@baxter33, I certainly can understand your frustration. I have used a CPAP/BiPAP for about 15 years and I will not even take a short nap in the afternoon w/out wearing mine. My mother needs one, but simply can not tolerate the mask or anything on her face when trying to sleep. I have recently had my pulmonologist wanted me to have higher pressures and I began swallowing air. When I turned my pressure back down, i had my hand slapped, but it was either be a little more tired, based on their calculations, or wake up with a stomach full of air and in tremendous pain. I understand the tired for one reason or the other and it is not acceptable that you be shamed by your other providers. When I was in business, we would explain to our attorneys that they were there to explain the law, but we had to run a business and if we got ourselves in a bit of a spot, they were there to minimize the damage. I feel the same way about my Docs. I understand what you would prefer I do, but it is not going to happen and I am paying you to keep me as healthy as possible without me walking or running 3 miles a day. Would it be fair to assume that you initially had a sleep study because of loud snoring? If that was the reason, have you tried some of the other methods that help some people who have that problem? There is a surgery that can be done to help with the apneas, but I think it is only recommended for a small percentage of people. Hope you can find some type of alternative.