He had no explanation why my ICON+ would have gone from an indicated AHI in the 7/30 day past history of 22/24 before I (inadvertently ... semi-randomly pressing button to see what was being recorded) cleared the machine history, to an indicated AHI of 10-12 in the 30 days after clearing the history. Pressure setting was unchanged before/after I cleared the machine history.
However, the sleep study showed a lot of restless leg action and little REM sleep. He is bumping my Pramipexole from 4.5 mg to 6 mg nightly and is bumping my ICON+ CPAP pressure from 14 to 17. This particular CPAP does not have an Expiration pressure drop; it is a constant ... from tonight on: 17.
Asked him about a different machine; answer was essentially "You are stuck with this one for five years; hope we can make it work for you."
That answer, combined with his "no explanation" for the machine giving drastically different AHIs before and after I inadvertently cleared its memory doesn't leave a warm/fuzzy feeling.
I see him again in 3 months.