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Advantages or disadvantages of ASV machines
#11
Quote:i want an ASV...
...from what i see ASV is all upside positive good

Up to a point... An ASV is just the ticket if you have central apnea, complex / mixed apnea and/or periodic breathing. For ordinary obstructive apnea it is total overkill. Your insurance won't cough up for a $4000 machine when one a quarter the price will treat your condition.
DeepBreathing
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www.ApneaBoard.com


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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#12
I am still in limbo land as far as getting any info from my Sleep Specialist Dr. Seven weeks ago was my last sleep study with an ASV machine, I felt comfortable using it and had the easiest time adjusting to it and getting some sleep with this machine. My Dr has not responded to five inquiries about what is going on, frustrating. I have another appointment with her on the 26th, I had hoped that things would go as I was told at my last appointment about three months ago, I would get an Echo to check my LVEF, no problems there, I had another sleep lab study with an ASV machine, done, Then we would get results from being on an ASV at home for at least 30 days , not done. I am not sure what this upcoming appointment is for but I will go as I really don't have much choice in the matter if I want to get some help!
Sorry to the OP for the rant on your thread. I hope you've had better results on your journey!
"Right wrongs nobody" 
Mountain Charlie McKiernan 
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#13
Shift Worker, if you can get the Rx, there are a couple Resmed S9 VPAP Adapt (ASV) at Supplier #2 for $1049-$1249. Good luck getting your doctor to be more responsive.
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#14
Roger

Think you have received good advise from other members.  I have been on the ASV machine for about 10 months, and love it.  Easy to get used to.  Only problem is that it operates on higher pressures when the inhale is resolving a CA, and tends to result in mask leaks.  Had a hard time finding a mask with few leaks, but with the new ResMed F20, that problem seems to have been solved.

I started solving my apnea problem a couple of years ago with the ResMed AirSense CPAP machine, then moved to the AirCurve VAuto, then finally to the ASV.  This is the usual route that most doctors follow, mainly because of insurance. If you are using Medicare, you will likely be required to have a sleep test using an ASV machine to prove it works on your problem. I know, it is a pain to go through, but we all have to jump through hoops to satisfy insurance requirements.

My ASV test was done using a Phillips machine, and I immediately noticed the difference between that and my then bilevel ResMed.  It had a slight delay in responding to the inhale breath, whereas the ResMed was seamless.  A small thing, but noticeable.

My results using the ASV machine were a reduction in AHI's from about 24 using the bilevel ResMed to my current results of about 2.  For whatever reason, I am stuck at about 2 per hour, and can't seem to get it any lower. Guess that's my set point.
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#15
It is going to target the ventilation over 3 or 4 minutes, if it is at it's base is insufficient, it will maintain this insuficency and be a poor outcome. You would need another machine, st, st-a for example, that targets hypoventilation. It also is for normal lungs and AFAIK has no Ti, rise time adjustment
new http://www.apneaboard.com/wiki/index.php...re_success
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
From machine or charts for auto-cpap, set the min 1cm below median pressure, or 2cm below 90/95%. max at 20cm for now. Forum will help you fine tune settings
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#16
Just a quick note.  They billed my insurance company $23,000 for my ASV machine.  Of course that was negotiated down to $7000 and I still had to pay $1000 out of pocket.  My machine cut my Central  Apneas from over 50 to zero and my AHI to about .3 on average so I guess it works.  For some reason, though, I still don't dream or feel all that much better.  Good luck with yours and stick with it.  That is what I am doing! Wink
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#17
ASV helped a lot with this oddball sleep problem that was ruining the quality of my sleep, and I was very desparate for a cure.

The moral hazard of ASV is that I can now indulge in bad habits again, but of course not smoking.
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#18
Quote: They billed my insurance company $23,000 for my ASV machine. Of course that was negotiated down to $7000 and I still had to pay $1000 out of pocket.

That's a sign of a sick system. A Resmed Aircurve 10 CS (same as the Aircurve ASV) will set you back AU$3,900 retail here in Perth. That's about US$3,000. I would have thought the buying power of insurance companies would push their price down, not inflate it by over 100%.
DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#19
Indeed.  It demonstrates very clearly that this third party payer system is very far from a free market.  An individual person can buy an ASV here from various websites for around $3k to $4k.  But go through insurance system and it is billed as much more than that.  The incentives are all perverted away from real efficiency.
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#20
(07-18-2017, 10:19 PM)DeepBreathing Wrote:
Quote: They billed my insurance company $23,000 for my ASV machine.  Of course that was negotiated down to $7000 and I still had to pay $1000 out of pocket.

That's a sign of a sick system. A Resmed Aircurve 10 CS (same as the Aircurve ASV) will set you back AU$3,900 retail here in Perth. That's about US$3,000.  I would have thought the buying power of insurance companies would push their price down, not inflate it by over 100%.

It's a corrupt broken system that costs twice as much as aussie universal care and delivers half as much. Some think the phrase 'Only in america' means a good thing. Though with our system only the pensioners and unemployed get free units Sad

aussies got second best
http://www.abc.net.au/news/2017-07-17/au...ld/8716326
new http://www.apneaboard.com/wiki/index.php...re_success
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
From machine or charts for auto-cpap, set the min 1cm below median pressure, or 2cm below 90/95%. max at 20cm for now. Forum will help you fine tune settings
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