Hi all -
Been a while since I was on, but I just got my new sleep study results in and figured I should give an update in case anyone is cruising this forum and facing decisions like I did.
To summarize the story so far:
I was diagnosed last year with mild sleep apnea with an AHI/RDI of 9.7 (link to post that showed study above).
Since it was mild, I lobbied for, and eventually successfully was prescribed, an oral appliance. the one I received was the TAP device. It took some arguing with the healthcare provider to get them to pay for it, but they eventually did pay as long as it was an in-network oral surgeon who did it. My regular dentist could not get his foot in the door with Aetna.
It was pretty easy to get used to, with the worst side effect being drooling like crazy at first. In the morning, when you take your first bite of breakfast your bite will feel off, but it finds it's way back to normal by the time you are at your fourth or fifth bite. I do not have any mouth or jaw discomfort after ~8 months of use.
The results were good - my wife reports that I don't snore barely at all anymore, and she is able to sleep through what noise i do make.
A couple of months ago I met with my primary care doc and he had me do another sleep study to compare results. Below are scans of the report that I'm hoping Lanky will give me his thoughts on.
The study says I still have mild OSA, but that the average AHI/RDI across the three nights was 4.0 with a range of 2.9 - 5.7. So - the device has improved my situation pretty dramatically, and yet the diagnosis is still mild OSA with a recommendation for CPAP.
I talked to my doc and told him that I will see if the dentist who fitted me for the appliance can make adjustments, but I do not believe he can because I already have it in the max advancement position.
I'm also thnking about putting back on the back pillow that I used to wear before I got the oral appliance because in my first study the OSA appeared positional. Unfortunately, this latest study from Novasom does not show my position. Also (need Lefty's help interpreting here) it looks to me like the increase in snoring levels are at the same times as the hypopnea and OSA events and come in clusters, so I'm thinking again that these might be times I rolled onto my back.
Outside of sleeping hours, I still get occasional sleepiness, but not nearly as many headaches as I used to get.
Any thoughts are appreciated.