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WHICH APAP -MORE HELP
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big1dog Offline

Members

Posts: 8
Joined: Mar 2014

Machine: Respironics REMstar SE System One
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: RSPPAP564
CPAP Pressure: 18
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
WHICH APAP -MORE HELP
I think I may be winning the battle with the DME people on the just ok CPAP they want to rent me. I want an APAP with reporting. Think my Doctor will agree since he ordered this one without even reviewing the sleep study with me..

OK, they tell me they (DME people) do Respionics Machines ONLY. Could I please have some suggestions?
Thanks
04-01-2014 01:39 AM
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big_dave Online

Advisory Members

Posts: 411
Joined: Apr 2012

Machine: PR System One DS560
Mask Type: Nasal pillows
Mask Make & Model: F&P Pilairo Q or ResMed Mirage Activa
Humidifier: PR System One
CPAP Pressure: 14 - 20
CPAP Software: SleepyHead

Other Comments: Former ResMed S8 Autoset II user

Sex: Male
Location: Eugene, Oregon

Post: #2
RE: WHICH APAP -MORE HELP
You want the Respironics PR System One 60 Series REMstar Auto with A-flex (model DS560S). It's competitive with the ResMed S9 AutoSet.
(This post was last modified: 04-01-2014 02:22 AM by big_dave.)
04-01-2014 02:21 AM
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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: #3
RE: WHICH APAP -MORE HELP
(04-01-2014 01:39 AM)big1dog Wrote:  OK, they tell me they (DME people) do Respionics Machines ONLY. Could I please have some suggestions?
Thanks
There is no such thing as "we do Respironcis machines only", they,re in the business of supplying CPAP machines and would supply whatever machine your doctor write on the prescription. Either that or find another insurance approved DME who would supply the machine of your choice

big_dave suggestion "PRS1 560" is top end PR machine, you can go along with that or ask the doctor to specify "ResMed S9 AutoSet" (not S9 Escape Auto) on the prescription and write "dispense as written" to avoid any confusion
04-01-2014 03:18 AM
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robysue Online
Wiki Editor
Advisory Members

Posts: 1,233
Joined: Oct 2013

Machine: PR Dreamstation BiPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: PR Dreamstation humidfier
CPAP Pressure: min EPAP = 4; max IPAP = 9;
CPAP Software: SleepyHead EncoreBasic EncorePro

Other Comments: Papping since September 2010

Sex: Female
Location: Buffalo, NY

Post: #4
RE: WHICH APAP -MORE HELP
Throwing in my two cents:

There's not enough differences between the PR Series 60 System One Auto (model 560) and the S9 AutoSet to worry about. The PR System One Auto does everything the AutoSet does, albeit the exhalation relief system works differently.

And, unlike the S9 Auto Escape, on the PR side there's not a "brick" version of the System One Auto to worry about.

I wrote a rather detailed comparison of the S9 AutoSet and the PR System One Auto some time ago. You might find it useful to read my post on the Holden versus Ford, Resmed v. Philips Respironics thread from a while back for more detailed information about these two fine machines.
04-01-2014 07:41 AM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #5
RE: WHICH APAP -MORE HELP
As robysue said, PR and Resmed Auto are both awesome machines. Some people do better with PR and some do better with Resmed. I am one that I think does better with Resmed.

I found my old machine that didn't get used more than a few weeks at best and it is a PR Remstar Domestic I think it is called. I had trouble with using it I didn't get any help with guidance to fix it, etc. so I just quit using it. Nobody ever told me that I could die if I didn't use it or what it could do to my health, etc. I had a sleep study which was miserable b/c I think the tech went to sleep and I was cold and I kept calling for another blanket and 30 minutes later, I finally got someone's attention.

