is Resmed any good

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Guest

Post by Guest » Mon Jan 02, 2006 10:25 pm

dsm wrote: <snip>

I still have not found any displays in Encore that show the data is such a straight forward format as AutoScan. MyEncore (written by Derek to make up for the inadequacies of Encore does improve presentation but I dispute the accuracy).
You dispute the accuracy of Derek's MyEncore? Which part? Have you contacted him regarding your findings? I'm sure he would want to hear about any flaws you have found in his software. He is always responding to users inquiries via the forum and PM, and is quick to delve into his program if you're having a problem.

Just a suggestion....

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dsm
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Post by dsm » Mon Jan 02, 2006 10:31 pm

Anonymous wrote:
dsm wrote: <snip>

I still have not found any displays in Encore that show the data is such a straight forward format as AutoScan. MyEncore (written by Derek to make up for the inadequacies of Encore does improve presentation but I dispute the accuracy).
You dispute the accuracy of Derek's MyEncore? Which part? Have you contacted him regarding your findings? I'm sure he would want to hear about any flaws you have found in his software. He is always responding to users inquiries via the forum and PM, and is quick to delve into his program if you're having a problem.

Just a suggestion....
No not of Derek's MyEncore, just the stats for AI HI & AHI from the RemStar but this topic has been gone into repeatedly and 'ad nauseam' elsewhere here and was partly why some of the statements of the 'guest' alias SnoreDog triggered the downhill slide of this thread.

Derek did an excellent job of trying to make Encore useable by human beings.

Cheers

DSM

xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

Lyn
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Post by Lyn » Mon Jan 02, 2006 11:14 pm

Barnaby asked about Resmed "equipment" & not specifically the Spirit. I can't voice any pros or cons about the Spirit, but I have a Resmed S8 Vantage & love it.

Noise ... The air noise from the exhaust ports is louder than any noise from the machine itself. And after the first few nights I

Snoredog wrote ...
"The Spirit triggers heavily off of snore, so if your a chronic snorer you might want to think twice about the Spirit or you would be better off with a straight cpap. Because if you snore the Spirit will blow the top of your head off trying to eliminate them. If your a snorer, to prevent that you have to establish a high pressure limit on this machine." Again, I can't tell you what the Spirit does, but I have no problem with my S8 & snoring. I have mine set for auto with a pressure range of 8 to 13 & has only ever reached 11 or higher twice in 3 months. And yes, sorry to say, I am a snorer.

As to the humidifier, the top (to which the hose is attached) snaps loose & flips back. You can then simply lift the water tank out. I find it just as easy to leave it on the machine & just fill it. I do use a measuring cup if the gallon water bottle is full, but after that I just pour out of the bottle.

I don't get into all the technical aspects, so the info I can get (pressure, leaks, AHI, AI & HI)right from the display on the machine will suffice for me. The only complaint I have here is that you have to get the info before noon for the night before or you lose it.

As long as my snoring has stopped, my apneas & hypopneas are under control & I feel soooo much better, I don't have any complaints about the Resmed S8 Vantage.

Lyn


Snoredog

Post by Snoredog » Mon Jan 02, 2006 11:52 pm

dsm wrote:
No not of Derek's MyEncore, just the stats for AI HI & AHI from the RemStar but this topic has been gone into repeatedly and 'ad nauseam' elsewhere here and was partly why some of the statements of the 'guest' alias SnoreDog triggered the downhill slide of this thread.

Derek did an excellent job of trying to make Encore useable by human beings.
If there are ANY comments that "caused the downhill slide of this thread" it was triggered by dsm's own comments not anyone elses.

If it takes being a jerk to become a member here, I'll remain a guest.


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dsm
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Post by dsm » Tue Jan 03, 2006 12:18 am

SnoreDog

Pls PM me - lets sort this out away from the spotlights
I am sure we can resolve our respective views polietly.

Cheers & a Happy New Year

Doug
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

Guest

Post by Guest » Tue Jan 03, 2006 2:56 am

dsm wrote:
Anonymous wrote:
dsm wrote: <snip>

I still have not found any displays in Encore that show the data is such a straight forward format as AutoScan. MyEncore (written by Derek to make up for the inadequacies of Encore does improve presentation but I dispute the accuracy).
You dispute the accuracy of Derek's MyEncore? Which part? Have you contacted him regarding your findings? I'm sure he would want to hear about any flaws you have found in his software. He is always responding to users inquiries via the forum and PM, and is quick to delve into his program if you're having a problem.

