To xxyzx

To my point. I could not show the man the slightest bit of kindness without it resulting in 3 pages worth of people telling me I shouldn't. xxyzx is not allowed to receive any kindness on this board. That's hate people, pure and simple.

Guest wrote:

xxyzx wrote:

chunkyfrog wrote:Just keep drinking your Kool Aid.
Have a nice day.

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i only ingest facts ("ingest" facts??)[/color]
and refuse to come close to the shit your spew all over the place

you keep proving you are the libtard bully wannabee the OPer noted
palerider will never let you be head bully so STFU and worry about xpap questions instead of people

This should be a good example. A functional illiterate that claims he is a PhD. I agree that if he was harmless, it is not nice to pick on the mentally challenged, but his claims of knowledge might just cause someone to hurt themselves.

You're right, that is a good example. You just called him illiterate and mentally challenged yet people are up in arms because he said "libturd".

I don't get it ... really, I tried.

for what do you want to show "kindness"? Did he help you? Could you show just 1 example where anything xxyzx said helped you?

I just let google count "libtard" and "xxyzx" ... more than 1,900 times and you really can't find one single post where he insults everyone right from the spot on? ... too funny!

My base setting has always been kindness. Always will be. Until someone shows me that they don't deserve my kindness, I will always offer it. If xxyzx has slighted you in the past then I understand why you won't show him kindness but it doesn't mean I can't and it also doesn't mean he needs to be beratted at every turn.

ThatGuyTyh-ish wrote:BUT he is for sure a resilient SOB if he is still sticking around after getting shit on after EVERY single post.

There are lots of his posts where people said nothing. Keep reading and you will find them.

If he gets shit on it's because he has been doing some shitting on people himself. He is reaping what he sows.
His response when challenged or corrected (and despite his saying he has never been corrected...he has indeed been corrected but just won't admit it) is to come back with name calling and slurs and not a well thought out rebuttal. He doesn't fight with the facts...he just resorts to acting like an 8 yr old with taunts and name calling along with threats "all libtards should be killed". He acts like a spoiled brat throwing a temper tantrum.

The very forum policy that allows his temper tantrums also allows the other forum members the same privilege of saying their thoughts about him and/or what he has said or how he has acted. He doesn't get to get away with name calling and sit back and have the forum members not say what they are thinking. They have the same rights as he does.

I have been on this forum for over 8 years now and this is the first time I have ever seen the members come up with the warning in their signature lines about someone. Yeah, maybe a bit harsh but again....they have the same rights as he does. He gets to throw a tantrum and call people names....they get to call him out on what they see he is doing. Does it make it right...I dunno but they have the same rights to express their feelings as he does. What's good for the goose is good for the gander. Doesn't really matter if it is right or wrong for them to do what they do...they have the same rights as the 8 yr old tantrum throwing child has.

I will agree with you on one point though....he is a SOB.
And I have the same right to express my feelings as he does to shout "libtard, bully, libturd" all over the place because he can't come up with a real rebuttal to anything.
If you don't like it that forum members have the same rights as he does...go find another forum. This is what you get here.
It's not pretty that's for sure.

Pugsy, whether the hate is well deserved or not, am I not allowed to throw a little kindness his way?

ThatGuyTyh-ish wrote:I haven't seen the specific posts you are referencing and can't really search "xxyzx hateful comments". If you want to convince me that he has been a jerk in previous posts I haven't seen, link me.

Okay - I'm going to take a little time and show some of what we're talking about. They aren't going to be in the greatest order because it's not necessarily fast to find them:

Here's an example of how he was just wrong, but didn't have the decency to admit it (he didn't bother responding at all). But remember, he SWEARS that he has NEVER been proven wrong by facts. And he was just wrong on this one, plain and simple.
viewtopic.php?f=1&t=155945&p=1185374#p1185374

Here's a post where Robysue took a lot of time to explain EXACTLY why he was not correct on the ASV vs AVAPS issue.

robysue wrote:

xxyzx wrote:

Madalot wrote:We already did with the ASV vs AVAPS. You're just too arrogant to admit it.

