There is a lengthy discussion on www.cpaptalk.com regarding the two machines and conjecture or experience with them.
search for ResMed ASV and you will find it; it is up to about 33 pages. Suggest you start about mid way.
The 2 machines do work differently and there is not enough detailed information and first hand experience on the Respironics machine to see much about it in these posts.
I have had the ResMed ASV for almost a year and if you have mixed apneas, or CSDB it is well worth investigating.
Not all DME's or Sleep Labs have adequate experience with them so get on these board and ask as many questions as you ask your Sleep MD.
The ASV only worked for me after some additional treatment adding CO2 rebreathing - but that is not necessarily the solution for everyone in all cases -- but I understand that for many people the proportional assist ventilation technique is quite helpful.
Lubman
It's just my experience - I am not a medical professional
Since I've been feeling better, I've been in here less because I've been out DOING more! LOL!
Lub's right...the bipap and the Adapt SV are two completely different machines, and I don't know what the magic fairy dust is, but it works. I switched to Provigil shortly after I started using the ASV, and I like it alot better than the Adderall. Adderall wasn't doing a whole lot of anything for me, but the Provigil helps keep me focused, and I've been getting a WHOLE LOT MORE work done during the day! I'm actually catching up on stuff that I've been letting slide....I've gotten more work done since the ASV in January than I did all year last year, I think.
I had my 3 month follow up with my sleep doctor the other day, and he was really impressed. I am more alert, I have more energy, I'm staying awake and focused, and he says that I am his "poster child" for the Vpap Adapt....LOL! He looked at me and laughed and said "there's just something wrong with your brain, that's all there is to it!" He thinks that there has to be some minor damage up there from a car accident I had several years ago....enough to throw everything off in relation to central apneas, but not enough to show up on an MRI (which came back normal). (of course, my husband said "I could have told you there was something wrong with your brain....you didn't have to go see a specialist!" LOL!)
Anyway.... my advice is CALL your doctor, specifically ask about the Vpap Adapt SV, and tell him you want to be tested with it to see if it will work for you! I love mine....as somebody on here has on their tagline: you can have my Adapt when you can pry it from my cold dead fingers!
_________________ ---Sherri---
ResMed VPap Adapt SV with heated humidifer
ResMed Ultra Mirage II Nasal Mask
Hosehead since 1/17/06 - "Adapter" since 1/28/07
Tonsillectomy/Septoplasty/Turbinatectomy 1/16/08 = AHI 6, "ALMOST" Normal!!
Sherri Baby Or anyone who can help. I just went to the VA hoping to get the ASV Adaptive Servo-Ventilation machine. Is that the one you guys are using for Central Sleep Apnea? I have already used CPAP and BIPAP with poor results. She was able to tell me that I had 0 Obstructive Sleep Apnea and 18 Central Sleep Apnea. Does anyone know how severe 18 is? The VA does not have the ASV Adaptive Servo-Ventilation machine. She took the information to the Doctor and his reply was that the BiPap machine does the same thing. Can ANYONE help me get literture to help me hopefully get a ASV Adaptive Servo-Ventilation machine. Everyone here I would say would say that there is a huge difference in a BIPAP machine and a ASV Adaptive Servo-Ventilation machine. She is setting me up an appointment next month with a Sleep Doctor to explain to me these machines are a like and other questions she couldn't answer for me. The GOOD NEWS is that the Sleep Doctor that I am going to see could Special Order me one if he believes it would help me. Hopefully that's were you guys come in with information to help me. Thanks for your HELP.
Jim Powers
On this page, down at the bottom, is a link to the "clinician's brochure". There is also a link to the "Technology Fact Sheet". I would print both and take them to your doctor, because he obviously is NOT certified in sleep medicine. When I got my ASV, this machine was the ONLY machine on the market approved by the FDA specifically for treating CSA.
Hope that helps..... let me know what happens!!
_________________ ---Sherri---
ResMed VPap Adapt SV with heated humidifer
ResMed Ultra Mirage II Nasal Mask
Hosehead since 1/17/06 - "Adapter" since 1/28/07
Tonsillectomy/Septoplasty/Turbinatectomy 1/16/08 = AHI 6, "ALMOST" Normal!!
Thanks for sending me the information. Hopefully it will help me BUT who knows. The Nurse Practioner I am seeing said she had a conference with a Doctor and another person and thier conclusion was that ResMed's VPAP Adapt SV would just have more BELLS AND WHISTLES AND BE A LOT MORE EXPENSIVE. She said that a Ventilator is a Ventilator. I took this as her being out right RUDE and UNINFORMED. I will be seeing a Sleep Doctor probably within the next two weeks. I am hoping that with the information you sent me and him hopefully having an open mind I will get some where with this.
What is the difference between your ASV and an auto bi-pap? I read the posts and still couldn't get a grasp on the differences. I found info about Respironics new one on their web site, but I still don't know the differences between an auto xpap and an ASV.
Any thoughts?
_________________ Res-Med VPAP - Adapt SV
FP Flexifit 406 mask
with Narcolepsy on the side!!!!
I've seen this question several times, and there IS actually a pretty distinct difference between the two. Over at CPAPTalk.com, christinequilts uses the Adapt too, and she posted the absolute best definition I've ever seen. You may have to scroll up to it, its about the middle of the page I think, but just look for her name.
First off, if your "nurse practitioner" thinks your CPAP machine is a ventilator, then you need to be seeing somebody else. Period, then end. She is CLUELESS. If it were me, I wouldn't even try to talk to her about any of it anymore.... bide your time, and wait until you see the sleep doctor. Hopefully by the time you read this, you'll have already seen him, and you'll have good news.
Keep us posted, and let us know what happens!!
