lowfog01 wrote:what components are a must have; Heated Humidifier, Auto-Adjusting and Pressure Relief, quiet.
Heated humidifier and auto-adjusting are musts, in my opinion. I use a Respironics RemStar Auto M-Series, with integrated humidifier, which has performed without a hitch for about 10 years.
Don’t believe the crap about only the provider being able to set up the machine. Be sure you get the setup procedures from the supplier (or online) because providers and sleep-study people can be way way off. My machine provides a quick readout of apnea/hypopnea frequency; it took a few weeks of experimenting to find the lowest pressure at which the apneas were also low, and the auto feature boosts the base setting a bit when it detects apneas. If you don’t have auto-adjust then the machine pressure must be set for worst-case, which may be much higher than average need and therefore very uncomfortable.
coaledsweat wrote:They do a plastic staple on the roof of the mouth too. Saves all that CPAP grief.
Tempting but I read so many unhappy results I didn’t pursue it.
McGiever wrote:Plenty of consumables need frequent reordered/replaced...
Foam intake filter on mine gets very dusty, replacement price can be ridiculous. I bought a package of replacements, but found I can just vacuum the filter and I’ve been using the same one for several years, replacement package is still in the dresser. I put it inside a standard kitchen sieve and vacuum from the other side of the sieve, or else just hold real tight so it doesn’t disappear down the vac.
lowfog01 wrote:I do know I want a quiet one and I guess one that "ramps" but beyond that I know nothing.
Mine has a ramp feature, but once I adjusted to using CPAP I turned it off. Low priority in my opinion.
lowfog01 wrote:... doctor will give me the prescription and direct me to a source for the CPAP, mask and what not ... What is the best add on that you've found?
My doctor (pulmonologist) did not know squat about machines or masks. I knew more than he did. He also wanted me to get the inside of my nose reamed out, said there was nothing to it – I told him that depends which end of the knife you are on. Didn’t have it done. Best add-on by far was the heated humidifier – had an unheated one at first which was useless. Use distilled water in the humidifier, cheap from the supermarket, saves a lot of de-scaling.
lowfog01 wrote:I think my insurance will help me offset the cost of the machine.
I had to mail my prescription to http://www.cpap.com
. They don’t take insurance (at least not when I got mine) but their cash price was LOWER than getting it through my insurance and paying 40% coinsurance. Actual numbers as I recall were cash price $500; insurance price $1,500 of which my 40% would be $600. Lots of hanky panky going on there between supplier and insurer. Don’t get me started. Pharmacy guy told me HIS cash price would also be $500, but because the pharmacy knew I had insurance he would be fired if he gave me the cash price. It’s not any better now that I’m on Medicare, more hanky panky just a little different. I buy everything from cpap.com, very happy with them.
coaledsweat wrote:They do a plastic staple on the roof of the mouth.
It can't hurt.
I'm told it does. Hurt.
Hardest thing for me was finding a mask that worked. I’m a mouth breather (see nose reaming above) so I use a mask that covers both nose and mouth. Also have a beard. Went through several brands/styles before I found a good mask – very different from one person to the next. My brother doesn’t have my defects and gets by with something called nasal pillows, sort of like ear bud headphones except you stick them in your nose, I guess.
Good luck. Feel free to come back with more questions.