Sample Rx Script

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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loganasu
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Sample Rx Script

Post by loganasu » Wed May 18, 2011 2:16 pm

I remember seeing someone say that they brought in a sample script for thier doctor to write out and he liked it so much that the doctor is now using it.

Since it's my Family Doctor that will be writing the script, I wanted to give him something written down so that I would be able to get the machine that I want/need.

Does anyone have a quick link to that post?

Thank you,

LoganASU

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LinkC
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Re: Sample Rx Script

Post by LinkC » Wed May 18, 2011 2:33 pm

Didn't see that post, but here's what mine says:

Respironics M-series Auto-titrating CPAP set at xx-xx cm H2O with compatible heated humidifier. Flex enabled. Ramp feature enabled. Mask interface of patient's choice. To be set up by therapist. Equipment is medically-necessary. Length of need > 99 months.

A different brand can be substituted for "Respironics M-series" of course. That's just what mine says...

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Janknitz
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Re: Sample Rx Script

Post by Janknitz » Wed May 18, 2011 2:43 pm

You should only specify the brand if you know that's the brand you want.

May I suggest the following:
Auto-titrating CPAP with pressure set at ___ to ____ cm H20 with compatible heated humidifier and flex/exhalation pressure relief. Provide patient access to ramp settings, leak, and AHI info. Mask interface of patient's choice. To be set up by therapist. Equipment is medically-necessary. Length of need > 99 years.
(years, not months, BTW!)

If you know what brand of machine you want, or want CPAP rather than auto (really?) then you can ask the doctor to include that, i.e. " ResMed S9 auto-titrating . . . etc." or "Philips Respironics System One Pro CPAP set with pressure set to ____ cm H20 . . . etc."
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GumbyCT
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Re: Sample Rx Script

Post by GumbyCT » Wed May 18, 2011 2:47 pm

Search for some posts by Slinky from some years back, Slinky + scripts or prescriptions. I think cpap.com has the requirements too.

I do know it is the pressure setting(s) which are normally forgotten. CPAP needs 1 pressure; an auto needs two like 8-15cm. Doc can also order a data download in 15 and 30 days too.

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LinkC
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Re: Sample Rx Script

Post by LinkC » Wed May 18, 2011 2:51 pm

Janknitz wrote:You should only specify the brand if you know that's the brand you want.
I would recommend KNOWING what brand you want and specifying it. If you don't, God only knows what you'll get... Perhaps your doc has a recommendation.

But do not specify "M-series"...they don't make them any more!

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Mary Z
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Re: Sample Rx Script

Post by Mary Z » Wed May 18, 2011 2:59 pm

I don't think an AUTO machine is necessarily better for all of us. I have a machine that works in three modes, but I choose CPAP because my pressure requirements are not high and it is simple and works well for me. I don't think AUTO is always better, or the way to go. It's great for people with a good knowledge level who want/need to do self titration. But for new and old users sometimes CPAP is the best way.

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Emilia
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Re: Sample Rx Script

Post by Emilia » Wed May 18, 2011 3:45 pm

Here is a sample Rx form from our host's site: http://cdn.cloudfiles.mosso.com/c149421 ... on-LMN.pdf

and here are their guidelines about Rx's. : https://www.cpap.com/cpap-faq/Prescriptions.html
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GumbyCT
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Re: Sample Rx Script

Post by GumbyCT » Wed May 18, 2011 4:30 pm


_________________
Humidifier: HC150 Heated Humidifier With Hose, 2 Chambers and Stand
Additional Comments: New users can't remember they can't remember YET!
BeganCPAP31Jan2007;AHI<0.5
I have no doubt, how I sleep affects every waking moment.
I am making progress-NOW I remember that I can't remember
;)
If this isn’t rocket science why are there so many spaceshots?
Be your own healthcare advocate!

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LinkC
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Re: Sample Rx Script

Post by LinkC » Wed May 18, 2011 4:35 pm

Mary Z wrote:I don't think an AUTO machine is necessarily better for all of us.
I disagree. An AUTO machine gives the patient the OPTION of using either. I, too, normally use CPAP mode because I get better results. It sounds like you have an Auto and have chosen CPAP. Do you not think others should have the same choices you had?

To be clear: I think everyone should have an Auto machine. I do not think everyone should use it in Auto mode all the time; but have the option to use what works better for them.

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The OSA patient died quietly in his sleep.
Unlike his passengers who died screaming as the car went over the cliff...

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chunkyfrog
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Re: Sample Rx Script

Post by chunkyfrog » Wed May 18, 2011 4:48 pm

I was just fine on 14 cm pressure with an S9 elite for 10 months- but I was obese, with liver enzymes inching upward--my blood sugar a disaster.
I was told that the best and safest solution was weight loss.
I read on this forum that weight loss would likely change my pressure requirements.
My sleep doctor concurred; stating that anything at or above a 30 pound loss, would indicate a consultation and possibly another sleep study.
I bought my Autoset; and have lost 28 pounds--so far. (low cal, low fat, very low carb--doctor monitored)
My pressure has fluctuated as my weight has changed--only an automatic machine would have given me consistent good therapy.
For me it was the machine I should have started with.

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Janknitz
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Re: Sample Rx Script

Post by Janknitz » Wed May 18, 2011 7:00 pm

A lot of people do fine in straight CPAP mode for their entire lives on PAP, but I'm tending toward agreeing with Link that everyone should have an auto so that if anything changes or they are having a problem, the auto can be used to help figure it out. Even if the user doesn't feel savvy enough to auto-titrate at home, the doctor can use the data too. Without auto data, another sleep study is required, or perhaps the patient gets nothing because there's no money to pay for a new sleep study or profit for the doctor/lab in doing one.

There is such a little cost difference between the CPAP and auto at the outset, but a HUGE cost penalty if someone on a CPAP later finds they need an auto, that I'm beginning to think it is just as wrong to give people non-auto machines as it is to give them machines that are not data capable.

Kahfree's recent posts about now needing a second sleep study are an illustration on point. And they SHOULD HAVE KNOWN BETTER IN HER CASE, because her initial sleep study didn't yield enough useful information.
What you need to know before you meet your DME http://tinyurl.com/2arffqx
Taming the Mirage Quattro http://tinyurl.com/2ft3lh8
Swift FX Fitting Guide http://tinyurl.com/22ur9ts
Don't Pay that Upcharge! http://tinyurl.com/2ck48rm