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[CPAP] Help me selecting the best CPAP Machine
#21
RE: Help me selecting the best CPAP Machine
No, I don't think daytime use of a soft cervical collar has any benefit. There are other potential causes for daytime fatigue once the apnea is treated, however it's probably best to give the CPAP therapy time to work now that you have controlled obstruction and addressed positional apnea. I'd particularly like to work on the EPR setting for your Resmed machine. Your fitness, exercise level, general health and hormone levels can all play a role in how you feel.
Sleeprider
Apnea Board Moderator
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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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#22
Sense and Nonsense
(03-11-2019, 12:47 PM)Sleeprider Wrote: The Resmed is the better machine. 

I certainly question absolutist responses. Someone saying the Resmed is "better"; my saying the Dreamstation Go is "better." The qualification should be "for me."

I have used, with the same masks, both Resmed (9 and 10) and the Phillips Dreamstation Go. The Dreamstation Go with a Resmed P10 has yielded longer sleep cycles with lower AHI's. I find it so much easier to use, both at home and especially on the road. The 12mm hose is a dream. 
 
My sleep doctor -- you know someone with an M.D. who does sleep advising full time -- told me, after looking at my stats, over 5 years, I should ditch the Resmed and stick with the Go, both at home and especially on the road.

I certainly do not question Sleeprider's interest or his altruism, but, in the end, with you have to decide what works to make you bright eyed and fully alert.
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#23
RE: Help me selecting the best CPAP Machine
The choice of ResMed as a better machine is made based on helping hundreds of users thru this and other forums. No one will say that other brands of data capable machines are not good. But all in all better results are seen with ResMed full data capable machines.
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#24
RE: Sense and Nonsense
(03-16-2019, 12:15 PM)David Govan Wrote:
(03-11-2019, 12:47 PM)Sleeprider Wrote: The Resmed is the better machine. 

I certainly question absolutist responses. Someone saying the Resmed is "better"; my saying the Dreamstation Go is "better." The qualification should be "for me."

I have used, with the same masks, both Resmed (9 and 10) and the Phillips Dreamstation Go. The Dreamstation Go with a Resmed P10 has yielded longer sleep cycles with lower AHI's. I find it so much easier to use, both at home and especially on the road. The 12mm hose is a dream. 
 
My sleep doctor -- you know someone with an M.D. who does sleep advising full time -- told me, after looking at my stats, over 5 years, I should ditch the Resmed and stick with the Go, both at home and especially on the road.

I certainly do not question Sleeprider's interest or his altruism, but, in the end, with you have to decide what works to make you bright eyed and fully alert.

Actually it's not for me. I get approximately equal results and own both Resmed and Respironics, however the prevalence of flow limitation in the thousands of people I have worked with on this forum over the year, makes the Resmed a better bet due to its ability to address that problem using a true bilevel pressure (up to 3 cm with EPR) that no Dreamstation or your Go can match, especially relying on the Dreammapper Efficacy information. On top of that the Philips auto algorithm is completely unresponsive to flow limitation, and allows far more hypopnea and sometimes OA to come through. The Philips works well if the pressure is optimized, and needs don't change much through the night, but typically the Philips auto machines must be used at higher minimum pressure to prevent events, than if a Resmed Autoset is used. The difference in efficacy does not stop with auto CPAP, but involves the bilevel and ventilator lines as well. There are exceptions, but I prefer having the tools available in the Resmed machines, rather than hope for the best using pressure with Respironics.

My opinion comes from what has usually been a large discrepancy in the efficacy achieved between the two machines, and I used to hedge my responses much more than I do today.  There are indeed people that achieve equal or better results with Respironics, but the way the Flex comfort setting works, there are nearly an equal number that can't use the machine or that display dysfunctional breathing, with high levels of hypopnea, flow limitation, RERA and inverse inspiration:expiration ratio, lower tidal volume etc than can be achieved with the Resmed.  Philips has a very strong following in the U.S. Could it be related contributions to doctors and hospitals by:
Company............................................................................Number of Payments................................Total $

PHILIPS ELECTRONICS NORTH AMERICA CORPORATION ...........36,903 .................................................$12.6M
RESMED CORP ....................................................................5,365 .................................................... $325K

Just sayin' since you were inferin'
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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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#25
RE: Help me selecting the best CPAP Machine
There's a brand-new (5 hrs. on the clock) ResMed AirSense 10 AutoSet on CL for $400.00 in my area. 

