My first post, SleepyHead question-help pls.

First of all, sorry for my bad english. It's my first newb post on this forum. I'm from europe(romania),46 y'rs old male, and in my country is not such a great concern about OSA(no insurance benefit), so i learned a lot from this forum and for this my many tanks. So, my new nightly preoccupation(for about two months) is how can i breathe as close to normal with my rented REMStar 60 auto CPAPMachine(and a Swift FX Nasal Pillow Mask).
In meantime I did all sorts of adjustments and finally, I feel better/optimum(great, not yet) between a 8-14 pressure. My AHI improvement is below 5 from 64 events per hour withwout cpap(severe apnea sleep study showed a year ago). I developed sleep apnoea after a bad episode of hypothyroidism when my thongue has grow a little(macroglossia) enough to clog my throat in sleep. I check my AHI data daily with SleepyHead(v.093) but I don't understand why sometimes look wrong(mistakenly displays) the pressure graphs(upside down).It's a SH bug or what.
A little advice would be welcome, how can i fix it. And another question is how can i deleted a daily view data from the raport(the data calendar before i rented the cpap). Thank you.


and another day;

Welcome to the forum.

The pressure graph may be a display error...try this...assuming Windows SleepyHead version
go to the Preferences tab and then Appearance and remove the check mark from "use Pixmap caching" and see if that makes the pressure graph look correct.

For prior user data (sounds like the PR S1 was used by someone prior to your getting it) it depends on what you want removed...from the machine or the SD card.

From the machine...you have to go into the clinical setup menu and the Info section and reset the therapy data to zero.
From the SD card...you can manually go into the P0 folder and manually delete any files that have a date prior to your starting the machine use.
Or you can use manually erase the SD card but if you don't reset the machine to erase prior user data some of that data will go right back on the card.

If it were me I would erase both the machine and the SD card and start fresh and that would include a new user profile in SleepyHead. Your old data would still be on the old user profile but the new profile would just have your data on it.
If you are computer savvy you can make a copy of just your data files in the P0 folder...and manually put them back in that folder after the erasure of the SD card.

Do you know what I mean about going to the clinical setup menu (where you can adjust pressures) and then going to the Info box (lower left of LCD screen) and scrolling through the menu till you see reset therapy option?
If you don't know..the provider/clinical manual shows it. Do you have that manual?
If you don't you can request it here
http://www.apneaboard.com/adjust-cpap-p ... tup-manual

Pugsy wrote: For prior user data (sounds like the PR S1 was used by someone prior to your getting it) it depends on what you want removed...from the machine or the SD card.

Thank you Pugsy,
Sorry, I did not explain well. Before receiving the current cpap machine, in 2013 i have in custody a titration cpap for one nigth and the next morning i was curious to see the data from the card. The titration cpap has been given to other patients before me and the data recorded remained on the card. I use the same SH program in my comp. and and unfortunately don't crossed my mind to change the user. Those date i want to delete because harm the overview analyse.



Big thank's

You can go into the SD card itself and remove all the files dated prior to when you got the machine and first used it.
So open the SD card and the P series folder...then go to the folder where you see P (serial number) and go into that folder.
In the P serial number folder there is a P0 folder...in that folder you will see 3 file types per session and they are all dated...you can clearly see the dates prior to your using the machine...just manually delete them
Or just erase the entire card and start totally clean.

BUT you also have to erase the data off the machine or when you put the SD card back in the machine most of that old data gets put right back on the SD card.

You can't do it using Sleepyhead...SleepyHead just reports what is on the SD card...you have to remove the old data from the machine and the SD card....then create a new user in SleepyHead.

So erase from machine using the reset therapy option in the clinical setup menu Info section..
and erase the SD card or selectively the old files
and then put the SD card back in the machine.

There is no way to do what you want using SleepyHead to remove prior data or really omit that prior data easily.
I can get you Encore software and while it will show the old user data too...there is a way to create reports with selective dates and thus omit prior user data but it is more work to do than just erasing the machine and removing those old files (or erase the SD card)

Pugsy wrote:
So erase from machine using the reset therapy option in the clinical setup menu Info section..
and erase the SD card or selectively the old files
and then put the SD card back in the machine.

Thanks a lot Pugsy, you are a genius. The problems were solved. Tell me please, if I want to buy a APAP device, which one to choose; a -REMStar 60 Series Auto CPAP or a Resmed S9 AutoSet, because I read good reviews about both and I' m undecided.
And a huge request, where i get the Encore basic software ?
Thank you.

Check your private message box for information on obtaining Encore.

We get this "which machine" question often.
Until the Respironics machines had the heated hose I would have suggested the S9 AutoSet if money permitted because the heated hose system was a big plus IMHO.
Now unless someone is using pressures above 14 cm I tell people it's a toss up. Both are great machines and I happen to have tried and own both brands. Each has a few minor pros and cons over the other but none are deal breakers.
I think that at pressures in the teens that the S9 EPR exhale relief might be an advantage but not having it isn't a deal breaker because the PR S1 exhale relief is quite good. Each brand does their exhale relief differently than the other. Neither is necessarily "better" than then other...just different.
Some people might do better with one brand over another but I think most people could use either brand successfully.
Each does a great job preventing obstructive apnea events. The algorithms are different but the end result is the same.

