Join Our Newsletter

New? Free Sign Up

Then check our Welcome Center to a Community Caring about Sleep Apnea diagnosis and Sleep Apnea treatment:

CPAP machines, Sleep Apnea surgery and dental appliances.

CPAP Supplies

Latest Activity

Andy posted a discussion

Resmed S10 AirSense - Anyone have one? Any feedback?

Hi All,I've just ordered a new Resmed S10 AirSense, and I was wondering if anyone here has used one?Any information or input would be appreciated!See More
Sep 29
Andy replied to Andy's discussion Resmed S8 AutoSet II - No Longer Collecting Data??
"Hi All, Well, I went to the sleep doc today, and he ordered a new S10 for me! I still don't know why my S8 is not tracking data anymore. Anyone have any ideas?"
Sep 29
Oscar Lemus updated their profile
Sep 25
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Just found they have a Facebook for the REMedy event, 1st Class Sleep REMedy Wellness Health Fair."
Sep 25
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Reminder: REMedy event is this Saturday, 10 am to 2pm.  Topics include: Nutrition and Weight Management with Sarah Kelly, Registered Nutritionist/Dietitian Oral Appliance Therapy for Sleep Apnea with Drs. Rena Vakay & Lara…"
Sep 25
Kay Day left a comment for Kay Day
"September 1, 2014 My apologies to Sleep Guide for not participating in a long time. In January 2012 I started classes at the local community college (my husband is an instructor there, and my tuition is refunded when my grades are above a C. My…"
Sep 1
Mary Z posted a discussion

Sleep apnea increases risk of osteoporosis

Sleep apnea/osteoporosis study finds “increased” health riskA recently published study may have found a connection between obstructive sleep apnea (OSA) and osteoporosis, marking yet another health…See More
Aug 23
Mary Z replied to ZolliStar's discussion Non-invasion approach that can relieve mild sleep apnea
"Hi ZolliStar, I've heard before that speech therapy, or singing lessons can help sleep apnea.  The problem at that time was there was no way to determine which exercises help.  Getting research done, rather than anecdotal would be…"
Jul 28
ZolliStar posted a discussion

Non-invasion approach that can relieve mild sleep apnea

Some people report that singing -- singing! -- really helps their sleep apnea. Dr. Stephen Park said that myology (which are exercises to strengthen muscles around the inside of one's mouth area) helps some. I think singing would be better.  If you read all the FAQs on this (click below), I think you'll agree that it makes sense for some. Maybe you.http://www.singingforsnorers.com/index.htmSee More
Jul 28
ZolliStar posted a discussion
Jul 20
liz4cps commented on liz4cps's group Prince William Co, VA support group
"I talked to Kimberlie at the Novant Sleep lab last week (at Prince William Hospital) and she said they would not be holding any meetings this year but are planning to start holding meetings again next year.  I'll let you know when we have…"
Jul 14
richard graham posted a status
"I just have mask called the Wisp. Hope it works. Anybody have experience with it. I have an ultra mirage nasal mask and get leaks at brid"
Jul 9
Andy posted a discussion

Resmed S8 AutoSet II - No Longer Collecting Data??

Hi All,First off, my apologies for not checking in for a long time.I've been using my Resmed S8 AutoSet II for almost 3 years! I feel great, have lost almost 30 lbs, am no longer sleepy during the day, sleep through the night, and have my short-term memory back.Yay!I've told my doctors that I'm the "poster child" for Sleep Apnea and CPAPs! It's been, and continues to be, such an amazing experience that I want everyone to know!Everything has been going well in CPAP-land, but in the last few…See More
Jul 7
hifay replied to richard graham's discussion mouth breathing
"What type of chin straps?"
Jul 6
Ginny Edmundson replied to Ginny Edmundson's discussion Scheduled for evaluation and possible procedure next day
"No real improvement in sleep study.  Just not having to use cervical neck color.  What a bummer. Surgeon wants another sleep study in about a month or so (home one) Not sure if will do or not. "
Jun 22
Mary Z replied to Ginny Edmundson's discussion Scheduled for evaluation and possible procedure next day
"Ginny, how are you doing after the tongue procedure?"
Jun 22
Mary Z posted a discussion

AHI finally under five.

