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Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
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That depends on whether he or she does something about the condition. Following doctors orders, which likely include the usage of a CPAP machine, should take care of the problem. If something isn't done, then heart disease and other problems could shorten the life span. As to how much, that would depend on other health risks.
I have Sleep Apnea and I guess I never thought of my life as being shortened. I also have a CRAP machine and it took several different masks before I was okay with the machine. I use the word okay, because I have never been fond of having something on my face. I was told to loose weight and keep from eating late at night. Carol is right on all accounts. Good luck.
THOUGHTS ON SLEEP APNEA AND CPAP/BiPAP MACHINE EXPERIENCES
I was diagnosed with OSA -- obstructive sleep apnea about 28 years ago. I am now 64. I have used five different CPAP and now BiPAP machines during that time.
There have been considerable upgrades in the quality, size, portability and effectiveness over the years. +++++++++ MASKS As others have said, it takes time to find the most comfortable mask.
I probably went through 10 to 15 different styles to find my current one. ++++++++++ IF YOU ARE LUCKY ENOUGH TO FIND A RESPIRATORY THERAPY OR PULMONARY SPECIALIST'S CONFERENCE, IT IS WORTH ATTENDING.
USUALLY YOU CAN VISIT THE VENDOR'S BOOTHS AT NO COST, and without actually registering for the conference.
I HAVE SEEN SIX OR SEVEN VENDORS AT A SINGLE CONFERENCE REPRESENTING DIFFERENT MANUFACTURER'S MACHINES AND MASKS STYLES DISPLAYING THEIR NEWEST PRODUCTS AT THESE SHOWS.
Ask the person who services your machine or the medical tech who fit you, when the next show will be coming. He or she is probably planning on attending to receive ongoing continuing education credits required for maintaining state license. ++++++++++++ The most comfortable mask style (for me) is using nasal pillows. These are small inserts which only enter nares (the nose or nasal passage) about .5 inch.
I did not like the masks which covered my entire nose, even after trying several models to find the proper size to snugly fit around my nose, without pressurized air leaking out and drying my eyes while I slept. I found these full nose masks bulky and uncomfortable especially when I changed position while sleeping (i.e., rolling over, etc.). In order for me to get a tight enough seal, I needed to increase the tension on the velcro straps so much that the area between my upper lip and my nose actually hurt when I woke up in the morning. ++++++++++++ If you find that you have a dry mouth each morning, it means that during your sleep you have been mouth breathing. Ask or a chin strap. This is a special additional strap that attaches to your headgear and keeps your mouth from opening while sleeping. (I think my copay was about $10.00, but it sure helped !) ++++++++++++ TECHNOLOGY CHANGES: You should anticipate upgrading your machine every four to five years. Usually by then your rental agreement (through your insurance company) has fully paid for your machine.
HOWEVER, be warned, your provider will NOT tell you that your machine is now fully paid for and that you own it free and clear. You must ask. Otherwise, they are more than happy to continue accepting your co-payment (forever, I guess). ++++++++++ Keep your old machine!
You do not need turn "turn it in" or trade it in when you purchase a new model. It is always a good idea to have a spare in case of an emergency. I had one machine's electronics 'fried' in a power surge during a lightning /thunder storm. +++++++++ I have used both CPAP and BiPAP machines. A CPAP is a continuous pressurized air pump; a BiPAP is a bi-directional pressurized air pump. The Bi-PAP makes adjustments for both inhaling and exhaling, which I found more comfortable. ++++++++++ As to your original question of how long a forty-five year old with sleep apnea should expect to live, I would think 80 to 85 should be realistic with no problem.
Weight loss and exercise will likely improve your chances to not only live to that age, but to actually enjoy it. Please understand that this last comment is a "do as I say, not as I do" comment. I immediately lost about 25-30 pounds following my initial OSA surgery twenty five plus years ago (but have lost little weight since-- a few pounds each year) and do not get (realistically) any exercise.
I have sleep apnea. I look upon the mask for my CRAP machine as my deep sleep diving mask and it does not bother me at all. It is so nice to be able to sleep so deeply and soundly.
