Autoset II Data?

[joey777]

Need a little help/info. Trying to figure out what data screen I should be using to gather data. If I use the data on the " Regular" Review/Efficacy menu screen (pressing and holding the left and right keys) I get different readings from the "clinical" Results/Efficacy menu screen. I am assuming that one is used for an average and one shows the highs for the day?? Am I right? Which one is which and which one should I be using?

[Slinky]

Darned if I know! I just checked my Resmed S8 II VPAP Auto (bi-level) data from both the Efficacy Data screen AND from the Clinicians Menu Results menu and the data is all the same.

I wonder if it might have something to do w/how soon after rising in the morning you check the results? Like maybe the Efficacy Data is the immediate data and the Clinician Menu Results data is in a holding pattern to see if you go back to bed before averaging out and reporting the final data for the night?

I almost never check the Clinician Menu Results data. I almost always check the Efficacy Data menu when I get up and later in the day download my data card before noon and use the software report data.

I would think that it really wouldn't make that much difference as long as you use one or the other consistently.

[joey777]

Thanks Slinky. I think that's good advice. One or the other. Here is my numbers both ways.

From Clinical Menu:

Pressure 7.4
Leak 1.6
AHI 6.1
AI 0.2
HI 5.9

From REVIEW Menu:

Pressure 7.6
Leak .26
AHI 6.1
AI .4
HI 5.9

A bit of a difference but not much. I should say that this is based on approximately 4 hours of sleep. Being a newbie that's all I can make right now. I don't have a good idea on what is good data or bad except I believe an AHI of 5 is about in the normal range. My doctor is of no help so soon I will be looking for a new one. Thank god for this site or I would have given up already.

[billbolton]

Which one is which and which one should I be using?

On an S8 Autoset Spirit (that is, not a II), the data displayed is the same for both methods of viewing it.

Cheers,

Bill

[wjp]

These numbers seem very odd.

I believe the HI and AI should sum to the AHI number.

In your example the clinical menu did, but the other did not????

[joey777]

[quote="wjp"]These numbers seem very odd.

I believe the HI and AI should sum to the AHI number.

In your example the clinical menu did, but the other did not????

I went back and looked at a few days of data (that's all I have) My "review numbers added up last night AI+HI= AHI. I will definitely keep en eye out to make sure they add up in the future. Maybe in my haze I didn't write them down correctly for that day. Thanks for the heads up!

[wjp]

I have the same autoset II machine you have.

I checked the clinical and review menus this morning and get the exact same values on both.

Sorry, I can't explain it.

[joey777]

Wjp..Neither does Resmed. In fact they were of no help at all, They simply said "As long as the machine is giving you therapy don't worry about the numbers?? SAY WHAT! Sounds just like my doctor and that's why he's history! (My doctor told me don't educate yourself about CPAP and stay off the Internet! I don't think so! What a jerk. I am still fighting to get my records from him. I guess if they don't come though soon I will have to report them to HIPPA.) But I expected more from Resmed. One thing Resmed did say about the different data from screen to screen was maybe it could be that I was using a different mask and not a Resmed. (using a headset mask) I'm doubting it though but I guess it could be possible.

Wjp..what mask are you using with your Autoset II and what mask setting do you have at? EX.. Standard, swift ect...

[Slinky]

Joey, have you requested your "records" from this doctor IN WRITING? IF you have requested them IN WRITING, then prepare another written request and SEND IT CERTIFIED MAIL, RETURN RECEIPT REQUESTED AND CC'D TO YOUR STATE LICENSING BOARD. Make sure that you note on the written request CC to "whatever the name of your state licensing board is" and you might also want to CC it to your local medical society.

If you haven't until now requested your records IN WRITING, now is the time to do it w/o CC'ing to the state licensing board and local medical society, give him a reasonable amount of time, say 2 weeks, and then send a second request CC'd to the above.

Save a copy of your written request(s) as well as all your proofs of mailing, certification and return receipts. They are your WRITTEN PROOF of your request and his non-compliance. The state licensing board will then step in and investigate your complaint. i.e. you have that doctor by the short hairs.

[joey777]

Well I went in in person and filled out a written request for my records and all I got was a one page report on my first visit. Basically a diagnoses saying I have OA. No S**T! This was after I explained I wanted "ALL" of them, sleep studies included. They are just playing games. I'm going to call one more time before writing the letter to see if I get them. I haven't paid the rest of my bill yet so I could try to use this as a bargaining chip. Not a nice thing to do but when I was there in person they gave me every excuse in the book why I couldn't get them right than and there. Examples... It would take to long, doctor was on vacation and hasn't read them fully ect... You should have heard the conversation when I tried to get an Autopap machine. WOW! I won on that one and now I am glad I stuck to my guns. This is a very phoney business! I am in the "EYE" field and some eye doctors like to play the same games. If any doctor doesn't want you to learn about your condition or withholds a prescription from you just dump them! In the end you will be glad you did. Find one that will work with you. After all it's your health at stake not their's.

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[wjp]

I think I was going down the same path as you. I was trying to see if maybe the review results were backing out the Masks leak rate and the clinical menu was not. Nope, exactly the same for me.

I have the machine set for a mask setting of Ultra ( what my DME set ).

It does not have either of my actual masks, so I never bothered to change it. I use the Hybrid and Quatro interchangeably. They have different leak rates, so my leak measurement can vary pretty widely.

I'm surprised ResMed could not give you any information. I have never called them, but from the posts it sounds like most people have been pretty happy with their customer service.

[jnk]

I have the machine set for a mask setting of Ultra ( what my DME set ).

It does not have either of my actual masks, so I never bothered to change it. I use the Hybrid and Quatro interchangeably. They have different leak rates, so my leak measurement can vary pretty widely.

I believe that the mask setting should be "MIR FULL" when you use the Quattro. That's probably the best setting for the Hybrid, too--although I'm surprised your machine runs well as an autoset with the Hybrid, since that mask has such a high vent rate, if that's how you are running your machine.

[RiverDave]

These numbers seem very odd.
I believe the HI and AI should sum to the AHI number.
In your example the clinical menu did, but the other did not????

It's a mathematical thing with Resmeds. They calculate your AI, AHI and HI to some places past the decimal and then truncates (not rounds like everyone else in the world) the value. So if your AI was 1.59 and your HI was 2.57 your AHI would be 4.16 but resmed reports AI=1.5, HI=2.5, AHI=4.1.