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About your CPAP non-therapy (it's obviously NOT working for you), please join the good folks, all volunteers and quite knowledgeable, over at apneaboard.com and place your case before them. They'll help you to dial in your therapy and there's no reason you should not soon see an overnight AHI (apnea/hypopnea index) of 0.0 to < 5.0. Less than five events each hour is deemed to be 'treated' by both the underwriters in the business and by the corresponding medicine. You're clearly nowhere near 'treated'.
I don't see in your post anything about a smart watch. What would you like to say or to know? (I use a Samsung Galaxy watch [in Canada where it is authorised to perform such measurements] which reads blood pressure, blood O2 saturation, sleep, ECG, etc, but the latest Apple watch is catching up with a couple of those).
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@gloaming Thank you for your advice. I do wear the iWatch 10. SPO is always 96%+ and often 99%. All other numbers in positive ranges. My “Sleep Score” - Resmed App - is always 96 +. Good seal, 1-2 mask off events, 7.5 hrs avg sleep time, etc. I do have concerns of a little cough since using therapy that occurs once or twice per hour, producing a very small amount of clear mucous. My therapist said it was common for new therapy and would subside, but hasn’t. (Seeking referral now to different therapist that is aligned with UAB medicine. I’ll start checking in to the sleep/cpap group for more guidance as well.