(08-06-2015, 05:28 PM)parkerdt Wrote: Thanks! I still have a few concerns to discuss with the Doctor - but to my surprise, I have a 30 minute appointment! So hopefully he can read my card and suggest any tweaks that would help. I'm really curious as to why he prefers fixed pressure, also, even though he prescribed an auto machine.
That is about 6 times the length of time my doc spends (when I wait an hour and a half to see him). My doc has no interest in reading my card, also prescribed "fixed", which I vetoed, and then "auto" cut my AHI in half. This makes ME my primary care giver, and not him.
If I were to be completely cynical, I think there are two things at work here:
1) The industry is lethargic. We've had auto for some time, but there is a legacy mind-set that a fixed pressure is still best, which has no real argument to support it that I have been able to find.
2) Auto-CPAP is a threat to the lucrative PSG industry. Its a disrupter. It might mean that the relevance of a PSG is lowered significantly.
For a sleep doc to give in and admit to auto being a better solution is to allow the APAP onto the slippery slope that makes the PSG less relevant.
And I think this is also why they don't want to see the data; they pretend it is not relevant and does not exist, when we all know it is entirely relevant. They are ostriches with their heads in the sand, refusing to extricate themselves from their state of denial. They are threatened, and have circled the wagons in response. Bunker mentality.
Ironically, this goes absolutely against the Hippocratic Oath. They are doing what protects them, and not what is best for the patient. They have a significant conflict of interest, and have no thoughts of resolving that by doing the right thing, which is to accept that the world has changed.
But it is not 1992 anymore. Time now, for them to wake up and smell the propane.