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Old 04-04-2022, 12:45 PM
 
309 posts, read 243,519 times
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Quote:
Originally Posted by staystill View Post

About a year later, maybe later, I go to my Eye Doctor because I felt like my eye might be getting an infection. This one discovers an eye infection and prescribes eye drops 3x a day. She also tells me I have sleep apnea, what why would she say that? I never told about stuffed up sinus, headaches, or that acoustic sound in my head when my sinuses are stuffed up. Then tells me women with large breasts and overweight get sleep apnea. She tries to scare by saying it will cause heart problems, and then rattles off a slew of medical problems sleep apnea can cause. I dread going back for a follow up with this one.

What is going on with these Doctors. An ENT is a Dentist all of a sudden. An Endocrinologist is a Pulmonary Doctor all of a sudden. Now an eye Doctor is an expert on large breasted patients with the assumption that the patient based on size is not breathing while sleeping. Sorry this is long I wasn't sure how to phrase it all without repeating.
I got really curious about the suggestion of sleep apnea from your eye doctor and found a slew of articles linking certain eye issues to it. Is it possible you have a swollen optic nerve (papilledema)? Do you have floppy eyelid syndrome? Both of these conditions apparently have a strong link to sleep apnea.

Eye doctors are already trained to be alert to high blood pressure and diabetes, so I'm not surprised that as scientific knowledge grows, so does their ability to make connections with other conditions.
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Old 04-04-2022, 12:50 PM
 
Location: The Driftless Area, WI
5,991 posts, read 3,212,191 times
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Sleep apnea should be considered when a pt complains of poor sleep, day-time sleepiness, severe snoring or choking while sleeping....We all breathe in a progressively deeper pattern while sleeping, then stop for a short period before starting the cycle over again...When the breathing stops for more than 10 sec at a time or the O2 sat falls below 88, then the dx of sleep apnea is made. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140019/

While it's more common in over-weight, older pts with a thick neck, those aren't really important for making the dx.

Our sleep patterns change as we age. We tend to have more shallow sleep cycles, often fully waking up in between each 1.5-3 hr cycles. We usually fall right back to sleep, but after 6 hrs of sleep, that may be hard to do. We get up and then need to catch up with a nap later on. ..

I would suggest that few people "wake up to go to the bathroom." It's not like you gotta jump outta bed and run before you wet yourself...You've woken up from one of the shallow sleep cycles and then you realize, "well, maybe I could go."

Before electric lights and shift work in factories, the normal sleep pattern was to sleep 4 hrs, wake up for 1-4 hrs, then go back to sleep until the sun came up...It's the "eight straight hours of sleep" of modern socieity that is not natural.
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Old 04-04-2022, 02:18 PM
 
Location: Phoenix, AZ > Raleigh, NC
18,536 posts, read 24,890,166 times
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Why the heck aren't you asking these doctors "I don't understand. Why and How did you come to that conclusion?"

True Sleep apnea story. At 85 my father FINALLY agreed to a CPAP. He had a heart attack before the thing was delivered to his home.

Nose sprays? You might be glad the doctor wouldn't give you one. Ever heard of rebound?
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Old 04-04-2022, 02:57 PM
 
73 posts, read 25,611 times
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Quote:
Originally Posted by Ruth4Truth View Post
Me, either. I went to a dentist, who specializes in diagnosing and custom-making dental inserts for the apnea issue. First, he takes x-rays of the nasal and throat passages, to see if the patient is a good candidate for the device. He was incredibly well-informed about sleep issues, more so than the so-called "sleep experts" or "sleep doctors" who run the sleep studies. He said, that estrogen loss after a certain age causes apnea in women. Replace the estroga, but something sen (via HRT) and it goes away or improves.

I don't know if that's relevant to your situation, but I just thought I'd mention it. If you're a good candidate for it, HRT seems to be to be a much simpler solution than buying or renting a machine and carting it around with you when you travel.
My Pulmonologist MD says the dental inserts are not actually for clinical sleep apnea. She says those inserts are generally (not always) for very obese people. Generally, sleep apnea does effect obese people more than non-obese people, but plenty of normal weight people get sleep apnea that never in a million years would be helped by a dental plate. If you think you may have sleep apnea DO NOT go to a dentist about it. Go to a real MD first. Just to clarify--
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Old 04-04-2022, 03:13 PM
 
226 posts, read 388,977 times
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Quote:
Originally Posted by staystill View Post
Ok Not sure how to ask this question but here goes it.

