Interval History
Reports markedly improved CPAP tolerance since the pressure adjustment, using the device about six nights a week. Morning headaches have resolved. Mild residual daytime sleepiness on long afternoons; no longer falling asleep at work. Minor mask leak when sleeping on the side. Denies morning dry mouth.
Device Data
Average use 6.4 hours per night. Residual AHI 2.1.
Medications
Lisinopril 10 mg every morning.
Physical Examination
BP 128/78, down from 142/90 at the last visit. Lungs clear.
Assessment
Obstructive sleep apnea, well controlled on the adjusted CPAP pressure. Adherence improved.
Plan
Continue current pressure settings. DME supplier to refit mask for the lateral-position leak. Follow up in three months with an updated device download. Patient to call sooner if daytime sleepiness recurs.