Autoset to replace Elite

[NancyAZ]

A week before I left for vacation, I posted that I was trying to trade my ResMed Elite for a Resmet Autoset. After speaking to my insurance company, my DME, and my doctor, I think that it is going to happen. I received a phone call yesterday from the DME and she told me that someone would be out on Monday between 11 and 1 to replace my machine. I'm holding my breath because I can't believe that it is going to happen. I had been warned that the DME wouldn't want to take back a used machine (1 month) but they never even hesitated. My doctor had no problem with it and the insurance company told me that since the billing code was the same for either CPAP or APAP, they wouldn't know the difference! I am so excited because as much as I like the Elite, it didn't tell or do as much as I think I need it to do. It is a great machine though.

I used the advice that some of you gave me here on the forum when talking to the people involved so I really want to thank you. I think we did it!

Nancy

[Pugsy]

Well done Nancy. One less hurdle to mess with.

With the Autoset you won't be wondering "what if". What if I used an Auto? What if it would make a difference?
What if....

You will have the best of both worlds. Auto and straight CPAP all rolled into one machine.

[DocWeezy]

Good for getting the auto! Now...you might want to make sure that it is the Auto WITH data capability. I think the "Auto Escape" does NOT have the data capability. There are lots of people here who know the exact model name and I'm sure they'll chime in. Without data capability, you won't have the full benefits of an auto, i.e., being able to see what is really happening.

Weezy

[avi123]

I question your decision to replace the the Elite with the AuotSet . I could have asked for the AutoSet but decided to go for the Elite (under Medicare I don't pay extra for any) b/c:

1) The AutoSet is a dangerous machine if you run it in the APAP mode. Not only that you could goof by setting pressures but it uses new technology that is still questionable.

2) If you run it in the CPAP mode then it's exactly as the Elite but overall a more complicated machine.

[Pugsy]

1) The AutoSet is a dangerous machine if you run it in the APAP mode. Not only that you could goof by setting pressures but it uses new technology that is still questionable.

If it were so very dangerous why do they use Auto machines for home titrations set at 4-20?

Your statement is clearly off the mark and misleading. I won't attempt to convert you because I would have a better time beating my head against the wall.

PS
before you blast me for commenting on something that you say, I will tell you like Scrapper told you, if you post clearly misleading and possibly harmful information I will respond. If you don't like what I say please feel free to use the "Foe" button in your User Control Panel.

[DocWeezy]

1) The AutoSet is a dangerous machine if you run it in the APAP mode. Not only that you could goof by setting pressures but it uses new technology that is still questionable.

2) If you run it in the CPAP mode then it's exactly as the Elite but overall a more complicated machine.

So you're saying that the FDA approved a dangerous device to be used at home, unsupervised by trained medical personnel, by potentially hundreds of thousands of people?

Do you have any research studies that have found this? What is the basis for this statement? It's fine if it is just your opinion, but you should clarify that and not state it like a well known conclusion.

If either of these statements this are true, then why do so many of us receive very good therapy and results using an autoset?

Even adjusting one's own pressures is not dangerous, especially when it is done after analyzing the data and coming to a logical conclusion. My doctor laughed when I asked him if I could hurt myself by adjusting the pressure too high or too low--he said the worst that would happen was that I wouldn't be able to sleep well and it would show in the data.

Weezy

[AJimen05]

I'm pretty new to the CPAP world and I received the S9 Elite and have used it almost a month. I can tell you that Pugsy IS correct when it comes to the Autoset vs. the Elite. I'm having problems with my titration pressure level and I would have known sooner if my pressure should be higher if I had the Auto Set instead. I don't like the Elite because it gives you constant pressure regardless whether it is helping you or not. Plus the Autoset, depending on what the range is, will adjust to your needs.

[Janknitz]

The AutoSet is a dangerous machine if you run it in the APAP mode

Come on, people now. Avi is ABSOLUTELY CORRECT!

The Autoset IS a dangerous machine--if someone drops it on your head!

Nancy, just look out that they don't try to saddle you with the ResMed Escape Auto. Escape, as fast as you can, from anything with "Escape" in the name. And if you're not sure when they deliver it, dont' sign anything until you've looked up the model number online to be sure of what you're getting.

