Philips System One 560P Keep or Upgrade?

[Pugsy]

Don't waste money on the bluetooth thing. All you get is the same stuff you get off the DreamMapper app which is obviously very limited data.

You may have some trouble with your Mac due to security prompts. I don't know how to tell them to shut up on a Mac but I got the same prompt from Windows. I just told Windows I wanted to ignore its warning.
There are no bad guys hidden in OSCAR.

[beardedone303]

Don't waste money on the bluetooth thing. All you get is the same stuff you get off the DreamMapper app which is obviously very limited data.

You may have some trouble with your Mac due to security prompts. I don't know how to tell them to shut up on a Mac but I got the same prompt from Windows. I just told Windows I wanted to ignore its warning.
There are no bad guys hidden in OSCAR.

Thank you! I figured it out and have the stats. Which graph would be the most helpful to share on here? I see Daily, Overview and Statistics tab on OSCAR.

[beardedone303]

get a machine like the Dreams Station 10
...
Dream Station Air Sense

There is no such thing as a Dreams Station 10 or a Dream Station Air Sense. You are merging the names between two different manufacturers. You really should try to make a better effort to accurately describe your machine so that you will get back more accurate information and so you don't end up getting the wrong machine.

There is the Respironics Dreamstation line, and ResMed AirSense 10 line of devices.

The System One is working well and I'm considering getting the blue tooth adapter so that I don't have to transfer data via SD card.

Don't invest any money into your System One, it's 6 years old and the blue tooth adapter won't allow you to transfer the detail data. I'm assuming you're using the the SD Card for detailed data with OSCAR/Sleepy head.

The Blue tooth allows connection from the Respironics DreamMapper app, and is no substitute for OSCAR.

My recent AHI has averaged .8 - 3.0 which I think is great.

.8 is great, 3.0 not so much.

Most here would not be happy with that. Post some OSCAR graphs and I'm sure that can be improved.

My question to you all is, am I missing out on any new features of the new machines like the Dream Station Air Sense compared to my System One? I don't need a humidifier. Or, do I just stick with what I have until there are any performance issues?

I'm going under the assumption you mean the ResMed AirSense 10 line.

The ResMed AirSense 10 AutoSet and ResMed AirSense 10 AutoSet for Her are probably the two most popular machines here. They are highly recommended and for the most part you can't go wrong with them, even though you're a him.

Having said that, ensure it is an AutoSet.

Your machine is 6 years old, the typical recommendation is to replace them after 5. Many of us keep spares, so we don't have to go without, should our devices fail. So now is a good time to replace it, but keep your System One as a spare.

Member LSAT is always selling gently used devices, he sells them at terrific prices and has a terrific reputation.

Shoot him a PM.

I was able to succesfully install OSCAR. Which graphs would be the most helpful to share on here? Daily, Overview, Statistics are the options that I'm seeing as being available

[Pugsy]

viewtopic/t158560/How-to-post-images-for-review.html


I like to start with a typical detailed nightly report with just the basics and go from there.
I don't really care for the overview graphs unless I am looking for a quick reference for hours of usage.

OSCAR will give you a lot of graphs and data points that you don't really need. Stick with the basics...pressure, leak, AHI, Events...and that's a good enough start.
All those other graphs have such a wide range in norms that they really don't tell us much of anything and if you are outside the norms that would mean some sort of respiratory issue that you would likely already be aware of anyway.

[beardedone303]

viewtopic/t158560/How-to-post-images-for-review.html


I like to start with a typical detailed nightly report with just the basics and go from there.
I don't really care for the overview graphs unless I am looking for a quick reference for hours of usage.

OSCAR will give you a lot of graphs and data points that you don't really need. Stick with the basics...pressure, leak, AHI, Events...and that's a good enough start.
All those other graphs have such a wide range in norms that they really don't tell us much of anything and if you are outside the norms that would mean some sort of respiratory issue that you would likely already be aware of anyway.

Thank you! I tried findng a post on how to post OSCAR results but didnt' come across your post, very helpful!

[beardedone303]

Here are last nights stats!

[zonker]

Do you think knowing now that I only have logged 5,300 hours on the machine makes it less likely to break down? I figure if it does break down I can have a new machine within a week and it wouldn't be the end of the world for me.
All of the comments on here have really helped guide my decision towards keeping what I have until I can more easily pay to have a new(er) machine to buy outright.

dunno. math makes my head hurt.

what would concern ME more is going a week without therapy. as dog said above, an ahi of 3 isn't considered good here. for myself, an ahi of even 1 to 1.5 results in minor morning headaches. and who needs that?

my thought is that once your therapy is optimized, you too may not feel so keen to sleep without it for a week.

and i see by your final sentence there that you are going to go what i would think is the right route.

all in all, it looks like you have the right attitude to make this cpap thing work. you'll be good with the help of the experts here.

oh and by the way?

i am NOT one of the experts!

