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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
Latest Activity
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 10:40am on August 3, 2009,
Mike said… - Happy Birthday, Jim!
- At 1:38pm on July 10, 2009,
Judy said…
- Thank you, Jim. It is very much appreciated.
- At 2:43pm 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 2:40pm 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 2:35pm 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 2:06pm 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 1:46pm 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 1:45pm 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 1:28pm 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 10:44am 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!!
Latest Activity
Yup, if you've got insurance, your insurance dictates which local DME providers you can use.
Just because you bought your CPAP elsewhere does NOT mean that your insurance contracted providers can't or won't provide your masks and other accessories.…
Linda, thanks your your help. When I call Apria, I wil ask them why they did not offer me a payment plan.
Good luck!
Hi Candace,
Apria is giving me a payment plan for 10 months, after that I will buy it if I still need it. In the mean time, all of the folks here are so helpful they told me the best cpap to get and low and behold, Apria did not give me a newer mode…
Linda, I read your question re: CPAP Machine and Apria. I also am not impressed with them. I have Kaiser and Kaiser will not pay for my equipment. Apria says that I have to pay all costs up front. Are you on a payment plan with Apria. I have severe…
First, let me say, Thank you for going to bat for us. I think you are doing a fantastic job in spreading OSA awareness and providing us with OSA a place to go for support. Apparently there is no connection between a college degree and intelligence,…
You hit the nail on the head. I had a similar experience last year with another organization, The Alzheimer's Association. I ask for permission to pass out a flyer, "Does Sleep Apnea Cause Alzheimer's Disease?," at one of their annual meetings regar…
Then she should say that... Say anything other than the falsehood that the connection between OSA and heart disease isn't sufficiently proven.
"Respironics recommends that new patients purchase their devices, masks and initial accessories from a homecare company that can provide an individualized patient equipment set-up, clinical and after-sale support, and a program to assist patients wi…
Maybe you should be the communications director for the AHA ;-).
I believe that individuals should be free to make decisions for themselves. This goes for the patients and the providers. The patient is free to decide what to do and who to pay for what services. The provider is free to decide what services he offe…
I'M NOT A 100% SURE OF THE NAME OF MY MASK I THINK IT'S CALLED A PROFILE LITE IT HAS A THICK GEL CUSHION ON THE FORHEAD PIECE AND THE ALL AROUND THE MASK. I STILL END UP WITH RED MARKS ON THE BRIDGE OF MY NOSE AND FOREHEAD BUT THEY FADE IN AN HOUR O…
by no means am i suggesting that this one person believes one thing or another. rather, she is the director of marketing and communications for the AHA. it is her job to communicate the organization's viewpoints to the public, and that's what she wa…
HEY, I read the funny e-mails! HAH, I'm heading north tomorrow...
I received my machine in March with a nasal pillow mask. I switched to a full face mask because I was breathing thru my mouth.I was struggling with getting used to wearing the mask, finally got to the point of wearing it every night.I could not get…
Ah ha, BirdShell!!! You can ignore me, but we managed to lure you out of your hiding place w/this thread, eh??
Too bad too. Danielle, Ashley, Nicole and I are all meeting at La Placita in Saginaw for lunch tomorrow. I'll be thinking of you!!!! Nico…
I agree with your advice,Mike.Once I was treated for a sinus infection,I had replaced everything .Also, it is a good idea to use saline to cleanse the sinuses at least twice daily . You may look into the use of a Nettie Pot,,,,that can throughly cle…
I tried wearing a band aid on the bridge of my nose the other night and it helped, but not enough. Most of the "solutions' that I've found end up causing to much air to leak. I started wearing the bandana (folded in several layers and tied like a he…
I have to comment! I ran Jump Rope for Heart (JRFH) activities/fundraisers in my classes for years. (For more information: http://www.aahperd.org/jump/ and http://www.americanheart.org/presenter.jhtml?identifier=2360 This is a good condensation of t…
I've beeb using Sleep Strip for years. It's a good screening test that correlates pretty well with formal sleep studies. It won't give you a number, but rather ranges from none, to mild, moderate or severe. You still need a doctor's prescription. Ty…
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