(08-10-2015 12:49 PM)VeeBeeMee Wrote: Thanks a lot. What isLungen Liga?There did not seem to be such an intermediary. I hadnt thought of a chin strap, but got a nose-mouth mask which i hope will help. i will see the tech again in a week and ask for a chin strap.
The LungenLiga (or LiguePulmonaire) is the Swiss activist and advocacy group for people with breathing difficulties of any sort. They are state supported to a large extent, and part of a larger group of umbrella organisations to help those and advocate for those with physical or mental problems in this country - I consult regularly for several of them, most especially the Hard of Hearing organisation. The LL is the normal and only state sanctioned provider of CPAP and other respiratory services in la Suisse (although there are private DMEs as well, you would not be sent to them if you are tested through the hospital system, and most do not provide CPAP devices or are licensed to do so). Any hospital referral will send you there for your final device, and is the main DME provider recognised by Swiss insurance companies. I suggest you take your Rx and go there if you feel in any way short changed by CENAS - certainly it does no harm for you to go to them and get informed as to their services and how they would provide your devices.
CENAS is a private company and I cannot speak for either their expertise or their service, nor the quality of care or honesty - they are a private company and there is a profit motive which makes me, a state hospital based doctor, always a bit suspicious (but that is a personal prejudice of someone who has never worked in the private sector of medicine, and should not reflect on the actual work CENAS does - as I said, I do not know them, but I know a lot of doctors in private practice that I admire); however, I can certainly speak for the LL (or LP in French) and the quality of their help. If you are provided with a new machine there, you will get everything in the package, which, if you have a ResMed machine, includes the software CD - it is yours, you paid for it, they will not refuse it, unless you get a stupid person as an advisor (there always are a few, everywhere). However, Sleepyhead is freely available, and is excellent at interpreting your data in an easy to understand way.
Since CENAS is a private company, I find it unacceptable that they would provide you with an EOL device except as a test device to see if you can reach compliance. If that is the reason, then that is understandable, but once you have proven compliance, they should switch you to the latest, greatest of devices of your choice, ResMed or Respironics (there are only a few other manufacturers licensed for sale in Switzerland, and for the most part not worth going into here). The LL has another problem, given the financial constraints they are under, and may try to give you an S9, since they still have a large stock of them, but if you say no, they won't blink, just get you the device you want, A 10 or PRS 60, whichever you prefer. As for which, both are good - I use the PRS 60 and find it to be an excellent, quiet and easy to use device, especially if you want to control and understand your data. But the A10 is also an excellent device, also quiet, although I find the water tank design a bit fiddly and odd.
Either way, good luck.