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re: Cpap-sleep apnea technology has a huge tech cheaper change

Posted on 8/25/23 at 7:50 pm to
Posted by Harry Morgan
Member since Sep 2019
9193 posts
Posted on 8/25/23 at 7:50 pm to
quote:

I keep waiting for mine to die, but it's been rock solid for years.


Posted by DiamondDog
Louisiana
Member since Nov 2019
10587 posts
Posted on 8/25/23 at 7:50 pm to
quote:

There can be side effects from a cpap device everywhere from gastric distention to possibly barotrauma from pressures.. It also causes a decrease in venous return, so it can cause issues for pt’s with hypotension.


Look at the big brain on this guy.
This post was edited on 8/25/23 at 7:51 pm
Posted by BilltheTiger
Dallas, TX
Member since Jul 2013
1034 posts
Posted on 8/25/23 at 7:51 pm to
quote:

Like I've never heard of a skinny or fit person having to connect themselves to oxygen to sleep.

Sleep apnia affects people of all shapes and sizes. You would be surprised the people who have it.
Posted by Hangover Haven
Metry
Member since Oct 2013
26636 posts
Posted on 8/25/23 at 8:26 pm to
quote:

need to catch up on the technology. the new machines do not have a set pressure as did the classic cpap. Much safer to avoid over and under treating.


Usually, the devise's pressures are set by the DME company's therapist and are supposed to be pt proof.

quote:

Do you work at the same location as greygoose?


NO
This post was edited on 8/25/23 at 8:27 pm
Posted by BHTiger
Charleston
Member since Dec 2017
5039 posts
Posted on 8/25/23 at 8:34 pm to
quote:

Can't you just lose weight? Like I've never heard of a skinny or fit person having to connect themselves to oxygen to sleep.


5'10" 185lbs and have used one for 25 years.....I remember people telling me I snored like crazy as a teen, I played basketball, baseball and ran track.

It isn't always about weight.
This post was edited on 8/25/23 at 8:40 pm
Posted by TigerHornII
Member since Feb 2021
306 posts
Posted on 8/25/23 at 8:45 pm to
quote:

Can't you just lose weight? Like I've never heard of a skinny or fit person having to connect themselves to oxygen to sleep.


I had it at 5'10", solid 185 when diagnosed, and almost certainly had it as early as college when I was 150-160 with probably single digit body fat.
Posted by TigerHornII
Member since Feb 2021
306 posts
Posted on 8/25/23 at 8:46 pm to
quote:

Usually, the devise's pressures are set by the DME company's therapist and are supposed to be pt proof.



There is a YouTube vid or FAQ on how to bypass the settings of almost every machine on the market.
Posted by Crisprdestroyer
Member since Sep 2017
598 posts
Posted on 8/25/23 at 8:53 pm to
I have two friends both Barney fife looking guys. One old and one young. Both are are up with the sleep apnea. Sometimes the pipes just don’t work right.
Posted by 6R12
Louisiana
Member since Feb 2005
8678 posts
Posted on 8/25/23 at 8:56 pm to
Mine was 10 years old. Dr told me to get a new one. Next week Philips sends me a recall notice. Got a new one with Auto Adjust settings free. I'm happy.
Posted by GRIZZ
PRAIRIEVILLE
Member since Nov 2009
5231 posts
Posted on 8/25/23 at 9:00 pm to
Which make and model do you use?
Posted by phelps4824
franklinton, la
Member since Sep 2008
890 posts
Posted on 8/25/23 at 9:07 pm to

I’ve been a respiratory therapist for over thirty years, I still don’t see how people sleep with all that shite on their face…

But I get it helps.

I've used bipaps for years that prevented pts from being intubated which work awesome for pt’s, but regular home use seems crazy to me..


Resp Therapist here to and I have one sitting in a closet collecting dust. I can't wear it I have tried and tried.
Posted by Basura Blanco
Member since Dec 2011
8216 posts
Posted on 8/25/23 at 9:10 pm to
quote:

There is a YouTube vid or FAQ on how to bypass the settings of almost every machine on the market.


Yep, mine was a pain in the arse and felt like too much pressure after the first month of using one. I have lowered the setting twice now as my fatass has lost some weight (chicken or the egg?). Using an Apple Watch, it confirmed that as I tweaked the pressure, the more refreshed I felt when waking up and that correlated with a higher percentage of REM and Deep sleep as measured by the watch. Of course, the Chinese now know this so I'm fricked.

I am not saying a sleep study and history is unnecessary, but I don't know how you can determine the need for a CPAP, much less calibrate the correct setting of ones machine by putting twenty dozen wires on them and assessing them as they sleep in a strange bed in a medical facility for one night.
Posted by phelps4824
franklinton, la
Member since Sep 2008
890 posts
Posted on 8/25/23 at 9:12 pm to
I hate to burst ya'lls bubble but it's not only fat people that need cpap. I work in the field and you would be surprised at the skinny people on them
Posted by Basura Blanco
Member since Dec 2011
8216 posts
Posted on 8/25/23 at 9:15 pm to
quote:

I hate to burst ya'lls bubble but it's not only fat people that need cpap.


