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Doctor insights on: Cpap Smart Card

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Advice for shopping addiction? I love getting stuff in the mail, but I'm in major debt ($20,000 credit card debt). Cards maxed out.

Advice for shopping addiction? I love getting stuff in the mail, but I'm in major debt ($20,000 credit card debt). Cards maxed out.

Hypomania and spendi: Risk-taking behaviors during hypomanic states are recognised, however the high-risk nature of some behaviours-including the potential for harm to both the individual and others. (Fletcher et al 2013. Some of these behaviors include in for increased spending of money increase sexual activity increased speeding with associated traffic fines. You may not have a full-blown disease but needs evaluation ...Read more

Dr. Louis Gallia
602 doctors shared insights

Continuous Positive Airway Pressure (Definition)

Continuous positive airway pressure involves the constant application of external pressure to all phases of breathing. The patient would feel as if breathing against the constant headwind. Inhalation would be easier as the pressure enables air entry. Exhalation prevents complete relaxation. This can be helpful in obstructive sleep ...Read more


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Electronic health records allow sharing with insurance companies, right?

Electronic health records allow sharing with insurance companies, right?

Yes, but...: ...Guess what? Insurance companies can also look at your paper records too. Built into the contracts they sign with doctors, insurance companies can "audit" a physician to look at their clinical notes. This is to prevent overbilling or incorrectly billing. So your insurance company already has access to all of your medical records. An ehr would make it easier to share those records. ...Read more

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Any doctors out there who have tried sleep/activity/etc. Tracking devices and services (e.G., jawbone's up, fitbit, nike+ fuelband)? Thoughts?

Any doctors out there who have tried sleep/activity/etc. Tracking devices and services (e.G., jawbone's up, fitbit, nike+ fuelband)? Thoughts?

I use fitbit: I've been using fitbit daily for over 2 years. During the day it shows my activity patterns, and allows me to use that feedback to modify the behavior. For example if I have not met my step goal by dinner time a postrprandial walk becomes more attractive. At night, the fitbit can provide useful information regarding quality of sleep. The web software allows for tracking of calorie intake andweight. ...Read more

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Will a cpap machine improve someone with sleep apnea?

Will a cpap machine improve someone with sleep apnea?

Usually: CPAP is the first line treatment of moderate to severe sleep apnea with associated symptoms. However, success rates vary, and a significant number of people need alternative or adjunctive means of treatment. ...Read more

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Do sleep apps that use a cell phone's accelerometer work? If so, what is the best iphone app for monitoring sleep?

Do sleep apps that use a cell phone's accelerometer work?  If so, what is the best iphone app for monitoring sleep?

Yes, they do: Renew sleepclock, sleep cycle, sleep tracker, sleep viewer, sleep analyzer. These are reviewed at www.Myarticle.Com/computers/software/sleep-monitor-a... Sleep monitor – top 5 iphone sleeping apps. ... Using the accelerometer in your iphone sleep cycle is able to monitor your movements during sleep. ...Read more

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Durable medical equip provider took cpap modem & gave me card. Doc ordered modem. Don't know if i can fight b/c i don't know if i paid for modem. :( ?

Durable medical equip provider took cpap modem & gave me card. Doc ordered modem. Don't know if i can fight b/c i don't know if i paid for modem. :( ?

Dont worry: Modem or card are methods of collecting data on usage, residual ahi, leakage etc useful for clinical value and compliance check. Modem gives data over internet directly and card, you bring to your dme or doctor personally. Same thing! cost may be a factor why dme took it back! or maybe it was not working. If important for you, call the dme company. ...Read more

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My neighbor have sleep apnea his cpap machine broke no insurance can you buy them at medical supply store and use them as is thans?

My neighbor have sleep apnea his cpap machine broke  no insurance can you buy them at medical supply store  and use them as is thans?

Not a good idea!: CPAP machines are adjusted for the individual patients! The absence of insurance can be discussed with the treating Health Care Provider who may have suggestions where the machine can be FIXED or replaced!!!! Hope this helps! Dr Z ...Read more

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Whats the difference between a regular cpap sleep study & a tritration (?) cpap sleep study?

Whats the difference between a regular cpap sleep study & a tritration (?) cpap sleep study?

Initial study and CP: A sleep study is initially done to see if the patient has sleep apnea. If the patient has obstructive sleep apnea the patient is advised to have a study with CPAP to assess the best pressure to treat it with. The pressures are adjusted to eliminate the apneas (stop breathing) and to improve the patient's oyxgen saturation to keep it at or above 88%. ...Read more

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How to improve performance of sleep apnea cpap machine without docs' help?

