so, within the past 4 years this is what I think is happening, i loose muscle tone on sleeponset, any pressure of around 7 keeps it open till i sleep, but then in REM i need much stronger pressure, my machine can't rise the pressure fast enough as it takes few seconds before arousal, that is why i always wake up remembering a dream.
Nasal/pillow mask work great but can't pass epap: 7.2 PS: 3-4, although i tape my mouth, air escapes to my mouth for higher pressure causing chipmunks cheeks and arousals, i can not train my tongue as I had multiple tongue base surgeries, so i think it can't hold for pressure more than 7.2 epap
I also needs PS to be higher than 3.4 or 3.6 as less than that and in every arousal i feel heart palpitations/heart racing, for some reason PS at 4 does not cause the heart race thing (arousals still happen).
So i tried FFM masks for higher epap, and PS, theoretically it works ( see graph with the sudden pressure increase before arousal, but i could not bypass the leaks which mess up everything, FFM I tried?
dreamwear FFM, F30, F30i, S&P Vitera (this type of masks have least leaks but does not work as i have deviated septum and it presses on my nostrils closing it).
mods/addon I tried?
Pad a cheek , neck collar, chin straps.
I still can not get a steady good night sleep from all the arousals despite low AHI always
I also tried mandibular advancement device, tongue exercises, tongue stabilizer, these did not offer even one night of sleep.