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So I've been using my ResMed Air Sense 10 for a year. Diagnosis was severe OSA with AHI of 50. I use it almost every night - 28/30 in Oct, except for a weekend of tent camping. I'm still only averaging 4 hrs/night, and some nights are only an hour or two. For October, my machine was used a total of 113hours with only 16 days with over 4 hours. 8hrs/night for 28 nights = 224 hrs. My sleep reports are good for the time I do use it, with good mask seal and AHI of ~1 to 1.5. My problem is I wake up every morning with my mask on the floor. I'm a side sleeper and use a couple of body pillows after a couple of spinal fusion surgeries. I think I manage to break the seal and pull it off when I get blasted. I really wish it had an alarm go off when the seal is broken to wake me up. I still feel tired and get chronic migraines, asthma, and acid reflux. I'm on so many prescriptions it's ridiculous and my neurologist says I'm not going to be able to get the migraines under control until I get the SA under control. I haven't seen any improvement in Reflux or asthma. I don't feel like its helping all that much, but my sleep doctor was pleased with my numbers. I've tried several masks, and found one ok, but obviously it's not great. My insurance only allows me to replace it every 6 months, and the last one I tried was horrible, so I'm afraid to keep trying new ones. I can try new ones from my dr, but he's a 3 hour drive one way, so takes a whole day plus a tank of gas to try each mask. I've got a killer migraine tonight and am just feeling so frustrated.