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Im Thinking about getting a S9 autoset.
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Dawei Offline

Preferred Members-2

Posts: 342
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Other
Mask Make & Model: Respironics "FitLife"
Humidifier: H5i
CPAP Pressure: 10-20
CPAP Software: ResScan SleepyHead

Other Comments: Began CPAP in 2006; spent the first 6 years with a "brick"

Sex: Male
Location: Western North Carolina

Post: #31
RE: Im Thinking about getting a S9 autoset.
[quote='b360155' pid='9395' dateline='1336571453']

However, I am glad that I got the Autoset because it has allowed me to experiment with small pressure setting changes so that I can determine which setting produces the lowest AHI scores. If you can get your doctor to prescribe an APAP and the out of pocket cost to you after insurance isn't much different, I'd definitely recommend going with the S9 Autoset. I've been very happy with mine. Thumbs-up-2Way-to-happy


B36--First time I'm trying the reply to quote feature; not sure I'm setting it up properly. So, bear with me if I don't have it correct.
A few days ago when I last visited my DME to exchange my S9 Elite for an S9 AutoSet on a permanent basis rather than as a loaner, the RT gave me the following report. He said since ResMed is his company's primary supplier of CPAP gear, they are now involved in discussion with ResMed to try and get his firm supplied with AutoSet machines only (since the AutoSet can be set to operate in either Auto or straight CPAP modes and thus meet both types of Rx). Apparently ResMed has been shy to do so (thus far) because some docs don't like the idea of writing for AutoSet machines.
I thought this was interesting because from this DME's viewpoint in light of the volume of business they do with ResMed, it makes sense to stay with AutoSets and not stock all the models they make.
05-12-2012 07:36 AM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,064
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #32
RE: Im Thinking about getting a S9 autoset.
Western NC, huh? Is your DME Blue Ridge Home Care?

When I called them a few weeks ago, they said they don't carry the Resmed Autoset but instead use Respironics' APAP. That it was better. I said no, it's cheaper so you're profit margin is greater. Gee, wonder why they've not called me back?

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
05-12-2012 09:48 AM
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SlightlySleepy Offline

Preferred Members

Posts: 49
Joined: Apr 2012

Machine: Resmed AutoSet S9
Mask Type: Nasal pillows
Mask Make & Model: Puritan Breeze
Humidifier: Resmed H5
CPAP Pressure: 6-10
CPAP Software: ResScan SleepyHead

Other Comments: EPR off, humidifier 80 deg, heated hose, chin strap to reduce mouth breathing. BMI 21-22

Sex: Male
Location: an undisclosed location

Post: #33
RE: Im Thinking about getting a S9 autoset.
(05-12-2012 09:48 AM)PaulaO2 Wrote:  ...When I called them a few weeks ago, they said they don't carry the Resmed Autoset but instead use Respironics' APAP. That it was better. I said no, it's cheaper so you're profit margin is greater. Gee, wonder why they've not called me back?

Thanks to your member heads up on this apparently common problem, when the DME provider I was considering told me they did not carry that model but the Respironics was 'just as good' or 'similar' I stood firm. They eventually found one, but for unrelated reasons I ended up going with another provider. The provider I ended up with was most enthuastic about the Resmed S9 AutoSet, and felt I had made a good choice (not sure if that is the RT's opinion or the billing department's opinion)*. In any case, last night was my first night, but I don't have much to report because:
1) Lost all oximeter recordings and
2) Prescription is for 6cm H20 CPAP (which has been my prescription for 12 years despite my recent oximetry readings down to 80 on that level).

SO...I have set up an appointment with a second opinion sleep specialist (this time with non-surgeon) who will hopefully be willing to consider writing a script for a home titration rather than just tell me I need surgery and leave my Rx the same without bother to do a sleep study or home titration despite having the RollsRoyce machine.

Sometimes I wish I could just treat myself and be done with it. Anyone have a mirror and a scalpel? :-)

*despite being under contracted insurance rate much lower than list price for this machine and humidifier
(This post was last modified: 05-12-2012 04:23 PM by SlightlySleepy.)
05-12-2012 04:22 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,064
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #34
RE: Im Thinking about getting a S9 autoset.
You have an autoset. It can do a home titration for you. Are you using it as a straight CPAP?

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
05-12-2012 04:44 PM
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SuperSleeper Offline

Administrators

Posts: 9,961
Joined: Feb 2012

Machine: PR System One REMstar Auto (DS560)
Mask Type: Nasal pillows
Mask Make & Model: ResMed Mirage Swift II
Humidifier: none
CPAP Pressure: 12.5 - 18.5 cmH20 (auto range)
CPAP Software: SleepyHead

Other Comments: Have diabetes Type II

Sex: Male
Location: Illinois, USA

Post: #35
RE: Im Thinking about getting a S9 autoset.
(05-12-2012 09:48 AM)PaulaO2 Wrote:  When I called them a few weeks ago, they said they don't carry the Resmed Autoset but instead use Respironics' APAP. That it was better. I said no, it's cheaper so you're profit margin is greater. Gee, wonder why they've not called me back?

