New to this- Husband vpap III 5 days but not taking breaths

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
User avatar
dsm
Posts: 6996
Joined: Mon Jun 20, 2005 6:53 am
Location: Near the coast.

Re: Show Me The Data!

Post by dsm » Sat Apr 12, 2008 5:40 am

StillAnotherGuest wrote:
<snip>

Also, be sure to keep everything that Moe and Larry say in proper context.

SAG
SAG

None of us are mind readers - what is your point here - I am trying to decide if you are being funny in a humorous way or some other warped way ? it gets hard to tell at times.

Thanks

DSM
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

Lubman
Posts: 121
Joined: Sat Apr 29, 2006 10:10 am

Post by Lubman » Sun Apr 13, 2008 9:38 am

Casiesea
That should be easy. If you are PC based at home with Windows XP and he is using the Enhanced Adapt SV, tell your husband to request that Doc 1 script both a Reslink module and ResCan v.3.4 so he can collect data from the machine and forward her the information periodically for her analysis and review.
Were you able to get an Rx for Reslink and/or ResScan software?
Having the ability to download and graph the results will be valuable in understanding whether or not the home treatment is an improvement?

Glad to see you have the Doc's attention. That should help.

Lubman
I'm not a medical professional - this is from my own experience.
Machine: ResMed Adapt ASV with EERS
Mask: Mirage NV FF Mask
Humidifier: F&P HC 150
Sleepzone Heated Hose

-SWS
Posts: 5301
Joined: Tue Jan 11, 2005 7:06 pm

Firmware Upgrades?

Post by -SWS » Sun Apr 13, 2008 1:40 pm

Does anyone know if Resmed plans a firmware upgrade path (to get immediately-prior generation ASV machines as functionally capable as the latest ASV Enhanced model)?


User avatar
dsm
Posts: 6996
Joined: Mon Jun 20, 2005 6:53 am
Location: Near the coast.

Re: Firmware Upgrades?

Post by dsm » Sun Apr 13, 2008 2:14 pm

[quote="-SWS"]Does anyone know if Resmed plans a firmware upgrade path (to get immediately-prior generation ASV machines as functionally capable as the latest ASV Enhanced model)?

xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

-SWS
Posts: 5301
Joined: Tue Jan 11, 2005 7:06 pm

Post by -SWS » Sun Apr 13, 2008 3:55 pm

Thanks much, Doug! I remember S7 Elite having a firmware upgrade path to S7 AutoSet. It didn't seem that popular IIRC.

I would think many ASV users and docs would love to have a firmware-upgrade path toward nightly AHI scores. Maybe Resmed overturned their initial decision based on adequate perceived demand for these conversions.


User avatar
Banned
Posts: 602
Joined: Sun Feb 17, 2008 10:04 pm

Re: Firmware Upgrades?

Post by Banned » Sun Apr 13, 2008 7:57 pm

[quote="dsm"][quote="-SWS"]Does anyone know if Resmed plans a firmware upgrade path (to get immediately-prior generation ASV machines as functionally capable as the latest ASV Enhanced model)?

Last edited by Banned on Tue Apr 15, 2008 7:48 am, edited 2 times in total.
AVAPS: PC AVAPS, EPAP 15, IPAP Min 19, IPAP Max 25, Vt 520ml, BPM 10, Ti 1.8sec, RT 2 (Garage)
BiPAP Auto SV: EPAP 9, IPAP Min 14, IPAP Max 25, BPM 10, Ti 2sec, RT 2 (Travel Machine)
VPAP Adapt SV: EEP 10.4, Min PS 4.4 (Every Day)
Mask: Quattro

User avatar
dsm
Posts: 6996
Joined: Mon Jun 20, 2005 6:53 am
Location: Near the coast.

Re: Firmware Upgrades?

Post by dsm » Tue Apr 15, 2008 12:23 am

[quote="Banned"]
<snip>

Since I only work for the express pleasure of the board, I thought I would make the 'old' Adapt SV available for free trials so ya'all could kick the tires, wing-the-dials, and take the bugger for a test run, so-to-speak. I'll remember to throw in the proximal sensor tube and 9 clips to attach it to your own hose. Can't wait to get the feedback on the Respironics BiPAP Auto SV, dsm! I thought the BiPAP Auto SV was SAG's favorite SV machine?

Banned

xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

User avatar
Banned
Posts: 602
Joined: Sun Feb 17, 2008 10:04 pm

Re: Firmware Upgrades?

Post by Banned » Tue Apr 15, 2008 8:16 am

dsm wrote: My hand is up to be the 1st to try out, and do a report on, your current Adapt SV when you get your new one.
Ok. One taker for the one-machine-cure-all approach to sleep therapy. Complete with a dueling BiPAP Auto SV/VPAP Adapt SV report. Battle of the SVs?

