o'clock news!

_________________
MachineMaskHumidifier
Additional Comments: Fear of devil with halo

User avatar
Sleep2Die4
Posts: 167
Joined: Thu Feb 02, 2012 1:54 pm

Re: Very frustrated/Getting Bipap Precertified

Post by Sleep2Die4 » Wed Mar 11, 2015 2:35 pm

49er wrote:
Sleep2Die4 wrote:What kind of surgery are you having?
Thanks for asking.

Septoplasty/Turbinate Reduction/Nasal Valve Repair. Surgeon said if I used the Full Face/Fit Life Mask, I could use the machine right away. Otherwise, I would have to wait a week which I didn't want to do.
You may be stressing yourself too much over the CPAP. I have had four orthopedic surgeries and a Septoplasty/Turbinate Reduction all under general anesthesia and two colonoscopies with propofol. I have severe OSA and my CPAP was not used in any of these and I felt fine after awakening in the recovery rooms. They kept a close check on me in recovery and kept me breathing. If I had many apneas, I would have felt poorly when awakening.

But I did have my CPAP with me in case complications put me in the hospital overnight.

_________________
Mask
99% of lawyers give the rest a bad name.

User avatar
Sleep2Die4
Posts: 167
Joined: Thu Feb 02, 2012 1:54 pm

Re: Very frustrated/Getting Bipap Precertified

Post by Sleep2Die4 » Wed Mar 11, 2015 2:36 pm

BTW, what is a
Nasal Valve
?

All this time and I did not know I had one.

_________________
Mask
99% of lawyers give the rest a bad name.

User avatar
LSAT
Posts: 13266
Joined: Sun Nov 16, 2008 10:11 am
Location: SE Wisconsin

Re: Very frustrated/Getting Bipap Precertified

Post by LSAT » Wed Mar 11, 2015 4:27 pm

49er....How many months/years did you procrastinate about using your CPAP regularly before you became a believer? I agree with sleepy about the care you should receive in recovery.

JDS74
Posts: 3397
Joined: Sun Jan 23, 2011 2:57 pm
Location: South Carolina

Re: Very frustrated/Getting Bipap Precertified

Post by JDS74 » Wed Mar 11, 2015 4:47 pm

49er,

Per Robysue, arrange for the anesthesiologist to write an order that your CPAP machine be used in recovery. Mine did and everybody clicked their heels and saluted. No problems.

Don't give up.

Cheers.

_________________
Mask: Oracle HC452 Oral CPAP Mask
Humidifier: DreamStation Heated Humidifier
Additional Comments: EverFlo Q 3.0 Liters O2 PR DSX900 ASV
Oracle 452 Lessons Learned Updated
DSX900 AutoSV with HC150 extra humidifier and Hibernite heated hose
Settings: EPAP Min-10.0, EPAP Max-17, PS Min-3, PS Max-10, Max Pressure-20, Rate-Auto, Biflex-1.
Sleepyhead and Encore Pro 2.21.

User avatar
ChicagoGranny
Posts: 14855
Joined: Sun Jan 29, 2012 1:43 pm
Location: USA

Re: Very frustrated/Getting Bipap Precertified

Post by ChicagoGranny » Wed Mar 11, 2015 7:58 pm

SleepDisturbed wrote:As you are discovering, the entire medical establishment is organized to maximize the convenience AND PROFITS of the members of said establishment.

The well being of patients is barely considered at all.
SMH on behalf of all the great doctors, nurses and other medical professionals I have known.

Maybe you should go homeopathic.
"It's not the number of breaths we take, it's the number of moments that take our breath away."

Cuando cuentes cuentos, cuenta cuántas cuentos cuentas.

Thatgirl
Posts: 385
Joined: Wed Sep 17, 2014 2:13 pm

Re: Very frustrated/Getting Bipap Precertified

Post by Thatgirl » Wed Mar 11, 2015 9:04 pm

At the hospital I work at the only certification you need to use devices from home comes from the maintenance department. They inspect the cord and determine if it's safe or not then put a sticker on it. Obviously on recovery you'll need the medical and nursing staff on board, but if anesthesiology is already on board, that doesn't sound like an issue. Maybe call the hospital's main switch board and ask to speak with someone in maintenance?

_________________
MachineMask
Additional Comments: Vauto EPAP min 5, IPAP max 25, PS 6
Aircurve 10 Vauto, Dreamwear mask, Vauto mode: EPAP min 5, IPAP max 20, PS 6
Usually ~EPAP 6, IPAP 12
Loving Sleepyhead!