Sleep Doc Office Can't read SD card ????

pratzert · Post by **pratzert** » Mon Apr 07, 2025 11:22 am

Hi All.

I have just seen a "new" sleep Doc,as my previous one had his license revoked. I's actually been 8 years since I saw a Sleep specialist.

When I went for my appointment, the Medical Assistant said they could not read my SD card with the Data on it. They didn't have the capability.

I found it disturbing that a a large Hospital setting could not read the SD card from a Resmed S10 machine.

She said I would have to bring in my entire machine for them to pull the Data.

Does that sound correct? Or should I run away to find another sleep specialist?

Pugsy · Post by **Pugsy** » Mon Apr 07, 2025 11:52 am

pratzert wrote: ↑
Mon Apr 07, 2025 11:22 am
She said I would have to bring in my entire machine for them to pull the Data.

There's no way to "pull data" from the machine without using a SD card that I am aware of.
Even the ResMed software called ResScan requires a SD card.

Now there is of course MyAir (patient) or AirView (professional) data but that's transmitted via cell phone transmission.
But that's cellular transmission and requires advance set up along with your official permission for them to access your data.

I would be asking EXACTLY what procedure are they going to want to be doing to the machine and what data are they going to be looking at. Wanna bet you would get the deer in the headlights look if you were to ask those questions face to face.
EXACTLY what do they look at?????

Now I understand them not knowing about OSCAR or wanting to use it for any number of reasons but they still have access to ResScan which requires the SD card use.
And remember....if the doctor's office wants to use their own SD card and stick it in the machine....they only get summary data. No detailed data unless SD card is in the machine during use.

Dog Slobber · Post by **Dog Slobber** » Mon Apr 07, 2025 11:54 am

No, it is not correct.

There are two ways to get the data from a ResMed.

From the SD Card.
From the ResMed cloud, using AirView

Having said that, perhaps they need the serial number from the machine?

Grumpy48 · Post by **Grumpy48** » Mon Apr 07, 2025 3:46 pm

Wonder if the sleep doc's office is just being cautious about malware/viruses that possibly could be on an SD card that someone would bring in, particularly if the doc's office is networked into the hospitals system. Doc's office would likely use their own SD card that they know is clean to extract the data. Medical assistant probably just said they didn't have the capability as an excuse to avoid saying the SD card you brought in might have malware on it so we won't put in our computer.

This is sort of related.....
https://www.reddit.com/r/netsec/comment ... vironment/

robysue1 · Post by **robysue1** » Mon Apr 07, 2025 4:00 pm

Grumpy48 wrote: ↑
Mon Apr 07, 2025 3:46 pm
Wonder if the sleep doc's office is just being cautious about malware/viruses that possibly could be on an SD card that someone would bring in, particularly if the doc's office is networked into the hospitals system. Doc's office would likely use their own SD card that they know is clean to extract the data.

But as Pugsy points out, if they stick their own SD card into the machine, then all they're going to get is the summary data.

If their computers have the proper anti-virus software on them, that would protect their computers from a virus-infected SD card.

Medical assistant probably just said they didn't have the capability as an excuse to avoid saying the SD card you brought in might have malware on it so we won't put in our computer.

There is no need to lie to your patients like that. If the issue is that they want to be extra cautious about the SD cards, they should just say that rather than lie.

Moreover: If they're that concerned about infected SD cards, they can and should be using ResScan's professional version of the cloud software for extracting all the data off the machine via Resmed's AirView software. They would need the serial number of the machine to do that, but again, there's no need to lie to their patients about what they're doing.

This is sort of related.....
https://www.reddit.com/r/netsec/comment ... vironment/

I beg to differ. There is a difference between USB drives (for portable storage and transport of generic files across multiple computers and multiple devices) and SD cards targeted towards one specific piece of equipment used to record the efficacy data from that specific piece of equipment.

Yes, I suppose there's a chance that when you stick an SD card into an infected computer that the computer virus will be downloaded onto the SD card. However, I would guess that when the infected SD card is then inserted back to the Resmed CPAP machine, the machine itself will insist on reformatting the SD card before writing any additional data onto it.

Grumpy48 · Post by **Grumpy48** » Mon Apr 07, 2025 6:00 pm

Local hospital's policy for removable media which I believe encompasses both employees and patients...
https://www.umassmed.edu/it/policies/be ... ble-media/

IMHO Not much difference between a USB drive and an SD card as far as susceptibility to malware once plugged into a computer, such as reading an SD card's data into OSCAR. The SD cards I use in my CPAP machines likely have been used in other devices such as cameras, music gear, playing videos on a TV, so they aren't necessarily bought for and 'dedicated' solely to a CPAP machine, they see multiple uses like a USB drive, just different types of data. A medical facility likely would be using anti-virus software, but why take the risk of said software missing something and potentially taking down an entire facilities. To rely 100% that an anti-virus software will protect you would be quite naive.
The power utility I retired from a few years back also had developed a strict policy regarding portable media similar to the hospital one I linked above.

Hopefully pratzert can get a clarification on how they are pulling the data. As stated it likely would be from the cloud server and serial number is needed to access it.

pratzert · Post by **pratzert** » Tue Apr 15, 2025 10:31 am

Thanks for all of the insights on this situation.

It "may" make sense they want to protect themselves from introducing viruses into their hospital system or personal laptop too.

Then it "May" make sense to bring in the machine so they can insert their own SD card to assure it's truly clean.

But why not just say that!

Or even if they wanted to test the machine to make sure it's working properly... that would make sense too. (My machine has nearly 19,000 hours of run time.)

