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Question 9 - Doc says apnea but I'm not tired

From: Mike. R.

I just went to a sleep clinic that is affiliated with a local hospital. I went because my wife complains of my loud snoring. When I got the report back, the doctor said the "indication for study" was excessive daytime sleepiness, fatigue, and malaise.

Nothing could be further from the truth. I filled out papers indicating that I had none of this. I feel fine during the day, and am not sleepy in the daytime. I have plenty of energy and am pretty active. I am 60 and a male and weigh about 203 (5' 11").

The study showed 7 central apneas, 28 obstructive, and one mixed. Max. duration of apnea was 10 seconds. Oxygen level 96%. AHI/hour index 32.2.

Do I need to do anything at all since I am not tired during the day and the Oxygen is good?


Answer Provided by Dr. Kasey Li
July 10, 2007

It is well known that the degree of symptoms do not correlate with the severity of sleep apnea. Some patients with severe sleep apnea have minimal symptoms, but some patients with mild sleep apnea have very significant debilitating symptoms.

Your study showed that you have severe sleep apnea. Your sleep physician undoubtedly recommended treatment and he is obviously correct. This is because severe sleep apnea is a risk factor of heart attack, high blood pressure and stroke. Despite the mildness of your symptoms, the impact of severe sleep apnea is present. Therefore, treatment is recommended.

Good luck

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