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Jim Nadolny, BS, CRT
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- Swanzey, NH
- United States
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Jim Nadolny, BS, CRT's Discussions
Random Memories - helping a patient
Replied Aug. 13, 2009
Random Memories - helping a patient
6 Replies
Started this discussion. Last reply by Christine C Sep. 23, 2009.
Swift LT Cpap Mask - Just an invitation
Replied Aug. 7, 2009
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Jim Nadolny, BS, CRT's Page
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Sleepycarol, I found a working link to the site that has the blogs for cpap critic
http://www.blogcatalog.com/blogs/cpap-critic-com.html
I too get an error message and unable to go to the actual site.
I really wish that I could have read this story, but it wouldn't let me go to that page. I got some sort of parameter error. I have no clue what that means...Do oy have another link?
Your site is looking really nice. It was a very good article. I think that sometimes we as medical proffessionals forget that we are treating human beings. It is usually the smallest of things that remind us.
I really enjoyed this type of post. I plan on doing more of them under the catagory "The Beeper Chronicles"
That's a very nice story Jim. Thanks for being one of the people who care!
This is my first attempt at writing something personal about myself on the blog. I guess it is all part of the process of creating a successful blog. Take a look inside one of my random memories of helping a patient. at http://cpapcritic.com
James…
So often we talk about the study, techs, or doctors. It is all about the mask.
I really like the swift. it is my favorite nasal pillow mask.
I use the Swift LT for Her. I love it....I tried 2 other masks before this one. It is light weight and comfortable and I like the nasal pillows.
Great feedback! I think it's a great mask! Good to hear you are on track, stay with it!
Dr. Jones,
What about the DME company. Billing for equiptment that is not being used, no followup? That is called insurance fraud! Many insurance companies now require compliance downloads to continue payment. What happened to this patient is tragic…
I will second a recommendation for this mask. I just re-started CPAP therapy for the 4th time and this mask rocks! I think my failures can be partly attributed to not finding the right mask.
During my sleep study they used this mask and I slept all…
Good Luck with your group!
John,
You need to get checked again. This time you need to be aware of what you are getting for your dollar. Search around, ask questions about the different sleep labs in your area. Ask on this forum if anyone can suggest any labs in your area. Mak…
Profile Information
- My Interest in Sleep Apnea
- I have Sleep Apnea, Sleep Professional
- Treatment Being Used, if any
- CPAP
- If Machine Being Used, What Type? (e.g., Respironics M Series with A-Flex Auto-Adjusting CPAP)
- remstar lite, Respironics
- If Mask Being Used, What Type? (e.g., ResMed Activa Nasal Mask)
- Ultramirage II , Resmed
Comment Wall (10 comments)
- At 7:40am on August 3, 2009,
Mike said… - Happy Birthday, Jim!
- At 10:38am on July 10, 2009,
Judy said…
- Thank you, Jim. It is very much appreciated.
- At 11:43am on July 8, 2009,
Judy said…
- I have a Respironics pre-M Series Bi-PAP Auto w/Bi-Flex and despite I don't like the Respironics I'm about ready to switch to using it.
- At 11:40am on July 8, 2009,
Judy said…
- I have toyed w/the idea of increasing the Ti Maximum. But haven't done so - yet.
I've also toyed w/the idea of setting Exhalation to Fast. It was suggested that we set Exhalation to Slow when Medium didn't work but Slow doesn't work for me either.
- At 11:35am on July 8, 2009,
Judy said…
- Thanks, Jim.
Resmed VPAP Auto, assuming part number is the model number, PN 184424. This was the January 2008 release, not the July 2008 released Resmed VPAP Auto 25. It comes w/a MUCH MORE comprehensive Clinicians Manual (NOT Users Manual) than the Resmed VPAP Auto 25 does.
The problem is in Spontaneous mode, NOT in Auto mode. Auto mode works wonderfully.
There is a too abrupt transition between inhalation and exhalation. At the end of my inhalation there is a "puff" of pressure before exhalation begins. It is almost like the VPAP thinks I take too long to finish inhaling and has decided like it or not its giving a blast of pressure BEFORE dropping in EPAP pressure.
I also use the S8 ResLink and Nonin oximeter and ResScan 3.7 software and could extend the graphs out if that would help any.
IPAP is currently at 11, EPAP at 6 and PS at 4. All other "comfort options" are Default settings.
- At 11:06am on July 8, 2009,
Judy said…
- Do a search in this forum for my post Subject:
"Resmed VPAP Auto Users - Question"
It will give you an idea of what you could be getting your friend, Keith, into.
