Anything of concern? Periodic Breathing

Hello there,
I've been on my Resmed for Her for 3 weeks now. I am starting to sleep and feel better finally. YAY!
I would like it if someone could look at a couple of pics and tell me if I have anything to be concerned about. Here's why I ask:

1) Lack of sleep doctor - where I live, we have one pulmonary clinic that all of the doctors are a part of. The clinic is awful. The staff is not helpful and the wait times are LONG. My doctor sent in a referral for an appointment 2-3 months ago and I've still not heard. (This is NORMAL for this clinic, by the way). So another pulmonologist came to town and I got an appointment with him. Two days before my appointment, they called to cancel saying he was leaving. So now I'm back to trying to get into the first (and now only) clinic. Even when you get in with this clinic, appointments are months out, and then the sleep clinic is 4-6 more months. My primary care doctor ordered my home sleep study and cpap, but he's not a sleep doctor. So it's going to be a while before any knowledgeable professional looks at my data.

2) This periodic breathing pattern has shown up every night. It's not always flagged as CSR, but sometimes it is. It doesn't last all night, but is a significant portion of it.

So my question is about whether this is concerning or not and should I look out of town for a sleep doctor? Is this something that should be looked at sooner rather than later? Or is this just a normal thing?

I've included several graphs. Thank you in advance.

Helpful thread: viewtopic/t50482/Periodic-Breathing.html

Welcome to the forum.

Please review this thread for the basics on what to include on the reports.
viewtopic/t158560/How-to-post-images-for-review.html
Please don't do snippets...do the entire detailed report and then again but zoomed in..see the example with real CSR below for what I mean.

The level of zooming in that you did wasn't really enough zooming in to be much help.
Needs to be more at this level
PB is nothing more than waxing and waning of the air flow that lasts at least 2 minutes.
It's really only a problem when it looks the classic Cheyne Stokes Respiration pattern with a truckload of centrals and a whole bunch of it happening.

If the bulk of your PB flagged breathing looks like this...shrug your shoulders and move on. Not a big deal.


Now if the bulk of it looks like this..then we need to look closer and have a chat. This is real CSR.

Thank you for the input. I will try again with the graphs. This is a different night than the previous ones, but it has more stuff happening. For a little more background, I also have oxygen going into the lines, as my saturations went down to 72% during my home study. I also have been on a prescription med for angina for over a year, but no cause was ever found for my chest pain after lots of thorough testing. I also have a right bundle branch block - again, no cause was found. The cardiologist said despite the continued chest pain and the RBBB, my heart was fine. I think the apnea was going on at the time, but no one suspected it. I suspect it's been going on at least 3-4 years. This is why I'm just trying to get an idea of whether I should travel 2+ hours to a pulmonologist to be seen soon or if this is merely just a benign pattern of breathing.

OK - hope I have this right this time. Here's the full detailed report: and here is a zoomed in one. Not sure how much zoomed it needs to be.

If it were me, I'd start out setting the min pressure to 10, and lower the EPR setting by one... see how that does for a few days.

You're having some irregular breathing, that the machine flagging as CSR... but it's really not.

THIS is csr: