I am really confused and need help about how to treat RERA's.
First, some useful facts:
- I have been battling sleep apnea for several years now.
My AHI is always very low, but my RDI is very high (like 20-40). So, my arousals are caused by RERA's.
My sleep studies have been done at Stanford sleep clinic
I have had 2 nose/turbinate surgeries, and tongue suspension surgery, and one soft palate surgery. The surgeries reduced my RDI from 40's to 20's.
At my last titration study at Stanford, pressures between 4 and 9 had high RDI, 10 was pretty low, and 11-15 had high RDI.
The doctor felt the pressure at 10 was not a reliable result given the other numbers, and feels we need to keep titrating up. Another doctor at another clinic said put it on APAP and set the pressure at 4.
I have nevertheless stayed at 10 and feel reasonably ok there, but I also feel it is far from optimal.
I chose 10 based on the results, and some formulas that predict your pressure based on weight, neck size, etc...
Lately, I have been playing with various pressures and looking at sleepy head.
Regardless of pressure, I show almost no apneas or hypopneas.
Snore, leak, etc... are all very low.
So, what could I be looking for in the sleepy head reports to improve my condition?
Would a zeo help? I think zeo will only catch arousals that result in being awake for more than 3 minutes, which I feel would be useless.
Sorry for the long post, you never know what info is useful. Hope somebody can help!