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[Diagnosis] Just Diagnosed/Few Questions on DME Meeting
#1
Question 
Just Diagnosed/Few Questions on DME Meeting
Hi, I was just diagnosed with sleep apnea.  I was told it was mild (7 times per hour) after doing a take home test.  From how crappy I usually feel I thought it would be much higher. 

A little background on me.  I've slept bad since high school, now in my mid 30s.  I was always told my sleep problems were most likely from stress and given things like ambien (which was basically like taking a roofie for me that made me feel terrible the next day) or told to cut out TV and cell phone hours before bed but nothing seemed to work.  I didn't have any classic apnea symptoms.  I don't snore and I don't sleep long.  My main issue is frequently waking up and not being able to go back to sleep no matter how tired, or how little sleep I get. In my 20s I became very sensitive to caffeine and anything that had a stimulant response, even taking it in the morning would affect my sleep so I've had to cut out a lot of drinks/foods along the way.  I haven't even been able to take a nap in years no matter how tired I was which I always found strange.  I don't know if it's just my bodies natural response in fighting sleep because it goes through this stress every night?  

But anyway, I am going to meet with the DME on Thursday and was looking for advice on how to approach this meeting.  Reading quickly through some of these threads I see I shouldn't take whatever machine they offer me.  Does anyone have any recommendations on machines, masks, anything really that you didn't know when you went through the process but wish you did?  Thanks
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#2
RE: Just Diagnosed/Few Questions on DME Meeting
On machines GET the ResMed AirSense 10 AutoSet. It is the same billing code (insurance) as a low end brick CPAP. Just ask them when can you pickup my AutoSet
You have mild apnea which means things like flow limits may be bothering you but those will not show on the sleep test.

On masks, read the mask primer. Try masks under pressure, relaxed, and in sleeping position. Try nasal pillows, nasal masks and full face masks. All of our faces are different So our masks that work great for us may or may not work for you. Ask about the mask exchange policy.
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#3
RE: Just Diagnosed/Few Questions on DME Meeting
(12-24-2019, 12:00 PM)bonjour Wrote: On machines GET the ResMed AirSense 10 AutoSet.  It is the same billing code (insurance) as a low end brick CPAP.  Just ask them when can you pickup my AutoSet
You have mild apnea which means things like flow limits may be bothering you but those will not show on the sleep test.

On masks, read the mask primer.  Try masks under pressure, relaxed, and in sleeping position.  Try nasal pillows, nasal masks and full face masks.  All of our faces are different So our masks that work great for us may or may not work for you.  Ask about the mask exchange policy.

awesome thank you.
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#4
RE: Just Diagnosed/Few Questions on DME Meeting
One nice thing about starting therapy for apnea is that you will be able to review a lot of data by using the Oscar software and the SD card in your machine. This might even provide some additional insight into your frequent wake-ups.

Every word counts in the name of the machine Bonjour has recommended, so be sure to use the full name. And good luck trialing masks. Do you generally breathe through your nose during the day? If so, a nasal mask or nasal-pillow mask might work well for you. If not, try full-face masks.
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#5
RE: Just Diagnosed/Few Questions on DME Meeting
Start with your doctor, and be sure that he/she writes on the prescription "ResMed AirSense 10 AutoSet". This way, the DME cant give you something else.
Also, get a copy of your prescription. You may need it later to order stuff online.

If you had a sleep study, ask for a copy of that too, not just the summary, you want the entire report. These are your medical records, and you have a right to them.
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#6
RE: Just Diagnosed/Few Questions on DME Meeting
(12-24-2019, 12:07 PM)Dormeo Wrote: One nice thing about starting therapy for apnea is that you will be able to review a lot of data by using the Oscar software and the SD card in your machine.  This might even provide some additional insight into your frequent wake-ups.

Every word counts in the name of the machine Bonjour has recommended, so be sure to use the full name.  And good luck trialing masks.  Do you generally breathe through your nose during the day?  If so, a nasal mask or nasal-pillow mask might work well for you.  If not, try full-face masks.

I definitely breathe more through my nose.  I'm just not sure if I switch at all when I sleep?  Especially during allergy season.

(12-24-2019, 12:13 PM)OpalRose Wrote: Start with your doctor, and be sure that he/she writes on the prescription "ResMed AirSense 10 AutoSet".  This way, the DME cant give you something else.  
Also, get a copy of your prescription.  You may need it later to order stuff online.

If you had a sleep study, ask for a copy of that too, not just the summary, you want the entire report.  These are your medical records, and you have a right to them.
Great thank you.
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#7
RE: Just Diagnosed/Few Questions on DME Meeting
You need to be armed with some model numbers because a DME can tell you anything and you won’t know.

For Resmed Airsense 10 here are the models...

1) Airsense 10 CPAP - Model 37204 - Will have the name CPAP on the front. Do not accept this machine as it will not give you any data. It is a brick.

2) Airsense 10 Elite - Model 37206 - Will have the name Elite on the front. If you are forced to get a straight pressure CPAP machine get this one.

4) Airsense 10 Autoset - Model 37208 - Will have Autoset on the front. This is the one you want.

Note: 37203 is the same as 37204 without ClimateLineAir.
37205 same as 37206 without... 37207 same as 37208 without ClimateLineAir.

Hopefully someone will correct this if there are any errors. And maybe someone knows the Repironics machines to get just in case.

John
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#8
RE: Just Diagnosed/Few Questions on DME Meeting
Here is one more piece of info that the DME pulled on me.

An APAP (Autoset) can run as a straight pressure CPAP.

If the DME says that you have to take a CPAP because your doctor didn’t specify a pressure range, tell them to set it up as CPAP mode.

John
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#9
RE: Just Diagnosed/Few Questions on DME Meeting
(12-24-2019, 12:39 PM)70sSanO Wrote: Here is one more piece of info that the DME pulled on me.

An APAP (Autoset) can run as a straight pressure CPAP.

If the DME says that you have to take a CPAP because your doctor didn’t specify a pressure range, tell them to set it up as CPAP mode.

John

Thanks for the info.  Good to hear the DME's have your best interest at heart lol
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#10
RE: Just Diagnosed/Few Questions on DME Meeting
“I definitely breathe more through my nose. I'm just not sure if I switch at all when I sleep? Especially during allergy season.”.

Sounds like you could try a nasal mask or nasal pillows. Some people keep a full-face mask as a back-up for colds and allergy season.
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