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The Revolution Will Be Monitored: Zeo, CPAP, and the Rise of the ePatient

I am a big believer in concept of the empowered patient.  Liked seeing that there are others speaking up on behalf of the patient, as in the following blog post:

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Amen for the empowered patient Mike!

Kudos to Zeo for getting a tool directly in the hands of the patients without interference from the FDA and the medical establishment.

How many times have I heard something like this, ".... (the doctor) told me everyone’s exhausted and literally threw me out of his office. This cycle repeated itself over the next ten years with few results." What a shame!
That is to cool!
Thanks for the mention, Mike. There is a movement afoot...

-Derek@Zeo
OK..I Googled Zeo because I didn't understand exactly what Zeo is, and guess what..I still don't understand what it is. lol I see that it is a machine that measures sleep quality and sleep quanity, but exactly how does it do this. Why should I get one? Do you wear it with a CPAP mask? Get your crayons out and give me a clue please. lol
This is an awesome tool. Even with 100% CPAP compliance, 'sleeping' 9-10 hours, am still tired all day. Frustrating because there are so many things I want to do and just don't have the energy. Will save my money, ask for only money for Christmas, and want to use something like this,

One thing that does wake me up is the lack of humidification with my machine. This is the 2nd one that does the same thing when using 220 instead of the 110; hmmm...wonder if the converter is not sufficient to convert the electricity to generate steam with 220. Had not thought about the connection before now.

While I'm at it, has anyone used a uric acid monitor? Are they fairly accurate?

It's nice to be able to clarify my thoughts without having to explain. Great site. Thanx.


Rette Tyrrel said:
This is an awesome tool. Even with 100% CPAP compliance, 'sleeping' 9-10 hours, am still tired all day. Frustrating because there are so many things I want to do and just don't have the energy. Will save my money, ask for only money for Christmas, and want to use something like this,


Rette, Maybe you already have the point I am about to make covered, but I will say it anyway because it may help others.

The first spending priority for someone using CPAP and not feeling energetic is to get a data-capable CPAP machine and software that will report nightly breathing events (apneas, hypopneas, snores), pressure and mask leak. Without data you cannot be sure you are breathing well at night!

Your CPAP therapy needs to be optimized first. Make the data-capable CPAP and software a Christmas gift (or Hannukkah or Ramadan or Vesak or Shivarathr or Zarathosht Diso) to yourself. Get your CPAP therapy optimized.

And then, if you are still not feeling energized, buy a Zeo.

Good luck.
Hi again everyone. The great SleepGuide conversations continue...

S Miller - fair push-back!

You are correct that Zeo is a sleep monitor that tells you the quality of your night's sleep, i.e. when and how long you were awake, or in REM, Light, or Deep sleep. Here's the short version on how it works: Zeo uses a headband with three dry silverized fabric sensors located on the forehead, which can conduct the small electrical signals produced by the brain, eyes, and muscles. Those signals (about 5-200mV, or 1/100,000 the voltage of a AAA battery) are amplified and sent to a neural network algorithm to make a decision about the current sleep phase. You can find more detail in this post on our blog: http://blog.myzeo.com/5-steps-to-phasing-sleep/

Beyond the monitoring, we also (1) provide an online platform for analyzing your sleep trends over time, and keeping an online journal so you can see cause & effect (2) built a coaching program (additional cost) to help you assess and improve your sleep hygiene (scheduling, environment, relaxation, etc) and (3) are in the process of building a content-driven website that will have the best information and answers about sleep (here's one example of the kind of content we'll be providing there).

I know it's a lot of info at once, but let me know if you want clarification on any of that.

And yes, you can wear it while you're wearing your CPAP mask as long as the headband has some real estate to work with on your forehead.

Rette -

Glad to see you so engaged with improving your sleep. As everyone hear knows, that should be a top priority. I most definitely agree with Rooster - optimizing your therapy should come first, and if a data-capable CPAP machine is the way to do that (I've seen some data from these and it's spectacular), amen.

Here if anyone else has any questions.
-Derek@Zeo
[derek@myzeo.com]
As a Zeo user since September 2009 I can vouch for the usefulness of the device. Its essentially a sleep stage monitor and produces reports similar to what you get from a sleep lab. (although not as detailed) I use mine every night.

It will tell you how long you slept and how much of each stage (Light,Deep,REM). One drawback for CPAP users is that it doesn't record micro awakenings. However the device is very useful especially when combined with a data capable CPAP and an oximeter. When combined with this other data is like having a mini sleep lab every night.

Its the only device currently on the market of its kind that is accessible to consumers. The next closest device would be the sleep apnea test device, the Watch-PAT, but its really a medical device.

I highly recommend the Zeo if your interested in understanding and monitoring your sleep better.
Derek, thank you for taking the time to answer my questions and the links.
This sounds like something I really need for monitoring my sleep patterns. I use a BIPAP at an extremely high rate..25/23 with 2 liters of O2...yet I still feel so tired all the time. This sounds like it could help me so I can personally know what's going on as well as allowing my doctor to review what's going on.
Sounds like a Christmas gift for sure.

Mornin Rooster and everyone,
Thanks for the info, will follow up today.

Rooster said:


Rette Tyrrel said:
This is an awesome tool. Even with 100% CPAP compliance, 'sleeping' 9-10 hours, am still tired all day. Frustrating because there are so many things I want to do and just don't have the energy. Will save my money, ask for only money for Christmas, and want to use something like this,


Rette, Maybe you already have the point I am about to make covered, but I will say it anyway because it may help others.

The first spending priority for someone using CPAP and not feeling energetic is to get a data-capable CPAP machine and software that will report nightly breathing events (apneas, hypopneas, snores), pressure and mask leak. Without data you cannot be sure you are breathing well at night!

Your CPAP therapy needs to be optimized first. Make the data-capable CPAP and software a Christmas gift (or Hannukkah or Ramadan or Vesak or Shivarathr or Zarathosht Diso) to yourself. Get your CPAP therapy optimized.

And then, if you are still not feeling energized, buy a Zeo.

Good luck.
Yes Samo..I for one tolerate it.
Before my BIPAP, I was not sleeping much at all. I had over 300 episodes of apnea in 6 hours of testing and have been tested many times to get my pressures accurate. My pulse ox's were in the lower 50%.
Although I still feel tired, there are other factors going on that affect my sleep, such as swallowing air, having to adjust my mask because of leaks since I am at such high pressures, etc..
I do dream now, don't have night terrors anymore, can stay awake while driving, don't fall asleep during conversations with friends, don't have headaches, I don't snore, and generally feel much better since starting the BIPAP.
I am 100% compliant;.I don't use it just when I feel like it, but use it every single time I sleep.
Although I'm not completely "cured" (for lack of a better word) and still am tired..there is vast improvement in my overall health,.
I will let my doctor decide my settings..not you.


S Miller said:

Before my BIPAP, I was not sleeping much at all.


What machine and pressure settings were you using before BIPAP?

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