Sleep Study Results are In
I got my results back today for my Sleep Study. As expected my sleep was terrible. However, they didn't diagnose me with anything. My AHI (Apnea Hypopnea Index) was 7 which anything above 4 is considered positive for Sleep Apnea. I am working with my doctor to figure things out as my Sleep Study was inconclusive and in my opinion flawed.
Here are the biggest key problems with the report,
1. It took me 49 Minutes to fall asleep. That is from Awake to Stage 1 of sleep. There are 4 Stages(non-REM) with REM (Rapid Eye Movement) being the deepest part of sleep everyone needs to get to. The first REM Stage should be 90 Minutes then bouncing back and forth between Stage 4 and REM.
2. Out of a Total of 260 Minutes of Sleep Time, only 34 of it was in REM.
3. It took me 226 Minutes to reach REM which a normal person only takes around 90 Minutes.
4. They recorded 15 Hypopneas which is not a complete blockage of the respiratory system, however it is enough to stop breathing. This causes me to jump out of a deeper state of sleep and is causing me to have horrible quality of sleep.
5. I had 32 Awakenings which are interruptions of sleep.
6. I had 141 Sleep State Shifts.
There is clearly something wrong, however the data is incomplete due to my inability to sleep at their facility. I had a few people look at my results and with their experience in this field, they strongly recommended either I do a Trial Run with a Automatic CPAP Machine and see if it improves my symptoms or get a second Sleep Study. I was also told that it is not uncommon for False Negatives.
A retired Doctor who specializes in Sleep Disorders said,
"The false negative rate of sleep studies, even in accredited sleep labs, borders on the criminal (these patients go home thinking they don't have a problem to suffer the catastrophic consequences of their misdiagnosis). Something must be done to correct false negative tests. One way to is to reduce the number of in-lab sleep studies. Forty percent of sleep apneics do not need a sleep study because they have already been diagnosed by a witness. A majority of others could have a home study or go straight to an ACPAP with a smart card (diagnosis and treatment all in one). The complicated patient (those with CHF, COPD, etc.) can see a sleep doc (good luck).
All physicians should be able to diagnose and treat their OSA patients. It's not rocket science, even surgeons can learn how to do it. "
I trust my roommate when she told me "Catherine, I wish I were lying to you, you seriously stop breathing in your sleep" She is my witness, she has observed my sleeping issue. I am going to pursue a CPAP Machine. At the moment I can't afford to override my Insurance by buying out outright. I will do my best to have my doctor push a Prior-Authorization to get a CPAP.
Did I mention that I hate our Medical System?