Deregulating Sleep Apnea - SleepGuide2024-03-29T11:42:57Zhttps://www.sleepguide.com/forum/topics/deregulating-sleep-apnea?commentId=2549090%3AComment%3A83585&feed=yes&xn_auth=nosent to me in private message…tag:www.sleepguide.com,2010-09-29:2549090:Comment:836872010-09-29T17:02:59.891ZMikehttps://www.sleepguide.com/profile/MichaelG
sent to me in private message from a retired RN:<br />
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Hi Mike,<br />
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They do it because they can. We need to keep the useless bureaucrats in high paying jobs. Same thing for blood glucose testing. Need a scrip. They should concentrate on fixing the system rather than concentrating on keeping their buddies in jobs.<br />
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As an aside, did you know that glucose monitoring meters can be off as much as 20%? I found that out the hard way.<br />
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Retired RN, MN
sent to me in private message from a retired RN:<br />
<br />
Hi Mike,<br />
<br />
They do it because they can. We need to keep the useless bureaucrats in high paying jobs. Same thing for blood glucose testing. Need a scrip. They should concentrate on fixing the system rather than concentrating on keeping their buddies in jobs.<br />
<br />
As an aside, did you know that glucose monitoring meters can be off as much as 20%? I found that out the hard way.<br />
<br />
Retired RN, MN Mark Douglas said, "Still, I…tag:www.sleepguide.com,2010-09-29:2549090:Comment:836832010-09-29T16:51:23.138ZRoosterhttps://www.sleepguide.com/profile/Rooster
<u>Mark Douglas said, "Still, I can see the danger of folks grabbing a CPAP from Walmart, not even read the literature or know from straight up, and assume they are being helped, when they are not. Or assume it's not working."</u><br />
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That certainly will happen. But is it any different than what happens today? If you read the sleep forums and talk to your friends who have sleep apnea, you know that problem exists in today's regulated market: most don't read the literature, most don't have data…
<u>Mark Douglas said, "Still, I can see the danger of folks grabbing a CPAP from Walmart, not even read the literature or know from straight up, and assume they are being helped, when they are not. Or assume it's not working."</u><br />
<br />
That certainly will happen. But is it any different than what happens today? If you read the sleep forums and talk to your friends who have sleep apnea, you know that problem exists in today's regulated market: most don't read the literature, most don't have data capability, most don't really know whether their settings are correct or not, whether they have large leaks or not, whether they are losing therapy through the mouth, etc. The regulations help the entrenched players and hurt the patients.<br />
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If we get rid of the regulatory morass and open up the market, I fully expect that public awareness and education will improve. Bring this condition and treatment out into the open. Let people see a CPAP display at WalMart. Let them look at the different models and compare prices and features. Much good will come out of that!!!<br />
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CPAP patients are victims of an oppressive government bureaucracy. I'd like to see it deregulate…tag:www.sleepguide.com,2010-09-29:2549090:Comment:836802010-09-29T16:41:15.317ZMark Douglashttps://www.sleepguide.com/profile/MarkDouglas
I'd like to see it deregulated, mostly because of the inept, uncaring, and neglectful way "sleep doctors" seem to treat their patients. These guys are falling down on the job -- you have to be your own doctor with them anyway.<br />
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Still, I can see the danger of folks grabbing a CPAP from Walmart, not even read the literature or know from straight up, and assume they are being helped, when they are not. Or assume it's not working.<br />
<br />
The key is technology --we need an afforable way to monitor our…
I'd like to see it deregulated, mostly because of the inept, uncaring, and neglectful way "sleep doctors" seem to treat their patients. These guys are falling down on the job -- you have to be your own doctor with them anyway.<br />
<br />
Still, I can see the danger of folks grabbing a CPAP from Walmart, not even read the literature or know from straight up, and assume they are being helped, when they are not. Or assume it's not working.<br />
<br />
The key is technology --we need an afforable way to monitor our oxygen overnight, and tell us about the AHIs. That's not quite here. Get an oxygen meter in the CPAP data recording machine, and we patients have powerful tools to help ourselves. I think you have something he…tag:www.sleepguide.com,2010-09-29:2549090:Comment:836732010-09-29T16:24:22.601ZMary Zhttps://www.sleepguide.com/profile/MaryZimlich
I think you have something here, 99. Unless I'm mistaken central apneas are more likely at pressures around and above 10. If the machines had safely limited pressures this might work.. Many OTC drugs are sold in smaller doses than prescription strength. If a pressure greater than 9 or ten was needed this would necessitate a doctors involvement, but perhaps this would be safest to prevent central apneas.<br />
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<cite>99 said:…</cite>
I think you have something here, 99. Unless I'm mistaken central apneas are more likely at pressures around and above 10. If the machines had safely limited pressures this might work.. Many OTC drugs are sold in smaller doses than prescription strength. If a pressure greater than 9 or ten was needed this would necessitate a doctors involvement, but perhaps this would be safest to prevent central apneas.<br />
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<cite>99 said:</cite><blockquote cite="http://www.sleepguide.com/forum/topics/deregulating-sleep-apnea?commentId=2549090%3AComment%3A83620&xg_source=msg_com_forum#2549090Comment83620"><div>if they only made apap and discontinue cpap a lot of money would be make since you would still have cpap mode<br/>secondly if these apap were set at 4-9 cm and sold as that and should the public alter the settings there could be no liabilty because the patient altered it themselves</div>
</blockquote> I definitely agree with the w…tag:www.sleepguide.com,2010-09-29:2549090:Comment:836702010-09-29T16:00:13.627ZCarlhttps://www.sleepguide.com/profile/Carl800
