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Severe positional apnea: What can I do?
#11
RE: Severe positional apnea: What can I do?
Well, I've had to go the... slightly third party route. My physician feels I don't need CPAP because I'm "too young"... thus utilizing Supplier #30's prescription service gave me a script for an APAP. It sounds a bit stupid of me to have to do, but I feel like this board's helping me take control of my own health to solve my problems. I will probably only end up using the script for supplies; I'm scoping out some ResMed units that are available on Craigslist where I'm traveling in a couple weeks and hopefully this is the beginning of a good journey.

Thanks for the help so far.
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#12
RE: Severe positional apnea: What can I do?
Nice workaround with the Supplier #30 option. Since you have a prescription, you may have coverage. In your case, the deductibles and copay may make it less than worthwhile. Once you get this all sorted out, transfer your CPAP/BPAP care to your primary physician. Specialists are generally not worth talking to with notable exceptions, while your PCP tends to be interested in your overall care and seem to do better. It's really easy, just discuss compliance and benefits at your annual exam.
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#13
RE: Severe positional apnea: What can I do?
(05-15-2018, 05:54 PM)kotaKat Wrote: Well, I've had to go the... slightly third party route. My physician feels I don't need CPAP because I'm "too young"... thus utilizing Supplier #30's prescription service gave me a script for an APAP.

Hey, that's great!  I didn't know that was even possible.  Is that sort of like a mail-order Doctor of Divinity degree?  Smile  Whatever works.

Have you read the wiki page "Machine Choices", a.k.a. "Archangle's advice on which machine to buy"?  It's very good.  There's some useful advice there.  It's worth emphasizing that an important list, in that article and elsewhere, names various machines not to buy under any circumstances, also known as "Run away screaming".  That's just as important as the list of machines that are good.

Level 0 includes all "bricks" that don't provide full data, only compliance data.  An example is the Resmed model named "Airsense 10 CPAP".  (The name is misleading because all of these are CPAP machines, but that's what they call it.)  Everything in that bargain-basement level is to be avoided.  A lot of those machines are also fixed-pressure, as with level 1.

Level 1 includes all fixed-pressure machines, not able to do APAP.  An example is the "Airsense 10 Elite".  Those are also to be avoided even though many of them provide full data via SD card.

Level 2 includes APAP machines (they can also be set to fixed-pressure mode) that provide full data via SD card, and that's the best choice for everyone who doesn't (yet) need bilevel or beyond.  The outstanding example in level 2 is the Airsense 10 Autoset, a second model of which is also available at the same price, called "Autoset for Her".  That one is preferable even for guys because it includes a choice of two APAP algorithms rather than one (and has cute flowers on the case).  But the plain Autoset is great also.

There are comparable Philips Respironics Dreamstation models, with slightly different names and model numbers, in all three of those levels.

So one big point there is that just "Airsense 10" by itself or "Philips Dreamstation" by itself (in a craigslist ad or wherever) is not specific enough.  You have to go by the exact model name (or, with the PR machines, probably the complete model number).

You don't need a prescription to buy supplies other than entire masks.  Mask parts, hoses, humidifier tanks, and filters can be bought by anyone.

Now that you have the Rx, definitely check out Supplier #2 and browse its web site.  Very good stuff.  Highly recommended.  Good prices, excellent customer service, etc.  The company sells both new and "gently used" machines, along with new masks.

Another reportedly good retailer is pointed to (indirectly) here: "Great ResMed CPAP APAP BPAP pricing in USA - no affiliation" by Shin Ryoku, 2017-11-14
"I wanted to be a Boy Scout, but I had all the wrong qualities.  They were looking for kids who were trustworthy, loyal, helpful, friendly, courteous, kind, obedient, cheerful, thrifty, brave, clean, and reverent.  Whereas I tended to be devious, fickle, obstructive, hostile, rude, mean, defiant, glum, extravagant, cowardly, dirty, and sacrilegious."  (George Carlin)
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