At the price of these Resmed VPAP Autos and VPAP Auto 25s there is NO EXCUSE for these RRTs NOT to know the product they are delivering and how to PROPERLY program them.
- At 10:46am on July 8, 2009,
Judy said…
- Ooops. I forgot. NONE of us have been able to find a local DME RRT who has the SLIGHTEST idea of how to handle this situation. Duh!
- At 10:45am on July 8, 2009,
Judy said…
- THAT would be wonderful, Jim!! 'Cause I sure do have a puzzle for him to work on!!!
The January 2008 release of the Resmed VPAP Auto (not the July 2008 release Resmed VPAP Auto 25). Altho there ARE 2 VPAP Auto 25 users who have encountered the same/similar problem. All in all there are 10 of us who've encountered this particular situation.
- At 10:28am on July 8, 2009,
Judy said…
- I enjoyed your cpapcritic website. I even made a couple of comments. BUT the CPAP Wizard blog would NOT let me make a comment or ask a question. Since you were "in the field" for some 20 years I had high hopes that you had access to an RRT experienced w/the Resmed devices or at least knows how to READ AND UNDERSTAND the Clinicians Manual. They seem to be scarce as hen's teeth!!!
- At 7:44am on July 1, 2009,
sleepycarol said…
- Welcome to the forum!!
We are glad you joined. You will find informative information about sleep apnea, treatment options, and other information to help enhance your sleep.
If you are fairly new to the world of sleep apnea, please check out the new users group and the collective wisdom section. In those groups you will find informative discussions that maybe of interest to you.
If you have been around the world of sleep apnea for a while, we hope you still find the site informative and of interest.
Please feel free to share your thoughs, ideas, comments, questions, etc.
Again, Welcome to the forum!!
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Way to go, Smitty!! Nothing much feels better than losing weight the right way. And you and I both know that's the only way it'll stay off.
Keep up the good work and thanks for sharing your success with us!
Susan McCord :-)
It was my thought that the humidifier isn't working properly. I'll bring it in to the medical supplier tomorrow and ask her. I also want a larger mask. I already have looked in the mirror to see if I can get the mask up off the bridge of my nose by…
I bought the Belly Fat Fighter Diet plan and support (menus, etc) from Jorge Cruise and lost about 7.5 pounds the first week! I feel more energy now and less hungry. My belly fat has been reduced by 2 inches already! It just feels amazing. I alw…
Have your tried one of the rinses for extremely dry mouths? Do you have problems during the day with dry mouth?
Is your humidifer working properly? Reason I ask is that if you used almost a full tank of water in 2 hours and refilled it only to not…
hi smitty --- my first try using a mask was ok but i wondered why they were'nt monitoring my progress. this was my family doctor and i now know that ya need to see someone who does only sleep disorders in order to make sure your getting the right tr…
To my knowledge, there have been no long term sleep studies on large numbers of people to determine the normal function of the upper airway. For all we know, the "normal" population may very well have hypopneas and apneas from time to time depending…
Suggestion to call doctor and inform about problems resulted in the doctor submitting a new script to the medical supplier for a full mask.
Picked up new mask at supplier. I asked if the doctor changed anything on the number and she said no. I as…
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2491498/
check out the pictures of brains!
seems like the anwers are-
1. yes, osa messes up your brain.
2. you get better with cpap.
Cheers,
Holly
Dr. Jonathan Greenburg is one of the leading experts in the field of snoring and Sleep Apnea. He is presenting a series of articles to help you better understand the causes, effects, and proper successful treatment of snoring and Sleep Apnea.
Cause…
Your welcome good luck. therapy helps with a lot of things.
He is in there.
Of course. Brilliant minds think alike. *smug grin*
Ambien worked well for me. I had the 4 hour sleep w/it too. Never did try the Ambien CR.
I just added one Tylenol tablet (NOT Tylenol PM) and that got me 5-6 hours of sleep and after a week of the Ambien I just toughed it out for several nights w/j…
I was just thinking the same thing Judy
And I sure hope that you have listed and reviewed your Dr Spawn at sleepsearch, Rock Hinkle!
We have Dr. Thomas Spawn in Indy. His family has produced a long line of excellent ENTs. 4 generations of my family have been treated by a Dr. Spawn.
Thanks for all the information.. It has been 3 weeks discontinuing Ammbien. Doctor has now prescribed a antidepressant (Doxeprin) and Rozerem (Meletonin) My intention is this will work. Therapy also works.
Bob
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