THE PATIENT'S DIAGNOSIS: SLEEP APNEA.
-IT FREQUENTLY AFFLICTS WOMEN AS WELL--PARTICULARLY THOSE WHO ARE OBESE AND/OR POST MENOPAUSAL.
ALSO CAN DEVELOP SLEEP APNEA--ESPECIALLY IF SUFFERING FROM UPPER
AMONG THE PATIENTS IN NEARLY EVERY MEDICAL PRACTICE--
BUT IT USUALLY ELUDES DETECTION FOR YEARS.
What were the clues in this case history?
All of the following were consistent with occult sleep apnea--although none could be regarded as diagnostic:
was chronically late for office visits.
The greatest single problem? Andrews' failure to obtain more history from the patient's wife--which might have occurred in a timely manner if he had thought about this potentially dangerous condition.
Therein lies the tremendous disadvantage experienced by physicians today as regards the detection of sleep apnea. Physicians now suffer from intense time pressures, worse than ever before--and spouses are much less likely to accompany patients to their office visits. With the changes in our economy, most spouses also have full-time jobs.
Despite such, the diagnosis could have been readily made with a minimal expenditure of physician and staff time.
THE SLEEPSITE NAVIGATOR MENU
INFORMATION ON SPECIFIC SLEEP DISORDERS
INFORMATION FOR OTHERS:
AND FOR MORE INFORMATION:
COLUMBUS COMMUNITY HEALTH
REGIONAL SLEEP DISORDERS CENTER
Accredited by the American Academy of Sleep Medicine.
Robert W. Clark, M.D., Medical Director
1430 South High Street
Columbus OH 43207
Tel:  443-7800
Fax:  443-6960
© Copyright 2006 Robert W. Clark M.D. Inc.