Replacement ASV

Heyla, folks!

Been a long time since I've posted here, and my life has changed in that time.

At New Years of 2021-2022, I lost my heart dog, my beloved Harper Dachshund to an evil blood cancer, hemangiosarcoma. We had no clue he was ill. He was fine in the morning and dead at night.

My husband, who had thrown himself into Harper's career when he was obliged to retire, never recovered from the loss. He passed on 15 July 2022, after I was blamed by "the Governor's Office of Elder Protection Services" for spousal abuse. No proof. The witch in question got ticked because we didn't kowtow to her.

Two weeks later, our Beagle followed her Harper and her Harry to the lands beyond.

I have Harper's great-nephew, Qi (and I may have made a mistake, naming a puppy "energy"!) and a cousin, Mistress Lily. They are darlings.

I have been going ahead with the home renovations Harry and I had planned and saved for and that is almost done. I wish to heaven they could all see how nice it looks. Because I miss them no less today than I did when they died.

Now for the meat of this: The Respironics recall went out prior to my husband's Passing. I sent the information in for his two AutoCPAPs and my two ASVs (A Remstar 950 and a Dreamstation), and got one AutoCPAP back. WIthin two weeks. Despite repeated contacts, I've never gotten the second autoCPAP. And I have gotten absolutely nothing on the ASVs.

I wrote them on the ASVs. They wrote back and said my pictures were unclear. I retook them, and sent them again. They wrote back and said they had to see the prescriptions for these. I sent them copies of the prescriptions. And then... crickets.

Checking on the web, it turns out the 950 has been discontinued and the Dreamstation ASV is not available in the US. (This was NOT the case when I sent either pictures or prescriptions.)

The humidifier on my Dreamstation died and I bought another because I just can't do without it. But, I see my doc next week, and figured I'd get a new script since the 950 IS over 10 years old, and the Dreamstation 5 years. If I get something new, I will then have four back-up machines -- two of the big old Remstars, the 950, and the current Dreamstation. All in good working order. I presently use my 950 as a travel machine, and it lives in the RV.

Only -- neither machine is available in the US, and I admit I haven't kept up with the latest and greatest of gadgetry.

Any thoughts or suggestions? I understand the Resmed algorithm is different from the Respironics one. I've done well with Respironics. I don't even know which Resmed machine IS the ASV!

Thanks in advance!

ResMed makes a good ASV. I think you will like it.

AirCurve 10 ASV is slightly a older model if they have released the AirCurve 11 ASV but I don't know if they have release it yet or not. Cosmetic changes only between the models. The algorithm itself didn't change.

You don't really have much of a choice....Respironics and ResMed were really the only ASV type machine manufacturers and Respironics no longer sells any machine in the USA.

So sorry to hear about all your losses. It hurts I know. My little pug dog Lucy just up and died this past spring. My mom died right before Christmas as well. It sucks. So now I have a little 2 yr old Frenchie. Rescue dog from a breeder surrender because she isn't "perfect" Frenchie due to under bite.

Pugsy,

Would this be the S10 you are talking about?
https://www.cpap.com/productpage/resmed ... h-humidair

Naturally I check our hosts first!

Wow, Respironics no longer sells in the US? I guess that replacement business really splatted their US business. That is probably why I have not heard from them.

I found this on the Resmed website:
SAN DIEGO, February 12, 2024 – ResMed (NYSE: RMD, ASX: RMD) launched today its AirCurve 11 series devices, the company’s newest bilevel devices that use two levels of support, inspiratory positive airway pressure (IPAP) and expiratory positive airway pressure (EPAP), combined with digital technology to make it easier for healthcare providers to treat sleep apnea and to help patients start and stay on therapy. AirCurve 11 devices are built on ResMed’s market-leading AirSense 11 platform and enhance the suite of offerings available for healthcare providers and clinicians when determining the best care for sleep apnea patients.

Looks like I will need to decide exactly how the script should read -- possibly try to get the doc to write it for either the 10 or the 11. Prices appear to be all over the map, and of course, I will have to see what Medicare will pay on it. I may try to wait until January because I seriously doubt I have met whatever my year's deductible is. So I may as well blast the heck out of it at the BEGINNING of the year!

Is the heated hose worth getting, and can you put a cover on it?

