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Buying a CPAP independently

thethinker48

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Went to the doc (who unfortunately is a family friend) to talk about my sleep issues. Being 22, and the guy being the numbnut he is, dismissed any sleep apnea issues saying I'm too young for any of that; and should stop taking that "protein stuff" [emoji52].

I'd switch docs; but having insurance through school and going through the hassle of finding a good one is more work than me just spending money on a machine.

I'm starting to feel like I'm sleeping less than I am; and my snoring is as loud as ever if I lay flat on my back. I have to fold pillows in half and sleep on my side with my arm extended over, and constantly switch from this position throughout the night.

The apnea is only going to get worse over the years. My mom snores badly too, so does grandma; so apnea is something common on that side compounded through bodybuilding for me.

Have any of you guys bought any used or maybe even new machines online? Any recommendations? Is it better to just switch docs, get sleep study and get one that way? Finding a self adjusting one with an auto feature would be ideal for me.





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ChefTren

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Buying one online is the easy part. You may need to search for a set up manual to be able to adjust the pressure. My resmed cpap has two stages of pressure to it and I have no idea how to adjust it. I usually buy my filters and hoses online because my Dr wants me to do a study once a year to get my prescription for the consumables.
 

Massive G

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best way is to get it done correctly with a sleep study ...but there are other options ...dental mouth guard..sleeping on your side.

I was sure I had sleep apnea back in the early 2000's was 310 neck probably 22" had sinus and allergies mouth breather etc....
Did a sleep study and they basically told me to sleep on my side more...

If you are to go at it on your own - get a resmed airsense 10, it has an autoset function where it will adjust to your sleep "needs"...and you can see the results of your sleep each night the morning after in a resmed app.

The biggest problem for me and sleep machines has always been cleaning the damn things ...I just bought a SOCLEAN 2 and love it...just hook it up and go.
 

opietaylor

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go with an APAP removes all the guess work. Resmed Airsense 10. You will get sleep reports every morning via an app on your phone. If you know you have it don't spend thousands of $$$$$ on sleep studies to tell you the obvious. If you have a wife or girlfriend they will know or record yourself sleeping.
 
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suppdude

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Facebook marketplace or craigslist. Get an auto set device such as resmed air 10.

Buy an SD card, plug it in, download sleepy head app, and it’ll tell you everything you need to know.

You don’t need a sleep study knowing how horrible you snore and losing out on sleep. The sleepy head app is your sleep study. Wish I woulda just did that instead of buying a in home test sleep study.

Also, check into mouth pieces.


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bieberhole69

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I have a respironics dreamstation and love it. From what I looked at, seems the Resmed people in here are mentioning is a fine choice too.

Here's a comparison of the two that seems non-biased:

http://www.thecpapshop.com/blog/respironics-dreamstation-vs-resmed-airsense10-auto-cpap-machine/

I think with either you would be fine. But seriously...try and find a doc that won't dismiss you.

Use this phrase: "my girlfriend says I snore incredibly loud, go long periods without breathing, and that I seem to be choking when I sleep. She's really worried about me" You can also add "sometimes I wake up feeling like someone's been choking me to death"--any doctor that would ignore these two phrases would be negligent, IMO.

I see you think just buying a machine outright will be less expensive, but you need to factor in all the consumables on the machine yearly too (humidifier, masks, nasal cushions, filters, hoses)--they'll add up QUICK. Without a sleep study confirming apnea, insurance won't pay for any of this.
 
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dale338

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In my humble opinion, all that sleep study stuff as it applies to obtaining a CPAP, is all but a scam. The CPAP today, most auto adjust and all these people spending $10,000 for studies and calibrations etc are just getting ripped off. Just buy an auto unit and good nasal mask and through some trial and error get it right. It's honestly not rocket science. You'll know when it's tuned and setup right as you'll awaken in the morning and not remember waking up all night.
 

Stewie

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In my humble opinion, all that sleep study stuff as it applies to obtaining a CPAP, is all but a scam. The CPAP today, most auto adjust and all these people spending $10,000 for studies and calibrations etc are just getting ripped off. Just buy an auto unit and good nasal mask and through some trial and error get it right. It's honestly not rocket science. You'll know when it's tuned and setup right as you'll awaken in the morning and not remember waking up all night.

I understand what you're saying.

Although there are specific diagnostic criterias designed in order to differentiate between central sleep apnea and obstructive sleep apnea or even mixed apenas. Not everyone can use a nasal device. Myself, I have to use a full faced masked, due to being a mouth breather when I sleep. I wouldn't of known this without a sleep study. The pathophysiological characteristics are quite different, therefore it's best to have a polysomnogram done.

Sure, one can do a home study, purchase a machine and tweak it to the best of their abilities. Ultimately in due time it's best to have a polysomnogram done in a sleep lab.
 

dale338

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I understand what you're saying.

Although there are specific diagnostic criterias designed in order to differentiate between central sleep apnea and obstructive sleep apnea or even mixed apenas. Not everyone can use a nasal device. Myself, I have to use a full faced masked, due to being a mouth breather when I sleep. I wouldn't of known this without a sleep study. The pathophysiological characteristics are quite different, therefore it's best to have a polysomnogram done.

Sure, one can do a home study, purchase a machine and tweak it to the best of their abilities. Ultimately in due time it's best to have a polysomnogram done in a sleep lab.

I video taped myself sleeping for a week. Before the Cpap and after and adjusted as needed until it was right. By the third night, I slept for over 6 hours straight without moving. Something I probably hadn't done since my teens. LOL.