If I were in the market for a back-up machine, I'd be all over it.
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#26
RE: Help me selecting the best CPAP Machine
(03-16-2019, 03:03 PM)Big Guy Wrote: There's a brand-new (5 hrs. on the clock) ResMed AirSense 10 AutoSet on CL for $400.00 in my area. 

If I were in the market for a back-up machine, I'd be all over it.

Looks like this is listed in Flagstaff, but located in Phoenix / Scottsdale.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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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#27
RE: Help me selecting the best CPAP Machine
(03-16-2019, 03:21 PM)Sleeprider Wrote:
(03-16-2019, 03:03 PM)Big Guy Wrote: There's a brand-new (5 hrs. on the clock) ResMed AirSense 10 AutoSet on CL for $400.00 in my area. 

If I were in the market for a back-up machine, I'd be all over it.

Looks like this is listed in Flagstaff, but located in Phoenix / Scottsdale.

Not sure myself. I just saw the ad, but didn't call about it.
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#28
RE: Sense and Nonsense
[quote pid='289206' dateline='1552764274']
Philips has a very strong following in the U.S. Could it be related contributions to doctors and hospitals by:
Company............................................................................Number of Payments................................Total $

Just sayin' since you were inferin'
[/quote]

Your suggestion that either my University of California, San Francisco M.D. sleep specialist or I have received contributions from Philips is outrageous and false. I happen to be a California attorney, not a medical device hack, and I happen to have sleep apnea.  I financially was able to buy and test both Resmed and Philips APAPS. My doctor thought both were fine until he compared my stats from various machines and told me the Philips Respironics Go was definitely superior for me. In terms of travel, for me, the Go logistically is infinitely better.
 
Your slang is just a slur. My only inference was that each person has to find his or her best solution. Your absolutist overreaction suggests a less than open mind. Your comments about Philips contributions to hospitals and doctors was as sloppy as it was inaccurate. Of course Philips, a Dutch international powerhouse, has a much broader medical product line than Resmed and therefore spends more. Would you care to tell us exactly how much each company has spent on contributions for each new CPAP or APAP machine -- the Airsense 10 and Mini and the Philips Respironics Go? Why, in my own case, would it even matter?
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#29
RE: Help me selecting the best CPAP Machine
I bought my Airsense 10 from my supplier without bickering over prices.  I figured the time they took helping me pick a machine and mask and their expertise were paid for in their mark-up.   And hey I might need them around some time in the future.  I paid $1,400.00 cad and got the climate air tubing and the neat laptop bag.  Six months in and they have called me twice to see how I am doing.  I have run into them while seeing other doctors in the building and my respirologist takes a few minutes to review my app on my phone. Their prices on consumables are cheaper than those guys with the big smile on their shipping boxes.  I LOVE these people.  I want their business to be successful in every way and for them to be around when I need them.  If my machine fails they will take care of the repair and provide a loaner.  They are considering renting travel apap machines for those who want a smaller machine while on vacation.  I recommend them to anybody needing diagnosis, equipment, and support.  I see these people as my friends.  All my life I have been able to hunt for a great price on an item BUT my experience is that a great price is a cash and carry deal.  Here is my money give me the box and goodbye.  Medical equipment deserves a more professional business relationship.  I will admit though that when I hear about somebody paying $4,000.00 or $5,000.00 for a machine I think somebody is being taken advantage of.
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#30
RE: Help me selecting the best CPAP Machine
You would need to put up both charts for anyone to agree that the go was better. If it's important to you.
This study found that the philips algorithms are slower to respond and didn't respond and give the required test pressure of 12cm to clear the OA. fig. 2
The F&P Icon actually followed the 12cm line on the chart the best. fig. 3
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5005142/

In general, you might find that the phillips auto likes to have the min pressure close to the 90/95% or 1cm higher and would be my suggestion.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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