A Potential Downside of ASV? Down the ASV Rabbit Hole.

Don't think I mean for people to think that I said almost everyone "should" be on ASV. I meant "could be" and was telling the story about what a forum member who happens to be a sleep doc himself has said. He was the one who said he wished he could prescribe ASV to everyone but insurance puts some big hurdles in his way. He actually has just plain OSA but tried ASV on a lark just to see what all the hoopla actually was and that was his conclusion....not mine. He agreed with me and some of the others who feel like I do about ASV in that it isn't that big of a deal. His thinking was that he could cover all potential scenarios with one machine and he's correct.
None of the having to "fail" at the basic machines before being able to utilize the kind of machine that is really going to fix a problem.
Get people actually helped much sooner and not having to suffer through sub optimal or even no therapy.

The person who led you astray about what bilevel machines can or can't do and telling you that you shouldn't use anything but the most basic of machines.....is either an idiot or someone who prefers to just lie when the truth would work better. Plain and simple.
I have zero patience with either. Those sort get grouped in with the idiot that told me that it was against a federal law for patients to have the software to see the data the machine's gather. He actually told me that...and this was back before SleepyHead/Oscar and at a time when all the machine manufacturers were openly selling the software to patients for the going rate of $100. They all did it yet this dumb ass actually told me it was "against a federal law".....I asked him to show me that law....he quickly changed the subject.
Lying POS.

I used to ask a lot of "why" questions years ago. Not so much now. Over the years I learned that I wasn't always going to get answers to all my questions and there wasn't any sense in wasting time and energy on questions I would never get clear cut answers to. I don't have an unlimited supply of time or energy so I choose to use what I do have on issues that I can possibly have a productive outcome.
So I did my share of "over thinking" years ago and while I do understand where you are coming from....I really don't care to go down that road again. You have to find your own way.

Most people could/can use ASV successfully without any contraindications. Hell, Dr Krakow uses it almost extensively for any sleep problem from insomnia to UARS as well as OSA or CSA or Complex SA.
There will always be a few people who maybe have issues where ASV might be contraindicated but that can happen with any kind of machine.

ASV machines can be dumbed down easily if there is a need to dumb them down. They can be configured to give people the greatest chance of successful therapy.
If Katie ever gets to a point where she doesn't have a truck load of centrals messing with her sleep she doesn't have to get a different machine if she doesn't want to. She can either dumb the machine down or just let it do its thing because if she doesn't have any central apneas the machine won't try to do what it does to fix central apneas.

Again the biggest disadvantage to ASV....cost.
and maybe subsequent misinformation promoted by people who should know better for whatever reasons they might have for telling lies about these machines.
They are no more dangerous than any other cpap/apap machine as long as the person using it isn't doing something stupid with it.
It's not rocket science and doesn't need to be treated like it is.

Geer1 wrote: ↑

Fri Jan 03, 2020 8:26 pm

Pugsy wrote: ↑

Fri Jan 03, 2020 10:29 am

Babydino was right....engineers over think everything way too much.
I am done here. You asked for opinions and you got mine. Then you argued with me.

Be glad your brain doesn't work like mine.

Why do WE have to suffer from your problems? why can't you go somewhere like apneaboard where they'll coddle you?

Geer1 wrote: ↑

Fri Jan 03, 2020 8:26 pm

This stuff drives me more nuts then it does you guys trying to understand where I am coming from...

I know I can speak for quite a few people here when I say "we don't give a damn where you're coming from, we just know where we wish you'd go"

Geer1 wrote: ↑

Fri Jan 03, 2020 8:26 pm

One of the coolest things is actually the ASVauto mode as the increasing EPAP determined by breath flow form (apnea, flow limitation and snore) is what makes these machines actually try and target an ideal minute ventilation rather than just allowing your minute vent to slowly decrease as flow limitations get worse and worse. Pretty smart programming and I am glad to finally understand how it works.

Again, no, no you don't.

