Replies to This Discussion

Permalink Reply by Judy on July 13, 2009 at 11:33am

GIGGLE. REAMED? You'll continue being reamed? Or you FEEL like you've been reamed? Sorry, Mike, you are just giving me all these openings .... maybe you better concentrate at getting to bed at a reasonable hour.

Its pick on Mikey day!!! LOL

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Permalink Reply by Mike on July 13, 2009 at 11:40am

tough crowd ;-)

Judy said:

GIGGLE. REAMED? You'll continue being reamed? Or you FEEL like you've been reamed? Sorry, Mike, you are just giving me all these openings .... maybe you better concentrate at getting to bed at a reasonable hour.

Its pick on Mikey day!!! LOL

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Permalink Reply by BeeAsleep on July 13, 2009 at 12:29pm

Wow, your numbers look a lot like mine...a lot. My leak rate is less, but like I have said before, I think the Swift LT nasal pillows were made from using a cast of my nose...:>D How does your nose feel at the 2 setting on the humidifier? Hey, I love my REAMED as well.

:>D

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Permalink Reply by Mike on July 13, 2009 at 12:48pm

ha ha ;-) my nose feels just fine at the two setting on the humidifier. i noticed a little bit of condensation this morning in the mask, but it doesn't bother me.

i notice the RESMED (there, I got it this time ;-) has a nifty mask leak test feature. in other words, while you're trying to get your mask adjusted to fit properly, on the screen, the machine will tell you how you're doing by how much it's leaking: poor, good, excellent . . . you guys use that at all?

BeeAsleep said:

Wow, your numbers look a lot like mine...a lot. My leak rate is less, but like I have said before, I think the Swift LT nasal pillows were made from using a cast of my nose...:>D How does your nose feel at the 2 setting on the humidifier? Hey, I love my REAMED as well.

:>D

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Permalink Reply by Henning on July 13, 2009 at 3:04pm

Hi Mike,

Congratulations with your new machine. Resmed Autoset is standard equipment here in Denmark and I am convinced that it is a very good machine.

At a time when I had some problems with my treatment, I spoke several times with Resmed and I got some information’s that you can't find in the manual.

Unfortunately, we here in Denmark use this machine usually with an open window at 4-20 cmH2O. I think this is mainly due to the Resmed Autoset automatically corrects the pressure for leaks.

But I agree with ink, that the machine should be set to +/- 2 cmH2O compared to measured need pressure. As ink mention the machine in some cases doesn’t set up the pressure quickly enough to avoid an apnea.

But another problem is that when the pressure is set up the machine will maintain this pressure for 20 minutes. So a single leak can give an exaggerated press for 20 minutes.

Resmed is altso known to over count Hypopneas. I have spoken with Resmed about that, and they recognize this. But they told me that I should not even think about Hypopneas since the machine will always treat Hypopneas.

At one point I bought a card reader and the diagnosis program to the machine, and I can clearly see that Hypopneas always is treated well, unlike the apneas where the machine can’t do anything and just wait until the apnea is released and then set up the pressure.

So the answer from Resmed is that you only have to look at the AI.

Henning

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Permalink Reply by Mike on July 13, 2009 at 5:18pm

Henning, that's a good embodiment of the "ResMed lore" I've heard here and there (about overscoring hypopneas, etc.), but never reduced to a single summary like yours. I think I'll post it as a new thread so that I and others can easily find it down the road. Thanks.

Henning said:

Hi Mike,

Congratulations with your new machine. Resmed Autoset is standard equipment here in Denmark and I am convinced that it is a very good machine.

At a time when I had some problems with my treatment, I spoke several times with Resmed and I got some information’s that you can't find in the manual.

Unfortunately, we here in Denmark use this machine usually with an open window at 4-20 cmH2O. I think this is mainly due to the Resmed Autoset automatically corrects the pressure for leaks.

But I agree with ink, that the machine should be set to +/- 2 cmH2O compared to measured need pressure. As ink mention the machine in some cases doesn’t set up the pressure quickly enough to avoid an apnea.

But another problem is that when the pressure is set up the machine will maintain this pressure for 20 minutes. So a single leak can give an exaggerated press for 20 minutes.

Resmed is altso known to over count Hypopneas. I have spoken with Resmed about that, and they recognize this. But they told me that I should not even think about Hypopneas since the machine will always treat Hypopneas.

At one point I bought a card reader and the diagnosis program to the machine, and I can clearly see that Hypopneas always is treated well, unlike the apneas where the machine can’t do anything and just wait until the apnea is released and then set up the pressure.

So the answer from Resmed is that you only have to look at the AI.

Henning

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Permalink Reply by BeeAsleep on July 13, 2009 at 5:21pm

Where is the mask leak test feature? That sounds cool.

Mike said:

ha ha ;-) my nose feels just fine at the two setting on the humidifier. i noticed a little bit of condensation this morning in the mask, but it doesn't bother me.

i notice the RESMED (there, I got it this time ;-) has a nifty mask leak test feature. in other words, while you're trying to get your mask adjusted to fit properly, on the screen, the machine will tell you how you're doing by how much it's leaking: poor, good, excellent . . . you guys use that at all?

BeeAsleep said:

Wow, your numbers look a lot like mine...a lot. My leak rate is less, but like I have said before, I think the Swift LT nasal pillows were made from using a cast of my nose...:>D How does your nose feel at the 2 setting on the humidifier? Hey, I love my REAMED as well.

:>D

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Permalink Reply by RockRpsgt on July 14, 2009 at 8:55am

Great post.

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Permalink Reply by Mike on July 14, 2009 at 11:24am

i'll take a look later in the day and write down how to get to the nifty mask leak feature.

BeeAsleep said:

Where is the mask leak test feature? That sounds cool.

Mike said:

ha ha ;-) my nose feels just fine at the two setting on the humidifier. i noticed a little bit of condensation this morning in the mask, but it doesn't bother me.

i notice the RESMED (there, I got it this time ;-) has a nifty mask leak test feature. in other words, while you're trying to get your mask adjusted to fit properly, on the screen, the machine will tell you how you're doing by how much it's leaking: poor, good, excellent . . . you guys use that at all?

BeeAsleep said:

Wow, your numbers look a lot like mine...a lot. My leak rate is less, but like I have said before, I think the Swift LT nasal pillows were made from using a cast of my nose...:>D How does your nose feel at the 2 setting on the humidifier? Hey, I love my REAMED as well.

:>D

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Permalink Reply by Mike on July 14, 2009 at 4:44pm

darnit! i didn't check my efficacy data from last night before noon, and now it's all erased/zeroed out. when i first woke up, i thought to check it, but figured it might need some time to "collect its thoughts" -- then i waited too long. is it true that the data takes some time to appear after you first wake up?

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Permalink Reply by Judy on July 14, 2009 at 5:23pm

Yep, give it 15 minutes. Get up, take a leak, shave and then check your data.

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Permalink Reply by Henning on July 15, 2009 at 2:26am

In fact, your machine saves detailed data (on your data card) for 5 days. These detailed data contains far more information than you see on your screen.

You need a card reader and the ResScan software to analyze them. Then you can also save this data on your computer.

Additionally, your data card save average data for around 1 year.

Henning

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