(03-02-2014, 08:14 PM)SleepWrangler Wrote:(02-28-2014, 03:45 PM)SnuffySleeper Wrote: My Doctor told me that to get an Autoset or Apap that the government sets a certain guideline that the patient MUST meet to be prescribed an Apap. ALL doctors must follow this guideline. Basically if your OSA can't be managed well enough by normal Cpap determined by your doctor then he will prescribe an Apap. He said Doctors can't prescribe all Apap's or they would get in trouble by the government and possibly a Doctor's board discipline. Oh Canada....
Hi. I've been recently diagnosed with apnea. Still gathering info and learning from this site and messages like yours. I found the Respiratory Equipment Policy and Administration Manual for OHIP.
Quote:335 Medical Eligibility Criteria for Positive Airway Pressure Systems (CPAP/APAP/BPAP)
The ADP provides Funding for positive airway pressure systems for individuals with a diagnosis of obstructive sleep apnea syndrome (OSAS) and the presence of significant symptoms or medical risks without treatment, and the absence of symptoms or risks with treatment.
The ADP has additional Medical Eligibility Criteria for APAP (see 335.01) and BPAP systems (see 335.02).
335.01 Auto-Titrating Positive Airway Pressure Systems (APAP)
Individuals requiring APAP systems must meet the Medical Eligibility Criteria for a positive airway pressures system (see 335) and the Medical Eligibility Criteria outlined below.
The individual must have polysomnographically documented OSAS where there is a change in pressure of a minimum of 4 cmH2O on a prescribed fixed CPAP level of 10 cmH2O or more; and the change must occur between REM vs. NREM sleep or supine vs. sleeping on their side.
The issue I'm struggling with right now is that I found it really hard to sleep at the lab for the initial test and subsequent titration follow-up. Honestly, I don't know how they measured much of anything. I didn't sleep much.
Currently I'm at the step in the process where I will get a loaner CPAP machine for a month. Will insist on an advanced machine with data logging capabilities. Maybe I can help the doctor by being prepared and by supplying useful data once the trial is complete.
Really wish I had been better informed during my initial consultation. I didn't ask any questions other than "I want to be fixed!" Not really certain what kind of apnea has been diagnosed. Will do better next time.
Cheers and good luck to you! Thanks for sharing.
Woah! Thanks for posting the medical guidelines on eligibility! That's really valuable info. So basically your sleep study must determine you need a constant pressure of 10cmh20 + and need a greater variation of 4cmh20 going from your back to side to manage your OSA to be eligible for an apap.
Do you have a link to the complete guideline/manual? Would be very interested to read more on it!