New machine ResMed Aircurve 10 question

[den942]

Your doctor may be okay with this machine depending on your history and what was found on your sleep study and how he wants to deal with things.
Or he maybe was wanting auto for an option in case fixed didn't work out so well.

It's best that he be made aware of what this machine will and won't do and then he can decide if it works for him or not.

Talked to the doctor and they say they specifically said an Auto SV machine. They called the supplier. They supplier says they can
reprogram the ST to an ASV remotely. Is that possible?

[palerider]

Your doctor may be okay with this machine depending on your history and what was found on your sleep study and how he wants to deal with things.
Or he maybe was wanting auto for an option in case fixed didn't work out so well.

It's best that he be made aware of what this machine will and won't do and then he can decide if it works for him or not.

Talked to the doctor and they say they specifically said an Auto SV machine. They called the supplier. They supplier says they can
reprogram the ST to an ASV remotely. Is that possible?

no.
that's like saying "I can reprogram my mustang to be a pickup".

the supplier doesn't know what they're gibbering on about.

[Pugsy]

Talked to the doctor and they say they specifically said an Auto SV machine. They called the supplier. They supplier says they can
reprogram the ST to an ASV remotely. Is that possible?

Geez....can you get another supplier? If they really believe they can do that they are so stupid they don't have any business dispensing these high end machines.
They can't be trusted with even knowing what they can or can't do with a particular model machine and that scares the hell out of me. I wouldn't trust them if they told me the sun rose in the east and set in the west. They are dispensing what they want and not what the doctor has ordered which is a big no no legally and could maybe hurt someone.

The machine your doctor wants you to have and use is (in the current ResMed line) the AirCurve 10 ASV and there's no way in hell to make the AirCurve 10 ST do what the ASV will do.
I happen to own both...and trust me..I know what each can do and what can't be done.
I have the AirCurve 10 ST and the S9 Adapt which is the prior model to the AirCurve 10 ASV.
There is zero way to program the ST to do what the ASV can do.
Now you can dumb down the ASV but you can't give the ST more brains.

[OkyDoky]

Check out your other supplier options because this one is a no brainer.

[den942]

Your doctor may be okay with this machine depending on your history and what was found on your sleep study and how he wants to deal with things.
Or he maybe was wanting auto for an option in case fixed didn't work out so well.

It's best that he be made aware of what this machine will and won't do and then he can decide if it works for him or not.

Talked to the doctor and they say they specifically said an Auto SV machine. They called the supplier. They supplier says they can
reprogram the ST to an ASV remotely. Is that possible?

no.
that's like saying "I can reprogram my mustang to be a pickup".

the supplier doesn't know what they're gibbering on about.

I called ResMed Technical Support. They told me the ST and ASV are completely different machines. The ST can not be programed to work like an ASV. Now I need to see what the supplier will do... They have not called me...

[palerider]

reprogram the ST to an ASV remotely. Is that possible?

no.
that's like saying "I can reprogram my mustang to be a pickup".

the supplier doesn't know what they're gibbering on about.

I called ResMed Technical Support. They told me the ST and ASV are completely different machines. The ST can not be programed to work like an ASV. Now I need to see what the supplier will do... They have not called me...

what? you don't trust us?

I mean, technically, *RESMED* could program the ST to be an ASV, but that requires new firmware, and only they (resmed) can do it, certainly not over the air by some dumbass DME.

aside from that, the ASV is considerably more expensive (4500 vs 3499 at one online DME, 4978 vs 4434 at another) so, yeah, not interchangable.

[palerider]

Your doctor may be okay with this machine depending on your history and what was found on your sleep study and how he wants to deal with things.
Or he maybe was wanting auto for an option in case fixed didn't work out so well.

It's best that he be made aware of what this machine will and won't do and then he can decide if it works for him or not.

Talked to the doctor and they say they specifically said an Auto SV machine.

tell your doctor to quit using the wrong terms.