My current DME keeps PR on hand but they ordered what I wanted and it was a Resmed. If you can have a trial use that would be a good chance to try both machines and see which works best for you.
04-01-2014 09:10 AM
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herbm Offline

Preferred Members-2

Posts: 852
Joined: Jan 2014

Machine: ResMed AutoSet S9
Mask Type: Oral
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: ResMed H5i
CPAP Pressure: 11-16
CPAP Software: ResScan SleepyHead

Other Comments: Backup Mask: Innomed Hybrid FFM -- Oral+Nasal Pillows

Sex: Male
Location: Austin, TX

Post: #6
RE: WHICH APAP -MORE HELP
I wanted the Resmed based on what I have read and heard and that opinion hasn't changed.

But the is nothing wrong with the Respironics and you'll be just fine with that as long as it is the full capability auto.

On the other hand, finding a good DME who will sell you whatever your want might be easier now than waiting until next time these folks try to give you a cheaper solution.

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
04-01-2014 10:07 AM
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RonWessels Offline

Preferred Members-2

Posts: 465
Joined: Jun 2013

Machine: REMstar Auto AFlex DS560TS
Mask Type: Nasal mask
Mask Make & Model: ComfortGel Blue
Humidifier: REMstar Heated Tube DS6T
CPAP Pressure: 11 - 20
CPAP Software: SleepyHead

Other Comments: CMS50F Pulse Oximeter

Sex: Male
Location: Ontario, Canada

Post: #7
RE: WHICH APAP -MORE HELP
As everyone else has said. I am in the fortunate position of being able to afford any machine that I want, and I chose the PRS1 60 Series Auto (exactly the machine that was mentioned by big_dave) for the simple reason that my previous machine was also a PRS1 so I could re-use the humidifier. I personally use an A-Flex setting of 3, and find that my breathing feels perfectly normal.

Having read both manuals, the differences between the PRS1 60 Series Auto and the RemStar S9 AutoSet are all minor. Things like: the PRS1 allows separate control of auto-on and auto-off, where the S9 has the same setting controlling both. The PRS1 only reports total leaks, so the display program (SleepyHead) must calculate intentional vs unintentional leaks, whereas the S9 calculates and reports unintentional leaks itself.

One of the biggest differences is that the PRS1 does not erase previous data from the SD card, whereas the S9 will erase detailed data that is more than a week old. As long as you download data no less frequently than every week, this makes no difference, but I find that I can get lazy and let a few weeks go by. With an S9, I'd lose data. With the PRS1, I don't.
04-01-2014 10:18 AM
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ImaSurvivor Offline

Preferred Members-2

Posts: 322
Joined: Nov 2013

Machine: ResMed S9 Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: H5i Heated Humidifier, ClimateLine Tubing
CPAP Pressure: 10
CPAP Software: SleepyHead

Other Comments: Moderate Sleep Apnea, Began using CPAP 11/27/2013

Sex: Female
Location: New York State

Post: #8
RE: WHICH APAP -MORE HELP
I was given a list of DME's in my area and could choose. But one in particular only dealt ResMed machines ... no other brands. I was told that prior to my polysomnogram. I knew ResMed was a good brand and already had my mind made up I wanted the ResMed S9 AutoSet. I decided on the DME because I knew I could get my machine the morning following the polysomnogram and I wanted to get started as quickly as possible since I had plans to be traveling a few weeks later. I wanted to know what I was doing with it by travel time. I had been reading for a month on this forum between titration and polysomnogram. It was so valuable to know about so much before I got the machine.
04-01-2014 12:20 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: #9
RE: WHICH APAP -MORE HELP
The main advantage (for me, not computer literate) of ResMed S9 Autoset is the sleep data display on the LCD screen and reporting unintentional leak which is most helpful knowing at a glance, good mask fit is the most essential for good outcome.
Other machine are dismal in comparison
04-01-2014 02:57 PM
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big1dog Offline

Members

Posts: 8
Joined: Mar 2014

Machine: Respironics REMstar SE System One
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: RSPPAP564
CPAP Pressure: 18
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #10
RE: WHICH APAP -MORE HELP
My Doctor has agreed to request a new APAP for me, a PRS1 560S. Now lets see what happens with the medical group and their DME buddies at Lifecare.
04-01-2014 07:22 PM
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