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is this normal or is this Canada?
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katrinae Offline

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Machine: Resmed Airsense 10 autoset
Mask Type: Nasal pillows
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CPAP Software: SleepyHead

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Sex: Female
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Post: #1
is this normal or is this Canada?
Made some calls today as I am not sleeping well at all, and the stress is NOT helping with the insomnia. Background - I had initial sleep study in end of July. Got results Aug. 20, and prescription for CPAP set at 6. Got loaner machine about 2 weeks ago (tried side sleeping in between, apnea is positional but want to get a machine under my insurance so I have to proceed now).
So I booked titration sleep study - for next Friday Nov. 6.
Today I made some calls - it will take a month for the dr to get results and then he wants me to use new setting for 2 weeks before I see him. So I'm looking at mid or third week in December to see him again.
Is this normal to wait this long? What's it's saying to me is that the level and the apnea is not that critical.
10-30-2015 12:35 PM
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cate1898 Offline

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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: #2
RE: is this normal or is this Canada?
Yes. It is normal. Took me 6 months from the time I spoke to my GP to when I got the loaner machine and I won't be ordering my own machine for purchase until late November.

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

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EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
10-30-2015 12:38 PM
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zonk Offline

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Machine: A10 AutoSet
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Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #3
RE: is this normal or is this Canada?
I don't know about Canada, but when I had my titration sleep study, the following morning been given CPAP script and a list of few places rent machines. They said to use the machine for two weeks and come back to see the doctor
10-30-2015 03:12 PM
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eseedhouse Offline

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Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
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Humidifier: ResMed
CPAP Pressure: 7-10
CPAP Software: SleepyHead

Other Comments: Also on supplemental O2 at 3L/min. while sleeping.

Sex: Male
Location: Victoria, British Columbia

Post: #4
RE: is this normal or is this Canada?
Medicare in Canada is a program run by each Province independently except that the Federal government gives cash to the Provinces subject to certain rules, which are rather wide. So how well it is run, how well funded, and what the particular rules are is largely decided by each Provincial government. Originally, back in the 1960's the Federal government funded the provinces plans quite a lot but over the last 50 years this has declined as a percentage of the whole cost, so since "he who pays the piper calls the tune" the provinces are less beholden to the Federal government and the differences between them have become greater as time goes by.

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
10-30-2015 05:21 PM
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DeepBreathing Offline
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Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Perth, Western Australia

Post: #5
RE: is this normal or is this Canada?
(10-30-2015 03:12 PM)zonk Wrote:  I don't know about Canada, but when I had my titration sleep study, the following morning been given CPAP script and a list of few places rent machines. They said to use the machine for two weeks and come back to see the doctor

My experience was similar except that they handed me a machine on completion of the sleep test and appointment in one week.

There's a lot less farting around in our system but it only pays a small percentage of the machine cost and nothing for consumables. (Actually that's not quite right - if you get one of those cheapo Chinese machines from the right supplier AND you have the right insurance then the cost is pretty much covered. In my case I ended up with a $4000 VPAP Adapt and got $500 back off MBP)

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


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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.
10-30-2015 06:50 PM
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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: #6
RE: is this normal or is this Canada?
Here's some links to sites about Ontario and the ADP program:

http://www.health.gov.on.ca/en/pro/progr...manual.pdf
http://www.health.gov.on.ca/en/pro/progr...131218.pdf
http://www.health.gov.on.ca/en/pro/progr...manual.pdf

Hope that helps!!

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

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
10-30-2015 07:02 PM
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katrinae Offline

Members

Posts: 9
Joined: Oct 2015

Machine: Resmed Airsense 10 autoset
Mask Type: Nasal pillows
Mask Make & Model: resmed swift fx
Humidifier: part of the unit
CPAP Pressure: 6
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location:

Post: #7
RE: is this normal or is this Canada?
thanks for the info and the links! I going to try and talk the doctor into an APAP machine, just makes more sense to me. My insurance I have right now will pay the difference or I would just pay it out of pocket, but he has to prescribe it.
I have to say this board is very helpful!
10-30-2015 07:34 PM
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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: #8
RE: is this normal or is this Canada?
Unless you have a crooked doctor who is willing to somehow fudge your sleep study results, if your results don't indicate APAP is medically necessary, you won't get one in Canada. It is not up to the doctors discretion. I have been told they have a strict set of guidelines they must follow as the Gov't of Ontario does check up on every APAP machine prescribed.

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

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
10-31-2015 06:22 AM
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eseedhouse Offline

Advisory Members

Posts: 882
Joined: Dec 2014

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: SimPlus
Humidifier: ResMed
CPAP Pressure: 7-10
CPAP Software: SleepyHead

Other Comments: Also on supplemental O2 at 3L/min. while sleeping.

Sex: Male
Location: Victoria, British Columbia

Post: #9
RE: is this normal or is this Canada?
(10-31-2015 06:22 AM)cate1898 Wrote:  Unless you have a crooked doctor who is willing to somehow fudge your sleep study results, if your results don't indicate APAP is medically necessary, you won't get one in Canada. It is not up to the doctors discretion. I have been told they have a strict set of guidelines they must follow as the Gov't of Ontario does check up on every APAP machine prescribed.

Remember that each province runs their medicare program themselves and the rules may change from province to province. I live in B.C. for example, and they charge a premium for it, the only province in Canada that does. Others just take the costs out of general revenue.

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
10-31-2015 02:40 PM
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ramblingasian Offline

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Machine: Resmed Aircurve10 VPAP Auto
Mask Type: Nasal mask
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CPAP Pressure: IPAP 16, EPAP 12
CPAP Software: SleepyHead

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Sex: Male
Location: Toronto, Ontario, CANADA

Post: #10
RE: is this normal or is this Canada?
(10-31-2015 06:22 AM)cate1898 Wrote:  Unless you have a crooked doctor who is willing to somehow fudge your sleep study results, if your results don't indicate APAP is medically necessary, you won't get one in Canada. It is not up to the doctors discretion. I have been told they have a strict set of guidelines they must follow as the Gov't of Ontario does check up on every APAP machine prescribed.

+1. At least in Ontario, OHIP requires your titration scores from your sleep test to be included in the package that is sent to the ADP in order to get funding. The DME won't get the money from ADP if there's no evidence that you need a certain machine.
10-31-2015 06:08 PM
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