Frequently Asked Questions
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  1. How do I order online for CPAP and respiratory supplies from LHR?
  2. Can I purchase a CPAP online?
  3. Is LHR a Registered Ontario Assistive Devices Program (ADP) vendor?
  4. Location and hours of operation?
  5. Does LHR have a CPAP Trial Period?
  6. Do you sell parts and accessories for the equipment you sell? What about service?
  7. Do I need a prescription for a CPAP?
  8. What is Obstructive Sleep Apnea (OSA)?
  9. What is Continuous Positive Airway Pressure (CPAP)?
  10. Is Obstructive Sleep Apnea  Syndrome (OSAS) dangerous?
  11. What should I know about general CPAP Equipment Care?
  12. What about CPAP Side Effects?
  13. What type of CPAP or mask should I purchase?
  14. How can I find out my mask size?
  15. What is CPAP Compliance?
  16. How do I know when I should get my CPAP Pressure Adjusted?
  17. What is a Ramp?
  18. How is the pressure measured?
  19. Do masks come with headgear and accessories?
  20. What are my options for Full Face Masks?
  21. How long will it take until I’m used to my CPAP unit?
  22. How much sleep with a CPAP do I need to feel rested?
  23. Is it normal to take my mask off every night?

 

1) How do I order online for respiratory equipment from LHR? (Back to top)

Its actually quite easy.

Just go to the product pages and click on the item(s) you want to order.

Then go to the shopping cart and fill out your personal information.

You will then be contacted the next business day by a customer service rep.

Billing will be arranged at this time.

2) Can I purchase a CPAP online? (Back to top)

Yes.

We require a physicians prescription with the pressure setting and date.

Since LHR is a MOH/ADP vendor we must meet government criteria for CPAP sales.

Therefore in order to purchase a CPAP from LHR, you can order online, but we will require you to come to the office for the initial set-up and sale.

3) Is LHR a Registered Ontario Assistive Devices Program (ADP) vendor? (Back to top)

LHR does have a MOH government vendors’ permit and can process ADP claims.

4) Location and hours of operation? (Back to top)

Suite 106 - 460 Springbank Dr.

London,Ontario, Canada

N6J 0A8

519 434-0730

In the Springbank Medical Center

9 a.m. - 5 p.m. Monday through Thursday

9 a.m. - 4 p.m. Friday

Closed Saturday and Sunday

5) Does LHR have a CPAP Trial Period? (Back to top)

Yes, LHR offers a 30 day CPAP trial period to those patients who wish to try CPAP therapy.

You are required to provide a recent physicians' prescription from a sleep lab at the date of set-up.

6) Do you sell parts and accessories for the equipment you sell? What about service? (Back to top)

Yes, LHR sells parts and accessories for all our product lines such as hoses, filters, AC/DC battery adapters, mask parts, foam and gel inserts, plastics, mask skins…etc. LHR just does not advertise them on the site since we believe that too many products becomes confusing and detracts from the aesthetics. LHR also provides warranty service for all products sold.

7) Do I need a prescription for a CPAP? (Back to top)

Yes, Canadian law require a physicians' prescription for this item.
LHR posts that all CPAP sales require a physician’s prescription. It is the last statement in "more info" in the CPAP products list. A CPAP unit is a medical device that requires the patient to undergo testing with a registered sleep physician and have the units' pressure setting precribed. Some e-auction houses have attempted to sell outside the regulation, although E-Bay has recently discontinued CPAP e-sales. Under Federal law CPAPs cannot be sold without a physicians prescription (clinic or family); it must have the pressure setting in order for us to set up the unit.

8) What is Obstructive Sleep Apnea (OSA)? (Back to top)

Sleep apnea is defined as the cessation of breathing during sleep. Obstructive sleep apnea is characterized by repetitive pauses in breathing during sleep due to the obstruction and/or collapse of the upper airway (throat), usually accompanied by a reduction in blood oxygen saturation, and followed by an awakening to breathe. This is called an apnea event. Respiratory effort continues uring the episodes of apnea. People with sleep apnea generally have the following symptoms:

1. Loud, frequent snoring

2. Excessive daytime sleepiness/fatigue, falling asleep when you don't intend to. People with sleep apnea often are not aware of feeling tired or unusually sleepy since the disorder develops over a number of years.

3. Your bedmate indicates that you periodically stop breathing during your sleep, or gasp for breath

4. Unreflecting sleep with feelings of grogginess, dullness, morning headaches, severe dryness of the mouth.

9) What is Continuous Positive Airway Pressure (CPAP)? (Back to top)

There are only a few effective treatments for OSA. They fall into several categories: weight loss, surgery, dental appliances, and a breathing-assistance device. The most popular and most effective is the use of a device, which delivers air under slight pressure to the airway by way of a nasal mask. There are several types of positive airway pressure devices including CPAP, bi-level positive airway pressure, and responsive and "smart" airway pressure devices.

"Nasal CPAP" is the treatment of choice for most people with obstructive and mixed apnea. It is the most reliable and effective treatment in most cases. It involves using a small air blower device connected via a hose to a nasal mask. Essentially, this devices blows air into your nose to keep your airway from collapsing by increasing the air pressure in your airways.

