Friday, April 27, 2012

Doctor Who Burlesque

Doctor Who Burlesque at the Red Palace on H Street DC

Not sure what I was thinking when I attended this.  Actually, I do know.  It was Doctor Who and in DC, which I felt needed my support.  Honestly, I don't think I've ever seen so many women's breasts in my life.  Think I reached my maximum capacity for viewing naked women.  

Saturday, April 07, 2012

4/7/2012 Sleep Study

Impression: This split night sleep study documented snoring and severe sleep apnea with a Respiratory Disturbance Index (RDI)* of 46 events/hour and an Apnea+Hypopnea Index (AHI) of 43 events/hour in the diagnostic section.   There were O2 desaturations to 86%.   The patient was given a trial of CPAP and improved with a CPAP setting of 8cm H2O which eliminated snoring and reduced the RDI and the AHI to four events/hour.   The ECG demonstrated a sinus rhythm throughout the recording.   The patient rated the night as being “average” when compared with a typical night at home.
Recommendation:
1.  A home trial of CPAP at 8cm H2O with the medium Quattro FX full face mask and a heated humidifier.
2.  Close clinical follow-up to ensure that the patient is tolerating and compliant with the treatment.
3.  Weight loss.
4.  Mr. Phillips should avoid driving if excessively sleepy

Sleep Study

Survived sleep study and titration without running out the door (which I did previously on two separate occasions.  It helped that I self-medicated prior.  To no surprise, I was told I have severe OSA