• Nocturnal mouth breathing (I tape my mouth before sleep)
  
• Mild to moderate GERD
  
• Moderate to severe nocturnal bruxism
  
• Family history of sleep apnea (mother was diagnosed with obstructive sleep apnea in her forties and is successfully managing it with CPAP)
  
• Anatomical risk factors for sleep-disordered breathing (mildly narrow palate, mildly high dental arch)
  

• Daytime bruxism
  
• Daytime nasal/breathing issues
  
• Insomnia (fall asleep within 10-20 minutes usually)
  
• Nocturnal awakenings (only very occasionally, not a common occurrence)
  

(10-12-2019, 07:08 PM)Sleeprider Wrote: Joey, you say that you tape your mouth due to nocturnal mouth breathing. Did you do this during the test as well?  There are a number of things that willl affect your sleep and sense of well-being.  The bruxism might be treated with a dental device, and may avoid the need for taping.

Your test suggests an AHI of 5.4, but you have 14.1 arousals per hour, and half of these are respiratory related.  A complicating factor is that all apnea are central, so the diagnostic of mild obstructive sleep apnea, while typical, may not describe what is going on in your case. Your sleep study included about 6 hours of sleep, and that 's not bad for a sleep clinic.  Many of us have much longer sleep onset latency and shorter sleep witht he disruptions of a test.  You sleep on  your back nearly all the time.  I don't think that is a problem, but very little positional change through the night.  Nothing to worry about in terms of oxygen desaturation, so that looks pretty good.  

You're not feeling sleep is refreshing, so it's a tough call. Your doctor called it by the book and said no treatment. I guess if you want to try CPAP, you're on your own.  It may or may not help.  To be honest there is no compelling argument from the data either way.

(10-13-2019, 05:01 AM)mper6794 Wrote: Hi, Joey,
pretty much all your information, including your charts, suggest/matches with an UARS/FL-bearing person. Usually people may take care of UARS/FL by trying, and in this order: (1) change sleep position to stomach or side, (2) nose dilation strips, (3) dental device, and the golden standard (4) BPAP.
I would suggest you start up your journey by reading (if not already) everything you can on Dr. Steven Park's free articles in the internet.

Good luck

(10-13-2019, 07:31 AM)Sleeprider Wrote: The event types and frequency using the S9 Elite at 10/7 pressure using EPR 3 are consistent in type and frequency with your sleep test.  The close-up of the flow wave show flow limitation as suggested by MPER, even with the 3-cm pressure support from EPR.  My concern with higher bilevel pressure support would be the frequency of CA would likely increase, and it is already twice the level of your hypopnea.  From this chart compared to your sleep test, we see a reversal of the CA and H indices and hypopnea is very low.  It's possible that we could control hypopnea to lower levels by using CPAP, and reduce CA by either reducing EPR or using some enhanced expiratory rebreathing space (EERS)  http://www.apneaboard.com/wiki/index.php/Enhanced_Expiratory_Rebreathing_Space_(EERS) .  Read the linked wiki and let me know what you think.  These are not a difficult DIY solution if you are handy.

I'd definitely like to try EERS, I'll see what I can put together with the mask I'm using  (AirFit N20 Classic).