[Diagnosis] Do my sleep lab results show that I have uars?

[michelbeaini]

My sleep dr said that my results where fine. But all my symptoms are those of someone with uars.What worries me the most is the 2min of rem and the amount of arousals.

[Sleeprider]

This sleep test is not designed to diagnose UARS, however it shows you have a low AHI but some high levels of snoring and obstruction (flow-limited) breathing. A sleep specialist's responsibility is to sign off on a diagnostic sleep report. What you and your doctor (treating physician) do with that information is up to you. Just so we're on the same page, you may never see this sleep doctor again. The sleep doctor most likely follows what Medicare and insurance define as sleep apnea that qualifies for reimbursement. These rules are somewhat arbitrary in that some individuals with serious impacts to their sleep may not "qualify" for treatment.

You must deal with your health and how you feel by advocating for the best treatment you can. If upper airway resistance, snoring, respiratory event related arousals (RERA) and even leg movements are disruptive to your sleep, you can pursue whatever treatment may best mitigate those problems. Your doctor is not constrained by arbitrary rules of what "defines" sleep disordered breathing and can prescribe whatever you and he agree would benefit your health and well-being. With that in mind, a Resmed Airsense 10 Autoset CPAP would resolve most if not all these problems fairly easily. The Resmed offers CPAP therapy with a form bilevel pressure support called EPR (exhale pressure relief). This means the machine can provide an inhale pressure (IPAP) up to 3-cm higher than exhale pressure (EPAP). This pressure support or pressure difference is a critical tool in treating upper airway resistance of flow limitation. A nasal pillow mask and tubing can be had for another $130. Whether you go alone, or work with your doctor, you can safely use CPAP and demonstrate whether or not it is beneficial for you.