How to improve performance of sleep apnea cpap machine without docs' help?

Sleep disturbance: Your pressure may need readjustment your mask / pillows may need readjustment you may have other consition such as RLS or plm disturbing your sleep see a fellowship trained sleep speciaoist. ...Read more

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How does forced air machine for sleep apnea work?

How does forced air machine for sleep apnea work?

Sleep Apnea: Thats called the CPAP or autopap they force air and open the airway to breathe during sleep. ...Read more

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Would a zeo sleep manager data be useful to a sleep doc? It shows i'm awake when i'm sure i'm sleeping. I have well-controlled apnea using cpap.

Would a zeo sleep manager data be useful to a sleep doc? It shows i'm awake when i'm sure i'm sleeping. I have well-controlled apnea using cpap.

Not yet: I use the zeo but only for my own knowledge. It's useful to improve your sleep hygiene. But it can't monitor your breathing, pulse, or muscle movements except in a basic, indirect way. Currently, it has not been validated as clinically effective. Nor can we correlate the data with standard measurement techniques used in sleep medicine. Zeo has the same disclaimer on their website. ...Read more

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Should america's health care system switch to keeping patient records online?

Should america's health care system switch to keeping patient records online?

Sticky issue: This is a huge question. On one hand, online records can be transmitted quickly when medically needed. This could save a life. On the other hand, this quick transmission can also allow breaches of privacy that are potentially painful, embarrassing, and invasive. Balancing these things is precarious! electronic records seems to be where we're going, so we need safeguards to do it well. ...Read more

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Mild hypopnea, can't sleep w cpap. Can't afford custom mandibular advancent device. Could an OTC one like zquiet help me until I get better insurance?

Mild hypopnea, can't sleep w cpap. Can't afford custom mandibular advancent device. Could an OTC one like zquiet help me until I get better insurance?

Do not know: Not familiar with this device. You are certainly thinking correctly. If you have a documented sleep study and diagnosis, medical insurance will often cover some/all of the custom advancement appliance. Check with your medical insurance. Best of luck. ...Read more

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Does the DEA suggest appointment frequencies for people taking schedule IV drugs (Tramadol)? My copays are so high & I have $15,000+ credit card debt.

Does the DEA suggest appointment frequencies for people taking schedule IV drugs (Tramadol)? My copays are so high & I have $15,000+ credit card debt.

DEA: DEA does not dictate appointments - but what they do to doctors that do not have strict rules with regard to controlled medications is significant - the current trend is to see patients monthly if they are on opioids and to do monitoring of the medication use. With regard to your co-pays its called Obamacare! - get used to more expenses on your part. ...Read more

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Suggestions for uninsured 32yo woman to work through health phobias at home? Books, audio, internet sites? Out of work, no money to see counselor :-(

Suggestions for uninsured 32yo woman to work through health phobias at home? Books, audio, internet sites? Out of work, no money to see counselor :-(

Resources: Books on cognitive-behavioral therapy by aaron beck or david burns, specifically to treat phobias and anxiety disorders. You need grounding in the cognitive model to understand your thinking, feeling and avoidant behavior better. Browse for titles on amazon then go to the library or bookstore for reading. ...Read more

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Durable medical equip provider took cpap modem & gave me card. Doc ordered modem. Don't know if i can fight b/c i don't know if i paid for modem. :( ?

Dont worry: Modem or card are methods of collecting data on usage, residual ahi, leakage etc useful for clinical value and compliance check. Modem gives data over internet directly and card, you bring to your dme or doctor personally. Same thing! cost may be a factor why dme took it back! or maybe it was not working. If important for you, call the dme company. ...Read more

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How does cpap work?

How does cpap work?

Air pressure: Continuous or Bi Level positive airway pressure pushes air with or without supplemental oxygen as needed past the obstruction in the back of the throat (palate, pharyngeal walls, tonsils if present, base of tongue) into the lungs. This will prevent the pharyngeal collapse, providing more restful sleep and decreased risk of motor vehicle accident, stroke, and heart attack. ...Read more

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Is 16 hours a day on cpap too much?

Is 16 hours a day on cpap too much?

CPAP: Yes. It sure sounds like it. Are you sleeping that much every day? If so, it may be that you need a follow up appointment with your sleep doctor. ...Read more

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How to know if I need cpap or bipap?

How to know if I need cpap or bipap?

Sleep MD: Depends on your situation. Work with a sleep MD and sleep technician. Some good advice here: https://www.sleepassociation.org/cpap-vs-bipap/ ...Read more

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Do I have to wear my cpap every night?

