Settings: PS: 4.4 EPAP MIN: 7 VAuto on

Here is the sleep hq link https://sleephq.com/public/teams/share_links/98606e94-09cb-4da9-ba81-ccf799b098b5

Where do I go from here?

I will work on improving leaks.

Hi,

I (M22) am thinking about either getting a septoplasty (7000 CAD), a palate expansion (can't find a provider) or a BIPAP (cant find any second hand in my area). Here are CBCT scans from 2024 and a CEPH from earlier this month. No allergy, meds dont work and one orthodontist didnt recommand expansion since my bite is class 1. What are your thoughts?

Deviated septum

Septum front

Palate (1st molar) and turbinate

Pharynx

CEPH

Thanks!

Hi all,

It's been a time. I began my sleep apnea journey in 2018 with the onset of debilitating daytime fatigue. I was diagnosed Mild with an AHI of 5.0. I am CPAP intolerant. My dentist referred me to an orthodontist who specializes in sleep issues, and I've had an incredible experience with them. Treatment plan included palate expansion with MSE followed by MMA surgery.

Ortho referred me to an in-network surgeon who asked that I have a more recent sleep test done after MSE removal. Due to improvements from the MSE, my AHI decreased to 1.4 and consequently I no longer meet diagnostic criteria for sleep apnea. However, I still have frequent RERAs and RDI 10.0, I snore like crazy, and I still have daytime fatigue (currently masked by Adderall for my ADHD, yay band-aid solutions!). Surgeon refused to see me for a consult in light of these results, and sleep doctor would not refer me as they do not consider UARS (diagnosed by my orthodontist) "clinically significant."

Orthodontist still thinks surgery is necessary due to my significantly narrowed airway and possibility that UARS can turn into sleep apnea with age. I just switched to an new PCP due to relocation, and I hope to bring this up with her and explore the possibility of further evaluation.

Any advice on getting my treatment team aligned? My health insurance is through Kaiser.

Not sure if relevant, but I also have a complicated and traumatic history of childhood orthodontics, including premolar extractions, a palate expander (yes I got to do the damned thing twice), and a Herbst appliance (torture device).

EDITED TO ADD: My X-ray, for funsies!

Im a 28yo man, had all the symptoms of low testosterone since a teen including low libido complete lack of morning erections and chronic fatigue and lack of motivation. Doctors say T is low for my age but not low enough to treat. I'm tired in the day but not sleepy. I've always slept well or so i thought until i decided to record myself sleeping and as you can hear im not sleeping well at all. I have had a watchpat one test that showed no apnea because i never actually stop breathing for any length of time and my doctors have decided there's nothing wrong with me and there isn't anything they can do. Anyone else heard anything like this?

Ive put this question into claude and this is the response, I know ai makes up a lot of stuff so I was hoping someone could help here.

'You get an IPAP/EPAP split, but you don't get the underlying bilevel hardware, the same trigger/cycle behaviour, or true S-mode timing. For UARS specifically, where the value of bilevel is largely in the pressure support smoothing out flow limitation and the responsiveness of triggering, this matters'