(05-13-2014 12:19 PM)jaycee Wrote: I work for a DME
I have to ask: What's the default CPAP machine that you set your new patients up with when the script says nothing except "CPAP at 9 cm"?
I ask because, quite frankly, your credibility with me, as a PAP user, depends strongly on your answer to that question.
Do you routinely your new patients up with the more expensive Resmed S9 Elite or AutoSet or the PR System One Pro or Auto, all of which record full efficacy data?
Or do you routinely set your new PAPers with a Resmed S9 Escape or a PR System One SE or a System one Plus, none of which record anything except usage data?
Or does the machine sold to a particular new patient strongly depend on how knowledgeable and stubborn the patient is about getting a machine that records full efficacy data?
Quote:Having a wireless capable machine means that I can get your compliance data for insurance or DoT purposes without you having to come into the office. Without me having to schedule you to come into the office. I can pull you up on the computer, print out the report and fax it where it it needs to be fax'd.
Pardon me for saying it, but I really don't give a damn about the compliance data. I know how long I use the machine each night and I don't need you telling me that I'm doing a Good Job because my usage is roughly 6.5 hours every single night.
Yes, I can understand why its easier for you to process the paper work to convince my insurance company to pay you for my equipment if you don't need to make me come in or mail my card in. But on the other hand, that also means that I get even less meaningful face to face (or telephone) contact with an important part of the "health care team" that is supposed to help me
make this crazy therapy work when I'm running into some bizarre problems during my first few days or weeks of PAPing.
Quote:If you provider wants your pressure changed, I can do it via the wi-fi. You don't have to make an appt to come into the office.
Pardon my saying it: But I do NOT want you making any
changes to my pressure behind my back. Seriously. That's one of my BIGGEST worries about this whole wireless data transmission stuff:
You and the sleep doc can communicate about my data without ever asking me a single question about how things are going each night in MY bedroom when I am trying to use this crazy machine. And then you can make a change to my machine and never tell me about it
. And that's just plain WRONG.
I want to be a central participant in any
discussion about whether my pressure setting should be changed. I don't want my sleep doc looking at my data (without me being there), deciding my pressure needs to be change (without informing me or asking me any questions about how things are going), and faxing or emailing a request to you to change the pressure on my machine without telling me about it. And I also don't want you sending my machine
the instructions through the cloud, but NOT bothering to call me or email me about the fact that it has been done.
Quote:If you call me with a problem, I can pull up your information on the computer and use that data to help me figure out what your problem is (all without you having to make an appt or walk in and wait to see a therapist).
In my humble experience, phone conversations to discuss problems even when both parties have the same data sitting in front of them usually are much less effective at actually solving the problem than a decent face-to-face meeting. And if only ONE of the parties on the phone can see the data? It's not going to be a very effective conversation.
Besides---what data are you going to pull up on your data screen when I call you? If your company sold me a machine that records nothing but usage data (as MOST DMEs do), you're not going to be able to tell me anything I don't already know.
And if you do have real efficacy data, I won't be able to see it because I don't have it on my computer because I have no way to download it because there is no SD card in my machine. So I'm flying blind: I have no idea what you're talking about. I can't see the data. And I can't ask you any intelligent questions about your particular interpretation about the data.
And for me, that kind of a conversation will NOT be satisfactory: For every change you (or my doc) insists that I should make in my therapy, I want to SEE the data that justifies the change. I'm aware that most patients are not like this, but I am not "most patients". I am ME and I want my need to fully understand what's going on to NOT be treated as "silly" or "stupid" or "difficult" or "unwarranted." (And through the years, I have been made to feel that way on numerous occasions both by DMEs and sleep docs and their minions.)
As a specific example: If I meet with you (face to face) about problems I'm having with aerophagia and you tell me I need to use a chin strap because I have leaks that are too large, I want you to show me the leak line and point out exactly where the large leaks are occurring. Because if you can't do that, then leaks are probably NOT my problem (if efficacy data exists) and there's no point ADDING something that's going to increase my discomfort when it's not likely to solve a problem that does not exist.