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I don't even know where to begin

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sleeperhit
Private Snorer
Posts: 2
Joined: Mon Jul 30, 2018 8:19 pm

I don't even know where to begin

Post by sleeperhit » Mon Jul 30, 2018 9:03 pm

I originally got diagnosed with sleep apnea about 7 months ago. The issue is it took my doctors office a while to get back to me with the results and by the time I was informed I had sleep apnea I had already left my country.

I am from the USA but am studying at uni in a central European country which has complicated me starting any therapy. My US doctor told me I needed to use the Resmed Airsense 10 machine but since I am out of my country my insurance company will not approve the therapy and since most medical device companies in the US work through insurance I am unable to deal with them directly.

Trying to get cpap therapy in Central Europe has not been any easier. Most of the hospitals here don't seem to have sleep specialists and the ones that do don't speak english. I have looked into the surrounding countries and even some nearby countries who are outside of the European Union but its the same story.

Being on a student budget I can't exactly afford to just buy this cpap machine outright and the cpap machines I can afford are of dubious quality from chinese companies. I have been trying to find a solution for the past 7 months but am no closer to a resolution than the day I started.

Maybe somebody here has been in a similar situation? Any advice would be greatly appreciated.

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Sleep2Snore
General Snorer
Posts: 2884
Joined: Tue Oct 14, 2008 10:20 pm
Location: Aberdeenshire

Re: I don't even know where to begin

Post by Sleep2Snore » Wed Aug 01, 2018 10:36 pm

Depending on your money, you could buy a second hand machine from Second Wind they will package it so you get it through customs in the country you are in. Either go for a ResMed Airsense10 Autoset or a Philips Resperonics Dreamstation Auto, make sure they are data capable. You will still need a hose, get one off eBay or Amazon.
You will need a mask, if you are a nose breather go for Nasal Pillows and get a good Chin Strap off eBay for a few Euros. You will either need a chin strap or a collar to keep your mouth shut when you are sleeping.
You might get a humidifier with the machine, if not ask for one. You will need one unless you are very lucky and do not need one.
The machines sold by Second wind have a warranty, it is not a long one but it is better than nothing.
It is either that or get yourself back home during the holidays and hope your insurance will pay for it.
I hope you have health insurance if you are studying in Europe?
You can always look here at the machines being sold.
However, most sellers will not post to Europe.

Sorry I can't be of more help.
S2S - Sleep2Snore

sleeperhit
Private Snorer
Posts: 2
Joined: Mon Jul 30, 2018 8:19 pm

Re: I don't even know where to begin

Post by sleeperhit » Thu Aug 02, 2018 7:25 pm

Sleep2Snore wrote:
Wed Aug 01, 2018 10:36 pm
Depending on your money, you could buy a second hand machine from Second Wind they will package it so you get it through customs in the country you are in. Either go for a ResMed Airsense10 Autoset or a Philips Resperonics Dreamstation Auto, make sure they are data capable. You will still need a hose, get one off eBay or Amazon.
You will need a mask, if you are a nose breather go for Nasal Pillows and get a good Chin Strap off eBay for a few Euros. You will either need a chin strap or a collar to keep your mouth shut when you are sleeping.
You might get a humidifier with the machine, if not ask for one. You will need one unless you are very lucky and do not need one.
The machines sold by Second wind have a warranty, it is not a long one but it is better than nothing.
It is either that or get yourself back home during the holidays and hope your insurance will pay for it.
I hope you have health insurance if you are studying in Europe?
You can always look here at the machines being sold.
However, most sellers will not post to Europe.

Sorry I can't be of more help.
thank you very much for your reply. do you have a preference for either the Resmed or Phillips? Is nasal pillow better than a full face mask?

And yes I do have insurance while I am abroad but it would only cover me in an emergency situation

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Sleep2Snore
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Posts: 2884
Joined: Tue Oct 14, 2008 10:20 pm
Location: Aberdeenshire

Re: I don't even know where to begin

Post by Sleep2Snore » Fri Aug 03, 2018 12:32 pm

The ResMed is a slightly better machine in its responses to you having an event, however, it is not a huge difference and either machine if it is data capable and AUTO as you can use if on fixed pressure as well.
With a data card you can see how you are doing using Sleephead software. If you are not seeing a sleep doctor this is a must so you can treat yourself better.
Both machines are good, but the ResMed has just a slight edge, however, the Philips Resperonics has a feature where it will try on its own to see if you respond to a different pressure, though some complain about this feature as it often wakens them when the pressure rises and falls when it tries this.
I tried both machines and I just got on better with the ResMed.

As far as the mask goes, it will depend on if you are a mouth breather or not.
If you breathe through your mouth you will need a full-faced mask or a hybrid mask.
The reason I said Nasal Pillows is that they are the easiest to fit. You usually get three sizes of Pillows with the mask so one should fit your nostrils. Start with the biggest size, they should rest against your nostrils and the tips should be the only part that goes into the nostril. Some cushion gel ones just rest on the nostrils. The Philips I think only comes with one size pillow so it has to be ordered with the size you need, which is a pain. The Philips hose does go over the head though and this is a boost when sleeping, if it goes down it has a tendency to pull the nasal pillows off when you move around. I have the ResMed ones and I tied the hose to the side of the mask so it goes to the rear and in behind the pillow and over to the machine. The only reason I said to go for Nasal Pillows is that they will at least fit, unlike a mask that comes in different sizes and are very expensive if you get it wrong. Some do offer a return policy if you are quick returning it, but most only give a part refund, which means to get another mask you have to order another size from then as it is usually credit.

If you are a mouth breather you can sometimes get mask sizing kits from the supplier before you order a mask, but not all offer this service.

Hope this helps.

Either of the two machines is fine, the ResMed is slightly smaller and slightly quieter.
A note to keep in mind is the ResMed machine runs on 24vDC so if you go camping where there is no mains you need to buy a 12vDC to 24vDC adaptor, these are expensive.

Resmad Airsense10autoset Manual: Manual.pdf

Philips Manual ,pdf Philips dreamstation manual .pdf

The Philips appears to be 12vDC.
Note: The humidifier comes out of the rear of the machine and I found that annoying.

NOTE: Both these machines will serve you well as long as it is straight forward Sleep Apnoea you have.
If you have a lot of Centrals or other problems you might need a more complicated machine. If you can get a copy of your sleep study report or can get another done it might save you buying a machine that will not serve you as well as a more advanced on that has other features built in, these have a hefty price tag!

You can get quite advanced home sleep study machines these days, though you do need help to get wired up for the night, but it can cost a bit and it would be a lot easier. At least this way you should have a good idea of what it mostly consists of.
S2S - Sleep2Snore

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