Post Reply 
Switched from APAP to CPAP
Author Message
linn Offline

Preferred Members

Posts: 102
Joined: Sep 2015

Machine: CPAP (Auto)
Mask Type: Nasal mask
Mask Make & Model: Resmed AirSense 10 Autoset for Her
Humidifier: unsure
CPAP Pressure: 7.6
CPAP Software: Not using software

Other Comments: Hashimoto's Disease, Sleep Apnea, Goiter

Sex: Female
Location: Canada

Post: #11
Gross RE: Switched from APAP to CPAP
(11-18-2015 06:17 PM)DariaVader Wrote:  if you do, pass it on... Big Grin

Will do :grin:
11-18-2015 06:27 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
GPSMapNut Offline

Advisory Members

Posts: 175
Joined: Nov 2015

Machine: DreamStation Auto
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10 and PR DreamWear
Humidifier: DreamStation + heated hose
CPAP Pressure: 9-16
CPAP Software: SleepyHead EncorePro Other Software

Other Comments: Used Respironics REMstar Pro with C-Flex for 11 years and ResMed S9 Elite loaner for 3 months

Sex: Male
Location: Mississauga, ON, Canada

Post: #12
RE: Switched from APAP to CPAP
Sorry but something does not add up for me...
You were switched from APAP to CPAP BUT it's the same machine? That means that the doc. recommended setting constant pressure... Odd unless, the doc figuered out that the APAP just does not work for you... Based on what?
If you still have the APAP machine which is just set into CPAP mode, there is no question of paying for the machine yourself. You can change that setting - plenty of info on this board about doing that. "Not allowed"? Well, Maybe the doc recommended against it and I can not recommend that you do whatever your MD told you not to do but, at the end of the day, it is your decision. AFAIK, you can not go to jail for not heading the advice of your doc. and changing the settings on your machine.
What I do suggest is; first try changing the ramp settings to find the one you are comfortable with.
11-18-2015 07:10 PM
Find all posts by this user Post Reply Quote this message in a reply
linn Offline

Preferred Members

Posts: 102
Joined: Sep 2015

Machine: CPAP (Auto)
Mask Type: Nasal mask
Mask Make & Model: Resmed AirSense 10 Autoset for Her
Humidifier: unsure
CPAP Pressure: 7.6
CPAP Software: Not using software

Other Comments: Hashimoto's Disease, Sleep Apnea, Goiter

Sex: Female
Location: Canada

Post: #13
RE: Switched from APAP to CPAP
(11-18-2015 07:10 PM)GPSMapNut Wrote:  Sorry but something does not add up for me...
You were switched from APAP to CPAP BUT it's the same machine? That means that the doc. recommended setting constant pressure... Odd unless, the doc figuered out that the APAP just does not work for you... Based on what?
If you still have the APAP machine which is just set into CPAP mode, there is no question of paying for the machine yourself. You can change that setting - plenty of info on this board about doing that. "Not allowed"? Well, Maybe the doc recommended against it and I can not recommend that you do whatever your MD told you not to do but, at the end of the day, it is your decision. AFAIK, you can not go to jail for not heading the advice of your doc. and changing the settings on your machine.
What I do suggest is; first try changing the ramp settings to find the one you are comfortable with.
The machine is a loaner that I was given for my titration...Sorry, I should have mentioned that.


(11-18-2015 07:12 PM)linn Wrote:  
(11-18-2015 07:10 PM)GPSMapNut Wrote:  Sorry but something does not add up for me...
You were switched from APAP to CPAP BUT it's the same machine? That means that the doc. recommended setting constant pressure... Odd unless, the doc figuered out that the APAP just does not work for you... Based on what?
If you still have the APAP machine which is just set into CPAP mode, there is no question of paying for the machine yourself. You can change that setting - plenty of info on this board about doing that. "Not allowed"? Well, Maybe the doc recommended against it and I can not recommend that you do whatever your MD told you not to do but, at the end of the day, it is your decision. AFAIK, you can not go to jail for not heading the advice of your doc. and changing the settings on your machine.
What I do suggest is; first try changing the ramp settings to find the one you are comfortable with.
The machine is a loaner that I was given for my titration...Sorry, I should have mentioned that.

