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Help Setting Pressure on Bilevel Machine
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Kate Offline

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Posts: 85
Joined: Dec 2013

Machine: ResMed S9 VPAP S
Mask Type: Full face mask
Mask Make & Model: Philips Resperonics FitLife
Humidifier: ResMed S5i
CPAP Pressure: 8/4
CPAP Software: ResScan

Other Comments: VPAP always makes me feel like my avatar.

Sex: Female
Location: Poulsbo, Washington

Post: #1
Surprised Help Setting Pressure on Bilevel Machine
HELP!

First I have to say that all of my apnea events are all CNS related. Sometimes it goes as high as 15 an hour and then the next night it will be 3. When I had my latest sleep study, it was 4. SOooooo

My DME is saying that they won't give me a bilevel machine because of the sleep study. Even if I pay for it. I lost my health insurance so I have told the DME that I would pay them instead of my insurance. But they still won't give it to me. My doctor won't give me my prescription, he'll only give it to the DME.

I think that I can get the prescription from a very sweet lady at the DME. But I'm slowly losing my mind.Oh-jeez

What I need to know is if I get the prescription and the machine from an online site, could someone one the forum help me set the machine?

Thanks, Kate

:Using cpap then vpap since Feb.2013,
Kate
01-16-2014 01:04 AM
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DeepBreathing Offline
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Posts: 2,292
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #2
RE: Help Setting Pressure on Bilevel Machine
Hi Kate. Once you get the machine and know what make / model it is, we'll be able to help with the settings.

I'm not really familiar with the tangled logic of the American medical system, but if the doctor provides a prescription to the DME, aren't they obliged to provide a machine as prescribed?

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


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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.
01-16-2014 05:44 AM
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vsheline Offline

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Posts: 1,907
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #3
RE: Help Setting Pressure on Bilevel Machine
(01-16-2014 01:04 AM)Kate Wrote:  First I have to say that all of my apnea events are all CNS related.

Hi Kate,

If all your apneas are CNS related ("centrals"), then you need more than a standard bilevel machine. Only an Adaptive Servo Ventilator (ASV) class of bilevel machine will be able to treat your Centrals.

I think the best ASV machines are:
ResMed S9 VPAP ST-A
ResMed S9 VPAP Adapt
Philips Respironics System One (PRS1) BiPAP autoSV Advanced

Please check your Private Messages. I have sent you more info by PM.

Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 01-16-2014 07:49 AM by vsheline.)
01-16-2014 07:47 AM
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #4
RE: Help Setting Pressure on Bilevel Machine
(01-16-2014 01:04 AM)Kate Wrote:  HELP!

First I have to say that all of my apnea events are all CNS related. Sometimes it goes as high as 15 an hour and then the next night it will be 3. When I had my latest sleep study, it was 4. SOooooo

My DME is saying that they won't give me a bilevel machine because of the sleep study. Even if I pay for it. I lost my health insurance so I have told the DME that I would pay them instead of my insurance. But they still won't give it to me. My doctor won't give me my prescription, he'll only give it to the DME.

I think that I can get the prescription from a very sweet lady at the DME. But I'm slowly losing my mind.Oh-jeez

What I need to know is if I get the prescription and the machine from an online site, could someone one the forum help me set the machine?

Thanks, Kate

I don't know where you live, but in the US, your prescription is part of your medical records and should be provided to you upon your request. I would call the office manager at your doctor's office. However, if your prescription isn't for a bilevel, you won't be able to buy a bilevel machine. A DME has to fill the script as it is written by the doc. Also, you have to meet specific criteria for a bilevel machine and it isn't a good idea to get a machine that is not going to help you and as others have said, if you have Central, then a bilevel is not the right machine to treat it.
(This post was last modified: 01-16-2014 08:15 AM by me50.)
01-16-2014 08:12 AM
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zonk Offline

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Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #5
RE: Help Setting Pressure on Bilevel Machine
(01-16-2014 01:04 AM)Kate Wrote:  HELP!
Your medical team are the best people to help you, they know your medical history
01-16-2014 02:48 PM
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Kate Offline

Preferred Members

Posts: 85
Joined: Dec 2013

Machine: ResMed S9 VPAP S
Mask Type: Full face mask
Mask Make & Model: Philips Resperonics FitLife
Humidifier: ResMed S5i
CPAP Pressure: 8/4
CPAP Software: ResScan

Other Comments: VPAP always makes me feel like my avatar.

Sex: Female
Location: Poulsbo, Washington

Post: #6
RE: Help Setting Pressure on Bilevel Machine
Me50 and deep breathing,

I don't have insurance for two months because of President Obama's health care. So my DME won't do anrthing to help. They will give me an overpriced that I purchase, though.

I have been genetically diagnosed with narcolepsy and I need my machine to help with centrals before I have insurance. I am going to purchase a machine from the second online website that is on the supplier list ( that seems very awkward to say but I guess because of the rules, I have to do it. ) I found an open box special.

Then I will need help setting it. Thank you.

Kate

:Using cpap then vpap since Feb.2013,
Kate
01-21-2014 06:23 PM
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Kate Offline

Preferred Members

Posts: 85
Joined: Dec 2013

Machine: ResMed S9 VPAP S
Mask Type: Full face mask
Mask Make & Model: Philips Resperonics FitLife
Humidifier: ResMed S5i
CPAP Pressure: 8/4
CPAP Software: ResScan

Other Comments: VPAP always makes me feel like my avatar.

Sex: Female
Location: Poulsbo, Washington

Post: #7
RE: Help Setting Pressure on Bilevel Machine
(01-16-2014 05:44 AM)DeepBreathing Wrote:  Hi Kate. Once you get the machine and know what make / model it is, we'll be able to help with the settings.

I'm not really familiar with the tangled logic of the American medical system, but if the doctor provides a prescription to the DME, aren't they obliged to provide a machine as prescribed?


No insurance for two months, so they act like I can't purchase it.

The doctor's office pretends that they have no idea of what a prescription for bipap is. That is the second sleep disorder doctor in my area that have said the same thing. Is there anything else beside the word the "prescription" that I am supposed to use?

Vaughn,

Could you send me your pm again, please. I didn't recieve it.

Kate

:Using cpap then vpap since Feb.2013,
Kate
(This post was last modified: 01-21-2014 06:35 PM by Kate.)
01-21-2014 06:34 PM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #8
RE: Help Setting Pressure on Bilevel Machine
why do you have to wait 2 months to get insurance due to Obamacare? Do you have the copy of your sleep study? If so, what does it show? wherever you had the sleep study should have sent the results, and usually a script, with the sleep study results. What is your diagnosis?
01-21-2014 07:08 PM
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Kate Offline

Preferred Members

Posts: 85
Joined: Dec 2013

Machine: ResMed S9 VPAP S
Mask Type: Full face mask
Mask Make & Model: Philips Resperonics FitLife
Humidifier: ResMed S5i
CPAP Pressure: 8/4
CPAP Software: ResScan

Other Comments: VPAP always makes me feel like my avatar.

Sex: Female
Location: Poulsbo, Washington

Post: #9
RE: Help Setting Pressure on Bilevel Machine
Obamacare put my insurance company out of business because they wouldn't include maternitycare for me. Just what every 65 year old woman needs. So much for if you like your insurance, you can keep your insurance.

:Using cpap then vpap since Feb.2013,
Kate
09-05-2014 05:19 AM
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