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Peter Farrell, the Founder of ResMed, is notorious in the Sleep Medicine establishment for saying “The only way you can get injured by one of our machines, at least the low level ones, is if somebody picks the goddamn thing up and slams you over the head with it.”

But still RTs and other sleep professionals cringe at the idea of letting a patient adjust his or her own pressure settings, based on the notion that high pressures can kill you.  Furthermore, they say that no amount of disclosure to the patient of possible risks will justify letting the pressures change without a doctor's say so.

What's the truth?


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That is not what I said.
Rooster said "Oh, so we elderly people won't be able to handle things? How are you youth doing with spell check, grammar, punctuation and capitalization? Doesn't look good so far.'


lol Rooster! I am not implying that you are too old to comprehend and feeble minded...ha! not when I just got done with a webinar for the AAST on aging and sleep...and advocating my cause for geriatrics and sleep!!!!

I think i miscommunicated... I think the ability to read the patients CPAP data at home via internet or eithernet..whatever is wonderful idea.... I love that technology has advanced so much that this can be done

ps- i'm not that young myself...
No. I will stick with "youth".

youth noun ( YOUNG PEOPLE ) // n [U + singular or plural verb] young people, both male and female, considered as a group


I will also stick with "spell check". See http://dictionary.cambridge.org/dictionary/british/spell-check

You find most sources using the spelling "spell check".

I thought you were much better at this than me?
Wasn't this whole idea a member's? I mean an everday CPAP user thought this idea up(Carl). the term used here at SG is "lay person". Not a tech, doc, or any other medical person.

Rooster where was your compassion when I was getting beat up over being an RPSGT? Now that your views are in the nminority in a post you get upset! Do you actually think that I come to SG everyday for job security. There is a 48% growth predicted for the sleep industry over the next 2 years. On top of this I am very good at what I do. Had I been your tech I believe you would have a much better opinion of sleep. My job security is great. With my life graduating in April my future looks pretty good.

Hey rooster would you put your reading glasses on. I don't have spell check on this PC.
It has gotten to the point that any idea brought up by anyone in sleep, or the medical industry is immediately shot down. It does not even matter if it is good. This one is great! A free market enterprise that lives soley on personal choices. This is what has been preached by several members here is it not? We are here to help. if our personal involvements on these sites are not enough then I do not know what else to do. Find a way to release your anger folks. We should not be the targets just because we are sleep techs.
LIKE....

Rock Hinkle said:
It has gotten to the point that any idea brought up by anyone in sleep, or the medical industry is immediately shot down. It does not even matter if it is good. This one is great! A free market enterprise that lives soley on personal choices. This is what has been preached by several members here is it not? We are here to help. if our personal involvements on these sites are not enough then I do not know what else to do. Find a way to release your anger folks. We should not be the targets just because we are sleep techs.
I appreciate our professionals and the insight you bring to OSA therapy. I shudder at the thought of someone who has been on XPAP for a week or two, with very little understanding of their therapy, changing their settings. For those of us who have been around for a while it might not be so dangerous to fiddle with the settings. Big changes should be, imho, left up to those with the education to make those changes. Again, there is a big difference between a lay person with some understanding of the dangers of playing with these machines and a complete newby with two weeks under their belt wondering if they should change their settings. When tech/doc support is not available, SleepGuide is a good resource. I for one have worked hard at finding and cultivating good relationships with the techs at the doctor's office and the DME and rely on them.
Again please, don't let our professionals think we don't appreciate them and their education and their involvement on SleepGuide. I would have been lost many times without Rock's help and support.
So, imho, XPAP in the wrong hands can indeed be dangerous, but many of us are capable of making changes based on data from the machine as well as subjective data.
Professsionals, please do not feel unappreciated. I for one value your opinions and appreciate your support.
Mary Z.
Well said Mary and I wholeheartedly agree on ALL of your comments. As for Rock, he gives absolutely valuable advice to us all, and people like him who are on this site, are obviously the very dedicated sleep medics, who freely give up their time to drop in and help us all. It seems not everyone are fortunate enough to have sleep medics like Rock looking after them though, so it's great that we can come along here and ask for help from Rock & Co :-)


Mary Z said:
I appreciate our professionals and the insight you bring to OSA therapy. I shudder at the thought of someone who has been on XPAP for a week or two, with very little understanding of their therapy, changing their settings. For those of us who have been around for a while it might not be so dangerous to fiddle with the settings. Big changes should be, imho, left up to those with the education to make those changes. Again, there is a big difference between a lay person with some understanding of the dangers of playing with these machines and a complete newby with two weeks under their belt wondering if they should change their settings. When tech/doc support is not available, SleepGuide is a good resource. I for one have worked hard at finding and cultivating good relationships with the techs at the doctor's office and the DME and rely on them.
Again please, don't let our professionals think we don't appreciate them and their education and their involvement on SleepGuide. I would have been lost many times without Rock's help and support.
So, imho, XPAP in the wrong hands can indeed be dangerous, but many of us are capable of making changes based on data from the machine as well as subjective data.
Professsionals, please do not feel unappreciated. I for one value your opinions and appreciate your support.
Mary Z.
Thank you ladies. SG has done much more for me than I have done for it. The appreciation is very reciprical.

This conversation has evolved past the normal changing pressure conversation. Someone(Carl) has actually come up with an idea to help people do so. The idea is that a company be started such as the 24 hour emergency watch program. This program would analyse efficacy data for pts as often as they needed. Then efforts would be made to improve on the therapy. This idea has been attacked by certain members as a way for us to protect our jobs as techs.

The way I see it there are 4 kinds of PAP users: Noncompliant, those that want to be personal involved, those that just want to hit the power button and have a positive outcome, and those that don't care. 50% of the people I mentioned may benefit from such an opportunity. Those that do not want it can do whatever they want.

Is there a demand for this type of service? I would really like to know.
The sleep industry is ever changing. We as techs are willing to compromise in this ever changing environment. Everyone else has to be able to so as well. It can't be all my way, or all anyone else's way. I see the above mentioned idea as just that a compromise for all of us. The ability to compromise is what makes us better then any bureaucracy.
If they let the ave person adjust the cpap they can cause differnt sleep problems that would create day time accedents, death, injury and maybe death during sleep. That why we leave it the experts to help us through the problems
mike RCP
Please tell me were you got the info that 25 cmh20 was equal to 34 psi

Rooster said:
Just remember that a CPAP machine operating at a very high pressure is still applying a very low pressure. 24 cm H2O is equivalent to .34 PSI which is a very low pressure. I can imagine that is a lower pressure than that quite often exerted in the lungs when sitting down in your sports car or lightly straining on the potty or picking up a gallon of distilled water for your CPAP humidifier or getting a loving hug from your main squeeze.

So does that RT predict doomsday 24x7 for non-CPAP users also?

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