They are still monitoring my data - so I can't touch the settings.
(This post was last modified: 11-18-2015 07:13 PM by linn.)
11-18-2015 07:12 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
GPSMapNut Offline

Advisory Members

Posts: 175
Joined: Nov 2015

Machine: DreamStation Auto
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10 and PR DreamWear
Humidifier: DreamStation + heated hose
CPAP Pressure: 9-16
CPAP Software: SleepyHead EncorePro Other Software

Other Comments: Used Respironics REMstar Pro with C-Flex for 11 years and ResMed S9 Elite loaner for 3 months

Sex: Male
Location: Mississauga, ON, Canada

Post: #14
RE: Switched from APAP to CPAP
(11-18-2015 07:12 PM)linn Wrote:  The machine is a loaner that I was given for my titration...Sorry, I should have mentioned that.

They are still monitoring my data - so I can't touch the settings.

Ah, OK.
AFAIK and I don't know much, in order to get an APAP prescription in Ontario, you need not a home but a sleep lab study that will show that you do need an APAP. I'm speculating that the doc may want to see the difference in your results between the APAP and CPAP. Than, based on your home study, your doc may or may not recommend the APAP specific sleep lab study - an "APAP routine" for which I'm going soon.
IF, a the end, you are prescribed a CPAP but you are hard set for an APAP, if you pay out of your own pocket, you can buy whatever you like.
11-18-2015 07:25 PM
Find all posts by this user Post Reply Quote this message in a reply
linn Offline

Preferred Members

Posts: 102
Joined: Sep 2015

Machine: CPAP (Auto)
Mask Type: Nasal mask
Mask Make & Model: Resmed AirSense 10 Autoset for Her
Humidifier: unsure
CPAP Pressure: 7.6
CPAP Software: Not using software

Other Comments: Hashimoto's Disease, Sleep Apnea, Goiter

Sex: Female
Location: Canada

Post: #15
RE: Switched from APAP to CPAP
(11-18-2015 07:25 PM)GPSMapNut Wrote:  
(11-18-2015 07:12 PM)linn Wrote:  The machine is a loaner that I was given for my titration...Sorry, I should have mentioned that.

They are still monitoring my data - so I can't touch the settings.

Ah, OK.
AFAIK and I don't know much, in order to get an APAP prescription in Ontario, you need not a home but a sleep lab study that will show that you do need an APAP. I'm speculating that the doc may want to see the difference in your results between the APAP and CPAP. Than, based on your home study, your doc may or may not recommend the APAP specific sleep lab study - an "APAP routine" for which I'm going soon.
IF, a the end, you are prescribed a CPAP but you are hard set for an APAP, if you pay out of your own pocket, you can buy whatever you like.

Thanks for the info. I'm sure the Dr. will do the best he can...but an APAP is way more comfortable for me.
11-18-2015 07:33 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
cate1898 Offline

Advisory Members

Posts: 784
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #16
RE: Switched from APAP to CPAP
Unfortunately in Ontario the only way you will get one if you do not qualify is by buying it outright. Make sure to get a copy of your prescription once it has been written. If buying outright, you cannot claim ADP assistance ($645).

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
11-18-2015 07:54 PM
Find all posts by this user Post Reply Quote this message in a reply
linn Offline

Preferred Members

Posts: 102
Joined: Sep 2015

Machine: CPAP (Auto)
Mask Type: Nasal mask
Mask Make & Model: Resmed AirSense 10 Autoset for Her
Humidifier: unsure
CPAP Pressure: 7.6
CPAP Software: Not using software

Other Comments: Hashimoto's Disease, Sleep Apnea, Goiter

Sex: Female
Location: Canada

Post: #17
RE: Switched from APAP to CPAP
(11-18-2015 07:54 PM)cate1898 Wrote:  Unfortunately in Ontario the only way you will get one if you do not qualify is by buying it outright. Make sure to get a copy of your prescription once it has been written. If buying outright, you cannot claim ADP assistance ($645).

Thanks for the info! Smile
11-18-2015 07:58 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Napmeister Online

Preferred Members

Posts: 74
Joined: Jan 2015

Machine: Resmed S9 Elite
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 Pillow mask
Humidifier: H5i
CPAP Pressure: testing 10.2 cm
CPAP Software: ResScan SleepyHead

Other Comments: Windows 8.1 64 bit

Sex: Male
Location:

Post: #18
RE: Switched from APAP to CPAP
Year ago I was switched from APAP to a CPAP machine ... S9 Elite. This is fully data capable so I use the Sleepyhead software and monitor my results. Doing better on this CPAP than the trial APAP, due to this forum and reading my software correctly.

