"please keep me updated about oximeters "
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The Revolution Will Be Monitored: Zeo, CPAP, and the Rise of the ePatient
I am a big believer in concept of the empowered patient. Liked seeing that there are others speaking up on behalf of the patient, as in the following blog post:
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Replies to This Discussion
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Permalink Reply by S Miller on
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I'm so sorry that I can't remember, it's been so long ago. But I was on a CPAP at a very high pressure, but having severe headaches in the morning upon awakening, so I did another sleep study and found that the original study had either changed or was not accurate. (The RT told me the former study was not accurate.) I had a terrible time getting used to the BIPAP instead of the CPAP, but finally it was ok.
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Permalink Reply by Banyon on
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I have no experience with BIPAP and mostly skip over the discussions about BIPAP, but I am suprised at a setting of 25/23 cm. Both pressures are quite high and I am surpised that a drop to 23 cm would give any noticeable relief.
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Permalink Reply by RockRpsgt on
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I find it odd with your pressure complaints that you have not tried Bpap.
Banyon said:I have no experience with BIPAP and mostly skip over the discussions about BIPAP, but I am suprised at a setting of 25/23 cm. Both pressures are quite high and I am surpised that a drop to 23 cm would give any noticeable relief.
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Why do you not mention sleep techs in your statement banyon?
j n k said:Samo,
Could you please explain why you think a machine would less effectively execute at 2 cm differential (25/23) than it would your recommended 10 cm differential (25/15)? Because I do not believe that to be true.
EPAP should be set to a pressure that will prevent apneas whenever possible in order for PAP therapy to be most effective. The EPAP is generally the most important setting for effective treatment. And some bilevel machines are unable to accurately report efficacy data when the delta is 10 cm. Yes, there are occasionally reasons for a large delta to be prescribed, but it is for reasons other than OSA in most cases, I believe.
Judgments about when to lower EPAP for treatment should be made by docs and RTs, in my opinion.
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Permalink Reply by Mike on
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Rock, it's good to see you here again. I understand if you need to stay away from time to time to maintain your sanity. I also just want to express how delighted I am to see you back here from time to time.
Rock Hinkle said:Why do you not mention sleep techs in your statement banyon?
j n k said:Samo,
Could you please explain why you think a machine would less effectively execute at 2 cm differential (25/23) than it would your recommended 10 cm differential (25/15)? Because I do not believe that to be true.
EPAP should be set to a pressure that will prevent apneas whenever possible in order for PAP therapy to be most effective. The EPAP is generally the most important setting for effective treatment. And some bilevel machines are unable to accurately report efficacy data when the delta is 10 cm. Yes, there are occasionally reasons for a large delta to be prescribed, but it is for reasons other than OSA in most cases, I believe.
Judgments about when to lower EPAP for treatment should be made by docs and RTs, in my opinion.
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Sorry jnk I was playing catch up when I posted. I was referrring to your statement. thanks for the explanation.
The DMEs would do much better if they employed sleep techs. The RT, RPSGT credential does not matter as long as they spent the required 6-18 months doing sleep studies. If you have never worked in a sleep lab you have no buisiness making any kind of suggestions for sleep therapy.
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Sleepguide is a part of what I do Mike. I let a couple of misinformed members catch me off guard on a bad day. Sorry for my rants.
Mike said:Rock, it's good to see you here again. I understand if you need to stay away from time to time to maintain your sanity. I also just want to express how delighted I am to see you back here from time to time.
Rock Hinkle said:Why do you not mention sleep techs in your statement banyon?
j n k said:Samo,
Could you please explain why you think a machine would less effectively execute at 2 cm differential (25/23) than it would your recommended 10 cm differential (25/15)? Because I do not believe that to be true.
EPAP should be set to a pressure that will prevent apneas whenever possible in order for PAP therapy to be most effective. The EPAP is generally the most important setting for effective treatment. And some bilevel machines are unable to accurately report efficacy data when the delta is 10 cm. Yes, there are occasionally reasons for a large delta to be prescribed, but it is for reasons other than OSA in most cases, I believe.
Judgments about when to lower EPAP for treatment should be made by docs and RTs, in my opinion.
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Permalink Reply by Rooster on
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Rock Hinkle said:If you have never worked in a sleep lab you have no buisiness making any kind of suggestions for sleep therapy.
I wonder if Rock really means that or if it is just another something he posted in haste?
In any case, I will post again what I have posted here many times before. If it were not for CPAP patients, none of whom have ever worked in a sleep lab, guiding me to buy different equipment from what was prescribed; making suggestions to change the settings that were prescribed; and telling me how to use CPAP in a manner that the sleep professionals disagreed with; - without all of this - I am sure I would be dead before today.
