(11-18-2012, 07:26 AM)Dawei Wrote: At the same time, I've learned that the medical pecking order (in the U.S.) is that the DME's marching orders must come from the doctor. In your case, Ugly, when your DME told you the limits of what you are eligible for, I understand that to mean that so far your doctor has only written a Rx for the type of machine you recently got. That "eligible for" phrase means what's on the Rx they received. So, it's unproductive to ask the DME for something like a machine model switch; they can't do it without that Rx from the doc. This has been my own experience in finally getting switched from a straight CPAP to an auto.
The usual situation in the US is exactly the opposite.
The doctor usually specifies something like "CPAP at 8 cmH2O." The DME can fill this prescription with a manual brick CPAP, a manual full data CPAP, or a full data APAP. It has to be set at 8 cmH2O pressure as dispensed, but the DME can give you whatever machine he wants to. If you have the choice of multiple in-network DMEs, you can shop around for one that will give you a good machine in return for your business.
It's a shame that more doctors don't realize that they are crippling their ability to monitor their patient's treatment by not requiring full data CPAP machines, and APAP machines as well.
For that matter, the cost to buy a top-notch APAP machine online out of pocket is trivial compared to the long term cost of poorly monitored CPAP treatment. Without a data capable CPAP machine, you may have to do another sleep study and many doctor visits and other unnecessary tests to figure out apnea problems that a data capable CPAP will figure out with no extra cost on the part of the patient.