Quote:I am a Board Certified Sleep specialist and find it amusing that someone would recommend that patients adjust their own CPAP pressure.
Glad we provide you with some amusement, Doc.
Quote:This reminds me of a patient who thought he had too much pressure and punched holes in his hose.
We're a little smarter than that... but feel free to ridicule us, as it makes you feel more important and justified in your talking down to us. We can take it.
Quote:It takes a little more than just common sense to adjust the pressure correctly. It is difficult even in the sleep lab, while doing the CPAP titration study, when we are monitoring the patient on each breath. So, I don't recommend such practice.
I would agree that it takes more than just common sense, but quite a number of us sleep apnea patients have "health care providers" who seem to have NO common sense, and treat us as though we are stupid cows, needing to be led by the nose with no explanation whatsoever. You may not be one of those types of doctors, so this may not apply to you.
Many of us have the intelligence to study up on this subject and we like the ability and freedom to take your advice as a Doc, plus what we've learned in books and on the Web, and combine those elements with common sense to form a sound conclusion as we make our own health care decisions.
Quote:You are better off asking for a flow-sensitive Auto CPAP machine.
Absolutely and completely AGREE, but not everyone can afford a new auto-PAP.
Quote:And even then, as a physician, I have to analyze the compliance report information, the air leak data, and interview the patient, before making a decision.
News Flash, Doc
: It's not your
decision, it's our
decision as a patient. You
work for us
, remember? We
. You can only advise us and recommend we follow your advice - you don't make the decisions for us.
Are you saying that we cannot educate ourselves, using provider-level analysis software that can be purchased over the Internet? We're too stupid to do that, I suppose? You need to read the various forum posts where we discussed this. Nowhere do we ever say that you should not consult with a sleep doctor while making changes to your pressure... we actually recommend that as the best option. As a doc, one would think you would be more thorough in your analysis, prior to making a sweeping judgment against our web site and forum - sure hope you're not as slip-shod while diagnosing your patients.
Quote:I understand some patients have no insurance and limited income; I deal with this all the time, and try to help patients as best I can.
Good for you. Wish more health care workers would do that. I salute you.
Quote:A blanket statement about adjusting your own CPAP pressure is not acceptable.
There you go again, making a "blanket statement" about us. Nowhere did anyone on this website or forum recommend that we completely disregard our doctors' advice. That would be stupid.
Quote:having spent 27 years in a classroom gives me the option of saying that the medical comunity is, often, smarter than you. No offense.
This is really what "gets us riled up" - you feel some sort of perverted "need" to tell us that you
are smarter than we
are. What gives with that attitude? So what
if you are? Do you need to state it?
And, you know what, you're not smarter than us in all areas - maybe in medicine or sleep issues, yes. Try respecting your patients more and talking down to us less. Help us... educate us... answer our questions... but don't insult our intelligence, even if it is true that you are smarter than your patients in most cases.
Quote:I wonder if someone has instructions for people to do their own root canals?
You know, in the old days, all 'ya needed was a quart of whiskey, a friend handy with a pair of pliers, and heck, most toothaches could be solved overnight.
Yeah, maybe we should start a web page for those who want to do their own tooth extraction... not a bad idea.
Welcome to Apnea Board, doc. Care to help us Sleep Apnea patients with some solid, helpful advice to make it less risky if we want to adjust our own CPAP pressure, or are you going to continue to rant on how we can't do it ourselves without paying an expert? Come on, become part of the solution, rather than putting up walls between the doctor and patient. I bet you'd actually be more satisfied in your profession if you started doing that more often. B)