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RE: question on the Vest

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- My sons have had the vest for a couple of weeks and they are the

same age as you son. Their regimin is 10 minutes at 7, 10 at 10, 10 at 15.

They also hate the 15. The only one they seem to mind. They cough at this

speed and act like they will throw up. I don't know what it means, but they

do the same thing. Peggy- mom of Jonah and (2 1/2 twins with CF)

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,

My son, Levi, age 3 has had the vest for quite a while and does not

regurgitate with its use. He has, on occasion done so, but it was

always because we did not wait long enough after he had eaten before

strapping him into it.

Maybe you could try doing the vest before breakfast in the morning

and either before supper or late in the evening when his stomach is

empty. Levi uses the vest on pressure setting 8 and frequencies of

7, 17, and 22 for 10 minutes each.

He really objects vocally to the 22 setting much of the time, but

sometimes just waits it out with no complaints. Have you had one

demonstrated on you? I did when we first asked about it and it was

quite an experience. It really shakes you to the core and compresses

your breathing a bit. I can see how that sort of pressure on a full

or partially full stomach would not be good.

If this doesn't help, call the vest company and ask for suggestions.

~

mommy to 3, 1 wcf

> I am just a bit worried as it often makes him regurgitate. Is this

normal ?

> Is it the way to bring mucus up or do you think his regurgitation

is more

> some kind of nauseating due to too much shaking ???

>

> , mom to Leo 2 1/2 wcf and Colin 3 months wo/cf

]

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, Our Vest RT told us to keep the frequency between 6-8

because they have recently found that anything more is not any more

helpful. I did notice with that the higher frequency shakes

him too much. He would get sick if his vest was too soon after a

meal, but what really bothered me was seeing his little head shake so

much with the vest on. All I could think of was those commercials

teaching people not to shake their children because it's dangerous!

Since I'm not 100% sold on the effectiveness of the vest yet (we've

had ours for almost 2 years), I only use it once a day. The other

times I perform hand CPT and lots of physical activity and laughter.

did get a really neat new 'toy' at our last clinic visit -

can't recall the name just now, but you blow into it and it has a

little ball she watches to make sure she's blowing just the right way

and it makes her chest vibrate. It's kind of like what I think a

flutter is, but I know it's not a flutter. If I weren't so lazy, I'd

go check out the name... anyhow, it seems to work better on Em than

the vest and she loves doing it. wants to do it to, but since

she sucks in and blows out through it and there's always condensation

in it when she's finished, I'm concerned about cross-contamination.

My only complaint is that I don't feel like I can sterilize it

enough. Well, I've gotten off track from your message on the vest...

Angi

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Angi,

Thank you for your answer. I am a bit surprised that your RT says that a

frequency superior to 8 is not helpful.

I really notice that Leo only coughs with the last frequency of 14.

How old is ? I am not sure if Leo is old enough to be able to do some

flutter or similar. what exactly do they have to understand ?

, Mom to Leo 2 1/2 wcf and Colin, 3 months wo cf

Re: question on the Vest

, Our Vest RT told us to keep the frequency between 6-8

because they have recently found that anything more is not any more

helpful. I did notice with that the higher frequency shakes

him too much. He would get sick if his vest was too soon after a

meal, but what really bothered me was seeing his little head shake so

much with the vest on. All I could think of was those commercials

teaching people not to shake their children because it's dangerous!

Since I'm not 100% sold on the effectiveness of the vest yet (we've

had ours for almost 2 years), I only use it once a day. The other

times I perform hand CPT and lots of physical activity and laughter.

did get a really neat new 'toy' at our last clinic visit -

can't recall the name just now, but you blow into it and it has a

little ball she watches to make sure she's blowing just the right way

and it makes her chest vibrate. It's kind of like what I think a

flutter is, but I know it's not a flutter. If I weren't so lazy, I'd

go check out the name... anyhow, it seems to work better on Em than

the vest and she loves doing it. wants to do it to, but since

she sucks in and blows out through it and there's always condensation

in it when she's finished, I'm concerned about cross-contamination.

