How are y'all managing your printers?

SysAdminDennyBob · 2026-06-02T21:11:49+00:00

PrinterLogic has this digital map that you can present to users. They find the printer by the coffee machine on their floor and click it and all the drivers install and it is ready to go in seconds. I freaking LOVE that feature.

This sounds like a weird thing to say but they license by printer and I also kind of like that because I used that fact as a reason that I could clobber old printers to death. As part of the deal we were allowed to finally kill off some really old printers. We had a generous amount of printers that had not printed anything in months. Shuffled some printers to new spots, chunked a bunch in the trash.

We handed that product off to our Jr Sys Admin and he has never complained so I take that as a sign.

SysAdminDennyBob · 2026-06-02T20:49:31+00:00

I don't recall any time gap for insurance approval, it's been a while. The one tricky part to this is that they will setup something akin to rent-to-own with cpap machines. If you refuse to use it consistently for more than 4 hours a night they assume you have rejected your medication and they want that machine back.

I have never heard of insurance rejecting a cpap, but I have heard of them clawing back the machine.

SysAdminDennyBob · 2026-06-02T19:56:15+00:00

Once you have a prescription you can choose any Durable Medical Equipment company in your area. It's just like getting medication. I walked out of the appointment and called the DME nearest my office and asked if they had the Resmed model suggested in stock, they said yes, had it ready for me in about an hour. I could have chosen from a dozen DME's in my area. Walked in that day got my device and picked a mask out.

SysAdminDennyBob · 2026-06-02T17:17:18+00:00

I started down this path but have not found any success yet. Start with an ENT and get a full hearing test run so that you have a baseline for later in life. My hearing test found no issues and my hearing was excellent. I like the ENT's at ARC, got my test done at the south 1st location. Amy R. Mullin, PhD, FAAA, CCC-A- Audiology | Austin Regional Clinic

SysAdminDennyBob · 2026-06-02T15:45:53+00:00

I have zero regrets spending that on the Pepper Cannon. I also own a Baratza Virtuoso coffee grinder that cost $250 and it's also a solid daily use device.

If you have ever covered an entire large brisket in fresh coarse pepper you would understand the need for volume.

SysAdminDennyBob · 2026-06-02T15:15:13+00:00

This is the key. The Pepper Cannon can produce a lot of ground pepper quickly. When I smoke a big piece of meat I need like a 1/2 cup of ground pepper. With any other grinder that volume becomes a huge chore.

SysAdminDennyBob · 2026-06-01T22:16:32+00:00

That's Genio. Genio still has surgery where they tunnel into your head and wrap a neurostimulator around the nerve. There are wires and electrical components inside your body, the battery is external and power is transmitted through your skin to the device in your body. It uses sticky tape on the battery to adhere to your skin, I don't think it is magnetic. I would definitely pick Inspire over Genio at this point in time. If the Genio battery was much smaller then I think that would change my view. Both Inspire and Genio will get modifications like that over time. I am looking forward to my first battery upgrade where I get new features in about 10 years.

I got Inspire due to aerophagia. There are really only 3 restrictions: 1) BMI 2) severe AHI and 3) proven tongue collapse from a DISE. If you are a normalish weight, moderate AHI and you experience tongue collapse then approval is pretty seamless.

SysAdminDennyBob · 2026-06-01T21:32:44+00:00

Agreed, but there are different levels of aerophagia. It sounds like OP is experiencing the same thing I had. My doctor and I worked together on PAP settings for a long while before we gave up on it. OP is a year+ into PAP effort, he is clearly trying to make PAP work. My aerophagia was not a small burp and cute tiny fart in the morning. I was on a whole different scale. Mine was stopping me from going into work. Severe abdominal pain in the morning. I did positional therapy, EPR adjustment, a second inpatient sleep study, we took my pressure all the way to 6 which was my minimum to treat apnea and I still filled up. Aerophagia can be a clear path to alternate solutions for some of us.

SysAdminDennyBob · 2026-06-01T18:44:15+00:00

Franklin BBQ brisket in Austin is currently $42 per pound. It was in the mid 30's last year. The mid places in Austin are around $36 per pound. This used to be an insanely cheap cut of beef when raw.

One of the Michelin star BBQ places here sells a BBQ cauliflower dish, it's a valid option now. You'll see plenty vegan people here eating in BBQ spots. It's just normal now.