10) Is Obstructive Sleep Apnea  Syndrome (OSAS) dangerous? (Back to top)

Absolutely! In rare cases, apnea can be fatal. It has been linked to high blood pressure and to increased chances of heart disease, stroke, and irregular heart rhythms (arrhythmias). The continual lack of quality sleep can affect your life in many ways including depression, irritability, loss of memory, lack of energy, a high risk of auto and workplace accidents, and many other problems.

11) What should I know about general CPAP Equipment Care? (Back to top)

Reservoir Bottle – Use only distilled or filtered water in your reservoir bottle to decrease the amount of mineral deposit residue. Make sure the bottle is filled to the fill line every night. Soak the bottle with a 1-part vinegar, 3-part water solution for several hrs weekly to keep clean and disinfect.

Gross Particle Filter – Rinse with warm water and let air dry every two weeks; more often if there are smoking/pets in the house.

Mask – Wash daily with mild soap and warm water to prevent hardening from facial oils. This is important to extend the life of the mask. Never over-tighten the head gear as this may cause irritation or pressure sores. Small leaks, avoiding the eyes, are acceptable.

12) What about CPAP Side Effects? (Back to top)

If your nose is dry, irritated, congested, runny or plugged in the morning, increase the humidity setting on your CPAP unit. If the problem persists, there are several over-the-counter products that are water-based (not petroleum) that can help. Ask your pharmacist which products would be best or you. If the additions of humidity and nasal moisture are not enough, a nasal steroid may be required. Ask your doctor for details.

DO NOT use topical/oral decongestants on an ongoing basis – the may cause nasal dryness and rebound congestion.

13) What type of CPAP or mask should I purchase? (Back to top)

To purchase a cpap and/or mask online you generally need some experience as a user. Our suggestion is to read the manufacturers details or go to the supplied links. You could even try local dealers and find out what there is available. We carry most cpaps and masks on the market and sell online at lower costs.

14) How can I find out my mask size? (Back to top)

Most patients on CPAPs generally know their mask size from previous purchases.
Respironics packaging come with sizing gauges, no help unless you know the size though. You could try online FAQs and CPAP chat lines.
CPAPplus.com has downloadable sizing gauges in adobe acrobat for respironics masks.
Listed are several sites for Sizing Gauges

http://www.cpap-pro.net/downloadVideo.php?VGID=11
http://www.comfortseries.respironics.com/images/rightfit_header.gif
http://www.comfortseries.respironics.com/pdf/comfortgel_p.s.m.pdf
http://www.comfortseries.respironics.com/pdf/comfortgel_l.pdf

15) What is CPAP Compliance? (Back to top)

Compliance is the patients’ ability to follow the physicians’ prescription for the CPAP therapy. In general, using the device on a regular daily basis. Here are some tips to help:

Read the manual for your CPAP.
Get a mask that works for you; not all masks are the same.
Adjust the headgear for comfort.
Use humidity to prevent dryness and irritability.
Usually air leakage problems are due to positioning, not pressure. Find an appropriate position to leep in; back, side …etc.
It is normal to occasionally wake up and remove the mask as you become accustomed to the CPAP therapy.
Studies have shown that between 4-5 hrs of CPAP sleep/night can be adequate to counter the otential risks associated with OSA.
Don’t give up! This is a long-term commitment to improve your health and quality of life.

16) How do I know when I should get my CPAP Pressure Adjusted? (Back to top)

Pressure adjustments may be required to your CPAP unit for the following reasons:

  • weight gain/loss
  • snoring or apnea noticed by a bed partner when the CPAP is in use
  • sensation of needing more air
  • removal of mask during sleep
  • mouth opening during sleep

17) What is a Ramp? (Back to top)

All CPAP units in general come with a Ramp; it increments the pressure within a set time frame i.e. 4cmH2O to 9 cmH2O in 20 min.

18) How is the pressure measured? (Back to top)

Blower Air Pressure for the CPAP is measured in Centimeters of Water Pressure, not pounds, ounces, meters… It is a common misunderstanding i.e. 10 cmH2O (actually pronounced sont-e-meters) FYI.

19) Do Masks come with headgear and accessories? (Back to top)

Yes, all our masks come with headgear in the original manufacturers packaging. We also supply all parts and accessories for all our products.

20) What are my options for Full Face Masks? (Back to top)

There are many types of Full face CPAP masks available. Some items listed are not yet updated to the products pages, yet we sell most current manufacturers products

We are having a lot of success with the new Fisher&Paykel Forma and Resmed Quattro Full face masks. Both are very soft and easy on the face, moveable sliders for adjustment and replaceable face cushions, so you don’t have to buy a new mask, just replace the cushion.

21) How long will it take until I’m used to my CPAP unit? (Back to top)

That’s really a personal opinion. Some patients with severe OSAS feel benefit overnight and are more concerned with the positive outcomes than getting used to the therapy. On the other hand, patients with mild/moderate OSAS, or with a diagnosis treated by CPAP therapy and who find no immediate relief, generally take longer. Sometimes up to 6 months.

22) How much sleep with a CPAP do I need to feel rested? (Back to top)

Studies have documented that between 4 ½ to 5 hrs. per night is enough CPAP therapy to receive benefit. Although again this is quite personal, as you may need more sleep, this is the base minimum.

23) Is it normal to take my mask off every night? (Back to top)

Yes, a lot of patients take their mask off most do it unknowingly. It generally appears to take place after 4-5 hrs.

 

   
 
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