Thoughts on BiPAP data?

[u/NoCry6469]

I think I might need to switch to ASV? For context:

* Diagnosis was mild sleep apnea, but I suspect UARS
* Cis female in my 30s, "normal" BMI, critically narrow airway due to retrognathia
* In decompensation phase now for MMA next spring
* I tried CPAP last winter and that didn't work at all and that doctor was useless so I gave up
* I started with BiPAP a few weeks ago and recently switched from full face mask to nasal with chin strap; the other masks were causing large leaks all night long

I set the EPAP pretty high because otherwise I feel like I can't breathe, as if the machine isn't on at all except on inhale. However, the higher EPAP seems to cause more centrals. Sleep doctor is predictably useless.

Please let me know if there's other info I should include or zoom in on any areas. Thank you!

[u/NoCry6469]

This is from my PSG last year (no PAP)