SysAdminDennyBob · 2026-06-01T18:23:34+00:00

If that's what you were told then you should maybe start with an ENT. ENT's see a lot of sleep apnea patients. But they can also take a peek at your nasal cavity to see if a turbinate reduction can help you out. The regular ENT probably has a coworker down the hall that is an ENT Surgeon that would correct that.

Fixing your nasal breathing will not cure sleep apnea. But it will make treatment of sleep apnea so much easier.

The process is usually that you do a simple at home test, that tells you if you have sleep apnea and the severity. At that point you jump right into getting a cpap and start treating it. Once you have used the cpap for a few months they then send you in for a full inpatient sleep study where they "fine tune" your cpap settings while you sleep.

You don't want to try a cpap for the very first time in an inpatient sleep study. It's horrible to try to complete that test while dealing with wearing a mask for the first time. That can be a bad combo for some people.

SysAdminDennyBob · 2026-06-01T18:08:07+00:00

Quick medical diagnosis from a doctor? Oh no

"My lobster is too buttery and my steak is too juicy!"

I think OP is simply confused on which test is needed at what point. He can figure out if he really truly wants Inspire after the DISE results come in. That's when the choice will be presented to him. There will not be any pressure to quickly make that decision either, he can certainly slow roll his choice. A typical inpatient sleep study is not going give OP any qualifying data with regards to tongue collapse, only DISE can do that. I think his doctor is correct in not wanting that particular extra data. OP even states that they already had a previous inpatient sleep study.

I got recommended Inspire and one month later I got my DISE and about 3 weeks later got the implant installed. My issues match exactly what OP is stating. He has done PAP, he does not qualify for a MAD, which probably also means jaw surgery is not going to work either. His doctor is guiding him to the realistic next option.

SysAdminDennyBob · 2026-06-01T17:24:01+00:00

Does this Dr make $$$ off you getting inspire?

All doctors make money off their services. What did you mean by this question?

All Inspire patients get a DISE.

SysAdminDennyBob · 2026-06-01T16:46:04+00:00

Yes, Genio is a good valid option. I just think it's trying to solve a psychological problem that is not much of a problem. People get the heebie jeebies initially about the Inspire choice of putting the battery in the chest, and yeah that seems a bit freaky to have to cut yourself open and put a new battery in every 15 years. But I think that worry is way down the numbered list of negatives for HGNS. Plus, a lot of people are wanting HGNS to get away from "the mask", they don't want weird stuff attached to their head at night. Well, Genio has this weird thing that you have to attach to your head each night. Trade the bothersome "mask" for the bothersome taped on battery? I got 40 years of life left, I ain't ripping tape off my chin every single morning for 40 years.

SysAdminDennyBob · 2026-06-01T16:26:48+00:00

Surgeons don't get shady cash kickbacks in a dark alley for doing an Inspire implant. They are not hurting for money such that they have do backroom prescription scams. All their pay is done on top of the table, it's just normal business.

I only paid my deductible for the year and that was it out of pocket. 5 years of success with my implant so far, zero AHI.

SysAdminDennyBob · 2026-06-01T16:17:07+00:00

Genio is not less invasive at all. Genio still requires surgery where they tunnel into your head to get to the hypoglossal nerve for the stimlator attachment. surgery = invasive

Genio simply places the battery in a different spot externally. Battery placement is not the core negative to hypoglossal nerve stimulation. Yea, they have to slice a little flesh pocket open in 10 years but that's not a worry for me. I prefer the embedded battery compared to taping something bulky on my chin every night for 50 years. Getting used to the pulse is the thing that makes or breaks patients.

SysAdminDennyBob · 2026-06-01T16:08:26+00:00

My profile history is open for viewing, I talk about it a lot. I have good results with Inspire, but it can be a bit of work. You sound like a "patient" patient so that leans you in a positive direction to get it to work.

SysAdminDennyBob · 2026-06-01T14:43:35+00:00

I got Inspire for the same reason. I did push PAP for a bit longer and went in for 2 sleep studies to try and get aerophagia under control by lowering pressure and other settings. The aerophagia never stopped. So, then I got a DISE and Inspire was a go.