RESMED AIRCURVE 10 ASV.

[Pugsy]

aside from that, the ASV is considerably more expensive (4500 vs 3499 at one online DME, 4978 vs 4434 at another) so, yeah, not interchangable

Profit margin is probably a driving force.
They get the same amount of money from insurance for the HCPCS billing code for cpap with a back up rate whether it is ST or ASV and if the ST costs them less than the real ASV...hey, more dollars in the profit margin column.
And they don't care if it is at the patient's health expense because the ST won't do what the doctor might be planning on doing maybe later. We don't know what the doctor might be planning after the initial settings.
All we know is the doctor wants ASV and the ST can't ever be an ASV unless it goes back to the ResMed factory and ResMed wants to change out whatever software (or whatever) it does to make it into an ASV.

[den942]

Talked to the doctor and they say they specifically said an Auto SV machine. They called the supplier. They supplier says they can
reprogram the ST to an ASV remotely. Is that possible?

Geez....can you get another supplier? If they really believe they can do that they are so stupid they don't have any business dispensing these high end machines.
They can't be trusted with even knowing what they can or can't do with a particular model machine and that scares the hell out of me. I wouldn't trust them if they told me the sun rose in the east and set in the west. They are dispensing what they want and not what the doctor has ordered which is a big no no legally and could maybe hurt someone.

The machine your doctor wants you to have and use is (in the current ResMed line) the AirCurve 10 ASV and there's no way in hell to make the AirCurve 10 ST do what the ASV will do.
I happen to own both...and trust me..I know what each can do and what can't be done.
I have the AirCurve 10 ST and the S9 Adapt which is the prior model to the AirCurve 10 ASV.
There is zero way to program the ST to do what the ASV can do.
Now you can dumb down the ASV but you can't give the ST more brains.

The nurse at my doctor's office has assured me she is specifying an Auto SV machine when she called me today. I talked to the supplier this evening. They claim the order parameters they are getting would be for an ST and not an ASV machine. I asked if she is saying my doctor's nurse is lying to me when she says she is specifying an Auto SV machine. The reply again was that the ST machine will do what parameters they are requesting. So I'm still not sure where the problem lies. If an Auto SV is being specified but the parameters are incorrect, why don't they tell her what info they need for an AVS machine?
Why just insist that I got what was requested? Supposedly another fax was sent by the nurse today. After it is received, the supplier is supposed to call me tomorrow. I'm about ready to return the ST machine at my expense and tell them to restock it where the sun don't shine...lol

[Pugsy]

Technically these parameters can be met with the ST
machine
EPAP...
IPAP
Pressure Support
Back up rate

But they are all fixed settings. There's no auto anywhere.

They shouldn't have taken it on themselves to substitute the machine model just because the "usual" other settings when auto is used weren't stated.
They should have contacted the doctor directly.

The correct thing would be for them to have called up doctor so and so and say "hey, doc...you've ordered an auto SV but you haven't given us enough settings" "what do you want"
Instead they decided to substitute a different machine without clarifying with the doctor what was intended.
Malpractice comes to my mind here. That along with stupid, lazy, or money grubbing because they get the same amount of money from the insurance if the sell you the ST (which costs them less)...they make about an extra grand by not giving you the ASV...or something like that depending on their wholesale costs.

I would be taking my business elsewhere if it were me...inept, stupid or just plain crooks...I wouldn't give them one dime of my insurance business.
They flat out lied to you. Pure and simple..flat out lied when they said they could make the ST do what the ASV does.
There is no excuse in the world for this sort of behavior...none.