Sent from my SM-G920V using Tapatalk

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bullshit

i have two vendors that say asv and avaps are equivalent for the ASV function which is what i noted

the avaps has more capability

you proved nothing except that you cant read and just want to argue about trivialities
by taking my comment completely out of context of my answer to the lady

No xxyzx. You have links that say ASV is a form of noninvasive ventilation, and no-one disagrees with that. And you have links that say AVAPS is a form of noninvasive ventilation, and no-one disagrees with that. But what you have refused to read in those links is that ASV and AVAPS are different forms of noninvasive ventilation designed for different respiratory problems.

ASV is designed to help those whose basic problem is a gas exchange balance and hyperventilation leading to too much CO2 being blown off in the exhalations. Which can lead to CO2 overshoot/undershoot cycles. Which leads to central sleep apnea (among other things.)

AVAPS is designed to help those whose basic problem is insufficient ventilation and hypoventilation leading too LITTLE CO2 being blown off in the exhalations which causes too much CO2 to be retained in the body. People with certain neuromuscular problems (such as Madalot) have problems with hypoventilation rather than hyperventilation, and that's why she is on a Trilogy running AVAPS.

In other words, there are different underlying breathing problems that need to be addressed with noninvasive ventilation. And they require different noninvasive ventilation strategies to fix. And the different strategies are NOT interchangeable.

Another detailed post from Robysue and his response to it:

xxyzx wrote:

robysue wrote:

xxyzx wrote: let me repeat
makers say both are ASV and both are VPAP
the AVAPS may have more pressure or features
but IN THE CONTEXT THAT I MADE MY COMMENT THEY ARE ASV as far as the lady's question

The Resmed iVAPS algorithm is the equivalent of the PR AVAPS algorithm.

The Resmed AirCurve 10 VPAP ASV machine is discussed on Resmed's web pages at: http://www.resmed.com/us/en/consumer/pr ... 0-asv.html

The Resmed AirCurve 10 VPAP ST-A machine is an iVAPS (Resmed AVAPS) machine and it is discussed on Resmed's web pages at http://www.resmed.com/us/en/consumer/pr ... 0-sta.html and http://www.resmed.com/us/dam/documents/ ... er_eng.pdf

Read the webpages: These two Remed VPAP machines are designed with different algorithms to solve different problems. And the ASV cannot do iVAPS. And the ST-A can do iVAPS but cannot do ASV.


The Resmed AirCurve 10 VPAP ASV is described as:

The AirCurve 10 ASV bilevel machine offers truly personalized therapy for central breathing disorders, such as Cheyne-Stokes respiration (CSR), central sleep apnea (CSA) and associated obstructive events. Featuring the most clinically-studied and proven ASV algorithm, AirCurve 10 ASV is the only adaptive servo-ventilator that targets the patient’s own recent minute ventilation.

ASV mode
The clinically-published ASV algorithm constantly learns, responds, predicts and synchronizes with the patient’s respiratory pattern to help rapidly stabilize respiration.

The pressure support varies to respond to the patient's need. Mandatory breaths are delivered at the patient’s recent spontaneous breath rate.

ASVAuto mode
In ASVAuto mode, this bilevel machine not only responds within the breath, adjusting Pressure Support to stabilize respiration, it also automatically adjusts the expiratory pressure in order to provide the minimum pressure required to maintain upper airway patency. It analyzes the state of the patient’s upper airway on a breath-by-breath basis and delivers expiratory pressure within the allowed range.

The Resmed AirCurve VAPAP ST-A and its iVAPS algorithm is described as:

The AirCurve™ 10 ST-A provides effective non-invasive ventilation for patients with respiratory insufficiency such as neuromuscular disease, restrictive lung disorders, severe COPD and hypoventilation syndromes. It features iVAPS (intelligent Volume-Assured Pressure Support), ResMed’s proprietary mode that automatically adapts to each user’s changing needs, and an intelligent Backup Rate (iBR)* that maximizes their opportunity to breathe spontaneously. The AirCurve™ 10 ST-A includes both fixed and adjustable alarms for added safety.

