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NHS My sad Tale ....

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  • NHS My sad Tale ....

    Hi All,

    Well I have been reading this forum for about 6 months now and its so good to hear other people have benefited from the advice and postings as much as I have.

    So here is my NHS story ….

    My wife is a Paediatric Sister and about 4 years ago she was getting worried about my sleepless nights, loud snoring and what she described as me “holding breath”. I travelled to the sleep clinic at Battle Hospital, part of Reading Royal Infirmary. I had the monitor strapped to me over night and I was diagnosed with one of the highest occurrences of OSA of any patient so far. Its hard to remember the exact amount but it was in excess of 130 episodes per night. They supplied a Remstar Plus and Ultra Mirage Mask, I was fitted by the sleep nurse and well you can guess the rest … but I will say it was exceptional service and care for all those involved.

    They sent me yearly appointments to check equipment and to gauge general heath condition and replace any worn parts, mask etc. The problem I found was that they only had a limited scope of equipment manufacturers and on a subsequent follow up appointment a month later I was supplied a separate unit humidifier as I suffered from a really dry nose and throat and this resolved the problem, but this became cumbersome and turned my bedroom into a hospital room. I decided to purchase a Respironics Humidifier for the Remstar about 18 months ago, perfect combination (god bless eBay)

    About 2 years ago the sleep clinic was transferred to the chest clinic within the main hospital and that’s where things started to decline. No more appointments were made, I had to request replacements for broken or worn parts. This was a pain as I had to travel to pick up the parts personally as they would not post them.

    Most recently I was diagnosed with high blood pressure. The doctor suggested that it may be my machine in need of maintenance or my mask needing replacement.

    He referred me to the chest clinic. At the Reading Royal, The couple hours turned into my worst nightmare possible. I was waiting for over an hour (yes I know the NHS is over burdened so I expected to wait) and I was greeted by a nurse technician not the sleep nurse. She was the rudest woman I have ever met in my life, no caring nature or concern over my condition, just lead me into a room and asked for my machine.

    I explained that I had no appointment in two years and said that my doctor had referred me to check my machine as my high blood pressure may be as result of this. The nurse basically went off like a firework and blasted me saying that I was to make my own appointments and how could a doctor relate my high blood pressure to my CPAP machine. I was stunned to say the least. She returned my machine after verifying the set pressure, replaced the silicone mask piece and I had to request new filters. She grumped away and returned with two filters saying that in future I should replace them myself including all mask pieces as funding is now being withdrawn as your local GP pays for these consumable parts, now this was a shock and I don’t think is right.

    I have now bought my own Respironics M Series APAP machine and wash my hands of the NHS. I think that Apnoea support is diminishing within the NHS and the general level of care we are getting is rubbish to say the least. I will be handing my equipment back before Xmas with a letter to the Chief Executive of Reading Royal detailing my experiences. They need to know how bad their clinic is ! I’m never very reactionary at all but I feel I need to do this to protect others from this treatment.

    Now don’t let me put you off seeing your doctor, my advice is to get diagnosed and your condition confirmed BUT and this is a big BUT, stand your ground at the clinics as they have a duty of care to help you in your condition, if you are unsure ASK, if you need anything ASK. I have had a bad experience at Reading but it may not be the same with your clinic.

    My advice you all you newbie CPAPer and even you older more wiser CPAPer’s –
    • Clean your filters every month (replace the pollen filters)
    • Make sure you get your mask replaced every six months (insist if it’s the NHS)
    • Clean your mask/water tank every night (I’m a little obsessive over this)
    • Clean and replace your water in your humidifier daily, try and avoid tap water
    • Use Sterilised or Distilled water
    • Insist on seeing the Sleep Nurse before the technician (NHS)
    • Get your lung volume & machine pressure checked yearly, you change you machine doesn’t
    • Keep reading this forum and share your knowledge & experience


    Keep the good work going guys, best CPAP/Apnoea forum worldwide

    Apologies to the moderators if this is posted in the wrong forum, please move it accordingly

  • #2
    Hi and welcome! Great first post, it's fine where it is considering the great tips at the end.

