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Anyone know how to read a sleep study?

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Cobra4v

Question

I had a sleep study done a few years ago. My wife constantly complained I kicked her in my sleep and would wake up gasping for air at times. I also had trouble staying still in bed and couldn't stop moving my legs. I was unaware of my results until recently obtaining my record. It says I was supposed to follow up with my doctor, however, I was never contacted. 

 

The diagnosis was "Upper airway resistance syndrome (327.23) and Mild periodic limb movements in sleep (327.51)

 

The interpretation advised mild to loud snoring was noted throughout the study and mild obstructive evens were noted. Primarily respiratory effort related arousal's with an AHI of 2 and RDI of 6 per hour, associated with mild oxygen desaturations. Obstructive events were slightly worse in REM and supine sleep. 

The mean heart rate was 52 bpm with a sinus bradycardia pattern and no arrhythmias detected. Mild periodic limb movements in sleep were noted occurring with associated arousals. 

 

I don't know how to read the rest of the study or what the diagnosis really means. But from what it seems I have very mild RLS. I always thought it was bad because of how terrible it is before going to bed, but the study shows different. I'm still curious if this would be considered apnea or just RLS. Anyone have experience with this? 

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What do your SMR's say about your Sleep Study Results and DX? Nobody gets an Expensive Single or Muti Night Sleep Study, without some sort of Medical followup.

What are your current SC's? All your SMR's are in your C-File, right?

File an FDC for SA, indicating all the Evidence is either in your SMR or VMC Med Record. Let the VA figure it out. Meanwhile, get on the stick with your VMC PCP via MHV Secure Message, ask for a referral to the VMC Sleep Dept for another Sleep Study.

Your "Burning Daylight."

Semper Fi

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There wasn't any follow up from the sleep study. I was never contacted by the doctor. When I tried to contact him at the clinic he had moved to another area. i don't have my C-file. All of my records were printed from medical before I left the base.

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Sleep Apnea is a tricky issue.

I have attempted to educate myself and the definition is obstruction of the upper airway.

The obstruction can be genetic in nature, aggravated by allergies or nasal disease, and due to physical anatomy.

I use to awake gasping for air; however it was acid reflux.

The best way to diagnose sleep apnea is thru a sleep study test.

 

GOOD LUCK TO ALL.

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Fat,

Before I was DXd with SA, I had horrendous acid reflux, I was taking purple pills as often as I could, following the directions on the box, of course.  And the dual action chewables, they really helped.  I would wake up at least once a week choking back the bile as it attempted to outflank me in an effort to infiltrate my breathing apparatus(s), AKA lungs. It had a very distinctive taste, not like regular vomit, more like pure bile. 

And ever since my DX and subsequent CPAP use, the acid reflux has been reduced by 95%. 

Buck,

I'm off to see my sleep specialist in a few weeks, so we'll see what they can do for me.

Semper Fi.

Andyman

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Cobra, Oxygen De-saturations (less than 89%) noted on a Sleep Study, indicate an 02 De-sat problem. 

Based only on my personal experience and limited research, 02 De-Sats are generally associated with MSA (Mixed OSA & Central Apneas). My 02 De-sats were dropping to mid 80's periodically over the course of the 51/2 hr nightly study, conducted on 3 separate nights.

Let the VA Sleep Dr tell you if you have a problem or not.

Have you contacted your VA PCP for the referral to the Sleep Dept?

Semper Fi

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