There is also a nice video on this page that explains exactly how the iVAPS algorithm works and the importance of the target ventilation which is set in the therapeutic settings. The target ventilation is a fixed number based on what the ventilation (tidal volume) should be on all breaths and it does not use the recent breathing to determine this number the way the ASV machine does.

Additional information about the Resmed iVPAPS algorithm is found at http://www.resmed.com/epn/en/healthcare ... ithms.html and says:

By targeting alveolar ventilation, iVAPS continually maintains ventilation according to the patient’s metabolic needs, decreasing the risk of over and under-ventilation with changing respiratory rate. Data from extensive bench testing against VAPS ventilators and clinical trials have shown that iVAPS effectively meets patients’ ventilatory needs. It also responds faster to respiratory changes without compromising patient comfort or sleep quality.

Volume assured pressure support (iVAPS) ventilators combine the advantages of pressure-support ventilation, such as patient comfort and patient-ventilator synchrony, with the assurance of a tidal volume target. However, while this enables VAPS modes to meet ventilatory needs, response to respiratory changes is slow. Another limitation of VAPS modes is the enforcement of a mandatory target tidal volume on every breath. Changes in breath rate will still trigger the same tidal volume to be delivered with each breath, which can lead to patient discomfort and sleep disruption.

Even more information on iVAPS is found at http://www.resmed.com/us/dam/documents/ ... er_eng.pdf and says:

Now you can provide intelligent air through ResMed’s intelligent Volume-Assured Pressure
Support (iVAPS). A unique technology featured in the S9 VPAP ST-A, it adjusts to a patient’s
respiratory rate, targets alveolar ventilation and automatically adjusts pressure support as
needed to accommodate each patient’s unique needs, even as a their disease progresses.

This source also has numerous graphics illustrating what it means to target alveolar ventilation and how the target ventilation setting on the machine drives the algorithm's choice of when to increase the pressure and when to decrease the pressure to insure correct ventilation.


In conclusion: Yes, both the ASV and the ST-A (iVAPS) machines are in the Resmed AirCurve 10 VPAP family. But the machines have different purposes and very different algorithms. In other words, the iVAPS machine and the ASV machine are NOT equivalent and they are not interchangeable.

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there you go again

i never said the ASV woudl do anything else
but one seller says it does do VAPs

in the context of the question and my answer i was totally correct
you are quibbling cause you cant find anything wrong with any of my comments

It's obvious that while understandable, he does NOT grasp the difference between the two machines/modes of operation. It's explained to him over and over again, yet he refuses to accept that he doesn't get it.

Here's a post where it is referenced that Robysue ASKED him to post a link to support his belief. See his answer to that:

xxyzx wrote:

Guest wrote:

xxyzx wrote:

palerider wrote:

xxyzx wrote:however you are the only one that mentioned volume assured
i merely noted that it acted like an ASV and would breathe for the patient if the mother stopped doing it
because that is exactly what the ASV was designed to do
and it delivers the target Vt based on the patients history

Just what, mr 'genius' did you think the "VA" in AVAPS stood for?

Volume Assured Pressure Support

Just what scale, Wiley, are you a 'super genius' on? compared to garden slugs perhaps?

===

you are the gift that keeps on giving
and what do you think the ASV does
it assures Vt when you are not breathing on your own

Where are the links robysue asked you to provide? Hmmm???