[palerider]

The nurse at my doctor's office has assured me she is specifying an Auto SV machine when she called me today. I talked to the supplier this evening. They claim the order parameters they are getting would be for an ST and not an ASV machine. I asked if she is saying my doctor's nurse is lying to me when she says she is specifying an Auto SV machine. The reply again was that the ST machine will do what parameters they are requesting. So I'm still not sure where the problem lies. If an Auto SV is being specified but the parameters are incorrect, why don't they tell her what info they need for an AVS machine?
Why just insist that I got what was requested? Supposedly another fax was sent by the nurse today. After it is received, the supplier is supposed to call me tomorrow. I'm about ready to return the ST machine at my expense and tell them to restock it where the sun don't shine...lol

this is what happens when people don't bother to use the right terms.

RESMED AIRCURVE 10 ASV. not "auto sv" not "AVS".

[den942]

The nurse at my doctor's office has assured me she is specifying an Auto SV machine when she called me today. I talked to the supplier this evening. They claim the order parameters they are getting would be for an ST and not an ASV machine. I asked if she is saying my doctor's nurse is lying to me when she says she is specifying an Auto SV machine. The reply again was that the ST machine will do what parameters they are requesting. So I'm still not sure where the problem lies. If an Auto SV is being specified but the parameters are incorrect, why don't they tell her what info they need for an AVS machine?
Why just insist that I got what was requested? Supposedly another fax was sent by the nurse today. After it is received, the supplier is supposed to call me tomorrow. I'm about ready to return the ST machine at my expense and tell them to restock it where the sun don't shine...lol

this is what happens when people don't bother to use the right terms.

RESMED AIRCURVE 10 ASV. not "auto sv" not "AVS".

Well, I got the supplier to call me. They say to prescribe an Auto SV machine they need the following info.:
IPAP min
IPAP max
Epap
Min pressure support
Max pressure support
Max Pressure
Back up rate
If these parameters are not specified, then a Auto SV machine is not supplied.

I e-mailed this info to my doctor on Thursday. I haven't heard anything from anyone since. So I'm no farther than I was...

[Pugsy]

Those are all easy. Call your doctor Monday "just to make sure he got the specs from the DME who won't dispense the ASV without those specs" and "has the information been sent to the DME yet?. Just a gentle nudge to get him off his butt.

I would still take my business elsewhere if there's another DME anywhere close that works with your insurance and tell this yahoo DME where to go and it's a nice warm place.

They are being pricks...all they need to do is call up the doctor and get the needed settings.

[palerider]

The nurse at my doctor's office has assured me she is specifying an Auto SV machine when she called me today. I talked to the supplier this evening. They claim the order parameters they are getting would be for an ST and not an ASV machine. I asked if she is saying my doctor's nurse is lying to me when she says she is specifying an Auto SV machine. The reply again was that the ST machine will do what parameters they are requesting. So I'm still not sure where the problem lies. If an Auto SV is being specified but the parameters are incorrect, why don't they tell her what info they need for an AVS machine?
Why just insist that I got what was requested? Supposedly another fax was sent by the nurse today. After it is received, the supplier is supposed to call me tomorrow. I'm about ready to return the ST machine at my expense and tell them to restock it where the sun don't shine...lol

this is what happens when people don't bother to use the right terms.

RESMED AIRCURVE 10 ASV. not "auto sv" not "AVS".

Well, I got the supplier to call me. They say to prescribe an Auto SV machine they need the following info.:
IPAP min
IPAP max
Epap
Min pressure support
Max pressure support
Max Pressure
Back up rate
If these parameters are not specified, then a Auto SV machine is not supplied.

I e-mailed this info to my doctor on Thursday. I haven't heard anything from anyone since. So I'm no farther than I was...

I give up, you're on your own.

[den942]

Well, I called the doctor last Tuesday to make sure the nurse got the info I e-mailed. She was to call the supplier Tuesday. I called the supplier Friday. They told me the Doctor's nurse called Wednesday and is supposed to sent a new prescription. They supplier was to call the doctor's nurse to see where that was and call me back. I haven't heard from anyone since. I'm beginning to think I need a new doctor and supplier both. You'd think after being my supplier for
ten years they'd try to help get things right but don't seem too interested in helping the situation...