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Self Titration - Scientific Study Confirms Apnea Board Approach
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Sleepster Offline
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Machine: ResMed AirCurve10 VAuto
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Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #31
RE: Self Titration - Scientific Study Confirms Apnea Board Approach
There is nothing illegal about changing your prescribed pressure. Just like there's nothing illegal about altering the dosage of your prescribed medicine.

The issue is whether or not it's advisable to do so. And the answer is a personal choice. If you've studied up on it, understand the implications of making the adjustment, and have the desire to do so, then go for it.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
05-30-2012 04:13 PM
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mjbearit Offline

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Machine: REMstar Auto AFlex DS550
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Sex: Male
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Post: #32
RE: Self Titration - Scientific Study Confirms Apnea Board Approach
The illegal part was a bit tongue in cheek. I know, not everyone appreciates my humor!

As always, YMMV! You do not have to agree or disagree, I am not a professional so my mental meanderings are simply recollections of things from my own life.

PRS1 - Auto - A-Flex x2 - 12.50 - 20 - Humid x2 - Swift FX
05-30-2012 04:38 PM
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JJJ Offline

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Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Most recent: Wisp, Pilairo, Mirage Vista
Humidifier: ResMed S9 Autoset
CPAP Pressure: 17-20
CPAP Software: SleepyHead

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Sex: Male
Location: USA 97217

Post: #33
RE: Self Titration - Scientific Study Confirms Apnea Board Approach
What people in the US overdose on most is prescription hysteria. I've never figured out why a prescription is required for any OSA therapy, particularly CPAP equipment. What are they worried about? That we'll overdose on air?
05-30-2012 07:01 PM
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PaulaO2 Offline
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Machine: S9 Autoset
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Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #34
RE: Self Titration - Scientific Study Confirms Apnea Board Approach
It is to control the market and justify the higher cost.

For example, I use a power wheelchair. The batteries are Group 24 deep cycle gel cell. If I go to a wheelchair place to buy them, they are around $500 to $700 each. I need two. But if I go to an auto store, they are usually less than $100. Same type of battery, just different market.

I used to have a huge honkin' van with lift and 6-way power driver's seat. The seat had issues and I wanted to replace it. From the modification dealer, it would have cost me over $3000 dollars, not including labor. But at the RV dealer, same seat functions, it would cost less than $300.

PaulaO2
Apnea Board Moderator
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Breathe deeply and count to zen.

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.
05-30-2012 08:08 PM
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mjbearit Offline

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Posts: 605
Joined: May 2012

Machine: REMstar Auto AFlex DS550
Mask Type: Nasal pillows
Mask Make & Model: RESMed Swift FX
Humidifier: Heated humidifier - 2
CPAP Pressure: 12.5-20
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: So Cal

Post: #35
RE: Self Titration - Scientific Study Confirms Apnea Board Approach
(05-30-2012 08:08 PM)PaulaO2 Wrote:  It is to control the market and justify the higher cost.

For example, I use a power wheelchair. The batteries are Group 24 deep cycle gel cell. If I go to a wheelchair place to buy them, they are around $500 to $700 each. I need two. But if I go to an auto store, they are usually less than $100. Same type of battery, just different market.

I used to have a huge honkin' van with lift and 6-way power driver's seat. The seat had issues and I wanted to replace it. From the modification dealer, it would have cost me over $3000 dollars, not including labor. But at the RV dealer, same seat functions, it would cost less than $300.

Good for you! I have always been a proponent of finding alternatives! It is criminal what they get away with, but at least you are resourceful enough to find ways around their greed!
Keep on keepin on!
Mike

As always, YMMV! You do not have to agree or disagree, I am not a professional so my mental meanderings are simply recollections of things from my own life.

PRS1 - Auto - A-Flex x2 - 12.50 - 20 - Humid x2 - Swift FX
05-30-2012 08:57 PM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,993
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #36
RE: Self Titration - Scientific Study Confirms Apnea Board Approach
(05-30-2012 08:08 PM)PaulaO2 Wrote:  For example, I use a power wheelchair. The batteries are Group 24 deep cycle gel cell.

That's your electricity back up for your CPAP machine!

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
05-30-2012 10:06 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #37
RE: Self Titration - Scientific Study Confirms Apnea Board Approach
Yep. I keep the old ones whenever I can. Depends on their life span and what the 'core' charge is. I have an old, old set in a cabinet in the bedroom.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
05-30-2012 11:06 PM
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JJJ Offline

Advisory Members

Posts: 751
Joined: Apr 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Most recent: Wisp, Pilairo, Mirage Vista
Humidifier: ResMed S9 Autoset
CPAP Pressure: 17-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: USA 97217

Post: #38
RE: Self Titration - Scientific Study Confirms Apnea Board Approach
(05-30-2012 08:08 PM)PaulaO2 Wrote:  It is to control the market and justify the higher cost.

I have suspected this all along. I expect it from the manufacturers, but apparently they have the doctors in line with them. My doc is great about letting me figure things out on my own and is almost apologetic about the prescription thing. I suppose she can't take that position with every patient, though.

Still it galls me that apparently the majority of the medical practitioners go along with the scam.

I've long hated the prescription game. I live in a city where I don't need a prescription to buy heroin. Why should I need it for CPAP stuff? Wait ... I did buy my CPAP machine on the street. Never mind.

Next week I will be in Tijuana for a couple days. I intend to do some serious shopping for CPAP stuff. I'll have my prescription with me, but I can guarantee you that no Mexican supplier will ask for it. Mostly I'm looking for price advantages and maybe masks and stuff that are not sold in the US.

I might add that Fisher and Paykel has a huge respiratory equipment manufacturing facility that they buit there about a year ago. I'm trying to find out if they have factory tours, or better yet, a refurbished outlet.
05-30-2012 11:46 PM
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mjbearit Offline

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Posts: 605
Joined: May 2012

Machine: REMstar Auto AFlex DS550
Mask Type: Nasal pillows
Mask Make & Model: RESMed Swift FX
Humidifier: Heated humidifier - 2
CPAP Pressure: 12.5-20
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: So Cal

Post: #39
RE: Self Titration - Scientific Study Confirms Apnea Board Approach
(05-30-2012 11:46 PM)JJJ Wrote:  I have suspected this all along. I expect it from the manufacturers, but apparently they have the doctors in line with them.

I would disagree. I don't think there is any sort of collusion, I just think that by and large the docs don't typically care as long as they get their pound of flesh. Granted, there are exceptions to every rule, but being with an HMO I have found some really bad doctors working side by side with some really great ones. It takes a lot of work to separate the wheat from the chaff! And there always seems to be more chaff!

As always, YMMV! You do not have to agree or disagree, I am not a professional so my mental meanderings are simply recollections of things from my own life.

PRS1 - Auto - A-Flex x2 - 12.50 - 20 - Humid x2 - Swift FX
05-31-2012 07:47 AM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,993
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #40
RE: Self Titration - Scientific Study Confirms Apnea Board Approach
(05-30-2012 11:46 PM)JJJ Wrote:  Still it galls me that apparently the majority of the medical practitioners go along with the scam.

I don't think they have much choice. If they want to practice medicine they pretty much have to go along with the insurance company regulations. Insurance companies also influence very strongly the laws. This is probably the greatest flaw in the US medical system.

Our doctors should be required to post a list of the fees they charge for their services, and let the customers shop like we would for any commodity. Of course, the insurance companies would fight any legislation designed to move towards this type of system. They want to be able to control prices, and so far they've been pretty good at doing just that.

Doctors understand this and realize that it's a necessary part of practicing medicine in the US.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
05-31-2012 11:46 AM
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