But, getting back to the apnea-related question … Can a doctor know whether movements during sleep latency, at arousals, or after arousals, are caused by disorder-related sensations versus injury-related pain?
The sleep specialist didn't want to see me before the study. I concluded that possibly he didn't have an opening and I should proceed w/the study and just see him afterward. But afterward he was not available for an appointment or on the phone. During my repeated calls, and quizzings, a couple of people on his staff did read a little from the study to me, but would not give the report to me. I was told that my AHI was 6.1, in alarmed tones as if that is dangerous. I did not know how blessed one is to have an AHI of only 6.1 until I became aware, on Internet, that so many apnea patients wrangle with such much higher AHI levels. On another attempt to get help/info, a staffer told me she read that the doctor was concerned about significant limb movements. When I was finally lined up with another doctor in the practice, he gave me the report and I saw that the 1st, diagnosing doctor’s finds that I have an apnea condition requiring treatment due to a significant PLM arousal index of 9.1, that CPAP may resolve this, but if not, I should seek direct treatment for what he terms a limb disorder. He, however, has no knowledge of my medical history except that I was referred to him to screen for apnea having been diagnosed a week prior with paroxysmal atrial fibrillation. And that I am 61, post-menopausal, overweight, my neck size is 16.25 inches, and I have high blood pressure. I have no clue if he noted or if it was at all important that I have not ever had any of the daytime sleepiness issues that were asked about in a pre-study questionnaire. He has no knowledge of the history of arthritis or injury or that these were recently aggravated and causing pain at the time of the sleep study.