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    Old 06-09-2005, 10:21 PM   #1
    SheriLynnC
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    Need help with sleep studyresults

    I recently was sent for a sleep study at our local hospital by my family doctor. I am very much overweight, snore loudly (keeping husband awake), wake often during the night hearing myself snore, very tired throughout the day, my blood pressure is rising, my oxygen level in my blood is low, and I have started having heart palpitations.

    I went for the sleep study and had a very restless night. I was not sure that they would be able to get anything from the testing because I felt I had slept so little. They called me back two days later telling me they want me to return for a sleep study using the CPAP/BiPAP and see how my sleeping goes using that. The nurse said I am diagnosed with sleep apnea. I was scheduled for my next sleep study on June 21st. She said they would discuss the test results more when I go in on that night.

    My husband works at the hospital where the testing was done and today the wondering what the results were was getting the best of me. So, he went to medical records and got a copy of my sleep study results. They don't look anywhere as detailed as others I have seen here but I would like to list what was said and get as many opinions as possible.

    Here we go.....

    Sleep studies were preformed using comprehensive polysomnography. This included EEG, EOG, submentalis EMG, respiratory inductive plethysmography (RIP), anterior tibialis EMG, oxygen saturation, and heart rythm.

    Patient's sleep is disrupted by frequent arousals and awakenings. Sleep efficiency was 45%. Sleep latency was 23 minutes. REM sleep percentage was absent. Slow wave sleep percentage was within normal limits at 13%.

    The patient has climically significiant sleep disorded breathing. There was a total of 4 episodes of apneas and 87 episodes of hypopneas with RDI of 32. Patient had loud snoring and snoring arousals. She had a few oxygen desaturations, the lowest was 86%.

    Sleep study did not reveal significant periodic leg movement disorder.

    EKG analysis did not reveal significant arrhythmias.

    That is it for the findings I have on the medical report. I have no idea what any of it means. I do not know what hypopneas with RDI's are and how that differs from apneas. I have no idea what REM sleep being absent means. I would so much appreciate any help in making sense of this. Also keep in mind I woke up at one point for over 2 hours before being able to fall back to sleep. After this I woke up very often on and off for the rest of the night. I am guessing maybe I had a total of 3-4 hours of sleep total if that much.

    I have heard some people say you have to fall into certain categories before insurance will help pay for the CPAP or BiPAP machines. By these findings do you think I am at a point it would be considered bad enough for insurance to help? Any advice will be greatly appreciated.

     
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    Old 06-10-2005, 06:44 AM   #2
    mgray
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    Re: Need help with sleep studyresults

    I would immediately contact the doctor who ordered the sleep study and tell him/her that you want an appointment so you can discuss the results of the test. It certainly sounds as though they have documented several episodes where you show an apnea problem and that your quality of sleep is quite poor.

     
    Old 06-10-2005, 06:53 AM   #3
    SheriLynnC
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    Re: Need help with sleep studyresults

    I actually had an appointment with him and he probabaly would have discussed the results with me then but I had to cancel the appt. due to my 2 yr old having to have surgery. I have rescheduled but chose to reschedule after my next sleep study so I could get all the information at one time. I think what I am mostly concerned with is if I need a CPAP or BiPAP machine will the insurance pay any of the cost. I have read several sites saying people's insurance doesn't want to pay unless their apnea is pretty severe. I have seen the machines can be pretty expensive and I need to be prepared if I am going to have to pay the whole amount myself.

     
    Old 06-10-2005, 07:13 AM   #4
    Nixona
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    Re: Need help with sleep studyresults

    Yes, with the virtual absense of REM sleep and the apnea episodes, I'd say the quicker you can get in and try a CPAP the better. With any luck you'll be able to get on that and finally get some good rest. Then, hopefully with the energy from a good night's sleep you can work on the other health issues!

     
    Old 06-12-2005, 09:28 PM   #5
    weighoverboard
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    Re: Need help with sleep studyresults

    You need to meet with your Doc. You sound like a typical Apnea patient. The CPAP will do wonders for your sleep. You will feel much better.

     
    Old 06-13-2005, 08:58 AM   #6
    analog2000
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    Re: Need help with sleep studyresults

    Quote:
    Originally Posted by SheriLynnC
    if I need a CPAP or BiPAP machine will the insurance pay any of the cost.
    Every policy is different. Contact your insurance company and ask. It certainly sounds like you have clinically significant apnea, and I would think that insurance would cover the cost. Especially since at one point your oxygen level was only 86.

    But some policies don't cover durable medical equipment, like CPAP machines, at all, so it really all depends.

    Good luck.

     
    Old 06-19-2005, 06:53 PM   #7
    SantaFeGirl
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    Re: Need help with sleep studyresults

    Hi,

    Still wondering what your results were? Here's two possibilities: The doctor doesn't know either, because he's not trained to interpret the results or, 2, he wants to see you to discuss them in person... because he wants more information & money from you. Here's what happened to me: the only way I found out what my results truly meant, was by visiting a surgeon who deals with sleep apnea everyday. (He told me that I had a score above 60, which is the number of times I woke up per hour to breathe). Anyhow, none of this means much unless the tech aid put a CPAP on you during the first sleep study, so I'm afraid you will need to have another study done. I'm guessing they didn't do it the first time because you didn't sleep long enough. Try eliminating caffeine or sugar drinks the day of the study...it really helps. If you can't get in for the next study soon, assume you have apnea, and only sleep on your side, not your back. If you need more information about CPAP or surgery to correct sleep apnea, I can share the details in another post.

     
    Old 06-19-2005, 09:16 PM   #8
    analog2000
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    Re: Need help with sleep studyresults

    Quote:
    Originally Posted by SantaFeGirl
    none of this means much unless the tech aid put a CPAP on you during the first sleep study, so I'm afraid you will need to have another study done. I'm guessing they didn't do it the first time because you didn't sleep long enough.
    Actually, it is standard procedure to have two sleep studies done for a CPAP, regardless of how long you sleep.

    Remember that it is possible to have sleep apnea in conjunction with other sleep disorders. The initial sleep study is usually used to detect any possible sleep disorders (such as apnea), and the second study is used to calibrate the CPAP machine. Both things are not usually done in the same night; CPAP calibration can be a lengthy process, and would alter the results of the study. Also, even though the technician at the sleep lab is usually quite knowledgeable, CPAP is a prescription device (here in the US), so a physician has to review the results of your sleep study before you can be given a CPAP.

    Good luck.

     
    Old 06-20-2005, 08:12 AM   #9
    emily230
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    Re: Need help with sleep studyresults

    hi, my apnea is very mild, no actual apneas, and 15 hypopneas (partial apneas, throat closings) per hour, and medicare covers CPAP. most insurance companies at least match medicare's coverage, (which isn't the greatest), so if yours doesn't i'd take issue with them.

    i hope you can find a sleep dr in your area to discuss your study and answer your questions. it may be worth taking your study to out of town area where there is a sleep specialist.

    you will feel much better once you have your CPAP!
    best wishes!

     
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