Quote:
Originally Posted by Bamaman1
. My oxygen level goes down to about 92% when I'm asleep..
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You don't qualify then, based on O2 sat.
The indications for sleep studies has been greatly expanded by adding the "200 lb or 17 in neck" to the criteria. That's an outgrowth of Obamacare Buddy Capitalism. It's BS.
Pickwickian Syndrome- named after the character in Dicken's Pickwick Papers who was obese and kept falling asleep in the middle of a sentence-- is the most severe form Sleep Apnea." These pts are prone to nod off during the day which can get dangerous if they're driving, for instance.
Screening for sleep apnea is indicated when pts' have excessive snoring, restless sleep, day time drowsiness. Obesity may or may not be present. Of course pts getting poor sleep may be cranky, but if that's one of our criteria, we'd all qualify from time to time.
Higher risk for sudden death among sleep apnea pts is often mentioned, but the rate is minimally elevated, if at all. (Difficult to collect and analyze data in a meaningful way.) Several comorbidities occur with increased frequency: CAD, DM and such, all also associated with obesity. Which is cause? Which is effect?
For the technically inclined
https://www.connecticare.com/provide...0Treatment.pdf
Will Medicare pay for CPAP?
https://www.sleepdr.com/the-sleep-bl...r-sleep-apnea/