Very much agree with Robysue. It sounds like they had their head on straight when they ordered you the auto machine, but somehow forgot where they put it when they decided to revert you to standard CPAP. I think docs like to pigeonhole patients too much. But around here we believe in patient empowerment, and you know what works for you better than anyone else. So go get 'em Bill, and good job!
I agree with robysue and retired_guy
WELCOME! to the forum.!
Good job sticking up for yourself, keep up the fight and best of luck getting this situation straightened out.
The medical mafia dislikes auto CPAP (APAP) and using the efficacy data automatically collected by modern CPAP machines every night.
There are some limitations to APAP and CPAP generated data, but the arguments are mostly specious.
APAP's can be adjusted to work in a narrower pressure range and eliminate the problems that "untamed" APAP can cause. All it takes is a little analysis of the in-home data the machine provides and a little effort on the part of the doctor. The argument is made that the APAP may not find the "right" pressure. That's drivel. It assumes that a manual pressure (probably chosen from a one night $leep $tudy in the lab) is right and an auto pressure in a properly chosen range by examining the actual sleep data is wrong.
The medical mafia also tends to ignore the in home CPAP data and go exclusively with the data from in lab $leep $tudies. This is downright disingenuous. In some ways, an in-lab $leep $tudy is better than home CPAP data. However, it's not an either/or situation. Looking at the home data doesn't mean you can't have or use an in-lab $leep $tudy. Home CPAP data may very well alert a good doctor that the patient actually does (or doesn't) need a new $leep $tudy.
In short, the medical mafia doesn't like APAP and home data analysis because they're not as profitable as the alternatives and it does take a little more effort and learning on the part of the doctor. Many of them also have delusions of grandeur and don't want to hand over part of the control to some machine, especially since the machine does this control without generating as much ongoing revenue as the manual process.
Get the free SleepyHead software here
for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
Moreover, there's no monetary motivation for doctors to learn how to interpret CPAP data, and in fact there is monetary motivation for them to not learn.
There are a lot of good doctors out there who do learn how to interpret CPAP data because it's a better standard of care for the patients, but you cannot simply assume that your doctor is one of them. As in all cases of patient care, it's the patients who must check to see that we're getting a better standard of care.
Apnea Board Moderator
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.