Oh, I realize this and anyone with a brain should as well.

But in my case, I got fat and started snoring. I then got fatter and I got a CPAP. Now I don't snore, sleep better, feel better, and I am losing weight. But I am assuming a lot of that is because I have stopped putting bad shite in my mouth and started running again.
Posted by Basura Blanco
Member since Dec 2011
8216 posts
Posted on 8/25/23 at 9:23 pm to
quote:

I can't wear it I have tried and tried.


I had a similar but likely not as severe case of this as well when I started, and still go thru stages of it at times. The single thing that worked the most (other than adjusting the setting to less pressure) for me was a good mask seal achieved with being clean shaven and cleaning the mask and my face with an astringent right before going to bed. The rolling edge type ResMed mask was a game changer early on for me as well. I change it out once every 2-3 weeks.
Posted by CamdenTiger
Member since Aug 2009
62462 posts
Posted on 8/25/23 at 9:29 pm to
Actually, studies have shown especially men lose weight once they are on a CPap. It’s not any direct affect, but the increase in stage 4 sleep increases growth hormone, and recovery. They aren’t as tired when they wake and increase their activity, which leads to weight loss. If you are always tired, hurting, and never get any recovery; ruleing out sleep apnea is on that list.
Posted by biglego
Ask your mom where I been
Member since Nov 2007
76389 posts
Posted on 8/25/23 at 9:30 pm to
Damn, the OT is old now
Posted by LRB1967
Tennessee
Member since Dec 2020
15709 posts
Posted on 8/25/23 at 9:31 pm to
quote:

Can't you just lose weight?


Some people have issues that are not related to obesity which necessitates the use of a C pap or Bipap. Enlarged tonsils is one such problem.
Posted by Puffoluffagus
Savannah, GA
Member since Feb 2009
6105 posts
Posted on 8/25/23 at 9:34 pm to
Autopap is nice. Covers probably 85% or more people and allows people to get started without needing a titration study.

Still there can be some nuances and some people do benefit from bipap or cpap with ramp up periods to help with treatment or tolerance.
Posted by greygoose
Member since Aug 2013
11465 posts
Posted on 8/25/23 at 10:07 pm to
quote:

CPAP.com requires a prescription but one from your pcp is accepted and that's what I have on file at their Houston location. Now that its automated pressure control and you pay outside of insurance coverage your pcp should feel okey.

Insurance companies hate durable medical equipment coverage and its almost always better to buy direct at wholesale than mess with in-network coverage, list pricing, deductibles and paperwork

This is a very, very dumb post. It's full of extreme bullshite. I have 25 years in the field, and I'll explain.

First of all, two-night studies are EXTREMLEY rare now. Almost all sleep labs do split studies now. Half the night to confirm sleep apnea is present, then the other half to find the treatment pressure that treats it. Been that way for 10+ years. Do 2-night studies happen? Of course! But only the case of complex sleep apnea and central sleep apnea.

Secondly, a $650 Autopap is either cheap, cheap Chinese machine or a Resmed AS10 "Card to Cloud" machine. You absolutely do not want the cheap chinese shite. The Resmed machine is a good device, but lack the modem and bluetooth. That means in order to get the data off your machine you have to physically take the SD card to a DME and have them download it. So let's say you are a truck driver, or in any other profession where you are required to prove that you are using your CPAP to renew your professional license. You need this data so that your doc can verify the information. You bought your machine online, where are you going to get that info downloaded? A local place where you don't buy shite? I hope they tell you to kick rocks. So now you say, "I'm not a trucker driver, pilot, etc.. So I don't care". Maybe you don't need that info. Ok, now consider this. The big manufacturers have what is called a "one touch warranty". Your machine shits the bed under it's two year warranty, you walk into the DME where you got it, they pull another one off the shelf and you are good to go. Hmmm....how does that work with an online company? How many nights is it acceptable for you to go without it?

DME's are not putting out "card to cloud" machines. You will get a cpap with a wifi or cell modem. Why? Because it's fricking efficient, especially considering a shitload of insurance companies require PROOF that a person is using it, to pay the claim. That brings up another point.

In Alabama, BCBS pays $974 for a CPAP. Care to guess what the online companies are selling a CPAP for with a modem? The same fricking price! The difference is, if you have an issue with your machine, your mask, your pressure, whatever, you have a place you can walk into that has fricking respiratory therapist on staff! Buy it online, you are talking to some chick they hired away from Waffle House last week!

Online sites DO NOT FILE INSURANCE! I don't know about you, but if the price is the same, and my insurance is going to pick up even a small portion, I'd be an idiot to go online, put the whole thing on my VISA and wait a few days to get it, THEN HOPE I DON'T HAVE ANY ISSUES WHERE I HAVE TO CALL TO GET SOME HELP!

Oh, and by the way, Autopaps are not new technology. They've been out for around 15 years. In fact, Resmed and Philips Respironics does not ever make a non-Autocpap now.
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