I've been using my ResMed 10 Autoset for a few days and I feel like I am making some progress. Also, I have been using OSCAR and adding notes with each import. Finally having access to all of the metrics provided by the Autoset is great.
My AHI has been below 0.5, and I have been keeping my leak rate under control with very few leak events, and 0.0 leak rate overall for each night. I still look at the graph for any leak abnormalities, just in case.
The initial "prescribed" pressure was 4-20, but I don't know if that actually came from my doctor or if that was just what Supplier #1 does. Either way, at 4cmH2O breathing required too much effort, so later that night I changed the range to 10-20. That was an improvement, but then tried a smaller range of 10-15, then 12 (where I had the G3 Luna). That was okay for a bit, until a couple nights ago when even that felt like too much of a struggle. Since I was monitoring as much as I could, as well as I know, and only making small changes each time, I tried 15-20 the next night and I slept better than I have in a very long time. It was very far from perfect, but finally maybe some real progress on an underlying issue. There was some slight discomfort in my throat around my adams apple (not entirely unexpected), but other than that breathing felt much smoother. The next night was not as good, but there may have been other factors. Need to just stick with this for a bit and get some data. This does point to subjective evidence of restricted airflow in my throat under normal atmospheric pressure. I've told my doc(s) about pressure and a sometimes slightly painful sensation around there before, and after a CT scan and endoscope, they did not find anything. This just tells me I need to put more pressure (pardon the pun) on them about this.
Thanks for the insurance info! I sent off the reimbursement request earlier this week. I have only called my insurance for the reimbursement forms, so not entirely sure if they require the rental. The worst they could do is deny my request, and if that's the case I'll just keep the rental until the term ends.