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comparisons,
#11
stephen N,

A while back I wrote a detailed comparison of the PR System One Auto CPAP (model 560/561) that you are trialing and the Resmed S9 Autoset. You can see my comparison at: http://www.apneaboard.com/forums/Thread-...1#pid49331
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#12
G'day Stephen, welcome from another Sandgroper!

For what it's worth, I was told by my respiratory therapist that they get a lot more Philips machines returned for warranty. Further, because the ResMed is made in Australia, warranty service is pretty quick - the Philips apparently takes quite a long time. Now this may just be spin, but they sell both machines so I tend to believe it.

Having said that, if you buy from the US and have a problem the local suppliers are not likely to go out of their way to help. Unfortunately local prices here are twice what they are in the States, so you could buy another machine from the US if yours breaks down and still be ahead. I think they're both pretty reliable though.
DeepBreathing
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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.
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#13
I use the Remstar, almost identical model to yours (I have the 551P), and this is pretty much the standard machine here in Switzerland. I was told from various advisers at the LungenLiga, who supply most of the CPAPs for patients here, that resmed machines are often returned for the Remstar machines because of a whine they make, and are by far less popular here. However, it is really six of one, half a dozen of the other - both are fine machines. You have an excellent machine right now, and it if it works, don't switch it just because someone else likes a different one. In the end, at a certain level, they are all the same and provide the same quality of therapy - each has different reporting software, so the type of date gathered varies form manufacturer to manufacturer, but in all honesty, if the machine is comfortable and doesn't keep you awake at night, stick with it. Masks can be switched out between any machine from any manufacturer, and it is most common here to see a Philips Remstar box couple with a Resmed mask.

There is no truth to the idea that one is a second tier machine - Resmed has a great deal more popularity in the US, Remstar (Philips) in Europe. Both are of equal quality, although I would agree that the Resmed is a titch more flimsy, on the other hand, the water tank on the Remstar is idiotic - all the internal struts can trap bacteria and spores, so you do have to be through in cleaning it and drying it. That said, the Remstar is a tough bugger - I travel a LOT (training courses, conferences, whatever else doctors get up to) and I just toss it into my flight case and it simply can't get damaged. Also I like the ramp button and easy knob to do anything that needs doing on the box.

Unless you can try out the resmed S9 first, I would not order it - you might get it, not like it, note the whine it makes (some hear it, others don't) and regret it - so try before you buy. Or stick with what you know and have - it works, you have great results, and that is actually what counts - the rest is bells, whistles and fancy paint.

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#14
I am only part way through the trial, using the Remstar, and will be seeing the clinic later this week.
I am going to see if I can swap for a Resmed autoset and see how it feels.
I have hired this thing for a month, and don't want the hire to go any longer than I have to - I could buy myself a new Remstar from supplier no.2 for what the months hire is worth!

stephen
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#15
My "second tier" comment is only *my* perception. As I also stated, I have never seen nor used one of their products. I try to speak (type) clearly, and make sure that opinion does not get taken as fact.
*I* am not a DOCTOR or any type of Health Care Professional.  My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
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#16
I should note that Philips and Resmed are pretty much monopolies here in Europe when it comes to CPAPs, I rarely see any products or devices other than theirs anywhere on offer.
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#17
I am in the envious position of being able to afford any machine I would want. After comparing the ResMed AutoSet S9 and the PRS1 REMstar Auto, the only reason I chose the PRS1 was because I could re-use the existing humidifier I had. They are both top-shelf units.

If I were to do it again completely from scratch, I would choose the PRS1 unit, for the sole reason that the S9 will erase detailed data if not downloaded within a week. The PRS1 unit keeps the data until explicitly erased, and I am finding that I am only looking at my data every month or two nowadays.
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#18
Quick update,
Last week I had my 2 week visit to the specialist so the tech. could download the records.
I don't have a copy of the results, but she was pretty impressed with what she saw [the results that is....]
The pressure has been bumped up to 10, and the machine switched over to manual instead of auto to see what happens.
Previously it started on a setting of 7, then ramping up to 8.2 and then did its auto stuff.
Now it starts at 5[ish] then ramps up to 10, staying at the set level.
Sleep quality is better, without the interruption that the changing pressures gave me before.

A couple of times upon waking up, I have noticed my mouth is really dry, is this anything to worry about?

stephen
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#19
G'day Stephen. It sounds like you're going through the same routine I did. (Not using Cardio-Respiratory Sleep clinic by any chance?) They start you on an autoset machine then try a fixed pressure to see if you can get away with that (it's also a bit cheaper). Regardless of the outcome of that experiment I'd be inclined to go for an autoset machine, even if you chose to run it in fixed pressure mode. As your body changes over time you may find you need the variable pressure, or alternatively you can just go back onto autoset for a while and see if your pressure needs have changed.

Re the dry mouth - it's pretty common and just shows that you've been breathing through your mouth. Some say it can damage your teeth and gums, so it's better to avoid moth-breathing if possible. You can try a chin-strap to keep your mouth closed.
DeepBreathing
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www.ApneaBoard.com


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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.
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#20
(05-05-2014, 09:19 AM)DeepBreathing Wrote: G'day Stephen. It sounds like you're going through the same routine I did. (Not using Cardio-Respiratory Sleep clinic by any chance?)

I will be getting the autoset, kinda makes sense to me.
The dry mouth has only happened a couple of times, I guess it will take a little time for me to iron out the bugs and get myself sorted.

The crew looking after me are at St John's in Subiaco and Karrinyup.

stephen
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