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DME woes
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Lukie Offline

Preferred Members-2

Posts: 352
Joined: Nov 2013

Machine: Resmed S9 Auto
Mask Type: Full face mask
Mask Make & Model: Airfit F 10
Humidifier: H I heated tubing resmed
CPAP Pressure: 6-16
CPAP Software: ResScan SleepyHead

Other Comments: Masks: Simplus, Air, Quattro fx, Nano, Eson, Swift fx and Activ

Sex: Female
Location: Vermont

Post: #1
DME woes
So I confronted my RT about the Nano and how it gets floppy and leaks after a month and she said the cushion is classified as part of the frame so it is only replaced every 3 months. So since it leaks into my eyes occasionally because it is floppy, I insisted on a new nasal mask that doesn't leak into the eyes so she gave me a sample she had of a F&P epson nasal mask. She said it was a small. I got it home and fortunately for me it was a medium/large so maybe it will work. I told her others have gotten replacement cushions for the Nano nasal but she would not budge on it so I will in 2 weeks get a brand new Mirage LT nasal and see how that works.
It's crazy.
01-30-2014 03:37 PM
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JohnNJ Offline

Preferred Members-2

Posts: 103
Joined: Oct 2013

Machine: ResMed S9 AutoSet & ResMed Power Station II
Mask Type: Nasal pillows
Mask Make & Model: Respironics Wisp & ResMed Swift FX
Humidifier: ResMed H5i & ClimateLine (distilled / fresh daily)
CPAP Pressure: 9.4 - 10
CPAP Software: ResScan SleepyHead

Other Comments: First night - November 25, 2013

Sex: Male
Location: New Jersey, USA

Post: #2
RE: DME woes
Below is a link to a ResMed site PDF file that shows the components of the Swift FX Nano, which I have.

My insurance company, not the RT or DME company, sets the replacement schedule. They told the DME to send me six cushions for the next three months - 2 per month. I said I thought that was a lot but the insurance company insisted I change the cushion twice a month for health reasons.

http://www.resmed.com/us/assets/document...er_eng.pdf
01-30-2014 05:00 PM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #3
RE: DME woes
Lukie She is not correct. The cushion is NOT a part of the frame. It is sickening that DME's and the RT's have no clue or pretend to have no clue what is allowed. I don't know what company you use but maybe you can shop around and ask them questions about the replacement schedules. If they know them and know them correctly, that is a big part of the battle. I really like my new DME.
01-30-2014 07:10 PM
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Lukie Offline

Preferred Members-2

Posts: 352
Joined: Nov 2013

Machine: Resmed S9 Auto
Mask Type: Full face mask
Mask Make & Model: Airfit F 10
Humidifier: H I heated tubing resmed
CPAP Pressure: 6-16
CPAP Software: ResScan SleepyHead

Other Comments: Masks: Simplus, Air, Quattro fx, Nano, Eson, Swift fx and Activ

Sex: Female
Location: Vermont

Post: #4
RE: DME woes
I live in a kind of rural area of Vermont. Our DME is the only game in town if you want Medicare and Insurance to pay for things. They are the folks that send your sleep data to the sleep lab etc etc. I could shake them loose and order online but I would lose a lot of money that way.
01-30-2014 07:34 PM
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Lukie Offline

Preferred Members-2

Posts: 352
Joined: Nov 2013

Machine: Resmed S9 Auto
Mask Type: Full face mask
Mask Make & Model: Airfit F 10
Humidifier: H I heated tubing resmed
CPAP Pressure: 6-16
CPAP Software: ResScan SleepyHead

Other Comments: Masks: Simplus, Air, Quattro fx, Nano, Eson, Swift fx and Activ

Sex: Female
Location: Vermont

Post: #5
RE: DME woes
That being said, my RT is about to replace my hose and give me a new mask so I do want to try the mirage LT nasal mask as the Nano does leak towards the eyes quite a bit.
01-30-2014 07:36 PM
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trish6hundred Offline

Advisory Members

Posts: 6,449
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #6
RE: DME woes
Hi Lukie,
I know what you mean, that was one of the problems I had with the Nano because for me, even the smallest cushion was too big and it kept moving up toward my eyes and caused leaks.
Hopefully, the new mask will work better for you and maybe they can figure out the cushion schedule on it.

trish6hundred
01-30-2014 07:50 PM
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GRak Offline

Members

Posts: 11
Joined: Jan 2014

Machine: F&P Icon Auto
Mask Type: Nasal pillows
Mask Make & Model: Respironics Optilife
Humidifier: F&P Icon Auto
CPAP Pressure: 4 - 18 auto
CPAP Software: Other Software

Other Comments:

Sex: Male
Location:

Post: #7
RE: DME woes
My DME showed me how to fill my F&P S600 humidifier tank by putting a funnel into the air discharge port of the machine (tank still installed) where it would then trickle down into the removable tank.

