Using the "MyAir" feature of the AirSense 10 Autoset

[story1267]

Does anyone else feel like sharing and badges are childish?

Yes! Absolutely! OTOH this whole journey has been such a complete drag I'm always happy for a little comic relief. And I tried to share my badge on FB, goshdarnit, and it wouldn't post

[cathyf]

I'm glad that y'all can laugh about this, because MyAir mostly pisses me off. But then what can you expect from an industry which uses the word "compliance" to describe what people do when they are freakin UNCONCIOUS?!?!?!

I had the following exchange with their tech supposrt people last February:

Me:

As I back and forth through the different dates, the score shown in the circle jumps around. The "show details" button shows me a particular score for a particular day, but the total at the top is sometimes the same, sometimes different, and which ones are wrong changes and how much they are wrong by changes.

Them:

Hello Cathy,

Thank you for contacting ResMed. There are circumstances that can delay the transmission such as poor cellular coverage, a device being powered down, or in some cases excessive data traffic into myAir. Because of this your score may change cause the data has not completely updated.

Thank you

MyAir Support Team

Me: (Huh? Really? Did you freakin READ what I wrote?) I responded with 17 screenshots and the following excruciatingly detailed narration.

The problem is not with the data stored at the ResMed site — the data displayed on the “score details” section of the web page is apparently correct. (The usage times and the AHIs are quite close to what is reported on the SD card.) But the “myAir score” reported on the top, in the multi-colored circle, wanders around and takes bizarre values as you page back and forth through the various days by hitting the > and < on the web page. The number in the circle for any particular date is totally inconsistent.

Example: Sleep day Feb 14th, which I paged through 4 times in this series of screenshots. First time I went to it, the total score was shown as 87 on the top. The second time, 98, and the third time, 97, the fourth time 98. The detail score was always 98, and the usage was always reported as 8:00 hours, 0.3 AHI and mask on/off of 3. The data reported on the card is 7:58:05 usage, AHI of 0.38, and 5 sleep sessions.

Example: Sleep day Feb 15th, which I paged through 3 times in this series of screenshots. First time I went to it, the total score was shown as 99 on the top. The second time, 87, and the third time, 66. The detail score was always 99, and the usage was always reported as 7:41 hours, 0.2 AHI and mask on/off of 2. The data reported on the card is 7:40:01 usage, AHI of 0.26, and 2 sleep sessions.

Each sleep score is reported on the page twice — once on top as the summary number, and once down below in the detail breakout. The detail section appears to be always right, so ResMed DOES have the correct data.

To which they replied:

Thank you for the explanation. I will forward this to the developers. I apologize for the inconvenience.

It's fixed now, but it wasn't fixed in May (the last time I looked.) They must have completely rewritten the user interface after somebody actually USED it when they had to test that the bug I reported was fixed. In the old interface, when you hit the arrow to change days it redrew the entire page, closed up the bottom detail section, and scrolled back to the top so that when you reopened the detail section you had to scroll down to see it. Now the detail part stays open, is vertically compact, and as you page through the different days it uses javascript or ajex or something similar to quickly and efficiently redraw the data that is changing.

The whole MyAir project is complete amateur hour. The random and arbitrary scoring system. The snotty childish badges. The (rather horrifying) notion that you would share any of their embarrassingly childish crap on your social media. The obvious fact that no one tested the MyAir web software before implementing it, and they were completely surprised at how the site operated six months later. Sleep apnea is a serious medical condition which kills people every day. Sleep apnea treatments can be frustratingly difficult to implement because it all happens when the patient is ASLEEP and can't monitor the performance of the equipment in real time. When people are ASLEEP they are UNCONSCIOUS, and insulting them for their supposed "choices" while unconscious is nasty and childish and demonstrates contempt for the patients who use the equipment.

Given that I'm relying on the machine to operate properly when I'm UNCONSCIOUS and can't monitor it, ResMed's performance in implementing the MyAir website is quite frankly rather scary.

[chunkyfrog]

I have not had a MyAir account set up. Medicare did not require or pay for it.
My DME had just started selling these machines, and I chose
not to challenge their knowledge and waste their time for something so inane.

[Pugsy]

ResMed's performance in implementing the MyAir website is quite frankly rather scary.