[SnoozyQ]

I question your decision to replace the the Elite with the AuotSet . I could have asked for the AutoSet but decided to go for the Elite (under Medicare I don't pay extra for any) b/c:

1) The AutoSet is a dangerous machine if you run it in the APAP mode. Not only that you could goof by setting pressures but it uses new technology that is still questionable.

2) If you run it in the CPAP mode then it's exactly as the Elite but overall a more complicated machine.

Yes, you could be in danger of finding APPROPRIATE therapy!

I got an AutoSet in place of my Elite, and I "goofed" with the settings and pressures and found that I'm getting better therapy from my dangerous goofs, than the safely prescribed CPAP @ 10. ( I regularly use pressures around 12).

The only thing scary is telling people their machines are dangerous and questionable.

[imtired]

hes right. my S8 Autoset II is trying to kill me. It wrapped the hose around my neck and poisoned the water in my humidifier. or maybe that was my ex wife?

[chunkyfrog]

After 10 months of very satisfactory treatment in the S9 Elite, I purchased the S9 Autoset.
(from our hosts--thanks, Johnny & Carolyn--the Elite is now my spare.)
I did it because I'm suspicious of the in-lab titration; as they were at least 2 cm high for my husband.
I have also been on a doctor-monitored weight loss system; and after 5 weeks have shed 13 out of 40 pounds of ugly, unhealthy fat.
I have anticipated changes to my therapy; and hope that I can avoid the misery of another psg.
I intend to take some graphs and charts to my sleep doc, and let him decide.
Of course, I fancy myself a little smarter than avi123 thinks we are.

[tschultz]

I can attest to the fact that the AutoSet machine is dangerous. I now have my treatment under control and actually have the energy and drive to actually want to fight to never go back to how I felt before treatment was effective! I now question anything related to my OSA if I do not understand and especially if I don't agree, this seems to upset the sleep doctor and clinic for some reason.

I have been working very hard and pushing to get the equipment I want, and feel I deserve, to effectively treat my condition on an ongoing and long term basis - a fully data capable auto-tirating CPAP machine. I will accept nothing less even if I have to pay for it completely out of my own pocket with no insurance or other help. Specifically I expect to get the ResMed S9 AutoSet as I feel of the available equipment at this time it offers the best overall set of features and capabilities.

Oh there is another danger as well - you may pinch yourself in the humidifier lid but that can happen with the non-auto machine as well.

[chunkyfrog]

I am trying not to alienate my doctor--so far he seems to be intelligent and reasonable
Unlike the Luddites in the local apnea support group or the swindlers at the DME's.--but anything can change.

[XSnorer]

I question your decision to replace the the Elite with the AuotSet . I could have asked for the AutoSet but decided to go for the Elite (under Medicare I don't pay extra for any) b/c:

1) The AutoSet is a dangerous machine if you run it in the APAP mode. Not only that you could goof by setting pressures but it uses new technology that is still questionable...

In all fairness to the poster, would another possible explanation for this statement be...the DME supplier says "yes you can get the AutoSet, but you may want to rethink this because it is a dangerous machine (per the above).... but not stating the REAL reason, which is...plus I don't make as much money off of you if you do so."

[BernieRay]

Even if

Continuous positive airway pressure titration for obstructive sleep apnoea: automatic versus manual titration
Autoadjusting CPAP Therapy Based on Impedance Efficacy, Compliance and Acceptance
Automatic Pressure Titration with APAP Is as Effective as Manual Titration with CPAP in Patients with Obstructive Sleep Apnea

got it all wrong, I'd still believe my own experience: CPAP=good; APAP=much better.

Though... I think I'll staple my hose in place tonight, just in case my Autoset tries to go hosal on me!

...
Oh there is another danger as well - you may pinch yourself in the humidifier lid but that can happen with the non-auto machine as well.

My DME spent twenty minutes reviewing this danger and ways to avoid it. So far, I've only lost 1 finger. I should still have a couple left by Christmas. I'm not sure what I'll do after that, as making mask adjustments without any fingers may be challenging. Any suggestions?