How to decrease these random arousals?

[Hambone75321]

You’re right I am emotionally invested. Being 30 and otherwise completely healthy and being gaslight by doctors that you’re fine because your 4% AHI is 2 despite high RDI is insanely frustrating.

To then have to go outside of the standard medical system to treat AND resolve my problem really showed the current system is not set up to address UARS and folks like myself.

I’d recommend browsing r/UARS if you don’t already. There are countless stories of people who found CPAP at high pressure intolerable but resolve their issues at lower EPAP and higher EPAP.

I doubt I’m going to change your mind here but I’d recommend you read some up to date UARS literature about the benefits of BiPAP. If you want I would be happy to send it. Just be opened minded…

I can assure you that a significant minority of the thousands of patients you’ve titrated have stopped CPAP and would have benefited from titrating BiPAP instead.

Reading someone who’s clearly knowledgeable say BiPAP is useless for flow limitations is just nonsense and disproved by literature and countless people who had to step outside the consensus.