Review my charts?

[Ptee8899]

Hi, can someone review my data for one day? I have a day in September where I first starting using the machine. That one was a 7 hour night, I would usually only use it for 2-3 hours. 

Recently, I have been using a nasal spray and breathe right strip and I think that helps me tolerate the CPAP more. I uploaded Dec 18 2024 which I think went much better than in the past.

Also is there any way to tell from this data what treatments I should consider? I have been consulting with ENTs and airway dentists, and starting to consult with jaw surgeons. ENTs say to do septoplasty and turbinate reduction. They say it's a no brainer and it will also help me tolerate the CPAP better.

Airway dentists and some jaw surgeons and some ENTs say I should do palate expansion (MARPE) to increase my airway laterally. I have an extremely narrow palate. But according to my CBCT scan, I should consider MMA jaw surgery as well to move my jaws forward and increase my airway behind my jaw/tongue.

[staceyburke]

Welcome to the board. I am no Doctor so all I can say is I can explain a couple of things that might help.  First, you have a number of CA or central types of apnea and that means you are just not trying to breathe when these happen.  A special type of cpap is needed if you really have this many centrals.  BUT central apnea is not something the cpap always detects correctly.  If this were a sleep lab we would have belts around you chest and 12 (or more) wires hooked up to you to tell if you are really trying to breath. 
 
The way your centrals are clumped together and then periods there are no centrals makes me wonder IF you have positional Apnea incorrectly marked and they are O events.  You ARE having positional apnea, you can see positional apnea where either H or Oa events are clustered together.  Getting rid of as many as you can will lower your AHI.  Positional apnea can NOT be controlled by pressure changes.  You have to find out what position you are getting into and cutting off your own airway.  Have you changed your sleep position?  Sleeping on your back?  Using more (or new) pillows?  These things can cause positional apnea by chin dropping to your sternum and cutting your airway.  Think of it of a kinked hose – nothing can get through – you have to unkink the hose…
IF you can’t make a simple change like changing to a flatter pillow helps then you will need a collar.  I have a link to collars in my signature at the bottom of the page.  It shows people who are not wearing a collar and the SAME person wearing a collar.  There is a huge difference between the two.
 
I would suggest you try to control your positional apnea and see if that helps the number of central apnea you have on the OSCAR charts.