Often the S9 costs a LOT more money but it doesn't mean that it is that much better.

Not many people have had a chance to actually use both brands. Most are given the one machine and will tell you that what they use is the best and they are happy with it. I have actually used both brands successfully and for most people I think it is a toss up as to which machine they would be successful with.
The S9 has a bit of noise on exhale. The PR S1 has a bit of noise on inhale.
Both have easy to obtain and use software.
I do prefer the data that the PR S1 gathers in auto mode just because I like to see the Flow limitations and RERAs flagged as separate events.
The S9 shows flow limitations as a graph which is a bit difficult to evaluate and doesn't do RERAs at all.
Again not a deal breaker and really just my personal preference. I find the Encore detailed report a bit easier and quicker to evaluate because it gives me all I really need at a quick glance. ResScan for the S9 is a bit more difficult to manage and see what I want to see at a glance.

I sent you the information on Encore...here's video that explains ResScan and gives some examples of what is shown and how it is shown.
http://montfordhouse.com/cpap/resscan_tutorial/ Tutorial

If the S9 AutoSet doesn't cost an arm and a leg over the PR S1...you would likely like it a lot as I know you would be happy with it but if the PR S1 is much more affordable...get the PR S1 60 series Auto cpap model 560.
Here in the US the AutoSet is roughly $300 US more than the PR S1 and that's a big difference and it isn't worth it unless someone is using pressures in the teens and then I suggest the S9 because of EPR being potentially more comfortable at higher pressures if someone can afford the price difference.

We're so lucky to have you here Pugsy!

Pugsy wrote:Check your private message box for information on obtaining Encore.

We get this "which machine" question often.
If the S9 AutoSet doesn't cost an arm and a leg over the PR S1...you would likely like it a lot as I know you would be happy with it but if the PR S1 is much more affordable...get the PR S1 60 series Auto cpap model 560.
Here in the US the AutoSet is roughly $300 US more than the PR S1 and that's a big difference and it isn't worth it unless someone is using pressures in the teens and then I suggest the S9 because of EPR being potentially more comfortable at higher pressures if someone can afford the price difference.

Thank you again for the gift i found in my box ,I studied a few hours.
Yep, "which machine", this is the question. I'll probably think about it two months from now, as the cpap rental agreeament is in effect and then maybe i purchease one from the cpap.com (because the price is low compared to how much it is in my country->approximately triple).
You are a great presence on this forum, thnx....

adin67 wrote:maybe i purchease one from the cpap.com (because the price is low compared to how much it is in my country->approximately triple).

Unfortunately cpap.com cannot ship ResMed or Respironics products out of the USA. Restrictions put in place by the manufacturers. There are ways around it if you had a US address where they accept the shipment and then forward it to you.

You might also check out secondwindcpap.com as they have gently used and new open box specials that are priced extremely well and they will ship Resmed or Respironics outside the USA.

Pugsy wrote:

adin67 wrote:maybe i purchease one from the cpap.com (because the price is low compared to how much it is in my country->approximately triple).

You might also check out secondwindcpap.com as they have gently used and new open box specials that are priced extremely well and they will ship Resmed or Respironics outside the USA.

woow, I did not know about it, interesting. If they are functyonal, worth.
On the other hand,if I decide to buy from the cpap.com, i have a good friend of mine(he studied in the same college with me, etc) which established(live) in Miami(ten yr's ago) and he can help me. He'll come into the country every summer and he can bring't to me an aparat(cpap). The mask that i use now i purchased in the same way, I paid with my credit card(via paypal) from Romania and he bring it to me.

If you have a friend in the states who can transport for you then you have it covered.

I have used secondwindcpap.com for humidifiers...never need a machine from them but I know many people (especially outside the US) who have used them and not one bad report...so I feel good recommending them.

Indeed it's a good tips(secondwindcpap.com). I'm sorry to bother you, but i wonder wath is mean "geantly use" in their conception(i saw on their website).

gently used.....low hours sometimes a couple of hundred hours, sometimes less, sometimes a little more.

Most often less than 1,000 hours though. I have a friend in England who got a "gently used" machine from them and it only had 8 hours of use on it. That's like new to me.

In case you didn't know..the machine run hours can't be erased except at the factory.
Therapy hours can be erased...like erasing the data from the person who used your machine before you did but total machine run hours can't be erased. So your therapy hours is going to be different than the machines run hours.

Oh my! 8 hours? ha,ha, nice deal, lucky guy. Well, i'll have to think seriously about this opportunity. At those prices I could get an Autobipap(resmed s9), maybe disappearing the feeling of pressure in my ears.

Their "new open box" specials will be brand new zero hour machines with full 2 year warranty and the prices for those aren't bad either.