My somnologist isn't very helpful. He just gave me "permission" to change the settings on my own which does f*** all considering I am not a trained medical professional. I am a 31 year old 144 lb male with moderate OSA. ~15 AHI/hr was result during in lab study. Not overweight by any means but do have bit of a gut which I am currently working on. My Bipap AHIs range wildly and worsen if I don't use chinstrap + mouthtape. I think at this moment I have developed Central or complex sleep apnea due to my stupidity.
I have been using BiPAP Resmed Aircurve 10 VAuto for 1 year now. Original settings were IPAP=14, EPAP=6, and PS=4. I made the mistake of changing too many values at once and being impatient with the treatment (I know, I know, this was stupid on my part. Please be gentle with me). Before July of this year I was using the prescribed settings by the lab and my numbers were reasonable. The problems I had are EDS, moderated deviated septum and turbinate hypertrophy. Only recently did I research that SPO2 drops during the day/night can cause EDS even with good BIPAP results. I use Wellue O2Ring Oxygen Monitor and it shows that my average O2 levels in the night daily are 96-97% but 9/14 days in the last 2 weeks I have O2 saturation dipping into the mid 80s. The other 5 days it was in the 90s. I tested for TSH levels and they were normal. In July, I got septoplasty and turbinate reduction and since then, I cannot find good Bipap values probably because my titration study was done before this procedure and now my nasal passageways are open. The ENT who performed my procedure also did a DISE and told me I have multilevel collapse; large tongue which collapses into epiglottis which then in turn closes the airway. So I know I have positional sleep apnea. Currently using a wedge pillow with another pillow on top to even out the neck/spine. I sleep or try to sleep on the left side of my stomach because I also have LPR, which goes hand in hand with OSA. I also use a dentist custom fit mouthguard due to OSA bruxism, famotidine for reflux, and nasal saline rinses a few hours before bed.
Here is last night's data. As you can see, the pressure settings are different from what were prescribed. Please help!! Thank you so much.
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