[Pugsy]

Last night's report looks pretty good. I see you are in fixed cpap mode. Any special reason for that mode?

If sleeping good and feeling good there probably isn't any urgent need to change but if you are of a mind to experiment a bit then changing to auto/apap mode and letting the machine see if it can address the few obstructive events with a little bit of auto adjusting.
Maybe with a small range just to see if it wants to do much or if real gutsy a bigger range. There's nothing wrong with doing a little experimentation if you are of a mind to but there probably isn't any urgent reason. Some people like to experiment and some don't.

[beardedone303]

Last night's report looks pretty good. I see you are in fixed cpap mode. Any special reason for that mode?

If sleeping good and feeling good there probably isn't any urgent need to change but if you are of a mind to experiment a bit then changing to auto/apap mode and letting the machine see if it can address the few obstructive events with a little bit of auto adjusting.
Maybe with a small range just to see if it wants to do much or if real gutsy a bigger range. There's nothing wrong with doing a little experimentation if you are of a mind to but there probably isn't any urgent reason. Some people like to experiment and some don't.

Thanks for the quick reply! This is where I continue to admit my ignorance. I only know how to change my pressure settings and ramp settings but have never been coached with how to adjust other settings. I will look in to changing it to auto mode ( I thought I've been in auto this whole time)! Much thanks again. I'm excited to go to sleep tonight!

[Pugsy]

In the clinical setup menu where you can change pressures there is also a "mode" selection and that is where you can change it to auto mode and at that time you then have a minimum and maximum pressure setting available.
If you elect to try it...I suggest minimum at your current cpap fixed pressure of 9 and maybe 15 max. The machine won't go up unless it senses a need to go up. I don't suggest trying a lower minimum at this time because you might find it a bit uncomfortable at first since you have been using 9 cm for quite a while. Probably wouldn't hurt you but the fact that it might feel a bit stifling might impact your comfort to the point you might have trouble falling asleep.

[beardedone303]

In the clinical setup menu where you can change pressures there is also a "mode" selection and that is where you can change it to auto mode and at that time you then have a minimum and maximum pressure setting available.
If you elect to try it...I suggest minimum at your current cpap fixed pressure of 9 and maybe 15 max. The machine won't go up unless it senses a need to go up. I don't suggest trying a lower minimum at this time because you might find it a bit uncomfortable at first since you have been using 9 cm for quite a while. Probably wouldn't hurt you but the fact that it might feel a bit stifling might impact your comfort to the point you might have trouble falling asleep.

You are a saint my friend! I will try these settings tonight. Have a great day!

[JLROhio]

In the clinical setup menu where you can change pressures there is also a "mode" selection and that is where you can change it to auto mode and at that time you then have a minimum and maximum pressure setting available.

Is the "Provider Mode" (clinical setup menu) access the same on most Philips devices?

(i.e. Press and Hold BOTH the Control Dial and Ramp button on the device for 5 seconds) ???

[Pugsy]

In the clinical setup menu where you can change pressures there is also a "mode" selection and that is where you can change it to auto mode and at that time you then have a minimum and maximum pressure setting available.

Is the "Provider Mode" (clinical setup menu) access the same on most Philips devices?

(i.e. Press and Hold BOTH the Control Dial and Ramp button on the device for 5 seconds) ???

Yep...pretty much all the machine brands have kept the secret handshake combination of button pushing the same throughout all the model changes. It was the same combination when I used the M series machine. That part no one ever seems to change.

[JLROhio]

Yep...pretty much all the machine brands have kept the secret handshake combination of button pushing the same throughout all the model changes. It was the same combination when I used the M series machine. That part no one ever seems to change.

Thank you for confirming - SAINT Pugsy!

[Dog Slobber]

First a little pre-amble:

• Without proper sleep diagnostic equipment, sleep stages can not be reliably measured and consistently determined
• Our devices can't reliably determine sleep stages
• One of the qualities (with some people) of REM sleep is an increase in respiration rate, lasting about 30 minutes and occurring about every 90 minutes
• On some people, the respiration rate increase pattern is fairly pronounced in their OSCAR respiration rate chart, on many people their respiration rate is simply too volatile to see REM.
• On some people, during REM sleep apnea is worsened because of loss of muscle tone.

On my charts, what I believe to be REM is *very* pronounced and with the increased RR almost always I see an increase in flow limitations and the machine respond with a pressure increase. It's also worth pointing out that humans are pattern-recognising creatures and sometimes look for, and find patterns that aren't really there or significant.

Having said that, your chart does show qualities consistent with REM sleep. I've high-lighted them. Worth noting during these REM presumed periods are correlations in increased Hypopnea's and Flow Limitations.

The good news is; APAP mode is ideal for addressing increased apnea during REM. It allows lower pressures for most of the night and should REM (or something else) require an increase in pressure the machine will respond.

I like Pugsy's advice of 9-15.