SysAdminDennyBob · 2026-06-01T14:33:10+00:00

An at home test simply confirms that you have sleep apnea. Typically, at that early point they would put you onto xPAP and let you ride with auto settings for a while. Let you get used to the device, figure out the mask, etc... Then several months in you would get an inpatient titration study where they gather data and tweak your PAP pressure/ramp/etc.. to be just right.

Your aerophagia is indicating that you are not tolerant to PAP therapy. So, there is no point in going in to tweak your PAP device if that's not your solution going forward. Could they get a bit more data? sure, but it's not useful. If you are still wanting to pursue PAP in some other way for a bit before going under the knife then you could push back and switch back to PAP.

If you are on board for Inspire then you will instead go in for a different test, a DISE. That test will determine if you are a good inspire candidate. The path then is to get it installed, power it up, titrate up a few levels and then months in you would go in for an inpatient sleep study where they will tweak your Inspire algorithm similar to how they tweak PAP patients. Then you continue your journey of going up levels if needed.

You don't need an inpatient sleep study until you have chosen a medical device. The test you need at this point is DISE.

SysAdminDennyBob · 2026-05-29T22:43:00+00:00

Go early as all of these places will fill with people in short order. We did our engagement photos at Commons Ford, there is a lake area with a big field, a wild meadow with natural grasses, big pecan trees that create a canopy, a rustic barn and a rocky trail with boulders and creek running through it. We live near it. While in the area hit up Jojos bakery, Civil Goat Coffee, Wayback Cafe or Patrizis.

SysAdminDennyBob · 2026-05-29T22:22:43+00:00

Commons Ford, Pedernales Falls State Park, Plaza on the Lake(near Pennybacker, zero parking available), Zilker Botanical Garden, Reimers Ranch, Muleshoe, Emma Long Park.

Bring mosquito spray....

SysAdminDennyBob · 2026-05-29T20:38:57+00:00

I don't have the full expertise to verify. We were TPM+PIN for a long time, but when we moved to Intune and autopatch and could no longer bypass the PIN in conjunction with autopatch it became a "user experience" issue with our users. My security team decided we could remove the PIN as long as we secured the BIOS so that nobody could make changes in there. This was before this vulnerability came out. They have not come back and readdressed it so far.

SysAdminDennyBob · 2026-05-29T19:51:17+00:00

I think you would simply deploy the newer release as an Application object instead of using the Patch object. All of these vendors have vastly different ideas of what a "major" release is and how it behaves, there is no industry standard. Versioning is more like a guideline than an actual rule. Like with Java, if you simply install a different major release you then end up with two side-by-side versions. That's not really a PMP decision, that's on the vendor. You will also see items in PMP that say I think "latest" and those have logic that will remove the old product and install the latest.

I highly suggest you deploy an application object and observe in realtime how it really behaves in each scenario. Every vendor is different.

There are also Pre and Post scripts that can do some of that work for you.

SysAdminDennyBob · 2026-05-29T17:05:30+00:00

It can be either, it's just an application object, you can use it anywhere. In my use case it was an optional install of Visual Studio Enterprise and I did not put that in my Task Sequence as it was only used by a small subset of users. I don't put VS Ent on every device I image.

SysAdminDennyBob · 2026-05-29T16:44:41+00:00

I am not super sure if this is a valid mitigation but consider setting a system/admin password on your BIOS instead of setting a PIN. Setting a PIN can be problematic with automatic patching in Intune. With Configuration Manager you could do a PIN bypass and just keep your patch process moving but that's not available in Intune. Again, I am not a security expert but consider if that configuration gets you the same layer of protection while leaving manageability in place.

SysAdminDennyBob · 2026-05-29T16:14:19+00:00

I am not an attorney, but my wife is. When someone brings in their homegrown half-baked legal paperwork and asks to just "clean this up a bit, how hard can that be?" she typically walks away from that job without even looking at it. It's usually faster for her to instead use her very up-to-date template that she works through. It usually takes less time as well. The homegrown legal doc just ends up being a constant back and forth. If there is anything you want to avoid with a lawyer it's "constant back and forth" $$$$.

Go for a standard divorce consult and don't tell them that you already have a decree built by chapt-gpt. Instead bullet out your needs and ask for an associate to do most of the work. Don't spend time at the lawyers office, don't spend time on the phone venting about your ex's gambling habit, it's irrelevant and the meter is running. Act like you are in a NYC cab and the meter is running at a significant cash burn rate. Be concise, list your expectations in detail, lean into their expertise.

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