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CPAP Machine Choices - read this before you accept a new machine
RE: CPAP Machine Choices - read this before you accept a new machine
I agree with Dave.

I've had the ResMed AirCurve 10 ASV for a little over a year.  It is an amazing machine.  It seems to respond instantly as it is supposed to.  And its parameters are easily adjusted as needed.  The toughest part for me was finding the best mask.  If you have any problems with your mask (pillows, hybrid, or whatever you get) as far as leakage, discomfort, or anything, don't give up.  There are many great choices available.  You can search the forum for specific masks and read other people's experiences and/or go directly to the Mask Review section.

Maybe I was a bit late to the party, but it took me a full year to discover and try my ResMed AirFit F30 hybrid (ResMed calls it a Full Face Mask) mask which is so comfortable and leak-free for me.  I actually look forward to using it and getting a great night sleep.

Everybody has different needs.  If you have centrals or mixed apneas, the ResMed ASV bubbles up to the top.  It will serve you well.  There may be a challenge in finding the best mask though.  So, please don't get too frustrated but ask away if you feel your mask isn't working out.

Welcome
RayBee

~ Self-Treatment - via ApneaBoard experts.
~ Self-Pay - no help from Kaiser other than getting my script, then a pat on the butt and out the door.
~ Self-Educated - via ApneaBoard experts, its many users, and posted reference material.
~ Complex Apnea - All Night AHI=34.2/h, Supine AHI=45.5/h
~ Using a 2021 16" MacBook Pro M1 Max, 32 GB, 1 TB, macOS Monterey V12.6.2.
~ Pay no attention to the dog behind the cup, he ain't a docta, and does not give medical advise.
~ Woof, woof.

I-love-Apnea-Board
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RE: CPAP Machine Choices - read this before you accept a new machine
Thanks.  I think I'll wait until next year ro pursue this any further.   Dont-know
MikeyT

In the Thumb of Michigan.
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RE: CPAP Machine Choices - read this before you accept a new machine
Useful stuff - thank you!
You can't go back and you can't stand still, if the thunder don't get ya the lightnin' will.
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RE: CPAP Machine Choices - read this before you accept a new machine
Hello,

New on the forum, I read a lot, not all of course.
But I can say that it's exactly the same thing, and maybe most of the time worse, about DME in France.

What do you think of a DME that has not changed anything on your machine even if you say that's not good during 2 years ?
Oh yeah he often replied "I can't change anything without a request from a specialist because the prescription is fixed by your practitioner".
Indeed in France we pay nothing after agreement of your equipment by social insurance. But all initials demands must be did by a specialist.
But also in the ethic of social insurance it's the responsibility of the DME, no one else, to advice and give helps.

Unfortunately, most of them are completely ignorant of the possibilities of setup of the machine they put at your home Oh-jeez

So the result is that after 2 years, I asked my generalist doctor to write a document to correct the pressure and the problem.
This nice DME did not give any notice that I was with CPAP, but as my doctor wrote "to correct the pressure and the problem", he suddenly changed my machine, which was in CPAP before, to PPC !!!

Fortunately, after these 2 worst years for me, I get "sleepyhdead" in early 2019. So I could prove that the CPAP had changed suddenly in 3/2017, i was equipped since 5/2016, and passed to an average pressure around 10/13cm H2O, the max, instead of 8cm before this date. He only answered, it's the machine that did it, it's CPAP Laugh-a-lot

If ever the DME had analyzed the historical results it could have seen, as I did, that I slowly had abandoned the treatment because the nights had become uncomfortables, and I was in 2019 to use it only sporadically 1 day over 1 or 2 weeks.

Since this time, I have never had a maximum of good nights, the CPP is austere and cannot adapt the pressure to what you really need.
So what do you think of a DEM like this ? Big Grin

I am therefore very happy to discover Oscar and this Forum
Oh yeah, and for the DME I'm going to change now, quickly


I'll certainly ask help on the forum, but i'll do it in another subject more appropriate.
Thank you all for the great help on the forum.
Laurent
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RE: CPAP Machine Choices - read this before you accept a new machine
Outstanding thread. My new machine should arrive later this week. I paid out of pocket (not billed to insurance.... yet) for a demo (never used) ResMed Aircurve 10 VAuto. I will confirm how many hours are on the unit before I decide to keep it. Thanks again for this particular thread.... very insightful.
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RE: CPAP Machine Choices - read this before you accept a new machine
OK, one very important step once you get it. Because it was a Demo you have no way of knowing what settings were altered. I'm thinking of the not so common ones. Please do a factory reset, then program in your settings. That provides a known starting point.
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RE: CPAP Machine Choices - read this before you accept a new machine
(02-25-2020, 01:52 PM)bonjour Wrote: OK, one very important step once you get it.  Because it was a Demo you have no way of knowing what settings were altered.  I'm thinking of the not so common ones.  Please do a factory reset, then program in your settings.  That provides a known starting point.
Great advice, I plan to go into the clinical mode and enter my settings, but resetting the machine before I do that is an excellent idea. I also want to check before I do anything to make sure it doesn't have a ton of hours on the pump or whatever the right term is for the blower
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RE: CPAP Machine Choices - read this before you accept a new machine
A new machine typically has zero run hours on the blower.
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RE: CPAP Machine Choices - read this before you accept a new machine
Will only new machines have zero blower hours?
Can the DME reset a used machine to show zero hours?

The Philips Respironics DreamStation setup mode has a Device / Reset Data option.  Can that or some other hidden configuration option reset the blower hours to zero?  If so, it would  make it difficult to determine whether the machine was previously used machine.
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RE: CPAP Machine Choices - read this before you accept a new machine
In my bit of research, a blower replacement can be combined with hours reset. Skeptical Dave says if there's a shady character out there with this ability, he'll have a few machines reset to 0 that might not have a new blower inside.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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