You've had some pretty nasty losses yourself. "Breeder surrender" for your new pup -- not any "breeder" I would want to deal with. A good heritage breeder will always take a pup back and find a home for it, not send it to a shelter, even if it isn't "perfect." A friend who is a beagle breeder had a pup born with an eye disorder that necessitated the removal of both eyes. SHe hunted around until she found the perfect home for him -- a couple who had other blind pups and knew precisely how to train him to have the best life possible. Saw some pictures of him awhile back -- playing like any sighted pup.

Thanks for the info.

Kiralynx wrote: ↑

Thu Aug 08, 2024 11:37 pm

Is the heated hose worth getting, and can you put a cover on it?

Yes, you can put a hose cover/cozy on the ResMed heated hose. I have done it. It's not needed but if someone just prefers something on the long hose it doesn't hurt anything. Won't make the hose get any warmer but might save a bit on warming/heating costs since a hose cozy will keep the air warmer with less electricity.

Do you "need" it? Probably don't have much of a problem with rain out where you live but that's the main reason for using the heated hose...rain out prevention.

I don't use a hose cozy on my heated hose....don't really need it since I use a high air temp along with high humidity setting and it adds weight to things and the extra weight pulling on my nose (since my mask is glued to my nose) is a bit annoying to me but I could use a hose cozy if I wanted to.
Now I do always use a hose cozy on any short hose that my mask might used...be it the Eclipse or P10. The hose that connects the mask to the long hose because I can get rain out in that part of the circuit.

More in a bit. I gotta go feed the horses and dogs.

Kiralynx wrote: ↑

Thu Aug 08, 2024 11:37 pm

Would this be the S10 you are talking about?
https://www.cpap.com/productpage/resmed ... h-humidair

That model isn't the ASV model. Cpap.com quit selling any ASV machines way back when it was decided by a iffy study that the mortality rate for ASV users was higher than normal and the big scare went out.

With both the AirCurve 10 and AirCurve 11 models there is clearly stated "ASV" wording in the model name.

AirCurve 10 ASV
https://www.resmed.com/en-us/healthcare ... ve-10-asv/

AirCurve 11 ASV
https://www.resmed.com/en-us/healthcare ... ve-11-asv/

Kiralynx wrote: ↑

Thu Aug 08, 2024 11:37 pm

You've had some pretty nasty losses yourself. "Breeder surrender" for your new pup -- not any "breeder" I would want to deal with. A good heritage breeder will always take a pup back and find a home for it, not send it to a shelter, even if it isn't "perfect." A friend who is a beagle breeder had a pup born with an eye disorder that necessitated the removal of both eyes. SHe hunted around until she found the perfect home for him -- a couple who had other blind pups and knew precisely how to train him to have the best life possible. Saw some pictures of him awhile back -- playing like any sighted pup.

It's a good thing I wasn't around when that little blind puppy needed a home. I would have taken it. I have already lived with 2 blind dogs. Doesn't scare me one bit but it's not really a job I would want as my first choice. Mainly because one of my other dogs doesn't have much patience and is a bit grumpy and I don't trust her totally not to be really ugly. She's been known to bite and bite to kill. Funny thing though...with Brittani she seems to have mellowed but I still don't trust her.

Brittani (my new Frenchie) is a little over 2 and it appears she may have had puppies once. Her little teats look like nursing teats but I got zero history about her. All I was told is "breeder surrender". She wasn't a puppy at all. Remember where I live....southern Missouri... the puppy mill capitol of the world. That's why all my dogs are rescues.
She wasn't well socialized though....but she is learning that I am her new best friend. She is devoted to me.

How can anyone not love a face like this? And she's what I wanted....a couch potato since I am not very mobile.
The place I got her had 3 other Frenchies but Brittani needed love the most. She was what I needed and I am what she needed. She's a little more of a work in progress but we are getting there. Well worth that extra work.

I actually suggest the AirCurve 10 ASV if you can get one.
I haven't myself actually seen or used the AirSense/AirCurve 11 model machine of some sort but I have heard a few things that trouble me a bit.