Rock, I don't know why you support a forum that says boldly on its banner "Sleep Apnea Forum Bringing Power to the Patient." Everything you post here is about getting instructions from a professional and following them to a 'T'. That is the antithesis of empowering the patient!
Welcome back. LMAO.
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I fall squarely on the side of empowering the patient. I also love Rock Hinkle -- well, not in that way -- more of a bro'mance kind of thing ;-) I honestly believe those two things are not mutually exclusive. Even though Rock has a point of view that is from a sleep "insider's" perspective, it's an informed point of view that is from the heart and one that has helped lots of people. also, not all patients are going to go for the brand of empowerment that you and i ourselves would and did: taking our health in our own hands and viewing doctors and other health professionals for what they truly are: service providers that we pay to perform tasks at our pleasure. Some folks are going to lean much more heavily on their health professionals, and cede more control to them. That's not going to change. There are going to be people like you and me and people like everyone else. This place is for everyone -- well, except that sleep lab guy who came on here to berate me personally by calling me a drunk and an abuser of the Internet -- he can get the F out. But everyone else can stay ;-) my distinguished friend Rock Hinkle foremost among them!
Rooster said:
Rock Hinkle said:If you have never worked in a sleep lab you have no buisiness making any kind of suggestions for sleep therapy.
I wonder if Rock really means that or if it is just another something he posted in haste?
In any case, I will post again what I have posted here many times before. If it were not for CPAP patients, none of whom have ever worked in a sleep lab, guiding me to buy different equipment from what was prescribed; making suggestions to change the settings that were prescribed; and telling me how to use CPAP in a manner that the sleep professionals disagreed with; - without all of this - I am sure I would be dead before today.
Rock, I don't know why you support a forum that says boldly on its banner "Sleep Apnea Forum Bringing Power to the Patient." Everything you post here is about getting instructions from a professional and following them to a 'T'. That is the antithesis of empowering the patient!
Welcome back. LMAO.
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Jeff -- here it is in all its glory: http://www.sleepguide.com/forum/topics/do-snorers-need-sleep-test-t...
i've been called many things in my life, but a drunk is not one of them.
j n k said:Sounds like I missed some exciting posts.
An abuser of the Internet? A drunk? Ha! That guy don't know you.
Mike said:. . . except that sleep lab guy who came on here to berate me personally by calling me a drunk and an abuser of the Internet --
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Once again Rooster you bend my words to your advantage. I have to validate everything I say while you hide behind an anonymous name. Does that not seem strange to you? I am sorry that my shedule does not allow me the time to put 100% of myself into my post like your retirement does. I actually have people that depend on me to do a job.
My statement was for DME employees with no lab or PAP experience. I would say that a great deal of the people making decisions for bad sleepers have no sleep experience. I would hope that even you could agree with that.
As for me not supporting APAP and tweakers that is an out and out lie. I am sorry that I can not support the HST and 100% auto-titration. Too much of my work time is already committed to fixing the problems raised by both of these procedures. What would I know though only about 60% of my week is spent studying, or fixing sleep.
I appreciate the welcome more than you know. I couldn't let you and Banyon lead these good people astray.
Rooster said:
Rock Hinkle said:If you have never worked in a sleep lab you have no buisiness making any kind of suggestions for sleep therapy.
I wonder if Rock really means that or if it is just another something he posted in haste?
In any case, I will post again what I have posted here many times before. If it were not for CPAP patients, none of whom have ever worked in a sleep lab, guiding me to buy different equipment from what was prescribed; making suggestions to change the settings that were prescribed; and telling me how to use CPAP in a manner that the sleep professionals disagreed with; - without all of this - I am sure I would be dead before today.
Rock, I don't know why you support a forum that says boldly on its banner "Sleep Apnea Forum Bringing Power to the Patient." Everything you post here is about getting instructions from a professional and following them to a 'T'. That is the antithesis of empowering the patient!
Welcome back. LMAO.
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Permalink Reply by Rette Tyrrel on
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HI All,
If you're using diabetic test strips, this came out yesterday, 12/22/2010
The strips being recalled are used with Abbott’s MediSense Optium, Precision Xceed Pro, Precision Xtra, Optium, Optium EZ, and ReliOn Ultima blood glucose monitoring systems.
The lots were manufactured between January and May of this year and sold in retail stores in the U.S. and Puerto Rico. The strips are used both by consumers and health care professionals.
Abbott says the strips should not be used and will be replaced at no cost to consumers.
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