Geer1 wrote: ↑

Fri Jan 03, 2020 8:26 pm

Pugsy wrote: ↑

Fri Jan 03, 2020 10:29 am

Babydino was right....engineers over think everything way too much.
I am done here. You asked for opinions and you got mine. Then you argued with me.

Be glad your brain doesn't work like mine. This stuff drives me more nuts then it does you guys trying to understand where I am coming from... Unfortunately my brain doesn't just let me accept that something works, it needs to know why and how. I can see the smallest details that don't make sense and until I find the information that sets the light switch off it is painful, I literally couldn't sleep last night until I found those details...

M.E. ?

Lol when my husband or kid start on the path explaining how stuff works, I say PFM (pure f-ing magic) principal. That is all I need or want to know. OTOH it can be very helpful with tearing apart and fixing things that get broken. I very rarely have to call repair people, unless it involves plumbing.

babydinosnoreless wrote: ↑

Fri Jan 03, 2020 10:33 pm

Geer1 wrote: ↑

Fri Jan 03, 2020 8:26 pm

Pugsy wrote: ↑

Fri Jan 03, 2020 10:29 am

Babydino was right....engineers over think everything way too much.
I am done here. You asked for opinions and you got mine. Then you argued with me.

Be glad your brain doesn't work like mine. This stuff drives me more nuts then it does you guys trying to understand where I am coming from... Unfortunately my brain doesn't just let me accept that something works, it needs to know why and how. I can see the smallest details that don't make sense and until I find the information that sets the light switch off it is painful, I literally couldn't sleep last night until I found those details...

M.E. ?

Lol when my husband or kid start on the path explaining how stuff works, I say PFM (pure f-ing magic) principal. That is all I need or want to know. OTOH it can be very helpful with tearing apart and fixing things that get broken. I very rarely have to call repair people, unless it involves plumbing.

Plumbing is actually pretty simple... Plumbers don't want you to know that though

palerider wrote: ↑

Fri Jan 03, 2020 11:11 pm

babydinosnoreless wrote: ↑

Fri Jan 03, 2020 10:33 pm

Geer1 wrote: ↑

Fri Jan 03, 2020 8:26 pm

Pugsy wrote: ↑

Fri Jan 03, 2020 10:29 am

Babydino was right....engineers over think everything way too much.
I am done here. You asked for opinions and you got mine. Then you argued with me.

Be glad your brain doesn't work like mine. This stuff drives me more nuts then it does you guys trying to understand where I am coming from... Unfortunately my brain doesn't just let me accept that something works, it needs to know why and how. I can see the smallest details that don't make sense and until I find the information that sets the light switch off it is painful, I literally couldn't sleep last night until I found those details...

M.E. ?

Lol when my husband or kid start on the path explaining how stuff works, I say PFM (pure f-ing magic) principal. That is all I need or want to know. OTOH it can be very helpful with tearing apart and fixing things that get broken. I very rarely have to call repair people, unless it involves plumbing.

Plumbing is actually pretty simple... Plumbers don't want you to know that though

Haha maybe thats the problem its too easy so they have to complicate and over think it ?

babydinosnoreless wrote: ↑

Fri Jan 03, 2020 10:33 pm

I very rarely have to call repair people, unless it involves plumbing.

palerider wrote: ↑

Fri Jan 03, 2020 11:11 pm

Plumbing is actually pretty simple... Plumbers don't want you to know that though

Maybe she just likes to call them over because she likes the visuals.

Dog Slobber wrote: ↑

Sat Jan 04, 2020 8:14 am

babydinosnoreless wrote: ↑

Fri Jan 03, 2020 10:33 pm

I very rarely have to call repair people, unless it involves plumbing.

palerider wrote: ↑

Fri Jan 03, 2020 11:11 pm

Plumbing is actually pretty simple... Plumbers don't want you to know that though

Maybe she just likes to call them over because she likes the visuals.


BDS_Likes_da_crevice.jpg

Oh gosh no.