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View Full Version : CPAP compliance


Fly6785
08-29-2018, 12:27 PM
Is anyone else out there on a CPAP? I had a question and was wondering if anyone else has done this. I have my CPAP machine but I want to get one of the mini ones to take on the road with me. It still records everything for compliance, but it will be a different format than the one I currently have. Am I allowed to submit two different compliance reports? Has anyone else done this?
Thanks.


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Excargodog
08-29-2018, 07:43 PM
Is anyone else out there on a CPAP? I had a question and was wondering if anyone else has done this. I have my CPAP machine but I want to get one of the mini ones to take on the road with me. It still records everything for compliance, but it will be a different format than the one I currently have. Am I allowed to submit two different compliance reports? Has anyone else done this?
Thanks.


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These are the requirements to have your own AME continue your physical if you do have a special issuance. As long as the machine you use provides him/her with this data and you continue to meet other criteria (no weight gain, not diabetic, etc.,), it should be OK:



Special Issuances
AME Assisted - All Classes - Obstructive Sleep Apnea (OSA)
Examiners may re-issue an airman medical certificate to airmen currently on an AASI for OSA if the airman provides the following:
An Authorization granted by the FAA;
Signed Airman Compliance with Treatment form or equivalent from the airman attesting to absence of OSA symptoms and continued daily use of prescribed therapy; and
A current status report from the treating physician indicating that OSA treatment is still effective.
For CPAP/ BIPAP/ APAP:
A copy of the cumulative annual PAP device report which shows actual time used (rather than a report typically generated for insurance providers which only shows if use is greater or less than 4 hours). Target goal should show use for at least 75% of sleep periods and an average minimum of 6 hours use per sleep period.
For persons with an established diagnosis of OSA who do not have a recording CPAP, a one year exception will be allowed to provide a personal statement that they regularly use CPAP and before each shift when performing flight or safety duties.
For Dental Devices and/or for Positional Devices: No conditions known to be co-morbid with OSA (e.g., diabetes mellitus, hypertension treated with more than two medications, atrial fibrillation, etc). Once Dental Devices with recording / monitoring capability are available, reports must be submitted.
For Surgery: For successfully treated surgical patients, a statement attesting to the continued absence of OSA symptoms is required.
Defer to the AMCD or the Region for further review if:
Concerns about adequacy of therapy or non-compliance;
Significant weight gain or development of conditions known to be co-morbid with OSA (e.g., diabetes mellitus, hypertension treated with more than two medications, atrial fibrillation, etc).
Note: The Examiner may request AMCD review to discontinue the AASI if there are indications that the airman no longer has OSA (e.g., significant weight loss and a negative study or surgical intervention followed by 3 years of symptom abatement and absence of significant weight gain or co-morbid conditions). In most cases, a follow-up sleep study will be required to remove the AASI.

KODI3
08-30-2018, 10:15 AM
Dental/Positioning device is way to go. No distilled water requirement, very compact (fits in pocket), and, as of now, NO recording available which negates annual consult/report from DR. These have been just as effective as CPAP for Mild OSA and are much less cumbersome as well as covered by most insurance companies. Once your device has been properly adjusted, one sleep study proving effective controlling of OSA should suffice for FAA...

Airway Labs - Fabricator of The TAP(R) (http://www.airwaylabs.com/what-is-tap.php)

https://www.dynaflex.com/dental-sleep-laboratory-devices/dorsal/


WhisperJet
08-30-2018, 11:25 AM
I'm curious...do pilots who are diagnosed with OSA and go on a CPAP do have to get another sleep study to prove it's working? Does the CPAP generally always work?

rpatte1637
08-30-2018, 12:26 PM
I'm currently waiting for the FAA to review my CPAP information. I did a in lab study after a stroke about two years ago that showed my AHI of 18.5, but no treatment was ever done. When I sent in paperwork for my SI, the FAA said I didn't meet their standards and required treatment, so I did another home study through RPM. The home test showed a AHI of 20. I purchased a AirSense10 from them and it records everything the FAA needs, including any apnea events during use (mine dropped to between 0-4 per hour) plus they provide lifetime monitoring for free. The Airsense10 also has a app that will show how many hours you used the machine each night and how your treatment is working, so you can make any small adjustments to your mask seal if needed. Randy at RPM has been very helpful, my first home sleep test malfunctioned a they sent out another test immediately and the CPAP equipment arrive in a couple of days after I ordered it. I checked several places and they had the best prices, my sleep study and equipment were under $600. Be sure to sign up for their email specials because that saved me over a $100. Unfortunately they don't take insurance but they will provide everything you need to submit it yourself. Also they will do half down on the equipment and I think it was either three or six months on the balance till paid off with no interest.

