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AJC

AJC
Joined Sep 2018
AJC
Joined Sep 2018

Hi, Thanks so much for the detailed response - I really appreciate it. I am in the US Northeast and the price quoted for the APAP was $90 a month for 10 months (rent-to-own), so similar to the price you quoted. The mask, however, was ~$700, which seemed grossly overpriced based on the mask prices I've seen online. This is all out of pocket due to an insurance deductible. It's one of those things where if I felt like the home test was executed perfectly and therefore the results were beyond question, I'd suck it up and pay it. But I remain very dubious about that test so without a less costly "trial period" option I'm disinclined to jump on the APAP train. I should mention too that the doctor/sleep lab/medical equipment provider are all commingled so that the lines between them are very unclear. Case in point, the test results came on the sleep lab/equipment provider's letterhead which included the ResMed manufacturer name, and the results were digitally signed by the doctor who ordered the test. I felt like they had made a decision about getting me "papped" before the test was even administered and have been pretty persistent in getting it set up. So my guard is up with this team. I am not able to purchase equipment online without a prescription. I'm actually not sure if I have been prescribed anything; I have had no interaction with the doctor's office since they ordered the at-home sleep test - all follow-up has been with the sleep lab/equipment provider.

Hi, Thanks for your response and sharing your experience. I did obtain a copy of the test results and they were puzzling based on my experience with the test equipment. The nasal cannula caused me to panic so I took them off before I even fell asleep. After several hours of trying to distract myself enough to be able to put them back on and sleep, I ended up putting them on just at the edge of my nostrils (all I could tolerate). I slept for 2.5 hrs (which I can confirm based on viewing history on my tablet; I was watching a documentary to try and relax :)). I let the lab know that I got minimal sleep, had trouble with the nasal cannula, and am a mouth breather. I also took the pulse oximiter off for a bit because it smelled very strongly of someone's perfume (yuck! must have been a used kit) so I tried to clean it around 1am. The test came back as follows: Recording: 7:22; Monitoring Time: 5:13; Oxygen Saturation evaluation: 7:12. AHI: 7.3 Apneas: 0 Hypopneas: 38 Oxygen Saturation: Baseline-94; Average 94; Lowest-89 The final diagnosis was "Mild Obstructive Sleep Apnea" My concern is that the test is either under or over-stated given the trouble I had with completing it. For example, the test says I was supine for 5:05 hours and non-supine for 7 minutes. That's crazy because I was up walking around during the night and then sitting in a chair for at least 2 hours while I watched a video. I wrote detailed notes on the post-test questionnaire that I returned with the test equipment but the lab came back and said "come get fitted for an APAP." They didn't seem to be concerned about the issues I had raised. If I have to get an APAP then I will but there is a significant out-of-pocket cost for me and I want to make sure these results are even valid before getting equipment that may be insufficient or even unnecessary. Any feedback is appreciated!