dtac

Sleep study

7 posts in this topic

So the last time I saw my pdoc, he ordered a sleep study. I've had insomnia for so long I don't know what it's like to be able to fall asleep at a decent hour (before 1-2am) and wake up feeling refreshed. He thinks I might have obstructive sleep apnea due to the fact that I snore sometimes and the diameter of my neck. Personally, I think the snoring is related to allergies -- when they kick up real bad, I get tons of congestion and nasal swelling which doesn't abate very quickly unless I routinely take an antihistamine. My SO says I do stop breathing sometimes during my snoring episodes. I haven't had a snoring episode for several weeks now. So who knows, maybe I do have OSA.

For those of you who have had a sleep study done, what type of practitioner did you see? I'm going to see a MD who is classed as an internal medicine doctor, but specializes in sleep medicine and lipidology. I'm wary that a pulmonoligist would immediately dx me with OSA, because, well a pulmonologist is looking for it.

I have an initial consult with the MD's PA this next week, and I'm not sure what to expect. I did 10 pages of new-admit paperwork, tons of questions relating to sleep. Should I really expect much discussion before the actual sleep study is done and the data is collected?

Share this post


Link to post
Share on other sites
6 hours ago, dtac said:

For those of you who have had a sleep study done, what type of practitioner did you see?

Neurologist, who specializes in sleep medicine also.

6 hours ago, dtac said:

I have an initial consult with the MD's PA this next week, and I'm not sure what to expect. I did 10 pages of new-admit paperwork, tons of questions relating to sleep. Should I really expect much discussion before the actual sleep study is done and the data is collected?

Sometimes there is more discussion even after the paperwork.  Some people will read through the questions you answered and ask questions they have about what you wrote.  That can take 10 minutes or an hour, based on how much they want to ask you.  They might even have questions of their own to ask, that aren't on the questions you answered.

Share this post


Link to post
Share on other sites

Posted (edited)

I had a positive sleep study and was seen by the doc that read my scan. He was an internist specializing in critical care. He had me go on a clap but it did no good (I had this problem before Psych meds too). I quit using it. He prescribed trazadone and rozerem for sleep. He also gave me Provigil, a stimulant given for narcolepsy. 

 

I felt like I got my life back

ps. I lost 90lbs and my sleepy study came up negative.

Edited by Savannah

Share this post


Link to post
Share on other sites

UPDATE: I had my consult this morning, and the PA is ordering a sleep study. She thinks I may have obstructive sleep apnea due to narrow airway. We discussed insomnia meds and for now she's leaving me on Lunesta, since it mostly works. They scheduled 2 nights in a row, so that if I do have OSA, they can fit me the second night with a CPAP. The PA wants me to get up at the same time every day, even when I'm off. That's hard to do when you're tired during the week and just want to get some extra sleep. I've done all the sleep hygiene stuff before, nothing has helped previously, but I'm going to be compliant and try again.

It's the downside of going to doctors -- if you want help, you have to follow their directions, even if you don't wanna. No naps either. *sigh*

Share this post


Link to post
Share on other sites
2 hours ago, dtac said:

UPDATE: I had my consult this morning, and the PA is ordering a sleep study. She thinks I may have obstructive sleep apnea due to narrow airway. We discussed insomnia meds and for now she's leaving me on Lunesta, since it mostly works. They scheduled 2 nights in a row, so that if I do have OSA, they can fit me the second night with a CPAP. The PA wants me to get up at the same time every day, even when I'm off. That's hard to do when you're tired during the week and just want to get some extra sleep. I've done all the sleep hygiene stuff before, nothing has helped previously, but I'm going to be compliant and try again.

It's the downside of going to doctors -- if you want help, you have to follow their directions, even if you don't wanna. No naps either. *sigh*

I'm glad something is scheduled so you can get checked.  I hope things work out so you can finally get some sleep!

Share this post


Link to post
Share on other sites
On 4/15/2017 at 0:39 AM, dtac said:

 Personally, I think the snoring is related to allergies -- when they kick up real bad, I get tons of congestion and nasal swelling which doesn't abate very quickly unless I routinely take an antihistamine. My SO says I do stop breathing sometimes during my snoring episodes. I haven't had a snoring episode for several weeks now. So who knows, maybe I do have OSA.

For those of you who have had a sleep study done, what type of practitioner did you see?

I have an initial consult with the MD's PA this next week, and I'm not sure what to expect. I did 10 pages of new-admit paperwork, tons of questions relating to sleep. Should I really expect much discussion before the actual sleep study is done and the data is collected?

Have you thought of using Pseudoephedrine and/or a steroid nasal spray?  If your SO says you stop breathing, I'd trust that.

I saw a Sleep Specialist who was a dual Neurologist/Psychiatrist for my sleep study.

During my sleep study, I got settled in my room, then went to another area to have the sensors applied, and then slept.  There wasn't any paperwork or questions.  I kinda doubt they would do something like that because it's counter-productive to sleeping.

Share this post


Link to post
Share on other sites
7 hours ago, Cetkat said:

Have you thought of using Pseudoephedrine and/or a steroid nasal spray?  If your SO says you stop breathing, I'd trust that.

I saw a Sleep Specialist who was a dual Neurologist/Psychiatrist for my sleep study.

During my sleep study, I got settled in my room, then went to another area to have the sensors applied, and then slept.  There wasn't any paperwork or questions.  I kinda doubt they would do something like that because it's counter-productive to sleeping.

Actually I do use sudafed fairly regularly, and it works pretty well, I just end up with rebound congestion if I use it more than 3-4 doses in a row. I used Flonase for years, and it recently lost its effectiveness, so I switched to Rhinocort. It seems to be working pretty well. My insurance won't cover any of the non-generic sprays, so I figure I'll just try the OTC stuff for now.

I only noticeably stop breathing when I'm snoring (says my SO), but I guess it may still be happening anyway. PA said there is a threshold of apnea events that have to be met in order to be dx with OSA.

I'm supposed to check in at the hospital registration on the day of the study, do all the paperwork, then go over to the sleep center. PA says it's like a hotel. We'll see, LOL.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!


Register a new account

Sign in

Already have an account? Sign in here.


Sign In Now