The very first thing you need to do is read JanKnitz's What you need to know before you meet your DME
. DMEs are notorious for trying to tell new OSA patients a variety of misleading statements to out right bald-faced lies about the equipment that the DME has "selected" for the patient with little or no input from the patient him/herself.
Yes, it would be nice to get a Resmed S9 AutoSet or PR System One Auto CPAP. But the more critical thing is to get a machine that records full efficacy data
instead of just usage (or compliance) data. So the bright line in the sand is really the difference between getting a Resmed S9 ELITE instead of a Resmed Escape. Or a PR System One PRO CPAP instead of a PR System One PLUS CPAP (or the even more primitive PR System One SE CPAP).
(05-05-2014 11:45 PM)SleepyDreamCatcher Wrote: I spent a very nice half hour with the tech?... nurse?... finally reviewing my titration study, getting and getting copies of all my paperwork and finally the script for the machine. It states a CPAP with a pressure of 6, advanced data capable, heated humidifier & hose, and mask of my choice.
The fact that the scrip specifies "advanced data" is encouraging. That ought to tell the DME that you need a machine with full efficacy data. But there's still a chance that someone will try to tell you that an S9 Escape has "advanced" data because, after all, there's an SD card in its back ....
But the bigger potential problem is that someone at the DME may decide to try to appease your desire for an APAP by selling you a Resmed S9 Escape Auto
. And they'll claim (correctly) that it records AHI data. But they won't mention that the AHI data is just summary data---it's not broken down into the number of OAs, Hs, and CAs you had. And there's no flow limitation data. And there's no snoring data. And most important: There's no leak data recorded on the S9 Escape Auto.
So if the choice comes down to an S9 Elite (fixed pressure, but all
the efficacy data) or an S9 Escape Auto, you would be way better off getting the S9 Elite.
Quote:My question, is should I still request from the DME to get an APAP & set it to work as a CPAP?
Yes. You can ask the DME to sell you an APAP and set it to CPAP mode. Some very nice DMEs routinely set up all their new patients/customers with a full efficacy data APAP set up in CPAP mode.
But as I said earlier, you need to be very cautious that the DME doesn't try to sell you the S9 Escape Auto if you insist that they must give you an APAP.
Quote:I know from the reading I've been doing over the past few weeks here & on other sites that the majority feel the APAP is a better machine, but with my low pressure needs, is it really needed?
Maybe, maybe not. Some people do better on APAP; some do better on straight CPAP. For a lot of people it really doesn't matter that much.
Quote:I feel sure the DME is going to want to give me an S9 Elite or the RemStar Pro.
Do NOT expect anything from the DME until you verify the exact model number of the machine they are selling you. While many DMEs are excellent, there are enough really bad DMEs out there to give the whole industry a big black eye. There are many people on these boards who will tell you about DMEs that make slimy used car dealers seem to be honest, forthright salesmen by comparison.
Quote:I dislike confrontations, but at the same time want what is going to be best for me. If this is a battle I need to fight I will... but I really just want to get a machine to get started on so that I can start feeling better. I'm so ready to get started.
No one wants a confrontation when they've just been diagnosed with a serious, chronic condition. But a certain percentage of DMEs seem to take advantage of their new CPAP customers simply because so few of them ever make a stink about being provided the cheapest equipment the DME can sell them.
And since the process of switching out a machine you later decide you don't want (because it does not record full efficacy data) is very difficult at most DMEs, it's critically important that you have the knowledge and the will power to walk away without a machine if the only machine(s) the DME is willing to sell you are machines that you already know are NOT acceptable. In other words, if the DME pulls a fast one and tries to convince you to accept a Resmed S9 Escape, an S9 Escape Auto, a PR System One Plus, or a PR System One SE, you're better off saying you refuse to take delivery and that you plan on purchasing your equipment from another DME.