I am not sure how to ask these questions but by nature I am blunt, so that's the direction I am going to go. I generally trust the public, people who have been / are in the same situation as I am in. I was required to get a sleep study by a DOT physician due to BMI and neck size (no other qualifying factors). My wife, ENT and physician all tell me that I don't or most likely don't have sleep apnea. I did a 2 night home study with a ResMed device. After dropping off the device the tech downloaded the data, verified there was enough info and then emailed me a couple hours later with the initial report off the device. The ApneaLink report confirmed three apnea events on day one and zero on day two. There were 109 hypopnea events over the 2 days ( 9 sleep hours ). Here is where I am confused. The tech that emailed me the data report says that the information she sent will not be accurate and the doctor will review and "adjust". Uh, ok? I received a phone call from the doc this evening where after review of the reports he received I was having 17 apnea events per hour. The report I received gave the following for day one:
HyPop Index 9.9
Apnea Index 0.6
Average Sat 92
Number of Desats 69
Obstructive Apneas 1
Central Apneas 2
I am a diagnostician in a complicated field but not in the medical field. To me data is data. Hard data to me is rarely incorrect but when it is it's normally a catastrophic failure. I was told by the doctor that the data report sent to me from the ResMed device software was incorrect and I shouldn't pay any attention to it. Another uh, ok? I asked for copies of the data he was reviewing (was told it was completely different) and used to form my diagnosis and was denied. Yet again, uh, ok?
Without divulging my complete medical history, I smoke and am a tad overweight. Other than than ALL of my vitals (BP, Cholesterol, Sugar, etc) are all well within normal ranges without medications.
After speaking with my ENT, I was informed that he has medical "reasons" that would explain parts of the hypopneas.
With all of this being said here are my questions:
Am I out of my mind for questioning his diagnosis?
How could the initial data report off the device be incorrect?
How does a doctor "review and adjust" the data?
I understand the data he is reviewing is more in depth and to be interpreted by a trained professional which I am not. The answers I received coupled with other conversations / interactions with this office has me uneasy, doubtful and no more the informed. Don't get me wrong, I would like to believe I am not in denial and I do take my health very seriously. If it's a problem I fix it. Thank you in advance!