Reports & Test Results LaurenceHolbrook.com

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TEST RESULTS AND REPORTS

 


December 17, 2004 Sleep Study Report - Sleep Services of America - Steven Craig Resnick (410) 544-5191

 

SLEEP STUDY - MSLT

 

STUDY NOTES

 

The study was performed following polysomnography the previous night. The patient did not have any caffeine the day of the study. The first nap commenced two hours after wake time ,and subsequent naps were spread in two hour intervals. A total of five naps. REM was only noted the third nap.

 

RESULTS

 

The patient did fall asleep on three out of five naps. Average sleep latency was approximately 10 minutes. On the initial first two naps, the patient took awhile to fall asleep but then sleep latency was very brief on the following three naps with one sleep onset REM.

 

INTERPRETATION

 

This patient does have sleep apnea and some excessive daytime sleepiness, possibly condominant narcolepsy or at least idiopathic hypersomnolence and clinical correlation is advised. This is not diagnostic for narcolepsy at this time.

 

December 16, 2004 Sleep Study Report - Sleep Services of America - Steven Craig Resnick (410) 544-5191

 

SLEEP STUDY - DIAGNOSTIC POLYSOMNOGRAM

 

NARRATIVE

 

The patient was fit with a Respironics small mask and CPAP therapy was titrated from the beginning of the night.

 

 

ANALYSIS OF STUDY

 

The study revealed the patient's sleep apnea was improved with the CPAP machine. A CPAP level of 8 cm of water pressure resulted in resolution of prior respiratory events.

 

SLEEP DATA

 

Sleep distribution was normal. Sleep efficiency was normal at 85%. Sleep latency was shortened and the REM latency was shortened. Alpha delta sleep was not present. Alpha intrusion into non-REM sleep was also not presented.

 

CARDIAC RHYTHM

 

Cardiac rhythm is found to be normal.

 

RECOMMENDATIONS

 

1.      Treatment of nasal obstruction or, allergic rhinitis may improve sleep-related breathing disorders.

2.      Weight loss is clinically indicated--excessive weight may worsen sleep apnea and snoring.

3.      Avoid alcohol /sedatives--CNS depressants may worsen sleep apnea and snoring.

4.      Driving precautions--hypersomnolence may contribute to accidents while driving or operating heavy equipment.

5.      Consider evaluation by a sleep specialist.

6.      Nasal CPAP therapy at 8 cm H20.

7.      Consider MSLT (Multiple Sleep Latency Test) to document hypersomnolence and evaluate for narcolepsy/idiopathic hypersomnolence.


June 23, 2004 Sleep Study Report - Sleep Services of America - Steven Craig Resnick (410) 544-5191

 

TITRATION STUDY

 

The patient was fit with a Respironics mask, and C-PAP therapy was titrated from the beginning of the night.

 

 

DIAGNOSIS

                                     

The study revealed the patient's prior sleep apnea was significantly improved with the C-PAP machine. A C-PAP level of 10 cmH20 resulted in resolution of the prior respiratory events.

 

SLEEP DATA

 

Sleep distribution was found to be abnormal, with diminished REM sleep. Sleep efficiency was reduced at 61%. Sleep latency was shortened and REM latency was prolonged. Alpha-delta sleep was not present. Alpha intrusion into non-REM sleep was also not present.

 

RECOMMENDATIONS

 


May 25, 2004 Sleep Study Report - Sleep Services of America - Steven Craig Resnick (410) 544-5191

 

SPLIT NIGHT STUDY

 

 

The patient was fit with a comfort media mask and CPAP therapy was titrated from the beginning of the night.

 

 

ANALYSIS OF THE STUDY

 

The study revealed the patient did have severe obstructive sleep apnea. The patient's periodic limb movements were mostly related to snore related events and decreased with the use of the CPAP machine. Hypopneas were the main respiratory events which occurred predominantly during non-REM sleep. Arousals were frequently noted with the respiratory events and oxygen desaturations were mild. The prior sleep apnea was partially improved with CPAP machine. A CPAP level of 7 cm water pressure resulted in partial resolution of prior respiratory events.

 

SLEEP DATA

 

Sleep distribution was abnormal. _______ total sleep and diminished REM sleep. Sleep efficiency was reduced at 83%. Sleep latency was prolonged. REM latency was normal. Alpha delta sleep is not present. Alpha intrusion into non-REM sleep is also not present.

 

RECOMMENDATIONS

 


March 22, 2004 Cardiologist report - Dr. David B. Aiello - (410) 768-6600

 

About October, 1996 I had a RIMA and LIMA CABG (Left & Right Internal Mammary Coronary Artery Bypass Graft)

 


September 9, 2003 - UMMC Discharge Instructions

 

Also, I still dunno what happened - I couldn't find any notes on my visit to the hospital in September - I was cleaning some files on my PC and I found scanned copies of the discharge papers they had given me - I can't imagine why I scanned them unless I gave the originals to my Doc - but he said he didn't have them - at any rate the cardiologist did say to have a follow up with Doc and the Cardiologist with 2 weeks - and he did add an aspirin to my daily meds - On 9/8, my Glucose was (H)137 mg/dl and on 9/9 it was 92 mg/dl (instantaneous readings)


May 5, 2003 Sleep study report - Sleep Services of America - Steven Craig Resnick (410) 544-5191

 

TITRATION STUDY

 

CPAP therapy was titrated from the beginning of the night.

 

 

ANALYSIS OF THE STUDY

 

The study revealed the patient's prior sleep apnea was significantly improved with the CPAP machine. A CPAP level of 12 cm of H2O resulted in resolution of prior respiratory events as well as the snoring.

 

SLEEP DATA

 

The sleep distribution was found to be abnormal with diminished REM sleep. Sleep efficiency was slightly reduced at 79%. Sleep latency was shortened. The REM latency was normal. Alpha delta sleep was not present.

 

RECOMMENDATIONS

 


March 19, 2003 Sleep study report - Sleep Services of America - Steven Craig Resnick (410) 544-5191

 

ALL NIGHT SLEEP STUDY

 

 

DIAGNOSES

 

The study revealed the patient had severe obstructive sleep apnea. Apneas and hypopneas were the main respiratory events, which occurred predominantly during both non-REM as well as REM sleep. Arousals were frequently noted with the respiratory events. The oxygen desaturations were found to be moderate.

 

SLEEP DATA

 

Sleep distribution was found to be abnormal, with diminished REM sleep. Sleep efficiency was reduced at 66%. Sleep latency was shortened. REM latency was normal. Alpha-delta sleep was not present. Aplha intrusion into non-REM sleep was also not present.

 

RECOMMENDATIONS