(06-18-2012, 03:04 PM)johns019 Wrote: The Dr shot me down on the Auto - said I don't need one.
Unless he has good reasons for this statement, I would go to another doctor. For instance, you might have a high level of Central events and he's afraid that setting an auto BPAP machine too high might induce centrals.
But I certainly wouldn't just leave it as him saying, "you don't need one
" without asking "why is that, doc?
" His answer or refusal to answer could be very revealing to your future therapy.
If he cops and attitude and says, "just trust me, I'm the professional here, not you
", (refusing to explain it to you) then RUN from that doctor
If he gives a well-reasoned, logical reason that makes sense to you, then you probably want to go by his advice, but ask him to prescribe an auto-BPAP, which can be set like a normal Bi-level with a specific IPAP and EPAP (inspiration and exhale pressure) with no automatic variations. That way, if you need the auto function at a later date
, you can use the same machine without laying out additional expense.
There is really no reason not to obtain an auto-CPAP or auto-BPAP (aka BPAP or VPAP) machine these days, if you're able to. They can be set for standard CPAP or standard Bi-level modes (by turning the auto-functions off).
Many doctors don't realize this, which is unfortunate. Even with BPAP, the patients pressure needs DO vary throughout the night, as conditions change such as weight loss/gain, diet changes, exercise changes, drug changes, etc., etc. To assume that a patient will never
need an Auto machine is an unfortunate assumption.
By refusing to issue an auto machine, if your needs ever do change during the 5 year useful life of life a CPAP or BPAP machine, you'll have to pay for an auto out of your own pocket, because Medicare and insurance companies usually only cover a new machine every 5 years, unless there's an absolute medical necessity.