========

i rarely do requests
i never do demands

go find them yourself
they came up asap for me on google when i replied to that lady about her mother

i have no need to convince you of anything
you libturds will believe what you want anyway
so not wasting my time on a futile venture

And another of his responses - see how he responded to Robysue who was NOT the least bit rude or nasty to him. She was polite and factual through the entire discussion. This is how he responds to EVERYONE that has the gall to disagree with him.

xxyzx wrote:

Guest wrote:

xxyzx wrote:

robysue wrote:

xxyzx wrote: ===
there you go again

i never said the ASV woudl do anything else
but one seller says it does do VAPs

I've spent quite a bit of time on both the Resmed and PR websites. And I have not been able to find any information on those official web pages that backs up your claim that Resmed, PR, or a reputable on-line seller of PAP equipment makes the claim that the ASV machines (Resmed AirCurve 10 ASV and PR DreamStation BiPAP AutoSV) can be set to run in VAPS, iVAPS, or AVAPS mode.

Nor have I found any information on the official web pages that backs up the idea that the VAPS machines (Resmed AirCurve 10 VPAP ST-A and PR DreamStation BiPAP AVAPS) can be set up to run in ASV or ASV Auto mode.


So I dare you: Provide me with at least one working link that shows Resmed or PR or a reputable online seller making the claim that the Resmed AirCurve 10 ASV or the PR DreamStation BiPAP AutoSV is capable of being set up to run in iVAPS/AVAPS mode.

Or alternatively: Find me a link where Resmed, PR, or a reputable online seller makes the claim that the Resmed AirCurve 10 VPAP ST-A or the PR DreamStation BiPAP AVAPS can be set up to run in ASV mode. If you can't find such links, then quit making your incorrect claim.


Final note: It is true that both the PR and Resmed titration (Tx) machines can do both ASV and VAPS, but those titration machines are LAB equipment and they are NOT sold to individual patients for home use.

And a final aside: I have evening plans to go to Shakespeare in Delaware Park. I won't see any response to your reply until sometime tomorrow. But I will be looking for it. Because I really would like to see links to back up your claims about ASV and AVAPS machines since I've spent far too much time researching them since you made the claim that Madalot doesn't know what she's talking about.

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typical logical fallacy

you cant find it so it doesnt exist

i found both immediately

So. . . where are they???

========

the documents are still there on the internet

you are truly brain dead if you think i record every site i visit so idiots like you can demand to see them

the sources came up asap for me
learn how to use google

and learn how to read

And here's one of my favorites where he says to kill all terrorists and libtards.

xxyzx wrote:

parzad wrote:

Okie bipap wrote: The term paper for this course was the hardest I ever wrote. We had to describe our value system, and state what was the basis for that system. The only research was introspection.

There should be more introspection here and more in life, period.
When things don't go your way it's time for introspection again.

How many here had to look up introspection to find out what in means?

============

my introspection says kill all the terrorists and then all the libtards
things will go the right way after that

And remember - he calls everyone on this forum a "libtard" that disagrees with him so in essence, he insinuated that he wants to kill all of us. Nice, huh?

While you still may not understand why he is treated the way he is, I hope it gave you a little insight. And trust me, there's a lot more, but I'm tired.

Does it not seem odd that even though I am here seeking help for sleep apnea and have not been rude or called anyone names or started any fights, I'm told I do not belong here simply for showing xxyzx a little kindness. I didn't come here looking to start a crusade, I just saw some guy in a support group getting the worst from everyone and felt the urge to throw a little kindness his way. And the only positive thing I said about him is that he is resilient for sticking around dispite the treatment he gets (even if it's justified, that isn't the point). I even pointed out that I will most likely see why this is justified in the future. But now I have to sit here and justify why I'm kind? Who here have I offended or insulted? Am I seriously getting chastised for being kind?

ThatGuyTyh-ish wrote:Pugsy, whether the hate is well deserved or not, am I not allowed to throw a little kindness his way?

You have the same rights as the rest of us. And if you wish to be kind to him, go for it! That's between you and him. Your original post, while I know was well intentioned, made digs at US. Being new here, you haven't had the pleasure of being on the receiving end of one of his "libtard" "illogical fallicy" "bullshit" "stupid" "kill all libtards" - rants.

Try correcting him, even politely, ONE time and see what it gets you.