I'm not disputing going the fully pay medical route, I just don't believe much in doctors anymore. I feel like the things we need are over regulated and the hypocrisy from the medical establishment is blaring. They mess up more people than they help.
 

rcorchid

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I think the point has been made that if you don't go the prescription route, you'll pay for everything out of pocket, which would make me very poor. I pay almost nothing for my BiPAP set-up as insurance pays for about everything.
 

opietaylor

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my insurance company has a $10k limit on sleep apnea. hit that when I followed the doctor route and then had to pay everything from there on out out of pocket. I even had the surgery removing adenoids, tonsils, etc. and it worked for awhile. technology has now allowed guys who do there homework to forgo all that crap and do it yourself. if you sleep with your mouth open you need a full face mask.
 

thethinker48

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I appreciate all the input guys!

Like many, I have trouble breathing through my nose at night; pretty sure I snore louder if I breathe through my nose on my back.

I've been waking up in the middle of the night, sometimes 2-4 times feeling restless. Like Stewie said; it's could be more than just a broad generalization of sleep apnea.

I'll try to get a second opinion on this; buying a self adjusting machine on my own would still be a better option than nothing for me. Sleeping on the side depending on how long I do it sometimes messes my arm up (pretty sure you can chop it off and I wouldn't feel it ).

I have no freaking idea how you did it at 310 lbs Massive G; I'm more than a 100 lbs lighter and its not too comfortable for me.

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bigstick

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I'm lucky my insurance pay for most of it. Did all the surgeries including fixing busted nose and even shaved the sides of my tonge. What ever you can afford to do is a huge step towards improving health....so important.
 

rmtt

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I appreciate all the input guys!

Like many, I have trouble breathing through my nose at night; pretty sure I snore louder if I breathe through my nose on my back.

I've been waking up in the middle of the night, sometimes 2-4 times feeling restless. Like Stewie said; it's could be more than just a broad generalization of sleep apnea.

I'll try to get a second opinion on this; buying a self adjusting machine on my own would still be a better option than nothing for me. Sleeping on the side depending on how long I do it sometimes messes my arm up (pretty sure you can chop it off and I wouldn't feel it ).

I have no freaking idea how you did it at 310 lbs Massive G; I'm more than a 100 lbs lighter and its not too comfortable for me.

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Same here.....I'm a lightweight and can't sleep anyway but on my back....or I wake up with the area I was lying on completely numb.

I don't have sleep apnea, but have had the studies just because I only sleep 5 hours at most on a good night.....I usually only wake up once. And that's because I drink too much water before bed usually.

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jasong

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I couldn't imagine having to pay out of pocket for replacement parts regularly. I use nasal pillows and swap them out weekly. Also replace filters, hoses, etc. Granted if I did have to pay for them I could clean them and stretch out the life span, but still. My monthly shipment was late one month and my girlfriend was complaining that I had a bad seal every night and kept her up so I replaced a headband and the nasal pillows at a supply store in town and it cost me around $70. Maybe amazon is a little cheaper, but didn't think about it at the time.

I'd just go through insurance if you have it.
 

Gravyv

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A Apap machine would be the best bet. I have the resmed airsense 10 with the pressure set between 7-16. It's not hard to find the clinical manual to access the advance settings to adjust the machine.

However a in-lab sleep study is good to also find out if your sleep is disturbed due to plmd (essentially rls while you sleep).

For me the home study was inconclusive. Then I went in for the inlab which shown I had mild apnea while sleeping on my back, and major plmd.
 

opietaylor

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I highly highly recommend the SoCLean 2 CPAP cleaner and sanitizer for cleaning your device, has made a huge difference in my sinuses and how long my Resmed parts last.
 

someday

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In my humble opinion, all that sleep study stuff as it applies to obtaining a CPAP, is all but a scam. The CPAP today, most auto adjust and all these people spending $10,000 for studies and calibrations etc are just getting ripped off. Just buy an auto unit and good nasal mask and through some trial and error get it right. It's honestly not rocket science. You'll know when it's tuned and setup right as you'll awaken in the morning and not remember waking up all night.

Well having been EVP for a $30mm sleep services provider that had nearly 50 board certified sleep medicine physicians working for us in one capacity or another I can tell you it is far from a scam. Many of our patients (and there were thousands upon thousands) would tell you it was a life changing treatment. And sleep is a far more complicated issue than some on here make it out to be. However, if you don't have coverage, buying a used APAP can be a huge savings. Just a couple things to note though...technically you can't buy or sell ANY CPAP device without an RX. I realize they aren't hard to find, but they still require a script. Without insurance, supplies will add up quick, so think long term before you jump in without going to see a sleep specialist. Also, CPAP's are hard to adjust to for many, so we had multiple visits scheduled with RT's to work with each patient and make sure they had the right masks, machines, supplies, etc. and that they could actual use the machine nightly. They will do nothing for you sitting on your nightstand unplugged, and those are what you see end up on Craigslist and the such because sometimes the treatment takes some work to adjust to. RT's can be invaluable in that regard.
 

Pekkerwood

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I actually go to a neurologist who is also a "sleep doctor". I get the full studies done, but fact is, I get her to give me script for exactly the machine I want and a one year script for supplies.

I use "mask liners" with a full face mask to eliminate leaks. A mask lasts about a year now. I replace the "straps" portion every 120 days or so. I can order just the "inserts" i.e. the part that touches your face. I use the Airfit series,but I have them ALL.

You can put the auto machines in clinical mode easily to set them. The instructions are easily found on all Apnea, Cpap, websites. I also use Sleepyhead Software. Rather than having the technicians read my card then meet the doctor, I just bring her my print out to discuss with her.

For you serious mouth breathers ( I am one) you can also incorporate a chin strap to keep your mouth closed. This also helps your mouth not dry out and ruin your gums.


PWood
 

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