I definitely agree with the whole argument over CPAP supplies/etc. I think that is pretty much a way for the suppliers to protect their (outrageously ridiculous) prices.<br />
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Getting on to the non-prescription CPAP...<br />
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This brings up another point though. How many xPAP users are there that have their machines set in this range (4-9). I suspect that it's not many, in fact, many of the numbers I remember reading on here are much higher. So, what is the "correct" range to use? I do not know.<br />
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So,…
I definitely agree with the whole argument over CPAP supplies/etc. I think that is pretty much a way for the suppliers to protect their (outrageously ridiculous) prices.<br />
<br />
Getting on to the non-prescription CPAP...<br />
<br />
This brings up another point though. How many xPAP users are there that have their machines set in this range (4-9). I suspect that it's not many, in fact, many of the numbers I remember reading on here are much higher. So, what is the "correct" range to use? I do not know.<br />
<br />
So, maybe the non-prescription machines should just be APAP?<br />
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Can APAP replace all CPAP? In theory, it's a great idea. In actual practice, though, I think APAP machines are still "in development" - their algorithms don't necessarily track the patient well enough and they can't accurately determine when to kick in, how hard to kick in, etc. I know for a fact that some of the BiPAP w/ ASV machines really suck. The ASV tries to force a breathe and often incorrectly interprets what is going on.<br />
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Then, there's the whole issue of CPAP and centrals - where no centrals existed before... I don't think ANYONE really knows what's going on here (yet).<br />
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So, is CPAP as safe as Aspirin? Hmmmm - I bet a lot of people would say sure. I will simply say - I am NOT sure.<br />
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Interesting topic, though.<br />
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<cite>99 said:</cite><blockquote cite="http://www.sleepguide.com/forum/topics/deregulating-sleep-apnea#2549090Comment83620"><div>if they only made apap and discontinue cpap a lot of money would be make since you would still have cpap mode<br/> secondly if these apap were set at 4-9 cm and sold as that and should the public alter the settings there could be no liabilty because the patient altered it themselves</div>
</blockquote> if they only made apap and di…tag:www.sleepguide.com,2010-09-29:2549090:Comment:836202010-09-29T08:17:41.558Z99https://www.sleepguide.com/profile/99
if they only made apap and discontinue cpap a lot of money would be make since you would still have cpap mode<br />
secondly if these apap were set at 4-9 cm and sold as that and should the public alter the settings there could be no liabilty because the patient altered it themselves
if they only made apap and discontinue cpap a lot of money would be make since you would still have cpap mode<br />
secondly if these apap were set at 4-9 cm and sold as that and should the public alter the settings there could be no liabilty because the patient altered it themselves it is all to do with cost and…tag:www.sleepguide.com,2010-09-29:2549090:Comment:836082010-09-29T03:15:50.379Z99https://www.sleepguide.com/profile/99
it is all to do with cost and liability
it is all to do with cost and liability i'm excited that you're willi…tag:www.sleepguide.com,2010-09-29:2549090:Comment:836032010-09-29T02:50:45.781ZMikehttps://www.sleepguide.com/profile/MichaelG
i'm excited that you're willing to budge that much on this issue. i won't count on you burning the prescriptions of your patients just yet, though ;-)<br />
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<cite>Rock Hinkle said:</cite><blockquote cite="http://www.sleepguide.com/forum/topics/deregulating-sleep-apnea?page=1&commentId=2549090%3AComment%3A83585&x=1#2549090Comment83585"><div>Well Mike we were going to have to find some middle ground on this issue sooner or later. I agree with the poster on needing a prescription for…</div>
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i'm excited that you're willing to budge that much on this issue. i won't count on you burning the prescriptions of your patients just yet, though ;-)<br />
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<cite>Rock Hinkle said:</cite><blockquote cite="http://www.sleepguide.com/forum/topics/deregulating-sleep-apnea?page=1&commentId=2549090%3AComment%3A83585&x=1#2549090Comment83585"><div>Well Mike we were going to have to find some middle ground on this issue sooner or later. I agree with the poster on needing a prescription for accessories being a little much. When reading these post I am hearing more of a cost issue rather then a need issue.</div>
</blockquote> Well Mike we were going to ha…tag:www.sleepguide.com,2010-09-29:2549090:Comment:835852010-09-29T01:28:38.028ZRockRpsgthttps://www.sleepguide.com/profile/RockHinkle
Well Mike we were going to have to find some middle ground on this issue sooner or later. I agree with the poster on needing a prescription for accessories being a little much. When reading these post I am hearing more of a cost issue rather then a need issue.
Well Mike we were going to have to find some middle ground on this issue sooner or later. I agree with the poster on needing a prescription for accessories being a little much. When reading these post I am hearing more of a cost issue rather then a need issue. Interesting line of thought.…tag:www.sleepguide.com,2010-09-28:2549090:Comment:835682010-09-28T23:19:17.290ZMary Zhttps://www.sleepguide.com/profile/MaryZimlich
Interesting line of thought. I wonder how many people there are who think they have sleep apnea and need treatment who would take advantage of deregulation. I know a lot of people sign on to the forum saying they think they have sleep apnea, or they do have sleep apnea and who are not getting treated.
Interesting line of thought. I wonder how many people there are who think they have sleep apnea and need treatment who would take advantage of deregulation. I know a lot of people sign on to the forum saying they think they have sleep apnea, or they do have sleep apnea and who are not getting treated.