_________________ ---Sherri---
ResMed VPap Adapt SV with heated humidifer
ResMed Ultra Mirage II Nasal Mask
Hosehead since 1/17/06 - "Adapter" since 1/28/07
Tonsillectomy/Septoplasty/Turbinatectomy 1/16/08 = AHI 6, "ALMOST" Normal!!
I sounds like I need an auto bi-pap. I don't have that many centrals and they only occur when using bi-pap. Of course that has only been documented during the sleep studies. If I don't use the bi-pap, I have NO centrals. So I probably only need the auto bi-pap. No one has ever checked my smart card to see if I have centrals all the time or not.....Dr. does not want to see the smart card. He said so...
Peke
_________________ Res-Med VPAP - Adapt SV
FP Flexifit 406 mask
with Narcolepsy on the side!!!!
Its just my experience, and I can't say anything for how it feels for anybody else.... but in my mind, if you have centrals, you'll know it. I don't know why they're different, I just know that when I wake up in the morning, I know when I've had centrals because I wake up feeling like I've been hit by a mack truck and then run over a few times. My head is threatening to explode, my eyes feel like somebody stomped on them and then stuck them back in their sockets, and all I want to do is just pull the covers back over my head and not move. Its horrible. Thankfully, since I started using my Adapt, the only time I feel like that is when I sleep without it!! Before the Adapt, it was a normal experience... something I lived with on a regular basis.
Has your DME ever evaluated the data on your smart card? I would suggest getting a printed copy of your smart card data for your next appointment, and ask him outright what it means. You have a right to know, and I'm actually kind of surprised that your doctor has no interest in knowing. On hearing that, my first instinct would be to find a doctor who DID want to know! Although, I realize that might not be an option for you.
Either way.... have your DME pull the data and post the info here, and somebody here can help you figure it out.
Good luck!! I hope you get to feeling good soon... :D
_________________ ---Sherri---
ResMed VPap Adapt SV with heated humidifer
ResMed Ultra Mirage II Nasal Mask
Hosehead since 1/17/06 - "Adapter" since 1/28/07
Tonsillectomy/Septoplasty/Turbinatectomy 1/16/08 = AHI 6, "ALMOST" Normal!!
Yes, he said he lets the DME do the card reading. The DME said they don't read cards unless the insurance co asks for compliance info OR the Dr. asks for it.
The next time I saw them, I took the card in and the DME said my unit only shows compliance. That was a bold faced lie! They argued with me. I have not been back. Need to find a new DME as well as dr.
My husband got his bi-pap tonight and his DME knew very little about anything! When I asked if they would download the smart card, they said they don't do it. When pressured, he finally admitted that they do not even HAVE the software. Good Grief!
Yes, I am looking for a new dr. There are not many here in Tulsa. My dr. wrote the prescription for the auto bi-pap but the DME refused and said I would have to pay for it without going through my insurance. My insurance company said "Apria knows best!"
Off to bed now, don't know why. I get very little sleep now. I wake up all night long. Weight is skyrocketing too. I may even fly to that Columbus sleep clinic to see what they say.
Later, Peke
_________________ Res-Med VPAP - Adapt SV
FP Flexifit 406 mask
with Narcolepsy on the side!!!!
Sounds like you have a battle on your hands. Do you have your insurance benefits package? Or a website where you can pull up your "approved" list of sleep specialists? You may have to drive a ways to get to a different one, but sounds like it might be worth it. And from what I've heard on here about Apria, you better find a new DME as well.... for both you AND your husband!
I hope you guys can figure it out... good luck!!
_________________ ---Sherri---
ResMed VPap Adapt SV with heated humidifer
ResMed Ultra Mirage II Nasal Mask
Hosehead since 1/17/06 - "Adapter" since 1/28/07
Tonsillectomy/Septoplasty/Turbinatectomy 1/16/08 = AHI 6, "ALMOST" Normal!!
I do need to find a new one. There are 5 associated with my sleep clinic so I don't want to go to one of them. My GP is looking for a new sleep clinic for me. My insurance company only lists my clinic. Looks like I will have to go to Oklahoma City or another state.
Diagnosed in 2003 with same dr. Enough is enough...As soon as I find a new dr. I am going to see if he is okay with me "researching" my own OSA. If he is fine with it, I may keep him!!!
I know I had centrals during my sleep study with the bi-pap, but I don't wake up feeling like you do. I just can't think, concentrate, remember simple words, or drive longer than an hour. (Sometimes less)
It is very hard to be positive sometimes when I see a posting that asks "How long will it take to feel better?" I try not to answer with "4 years and counting". I let someone else talk that has a positive experience with treatment. Depends on how cranky I am, I guess!
Thanks, Peke
_________________ Res-Med VPAP - Adapt SV
FP Flexifit 406 mask
with Narcolepsy on the side!!!!
Well, everybody is different, and you might not have the same responses that I do, so I guess just keep an open mind and be aware of what your body is trying to tell you. My thinking is if you are not benefiting from CPAP therapy, and you are not feeling any better, something else is going on and you need to find a doctor who will listen to you!
So, keep fighting the good fight, and please keep us posted and let us know what happens!! I'll keep my fingers crossed for you....
_________________ ---Sherri---
ResMed VPap Adapt SV with heated humidifer
ResMed Ultra Mirage II Nasal Mask
Hosehead since 1/17/06 - "Adapter" since 1/28/07
Tonsillectomy/Septoplasty/Turbinatectomy 1/16/08 = AHI 6, "ALMOST" Normal!!
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Do you have your insurance benefits package? Or a website where you can pull up your "approved" list of sleep specialists? You may have to drive a ways to get to a different one, but sounds like it might be worth it. And from what I've heard on here about Apria, you better find a new DME as well.... for both you AND your husband!