The manual clearly warns not to do that and shows using the funnel to fill the tank after it was removed from the machine!
01-30-2014 10:00 PM
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JohnNJ Offline

Preferred Members-2

Posts: 103
Joined: Oct 2013

Machine: ResMed S9 AutoSet & ResMed Power Station II
Mask Type: Nasal pillows
Mask Make & Model: Respironics Wisp & ResMed Swift FX
Humidifier: ResMed H5i & ClimateLine (distilled / fresh daily)
CPAP Pressure: 9.4 - 10
CPAP Software: ResScan SleepyHead

Other Comments: First night - November 25, 2013

Sex: Male
Location: New Jersey, USA

Post: #8
RE: DME woes
(01-30-2014 07:34 PM)Lukie Wrote:  I live in a kind of rural area of Vermont. Our DME is the only game in town if you want Medicare and Insurance to pay for things. They are the folks that send your sleep data to the sleep lab etc etc. I could shake them loose and order online but I would lose a lot of money that way.

So I'm guessing that since you had no intention of changing or even challenging the DME, you were just venting. Perfectly fine but a heads up would be nice. Good luck.
01-31-2014 12:53 PM
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Lukie Offline

Preferred Members-2

Posts: 352
Joined: Nov 2013

Machine: Resmed S9 Auto
Mask Type: Full face mask
Mask Make & Model: Airfit F 10
Humidifier: H I heated tubing resmed
CPAP Pressure: 6-16
CPAP Software: ResScan SleepyHead

Other Comments: Masks: Simplus, Air, Quattro fx, Nano, Eson, Swift fx and Activ

Sex: Female
Location: Vermont

Post: #9
RE: DME woes
(01-31-2014 12:53 PM)JohnNJ Wrote:  
(01-30-2014 07:34 PM)Lukie Wrote:  I live in a kind of rural area of Vermont. Our DME is the only game in town if you want Medicare and Insurance to pay for things. They are the folks that send your sleep data to the sleep lab etc etc. I could shake them loose and order online but I would lose a lot of money that way.

So I'm guessing that since you had no intention of changing or even challenging the DME, you were just venting. Perfectly fine but a heads up would be nice. Good luck.

Of course I challenged the DME. I am waiting for the word from the head manager. I think I will probably end up with a diff. mask. But If the new mask is as good as the Nano has been in reducing my AHI, I may change masks, however if it is as bad as the Eson F&P I may see what a provider in Burlington has to offer. I think they do deliver to this area.
01-31-2014 02:17 PM
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JohnNJ Offline

Preferred Members-2

Posts: 103
Joined: Oct 2013

Machine: ResMed S9 AutoSet & ResMed Power Station II
Mask Type: Nasal pillows
Mask Make & Model: Respironics Wisp & ResMed Swift FX
Humidifier: ResMed H5i & ClimateLine (distilled / fresh daily)
CPAP Pressure: 9.4 - 10
CPAP Software: ResScan SleepyHead

Other Comments: First night - November 25, 2013

Sex: Male
Location: New Jersey, USA

Post: #10
RE: DME woes
(01-31-2014 02:17 PM)Lukie Wrote:  Of course I challenged the DME. I am waiting for the word from the head manager. I think I will probably end up with a diff. mask. But If the new mask is as good as the Nano has been in reducing my AHI, I may change masks, however if it is as bad as the Eson F&P I may see what a provider in Burlington has to offer. I think they do deliver to this area.

Good for you. Your first concern should be a balance between your financial coverage and your comfort with this therapy. It doesn't work well if you don't use it or can't even get it.

Be polite but firm and do not take no for an answer. Wink
01-31-2014 03:12 PM
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