Desperate for help adjusting my settings before I see my doctor tomorrow

[goodbenefit]

On this night you were having positional apnea.  You can see positional apnea where either H or Oa events are clustered together.  Getting rid of as many as you can will lower your AHI.  Positional apnea can NOT be controlled by pressure changes.  You have to find out what position you are getting into and cutting off your own airway.  Have you changed your sleep position?  Sleeping on your back?  Using more (or new) pillows?  These things can cause positional apnea by chin dropping to your sternum and cutting your airway.  Think of it of a kinked hose – nothing can get through – you have to unkink the hose…

IF you can’t make a simple change like changing to a flatter pillow helps then you will need a collar.  I have a link to collars in my signature at the bottom of the page.  It shows people who are not wearing a collar and the SAME person wearing a collar.  There is a huge difference between the two.

That's good to know, thank you so much! I am going to try to continue to avoid sleeping on my back at all costs. That seems to be when it's at its worst. Going to put the EPR up to 3 tonight and see if that combined with trying to sleep only on my side will help. I'll look into a collar as well, thank you!

[Dormeo]

Do try EPR of 3 in addition to a lower, firmer pillow.

Thanks for posting the snippets. The breathing pattern is not one I'm familiar with, but it doesn't look like asleep breathing. I'm going to see whether someone else might be able to comment on this.

[BoxcarPete]

Respiration rate is fine, looks to be about 17ish when manually counted. There is significant "hitching" which contributes to excess zero crossings and therefore multi-counting of breaths. The inconsistent flow pattern is something to be worked out, but it doesn't appear at this time to be fundamentally driven by a problem with respiration rate. What's more odd is that there isn't much FL being tracked during this timeframe, but the breaths look pretty spiky and gnarly. I suppose it's not a pattern that's consistent with partial airway blockage.

It might be a little clearer if you repost zoomed in a little more, like 2-2:30 timescale.

[Sleeprider]

I'm older than BoxcarPete and I can't pickup the respiration rate at this resolution. Can you please provide a 3-4 minute view of the flow rate?

[goodbenefit]

Do try EPR of 3 in addition to a lower, firmer pillow.

Thanks for posting the snippets.  The breathing pattern is not one I'm familiar with, but it doesn't look like asleep breathing.  I'm going to see whether someone else might be able to comment on this.

Thank you so, so much for your help. I did EPR of 3 and even though I woke up on my back twice, I had an overall AHI of 1 and barely any events in comparison to previous nights. I still feel exhausted, but gonna take that maybe as a sign that I just haven't slept well in a while? I'm really glad I posted here!!

   
   

[Dormeo]

You've accidentally provided only 75 minutes of the night. Be sure to zoom all the way out before you take your screenshot.

Could you do as Sleeprider asks go back to the zoomed-in segment you posted earlier, only this time zoom in a little more, to 3-4 minutes?