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[Diagnosis] ISO Second Diagnosis Advice
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headpeace Offline

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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
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trish6hundred Offline

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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
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justMongo Offline

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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.

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10-07-2016 03:32 PM
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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
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Sleeprider Offline
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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.

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10-10-2016 02:36 PM
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headpeace Offline

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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
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