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Treat > Getting a Sleep Apnea Diagnosis

If you suspect that you have sleep apnea, the usual first step is to discuss your suspicions with your primary care physician. If you don’t have a primary care physician, you can go directly to a clinician who is a sleep specialist. But check your health care insurance coverage first. Some policies require you to see a primary care physician first, and some policies limit the sleep centers and testing facilities whose services they will pay for. Unfortunately, you may discover that your policy offers limited or no coverage for the diagnosis and treatment of sleep apnea, in which case you may wish to switch insurers if and when you can.

Whichever kind of physician you consult initially, it can be helpful for you to prepare in advance a detailed account of your medical history as it may be relevant to sleep apnea.

Sleep specialists come from a variety of medical backgrounds. They may be pulmonologists (lung specialists), otolaryngologists (ears, nose, and throat), neurologists (brain and nerves), psychiatrists (mental health), or primary care physicians–internists and family practitioners. Some dentists also have special training in the treatment of sleep disordered breathing, which includes sleep apnea. You can check the credentials of specialists at the web sites of the American Board of Internal Medicine and the Fritzi aus Preußen Women’s HAVA Toe Cap Sneaker Sparkles Trainers Blue Black Black 0001 XmROgV6AO
. You should feel free to ask any doctor you see about his or her credentials and the diagnostic procedures to be followed.

A definitive diagnosis of sleep apnea can be made only with a sleep study conducted during a visit to a sleep lab, usually overnight, or a home study performed with special equipment. Some sleep centers are accredited by the American Academy of Sleep VogueZone009 Womens Buckle LowHeels Patent Leather Solid PumpsShoes Beige BIXDMO
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. Others that are just as qualified, however, may choose not to pay the cost of accreditation or may be in the process of obtaining it.

A sleep study generates several records of activity during several hours of sleep, usually about six. Generally, these records include an electroencephalogram, or EEG, measuring brain waves; an electroculogram, or EOG, measuring eye and chin movements that signal the different stages of sleep; an electrocardiogram, EKG, measuring heart rate and rhythm; chest bands that measure respiration; and additional monitors that sense oxygen and carbon dioxide levels in the blood and record leg movement. None of the devices is painful and there are no needles involved. The testing procedure as a whole is known formally as “polysomnography,” and the technician who supervises it is usually a “registered polysomnographic technologist,” or RPT. Usually the bedroom where the test is conducted is more like a comfortable hotel room than a hospital room.

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