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Switched from APAP to CPAP
#31
(01-31-2016, 12:30 PM)GPSMapNut Wrote: Possibly than, somebody at ADP would see the light and figure that it may be cost efficient to relax the rules regarding APAP qualification or, at the minimum, they would would fund the CPAP portion of the machine and allow users to pay for the difference and get an APAP.


It's the last statement that makes no sense to me.
Why doesn't ADP allow the user to pay the difference for the APAP???
Is the ADP similar to our DME's here in the states, where they make a profit by doing that?


OpalRose
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#32
OpalRose: Canada has different rules than we have in he USA.
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.
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#33
(11-18-2015, 07:33 PM)linn Wrote: Thanks for the info. I'm sure the Dr. will do the best he can...but an APAP is way more comfortable for me.

Just tell your doc.

I'd be willing to bet that he doesn't care enough either way to push the issue and just wants you to use the machine and have good results.







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#34
(01-31-2016, 01:51 PM)Terry Wrote:
(11-18-2015, 07:33 PM)linn Wrote: Thanks for the info. I'm sure the Dr. will do the best he can...but an APAP is way more comfortable for me.

Just tell your doc.

I'd be willing to bet that he doesn't care enough either way to push the issue and just wants you to use the machine and have good results.

and if he/she does resist - get a different more knowledgeable sleep doc...
هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
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#35
(01-31-2016, 12:47 PM)OpalRose Wrote: ......
Why doesn't ADP allow the user to pay the difference for the APAP???
Is the ADP similar to our DME's here in the states, where they make a profit by doing that?
(Short version). ADP stands for Assitive Device Program. It's Ontario government program which funds medical devices. Avaliable to virtually all Ontarians. In case of xPAP it's 70%. The program also sets prices of xPAPS and eligibility criteria.
DMEs make prfit no matter what xPAP they sell. That profit depends on the prices they negotiate with the manufacturers and the suppliers.
Other Canadian provinces may have different rules than Ontario does.
Everything I post on this board is nothing more than an opinion expressed by an apneak. Normally, it's based on facts and experience but sometimes, I may get things wrong or not have all the facts.
I reserve the right to change my mind. Why? Because tomorrow I may know better.
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#36
(01-31-2016, 01:55 PM)DariaVader Wrote: and if he/she does resist - get a different more knowledgeable sleep doc...

It's not so easy to switch doctors here in Canada. We are not the ones paying, so we don't have as much say in the choice. We are free to switch, but there are waiting lists and referrals are always needed. Doctors also have a right to refuse patients, so if they see you're already under a specialist's care, they might not see you.

(01-31-2016, 03:44 PM)GPSMapNut Wrote: (Short version). ADP stands for Assitive Device Program. It's Ontario government program which funds medical devices. Avaliable to virtually all Ontarians. In case of xPAP it's 70%. The program also sets prices of xPAPS and eligibility criteria.
DMEs make prfit no matter what xPAP they sell. That profit depends on the prices they negotiate with the manufacturers and the suppliers.
Other Canadian provinces may have different rules than Ontario does.

Gosh, I wish we had a similar program in Qc!!! Here the RAMQ doesn't cover CPAPs at all, unless you have insurance. I'm guessing those on welfare would have access (but then again, not sure about that, but they do get their dentures paid for, so...). Burn victims have to pay compression gear out of pocket, sleep apnea patients have to pay for their machines, someone with a broken leg has to rent or buy their crutches, but people with carpal tunnel don't have to pay for their splints - show me the logic... Dont-know

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#37
(02-01-2016, 09:15 AM)Geniale Wrote: >>>>>>
- show me the logic... Dont-know

That's the penalty you have to pay for inventing poutine Too-funny

Are you expecting logic from the government ? Oh-jeez
Everything I post on this board is nothing more than an opinion expressed by an apneak. Normally, it's based on facts and experience but sometimes, I may get things wrong or not have all the facts.
I reserve the right to change my mind. Why? Because tomorrow I may know better.
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#38
(02-01-2016, 09:28 AM)GPSMapNut Wrote: That's the penalty you have to pay for inventing poutine Too-funny

Are you expecting logic from the government ? Oh-jeez

Haha, my digestive system pays the price for poutine every time it is consumed!

And yeah, the choice of the word 'logic' was... well, I don't know what that was. Thinking-about
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#39
I just did a search for poutine. That looks like it would cause my digestive system some grief. Shock-2
OpalRose
Apnea Board Moderator
www.ApneaBoard.com

How to Organize and Post ScreenShots

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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.




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#40
(02-01-2016, 09:55 AM)OpalRose Wrote: I just did a search for poutine. That looks like it would cause my digestive system some grief. Shock-2

It's not as bad as it looks. It's really tasty and as long as you don't chase it with water but drink wine or beer with it, it's causing less bloating than over-pressured CPAP.

Going back to the OP's original question:
I found APAP to be much more comfortable than CPAP
My last CPAP prescription pressure was 13.4 After last study, I was approved for APAP and the lab wanted to set my CPAP at 15 for the time before I get the APAP. The doc wrote prescription for APAP 9-16.
9 was not comfy (I was used to 13.4) and I ended up with 10.5-16
My 90% pressure is about 11.5 which is 2 less than I had till the last study and 3.5 less than what they would want me on if I stayed on CPAP. It may not sound like a huge difference but, I have fewer mask leaks and I sleep much more comfortable.

Everything I post on this board is nothing more than an opinion expressed by an apneak. Normally, it's based on facts and experience but sometimes, I may get things wrong or not have all the facts.
I reserve the right to change my mind. Why? Because tomorrow I may know better.
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