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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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i use the google tool bar with spell check on it sometimes but not always

Rooster said:
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?
I'm sure that's not true Rock, but nice that you're humble too ;) You must surely have helped more folk on here than you even know about! As for your question, I would answer that I'm sure there's a demand for the kind of service that's been talked about. However, here in the UK, people need APAP machines first, as most people get prescribed CPAP unless they're in the lucky postcode area or buy their machines themselves.


Rock Hinkle said:
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.
I am not sure how the rules would work when crossing international borders Kath. In the states i know that i could not give anyone advice without a doc's say so. Interpreting the data and searching the trends is easy, fun, and very interesting. Finding a doc to sign on and still keep it affordable would be the tough part.

Dr. Park, Dr. Mack would you be my partners in this indeaver? :) I wish it were that easy.

Kath Hope www.hope2Sleep.co.uk said:
I'm sure that's not true Rock, but nice that you're humble too ;) You must surely have helped more folk on here than you even know about! As for your question, I would answer that I'm sure there's a demand for the kind of service that's been talked about. However, here in the UK, people need APAP machines first, as most people get prescribed CPAP unless they're in the lucky postcode area or buy their machines themselves.


Rock Hinkle said:
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.

what is the other measurement in is it pascals
and is it more or less accurate

j n k said:
You may have missed it, but what Rooster wrote had a decimal point in front of it, meaning 0.34 psi, or 34 hundredths of ONE psi, or more technically, 0.34136023937086956 psi, for 24 cm H2O at 4 degrees C.

The math can be done here:

http://www.sensorsone.co.uk/pressure-units-conversion.html

Mike Burns said:
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?
High pressures can't killl you - you'd wake and rip the mask off if that were the case. I've adjusted my levels up when the originals weren't helping and I probably will do it again. The "sleep doctor" and the techs at the overpriced sleep center haven't been helpful with my "therapy". I dropped the CPAP techs near me in favor of a national firm that sends my gear. So far, I'm still breathing.
Ah Rock ...It was me Chris not Carl thanks

Rock Hinkle said:
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.
I figured that out this mornign Chris. Sorry it was a sleepy mistake. Great idea though!

chris h said:
Ah Rock ...It was me Chris not Carl thanks

Rock Hinkle said:
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.
So how dangerous are CPAP machines?
Then what is really a best treatment for sleep apnea?
Doesn't really matter Banyon. The physicians are about to have a complete stranglehold over sleep. Medicare and the AASM are woking to make this Monopoly happen. Nothing is going to change anytime soon.

Banyon said:
So how dangerous are CPAP machines?
Thank you for that explanation Mike. I just ask for it out of my curiosity.

Whatever works that you can use every night all night.  Whether thats CPAP, or a dental device would be your own preference combined with is it working for you- meaning apneas and hypoapneas are low, AHI (hypopneas under 5 each day.

I use a BiPAP machine.

Francis Johonson said:

Then what is really a best treatment for sleep apnea?

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