Just a suggestion....
No not of Derek's MyEncore, just the stats for AI HI & AHI from the RemStar but this topic has been gone into repeatedly and 'ad nauseam' elsewhere
I searched for the information to which your are referring which deliberate this topic 'ad nauseum'. Interesting. You continue to say you dispute the accuracy of the Remstar machine for AI, HI and AHI, but as was well-addressed within the context of the other threads, it appears the accuracy of the Respironics Auto is not the issue, but rather your personal opinion of the data. Might be better to eliminate the word "inaccuracy" lest users are led to believe the Remstar is reporting incorrect data.

There are occasions when users have espoused their preference for one machine over another for any number of reasons, as is obviously the case for you. But continuing to state the data retrieved from the Remstar is inaccurate is, well, inaccurate.


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dsm
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Post by dsm » Tue Jan 03, 2006 3:27 am

Anonymous wrote:
dsm wrote:
Anonymous wrote:
dsm wrote: <snip>

I still have not found any displays in Encore that show the data is such a straight forward format as AutoScan. MyEncore (written by Derek to make up for the inadequacies of Encore does improve presentation but I dispute the accuracy).
You dispute the accuracy of Derek's MyEncore? Which part? Have you contacted him regarding your findings? I'm sure he would want to hear about any flaws you have found in his software. He is always responding to users inquiries via the forum and PM, and is quick to delve into his program if you're having a problem.

Just a suggestion....
No not of Derek's MyEncore, just the stats for AI HI & AHI from the RemStar but this topic has been gone into repeatedly and 'ad nauseam' elsewhere
I searched for the information to which your are referring which deliberate this topic 'ad nauseum'. Interesting. You continue to say you dispute the accuracy of the Remstar machine for AI, HI and AHI, but as was well-addressed within the context of the other threads, it appears the accuracy of the Respironics Auto is not the issue, but rather your personal opinion of the data. Might be better to eliminate the word "inaccuracy" lest users are led to believe the Remstar is reporting incorrect data.

There are occasions when users have espoused their preference for one machine over another for any number of reasons, as is obviously the case for you. But continuing to state the data retrieved from the Remstar is inaccurate is, well, inaccurate.
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

sir_cumference
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Post by sir_cumference » Tue Jan 03, 2006 6:37 am

Resmed ... are they any good? YES! Top notch ... will treat you very well, are very well made and you should not worry even slightly that you have a second class machine or equipment ... if you have resmed you have excellence!

However, I should also say that most of the other well know suppliers also provide excellent machines! So I guess the real test is, 'is it working?' If it works, then don't worry. If not, it probably isn't the machine, but some setting or problems with a mask or any number of other things that you should talk to you sleep expert about.

I have the S7 and S8 autoset spirits and both are superb. They both treat me wonderfully well and serve me with everything I need. The S8 does have the advantage in terms of size, humidifier filling and noise .. oh and the display is slightly easier to read than the S7 ... but as for software I don't have a clue! And to be honest I don't even care ... in fact after 4 or 5 months I stopped even looking at the daily readout! If it works, then don't worry, and certainly don't worry about having a resmed unit .. they are up there with the best of the best.
sir_cumference


Guest

Post by Guest » Tue Jan 03, 2006 10:33 am

Please read very closely ...
dsm wrote: <snip>
I then attempted to determine which machine was likely to be providing me with the most accurate / useful data so over a period of weeks I had my wife report what she was observing then each day I downloaded the night's data and attempted to corelate that info to my wife's usually very astute & accurate observations.

Over time I came to the conclusion that one machine's data didn't match what was being observed.
To reach the conclusion the Remstar data regarding your apnea and hypopnea indices is inaccurate based upon your wife's visual observations as you slept is certainly a novel and subjective approach. As is your conclusion the Remstar data is inaccurate because it differs from another manufacturer's data.
dsm wrote:The theories put forward by some posters amounted to the admission that AUTOs really don't agree in many ways re the events they are reporting and that this is ok and we should accept such glaring AI HI discrepancies as I had observed, without concern. We just have to understand that the reported data is not what we think it should be!.
What you refer to as theories are well-defined facts. The varying algorithms manufacturers use for their auto-titrating machines, as well as the varying criteria for reporting data will produce varying results. Not inaccurate results, but varying results. Whether or not this is "ok" with you, personally, or causes you concern is immaterial in the scope of defining accuracy.

Your disappointment in the differing results is clear. Your disappointment in the degree of the differing results is clear. Your disappointment that the differing reported data is not what you think it should be is clear. The key point is understanding "different" is not synonymous with "inaccurate".
dsm wrote:I do not think this is all that hard to understand.
Nor do I. The misnomer of "inaccurate results" would more correctly be defined as "varying results".


M. Curie

Apneas & Hypopneas- just count 'em!

Post by M. Curie » Tue Jan 03, 2006 12:17 pm

I downloaded the night's data and attempted to corelate that info to my wife's usually very astute & accurate observations.

Over time I came to the conclusion that one machine's data didn't match what was being observed.


That experiment is very similar to my own. I was using straight CPAP but did not feel rested at all. So I asked my keen hubby to watch me very closely as I slept. I had been reading this message board long enough to know my sleep study in the local clinic might have been wrong. "Look for sleep arousals" I instructed him. "Look several inches below the skull if you want to be able to see them with any degree of accuracy." Sure enough the next day astute hubby reported more than a hundred. No wonder I was so tired. All I have to do now is figure out how to get rid of them.

Tonight I will have dear hubby lower his stare to below my chin. About two inches in to be precise. I will have him keep track of how many hypopneas I have and how many apneas. My hunch is the numbers are wrong from the sleep study and hubby will spot the discrepancy.

Moral of the story: some people here just do not recognize sound experimentation when they see it.


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wading thru the muck!
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"chip on the shoulder" award

Post by wading thru the muck! » Tue Jan 03, 2006 1:21 pm

The envelope please...

Snoredog - Snoozecat - Various guests - M. Curie... your combined posts have won you the 2006 "chip on your shoulder" award.

Congratulations!
Sincerely,
wading thru the muck of the sleep study/DME/Insurance money pit!

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rested gal
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Re: "chip on the shoulder" award

Post by rested gal » Tue Jan 03, 2006 4:22 pm

wading thru the muck! wrote:The envelope please...

Snoredog - Snoozecat - Various guests - M. Curie... your combined posts have won you the 2006 "chip on your shoulder" award.

Congratulations!
What? What?!! You're giving them a "chip on your shoulder" award??!!

Looks more like a "good head on your shoulders" award to me. With a special lifetime humor award to M. Curie for the funniest spoofy experiment account I've ever read! LOL!!

But then, I wear those K-Mart reading glasses thingies, so.....maybe that's why I see the award differently!

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wading thru the muck!
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Post by wading thru the muck! » Tue Jan 03, 2006 4:48 pm

RG,

Regarding Madam C... Your disingenuousness detector is on the fritz again.
Sincerely,
wading thru the muck of the sleep study/DME/Insurance money pit!

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dsm
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Post by dsm » Tue Jan 03, 2006 5:27 pm

wading thru the muck! wrote:RG,

Regarding Madam C... Your disingenuousness detector is on the fritz again.


D
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

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rested gal
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Post by rested gal » Tue Jan 03, 2006 5:53 pm

dsm wrote: If one AUTOs printout shows me it has recorded an AI of 4 and an HI of 1 and another AUTO tells me it has an AI of 1 and an HI of 4 under essentially identical situations, does it seem in any way unreasonable that I might question what I am seeing.
dsm, I don't think it's unreasonable to question that. However an apparently technically savvy Guest has offered an explanation that I understand and that is acceptable to me, though apparently it doesn't satisfy you. I don't mean that in any unkind way. I simply think the Guest nailed it.
dsm wrote: I was so surprised I contacted RG and explained my findings. RG replied to me at the time saying she too had noticed discrepancies between the 2 brands of machines.
I looked back through my PM "inbox" and "sentbox", trying to find our exchange, but those PMs have apparently been pushed off by newer ones now. As best I can remember:

You mentioned the differences you saw in the AHI reported by the two autos you were using - the REMstar Auto with C-Flex, and the ResMed S7 Autoset Spirit. I remember telling you that I had also seen a difference in my reports when I had used the same two machines...that the Spirit always reported a higher AHI for me than the REMstar did.

I think I also recall mentioning that I received equally good treatment from both machines -- a statement I've made frequently about all three manufacturers' autopaps I've used.

One thing I'm pretty sure of is that nowhere in our discussions about the reports would I have said I was concerned about the different AHI's the two machines came up with. Nor do I think I'd have said one was accurate and the other was not. I simply saw them as "different", and agreed with you that, yes, the two machines yielded different AHI's from each other when I used them.

I know you've not said that I attributed accuracy to one machine over the other. I just want to be sure we're clear about that since you mentioned,

"RG replied to me at the time saying she too had noticed discrepancies between the 2 brands of machines."

That's true. I did notice differences in the AHI the two machines reported for me. The differences in the reports didn't bother me then, and still don't now.

Doug, I'm glad you've found the machine that works best so far for you. Hope you have continued smooth treatment in the newly arrived 2006!!