I am a 62 year old male who was prescribed a cpap er crap machine over two years. I have gone through 2 machines, 1 with a humidifier and 1 without. I have also gone through 2 nasal masks and 1 full face mask. I have told my expletive deleted sleep doctor that I have found that I don't see any difference when I use and don't use the stupid machine. The docotr has told me that he expects me to wear the mask at least one hour a night, I won't even do that. When I do wear the stupid mask, I wake up and found that I have torn it off of my face. My sleep doctor told me at my last appointment that "he is worried about me" but he refused to say what he is worried about. I called his office and questioned them, all I was told was they didn't know what he meant but he could have meant that he wanted me to have another sleep study. Based on my past experience with his office and sleep studies, I told his office what they could do with the sleep study. The last time I went through a sleep study with his office I had to show up three different nights for a two night sleep study as the tech's no showed on one of the nights. I am not going to waste my vacation time to go through that again. I asked his office if they could do a study that started around midnight, as I work second shift. His office told me no way. It is either 8PM or 8 AM(for people who work third shift). Neither of thise studies would help me. Now about the DME he uses because of my insurance company, that is another problem. He set up an appointment with them to get me my third mask. I arrived about 5 minutes before my scheduled appointment at building I had been to for all of my previous appointments. However all I saw was a For Lease sign in the window. It seems that they moved about 8 months earlier and failed to notify any of there customers that they had moved. I called one of there phone numbers and was told that the office was now about 10 miles south of where I was. When I arrived at the new location, they were very upset that I was late, whose fault was that. About 10 minutes later a person comes out hands me box with a new mask in it and tells me I can go home, no fitting or anything like that. Then the next day I get a rental bill for the machine in the mail, they informed me the insurance company only paid a co-pay and not the whole bill. I called the billing department and told them I was very upset with the way they treated me and the fact that I was never notified of there location having been moved. I next asked them where I could return the machine to as I was not going to pay that bill. I got put on hold and when the person came back on the line, I was told not to worry about it, that I really owed them nothing.
I know this shouldn't be funny, because in reality it isn't. However, I had flash backs from the past, pulling into a connivence store to try and get the crap out of my hair they used to place the wires for the sleep study. I feel your frustrations. I no longer use my machine. I can't stand having something on my face. I will say that the nose pillow mask was better. My insurance would not pay for the masks so mine was a hit and miss via the Internet. Good luck to anyone who has to go through this.
My younger brother is 35 and he had sleep apnea. I never knew quite what that meant until he stayed with me after a big fight with his wife. He snored so loud I could not believe it. Then he would be quiet for a short time (I guess not breathing), make a loud noise, wave his arms wildly, and snort and snore again. This went on and on without him waking up and I could not believe it.
He always slept in another room at home as his wife could never get any sleep. Even in another room it was hard to sleep in the same house with him.
He ended up getting some kind of throat surgery a few years ago that sounded very scary but he did it. It made a huge difference and helped him a lot.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Carol
Marie
I was diagnosed with OSA -- obstructive sleep apnea about 28 years ago. I am now 64. I have used five different CPAP and now BiPAP machines during that time.
There have been considerable upgrades in the quality, size, portability and effectiveness over the years.
+++++++++
MASKS
As others have said, it takes time to find the most comfortable mask.
I probably went through 10 to 15 different styles to find my current one.
++++++++++
IF YOU ARE LUCKY ENOUGH TO FIND A RESPIRATORY THERAPY OR PULMONARY SPECIALIST'S CONFERENCE, IT IS WORTH ATTENDING.
USUALLY YOU CAN VISIT THE VENDOR'S BOOTHS AT NO COST, and without actually registering for the conference.
I HAVE SEEN SIX OR SEVEN VENDORS AT A SINGLE CONFERENCE REPRESENTING DIFFERENT MANUFACTURER'S MACHINES AND MASKS STYLES DISPLAYING THEIR NEWEST PRODUCTS AT THESE SHOWS.
Ask the person who services your machine or the medical tech who fit you, when the next show will be coming. He or she is probably planning on attending to receive ongoing continuing education credits required for maintaining state license.
++++++++++++
The most comfortable mask style (for me) is using nasal pillows. These are small inserts which only enter nares (the nose or nasal passage) about .5 inch.
