(10-09-2014 02:51 PM)wheaton4prez Wrote: I came across this thread because I am scheduled to get a CPAP machine in a few days and I wanted to see if there were any risks.
I see that all of the discussion has been over too much pressure. I hadn't even considered that to be a danger. I was concerned more with being suffocated by having the mask on and the machine going off or malfunctioning. Is that a possibility or is there some fail-safe design feature that would allow you to breathe with the mask on and the machine off?
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Thank you. I am happy to have found this site before I went in. I'm sure that you're right that they'll try something fishy. That kind of thing is why I delayed getting a CPAP machine.
I did a sleep study a few years ago mainly because my wife was worried about me stopping breathing at night. I didn't feel tired or anything at that time. But, after the study, the people at the place (who seemed like non-skilled, non-trained young workers to me) said that they "never find that anyone doesn't have sleep apnea." That, along with the place being covered with equipment marketing posters, materials, boxes, kiosks, etc. made me feel like it was all a scam. When I went back to the doctor, he said that I wasn't the first person to say that. So, I just dropped the issue entirely.
Now, a few years later, I am starting to feel like the apnea is affecting me and really want to find the right solution. But, I'm in a new place with a new doctor. This one had me do a take-home sleep study. Months passed afterward and they seem to have lost the results or never got them back from where the data is sent. Disappointing to the say the least. All they said was that they later looked into it and determined that I could get a CPAP covered by insurance without them getting the results back. And so, I now have the appointment to pick up the machine tomorrow.
The insurance side of things isn't great either. They said that I have to pay the entire amount because I haven't reached my deductible. The place I am going said they do rent-to-own. So, it's $150 or so a month for 6 months, then you own the machine. Plus $150 or so for the mask and other gear.
Because of what I read on this site, I'm going to scrutinize what equipment they are offering. If it doesn't collect data, I'm not going to go for it.
Since I have never had a doctor give me the air pressure setting I need as I have seen others discuss, it appeals to me to get the automatic CPAP model (APAP?). I honestly don't really trust that I can get the setting and study I need without a huge headache and expense. So, I would prefer a machine that does more. Am I correct in my thinking on that?
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Thank you. I certainly seem to be feeling the effects. Tiredness, feeling out of breath at night and in the morning, memory loss, etc. Are those the typical signs? I've been reading that high blood pressure is a result. But, I have good blood pressure (nurse said "blood pressure of an 18 year old"). I sometimes surf 20 hours a week which isn't far off from doing a marathon or two. So, maybe that has masked some of the symptoms?
Welcome to the forum. You have found a great place to ask questions and get answers.
At the moment, you are a the critical point of choosing a machine. Since you have no sleep study results to go by, you are correct that an Auto machine makes the most sense for you now. All Auto machines can be configured to run as single-pressure CPAP machines, so you really have 2 machines in one. The second issue is to MAKE SURE you get a machine with full data capability. You will be at a severe disadvantage in attempting to manage your own therapy without the data.
Here is a link to an article about choosing machines:
Here is another page of links to review BEFORE you pickup any machine:
1) Study the machines and understand the array of choices. Pick the machine or machines you will accept, and don't allow the DME to pawn off some piece of junk on you (as some will do). If you don't know about the machine they want to give you, DON'T ACCEPT IT. It is much easier to change to a different machine before you have one, so there is no "exchange" issue to negotiate.
2) BE DETERMINED to get the machine you want and need. After all, you're going to live with it for the next 5 years, not the DME, who is only going to live with the effect on his bottom line this month. By next month, you'll be lucky if they remember your name. In some cases, you'll be luckier if they do forget your name.
3) Trust NOTHING of what the DME tells you - unless you already know what they are talking about. The level of ignorance and/or the willingness to lie of many DME's is legendary on this board. Unless you've been lurking here awhile, you will not have had time to read of some of the wretched practices of some of these people. Here is one thread illustrating this:
4) You may be correct about the mask - if your nasal passages are too narrow to allow breathing comfort, a Full-face mask (FFM) may be simplest for you starting out. I used the ResMed Mirage Quattro at first, then switched to the F&P Simplus. Either mask is usable for me, but the Simplus is more comfortable.
5) Include the heated humidifier for whatever machine you choose. You can always choose not to turn on or connect it if you find you don't want or need it, but if you don't get it with the machine, it can be difficult later.
6) Just deal with getting the right gear for now. We are always here to help you once that hurdle is behind you.
Another personal opinion: If I were buying a spare machine today, I would get another S9 Autoset. I would avoid the Airsense 10 models, as they are a brand-new release, not much reported experience with them. Some very experienced members here have reported a negative experience compared to the S9 Autoset.
7) See if there is any way to obtain the reports or full data from your sleep study. It can be very useful in establishing a starting point for your settings. It is YOUR data and you are entitled to it. They can charge a copy fee for getting it from their archives, but usually not more.
Best luck and wishes on your journey.