Help interpreting Oscar

[Snickers7702]

]I’m looking for help interpreting my Oscar data particularly with regards to UARS and palate prolapse plus any other observations you may have or problems you can identify. My goal is to optimize PAP therapy (eliminate as many problems as possible) and then determine a course of action to address the other issues related to sleep. 

My general situation : 

• PAP therapy: CPAP RES MED Airsense 10 April 2020 to Dec 2021; BIPAP AirCurve 10 VAuto December 2021 to present.
  
• Sleep Studies:Home Study 2019 (AHI 15.9 complex apneas) BiPap titration 2021. Second BiPap titration 2023
  
• Events: Mixed Apnea now relatively well controlled (AHI averages 1.0) but I remain tired during the day. 
  
• Mitigating factors: PLMS - 11/hr to 29/hour with arousals in sleep studies. Not on med for PLMS as gabapentin can cause palate prolapse. 
  
• ENT identified nasal prolapse and deviated septum with 40% blockage left side and 20% right which is reduced by about half with nasal strips. ENT’s suggest surgery but it’s complex and major and I’m not sure it will solve the problem. 
  
• Me: male, 69, healthy, height weight proportionate. No major medical problems. 
  
• Macbook Air 2022 Sonoma 14.7.2  Oscar 1.5.3
  

My questions are: 

• Do I have flow limitations? Signs of palate prolapse? UARS? How can you tell from my Oscar charts? 
  
• Is yes, how would I adjust the Bipap to counter these problems? 
  
• Other observations? Other suggestions? 
  

Thank you all for your hard work. 

   

   

   

[Deborah K.]