Is it true about Resmed and software?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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cinco777
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Re: Is it true about Resmed and software?

Post by cinco777 » Wed Nov 11, 2009 1:02 pm

LinkC wrote
A competent doctor can keep you in effective therapy with quarterly or semi-annual monitoring.
I'm 0 for 2 re experiencing a competent Sleep Dr.

First one (2005-2006) was APATHETIC - didn't care a nit about what happened to me after the titration study. She told me it was completely up to me (a beginner to CPAP-enabled therapy) to resolve all my problems with the DME. The fact that my DME ("A") was INCOMPETENT didn't concern her one bit. After a follow-up $$$ visit which I arranged, I never heard from her again. I never heard from my DME again after I pressured them to finally deliver to me what my RXs stated (they screwed up my RXs three times in two months).

Second one (2009) was INCOMPETENT - a self-proclaimed "know-it-all" with zero listening ability. Enough said.

Since I am now an informed user, thanks to CPAPTalk, and my sleep therapy is working great, I suspect that my 0 for 2 record will not change.

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SnoozyWoozyCat
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Re: Is it true about Resmed and software?

Post by SnoozyWoozyCat » Wed Nov 11, 2009 1:10 pm

LinkC wrote: Sure, many of us read our cards/LEDs every morning...but how often does that result in a change? Do we really NEED to for good therapy? A competent doctor can keep you in effective therapy with quarterly or semi-annual monitoring. I would guess that's what the vast majority of CPAP patients do. And they are just as likely to buy new machines/masks as WE are.
The key words here are competent doctor. I've only had the opportunity to see my doctor once when she recommended the sleep study. Once the sleep study was done, her PA called me back and said "you have sleep apnea". That was the extent of going over my sleep study with me. From the time of diagnosis to the time I will see my doctor again, 2+ months will have elapsed. And I've been told by both her PA and her receptionist that she does not take phone calls and is normally booked up 2 months out. Prior to my sleep study, I was told by the doctor that Sleep Apnea is dangerous and if left untreated, could quite possibly kill me. After being diagnosed, when talking to her PA, I was given no opportunity to ask questions and was made to feel like I was being unreasonable when asking basic questions about my diagnosis and about what my options were when it came to a CPAP machine. I had to fight for what I got. This doctor is the head of the sleep department of a major local hospital here in Denver; she might well be very competent ; however, I wouldn't know because I can only judge her by how I've been treated by her staff and the DME she recommended. The DME provider didn't have a small mask for me to try on and foisted a medium mask on me -- "there's not much difference between small and medium". Do I trust these people to have my health and best interests at heart after this type of treatment? HELL NO! After these events, do I feel the need to become very actively involved in monitoring my CPAP therapy? HELL YES! Due to their incompetence, disinterest and arrogant behavior, you bet I feel the need to oversee my treatment. Had they been more respectful and professional, I would be more open to giving myself over to their treatment plan. I'm sure there are some competent doctors out there (my PCP is one), but judging from the stories on this forum, I'd say unfortunately, my story falls within the majority, not the minority.

Had I known at the time that RESMED had discontinued software availability to patients, I would have asked for a different machine. As it stands, I am working on getting a card reader and the software before they lock me out completely! Considering the high percentage of users who abandon CPAP use, I would think Doctors would be thrilled that a patient would be so actively interested in their treatment. The fact that many are not, leads me to believe that we are nothing more a means to an end. OK -- Rant over. Have a great day!

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cinco777
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Re: Is it true about Resmed and software?

Post by cinco777 » Wed Nov 11, 2009 1:29 pm

As it stands, I am working on getting a card reader and the software before they lock me out completely!

RESMED ResScan 3.7 is available on eBay for $3.95 to $15 "Buy it now" with free S&H.

I own Respironics machines and use EncorePro reporting software. My SmartCard reader costs $54 when I purchased it online last Spring. RESMED machines require a different brand card reader and I believe cost about the same online.

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6PtStar
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Re: Is it true about Resmed and software?