My only complaint is that I don't feel like I can sterilize it

enough. Well, I've gotten off track from your message on the vest...

Angi

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How much does your son weigh? WOW! I cna't believe he's 2.5 with a vest!

Santosh is almost 4 and I am going to have to really fight to get it for

him - they said 6 months ago he was still too small! If Leo is smaller than

Santosh then I am REALLY going to fight for it! Santosh is just 30 lbs . .

..

Krishnan

Mom to Santosh, 4 on 8/14 wcf and Leela, 2 on 8/25 wocf

question on the Vest

Hi,

My son Leo, who is 2 1/2 years has been on the Vest for about a month. I

guess that the procedure is always the same : you get the Vest and a

Respiratory Therapist pays you a visit, explains how the Vest works and sets

a program.

Leo' s prgram is

5 minutes on frequency 6,

5 minutes on frequency 8,

5 minutes on frequency 10 and

5 minutes on frequency 14.

Now frequency 14 looks pretty rough to me. It's the only frequeny Leo seems

upset about (but he doesn't talk...so I don't know how exactly he feels

about it). It's seems productive though, as he usually coughs at that time.

I am just a bit worried as it often makes him regurgitate. Is this normal ?

Is it the way to bring mucus up or do you think his regurgitation is more

some kind of nauseating due to too much shaking ???

, mom to Leo 2 1/2 wcf and Colin 3 months wo/cf

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,

Yep, fight for it !! Leo weighs 27 pounds.

But what they really check is actually the chest width. It must be a minimum

of 22 inches

, Mom to Leo, 2 1/2 wcf and Colin 3 months wo cf

question on the Vest

Hi,

My son Leo, who is 2 1/2 years has been on the Vest for about a month. I

guess that the procedure is always the same : you get the Vest and a

Respiratory Therapist pays you a visit, explains how the Vest works and

sets

a program.

Leo' s prgram is

5 minutes on frequency 6,

5 minutes on frequency 8,

5 minutes on frequency 10 and

5 minutes on frequency 14.

Now frequency 14 looks pretty rough to me. It's the only frequeny Leo

seems

upset about (but he doesn't talk...so I don't know how exactly he feels

about it). It's seems productive though, as he usually coughs at that

time.

I am just a bit worried as it often makes him regurgitate. Is this normal

?

Is it the way to bring mucus up or do you think his regurgitation is more

some kind of nauseating due to too much shaking ???

, mom to Leo 2 1/2 wcf and Colin 3 months wo/cf

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I was told that they had to be 23 inches for the longest time. I saw some

comments from people saying they had the vest for their 18 month children and

I got really upset with my clinic. My boys were 2 1/2 and weighed 31 pounds.

Their chest was 22 inches without taking a deep breath. I called Advanced

Respiratory and asked them about the minimum size. They told me anywhere from

21-23. I really pushed for the vest at our last clinic visit three weeks ago.

They didn't want to prescribe it, but they did after much argument. Our vest

arrived one week later and my boys have been doing a great job with it for

the past two weeks. It is so much easier on me and them. They are actually

coughing up which they have never done before. PUSH FOR THE VEST! Peggy

- mom of Jonah and (twins with CF)

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Chest width or circumferance? In other words, just the front, or all away

around that has to be 22 inches?

Dawn mom of 4

question on the Vest

>

>

> Hi,

>

> My son Leo, who is 2 1/2 years has been on the Vest for about a month. I

> guess that the procedure is always the same : you get the Vest and a

> Respiratory Therapist pays you a visit, explains how the Vest works and

> sets

> a program.

> Leo' s prgram is

> 5 minutes on frequency 6,

> 5 minutes on frequency 8,

> 5 minutes on frequency 10 and

> 5 minutes on frequency 14.

> Now frequency 14 looks pretty rough to me. It's the only frequeny Leo

> seems

> upset about (but he doesn't talk...so I don't know how exactly he feels

> about it). It's seems productive though, as he usually coughs at that

> time.

