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Sleep study?

1,143 Views | 3 Replies | Last: 2 yr ago by Not Coach Jimbo
TequilaMockingbird
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Here's the story. I had a mild stroke 4 years ago that affected my right side. The main issue is an ongoing tremor in my right arm when I'm trying to do things like write, type, eat, play guitar, etc.

I've been to a couple of neurologists who prescribed various medicines that have not helped very much. So upon the recommendation of a friend, I've gone to a third neurologist office. Their practice is also big into doing sleep studies. This is where my questions come in.

The doctor brought up sleep studies, and asked me the standard questions about my sleep. Do I snore, have trouble breathing, sleep apnea, etc. According to my wife, I don't check any of those boxes. I don't snore, I don't stop breathing and then have to gasp myself awake to get air,etc. I have no trouble sleeping, and since I am effectively retired I can sleep whenever I want. The doctor said that all sounds good, no problems, but he's really pushing me to get one anyway.

Here's my problem. I really feel like they're just trying to upsell their services, like a car dealer insisting I buy all the extra dealer add-ons and such. All I'm there for is to see if my ****ing arm tremors can be fixed. Nothing I've seen online suggests that a sleep study is going to fix my arm.

So I guess I'm asking if anyone here has done a sleep study and had it reveal a miracle cure for neurological symptoms?

Kool
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AG
Go online and do a STOP-BANG questionnaire and also do and Epworth Sleepiness Scale. Was your stroke due to atrial fibrillation? If so, assessing for obstructive sleep apnea certainly holds merit, as untreated sleep apnea increases your chances of reverting into arrhythmia. Regardless, patients who have had strokes have a high chance of obstructive and central sleep apnea in the early period and a high chance of persistence of obstructive sleep apnea. If you want to refuse the sleep study, present your STOP- BANG score and ask if there is something else the neurologist is concerned about.
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TequilaMockingbird
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Kool said:

Go online and do a STOP-BANG questionnaire and also do and Epworth Sleepiness Scale.

That looks like the questionaire I took at the doctor's office. I was on the low end of the scale.

Was your stroke due to atrial fibrillation?

I have no idea, and neither do the doctors I've seen. Initially they said I simply had TIAs, and no damage showed up on the initial MRI. It was later, when the second neurologist ordered another MRI, that damage was revealed and that neurologist said I did actually have a stroke. None of the doctors I've seen in the past four years have suggested it was due to a sleep disorder.
Edit to add- the neurologist suggesting the sleep study is the third one I've seen.
Not Coach Jimbo
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Im curious if there is something beyond the basic sleep apnea that they are trying to diagnose.

If its an "in house" sleep study, they should see if you have the tremors in your sleep.

Also, rem and deep sleep cycles would be recognized with a good sleep study... which are important for muscle/nerve stuff.

Is there any reason your apprehensive about doing it? Ive had 4 due to a neurological condition... theyre really not that bad.
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