Don't want to go too-far off-topic from the OP's subject, but you know... we really need to come up with a comprehensive thread or stickie on "Before you get your CPAP READ THIS", where we warn people about how it works with the DMEs, insurance/Medicare reimbursements and costs, so that folks aren't bamboozled by their DME into accepting low-end CPAP machines just so the DME can make more profit.

Started a thread like that on the old forum, but it never took off much.... maybe we could get a thread going here and then once everyone's had a chance to input their own thoughts and ideas, we can make a webpage or Wiki article about how to deal with the DMEs.

Thoughts?

SuperSleeper
Apnea Board Administrator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.

05-12-2012 05:56 PM
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SlightlySleepy Offline

Preferred Members

Posts: 49
Joined: Apr 2012

Machine: Resmed AutoSet S9
Mask Type: Nasal pillows
Mask Make & Model: Puritan Breeze
Humidifier: Resmed H5
CPAP Pressure: 6-10
CPAP Software: ResScan SleepyHead

Other Comments: EPR off, humidifier 80 deg, heated hose, chin strap to reduce mouth breathing. BMI 21-22

Sex: Male
Location: an undisclosed location

Post: #36
RE: Im Thinking about getting a S9 autoset.
(05-12-2012 04:44 PM)PaulaO2 Wrote:  You have an autoset. It can do a home titration for you. Are you using it as a straight CPAP?
Yup -straight CPAP that was what was prescribed, so that's what the RT set it to!

But the RT said that the machine will still document any AHI (not sure about the other type). Since I have an appointment in about 3 days, I was thinking about just waiting until I see the sleep specialist to review the data.

Just checked my first night stats:
1) First night usage = 9.3 hrs, AHI = 0.2, and leaks 14L/min
2) Machine usage states 0.0 hours (on main screen, whatever that means!) Makes me doubt the machine total hours tracking (machine is technically a rental until I have shown 'compliance' with the "system"

As for the leak, it may be an average, but as far as I know there was only one hose disconnect and it was brief (I have the puritan breeze pillows and for some reason, the connection to the swivel is nearly impossible to keep on under the "immense" air pressure of 6cm H20
05-12-2012 06:01 PM
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SlightlySleepy Offline

Preferred Members

Posts: 49
Joined: Apr 2012

Machine: Resmed AutoSet S9
Mask Type: Nasal pillows
Mask Make & Model: Puritan Breeze
Humidifier: Resmed H5
CPAP Pressure: 6-10
CPAP Software: ResScan SleepyHead

Other Comments: EPR off, humidifier 80 deg, heated hose, chin strap to reduce mouth breathing. BMI 21-22

Sex: Male
Location: an undisclosed location

Post: #37
RE: Im Thinking about getting a S9 autoset.
(05-12-2012 05:56 PM)SuperSleeper Wrote:  ...Started a thread like that on the old forum, but it never took off much.... maybe we could get a thread going here and then once everyone's had a chance to input their own thoughts and ideas, we can make a webpage or Wiki article about how to deal with the DMEs.

A simul-post which I missed when first posted.

Yes, excellent idea. I like Wiki's. But everyone seems to be afraid to edit a wiki (syntax, who knows). Too geeky for some. However, I would definitely contribute or edit and post anything that anyone wants to contribute but does not feel able confident doing (or if someone puts the information up any-which-way, another more geeky person such as myself could rearrange it to make it look pretty.
05-12-2012 06:58 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #38
RE: Im Thinking about getting a S9 autoset.
(05-12-2012 06:58 PM)SlightlySleepy Wrote:  I like Wiki's.
Find out how to become an Apnea Board Wiki Editor
http://www.apneaboard.com/wiki/index.php...iki_Editor
05-12-2012 07:17 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,064
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #39
RE: Im Thinking about getting a S9 autoset.
The usage hours reset at noon.

That's an excellent AHI!

Of course, that's only one night. Even if you see your doc in 3 days, that's not really enough data to reflect a trend.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
05-12-2012 07:18 PM
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SlightlySleepy Offline

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Posts: 49
Joined: Apr 2012

Machine: Resmed AutoSet S9
Mask Type: Nasal pillows
Mask Make & Model: Puritan Breeze
Humidifier: Resmed H5
CPAP Pressure: 6-10
CPAP Software: ResScan SleepyHead

Other Comments: EPR off, humidifier 80 deg, heated hose, chin strap to reduce mouth breathing. BMI 21-22

Sex: Male
Location: an undisclosed location

Post: #40
RE: Im Thinking about getting a S9 autoset.
(05-12-2012 07:18 PM)PaulaO2 Wrote:  The usage hours reset at noon.

That's an excellent AHI!

Of course, that's only one night. Even if you see your doc in 3 days, that's not really enough data to reflect a trend.

Yea, I know, but it was either that, or the day before residencies switch over last day of June, so I took the cancellation and will hope they are hi-tech enough to review updates of my card by email or something.
05-12-2012 10:10 PM
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