I'm new to sleep therapy and just finished my first month with the ResMed AirCurve 10 VAuto. Getting it was easy; I did both the at home and in-lab sleep studies and was written a script for this machine. My DME (Indiana University Health) played no games; I received all accessories including SD card and heated tubing with the machine. I haven't paid a bill yet, but my DME said my insurance (CareSource Marketplace Bronze First) will only cover 50% of its cost. They quoted a bit under $700 for an initial payment and a bit under $90/month for a 13-month (IIRC) rental. I guess I can live with that.
Treatment got off to a rough start. I did the "mask shuffle" (F&P Vitera with M and L cushions and ResMed AirFit F20i with M and W cushions), but the prescribed settings (S-mode, 18/14, PS 4) were horribly uncomfortable. I had persistent leaks no matter what I tried. It felt like the machine was blowing the mask right off my face. With help from the good people here, I changed to VAuto mode and 18/9... much better. I still had leaking but it was manageable. Still, I hated the masks... then I tried Bleep Eclipse. I'm still learning to control mouth breathing, but Bleep Eclipse has been great and I'm sticking with it.
My measured AHI in the lab was 48.3. I'm always under .5 now. I told the clinician I had changed settings and she didn't seem to care--the results speak for themselves. I left a call for my Doc and he hasn't called back. I have a follow-up in just over a month, so we'll see if he makes an issue of my setting changes. I hope not--this is much better than the first week or two, which was sheer misery. Now I look forward to bedtime. A good night's sleep makes or breaks my days.
The machine has been great. Rock-solid performance. It's quiet, other than the first few breaths (where I hear a clicking as it perhaps calibrates itself in some way). I generally sleep 5-6 hours (I need to get more, yes) and I can fill the water tub to the bottom line and not run dry at default settings. No problem with dry nose or mouth, and I haven't had a single drop of water in the hose (that I've noticed, anyhow). I like the dial and push button design. It's intuitive and reliable. The case is nice and holds everything easily (and the Bleep "mask" takes up almost no space). I haven't traveled with it yet, but I don't foresee any problems.
Mine has a 4G modem and I always have a strong signal from either AT&T or T-Mobile. No problems there.
I was initially glad to be prescribed this machine specifically. As a mature platform now pushing 10 years since its introduction, I had high expectations for it, and I haven't been disappointed. I feel much better every day, especially in the afternoons (when I didn't realize how much of a zombie I had been as severe OSA had been wrecking my life like a silent tormenter). I can't ask for more.