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tan wrote: Some doctors argue that AHI is not a good indicator at all, especially when it comes to UARS.

Truer words were never spoken. I recently had a second sleep study, to see if I would "qualify" (AHI>30) to get insurance to pay for orthodontic work I am currently undergoing to reverse childhood extraction orthodontics. I already knew I had UARS due to an airway of 3mm (braces and an extraction pushed my maxilla in so far as to cause this), in fact the worse airway the sleep doc and one of the worst the ENT doctor has ever seen. The test showed I went from moderate to mild apnea and said I needed a pressure of 5!, which eliminated all but 2 apneas (the sleep doctor told me this quite proudly). I would be dead in 2 days if I slept with a pressure of 5 (oh, and I had shown the sleep doc the x-ray of my 3mm airway). [I knew that insurance would never pay for the costs of a UARS sleep lab, and that was fine since I just needed the AHI. I still need a pressure of 13, even though my AHI has decreased remarkably. Also, I still have to have the bed elevated 10 inches to withstand the pressure. I can't help but think the sleep doc was hoping I would continue to keep coming in, complaining that I didn't feel well, while she would keep charging me to up the pressure--I base this on the fact from all her office's efforts to keep me coming back for followup appointments. Or, I bet she was ignorant of UARS, judging from my pre-sleep study appointment with her and her comments on UARs.] I believe UARS is probably worse than OSA because you need at least double the pressure for UARS--and the host of problems that come with having a higher pressure.

My 2¢. For me, a large pressure range doesn't seem to help, so I now have it set a couple of cm above the doc-recommended pressure, and am in the process of slowly raising the lower pressure to optimize AHI. I have also turned off c-flex, because I found that using it made my AHI worse. Also, am now using the humidifier and heated tube. AHI is less than one most nights. I think my apnea has some kind of reactive component, although I am not sure what it is reactive to. YMMV, but I hope this gives you some ideas for discussion with your doc.

We are all different. I use a fairly tight range, for my greatest comfort.
Sure glad I'm not up north, where getting an Autoset requires a deal with the devil, or something like it.

It's the worse, same as the chin strap http://www.topsnoringsolution.com/stop- ... hin-strap/ Why would you use it?
I thought it's terrible from the first second..

charlie052 wrote:It's the worse, same as the chin strap http://www.topsnoringsolution.com/stop- ... hin-strap/ Why would you use it?
I thought it's terrible from the first second..

Welcome Charlie....FYI...You are responding to a 2 year old post

It was an interesting read, though.
Nice to see people with different opinions actually being civil to one another.
I do miss that.

LSAT wrote: Welcome Charlie....FYI...You are responding to a 2 year old post

LSAT, You've become the Old-Post-Reviver Police.

Therefore, I award you the LSAT Mastermind avatar. Feel free to use it in any forum you visit.

Note, in keeping with the spirit of your duties, the avatar expires in 29 days.

tan wrote:

palerider wrote: while you're set on that, and nothing I can say will make a difference, there is one point, a "professional titration" is a very disruptive procedure, all you have to do is browse this board for a while to see MANY MANY MANY posts from people who spoke of the terrible time they had, wires, noises, only slept a couple hours... and ended up with a prescription that didn't suit their needs because those two hours in an unfamiliar bed in unfamiliar circumstances.

vs a longer term titration in your familiar settings with the equipment you'll be using, and thus ending up with, after some tweaking, a much better setting that fits the majority of people better than that "professional" (and hugely expensive) one did.

Hmmm, I get your point but the way you put all this makes real life stories doctors prescribing VPAPs with advances features after titration studies like fairy tales. How do I self-titrate myself to prove that I may need a VPAP? How do I know RERAs are taken care of?

Funny thing is after I self-titrated and used VPAP (purchased from the black market) for half a year and reported significant relief, insurance had no problems approving a new VPAP for me.