Here's how I fixed my skewed data, at least from here on out:
To check your skew period:
Put your event graph above your flow graph for both view panes. Choose whichever 'time window' best suits for the upper 'navigation' pane, and '5 minutes' for the lower 'detail' pane. Click on one of the most obvious apneas (the longer the better) in the upper pane to get close, then center it as you please in the lower pane. You'll likely see that the event as marked on the lower pane is skewed forward a certain period of time from the identical data in the flow graph in your detail pane.
Take a snapshot of your ResScan 3.10 window and bring it into your favorite image editor. With the rectangle tool, draw a rectangle whose upper right corner sits square in the 'lollipop' icon of your target apnea in the event and whose bottom left corner sits at what you approximate to be the very end of the apnea as it actually appears in the flow data.
Next, create a similar rectangle as a meter to measure the distance from one 1-minute tick-mark to a consecutive minute tick-mark in the minute ruler for the five-minute detail pane.
Divide the width of your minute rectangle by the length of your skew rectangle to get an approximation of the number of minutes your skew is off. Multiply this number by sixty to get the number of seconds instead. (See below.) The only thing is that the data for the hypops seem to be skewed differently. I wonder if there is more than one skew bug here... Either that or I still don't really 'get' how to identify a hypopnea on a graph.
To reset your card and eliminate skew:
I've saved a copy of my sd card from last night and then wiped the card using ResScan. In doing so, the card only contained
settings data
only. I put the card into my machine and it accepted the wiped card, but did not wipe all the accrued summary data still on the machine. I locked the card before putting it into the usb card reader on my computer, then downloaded and discarded duplicate data. All of my data for last night (and the nap too) are now lining up correctly as shown below. Data for the previous skewed nights remain skewed - not much to be done about that. I would amend best practices for card use thus:
Amended Best Practices:
- Open ResScan - allow it to finish opening.
- Lock your SD card.
- Stick the SD card in the reader and allow ResScan to identify the card with the 'Quick Start' feature.
- Select your patient ID.
- 'View Data'.
- 'Discard Duplicate Data'. (I know I've said it before... Flow data erasure is not something that should be so easily accomplished. There should be a check box that allows a default setting the first time. If you are about to erase data from your patient record, you should be asked whether you really want to delete it. It should also be a default setting in tools -> options. I hope ResMed is reading... )
- Read your data.
- Save. (If you're viewing nap data, you could choose not to save here, and wait until your night has finished to save it for real.)
- From here, since the card is locked, it probably doesn't matter if you close ResScan first. It can't change your card.
- Remember to unlock your card when you put it back into the machine.
There also needs to be a more obvious method for wiping the SD card. 'Tools' -> 'Device Settings' -> 'scroll around until you find S9' -> 'erase all data?' is not an intuitive way to wipe the card. How about 'Tools' -> 'Wipe and Reset Device Settings on Card'?