Just too many Red Flags with this new Doc. She was going to set me up with a New DME since I've had such horrible luck with Apria. But it's been over a week and no contact from the new DME company yet.

After not seeing a Sleep Doc for 8 years, I would have thought she would have been more thorough in her exam and investigated why my sleep quality is so bad.

So.... I think I may need to find, yet another, new sleep Doc.

I hope Medicare will cover the cost of a "second opinion" from a Sleep Specialist.

Nocibur · Post by **Nocibur** » Tue Apr 15, 2025 12:47 pm

pratzert wrote: ↑
Mon Apr 07, 2025 11:22 am
...the Medical Assistant said they could not read my SD card with the Data on it. They didn't have the capability.

It's been my observation that physician offices in general have little ability beyond checking compliance (especially if the request for read only went as far as the Medical Assistant, who may have no sleep experience whatsoever)).

IIWM I'd have them get their associated sleep lab to assist with viewing the data.

Nocibur · Post by **Nocibur** » Tue Apr 15, 2025 12:50 pm

Nocibur wrote: ↑
Tue Apr 15, 2025 12:47 pm
IIWM I'd have them get their associated sleep lab to assist with viewing the data.

Or better yet, bring in your laptop and show them how viewing data is done. The skill (or lack thereof) of the sleep physician should reveal itself in short order.

Nocibur · Post by **Nocibur** » Tue Apr 15, 2025 1:57 pm

And what exactly were your expectations anyway? On a 0ne-hour Initial Visit she has her list of things that need to be covered and if you surprise her with 55,480 hours of data that need to be uploaded to a machine that who's knows where then it's not surprising that a potential response would be "We can't do that" "The machine is broken" "The dog ate our software", etc.

Next time give 'em a heads up.

PPPPPP.

pratzert · Post by **pratzert** » Tue Apr 15, 2025 2:47 pm

Nocibur wrote: ↑
Tue Apr 15, 2025 1:57 pm
And what exactly were your expectations anyway? On a 0ne-hour Initial Visit she has her list of things that need to be covered and if you surprise her with 55,480 hours of data that need to be uploaded to a machine that who's knows where then it's not surprising that a potential response would be "We can't do that" "The machine is broken" "The dog ate our software", etc.

Next time give 'em a heads up.

PPPPPP.

I have been on CPAP Therapy for 18 years and my expectations are simple and not demanding.

Not sure where you got the idea that I was inundating the Doc wth 55,480 Hours of Data. The SD card records 7 days of data and all she had to look at primarily was the AHI's and misc data which she could have done with a brief glance. I sleep, maybe, 5 hours per night. 5 hours time 7 nights is 35 hours of Data, certainly not 55,480. Not even necessary to do while I was there. But if they didn't download the Data, then they can't even look at it at a later time.

A heads up that they should have a Data card to read? NOPE.... it's S.O.P. Every visit I ever had to my sleep Doc in the past has started with me giving them my SD card to read the data to see how I have been sleeping currently.

She did not ask ANY of the questions I would have expected on an IOV. What type of machine are you using? Which mask are you using? What is your pressure set at? What is your sleep routine?

Those would be the questions asked on an IOV. And the machine they need to read the SD card could have been anywhere... I don't care where it was..... they could have taken the card and kept it for all I care. But a blanket statement "We can't read it" was absurd.

Offices usually block extra time for an IOV, but I was pushed in and out in 15 minutes. Not enough time to do a decent history. I would have loved for it to be an "hour" as you said, but I have never known an office to block an entire hour for an IOV unless they knew that some sort of extended testing was necessary to be done at the same time as the IOV.

Nocibur · Post by **Nocibur** » Tue Apr 15, 2025 2:52 pm

pratzert wrote: ↑
Tue Apr 15, 2025 2:47 pm

A heads up that they should have a Data card to read? NOPE.... it's S.O.P.

Whose?

Yours?

And how's that workin' out for ya?

Nocibur · Post by **Nocibur** » Tue Apr 15, 2025 2:54 pm

pratzert wrote: ↑
Tue Apr 15, 2025 2:47 pm
The SD card records 7 days of data and all she had to look at primarily was the AHI's and misc data which she could have done with a brief glance.

And if you had printed that page out, even briefer.

pratzert · Post by **pratzert** » Tue Apr 15, 2025 2:56 pm

Re: Sleep Doc Office Can't read SD card ????

by Nocibur » Tue Apr 15, 2025 3:52 pm

pratzert wrote: ↑
Tue Apr 15, 2025 3:47 pm

A heads up that they should have a Data card to read? NOPE.... it's S.O.P.

Whose?

Yours?

And how's that workin' out for ya?

--------------------------------------------------------------------------------
It didn't work out very well at all because they were inept and didn't do their jobs.

pratzert · Post by **pratzert** » Tue Apr 15, 2025 3:03 pm

Re: Sleep Doc Office Can't read SD card ????

by Nocibur » Tue Apr 15, 2025 3:54 pm

pratzert wrote: ↑
Tue Apr 15, 2025 3:47 pm
The SD card records 7 days of data and all she had to look at primarily was the AHI's and misc data which she could have done with a brief glance.

And if you had printed that page out, even briefer.

-----------------------------------------------------------------------------------------------

It's not "my" job to print out information. It's THEIR job to access and look at the information.

I brought the information in a modality that any decent sleep lab environment can access.

Your statements don't seem like anyone who uses CPAP or knows anything about how Sleep therapy and Labs operate.

Machine

Machine

Machine

Machine