In-Lab results wildly different from Watchpat

[saiyangod]

Hello, I'm a 24 y/o male who is average weight.

I took a watchpat test in April, where I scored an AHI of 8.3 (3% oxygen desaturation), 8.2 hypopneas, and a RDI of 14.

Since I couldn't be asked to wait for insurance to help me, I bought an APAP and have been using it since. My symptoms improve marginally when I use it, but I still feel awful daily. Any time I sleep without my machine, I wake up with symptoms twice as severe.

I thought I'd get more conclusive results from an in-lab study, and just finished it a couple weeks ago. However, this time I scored only 1.3 AHI (3% oxygen desaturation), and 5 hypopneas. I asked if I could be given the RDI, but they claimed it isn't used for diagnosis and that I don't have sleep apnea.

I feel like I'm being gaslit at this point because I'm certain that my issues are tied to my sleep. I'm beginning to feel suspicious that I may have UARS since:



A. I snore VERY loudly

B. Not using my machine causes nightmares where I'm suffocating, followed by suddenly waking up and a day of immense brainfog and head tension


Do you think it's worth looking into a bilevel? Or should I just wait and see what the next doctor says.

 I'd post my OSCAR data, but it pretty much says I'm sleeping perfectly with no obstructive apneas alongside a couple centrals.

[PeaceLoveAndPizza]

You paid for the sleep report. They have to give it to you in full. Don’t let them tell you otherwise. A sleep report would help as to what they saw in the lab. An in-lab study is likely far more accurate when done correctly compared to an at-home test, so having the study is important.

Without seeing your current OSCAR charts it is almost impossible to suggest getting a Bilevel. You can always buy one on Facebook Marketplace or Craigslist, but it may not be needed.

Post a few OSCAR charts and let folks here figure out what is going on. See my sig for a link to how and what to post.

[SarcasticDave94]

If it's your test, you should be allowed your test results in full (all pages). No isn't an accepted answer. Demand it.

[saiyangod]

You paid for the sleep report. They have to give it to you in full. Don’t let them tell you otherwise. A sleep report would help as to what they saw in the lab. An in-lab study is likely far more accurate when done correctly compared to an at-home test, so having the study is important.

Without seeing your current OSCAR charts it is almost impossible to suggest getting a Bilevel. You can always buy one on Facebook Marketplace or Craigslist, but it may not be needed.

Post a few OSCAR charts and let folks here figure out what is going on. See my sig for a link to how and what to post.

Is this the full report? I asked them if they had anything else that showed RDI etc, but they said it isn't used at all when diagnosing.