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I'm really not happy with how Philips handled this whole foam-gate situation and I'm fortunate enough that I can afford to switch to another brand. I purchased a new Resmed austosense 10 a couple of days ago and I have to say I am pretty happy with the new machine. What I did not expect though was the startling difference in the stats between the two .... its significantly different ... enough to make me question which one should be considered the source of truth. Anyone else made the same switch and observed similar differences?

My last night on the dream station looked like this (fairly typical daily report - lots of events, periodic breathing, centrals ... the works ...):

and the first night on the resmed:
yep .. one event and 0.1 AHI. This repeated the second night too - just one central. On the Philips over 869 days my lowest ever AHI was 0.45, average 2.11 and Max 4.44.

Not sure exactly what to think really.....

Sloth wrote: ↑

Wed Jul 14, 2021 5:16 am

Not sure exactly what to think really.....

That's easy, just think you now have a higher quality machine with a better algorithm. The ResMed algorithm also reacts more quickly to airway instability. This is an advantage to many users. (I haven't compared the machines, but this is the large majority opinion of members who have reported using both machines.)

Different auto adjusting algorithms between the 2 brands.
I found years ago I could use abut 2 or 3 cm less minimum pressure with the ResMed than I needed with Respironics to get essentially the same results.
I have seen this in many people here on the forum.

The only thing that surprises me is how surprised most are that they are getting better results from their ResMeds.

When we look at the data we should see the cause and effects .

With the ResMed, we see your Flow Limitations, we then see the machine increase the pressure in response. We see the more FLs, the greater the pressure response. We also see a pattern that suggests it is likely REM related.

Looking at the Respironics, it's a mess, a dog's breakfast. The typical Respironics pings is the only real prominent element.

i'm the exception that enforces the rule. (whatever the hell THAT means.)

i will get a lower ahi on resperonics than on resmed. went through this this past winter while trying to improve my ahi on my "for her". i finally started using my resperonics and got better results immediately.

i agree....it is a difference in algorithm. apparently my body likes resperonics. who knows?

and yeah, it's startling and i had the same reaction. which ahi is true?

zonker wrote: ↑

Wed Jul 14, 2021 10:46 am

which ahi is true?

Both most likely are true at least to the machine used on the night involved. Remember even if no difference in machine is involved we don't sleep the same each night.

What I suspect is you simply sleep better with the Respironics way of delivering therapy. Maybe especially true at the higher pressures you use.
Additionally I suspect that if we dug deep in the flow rate that some of the flags on the ResMed are SWJ flagged false positives.
If you are sleeping better in general then less chance of a few false positives screwing with the numbers.

My personal opinion FWIW.

Pugsy wrote: ↑

Wed Jul 14, 2021 11:05 am

zonker wrote: ↑

Wed Jul 14, 2021 10:46 am

which ahi is true?

My personal opinion FWIW.

well, iw a lot!

just grumbling, don't mind me. i'm down to checking my numbers once a week and prolly will get down to not checking at all eventually.

Sloth,
I've switched to Resmed one week ago and have had exactly the same result as you. Here' a screenshot of one day which was preceded by the same result the day before. I've had three 0.0 nights this week, never had one in 5.5 years on Dreanstation. What's more important to me is I've had almost zero of all the other crap(Fl,snore, periodic and variable breathing, RERA's etc). It's almost too good to be true. But I'll take it. Still experimenting with pressure. I've increased the max pressure about 2 cm but after reading what Pugsy said, I may try and slide back to where I was. I've been very dissapointed with Philips with this whole situation.
Thumper

Thanks for the responses everyone…. Good to know it’s not just me …. Gives me a lot more confidence that the results I’m seeing on the Resmed are trustworthy.

