(08-31-2014, 05:40 PM)Evpraxia Wrote: I was diagnosed with sleep apnea on Thursday (moderate to severe) and am NOT patiently waiting for my CPAP to come in. So, in the meantime, I am using my hubby's old CPAP (the "brick") with a setting of 8, which we will be increasing tonight.
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Better living through machinery!
Evpraxia in the Pacific Northwest USA
I see from your profile that you just recently joined here. Having just been diagnosed, this is a CRITICAL period for you. Generally in this country, insurance will provide a machine once every 5 years. So whatever machine you get now, you will live with for the next 5 years.
In my view, the most important capability is that it reports full data, so that you can see what is working with your therapy, and what is not. The second most important capability is auto-adjust. Even if you turn out to be a person who does not tolerate the pressure changes of an APAP that well, all APAPs can be configured to run as fixed pressure machines. The advantage of an APAP is that you can repeat an in-home titration test as often as you wish. It isn't unusual that titration in a sleep lab is of dubious value - different environment, all those wires and sensors, etc. Often a patient won't sleep much, sleep may not resemble their normal sleep pattern, sleep often interrupted by the sleep tech, etc.
If you have not seen it, here is a link to a good article about choosing a machine and machines to avoid:
Be assertive: decide what you want, and DON'T let the Dr. or the DME stampede you into getting something less. Remember, many DMEs will lie thru their teeth if they think it is in their interest.
The machine prescription. It is often wise to have the Dr. write the prescription to include the specific machine, Mask as "patient choice", and some words like "Dispense as written". If you decide you want an APAP machine, it will be necessary for the prescription to be written with a pressure range, not just a single pressure. Also, get a hard copy of your PAP prescription, for several reasons.
Don't accept physical delivery of a machine you don't want, unless it is clearly a loaner, a rental, a trial machine, etc. Once you have accepted a machine from your prescription, it is often VERY difficult to change it.
Get the full copy of your sleep study. Many times patients are told "You wouldn't understand it", or are fobbed off with some excuse or another. In this country under HIPPA rules, this is YOUR data and you are entitled to it. Don't settle for less. It may become important later, and it will be easier to obtain right now.
Good luck on your journey.