Yes: The short answer is yes. If you were diagnosed with obstructive sleep apnea (osa), than you are at risk for the complications that can come with that disease and wearing the c-pap mask and using the machine is important to your well being. Weight loss may help and keeping routine appts to follow your care is important in the monitoring process of osa. Best wishes. ...Read more

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Could cpap help you breathe when you're sick?

See below: CPAP is a treatment modality used for sleep apnea. It is important to use CPAP consistently as much as possible. Some patients note that it is easier to breathe on CPAP while having an upper respiratory illness, while others note it to be more difficult. So it depends. ...Read more

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Can you tell me how a cpap change a teenager's life?

Can you tell me how a cpap change a teenager's life?

If obstructive sleep: apnea is the reason for using CPAP and the cPAP is properly set and used, the teenager will have better sleep, more energy, greater capacity to learn, will lose excess weight, have more stable moods and need fewer hours of sleep. ...Read more

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How can I wear my cpap to cause less physical discomfort?

CPAP & Sleep Apnea: There are many styles of masks utilized with a CPAP machine. Depending on what your needs are, you can try several different masks to find the one that suits you best and is most comfortable. ...Read more

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How can I wear my cpap to cause less physical discomfort?

Ask your sleep doc: They should be able to some up, with a mask, head strap and CPAP combo that you can wear comfortably. ...Read more

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What could happen if you use leftover distilled water in cpap?

CPAP: If you are not rinsing / emptying out the CPAP water chamber regularly, residue can build up as well as mold or other organisms that can cause infection. Best to add new distilled water right before use at night. ...Read more

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When to use Cpap and Bipap ? What is the difference between them ?

Pressure Difference: CPAP, or Continuous Positive Airway Pressure, is a setting in which a fixed pressure is delivered to your upper airway by a nose or face mask. It is constant and does not fluctuate. BiPAP, on the other hand, has two pressures: one when you breathe in and the other when you breathe out. CPAP is typically used for sleep apnea. So can BiPAP, but it can also be used to help breathing in CHF. ...Read more

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Been diagnosed with osa. Does it always require the use of a cpap?

Been diagnosed with osa. Does it always require the use of a cpap?

Most effective: But compliance rate is poor, about 40 percent. According to 2006 american academy of sleep medicine practice parameters, oral appliances are indicated for use in patients with mild or moderate obstructive sleep apnea who prefer them over CPAP and should be completed by a dentist with advanced training in sleep medicine. ...Read more

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Clinically, What is the difference between use of cpap and bipap ?

Clinically, What is the difference between use of cpap and bipap ?

CPAP vs Bi PAP: CPAP is the more common treatment for Sleep apnea and delivers a constant pressure to keep the airways inflated. Bi PAP delivers a higher pressure for inhaling and a lower pressure when exhaling. BiPAP is used in some situations for sleep apnea when the CPAP is not effective or not tolerated. ...Read more

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Osas ahi of 62 I have a cpap but camt get used to it. What more can I do?

Osas ahi of 62 I have a cpap but camt get used to it. What more can I do?

FATIGUE WITH OSA: PROVIGIL AND NUVIGIL help with fatigue and brain fog. Also get labs checked especially TFTS. adderal/Ritalin/Starttera may also be of use .Start a gluten free diet focus on weight loss .Wholeapproach.com gut loss.com. If CPAP/BIPAP is poorly tolerated seek ENT CONSULT for UPP vs Hyoid suspension. ...Read more

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Do I have to wear my cpap every night or can I take a break from wearing it some nights? Help?

Do I have to wear my cpap every night or can I take a break from wearing it some nights? Help?

Permission?: Are you asking us to counteract the prescription and recommendations of the physician prescribing your care? ...Read more

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Last few days i've not used my cpap and i feel more clear and less tired than I do on my cpap?

See sleep doc: Perhaps your osa is mild, and you've lost weight, and don't need pap anymore, or you're sleeping on your side and had positional osa on your psg. There are many reasons this could happen. See your sleep doc and he/she can look at your study and get your history and provide a likely reason for why this is happening. Don't just stop the CPAP without discussing with your physician first. ...Read more

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What is the minimum nightly time in terms of hours of CPAP usage to achieve a therapeutic benefit?

Depends on how bad: Depends on how bad the sleep apnea is. If the apnea is mild you might have to wear the device all night to see a difference while someone with severe sleep apnea might see some difference with only an hour of real sleep since this would be more than they get in a whole night without cpap. It's best to use all night to avoid desaturations that lead to heart and brain issues of course. ...Read more