I have been on CPAP since March 2008 and had a good AHI when I started therapy (under 5).Then my AHI started getting worse- for a while it stayed in the 20's, then we got it to the high teens.  Nothing we did would help.  My doctor said it was due to the meds I take.  For a couple of years I just tolerated the high AHI.  I did another sleep study and changed to an ASV machine.  For two years I still had a AHI around 11-13.  Then all of a sudden - a month ago I noticed my AHI was running five or…See More
Jun 22
ZolliStar replied to richard graham's discussion mouth breathing
"FWIW, I've been alternating between my mouth device and my APAP. I haven't used humidity at all when I use the APAP -- and don't miss it, either. "
Jun 14
richard graham replied to richard graham's discussion mouth breathing
"I still use humidity but less of it. It seems to be working OK.."
Jun 14
ZolliStar replied to richard graham's discussion mouth breathing
"I rarely use the humidifier. I think it's less necessary during the summer when there is humidity.   I also switch between my mouth device and the APAP.  I like each for different reasons. Not sure with which I sleep better, though.…"
May 21

What To Expect From Your Local Durable Medical Equipment Provider

These are compliments of rjjayrt, a DME RRT who has been gracing cpaptalk's forum w/his patience and presence:

What To Expect From Your Local Durable Medical Equipment Provider

1. DME should explain to the patient what their insurance requirements will be.
2. Should discuss the cost schedule based on coding, and what the patient will be responsible for.
3. Should provide the patient with dispute resolution options.

What To Expect From Your Local Durable Medical Equipment Provider's Registered Respiratory Therapist

1. The RT should have a discussion with the patient concerning Diagnosis (make sure the patient understands what the diagnosis is), and treatment (explain what Cpap, bipap, fully data capable, auto titrating mean)
2. Discuss the available machine options. If the patient wants an auto titrating machine the RT should be agreeable to pursue with the physician the ability to do so.
3. Once a machine is decided on discuss and demonstrate all functions of the machine. Show the patient a demo download and explain what each value means.
4. Discuss with the patient their sleep habits, if they sleep on their back or stomach, if they're a mouth breather or nose breather. Find out if the patient is claustrophobic or not.
5. Based on #4 discuss the available mask possibilities, let the patient try the mask on while under pressure.
6. After a mask is decided upon, demonstrate proper donning and removal of mask.
7. Assuming you've discussed and demonstrated everything in a way the patient understands, you should be able to have the patient setup their machine, apply their mask, set their humidifier and start therapy. If the patient has problems or is hesitant repeat instruction until patient can complete the task from start to finish without error.
Before the patient leaves discuss known problems with cpap, discuss with them the problems they may have over the next few days or so and discuss with them ways to avoid the problems or ways in which to deal with the problems.
8. Ensure the patient understands accessory replacement schedule, cleaning procedures and most importantly has a way to get in touch with you if there's a problem.
9. Finally make a follow up schedule with the patient so downloads can be done to check progress. I suggest one at 1 week, at 1 month and again at 6 months.

And I would suggest printing these out and taking them to your next local apnea support group meeting!

Tags: DME, RRT, durable, equipment, medical, provider

Views: 94

Reply to This

Replies to This Discussion

All of this would be great. None of this is what I got.
Pipe dream.
Judy you made me LOL I also have to deal with Apria what a joke. I have been on CPAP for 7 yrs. with no monitoring I finally requested a sleep study be done again. I use the CPAP because of breathing restriction from throat cancer. I have found out more just reading some of the discussion on this website then I have from my DME.

Judy said:
Well, it certainly does NOT speak well for the DME provider profession. And what is REALLY scarey is that Medicare/CMS and the health care reform movement is pushing for bidding for providers. Can you imagine all of us being victims of Apria as the lowest bidder???
I have kept my mouth shut since this was first posted for fear of reprisals, but the BS meter was continually going off with each visit to this posting.