> I am just a bit worried as it often makes him regurgitate. Is this

normal

> ?

> Is it the way to bring mucus up or do you think his regurgitation is

more

> some kind of nauseating due to too much shaking ???

>

> , mom to Leo 2 1/2 wcf and Colin 3 months wo/cf

>

>

>

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oups, sorry I was talking circumference :-))

Re: question on the Vest

Chest width or circumferance? In other words, just the front, or all away

around that has to be 22 inches?

Dawn mom of 4

question on the Vest

>

>

> Hi,

>

> My son Leo, who is 2 1/2 years has been on the Vest for about a month.

I

> guess that the procedure is always the same : you get the Vest and a

> Respiratory Therapist pays you a visit, explains how the Vest works

and

> sets

> a program.

> Leo' s prgram is

> 5 minutes on frequency 6,

> 5 minutes on frequency 8,

> 5 minutes on frequency 10 and

> 5 minutes on frequency 14.

> Now frequency 14 looks pretty rough to me. It's the only frequeny Leo

> seems

> upset about (but he doesn't talk...so I don't know how exactly he

feels

> about it). It's seems productive though, as he usually coughs at that

> time.

> I am just a bit worried as it often makes him regurgitate. Is this

normal

> ?

> Is it the way to bring mucus up or do you think his regurgitation is

more

> some kind of nauseating due to too much shaking ???

>

> , mom to Leo 2 1/2 wcf and Colin 3 months wo/cf

>

>

>

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My son was 2 1/2 when he got the vest and he is on 10 min @ 10, 10 min @ 12

and 10 min @ 14. We were told if he could not tolerate 14 that it would not

hurt to go 15 min @ 10 and 15 min @ 12--check with the vest company on their

advice. They have been very helpful to us. We use 14 when our son is awake,

but if he's alseep we stay at 10 and 12 so we do not wake him.

Dawn

mom to 3 (one w/cf, one w/Apraxia, one healthy)

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My son got the vest at age 2 1/2 and at 30 lbs. He is in the smallest vest

size available. I had to fight as well, mostly the docs cuz they think CPT

is just as effective at minimal cost. I however believe differently and

encourage you to fight, it was worth it to us.

Good luck

Dawn

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Thanks, , I will!!!!!!!!!!!!!!!!

Krishnan

Mom to Santosh almost 4 wcf and Leela, almost 2 wocf

question on the Vest

Hi,

My son Leo, who is 2 1/2 years has been on the Vest for about a month. I

guess that the procedure is always the same : you get the Vest and a

Respiratory Therapist pays you a visit, explains how the Vest works and

sets

a program.

Leo' s prgram is

5 minutes on frequency 6,

5 minutes on frequency 8,

5 minutes on frequency 10 and

5 minutes on frequency 14.

Now frequency 14 looks pretty rough to me. It's the only frequeny Leo

seems

upset about (but he doesn't talk...so I don't know how exactly he feels

about it). It's seems productive though, as he usually coughs at that

time.

I am just a bit worried as it often makes him regurgitate. Is this normal

?

Is it the way to bring mucus up or do you think his regurgitation is more

some kind of nauseating due to too much shaking ???

, mom to Leo 2 1/2 wcf and Colin 3 months wo/cf

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Thanks!

Krishnan

Mom to Santosh, almost 4 wcf and Leela, almost 2 wocf

Re: question on the Vest

My son got the vest at age 2 1/2 and at 30 lbs. He is in the smallest vest

size available. I had to fight as well, mostly the docs cuz they think CPT

is just as effective at minimal cost. I however believe differently and

encourage you to fight, it was worth it to us.

Good luck

Dawn

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If you get that vest in your home, DO ANYTHING TO KEEP IT. Whether or not

your child is " big " enough for it now, you know he/she will be at some point.

It makes no sense to let them take it away -- for whatever reason. I

guarantee they will eventually approve it. Good luck.

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My daughter is not quite 2 yet, and though she's 28 pounds, her chest

did not meet the manufacturer's " guidelines " . So, they came out and

tried one on her before shipping one. She's doing real well with it,

especially since she wasn't willing to do postural drainage and

appropriate CPT.