Maybe foamgate has a positive for me - It was the only thing that prompted me to look at another machine, otherwise I imagine I would have just kept plugging away with the dreamstation. I thought I’d done all my research and picked the right machine for me based on reviews and info I’d found on the web. When I did the initial machine trial with the supplier there was no suggestion of trying different machines it was mainly focussed on finding the right mask. If at that point I’d thought that results could vary so wildly between machines I’d have probably been smarter and evaluated across a range of brands. It would have also saved me two years of looking at dreamstation data telling me I periodic breath have scary CSR like patterns and heaps of centrals…. always second guessing if I’m on the brink of death and need to get to the sleep doc ASAP. I’ve gone from not feeling great about my therapy to being pretty confident it looks quite under control. That alone is worth the extra money I had to fork out to switch.

Ahh well, you live and learn.

Well, the mask IS critical, imo; but there is something about the ResMed's programming that seems to be beneficial to many more people. People are different, but ResMed seems to have found the sweet spot to benefit many people. I have used both, and like many others here have said, I got markedly better results with the ResMed.

Why does Resmed give better results?

https://www.youtube.com/watch?v=lzCCgNLya_g

Better science.

My results with Resmed are also better, but I changed the mask as well...

Hello. Rather than start a new thread, i just thought i'd hijack onto some other similar threads to ask a few questions. Long story short, i'm considering getting a Resmed machine. I have gotten my Philips Dreamstation to perform as best as i can. Sleep has improved for sure since i really got on top of the settings at the start of this year, but I still think there is room for improvement. The one thing that I still seem to have, is a high percentage of variable breathing. As you can see from my OSCAR charts below, everything else seems pretty damn good. So my question(s) .

Will eliminating the variable breathing make a huge difference to my overall sleep? Or is the Philips doing a good job and should i stick it out? I've read differing opinions that variable breathing is nothing to worry about and to concentrate on AHI, CA etc etc... For those that have made the switch to Resmed, did eleiminating the variable breathing make a huge difference to you?

Thankyou!

Captain howdy wrote: ↑

Thu Aug 11, 2022 5:45 am

Hello. Rather than start a new thread, i just thought i'd hijack onto some other similar threads to ask a few questions. Long story short, i'm considering getting a Resmed machine. I have gotten my Philips Dreamstation to perform as best as i can. Sleep has improved for sure since i really got on top of the settings at the start of this year, but I still think there is room for improvement. The one thing that I still seem to have, is a high percentage of variable breathing. As you can see from my OSCAR charts below, everything else seems pretty damn good. So my question(s) .

Will eliminating the variable breathing make a huge difference to my overall sleep? Or is the Philips doing a good job and should i stick it out? I've read differing opinions that variable breathing is nothing to worry about and to concentrate on AHI, CA etc etc... For those that have made the switch to Resmed, did eleiminating the variable breathing make a huge difference to you?

Thankyou!

Please, please start a new topic for your questions.

We don't see any OSCAR reports....

Pugsy wrote: ↑

Thu Aug 11, 2022 5:51 am

Captain howdy wrote: ↑

Thu Aug 11, 2022 5:45 am

Hello. Rather than start a new thread, i just thought i'd hijack onto some other similar threads to ask a few questions. Long story short, i'm considering getting a Resmed machine. I have gotten my Philips Dreamstation to perform as best as i can. Sleep has improved for sure since i really got on top of the settings at the start of this year, but I still think there is room for improvement. The one thing that I still seem to have, is a high percentage of variable breathing. As you can see from my OSCAR charts below, everything else seems pretty damn good. So my question(s) .

Will eliminating the variable breathing make a huge difference to my overall sleep? Or is the Philips doing a good job and should i stick it out? I've read differing opinions that variable breathing is nothing to worry about and to concentrate on AHI, CA etc etc... For those that have made the switch to Resmed, did eleiminating the variable breathing make a huge difference to you?

Thankyou!

Please, please start a new topic for your questions.

We don't see any OSCAR reports....

I just read the FAQs and it specifically says "no piggy backing!"

My bad. will get a new thread started and solve the OSCAR report issue.