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Failed Cpap and Bipap, would love some help with Oscar info!
#1
Failed Cpap and Bipap, would love some help with Oscar info!
Hello, I'm a first time poster! Apologies if I'm not posting this correctly/not providing the right info.
I was diagnosed with moderate obstructive sleep apnea a year ago and now have to return my Bipap as I'm noncompliant. I never adapted to wearing it all night and hated it. When I wear it I fall asleep fine but I find myself waking up at least once to go to the bathroom, when I don't wear it I sleep through the night. I've felt not positive difference in how I feel during the day. The reason I was told to get a sleep study was because I have TMJD which is causing me significant chronic pain and a high sleepiness score. That hasn't been helped by the Bipap. I have a misaligned jaw and am pursuing surgery to correct that.
I have tried to get guidance from my pulmonologist and the DME company with no luck. My Dr. tells me to just stop using the machine if it's causing me so much grief. I'm hoping to get some guidance on this forum on what's going on while I sleep and what can be done differently the next time I try a machine. 
Background:
I'm a 33 year old woman, normal BMI. I got a sleep study done in August 2021. During my study I had 5 central apneas, 2 obstructive, 0 mixed and 80 hypopnea resulting in an AHI of 15. There were 0 RERA's. The mean oxygen was 98%. The REM AHI was 44, supine was 32.  No periodic limb movements. The mean pulse was 77 BPM. No significant EKG abnormalities.
I was prescribed a CPAP (don't remember which one, was a Resmed) and started with nasal pillows and a chin strap. I keep having aerophagia that would wake me up in the early morning due to the pain. I had to stop using the chin strap because it was exacerbating my TMJD. I switched to a nasal mask and mouth tape. 
I struggled to adapt to the CPAP and the aerophagia so my Dr. switched me to a BiPap- Resmed Aircurve 10. This resolved the aerophagia but I still struggled with sleeping through the night. I recently got a Cpap (not Bipap for some reason) titration study done but have to return my machine before my next appointment with my doctor as insurance will no longer pay for it. If anyone can help with my OSCAR data I'd really appreciate it! Below is only my Bipap info.


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#2
RE: Failed Cpap and Bipap, would love some help with Oscar info!
Welcome to the forum.

I would reduce the PS from 4 to 3 and see if your central index goes down.

Because you are having issues with time used or compliance, try this

Use your machine while you do something you like,. Watch TV, listen to Tunes, read a book, play video games, etc. This means mask on and under pressure. Teach your body it is ok.

Except for your centrals your numbers are good
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#3
RE: Failed Cpap and Bipap, would love some help with Oscar info!
@ Gideon - would ASV be a strategy?
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