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neuromd2012, Board Certified Physician
Category: Neurology
Positive Feedback: 95.5 %
Satisfied Customers: 6317
Experience: General Adult Neurologist. Board Certified. Experimental Neuroimaging and Neurodiagnostics
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approx. 3:00pm sitting up reading, after about 20 minutes or

Resolved Question:

approx. 3:00pm sitting up reading, after about 20 minutes or less fall asleep sitting up in chair, very frustrating

Submitted: 1 year ago.
Category: Neurology
Expert:  neuromd2012 replied 1 year ago.


neuromd2012 :

HI. Im a neurologist and can try to answer your question

neuromd2012 :

are you there?

neuromd2012 :

well I will leave you my answer as we cannot chat now. Please review it, then ask questions and I will return to reply, ok? If you feel I answered your question please hit the accept button as that is how I get credited for my work, in not, please ask more questions.

neuromd2012 :

You are a 64 year old gentleman, who fell asleep in a chair at 3 pm after reading a book for 20 min. From your frustration, I assume that this is a common occurance. Questions I would have for your are: do you sleep regular hours nightly, how many, do you have interrupted sleep during the night, how many times are you up? reason to get up (bladder) . Do you make a lot of arm and leg movements during the night? do you snore?

neuromd2012 :

Any other medical problems, how long has this sleep disturbance been going on. Have you tried any medications for it? what meds are you on now?

neuromd2012 :

From the brief description, you have EDS, Excessive Daytime Sleepiness. I will leave you some webpage to describe this condition and its treatment. If you have good medical insurance, there is a sleep study called a MSLT or multiple sleep latency test, to test you for conditions like Narcolepsy where you fall asleep during the day for no known reason. and there are some newer medications for this excessive daytime sleepiness

neuromd2012 :

hi are you there?

Customer :

yes

neuromd2012 :

great. please read the above and then get back to me ok?

neuromd2012 :

I will wait here

Customer :

sleep 11:00PM TO 7:00am, wake up 2 times to walk dogs. Turn over side to side due to hip pain pressure. No arm or leg movements durning night. Snore ususally. Get up once for bathroom some nights. No insurance, no med for sleeping.

neuromd2012 :

ok. You snore a ton?

Customer :

wife says not a ton.

neuromd2012 :

ok, does your wife ever notice you actually stop breathing? (do you have obstructive sleep apnea?)

Customer :

yes

Customer :

no apnea known of

neuromd2012 :

so you have obstructive sleep apnea it sound like. this is the major reason across the country for excessive daytime sleepiness.

neuromd2012 :

??? if you stop breathing for short periods you have apnea, am I missing something?

Customer :

no, wife says 15 to 20 seconds, this is new to me

neuromd2012 :

that is the way it usually is. You need a test called a polysomnogram but it is expensive without insurance.

neuromd2012 :

and you need a trial of a machine called nasal cpap, also expensive without insurance

neuromd2012 :

but this is the deal, untreated obstuctive sleep apnea leads to heart disease leads to increased risk of heart attack and/or stroke

neuromd2012 :

there is also a medicine you can take during the day to keep you up during the day, and you will sleep better at night, but of course, it is also expensive

neuromd2012 :

it is called Nuvigil or armodafinil

neuromd2012 :

apnea is usually 15 to 20 sec, your wife is sharp and on the money

neuromd2012 :

do you have any more questions? Did I answer your question? If yes, please hit the accept as that is how I get paid, and thank you or ask away

Customer :

thanks for the insite, I

Customer :

I

neuromd2012 :

no problem good luck

neuromd2012, Board Certified Physician
Category: Neurology
Positive Feedback: 95.5 %
Satisfied Customers: 6317
Experience: General Adult Neurologist. Board Certified. Experimental Neuroimaging and Neurodiagnostics
neuromd2012 and 5 other Neurology Specialists are ready to help you

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