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Opinions sought
#1
Opinions sought
I was on a conventional C-PAP machine that broke down while I was out of town. I found a local DME who sold me a used machine. I didn't know much about it other than it only cost me $400. I didn't really realize what kind of machine it was. It is a Philips Respironics Bi-PAP AutoSV. It was not set up properly by the DME but it did the job. I needed to have it repaired so I rented a machine while it was out for repair. My rental was a Resmed S9 Autoset. I ended up buying the rental because I was more comfortable with the Resmed. Now my Resmed is out for repair and I'm using the Philips while the Resmed is out for repair. Here is my dilemma:

Thanks to Sleepyhead I am able to compare the two machines. After researching it I realized what kind of machine I have in the Philips AutoSV. With the Resmed I get AHI's always under 5 but usually around 2.x or 3.x. With the Philips machine I consistently get AHI's of 0. Once in awhile I will get a .14 or some other low number. Mostly 0 night after night. 

From what I can see my therapy is better using AutoSV than regular APAP. The question I am throwing out there is this: What would you do? Fight to keep using AutoSV of settle for APAP? I am in the market for anew machine and don't know if insurance will cover the AutoSV. If the opinions are to go with what works best for me I will consider paying for it out of pocket. Thanks for all opinions.
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#2
RE: Opinions sought
Hi jallain,
Insurance probably won’t approve ASV, since you tolerated the CPAP machine.
Hang in there and hopefully, someone will come along with more answers to your questions.
trish6hundred
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#3
RE: Opinions sought
My opinion is to use what you feel most comfortable with.  If you have complex apnea, the Phillips Auto SV may be the better choice.  

As trish states, insurance may not pay for it if you can achieve an AHI <5 with an apap.
They don't look at how you feel, they only look at numbers.  By numbers, I mean how much it will cost them.

If you are self paying, you may want to start checking the cost of the Auto SV.
Check out Supplier #2.  They sell low hour used equipment and also open box new units.

It would be interesting to see a SleepyHead screenshot while using both machines.
OpalRose
Apnea Board Administrator
www.ApneaBoard.com
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#4
RE: Opinions sought
Depends what is wrong with you, to what is the best machine. you need to put the charts up from the cpap and see why it's at 5
The machine that works for you is the best. That may well be a the cpap if it is set up right.

if you have no CHF an asv is ok, With an AHI <5, the insurance won't buy you one, so it will be out of pocked and may be unneeded
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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