Post by 6PtStar » Wed Nov 11, 2009 1:40 pm

STILL waiting for Encore Pro 2.0 to hit E-Bay for a reasonable price even if it is a copy. So far Respirionics seems to be holding it very close to home!!

Jerry

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LinkC
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Re: Is it true about Resmed and software?

Post by LinkC » Wed Nov 11, 2009 1:57 pm

cinco777 wrote:I'm 0 for 2 re experiencing a competent Sleep Dr.
Sorry to hear that.

I'm not sure how self-proclamations and listening ability affect competency, but I'll take your word for it. God forbid I ask any questions on Auto's thread!

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ScrappinMom
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Re: Is it true about Resmed and software?

Post by ScrappinMom » Wed Nov 11, 2009 2:01 pm

LinkC wrote: But if their DME is reading their card and their doctor is monitoring their therapy...
A competent doctor can keep you in effective therapy with quarterly or semi-annual monitoring.
Sigh...seems like we've been down this road before.
How many of us had stupid, compliance only machines foisted on us???? It seems wells established to me that very few doctors care about monitoring anything but compliance.

So if you manage to find a doctor who will do quarterly or semi-annual monitoring, that means that you may go for months of ineffective therapy before anyone is aware.

My sleep doctor is the head of the sleep dept of a large hospital here. I return 3 times after my sleep studies, 2 of those times I saw the NP. They never asked for any results. All they wanted to know was if I'm using my CPAP, do I feel better, and am I still using any sleep aids. That's it. After those 3 visits, I was "graduated".

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falvesjr
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Re: Is it true about Resmed and software?

Post by falvesjr » Wed Nov 11, 2009 2:06 pm

Anyone considering "buying" the ResScan software on eBay might as well do a Google search and just download it for free from somewhere. Since I can only imagine that the eBay software is pirated (you don't get any physical media or serial number as it's not needed), why do yourself double injury by *paying* for it?

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Re: Is it true about Resmed and software?

Post by Autopapdude » Wed Nov 11, 2009 2:08 pm

The fact that there are so many who visit this site for advice and opinions regarding equipment, treatment, and support shows that Resmed's strategy, while possibly more lucrative (I don't honestly know about that, as if more folks were informed and shown how to use software, they would become more actively involved in their own treatment--thus, more sales as well as education for patients), certainly does not meet the needs of their real customers---YOU AND I. The DME is the original monetary recipient, but many of us choose to purchase equipment and do some self-monitoring, with medical consultation. Look at how many glucose testing kits are sold for people to monitor their blood sugar. Likewise, look at how many nice, fancy blood pressure monitoring machines are sold everyday in Walgreens (to the tune of $75-100 bucks each). Patients have the right, and the desire to monitor their own treatment, and as such, the manufacturers of the equipment SHOULD address, rather than hinder this need. This isn't a matter of who is "right or wrong;" it is common sense in terms of patient education, and work towards compliance.

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SnoozyWoozyCat
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Re: Is it true about Resmed and software?

Post by SnoozyWoozyCat » Wed Nov 11, 2009 2:18 pm

falvesjr wrote:Anyone considering "buying" the ResScan software on eBay might as well do a Google search and just download it for free from somewhere. Since I can only imagine that the eBay software is pirated (you don't get any physical media or serial number as it's not needed), why do yourself double injury by *paying* for it?
I agree. I looked on ebay and was surprised to see so many listings for what is clearly pirated software. Plus you worry about what else you might be downloading along with the ResScan software. If you look hard enough, you probably can find the file for free, but again, I'd worry what else would come along with that "free" file.

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LinkC
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Re: Is it true about Resmed and software?

Post by LinkC » Wed Nov 11, 2009 3:09 pm

I've found a couple of pay-per-download sites that claim to have it..both 3.3 and 3.7.

None of the bittorrent search engines get any hits.

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falvesjr
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Re: Is it true about Resmed and software?

Post by falvesjr » Wed Nov 11, 2009 3:24 pm

There are *many* other ways to download stuff for free other than torrents... Just saying...

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Muse-Inc
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Re: Is it true about Resmed and software?

