No, if nothing else it's interesting just to demonstrate how confusing this business can be.
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.
What it does demonstrate is that you are looking for a machine with "auto" in it in some form. The vanilla form for the Remstar is the Auto with A Flex, for Resmed the A10 autoset which supersedes the very good S9 Autoset. I doubt your prescribing doc will deny an aoutsetting machine for you, unless he is a total berk or OHIP is a total moster with tyrannical rules - it makes his job way easier if your machine autotitrates and ensures better compliance. The only reason to not, IMHO, is if you have a special form of SA that requires bi-level or other forms of machines to deal with complex apnoea or extreme central apnoea. You did not indicate that to be the case. It is no longer practice here to prescribe a fixed pressure, nor should it be, but instead a pressure range. The machinery available is now smart enough to find the right levels and micro-adjust over the night, which was not the case 10 years ago. However, I am aware that OHIP has been put under extreme pressure by the Ontario government to cut as many corners as possible, and that there is more or less a medical crisis in that province, especially in Toronto, which has a shortage of doctors for the patient load.If your doc will not write the script, find one who will or talk to you GP or to your ombudsman.
02-08-2015, 05:21 AM
(This post was last modified: 02-08-2015, 05:22 AM by player.)
I will talk to my sleep MD, but I only saw her once on a remote video conference briefly.
I was told before the doctor will offer the auto script they need to be able to show a variance between
6 and 10.5 with side and back in one session. Unfortunately the approved dealers only offer a small number of govt approved units.
The govt pays 75% of the cost, bringing it to $215 out of my pocket. If I don't get the script for auto and I go auto, I get no help.
So I will push for the auto script, but if not I will pick the best unit I can, hopefully with some guidance from this community.
I guess I could sell it new and get a better one on sale...but I have a loaner for another week, and I do not want to go without a machine when the week is up.
You machine is data capable - all you need is to show an increase in AHI between back and side sleeping, which you can do easily enough, even without cheating. Insist they review the data and look at individual AHI variance over the night - increase in AHI at various points of the night will indicate a possible position change and will allow for them to write a script for an auto machine. It is, btw, a daft rule if ever I heard of one, the one you mentioned. Should be challenged and struck off the books. Auto machines should the basic script model in Canada, as it is in Switzerland.
I am most likely getting the AirSense 10 Elite w/ Humidifier.
I cannot get an auto machine, so I think this machine is the newest and most feature packed for the money.
It's a good machine and will give you good feedback on your treatment. There is a lot of emphasis on the auto machines here, but for a lot of us, the best treatment occurs in a narrow range. The auto helps to find that, but it's still a CPAP. Elite also has a 3 cmH20 exhale pressure relief. Good luck!