This is Master Qi, having a blast at a Barn Hunt. Someone commented on these photos on FB that "I want to have as much fun at a Barn Hunt as Qi does!" Qi got his Open title and is has his first qualifying run for his senior title.

https://imgur.com/a/MpKUaU3

This is Mistress Lily. She was in season and had to wear pants, which she did NOT approve of. She has two of three qualifying runs for her Novice title. She clearly showed me a rat on her first run of the July trial, and I muffed the call. Thereafter she said, "I showed you that rat! And you didn't believe me! Therefore, I am not speaking to you!"

https://imgur.com/a/ehf5wlN

Pugsy wrote: ↑

Fri Aug 09, 2024 8:41 am

It's a good thing I wasn't around when that little blind puppy needed a home. I would have taken it.

Brittani (my new Frenchie) is a little over 2 and it appears she may have had puppies once. Her little teats look like nursing teats but I got zero history about her. All I was told is "breeder surrender". She wasn't a puppy at all. Remember where I live....southern Missouri... the puppy mill capitol of the world. That's why all my dogs are rescues. She wasn't well socialized though....but she is learning that I am her new best friend. She is devoted to me.

Brittani is a lucky girl -- and if I lived in the puppy mill capitol, I would probably have half a dozen Dachs. I had a laddy who was a mill puppy from 1983-1998. He ended up paralyzed from midback down. I taught him how to walk again -- and he was 15 when he left us.

I have mobility issues. Although interestingly, the bipap ameliorated the pain in knees and hips significantly. I had worked my way up to where I could stay on my feet for 8-9 hours, and was planning on becoming a Barn Hunt judge. The 2017 auto accident put paid to that, but I was getting around pretty well until I took a fall last year and the knees and shoulder that were done in by the accident were really giving me h-ll. When I replaced the humidifier, all of a sudden, the pain levels dropped about 80%. Interrupted sleep really does squirel up your pain levels.

If I can figure out how to afford it and how to get it in and out of the car, I am considering a folding electric wheel chair that I could use for training the hounds in obedience. For going OAA, I use a TravelScoot Deluxe, which, WITH the battery, weighs a whopping 35 pounds. Even with a torn rotator cuff, I can get it in and out of my car by myself. https://www.travelscoot.com/mobility-sc ... oot-deluxe

Pugsy wrote: ↑

Fri Aug 09, 2024 8:44 am

I actually suggest the AirCurve 10 ASV if you can get one.
I haven't myself actually seen or used the AirSense/AirCurve 11 model machine of some sort but I have heard a few things that trouble me a bit.

I obviously need to pop around more often. What's the problem with the 11?

Pugsy wrote: ↑

Fri Aug 09, 2024 8:21 am

That model isn't the ASV model. Cpap.com quit selling any ASV machines way back when it was decided by a iffy study that the mortality rate for ASV users was higher than normal and the big scare went out.

With both the AirCurve 10 and AirCurve 11 models there is clearly stated "ASV" wording in the model name.

AirCurve 10 ASV
https://www.resmed.com/en-us/healthcare ... ve-10-asv/

AirCurve 11 ASV
https://www.resmed.com/en-us/healthcare ... ve-11-asv/

Man, I am out of touch. I could see that central apnea could result in a higher mortality rate if not adequately and correctly treated. But I had not heard about that study.

Kiralynx wrote: ↑

Fri Aug 09, 2024 10:47 pm

Man, I am out of touch. I could see that central apnea could result in a higher mortality rate if not adequately and correctly treated. But I had not heard about that study.

Do a search for SERVE-HF. This was a Resmed sponsored study of patients with severe congestive heart failure, who were randomised to either conventional treatment or ASV. The study was reported in 2016.The ASV patients fared worse in terms of cardiac outcomes. However there has been a lot of criticism of the study from many quarters. Many doctors will not prescribe AV for patients with severe heart failure.

Respirator99 wrote: ↑

Sat Aug 10, 2024 4:39 am

Do a search for SERVE-HF. This was a Resmed sponsored study of patients with severe congestive heart failure, who were randomised to either conventional treatment or ASV. The study was reported in 2016.The ASV patients fared worse in terms of cardiac outcomes. However there has been a lot of criticism of the study from many quarters. Many doctors will not prescribe AV for patients with severe heart failure.

Thank you. I will go look for it. Yeah,if they already have congestive heart failure, I can see where it could get problematic.

O'course, the fact that untreated apnea can lead to cardiac issues is another matter entirely.

Oh my, what a rough few years you have had. Always enjoy when old friends on here stop in and we get a chance to catch up. Just hate to hear of all your losses and struggles. Hope you can get your machine issues resolved and have your other needs met so that you can live your best life. Hugs to you.