I did not like the masks which covered my entire nose, even after trying several models to find the proper size to snugly fit around my nose, without pressurized air leaking out and drying my eyes while I slept. I found these full nose masks bulky and uncomfortable especially when I changed position while sleeping (i.e., rolling over, etc.). In order for me to get a tight enough seal, I needed to increase the tension on the velcro straps so much that the area between my upper lip and my nose actually hurt when I woke up in the morning.
++++++++++++
If you find that you have a dry mouth each morning, it means that during your sleep you have been mouth breathing. Ask or a chin strap. This is a special additional strap that attaches to your headgear and keeps your mouth from opening while sleeping. (I think my copay was about $10.00, but it sure helped !)
++++++++++++
TECHNOLOGY CHANGES: You should anticipate upgrading your machine every four to five years. Usually by then your rental agreement (through your insurance company) has fully paid for your machine.
HOWEVER, be warned, your provider will NOT tell you that your machine is now fully paid for and that you own it free and clear. You must ask. Otherwise, they are more than happy to continue accepting your co-payment (forever, I guess).
++++++++++
Keep your old machine!
You do not need turn "turn it in" or trade it in when you purchase a new model. It is always a good idea to have a spare in case of an emergency. I had one machine's electronics 'fried' in a power surge during a lightning /thunder storm.
+++++++++
I have used both CPAP and BiPAP machines. A CPAP is a continuous pressurized air pump; a BiPAP is a bi-directional pressurized air pump. The Bi-PAP makes adjustments for both inhaling and exhaling, which I found more comfortable.
++++++++++
As to your original question of how long a forty-five year old with sleep apnea should expect to live, I would think 80 to 85 should be realistic with no problem.
Weight loss and exercise will likely improve your chances to not only live to that age, but to actually enjoy it. Please understand that this last comment is a "do as I say, not as I do" comment. I immediately lost about 25-30 pounds following my initial OSA surgery twenty five plus years ago (but have lost little weight since-- a few pounds each year) and do not get (realistically) any exercise.
Sigh...
I have gone through 2 machines, 1 with a humidifier and 1 without.
I have also gone through 2 nasal masks and 1 full face mask.
I have told my expletive deleted sleep doctor that I have found that I don't see any difference when I use and don't use the stupid machine.
The docotr has told me that he expects me to wear the mask at least one hour a night, I won't even do that.
When I do wear the stupid mask, I wake up and found that I have torn it off of my face.
My sleep doctor told me at my last appointment that "he is worried about me" but he refused to say what he is worried about.
I called his office and questioned them, all I was told was they didn't know what he meant but he could have meant that he wanted me to have another sleep study.
Based on my past experience with his office and sleep studies, I told his office what they could do with the sleep study.
The last time I went through a sleep study with his office I had to show up three different nights for a two night sleep study as the tech's no showed on one of the nights.
I am not going to waste my vacation time to go through that again.
I asked his office if they could do a study that started around midnight, as I work second shift. His office told me no way.
It is either 8PM or 8 AM(for people who work third shift).
Neither of thise studies would help me.
Now about the DME he uses because of my insurance company, that is another problem.
He set up an appointment with them to get me my third mask.
I arrived about 5 minutes before my scheduled appointment at building I had been to for all of my previous appointments. However all I saw was a For Lease sign in the window. It seems that they moved about 8 months earlier and failed to notify any of there customers that they had moved.
I called one of there phone numbers and was told that the office was now about 10 miles south of where I was.
When I arrived at the new location, they were very upset that I was late, whose fault was that.
About 10 minutes later a person comes out hands me box with a new mask in it and tells me I can go home, no fitting or anything like that.
Then the next day I get a rental bill for the machine in the mail, they informed me the insurance company only paid a co-pay and not the whole bill.
I called the billing department and told them I was very upset with the way they treated me and the fact that I was never notified of there location having been moved.
I next asked them where I could return the machine to as I was not going to pay that bill.
I got put on hold and when the person came back on the line, I was told not to worry about it, that I really owed them nothing.
Upset in TN
He snored so loud I could not believe it. Then he would be quiet for a short time (I guess not breathing), make a loud noise, wave his arms wildly, and snort and snore again. This went on and on without him waking up and I could not believe it.
He always slept in another room at home as his wife could never get any sleep. Even in another room it was hard to sleep in the same house with him.
He ended up getting some kind of throat surgery a few years ago that sounded very scary but he did it. It made a huge difference and helped him a lot.