ThatGuyTyh-ish wrote:Does it not seem odd that even though I am here seeking help for sleep apnea and have not been rude or called anyone names or started any fights, I'm told I do not belong here simply for showing xxyzx a little kindness. I didn't come here looking to start a crusade, I just saw some guy in a support group getting the worst from everyone and felt the urge to throw a little kindness his way. And the only positive thing I said about him is that he is resilient for sticking around dispite the treatment he gets (even if it's justified, that isn't the point). I even pointed out that I will most likely see why this is justified in the future. But now I have to sit here and justify why I'm kind? Who here have I offended or insulted? Am I seriously getting chastised for being kind?

Olive Branch being extended here. You're right. And I apologize for making you feel that way. The only justification/excuse I can provide is that from my end, I felt semi attacked by your original post because it insinuated that we shouldn't respond to him the way we do.

But you have the right to be kind. So from my end, I'll leave you to that. And I truly hope you are never on the receiving end of one of his rants. Honestly.

ThatGuyTyh-ish wrote:Pugsy, whether the hate is well deserved or not, am I not allowed to throw a little kindness his way?

You are free to do or say whatever you wish.
Just don't expect others who have been shit on to jump on your bandwagon and sing the same song you are singing.
You have the same rights and anyone else.....but that means that the rest of us also have those same rights.
The right to disagree and voice our thoughts. Now if the manner they voice their thoughts you find disagreeable...well, so be it.
We find a lot "disagreeable" but we have to accept it....doesn't mean we have to like it though and sure as hell doesn't mean we have to keep quiet about it.

ThatGuyTyh-ish wrote:Pugsy, whether the hate is well deserved or not, am I not allowed to throw a little kindness his way?

what you are trying to do is: make it look like he is the victim!

he is not! - Every "newbie" looking for help and falling for his "advices" is the real victim here. (eg you!)

this board is way too nice to people like xxyzx!

I feel like that's what this whole thread boiled down to. My post made you feel like I believed the treatment was unjustified and then it got detailed into trying to convince me that it was. That was never the case. I specifically chose my words, stating that I will probably see that it is jusified. But that wasn't the point of my post. Even "the bad guy" deserves a little kindness once in a while. It's the only way to turn a bad apple into a good one, if at all possible. One thing is for sure, the only thing this treatment will do is make him worse or get him to leave. The latter doesn't seem to be the case. I still don't believe someone should be shat on systematically, especially when he isn't being abusive or spreading misinformation in that moment. Maybe that is a shortcoming to some, but it is a quality as far as I'm concerned.

The point is that if you have so much kindness to throw around, why not throw it at other members who need help, ask for it nicely and respond with gratitude? Why pick on the one poster who's been horrible to everyone? You're not making a whole lot of sense here. He's not a child in the schoolyard being beat up, he's a (presumably) grown person with the choice to be decent or nasty - and he picked nasty from the start. I seriously don't think he needs your kindness before you give it to others who do need it. He's not 'the bad guy who deserves kindness', he's the hugely disturbed (but obviously free to spew his crap) poster who has shat on everyone else. Your math is sorely out of whack. He became a 'victim' when he invited it, when he insulted everyone else. Some victim!

Pugsy wrote:

ThatGuyTyh-ish wrote:Pugsy, whether the hate is well deserved or not, am I not allowed to throw a little kindness his way?

You are free to do or say whatever you wish.
Just don't expect others who have been shit on to jump on your bandwagon and sing the same song you are singing.
You have the same rights and anyone else.....but that means that the rest of us also have those same rights.
The right to disagree and voice our thoughts. Now if the manner they voice their thoughts you find disagreeable...well, so be it.
We find a lot "disagreeable" but we have to accept it....doesn't mean we have to like it though and sure as hell doesn't mean we have to keep quiet about it.

Funny thing is, I've never tried to tell any of you how to behave, act or post. I've simply stated that I noticed how he was being treated in a systematic manor and that I wanted to throw him a little kindness. I have not tried to tell any of you what to say or how to feel. Not once. Only stated how I act, how I behave, what I believe. I've done nothing but defended my own kindness.