screamin jet
09-05-2018, 01:08 PM
I'm not exactly sure what you're asking about formats. However, I think that you're concerned if you can utilize TWO separate CPAP/APAP machines. Like one to travel with (i.e. the mini Resmed as an example), and the other one you might use at home while sleeping. Anyway, the compliance reports and data are then downloaded from these machines. They're required to be submitted via your AME to the FAA airmen medical office when accomplishing your FAA airmen's class of medical SPECIAL - issuance. Generally, the last 12 consecutive months of these CPAP downloaded CPAP/APAP compliance/data reports must be provided to the FAA. Do this with the FAA MedXpress FAA medical application form you filled out online that your AME will have when you provide the confirmation number. So usually once a year you submit them. Get your DME (durable medical equip. provider) to do the downloading and then print you the graphed data copies (keep also copies for yourself). What's really nice is that certain newer CPAP machines (like the newer Resmed Airsense 10) have the ability for the DME provider to get the downloads via it's own cellular network signal! The other ways are these machines can have a removable SD card which records your usage. Or, just taking in the machine part which the DME provider can read off of. Anyway, the CPAP just has to be plugged into the electrical power and turned on. Remember also that you have to have from your treating Sleep Apnea physician, a written statement OR letter of successful continuing CPAP treatment. Talk it over with your AME doctor or his nurse, well prior to your FAA medical appt. Let me know if this has helped.


Is anyone else out there on a CPAP? I had a question and was wondering if anyone else has done this. I have my CPAP machine but I want to get one of the mini ones to take on the road with me. It still records everything for compliance, but it will be a different format than the one I currently have. Am I allowed to submit two different compliance reports? Has anyone else done this?
Thanks.


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PressOff
01-23-2019, 05:57 PM
Dental/Positioning device is way to go. No distilled water requirement, very compact (fits in pocket), and, as of now, NO recording available which negates annual consult/report from DR. These have been just as effective as CPAP for Mild OSA and are much less cumbersome as well as covered by most insurance companies. Once your device has been properly adjusted, one sleep study proving effective controlling of OSA should suffice for FAA...

Airway Labs - Fabricator of The TAP(R) (http://www.airwaylabs.com/what-is-tap.php)

https://www.dynaflex.com/dental-sleep-laboratory-devices/dorsal/

I've been on one of these for a couple years now with no issue, submitting the usual annual update from my Dr that states no issue/comorbitities. I tolerate it so much better than cpap also. However, out of the blue, the FAA just sent me a letter requesting a get a new sleep study with the device. We don't know what triggered this as nothing has changed, ie no weight gain (actually weight lowest I have in years)etc. I'm stumped as this is a huge financial burden that insurance won't cover, plus I only have 60 days to comply with my already impossible schedule as a commuter. I hate the FAA.

porkchopexpress
03-06-2019, 10:40 PM
I plan on starting a 121 career later this year. I havenít received an FAA medical for over 20 years (recently retired military), so Iíll be looking for an AME soon. I was diagnosed with severe OSA three years ago. Iíve been using a CPAP ever since, and it works like a charm. Otherwise, perfect health, not overweight, etc.

This first question is for an AME, once I find one, but Iíll throw it out here in case anyone was in a similar situation:
I stopped wearing my mask for several months last spring/summer due to bad seasonal allergies. Flying wasnít on my radar so I didnít think anything of it (I realize going forward Iíll have to address that with saline nasal spray or Flonase, etc). For compliance, my current 12-month report says 60%, but the last 6 months are almost 100%. Do I need to wait until Iím over 75% for 12 months to even attempt getting a medical, or can I use a 3-month or 6-month report to get the ball rolling?

Second question is equipment related. I have an AirSense 10, but would like to get something smaller once I start flying again. The AirMini was mentioned on this thread, so I checked out the website. In the FAQ under compliance reporting, it says to ďcontact your home medical equipment or healthcare provider to discuss options for compliance reportingĒ. The VA told me theyíll only support the AirSense 10. I donít mind paying for the Mini if it works, but how do I get compliance reports out of it? Anyone use that model, or something similar thatís not too cumbersome for travel?

Thanks!

Mikeyrb1
04-05-2019, 09:44 AM
I recently got my 1st class medical (for the first time in 10 years) but received a SI that is asking me to provide proof of 12 months usage, using the CPAP 75% of the time, and for an average of 6hrs. I've only been using the CPAP for a few months and that has been sporadic, mainly because I can't stand the thing, and I also spend time between two homes, so it is tough transporting it all the time.

Question is, if I submit the info, even though it won't show that I'm using it up to the required standards, what will happen?

Also, a family member is a dentist who can just do a dental appliance and then give me a sleep test. Would this be a better route?

Mikeyrb1
04-10-2019, 08:42 AM
For those who have been able to use a dental appliance, what kind of sleep study did you have to do? I've been told that you have to do an in-lab sleep study which can be $6K+. That is a little prohibitive. For the CPAP I just had to do a take home study.

This whole OSA thing is truly a PITA.

rickair7777
04-11-2019, 07:42 AM
This whole OSA thing is truly a PITA.

So I hear. It's a real gravy train with the VA, but I wouldn't pursue that if you don't really need to... the airline train has more gravy than the VA.

gollum
04-16-2019, 06:28 PM
So I have been told I need a sleep study done. IF it comes back as a having OSA, how long do I have to be on a machine before the AME can issue a class I medical?

SonicFlyer
04-16-2019, 08:14 PM
This whole OSA thing is truly a PITA.
I think you may be thinking of the wrong orifice here.... :o

Mikeyrb1
04-18-2019, 05:26 AM
I think you may be thinking of the wrong orifice here.... :o

Well that explains the increased flatulence! Thanks for pointing that out! :rolleyes:



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