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Follow up appt.
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Smoothy Offline

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Posts: 7
Joined: Jan 2014

Machine: ResMed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Philips Nuance Pro
Humidifier: H5i
CPAP Pressure: None
CPAP Software: Not using software

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Sex: Male
Location: Greater Cleveland Ohio Area

Post: #1
Follow up appt.
I had an appointment with my doctor and will start therapy this week. He stated he wanted to see me in 6 months. That seems to be a long time for a follow up. Please advise

Thanks
01-09-2014 04:41 AM
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JimZZZ Offline

Advisory Members

Posts: 370
Joined: Dec 2013

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: ResMed H5i (not using)
CPAP Pressure: 9 - 14
CPAP Software: ResScan SleepyHead

Other Comments: CareFusion PureSom Ultra Chinstrap

Sex: Male
Location: Western North Carolina

Post: #2
RE: Follow up appt.
My follow up with the sleep lab is scheduled for 90 days after I started therapy but I have seen the DME clinician three times in the first month of usage. After the doctor interprets the titration study and prescribes the device, there's not much need for his or her involvement until the patient has some history on the machine. The early issues have been between me and the DME with a lot of help from this forum. They are mostly about getting the right mask and learning to use the equipment. Using an S9 AutoSet and SleepyHead to see my results, I was able to tweak the pressure settings myself. I'm expecting the doctor to look at my 90-day history and determine whether the therapy is effective and determine whether there are any other health issues.
01-09-2014 06:56 AM
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robysue Online
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Advisory Members

Posts: 1,233
Joined: Oct 2013

Machine: PR Dreamstation BiPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: PR Dreamstation humidfier
CPAP Pressure: min EPAP = 4; max IPAP = 9;
CPAP Software: SleepyHead EncoreBasic EncorePro

Other Comments: Papping since September 2010

Sex: Female
Location: Buffalo, NY

Post: #3
RE: Follow up appt.
If things are going well, a 90-day or six month follow up might be fine. If there's not? Well that's a long, long time to wait.

Here's what I'd suggest: Keep the current follow up appointment schedule and hope for the best. If you have no serious problems adjusting to PAP and your sleep is improving (or at least not getting any worse), there's really no harm in waiting that long for a follow-up.

But ...

If you have any problems adjusting to PAP, get on the phone right away and let the sleep doc's office know about them as soon as they develop and ask the receptionist to have a nurse, PA, or the doc call you back. If the problem does NOT go away or gets worse OR if you develop more adjustment issues, then continue calling the sleep doc's office and keep them posted; ask for a call back each time you call to report about the problem(s). If the problem(s) become severe---i.e. your daytime functioning is suffering OR the problems are so bad that you are seriously thinking of abandoning PAP, then insist to the receptionist who answers the phone that you really think you need to be seen and ask for a call back from the nurse, PA, or doc. And when speaking with the medical professional, tell them that you really think you need a face-to-face meeting to discuss how bad things are.

If you are unlucky enough to have serious adjustment problems that really need to be addressed on the doc's end, a series of phone calls to the sleep doc's office where you request call backs from the nurse, PA, or doctor each time will get you the attention you need from the sleep doc's office and they'll make an earlier follow-up appointment for you if the situation warrants it.
01-09-2014 10:13 AM
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trish6hundred Offline

Advisory Members

Posts: 6,449
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: #4
RE: Follow up appt.
Hi Smoothly,
What robysue said.
Best of luck to you with your CPAP therapy.

trish6hundred
01-09-2014 11:04 AM
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bavinck Offline

Members

Posts: 17
Joined: Dec 2013

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed H5i
CPAP Pressure: 8 cm
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Alberta, Canada

Post: #5
RE: Follow up appt.
I am in a similar situation now, having just begun CPAP and completely my initial follow up with my doc, getting my prescription. My doc said he would really like to follow up after 4 months, being his preferred amount of time. He did indicate he would be willing to wait at most 6 months before seeing me again, so that is within the realm of safe for my doc, but not best practice.
01-09-2014 12:07 PM
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Sparkle Offline

Preferred Members-2

Posts: 131
Joined: Jan 2015

Machine: Res Med Air Sense 10 Auto Set
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro
Humidifier: ResMed S10 37028
CPAP Pressure: 4-14
CPAP Software: SleepyHead

Other Comments: 3 brothers on CPAP; rescue mom to Bootsie Bella; wishes the APAP matched the decor in my bedroom :)

Sex: Female
Location: Northeastern MA

Post: #6
RE: Follow up appt.
(01-09-2014 10:13 AM)robysue Wrote:  If things are going well, a 90-day or six month follow up might be fine. If there's not? Well that's a long, long time to wait.

Here's what I'd suggest: Keep the current follow up appointment schedule and hope for the best. If you have no serious problems adjusting to PAP and your sleep is improving (or at least not getting any worse), there's really no harm in waiting that long for a follow-up.

But ...

If you have any problems adjusting to PAP, get on the phone right away and let the sleep doc's office know about them as soon as they develop and ask the receptionist to have a nurse, PA, or the doc call you back. If the problem does NOT go away or gets worse OR if you develop more adjustment issues, then continue calling the sleep doc's office and keep them posted; ask for a call back each time you call to report about the problem(s). If the problem(s) become severe---i.e. your daytime functioning is suffering OR the problems are so bad that you are seriously thinking of abandoning PAP, then insist to the receptionist who answers the phone that you really think you need to be seen and ask for a call back from the nurse, PA, or doc. And when speaking with the medical professional, tell them that you really think you need a face-to-face meeting to discuss how bad things are.

If you are unlucky enough to have serious adjustment problems that really need to be addressed on the doc's end, a series of phone calls to the sleep doc's office where you request call backs from the nurse, PA, or doctor each time will get you the attention you need from the sleep doc's office and they'll make an earlier follow-up appointment for you if the situation warrants it.

Good advice! My dr. (a pulmonologist) requested a follow up in four to six weeks. Its amazing how they are all different!
01-22-2015 10:50 AM
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Dagmar Offline

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Posts: 98
Joined: Jul 2015

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Wisp by Respironics
Humidifier: Resmed
CPAP Pressure: 10
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Michigan

Post: #7
RE: Follow up appt.
It might also depend on how busy they are and your insurance (there level of reimbursement).
09-12-2015 08:20 AM
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