Struggling with OSA

Good Evening,

While I am new here I am not new to OSA. I have been struggling since about 2013 and its just gotten worse. Interestingly, I was diagnosed with "mild" OSA @ 245lbs and my ramp is only to 6psi. To make a long story short - I am still unable to get used to the mask. I have been so god damn persistent putting it on literally every single night but this is how it has worked: Put mask on, feel anxious and restless (I have RLS, putting the mask on sometimes can be described as not taking my RLS meds). I am not an anxious person AT ALL it was a new feeling for me actually. My face will sometimes sweat as well. I have the dream mask right now and where it touches the nose can sometimes just get hyperhydrosis sweaty (I clinically have been diagnosed with hyperhydrosis). Thing is...I am a chemist and wear SCBAs, hazmat gear, and large respirators regularly - I feel comfortable in them never clostrophobic and its not the dark either. It gets to a point where I am soooooooooooooooo tired I finally do sleep through the night with the mask on - but then the cycle starts over. So i probably get 1 maybe 2 actual nights of sleep a week. Usually if I do fall asleep with the mask on its off when I wake up and its subconsciously happening. Its made me have sleep anxiety - I stress out about how I am going to feel like shit the next day and now that prevents me from sleeping. 2mg of Xanax? Does nothing. Tried just about every class of benzodiazepines they do nothing to me in fact nothing so far will knock me out even tried MJ nothing. Its gotten so bad I cant even walk my dogs a mile before I go to work because I will pass out from exhaustion within 2 hours. Going to the gym is impossible unless I set aside the rest of the day to do nothing and rest. I can actually nod off while talking to someone - just the other day I am training one of my techs and I am nodding off while showing them an Excel spread sheet while talking to them. Sitting down really really seems to bring it out makes sense i guess. I dont let myself drive sometimes either because my body seems to think that is a great time to sleep. I also DJ and will fall asleep while DJing unless I am in public interacting with people. Being in front of a computer makes me fall asleep whether its working from home on a white paper or playing video games on a 100inch projector - I got about 10min before I nod off. Loud noises do nothing to keep me awake - like blasting heavy metal while I work. Sounds like I need stimulants but everything I am describing above is while on 250mg Nuvigal when I wake up and a 20mg dose of adderall few hours later as well as two cups of coffee mixed in there. I have tried to stop all stimulants as well to see if that was preventing me from sleeping somehow but no difference. I am in bed about 10 hours a day as well. To say I am discouraged is an understatement.

Thanks for letting me vent here. Now the point of all this was to ask how you guys/gals have gotten used to your masks? Maybe there are some things I have not tried. Does any of this sound out of place for a diagnosis of mild OSA? We bumped up the ramp to 9psi due to the severity of my symptoms but if the mask is either being subconsciously removed by myself or removed so I can sleep... not sure it matters what the thing is set to if its not on my face.

You may also need control of nasal & oropharyngeal space w/ oral device. Consider having a provider construct a hybrid osa oral orthotic initially in phonetic bite titration prn. It can hold nasal canulas fitted precisely to each sized nares. If haven't already also ck for UAR including nasal valve collapses. Ck for aspirin allergy in that it will cause & exacerbate existing nasal swelling; milk & bread also a potential if UAR present. Xclear nasal spray (nonsteroidal) & Mute nasal dilators may also help. Try valerian root + melatonin at night for sleep aid. Day time energy cordyceps, rhodiola rocsea will help. Seems you may also benefit from nutritional counseling which may narrow down potential food allergies as well as the other benefits. Drjgreddick