[Treatment] I'm not sure how to continue. Advice needed. 16 RDI, 16 AHI.

[Santiago Figarola]

Hi! So, I'm posting on various Subreddits because I'm not sure how to continue, and I'd like to have as many opinions as possible.
So, I've been dealing with chronic disabling (emphasis on disabling) fatigue for more than a year now. I had a million exams done, and the only thing that came up positive was a sleep study I did in July.
In that study, I only got hypoapneas with a max duration of 62. 51% efficiency of sleep.
94% saturation awake, 94% saturation while resting, and a minimum of 92% saturation. RDI of 16, 16 AHI (no RERA).
(I'm not able to post images so I'll let it at the summary).


I have suspected UARS but now I'm not so sure.
I recently tried an auto CPAP bmc g3 a20 for 14 days but sadly didn't see an improvement in my symptoms.
I'd like to try a Bipap but I only have the prescription for a CPAP. Should I simply buy the latter and have more patience? Or is it maybe something else happening in my sleep? I'm worried of buying a machine which might not work. I'm feeling lost, so I'd like some advice. Thanks.

[staceyburke]

Welcome to the board.  We need data to see what is going on and we use OSCAR to get the data.  OSCARis totally free at the top of the site BUT you need a SD (32 GB or less)_card in the machine while you sleep.

[Santiago Figarola]

Hi, thanks.
I'm not sure how to share it, since I tried adding images but the post resulted corrupted from it. And I'm not able to share links since I'm a new user.

[Santiago Figarola]

                    (Repost because I accidently skipped over the attachments previously).
Hi! So, I'm posting on various Subreddits because I'm not sure how to continue, and I'd like to have as many opinions as possible.
So, I've been dealing with chronic disabling (emphasis on disabling) fatigue for more than a year now. I had a million exams done, and the only thing that came up positive was a sleep study I did in July.
In that study, I only got hypoapneas with a max duration of 62. 51% efficiency of sleep.
94% saturation awake, 94% saturation while resting, and a minimum of 92% saturation. RDI of 16, 16 AHI (no RERA).
More info in attachments (first two images, translated to English with Chat GPT).


I have suspected UARS but now I'm not so sure.
I recently tried an auto CPAP bmc g3 a20 for 14 days but sadly didn't see an improvement in my symptoms, even though it shows an AHI of 0,2 (image attached, this machine is not supported by OSCAR).
I'd like to try a Bipap but I only have the prescription for a CPAP. Should I simply buy the latter and have more patience? Or is it maybe something else happening in my sleep? I'm worried of buying a machine which might not work. I'm feeling lost, so I'd like some advice. Thanks.

[OpalRose]

Do you have an auto Cpap in your possession now that we can help you with?  And you are correct, the BMC is not supported by OSCAR.  

You aren't clear if you are self paying or if you have insurance.  I wouldn't recommend anything less than an
Airsense 10 Auto Set or the AirCurve 10 VAuto.  

If you're currently trialing a Cpap, try this pressure range: minimum set at 8cm, maximum set at 15cm.  Set EPR (or exhale relief pressure equivalent) to 3.

See if that improves your comfort, and we can go from there.

[Sleeprider]

Santiago, there are links in my signature to tutorials on how to organize an Oscar chart, and Attaching Files.  Take a look at the Attaching files wiki and your answer will be there.  You need to upload the attachment image from your computer to Apnea Board using the New Attachment button at the bottom of the reply, then Add Attachment.  Both actions are needed.  To verify you have the image link or thumbnail in the post, just click Preview Post.

[Santiago Figarola]

Hi! No, that was a rented CPAP. I don't have any machine currently, I don't have an insurance, and I'm investigating on which machine to buy next.
And if I might have UARS, too

---

Hi, the CPAP I tried doesn't support OSCAR (it's a BMC).
I shared in attachments info of my sleep study and on the data collected from the CPAP, in another comment here

[OpalRose]

Yes, I read and looked at the charts.  Hypopneas reported.  It could very well be UARS, but the standard treatment is still Cpap use.  

We'd prefer to see you use a bilevel, as you then have the option of using (PS) pressure support which can help with Hypopnea, and flow limitation.  The regular AutoSet can only give you at most EPR set at 3. It's hard to say if that would be enough for you or if you'll need the additional PS that a BiLevel can offer.

I'm attaching a link for OSCAR supported machines.  

https://www.apneaboard.com/wiki/index.ph...d_machines

[Santiago Figarola]

Hey, thank you again for your answer.
Well, sadly I talked to the latest health professional I'm seeing and she doesn't want to give me an order for Bipap, just CPAP.
So I guess I'll have to try that. At least I'll make sure to buy a Resmed one.