Banned

AVAPS: PC AVAPS, EPAP 15, IPAP Min 19, IPAP Max 25, Vt 520ml, BPM 10, Ti 1.8sec, RT 2 (Garage)
BiPAP Auto SV: EPAP 9, IPAP Min 14, IPAP Max 25, BPM 10, Ti 2sec, RT 2 (Travel Machine)
VPAP Adapt SV: EEP 10.4, Min PS 4.4 (Every Day)
Mask: Quattro

Guest

Post by Guest » Tue Apr 15, 2008 3:17 pm

Guess the wait is going to be a bit longer. Doc #1 had a family emergency and will be out the rest of the week. Appt rescheduled for April 23rd.

User avatar
dsm
Posts: 6996
Joined: Mon Jun 20, 2005 6:53 am
Location: Near the coast.

Post by dsm » Tue Apr 15, 2008 3:52 pm

Anonymous wrote:Guess the wait is going to be a bit longer. Doc #1 had a family emergency and will be out the rest of the week. Appt rescheduled for April 23rd.
Casisea,

Sorry to hear of yet more delays. Just remember a lot of us are thinking of you both & want all the success we can will for your husbands outcome.

Cheers & keep up your stirling support.

DSM
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

User avatar
Banned
Posts: 602
Joined: Sun Feb 17, 2008 10:04 pm

Post by Banned » Tue Apr 15, 2008 4:30 pm

Well, we can all sit around and be sad and do nothing until the doctor comes back in a week and puts him back on CPAP. Or, while we still have the keys to the car, we can innovate, move forward, and crank up the pressure to 8 + 3 = 11. What would happen if the worst outcome was this guy actually felt better?

Banned

AVAPS: PC AVAPS, EPAP 15, IPAP Min 19, IPAP Max 25, Vt 520ml, BPM 10, Ti 1.8sec, RT 2 (Garage)
BiPAP Auto SV: EPAP 9, IPAP Min 14, IPAP Max 25, BPM 10, Ti 2sec, RT 2 (Travel Machine)
VPAP Adapt SV: EEP 10.4, Min PS 4.4 (Every Day)
Mask: Quattro

User avatar
dsm
Posts: 6996
Joined: Mon Jun 20, 2005 6:53 am
Location: Near the coast.

Post by dsm » Tue Apr 15, 2008 4:40 pm

[quote="Banned"]Well, we can all sit around and be sad and do nothing until the doctor comes back in a week and puts him back on CPAP. Or, while we still have the keys to the car, we can innovate, move forward, and crank up the pressure to 8 + 3 = 11. What would happen if the worst outcome was this guy actually felt better?

Banned

xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

User avatar
Banned
Posts: 602
Joined: Sun Feb 17, 2008 10:04 pm

Post by Banned » Tue Apr 15, 2008 4:58 pm

i would agree with you, dsm, if this was some kind of Frankenstein/Adapt SV set-up like Lubman is on, I too would leave it alone. But we are only talking about a very small incremental change here.

Banned
AVAPS: PC AVAPS, EPAP 15, IPAP Min 19, IPAP Max 25, Vt 520ml, BPM 10, Ti 1.8sec, RT 2 (Garage)
BiPAP Auto SV: EPAP 9, IPAP Min 14, IPAP Max 25, BPM 10, Ti 2sec, RT 2 (Travel Machine)
VPAP Adapt SV: EEP 10.4, Min PS 4.4 (Every Day)
Mask: Quattro

Guest

Post by Guest » Sun Apr 20, 2008 8:28 pm

After almost 2 weeks, his GP recommends PAXIL! Correct me if I am wrong, but doesn't paxil cause the same problems with REM as Prozac (plus a whole bunch more)? I think we will wait till Wed and see what doc#1 thinks.

Lubman
Posts: 121
Joined: Sat Apr 29, 2006 10:10 am

Post by Lubman » Sun Apr 20, 2008 8:58 pm

Casiesea,

I think you are right to see what Doc#1 has to say. A sleep specialist may give you a better answer, in general, than a GP suggesting a med.

That's not to say that your GP might not have a point - but its best to put you stock in someone with experience in which you have developed some trust. They know the specifics for your husband's case - we are just seeing a small part of it (some PSG results).

I'm with you - don't like side effects of some meds.

Banned --
i would agree with you, dsm, if this was some kind of Frankenstein/Adapt SV set-up like Lubman is on, I too would leave it alone.
Well DSM has seen my setup, not sure I would call it Frankenstein like set up. Not sure if ResMed would agree, but some specialists feel that the
algorithm needs a bit of help with CO2 dead space. Adding a hose and using a mask with a different venting design, isn't a complex change.

It is good to have clarified that the Enhanced is a machine, and not simply a firmware upgrade. It would be cheaper if it was firmware, but as DSM noted quite some time back, the changes sounded like they had to be more that in firmware.

Lubman

I'm not a medical professional - this is from my own experience.
Machine: ResMed Adapt ASV with EERS
Mask: Mirage NV FF Mask
Humidifier: F&P HC 150
Sleepzone Heated Hose