Did in-home sleep study, seeking referral to remote sleep medicine doc (telemedicine)

[pholynyk]

Which model of ResMed 9 machine do you have? As long as it is not the 'Escape' it will store enough data on an SD card to allow you set up and optimise your treatment. You will need an SD card reader for your computer (USB plugins cost $10 to $15), and the SleepyHead software, which you can download for free from the link in the black menu bar at the top of the page. We have many experience members here who will help you interpret the data and graphs that SleepyHead will give you.

The footer lines of both SleepRider's and Bonjour's posts above have links to lots of useful information on masks and SleepyHead.

I must respectfully disagree with user Sprig above. If your case is unusual will you be advised to seek professional help. Otherwise it's faster to listen to SR & B.

[Stom]

If you do some lurking here on the forum you'll find that many people need time and some tweaks to their CPAP treatment (including different settings and different masks) to get it to work for them.

Dental mandibular advancement devices can help some people with mild to moderate *obstructive* apnea, however your sleep study doesn't seem to have measured obstructive apnea (reduced or stopped breathing due to obstructed airways) and central apnea (reduced or stopped breathing due to the body "forgetting" to breathe). Some cheaper home studies lack the channels needed to differentiate between the two, but it is important to do so since a dental appliance can only help with some types of obstructive apnea. The same goes for regular fixed pressure and auto setting pressure PAP devices. The RT or doctor who wrote the report may have intuited the obstruction by the shape of your inspiration graphs, which have characteristic shapes if there is obstructed breathing.

Ironically, a custom dental device can cost **way** more than a CPAP. I've seen users report prices of up to $4,000 for them. They have been promoted to dentists as a profit center that they can use to easily expand their income. And they can cause joint pain and cause your bight to misalign. Prices for dental devices can also be lower, but be sure to get an all inclusive, upfront quote including the cost of adjustments before considering such a device.