Help!Please Review My Oscar Data

What mask (model etc) are you using?

Are you waking up for the bathroom, or just waking up?

Welcome! And congratulations on starting treatment for your apnea and on using Oscar right out of the gate.

You're doing well to get in 7.5 hours on the machine after just one week. So before your started with PAP, you didn't wake up during the night -- do I have the right picture? People's sleep is often rockier at the beginning of PAP use, so that's normal. It's a whole new set of sensations for your body and brain to adjust to.

To speed up the process of adjustment, you might try setting up the machine outside your bedroom during the day or evening and using it for an hour or two while you read or watch TV -- something diverting.

You have an active flow limitation graph. FLs can result from two different parts of your airway. You could be getting some restriction in your nose, or it could be that the tissues lining your pharynx relax a little while you sleep and restrict the flow of air a bit.

If the restrictions are in your nose, PAP will probably not be able to address them. You'd need to figure out whether you had an allergy problem or some other issue inside your nose.

If the restrictions are in your pharynx, your EPR can help to some extent. So you might try setting it to 3 to see what happens.

After your ramp period, your pressure zooms up way past your minimum pressure in response to the FLs (and probably your snores, though we don't see the graph here). In a way, that makes your minimum pressure irrelevant, but it might be worth revising it. Your minimum should compensate for extra EPR and head off obstructive apneas more effectively. So I'd recommend a minimum of 14. (You're close to 13 for much of the night already, and you want 1 extra if you increase the EPR.)

Do you feel a little air-starved during the ramp period? If so, I'd recommend resetting the ramp pressure to 6 or 7. If you feel you could deal with it, you could also turn the ramp off. Your call.

About the CAs -- at this point they probably represent "sleep-wake junk." When you wake up a little, your breathing is a little deeper, so your body figures it isn't urgent to take your next breath right away. If the pause is 10 seconds or longer, it's flagged as a CA. But really you're semi-awake, so that isn't a sleep event. Everybody has some CAs some of the time, and I think you should ignore yours for now.