Ann

mommy to Joy 20 months.

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HI, I know here in Washington State the vest company came to our clinic and

said that if anyone wanted one, they could have it regardless if you could

pay for it or not. They would take over trying to get payment from your

insurance company and if they could not, you still would not have to pay for

it. I would try to contact the company directly. Hope your grandaughter is

doing well.

mom to Hannah 3 1/2 w/out and h 17 months w/cf

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My insurance company paid for the vest in one payment -- $15,689. I got a

copy of this on the Explanation of Benefits form. I know others pay monthly,

but not ours.

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I am curious if there is help in getting the vest at no or little cost since

the $15000 cost we were told is out of the question for us. I know some

states the children got them free. We are in Ga. and need some advice on

this. Thanks, Roy p.s. our granddaughter goes to the clinic at Shands in

Gainesville

>From: jojay9@...

>Reply-To: cfparents

>To: cfparents

>Subject: Re: question on the Vest

>Date: Thu, 2 Aug 2001 19:46:27 EDT

>

>I was told that they had to be 23 inches for the longest time. I saw some

>comments from people saying they had the vest for their 18 month children

>and

>I got really upset with my clinic. My boys were 2 1/2 and weighed 31

>pounds.

>Their chest was 22 inches without taking a deep breath. I called Advanced

>Respiratory and asked them about the minimum size. They told me anywhere

>from

>21-23. I really pushed for the vest at our last clinic visit three weeks

>ago.

>They didn't want to prescribe it, but they did after much argument. Our

>vest

>arrived one week later and my boys have been doing a great job with it for

>the past two weeks. It is so much easier on me and them. They are actually

>coughing up which they have never done before. PUSH FOR THE VEST! Peggy

>- mom of Jonah and (twins with CF)

>

>

>

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Actually, even though the Vest is worth about 15'000 $, the company that

makes it (American Biosystems) does not sell it, they lease it to your

insurance company, the Vest will always remain property of American

Biosystems. Therefore I think that most insurance plans accept to pay for it

because I guess it must not be a huge amount to pay (at least not if they

look at it in a monthly charge..)

I also think that the Vest does not cost 15,000 $ but that this amount is

probably the result of a calculation of the lease they're getting, maybe in

a 5 year write off ?

that would mean they're charging our insurances 250$ a month. I am sure that

they're making a nice benefit.... I don't think this machine is worth more

than 2,000$

, Mom of Leo, 2 1/2 wcf and Colin 3 months wo cf

Re: question on the Vest

I am curious if there is help in getting the vest at no or little cost

since

the $15000 cost we were told is out of the question for us. I know some

states the children got them free. We are in Ga. and need some advice on

this. Thanks, Roy p.s. our granddaughter goes to the clinic at Shands in

Gainesville

>

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Actually, ours was paid off in a year, with us paying 40 percent and

insurance covering 60 percent...

personally, I don't care if they think they still " own " it.....I figure we

paid for it and they are not getting it back (dang it...)

Just my humble opinion...

Jen

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Jen,

Wow, 40% how can you afford anything else. That is a lot. We gave problems

keeping up with 10% of what we owe of are insurance. With having two kids

with CF and a husband that has Rheumatoid Arthritis. It adds up fast. Deb

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In a message dated 8/7/2001 12:14:54 PM Eastern Daylight Time,

johnsonroy@... writes:

> I am curious if there is help in getting the vest at no or little cost since

> the $15000 cost we were told is out of the question for us. I know some

> states the children got them free. We are in Ga. and need some advice on

> this.

Do you have insurance? With insurance and having CF Center write a good look

of medical necessity and following up on it - fighting them....

good luck.

Rosemary in NY

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How big are your children who are getting them? And how old?

Krishnan

Mom to Santosh, almost 4 wcf and Leela, 2 going on 5 wocf

Re: question on the Vest

I got 2 vests!

Rosemary in NY - with 3 kids with CF - soon getting 3rd.

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