I went to an ENT Doctor about headaches due to my sinuses being so clogged and when they are clogged in my nose I get loud sounds in my head, and I wake up with those sounds and a headache. When I sit up for a about 15 minutes my sinuses clear up and my headache goes away. I only have one vent in my bedroom so I don't get enough air circulation which could contribute to the problem. Also I smacked my forehead a few years ago and that sound which is best described as an distorted acoustic sound started about 3 years later. I had a scan done and so far nothing of concern found.

The ENT Doctor refused to prescribe nasal spray that I desperately needed to make my sinus clear up while I sleep. This Doctor looked all around inside my mouth more that he barely bothered to look into my ears and nose. He said I grind my teeth see a Dentist. What an ass that one is. He is not a Dentist so why the hell is is pretending to know about my teeth. I suspect that is because a journalist got bored or just simply need something to make up to write about on the internet. I say that because I did see an article a few weeks on the internet saying people do not go to their Dentist as often as they should. So this ENT Doctor figures that's my problem, grinding my teeth. He had no clue I see my Dentist more often than usual due to getting crowns replaced, root canal, and other work done.


Ok so I tell the same symptoms to my endocrinologist that told my ENT Doctor. Headaches, acoustic sound when my sinuses are stuffed up, and it goes away when I sit up for abbot 15 minutes. This Doctor tells me it's my sugar. I'm like what my sugar stuffs up my sinuses and creates that acoustic sound?? Well my sugar is a bit high since covid. But my A1c is the same from the last two years. She tells me I have sleep apnea and need to have that CPAP contraption to wear at night. I'm not wearing that thing on my face.


About a year later, maybe later, I go to my Eye Doctor because I felt like my eye might be getting an infection. This one discovers an eye infection and prescribes eye drops 3x a day. She also tells me I have sleep apnea, what why would she say that? I never told about stuffed up sinus, headaches, or that acoustic sound in my head when my sinuses are stuffed up. Then tells me women with large breasts and overweight get sleep apnea. She tries to scare by saying it will cause heart problems, and then rattles off a slew of medical problems sleep apnea can cause. I dread going back for a follow up with this one.

I have an oximeter I frequently use so my oxygen is fine so is my heart rate. I don't have high blood pressure. After being away 5 hours many times I need a nap. I wasn't sure if it was from boredom being inside all day or not getting enough sleep. I did notice one thing I didn't keep up with and that is not drinking enough plain water in the morning after coffee and breakfast. Water helps get a boost of energy.

What is going on with these Doctors. An ENT is a Dentist all of a sudden. An Endocrinologist is a Pulmonary Doctor all of a sudden. Now an eye Doctor is an expert on large breasted patients with the assumption that the patient based on size is not breathing while sleeping. Sorry this is long I wasn't sure how to phrase it all without repeating.


I think your doctors ae doing you service by pointing out that you may have sleep apnea .
You seen upset about the diagnosis that they are fully trained to suggest by a good clinical exam and history.
Seeing a specialist for a consult and possibly testing is the next best step.
And thank the ENT/Opthal and endo when you see them next.
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Old 04-04-2022, 05:16 PM
 