Very true but you know what I think about the MyAir crap....it's about what I would expect from someone who still gives you a smiley face for leak control when you spent 29% of the night in large leak. Mr Frowny doesn't make an appearance until you hit 30% or more time in large leak.
The whole smiley/frowny face thing just irritates me as being childish and feel like we are treated like small children and being talked down to and that just gets me riled up thinking about it.
We are treated like we are too stupid to understand even the smallest of details and this stuff isn't rocket science by a long shot.

[chunkyfrog]

So many of us have smartphones, with Bluetooth connections to multiple devices.
I just started using a glucometer that interfaces with my phone.
My cpap should, IMHO.

[andycole]

I look at MyAir before dismounting SD card to input to SH. Got my first gold badge - nonsense. As usual I scroll thru the screens but NO WHERE does it show AHI. I can only find it on my machine (RT at sleep study did something to settings) or via SH. If that is such an important piece of info, why doesn't ResMed include it in MyAir?

[palerider]

I look at MyAir before dismounting SD card to input to SH. Got my first gold badge - nonsense. As usual I scroll thru the screens but NO WHERE does it show AHI. I can only find it on my machine (RT at sleep study did something to settings) or via SH. If that is such an important piece of info, why doesn't ResMed include it in MyAir?

because it's just a useless showy thing.

[Heart Jumping]

I look at MyAir before dismounting SD card to input to SH. Got my first gold badge - nonsense. As usual I scroll thru the screens but NO WHERE does it show AHI. I can only find it on my machine (RT at sleep study did something to settings) or via SH. If that is such an important piece of info, why doesn't ResMed include it in MyAir?

If you click on "show score details" underneath your score, it shows your AHI per hour. It does not break them down by type, but it does give you the number. You can then use the arrow buttons to see the last 14 days data in a chart for AHI, hours used etc. It's very basic, but at least better than nothing.

[BikeisDusty]

I am a new CPAP user, just a few weeks and had Stars in my eyes when I heard there was kewl things you could do with the Airsense. I was wrong. The Myair is a bit lame in my opinion. Sleepyhead software has been more useful in helping me get started.

I think the MyAir is just a SHOW for Resmed to get you sign the "Terms of Agreement" for them to use the data for any and everything. If you read it, which I doubt you did, you gave the full rights to your data including selling it. Even if you do not use the MyAir, I am sure the paper work with the box says something about this as the modem works regardless. This is full CYA for them to use your medical data for sure.

They included a modem, probably LTE and 3G capable, not sure which carrier - Verizon, T-Mobile, Sprint, or AT&T- typically adds a $100 to the device cost or more. The CPAP talks daily to their server some data, probably at a cost of $3 a month per device for the life of the unit. If you keep this unit for 5 years, that is $300 cost to Resmed to keep it reporting. There is not fee to you to recover this, so Resmed must have figured out some revenue stream for selling your usage - anonymous as well non-anonymous. I assume they will also use this information to better study a vast usage of CPAP users and what the products, masks, features, overall usage, and how to monetize the industry better, as well as increasing health of the users.

From the ResMed terms of service

User content
Except as provided in our website Privacy Policy, any content that you submit to this Website or ResMed, whether directly or through a third-party website ('User Content') will be deemed to be nonconfidential and may be disclosed through this Website to unknown persons on a worldwide basis without control by ResMed, including for browsing, downloading, printing and other uses by such other persons or entities. You agree not to submit User Content to this Website or ResMed except for User Content that is fully authorized for purposes of this Website and these Terms of Use, and by posting User Content on this Website, you warrant and represent that you own the rights to the User Content or are otherwise authorized to post, distribute, display, perform, transmit or otherwise distribute User Content. It is your obligation to determine the extent to which User Content you submit is protected by applicable intellectual property laws. You agree that ResMed shall have, and hereby grant to ResMed, a worldwide, royalty-free, perpetual, irrevocable, sublicenseable, non-exclusive right and license to translate, reproduce, sell, publish, distribute, modify, adapt, display, perform, promote, link to or use, in any form or media, any User Content that you submit to this Website or ResMed. ResMed does not endorse any User Content, or third-party product or service that may appear on this Website. Nothing in these Terms of Use shall obligate ResMed to use any User Content you submit or permit the posting of such User Content on this Website.

[SteveNH]

So glad I am not the only one who thinks this app is useless. I am new to using the Apap (less than 2 weeks) and even though I know I am not sleeping soundly my score is 100 every night because my mask fits well and I "use it" 8 hours. Notice I didn't say sleep 8 hours. I feel like the kids in sports where everyone in a winner. Give me useful data or don't give me any.
My fitbit gives me better sleep data than this app.