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Sort of Frustrating
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Paul Canaris Offline

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Posts: 11
Joined: Feb 2013

Machine: Respironics system one C-Flex
Mask Type: Nasal mask
Mask Make & Model: comfort fusion nasal
Humidifier: respironcs
CPAP Pressure: 14
CPAP Software: Not using software

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Sex: Male
Location:

Post: #1
Sort of Frustrating
I finally decided to get a back-up CPAP so I wont be in a panic mode the next time my system wears out/breaks down. Since I have been on CPAP threapy for over 20 years I thought my Doctor would just write me a prescription that I could send to one of the on-line stores and buy. I intend to simply pay out of my own pocket for the CPAP as I am tired of dealing with DME's and the mark-up games they play and my insurance company who limits who I can obtain my sleep apnea supplies from to these same sources.
Anyways I made the mistake of observing out loud that a Auto CPAP seems to be a good way to go from all I have read.
I was surprised to say the least when he told me that he would not write me a prescription without first sending me to a pulmonologist to get an opinion on whether APAP's actually work effectively. I understand it is his medical license that is on the line when he writes a prescription, but I thought that the APAP concept was well thought of, proven, having FDA clearnace and not some experiemental flavor of the month. Perhaps I am missing something, would appreciate anyones thoughts and has anyone run into this sort of thing before?
02-15-2013 05:53 PM
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zonk Offline

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Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #2
RE: Sort of Frustrating
welcome to the forum Paul
cannot help, I don,t reside in US
there is no doubt apap can works as effectively as cpap

maybe the doc does not know that apap is two machines in one and more cost effective
[for example: S9 Autoset (apap) cost $50 more than S9 Elite (cpap)]

can be used as cpap to deliver constant pressure all night or on auto to adjust the pressure during the night
02-15-2013 06:12 PM
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Paul Canaris Offline

Members

Posts: 11
Joined: Feb 2013

Machine: Respironics system one C-Flex
Mask Type: Nasal mask
Mask Make & Model: comfort fusion nasal
Humidifier: respironcs
CPAP Pressure: 14
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #3
RE: Sort of Frustrating
Your right, explained all of that and it did not a bit of good to change his mind. Concerned now that the Pulmonologist will want me to take another sleep study (can't stand taking those things) and wont simply give me a sign-off on the APAP. Thats what attracted me to the APAP in the first place is that it seems to avoid the need for regular sleep studies. Well I guess I'll see what happens.
(This post was last modified: 02-15-2013 06:26 PM by Paul Canaris.)
02-15-2013 06:25 PM
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trish6hundred Offline

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Posts: 6,436
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #4
RE: Sort of Frustrating
Hi Paul Canaris, WELCOME! to the forum.!
Hang in there for more suggestions.
You can get an APAP and run it on straight CPAP.
Best of luck to you in getting the machine you really want.

trish6hundred
02-15-2013 07:03 PM
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jgjones1972 Offline

Preferred Members-2

Posts: 516
Joined: Nov 2012

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: ResMed H5i
CPAP Pressure: 18 - 20
CPAP Software: ResScan SleepyHead

Other Comments: CMS50I PulseOx

Sex: Male
Location: Ohio - USA

Post: #5
RE: Sort of Frustrating
Some places will let you buy an APAP with a CPAP prescription. They just set it to CPAP mode and the prescribed pressure on the script before shipping it out. Once you get it you can get into the clinical settings and set it however you want at your own discretion (and risk).

I would suggest calling the suppliers and asking what they require on the prescription because the prescription regulations are so vague that it seems there are as many different policies as there are suppliers.

Sleep-well
02-15-2013 07:49 PM
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PaulaO2 Offline
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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: #6
RE: Sort of Frustrating
The prescription does not need to say APAP if you are paying out of pocket. So go back and tell him you saw the error of your ways and will bow to his superior wisdom while, in your mind, you are flipping him a bird and dancing naked behind his back.

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.
02-15-2013 07:58 PM
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Shastzi Offline

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Posts: 1,174
Joined: Dec 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: FitLife Total face mask
Humidifier: F&P HC150 with Hybernite heated hose.
CPAP Pressure: 15cm-20cm H2O (auto)
CPAP Software: SleepyHead Other Software

Other Comments: CMS50-F wearable Oximeter; Software: SPO2 Assistant

Sex: Undisclosed
Location: Florida, USA.

Post: #7
RE: Sort of Frustrating
Hi Paul,
I suspect your physician, pulmonologist and sleep clinic are running a Charlie Foxtrot operation where they
all are agreeing under the table to send each other business.
I would change doctors if it's possible. He is perfectly capable of writing a CPAP prescript for you
for that particular machine. The other possibility is: He is stupid.
So you want to be rid of him either way.

"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton

Cool
02-15-2013 10:31 PM
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Sleepster Offline
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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: #8
RE: Sort of Frustrating
(02-15-2013 05:53 PM)Paul Canaris Wrote:  Perhaps I am missing something, would appreciate anyones thoughts and has anyone run into this sort of thing before?

Go to the Supplier #1 web site. Fill out the form there giving them the contact information for your doctor. They'll get the prescription from the doctor and let you make a copy of it.

Or you could just call your doctor's office and tell them you need a copy of your prescription. They have to give it to you.

Once you get it you can use it buy a CPAP or a APAP.

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.
02-15-2013 11:02 PM
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vsheline Offline

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Posts: 1,907
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #9
RE: Sort of Frustrating
(02-15-2013 11:02 PM)Sleepster Wrote:  Once you get it you can use it buy a CPAP or a APAP.

Hi Paul,

If you want a brand new machine, I suggest checking the prices for Open Box Specials from Supplier #2.

Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
02-16-2013 05:03 AM
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Shastzi Offline

Advisory Members

Posts: 1,174
Joined: Dec 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: FitLife Total face mask
Humidifier: F&P HC150 with Hybernite heated hose.
CPAP Pressure: 15cm-20cm H2O (auto)
CPAP Software: SleepyHead Other Software

Other Comments: CMS50-F wearable Oximeter; Software: SPO2 Assistant

Sex: Undisclosed
Location: Florida, USA.

Post: #10
RE: Sort of Frustrating
What Sleepster & vsheline said.
There you are Paul. You have your marching orders!
Now go forth and CONQUER!

*giggle*
=^.^=

"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton

Cool
02-16-2013 10:02 AM
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