Post Reply 
[Diagnosis] ISO Second Diagnosis Advice
Author Message
headpeace Offline

New Members

Posts: 3
Joined: Sep 2016

Machine: ResMed S9
Mask Type: Nasal prongs
Mask Make & Model: San Diego
Humidifier: ResMed H5i
CPAP Pressure: 12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Bonita, CA, USA

Post: #1
Question ISO Second Diagnosis Advice
I've got a pulmonologist who will supervise treatment for my apnea. I had a cardiopulmonary sleep study taken about 5 years ago.

Do you think that he will order another test?
10-07-2016 02:54 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
trish6hundred Offline

Advisory Members

Posts: 6,430
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: #2
RE: ISO Second Diagnosis Advice
Hi headpeace,
WELCOME! to the forum.!
Hang in there for answers to your question and I wish you good luck with your CPAP therapy.

trish6hundred
10-07-2016 03:25 PM
Find all posts by this user Post Reply Quote this message in a reply
justMongo Offline

Monitors

Posts: 3,845
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #3
RE: ISO Second Diagnosis Advice
(10-07-2016 02:54 PM)headpeace Wrote:  I've got a pulmonologist who will supervise treatment for my apnea. I had a cardiopulmonary sleep study taken about 5 years ago.

Do you think that he will order another test?

Most likely since it has been 5 years.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
10-07-2016 03:32 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
headpeace Offline

New Members

Posts: 3
Joined: Sep 2016

Machine: ResMed S9
Mask Type: Nasal prongs
Mask Make & Model: San Diego
Humidifier: ResMed H5i
CPAP Pressure: 12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Bonita, CA, USA

Post: #4
RE: ISO Second Diagnosis Advice
(10-07-2016 03:32 PM)justMongo Wrote:  Most likely since it has been 5 years.

Great-info

Here is my dilemma - and I'm not sure if anyone can help - but I absolutely, positively do not want to go back to the same group who did the first sleep study. There is something about getting a prescription from an M.D. who I never met that I find disagreeable.

Any suggestions on how to work that though my cardiologist, medical insuror and durable supply provider?
10-10-2016 01:20 PM
Find all posts by this user Post Reply Quote this message in a reply
Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,335
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #5
RE: ISO Second Diagnosis Advice
If you have a copy of your first sleep study, that is probably sufficient to issue a prescription and get insurance coverage. You will have to meet with the doctor and explain your aversion to the sleep clinic. He may or may not need sleep study data, and it's especially unlikely if you have a history of simple obstructive sleep apnea that can be treated with CPAP. In that case and Auto CPAP will produce the data and titration needed to optimize your treatment. Any physician can work with you on prescribing and using CPAP, so while it's nice to have a specialist, it's not necessary.

Make your concerns known. Avoiding a sleep study can save a lot of money, and insurance is no problem as long as you have at least a summary of your previous study. If you don't, your doctor may be able to help you obtain a copy. The sleep clinic is required to provide you with a copy of your records and diagnosis under HIPAA, and you need to make an effort to get those records if they still exist. They may be archived, but should still be available if you can recall approximately when you had a sleep study. It appears you are using a S9 machine. What model? If it is an Elite or Autoset, it should produce data you can review with your doctor. Current use of a CPAP is probably adequate to justify a prescription renewal.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
10-10-2016 02:36 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
headpeace Offline

New Members

Posts: 3
Joined: Sep 2016

Machine: ResMed S9
Mask Type: Nasal prongs
Mask Make & Model: San Diego
Humidifier: ResMed H5i
CPAP Pressure: 12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Bonita, CA, USA

Post: #6
RE: ISO Second Diagnosis Advice
(10-10-2016 02:36 PM)Sleeprider Wrote:  If you have a copy of your first sleep study, that is probably sufficient to issue a prescription and get insurance coverage.
Yes, I have that - my pulmonologist has a copy, too.
(10-10-2016 02:36 PM)Sleeprider Wrote:  It appears you are using a S9 machine. What model? If it is an Elite or Autoset, it should produce data you can review with your doctor. Current use of a CPAP is probably adequate to justify a prescription renewal.
Too-funny

...but it doesn't: even though I got the unit in 2011, it reports a window of time from 2007-2008 with no usage of the unit ever!
(This post was last modified: 10-10-2016 03:22 PM by headpeace.)
10-10-2016 03:19 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Newbie - need advice on settings and machine tmc712 12 206 Today 09:52 AM
Last Post: robysue
  advice for diagnosis steps to take odoyle 12 480 12-03-2016 11:50 PM
Last Post: Sleeprider
  [Equipment] Advice on transitioning from pillows to FFM? Strat0caster 8 205 12-02-2016 10:58 PM
Last Post: PaulaO2
Smile [CPAP] Diagnosis + prescription = Frustration... ApneaBoard + experimenting = Salvation! OldVet 8 269 11-28-2016 08:24 PM
Last Post: OldVet
  ADVICE ON THIS DATA Gazz 3 247 11-21-2016 11:13 AM
Last Post: OpalRose
  new user wants advice Gazz 3 225 11-19-2016 11:06 AM
Last Post: trish6hundred
  Advice needed for struggling CPAP user Fubblin 35 1,968 11-18-2016 07:18 PM
Last Post: Sleeprider

Forum Jump:

Who's Online (Complete List)