Thanks for your patience with my questions!
I have a copy of the prescription: diagnosis is osa, requests auto bipap/bilevel. My diagnostic code is listed (osa) but no "prescription code". Intead, a checklist, where "autobilevel" is checked, and bipap ASV is not checked...
Curios, in the receipt from the DMA, he wrote in "airsense", instead of aircurve, the former of which is not asv. However, in our conversation, he did say it was an aircurve asv, and it says so on the front, and the model number is an asv model...
Obfuscation is often used to cover from an illegitimate practice...tend to be a conspiracy theory kind of guy. I find it also a bit weird that I read the article about overselling medical equipment the day I purchased the aircurve. Someone was trying to tell me something, but I did not listen...
Med-care sells cpap equipment, and an hour ago I read on another apnea forum someone from Med-care calling them to sell them apena equipment they did not need.
(01-17-2015 10:31 AM)justMongo Wrote:
(01-17-2015 08:17 AM)leiko49 Wrote: Just Mongo
Yes, I am saying they did not define PS. OP stands for Original Post -- common shorthand used one many forums.
No one defined pressure support for the OP.
Not sure what you are saying here. Are you saying the prior responders to my post did not define pressure support? I also looked up in apnea glossaries "OP" but could not find what it stands for...
The third pressure I referred to for an ASV machine is the limit setting for how much it may increase PS.
OK, I get that.
(01-17-2015 08:17 AM)leiko49 Wrote: You say:
I said the additional PS -- i.e. That which an ASV supplies when breaking the equation: PS = IPAP - EPAP. i.e. if additional PS can be zero, it would maintain PS = IPAP - EPAP. However, during a central apnea, it would still switch to IPAP at a timed rate, which is how an ST mode machine works. It would still act as a bilevel.
The ASV may not have a true bilevel auto mode setting. However, if the additional PS can be set to zero, it would act like a bilevel machine in what ResMed defines as ST mode.
Not sure why setting the PS to zero would make it act like a bilevel machine. I thought bilevel machines have a predefined and constant ps. .., I could try it though.
(01-17-2015 08:17 AM)leiko49 Wrote: you said
The real question is: What did you doctor intend for you to have; and why?
I said in one of my other posts, I'm pretty sure my doc said I do not have csa, and should have a auto bipap, but I plan to double check. I believe the DMA may have been looking for an increased kickback/bonus for selling me a more expensive equipment that I do not need. Just noticed in the New York Times yesterday an article about the real life partner of the Wolf of Wall Street Guy, currently working as the CEO of a medical supply company, arrested for selling patients medical equipment that they do not need. I am wondering if my supplier is affiliated with the same company...me thinks i've been snookered again.
Possible. But the ASV carries a different prescription code than a bilevel, non ASV. The ASV is more expensive. The suppliers usually try to sell a machine that meets the Rx; but maximizes their profit.
You should ask your doc for a copy of your prescription.