    The NHS/NICE/Government is reviewing their own stance on CPAP and it looks like come January every PCT will HAVE to dedicate money towards sleep apnoea therapy. So on paper it's all set to improve. But... There is no evidence more money actually becomes available so they'll have to cut elsewhere, possibly making the customer services even worse. We'll have to wait and see.

    You did what I did; remove yourself out of the mess and invest in your own health privately. I bought my own equipment too.

    If you can get them for free, great, do it! But here are the benefits of buying them yourself:

    - You pick! You don't get a second hand big one from the 80's but a shiny new one. Why get a turntable when you can get an iPod Nano?
    - Accessories that match. Integrated humidifier, same colour equipment etc.
    - Speed! Order today, get it tomorrow. Delivered. No waiting, no traveling.
    - No risk of catching superbugs when waiting amongst the ill.
    - No dealing with stressed/rude staff.
    - Own it. Do with it what you want.

    Downside:

    - You have to pay. But it works out at roughly £0.50 a night over 5 years (new mask yearly, top of the range machine) which can't be a bad deal compared to waiting lists etc.
    - No fitting help other than some print guides and manuals. It's a bit of a DIY job without an experienced nurse. Some trial-and-error at your own expense is to be expected.

    Comment


    • #3
      Hi all,i got diagnosed last week at my hospital,after a being refered back in april,apparently i was in the severe catagory with 74 wakenings an hour!!.got my cpap the same day,and new mask,slowly trying to get used to the mask.time will tell.

      Comment


      • #4
        Hi Alfredo, welcome to the club! Glad to hear you got your equipment promptly. A lot of areas don't have any funding available at all. Feel free to tell us a bit more, like what equipment you got, in the intro section. And all of you should have a go at the 'win a mask' contest here.

        Comment


        • #5
          Welcome fromtheboro and alfredo! Great advice you ahve there fromtheboro, wish someone told be that when I first started!

          How did you find the APAP compared with the fixed pressure CPAP before?
          If you can read this...
          ...at least you seem to be getting enough sleep to stay awake and alert!

          Comment


          • #6
            im sorry to hear about your experiences in Reading. So far at Oxford, where I go, the service is excellent. I also have been waking feeling very dry and with a slight but distinct sore throat, so a humidifier might be on the cards. My budget will, unfortunately, not stretch to affording CPAP equipment so if the NHS don't supply it I can't have it.

            Masks, replacement parts et al. all have to be requested but are posted or can be left with security for collection. Given that the Churchill Hospital is so far from me I don't go every year for an appointment as I really ought, but I'm told that I only have to call with a problem and I will be seen straight away.

            M.
            Mart -- Happy CPAP User since 2005.
            Resmed S9 Escape + H5i + Climateline and Quattro FX.
            EPR On and Pressure 12cm.

            Comment


            • #7
              Reply to mart9012

              Glad to hear that you are getting good service from Oxford. If you are feeling dry and sore throat then i would suggest you go for a humidifier. If you can’t afford the equipment take a look through eBay. There are a lot of American suppliers willing to ship to the UK. There are a lot of links here on this website too. Humidifiers themselves are relatively cheap and the chambers can be purchased from companies advertising on this forum.

              If you don’t have an APAP machine I would suggest that you try and make an appointment every year, firstly to check your health and secondly to check your machine. As I said earlier, your body and your health change but your machine stays the same. I missed 1 years appointment and 2 years later I’m now diagnosed with high blood pressure. I would hate this to have been due to my machine and mask not working properly.
              Last edited by Joe McManus; 12 December 2007, 10:44. Reason: Splitting cleaning talk from original topic

              Comment


              • #8
                I agree with you Mart9012. I am also a patient at the Oxford clinic, and they have been great. Only 2 weeks between my diagnostic and having a CPAP machine. Then last week after complaining on this forum about dryness problem, someone mentionned I probably need a humidifier. I rang the clinic, spoke with a nurse and after a couple of minutes she said to come over the next day to get a humidifier (no problem I live very near the Churchill Hospital). Got the humidifier and I am now a new man, with no nose problems!

