Oscar Data. No events flagged but weird flow rate pattern during REM

[Ynot]

If you lower your max pressure down from 12.5 to the point where the aerophagia is not much of a problem what do your scores look like?  Generally, AHI less than 5 is considered acceptable.  If your AHI is below 5, or low enough at the lower max pressure that controls your aerophagia, then you should be good.  You are correct that it is a balancing act.

As indicated in the sleep study I summarized in the post. The main issue is the high RDI and the high AHI exclusively during rem sleep. My overall ahi was like 6.5 or smt like that. So I think only looking at ahi is not relevant in my case. Also, I think the threshold of 5 is just an arbitrary number. 

It's kind of hard to manage this aerophagia cuz I have bad burps, but I don't recall them waking me up from sleep, but it might be disrupting sleep. 

Thank you for the feedback, I just made the post to make sure there wasn't something I haven't thought about or considered in this complex issue. Working on getting that bipap somehow to maximize health.

[Ynot]

What kind of bipap would be appropriate in my case to improve flow limitation spikes and treat UARS?

Thanks

[Dormeo]

It’s an open question whether a bilevel machine would help you sleep better. No one can answer that.

But if you want to get a bilevel machine anyhow, without any guarantee that it will help you, I think the ResMed Aircurve 10 VAuto is an excellent machine.

[Ynot]

It’s an open question whether a bilevel machine would help you sleep better. No one can answer that.

But if you want to get a bilevel machine anyhow, without any guarantee that it will help you, I think the ResMed Aircurve 10 VAuto is an excellent machine.

The reason I think it will help is the following: During my test, i got an RDI of 23 and got diagnosed with UARS and mild sleep apnea (moderate during rem or supine position). My flow limits spike drastically during each rem cycle, and reduced greatly with the epr setting. However, they are still present. I know that I am not breathing very well because I feel very tired when I wake up and throughout the day (could be because of other factors that disrupt sleep - no way to be sure) and I often wake up for a few seconds during the night or early morning with a very dry mouth. Also, not to mention the flow limiations and the absolutely erratic and non regular flow rate with no consistency lots of flattening... during rem sleep.

If epr reduced flow limitations during rem sleep which is correlated to my diagnosis of Severe UARS exclusively during rem sleep, then wouldn't more pressure support further reduce the remaining flow limitations?

Thanks

[Dormeo]

These are good reasons to experiment with a bilevel machine if you can afford one. Again, no one can guarantee what the results will be.

[Ynot]

These are good reasons to experiment with a bilevel machine if you can afford one.  Again, no one can guarantee what the results will be.

I understand. I just feel so tired. Whatever treatment is supposed to be doing, I feel like it's not really doing it.

[Vako]

Why can I not see where the picture you posted is at? I don't see any links nor attachments ????

[Ynot]

Why can I not see where the picture you posted is at? I don't see any links nor attachments ????

I think I might've taken out the initial pictures. Look at page 2-3. I post some pics for sleep rider to analyze if you wanna see. Basically, Good ahi, but flow limitations and very irregular flow rate during rem sleep and of course tiredness.

[Vako]

I think I might've taken out the initial pictures. Look at page 2-3. I post some pics for sleep rider to analyze if you wanna see. Basically, Good ahi, but flow limitations and very irregular flow rate during rem sleep and of course tiredness.

Ohh got it. Missed it ??

[Ynot]

Ohh got it. Missed it ??

On the bottom, there are numbers corresponding to the thread pages. Just click on the page 3 - those are the most organized pictures i guess. I made a mistake, it was PeaceLoveandPizza not sleeprider