Found the pressure I need to keep the passage open and don't need it to fluctuate or change through the night. Feel my mind doesn't have to adjust to changes and I sleep well, and getting good numbers.

CPAP is not a bad thing ... the data is the 'Ticket' per my limited experience (1 year).

G'luck
11-18-2015 09:44 PM
Find all posts by this user Post Reply Quote this message in a reply
Riven Offline

Preferred Members

Posts: 23
Joined: Oct 2014

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: ResMed
CPAP Pressure: 8
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Ontario, Canada

Post: #19
RE: Switched from APAP to CPAP
I've been switched from an APAP to a CPAP.

The APAP was MUCH more comfortable for me - is this common?

I am surprised you find the APAP mode more comfortable than CPAP mode considering that you have a low pressure setting of only 7.6. I wonder if this is less of a CPAP vs APAP issue and one more of setting the ramp and pressure relief settings to their optimal comfort levels at the early stages of your treatment.

I guess what I am saying here is that I suspect the ability to start out at a much lower pressure with an APAP unit is only a temporary advantage in your situation. Eventually you will find that a starting pressure of 4, 5 or even 6 is too low and you will end up running in CPAP mode at your prescribed pressure of 7.6 all the time.

Of course there are many advantages to having an APAP and if you can get one for the same or almost the same price, it is worth the try.



Is an APAP a lot more expensive?

If you fail to qualify for Ontario ADP funding for an APAP device, yes its going to be a lot more expensive! Even if you have private insurance, they may not pay if ADP won't. Also, once a vendor in Ontario knows you are not going through the ADP program, they are no longer forced to sell at the ADP controlled price and won't hesitate to tack on another $500. Also, you will still need a prescription for an APAP from you physician even though they know you failed to meet the ADP requirements.

If you have private insurance, they will need a statement from the ADP program stating they won't pay and the ADP program won't issue the statement unless your physician provides them with proof you failed to qualify for the APAP device. Its complicated and can take months. It can be done and may be worth a try if you have a good private insurance plan. I have been through it and now have an APAP unit I run in CPAP mode.
11-18-2015 10:38 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
cate1898 Offline

Advisory Members

Posts: 784
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #20
RE: Switched from APAP to CPAP
(11-18-2015 10:38 PM)Riven Wrote:  ......

If you have private insurance, they will need a statement from the ADP program stating they won't pay and the ADP program won't issue the statement unless your physician provides them with proof you failed to qualify for the APAP device. Its complicated and can take months. It can be done and may be worth a try if you have a good private insurance plan. I have been through it and now have an APAP unit I run in CPAP mode.

Not all private insurance works the same in Ontario. I am covered for only $1,000. lifetime, BUT I cannot collect any of it if I do not first utilize the ADP of $645 towards a CPAP (Auto CPAP if qualify) machine. At least I am able to buy from any source; in store, online, USA, as long as my name & address are listed on the purchase order. I'm guessing I can even do ebay as I've heard some of the best prices for parts can be had on ebay. It also helps that we have started spending upwards of 5-6 months in the US yearly, so I'll be able to take advantage of the free shipping usually offered only to US residents.

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
11-19-2015 06:31 AM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Medicare Advantage Coverage for APAP Evie 3 183 11-30-2016 08:22 PM
Last Post: Mike1953
  cpap and apap not effictive Ezil71 109 3,101 11-05-2016 11:19 AM
Last Post: sonicboom
  Unable to clear throat while on APAP NorthernGuy 5 305 10-17-2016 08:18 PM
Last Post: Sleeprider
  Apap I_will_never_sleep_again 2 276 10-14-2016 02:58 PM
Last Post: trish6hundred
  Travel to Australia with Apap. Newbee2016 10 532 09-24-2016 12:06 PM
Last Post: SharonN
  Looking for complete list of AUTO apap's compatible with Sleepyhead Lanco 9 471 09-21-2016 08:08 PM
Last Post: Sleepster
  Had to STOP APAP Roy289 13 1,041 09-18-2016 08:52 AM
Last Post: Roy289

Forum Jump:

Who's Online (Complete List)