                I mentionned to the nurse that I will need to go abroad soon. "No problem she said, we will lend you a smaller machine with battery pack". Looking good...

                SteveP
                SteveP
                Mask: Respironics ComfortLite™ 2 | Humidifier: Fisher & Paykel HC150 with Ambient Tracking | CPAP machine: ResMed S6 Lightweight™

                Comment


                • #9
                  Sounds like Oxford sucks up all the NHS money is lacking elsewhere! If they hand out battery powered CPAPs as easy as that, you guys can consider yourselves extremely lucky!

                  Comment


                  • #10
                    There is a cost living in/near Oxford.... All the traffic, all these gowns, need to go shopping elsewhere than city centre because there are only sandwich bars and mobile phone shops, etc...

                    Seriously, I don't know what sort of budget they have here, but they hand over 20 CPAP kits per week, they carry out 20 sleep tests per week (in grotty rooms - saving money here ), and the CPAP machine they lend for the trial period after the initial diagnostic are stone-age ones... The humidifier they lend me last week has seen better days... I bet the battery powered CPAP are those running on 48 AAA batteries...

                    Anyway, I am not complaining, far from it! I am really lucky.

                    SteveP
                    SteveP
                    Mask: Respironics ComfortLite™ 2 | Humidifier: Fisher & Paykel HC150 with Ambient Tracking | CPAP machine: ResMed S6 Lightweight™

                    Comment


                    • #11
                      Originally posted by mart9012 View Post
                      im sorry to hear about your experiences in Reading. So far at Oxford, where I go, the service is excellent. I also have been waking feeling very dry and with a slight but distinct sore throat, so a humidifier might be on the cards. My budget will, unfortunately, not stretch to affording CPAP equipment so if the NHS don't supply it I can't have it.

                      Masks, replacement parts et al. all have to be requested but are posted or can be left with security for collection. Given that the Churchill Hospital is so far from me I don't go every year for an appointment as I really ought, but I'm told that I only have to call with a problem and I will be seen straight away.

                      M.
                      Mart, is it worth contacting the Churchill and asking to be referred to a closer hospital (with a sleep clinic). I was first sent to Nottingham - a pain to get to on the bus - when I live less than a mile from the hospital in Mansfield which also has a sleep clinic! It may be that the Churchill is your closest, in which case my advice will be of no help at all!

                      Comment


                      • #12
                        And if anyone wonders where their nearest sleep clinic is...

                        Comment


                        • #13
                          NHS My happy Tales

                          Hi to all,
                          recently joined this forum.

                          I have also had excellent help from the churchill hospital in oxford,
                          took several months from initial visit, sleep study, diagnostic visit and finally receiving equipment. But found the doctors and nurses extremely helpful.

                          I dont live in oxford area but looks like i was lucky with my local doctors referring me to this sleep unit.

                          Comment


                          • #14
                            Hi TheThe7 !

                            Happy New Year! I hope 2008 will be better than 2007 for you, and all of us - sleep-wise, etc.

                            What equipment did they give you ? How bad is your condition?

                            How long did it take between the first appointment, the sleep study, the diagnostic and getting the equipment?

                            I am also seen in Oxford. For me it was 4 weeks, 2 weeks and 2 weeks respectively. I thought that was pretty quick!

                            I am going back next week for my follow-up appointment, 6 weeks after receiving the CPAP kit.

                            Best of luck!

                            SteveP
                            SteveP
                            Mask: Respironics ComfortLite™ 2 | Humidifier: Fisher & Paykel HC150 with Ambient Tracking | CPAP machine: ResMed S6 Lightweight™

                            Comment


                            • #15
                              CPAP machine

                              Hi SteveP

                              time scales u put were about same for me

                              My sleep apnoea condition wasnt bad but snoring was !!

                              It was a resmed machine but cant remember part no i will check when im home

                              wasnt aware of issue with DVLA, I have advised them but havent heard anything back from although received machine in late November so here hoping.

                              Good luck with your treatment

                              Comment

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