Post by Muse-Inc » Wed Nov 11, 2009 3:31 pm

LinkC wrote:...A competent doctor can keep you in effective therapy with quarterly or semi-annual monitoring...
Uh, this wouldn't have worked in my case as my doc did not monitor may therapy 'cause I was doing extremely well UNTIL I started losing air via loose lips. I was too clueless then to recognize that; it took me months to get my symptoms figured out...well, actually for me to discover this forum & you experienced posters to inform me what was likely happening, then for me to investigate. 6 months LinkC, with a data-capable xPAP I'd have seen the leak trend and taken action in a few wks. I think all folks who are losing wt should have APAPs that help them periodically self-titrate as they lose wt to ensure optimal therapy...recognizing that not everyone losing wt will see changes in their pressure requirements.
Last edited by Muse-Inc on Wed Nov 11, 2009 3:50 pm, edited 1 time in total.
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Re: Is it true about Resmed and software?

Post by resmeddefector » Wed Nov 11, 2009 3:37 pm

I honestly think the issue here is with the DME, not Resmed. I don't like Resmed's software policy, but its machines appear to be available directly to the public on cpap.com. An S8 Elite II with humidifier is under $500, which is sure less than my insurer paid.

Resmed and 8 other sleep Related HME’s got together 3 years ago and formed the Sleep Manufacturers’ Alliance. (Alliance against whom?!)
It seems they came together to influence Medicare reimbursement rates and too many internet providers keep prices low. Medicare must do market research to set their reimbursement rates and the prices were not high enough justify the desired increases.
In the past 3 years, Resmed has pared down the number of internet providers and allegedly these “preferred providers” were required to increase their prices by 40+%. This might account for a higher price being shown on the product pages of providers like cpap.com but a much lower one upon further enquiry (or checkout) whichever way the site has it set up.
This allows the preferred providers to comply with their agreement and still actually offer the machines at competitive rates.
Where is Teddy Roosevelt when you need him? I am sure these companies are staying just within anti-trust regulations but we (the consumer and tax payer) are getting screwed. I encourage everyone to Google the above mentioned alliance and also check out the record earnings posted by Resmed (13%) and Invacare (27%). (By the way I did a 10 year history and Resmed’s earnings have increased 469% during that period – and they have a problem with Medicare reimbursement rates?)
ps. I hope I did the quote thing correctly

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Re: Is it true about Resmed and software?

Post by Slinky » Wed Nov 11, 2009 3:53 pm

What confuses me about this entire affair is that Resmed has been the LEADER is providing EASY access to MORE data for the patients themselves w/the advanced/detailed patient menu via the LCD screen. It SEEMS to me anyway, that Dr Farrell's relinquishig the CEO position to this Kiernan "whoever" guy has been a punitive, backward step as far as any true consideration for the end-user patients.

And what confuses me further is Respironics taking such a giant step backward in this regard just as Fisher & Paykel and DeVilbiss have stepped to be counted by providing new lines of fully data capable xPAPs and Puritain Bennett (Covidien) has come out w/the new fully data capable Sandman xPAPs. PB (Covidien) has been the leader as far as excellent data and patient accessability to that data via excellent software altho they have a small percentage of xPAP sales.

I wish we KNEW (vs speculation) just what has caused this confusing situation. But I sure do wish F&P, DeVillbiss and Covidien good luck and good wishes in greatly increasing their sales w/the new fully data capable xPAPs. It would be my fondest desire that these 3 companies cut drastically into PR's and Resmed's sales.

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LinkC
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Re: Is it true about Resmed and software?

Post by LinkC » Wed Nov 11, 2009 3:55 pm

Autopapdude wrote:The fact that there are so many who visit this site...shows that ResMed's strategy...certainly does not meet the needs of their real customers---YOU AND I.
There are 2127 active (15 or more posts) members here. There are an estimated 28.4 million Americans diagnosed with OSA. The 2127 includes a sizable number of non-Americans. I couldn't find a number for OSA patients worldwide. That's less than .007%. Then you have to subtract out those who don't use ResMed machines or software.

Bottom line: "YOU AND I" aren't squat to ResMed. (YOU don't even use a ResMed machine, according to your profile... )

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