When I read it, I had to step outside and do a reality check, once I figured out how to get off the ladder without falling into the pile of crap that this posting poured out.

The patient/customer who walked into the DME and received this treatment and service must have walked in waiving hundred dollar bills in the air.
It does sound like DreamLand, Dan Lyons, but take it up w/rjjayrt over at cpaptalk.com who insists he is a DME RRT.

HOWEVER, given the markup on xPAPs and accessories that local DME providers receive, even allowing for the expense of insurance paperwork and the necessary staff to complete it .... it is what EACH and EVERY xPAP patient SHOULD encounter from their local DME provider.
Judy said:
It does sound like DreamLand, Dan Lyons, but take it up w/rjjayrt over at cpaptalk.com who insists he is a DME RRT.

HOWEVER, given the markup on xPAPs and accessories that local DME providers receive, even allowing for the expense of insurance paperwork and the necessary staff to complete it .... it is what EACH and EVERY xPAP patient SHOULD encounter from their local DME provider.

Judy,
I so do agree with your statement that every patient should expect this type of treatment. I will also state that the greater majority of patient can only dream of this type of fantasy service.

It is such a shame that greed has become the standard of service in almost every industry. The only way that this will be changed is by forcibly making the industry comply with a set of standards.

I for one am not afraid of pursuing external measures against a "professional." Respect is a two way street.
Yeah, from the posts we read in the various apnea support forums, I reluctantly have to agree w/you, Dan Lyons. *sigh*
Does the patient have any responsibility? I would like to see a post, "The Patient's Responsibilities."
As the world of sleep medicine matures, hopefully all involved will become more informed and better able to provide the support needed. As it stands I am sure glad I was dxed in the early beginnings. We complain and gripe now, just think how horrid it was back then when little was known. For those brave souls, I salute them.

Unless the RT/DME reps have used some type of machine, mask I don't think they really have an understanding of it all. Not making excuses for them, but face it -- they don't have a clue as to the comfort of masks, the feeling of suffocation when the pressure is too low, the gale force winds of the higher pressures, etc. They have nothing to base how we feel as they have not experienced it.

It is like I have always said about male OB's. They can't know what it is like to give birth as they have never done it.

As far as patient responibilty, yes we should have some -- but when you are looking to the medical profession to guide you and it isn't forthcoming how is the patient going to learn what THEIR responsiblities are.
Banyon said:
Does the patient have any responsibility? I would like to see a post, "The Patient's Responsibilities."

Banyon,
We as patients and as human beings, through our upbringing, have been taught that "professionals" would not cheat, deceive or mislead a person intentionally. These “professionals” were supposed to be above questionability, and they made sure you knew it.

Our "responsibility" was to listen and pay attention to these "professionals" and to follow their directions and instructions.

The reality of the situation is, we now have to approach every situation we face in our life with total speculation and caution. That these "professionals", and every other person has but one goal in their life - THEMSELVES. If that involves cheating, lying or misleading, they will do it.

The desire for the almighty dollar has taken over their scruples. Not to stand on a soap box and preach, but this is clearing referenced in the Bible where greed is the sin.

We, as patients, don't realize the facts of the business world until after we have been victimized. What is even more revolting is the fact that we though of these folks as "professionals".
This is exactly what you should expect from a provider. If the provider does not know the anything about sleep they should not be providing service to a patient.
Sleep apnea is so much more improtant then anyone realizes.
Make sure you change companies if you are not receiving the services listed up above. Usually smaller companies go over and beyond and hire really good people. Look for a good therapist. It is your health and you deserve the best care. After all you pay for the services they are providing.
I won't get into Patient Responsibilities because I have a husband who still for some unknown reason blindly accepts and never questions his doctor. I don't understand that type of person and never will.

The majority of patients would never be able to stand up to my personal list of Patient Responsibilities and they/we would probably antagonize 95% of the medical profession.

Reply to Discussion

RSS

© 2014   Created by The SleepGuide Crew.

Badges  |  Report an Issue  |  Terms of Service