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Sleep Apnoea Tests

phatmomma

New Member
Hi, are all patients told they need the sleep apnoea test before wls?

I'm thinking of asking my doctor about it just to save time when my appt comes around. What do the experienced post op's people think? xx
 
Sorry Julie, I went private so never had one - I expect someone who does know will hopefully answer your qu. soon x
 
Hi Phatmomma

I think some surgeons want these tests to be done to as if it shows you have an apnoea it supports your application for funding. I must say, I would have saved about 2 months of waiting time had I got my gp to have it done. But I dont know if all hospitals or surgeons require for you to have it done.

I would telephone the wls dept at the hospital you will have the surgery and just ask if they send you for them, if they do ask what the turnaround time is roughly for referral to sleep tests, to actual sleep tests, to results of sleep test and then wl dept actually getting them. If it is a swift thing I wouldnt bther asking your gp, if however it was about 2 months all told I would consider getting the gp to sort out a choose and book appointment to get it done.

Good luck Xx
 
hi Julie I have been tested for it. My GP was asked to sort a test out for me when i had my 1st appointment at Walsall Manor but he never did so it was requested at my last pre op clinic and I found out I have got it bad and have been on a CPAP machine now for about 5 or 6 months. They told me that i had to use the machine for a while untill the sleep clinic are certain my breathing is ok enough for me to have anaesthetic, i was given the all clear for surgery in August and have op in 10 days time. i am still on CPAP machine to stop me from holding my breath in the night untill my next appointment in January when hopefully i should be off it altogether
Hope this has been of some help to you. xxx
 
Hi Julie, I was just about to post that I didnt know anyone from Walsall who had had to have sleep apneoa test - but Lisa has posted above that she was tested.

I guess it depends on whether you *think* you might have it. The only time at Walsall I was asked about my sleep was by Mr Youssef the anaesthetist at my final pre op appt when he asked me if I ever woke up choking!

So, to answer your question, if there is any worry on your part that you may have it - then I cant see that it would hurt to ask your doctor now to organise tests.
 
Sleep apnea is a very serous condition that cause's the person to stop breathing while they are sleeping, some people are not even aware they have sleeping problems. This can happen many time during the night. Sometimes patients will wake up gasping for breath. I thought I might of had it as I woke up tired also with a headache in the morning after a restless night. My snoring was so bad that my husband often had to sleep in the spare room. Thankfully I didn't have it. Patients with it will need to use a CAPS machine to aid their breathing which they will have to use in hospital for their surgery.

Both NHS and private patients at some point as a matter of course will questioned about their sleeping habit you might not be aware the importance of the questions at the time but this is how they decide if you need a sleep test. He will score your answers to assess if you have sleep apnea. If your score is above a certain level then you will then be sent for the sleep test or he will ask your GP to send you for the test. Not all patients will be sent for the test as your answers will determine if you need the test.

I presented the symptoms but I didn't have the condition. In my case the hospital asked my GP to refer me early on for the test to help with my funding. My friend was sent by the gastric surgeon. There are different ways so it is a good idea to ask in order to save time.

If you are concerned maybe you should speak to your GP or your surgery provider.
 
My op is on Thursday and I havent been tested, neither has the subject been raised. The only question I have come across was on a sheet at the hospital the day I met the surgeon (around two weeks ago) and that said basically how do you sleep and as I sleep well I ticked for that and nothing was ever mentioned.
Steph xx
 
Hi Julie ... I was told by my GP that before she coulde apply for WLS for me I had to go for a sleep apnea test and to see the dietician as well. I was found to have sleep apnea and when spoke to my GP about it she said oh this will support the application. I first went to the GP last October and after seeing the sleep clinicians and the dietician it wasn't until March that the results were through and she applied.

I do live in a different area, but at least it gives you another perspective, I suspect all areas differ. Hope all goes well for you ... take care
 
I was diagnosed with sleep apnea 12 months before I was referred for wls. This is 1 of the reasons why I decided to go for the op. Having it certainly helped with my approval.
 
I was diagnosed with sleep apnea 12 months before I was referred for wls. This is 1 of the reasons why I decided to go for the op. Having it certainly helped with my approval.

Hiya,
are you still on the cpap machine and if so do you have to take it into hospital with you when you go in for your op?
 
Hiya,
are you still on the cpap machine and if so do you have to take it into hospital with you when you go in for your op?

Yep, used every night without exception since December 3rd 2007. Yes, I have been told to take it in with me for my op. I think I would be lost without it. :D
 
Yep, used every night without exception since December 3rd 2007. Yes, I have been told to take it in with me for my op. I think I would be lost without it. :D

Thanks for that as I do not go back to the sleep clinic now untill January and was wondering what to do about taking it in with me when i go in for my op.
 
It depends on the team your working with.

The clinical nurse mentioned it to me and said it would strengthen my case for funding , however my surgeons actual words where I don't think you need the test and that I'll get the funding anyway even with a bmi below 40 and no co morbidities.

I did go and see the specialist and what a waste of time that was..another multiple choice form filled with highly subjective questions and then after a long long wait a consultation of about 3 minutes confirming I didn't need the test. I don't think that it is hard to fake sleep apnea but I wouldn't want it on my record - driving etc.

My experience so far on my weight loss journey is that when it comes to trusts and pcts it really is luck of the drawer.

I'm not sure if your PCT is quite stringentm, but if they are, I would request a referral to the sleep clinic asap to get it out of the way and present it as evidence when you get to your consultation.
 
Thanks everyone. I do snore but always wake rested and when following a healthy diet (as i have been now for 4 weeks) i dont feel the urge for my senior naps which i used to a lot. If WM aren't worried about it then i wont be either. It wasn't mentioned at my first appointment and i've never had a partner say that i stop breathing so i might put it to the back of my mind....
 
I dont think you can fake sleep apnoea topboi2009. thats what all the wires etc do, work out what is working, what is not. whether you are in REM etc.

It isnt simply a case of holding your breath. its a pattern of breathing whilst you are in deep sleep that is recorded. You would have to be like David Blaine the magician who can do bizarre breathing tricks to be able to fool the tests I would have thought.
 
I dont think you can fake sleep apnoea topboi2009. thats what all the wires etc do, work out what is working, what is not. whether you are in REM etc.

It isnt simply a case of holding your breath. its a pattern of breathing whilst you are in deep sleep that is recorded. You would have to be like David Blaine the magician who can do bizarre breathing tricks to be able to fool the tests I would have thought.

I agree Swizzle. For my test I had loads of wires and gizmos stuck all over me and had a video camera trained on me all night.

Then I was woken up early in the morning so they could take a blood test from my wrist.
 
I dont think you can fake sleep apnoea topboi2009. thats what all the wires etc do, work out what is working, what is not. whether you are in REM etc.

It isnt simply a case of holding your breath. its a pattern of breathing whilst you are in deep sleep that is recorded. You would have to be like David Blaine the magician who can do bizarre breathing tricks to be able to fool the tests I would have thought.

I agree Swizzle. For my test I had loads of wires and gizmos stuck all over me and had a video camera trained on me all night.

Then I was woken up early in the morning so they could take a blood test from my wrist.

Fair enough.
 
Hi Julie,

I was tested for and proven to have sleep apnoea prior to surgery for a by-pass. I went privately and the question was asked. It may mean that you will need observation in the HDU after surgery as I did, just to ensure that things are fine post-op.

The good news is that I now sleep all night and my wife tells me that I am a quiet as a church mouse! No snoring and after 35 years of marriage she is well pleased with that!

U
 
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