When you are evaluating for awake vs asleep breathing you first look at the flow rate pattern right before the event flag(s).
So let's take the cluster beginning at 04:08 on Jun 10 report.
You were sound asleep up to approx 04:07:30 (approx...if you zoomed in a bit closer we could see more accurately the time frame) ...see the change in flow rate bigger breaths BEFORE that first flagged hyponea event??? That big breath tells me you weren't sound asleep.
Now you may or may not remember the arousal but an arousal did happen.
All those subsequent flags....it doesn't appear to me that you ever really went back to sleep at least solid sleep.
If that were my report I would pretty much put all the flagged events in the SWJ sleep/wake/junk (false positive) basket and worry about what messed with my sleep.
Now if you didn't have that obvious arousal breath PRIOR to the first flagging....then maybe a real event caused the arousal.
I see this sort of thing quite often myself because I get a lot of arousals from pain...some I remember and some I don't.
That particular cluster just screams poor sleep quality even though you don't remember being awake because your breathing looks like awake/semi awake breathing and not asleep breathing.
Now why the crappy sleep???? Million dollar question and not an easy one to answer.
As to your thoughts about how to get the doc and/or DME on board with dispensing the AirCurve 10 ASV after saddling you with the Respironics.....I dunno a sure fire answer to that one.
The doctor not questioning the DME doesn't surprise me because most of the time these docs don't have a clue which brand does what in terms of available settings.
I would start with the doctor though because you will need him on board to have any chance in hell of getting the DME to swap for the AirCurve ASV.
The DME likely sells Respironics machines because they got a better wholesale deal from Respironics. That's a common reason.
They could have ordered the ResMed ASV but likely it would cost them more than the Respironics cost them and since they get paid a fixed amount from insurance they prefer to dispense the one that they make more money on. Happens all the time.
I don't know if they purposely lied to you and your doctor or simply didn't know what the ResMed ASV could do....but either is totally unacceptable to me. It's their job to know the products out there. Doctors trust them to know the products available.
You can still swap brands if you push it. But you will have to push it and get the doctor on board most likely as well.
People do it all the time.
Now I don't know if the ResMed algorithm will be better for you or not but you won't ever know unless you try.
I would use the "not sleeping good" argument for starters if it was me...add in the "not feeling good" argument as well.
I would be raising holy hell.
You are still in the rent to own time period...you can return it because you don't feel it is helping and find another DME that will supply the machine you want (and your doctor wanted) if you want to push it. Sometimes that threat is enough to get the DME to order the other brand. It's better to make some money than no money if you return the machine. Sometimes the bluff works but if not...you call up your insurance company and find another DME that is network and call up that DME and tell them what your doctor wants you to have and ask "will you supply that machine".
BTW....I have used both brands in the ASV models myself. I preferred the ResMed ASV ....it let me use less pressure to get better results than I got with the Respironics plus it was quieter and I felt I slept better with the ResMed.
I can't guarantee that you will see the same results as I did but until you get a chance to at least try it....you won't ever know.
I may have to RISE but I refuse to SHINE.
