Jeff, you are incorrect as I see him personally, and you can believe whatever you will. He is the best of the best, period. Yes he uses NIVV, but he uses it connected to a ventilator instead of using pressure cycled Bipaps. Thus, maybe you should read about him a little more in depth and detail, and should have focused on my point that non invasive ventilation is what he prefers but using volume cycled ventilators and not pressure cycled bipaps. Would you like me to email you a statement sent to me about why a bipap is outdated directly from him, and how "ALS SPECIALISTS" are mismanaging patient's. You seem to want to challenge me, and that is fine, but do not do a disservice to this community by coming off as I did yesterday. For your information Jeff, he does not want me to switch to invasive ventilation, and I am doing it at my own choice. Furthermore, I provided a link to the most anti vent pulmonologist in the world. He is the master of non-invasive ventilation, and I will be glad to provide others who have the same opinions as him. The bottom line is there are two types of non invasive ventilation, well really about 5, but I will talk about two for arguments sake. #1 NIVV using traditional Bipap which is pressure controlled, and # NIVV using an actual ventilator in forced volume cycle mode to achieve the full effect of a ventilator without going invasive. This is how I have been managed. He passes the Litmus test for sure, when he has several patient's at 20 years plus with the disease that I personally know. I have been to probably 30 Pulmos over the years, and he is by far the only one who knew how to manage my condition, thus in my opinion he is the best of the best. Let me know if you would like his email sent to me from a few months back, taking about how BIPAP is inappropriate. You need to read between the lines yourself a bit and not think your going to down talk me.