15,197 posts, read 24,379,868 times
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Quote:
Originally Posted by staystill View Post
Thank you for answering me. So far it's only the Endocrinologist and the eye specialist who said I have sleep apnea. The ENT Doctor said I grind while sleeping not sure that is correct. I had braces up to my late teens and now most of my teeth are crowned. My Dentist has never said anything about me teeth grinding so to me it made no sense and he refused to allow me to have nasal spray that now since I dropped this Doctor I got from another Doctor and the headaches and that sound are gone. You are so right that I don't like being told I have sleep apnea without any testing being done first and solely based on my weight. Of course I would still be upset if I were diagnosed after the testing but eventually I might accept it. I just don't like the automatic assumption without any indication that I wake up from not breathing. I may very well have it. Another thing I noticed is I wake up in the same exact position I was in when I went to bed. I only wake up really early in the morning to go to the bathroom then back to bed and wake up around 7 to 8 am. I go to bed around 11pm. Yes it isn't normal to need a nap around 1pm. I make most of my appointments around that time now. It doesn't always help to because sometimes I then need a nap later around 3 or 4pm.
The only reason I have crowns is because I grind my teeth. Not saying that may be the case for you, but it is for me. And you can go online and have a really good night guard made for well less than 100 bucks that’s the exact same quality as what the dentist will sell you for a lot more than that.

I would go back to your primary care physician, and ask for a sleep study. It can’t hurt you, and you might find out some answers. A lot of times they have to eliminate things before they figure out exactly what is going on. And it is annoying. But eventually they figure it out.
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Old 04-04-2022, 05:26 PM
 
Location: on the wind
18,388 posts, read 11,971,317 times
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So far haven't seen anything to back up the OP's contention that any of these MDs are "pretending" to be anything they're not. Systems in the human body are interconnected. Problems with one part don't often happen in isolation. If more than one specialty started suggesting the same possibility I'd probably listen and pursue it.

Last edited by Parnassia; 04-04-2022 at 05:57 PM..
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Old 04-04-2022, 05:33 PM
 
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why is OP seeing an endocrinologist for sleep apnea or nasal problem?
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Old 04-04-2022, 10:43 PM
 
1,047 posts, read 330,415 times
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Quote:
Originally Posted by butterflygirlmomof2 View Post
I got really curious about the suggestion of sleep apnea from your eye doctor and found a slew of articles linking certain eye issues to it. Is it possible you have a swollen optic nerve (papilledema)? Do you have floppy eyelid syndrome? Both of these conditions apparently have a strong link to sleep apnea.

Eye doctors are already trained to be alert to high blood pressure and diabetes, so I'm not surprised that as scientific knowledge grows, so does their ability to make connections with other conditions.
I have dry eye, which I kid and say it should be called wet eye LOL, ok joking aside. I never said to any Doctor that I have trouble sleeping so it really throws me off as to why they make a snap judgement like that. Yes I am diabetic and have glaucoma thankfully that is all. The only thing that bothers me is the headaches when my sinuses clog up. But that doesn't automatically preclude that I need a CPAP. I never heard of papilledema. I just read in Google what it is briefly and it sure sounds like it might be what a relative of mine has. She was told it's a viral eye infection but her eyelid is severely swollen and her cheeks down to her jowls. It's is frightening so thank you for sharing this I will let her know to be checked for that. At least I don't have that problem no floppy eyelid syndrome of swollen optic nerve. I got this Doctor who is not my new eye Doctor because that's who they scheduled me with for a suspected eye infection. She said it was in face an eye infection and gave me an Rx of drops 3 times a day. I go back at the end of April.
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Old 04-04-2022, 10:49 PM
 
1,047 posts, read 330,415 times
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Quote:
Originally Posted by mojo101 View Post
why is OP seeing an endocrinologist for sleep apnea or nasal problem?
Oh I wasn't I just mentioned to my Endocrinologist about my headaches and that sound when my sinus are stuffed up. She then thought it was sleep apnea. The two Doctors who assumed I have, not wondered, were quick to offer a prescription to get one. When I said no they told me to at least go for the test. Oh then it's go for the test. the ENT Doctor gave me a lame excuse that I have headaches when I wake up from my teeth. Yes I know another poster here said that's their job look over other medical possibilities but to assume I don't already have a Dentist that would tell I grind my crowns wouldn't tell me this makes me think he has no business even checking my teeth. Since when to do teeth cause headaches when I clearly said my sinuses are stuffed up when I lay down. I sit up and both headache and stuffy nose go away.

He just didn't want to give a Rx for nasal spray but never explained why other than he assumed it was my teeth. This was after an article on the internet said most people are not seeing their Dentist as much as they should. It is suspicious to me.
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