Appendix C

Very important questions (short quiz)

• Do you snore loudly each night?
• Do you have frequent pauses in breathing while you sleep (you stop breathing for ten seconds or longer)?
• Do you have headaches in the morning?
• Are you very tired or sleepy during the day?
• Do you fall asleep easily during the day?

During sleep and in the bedroom

• Do you snore loudly each night?
• Do you have frequent pauses in breathing while you sleep (you stop breathing for ten seconds or longer)?
• Do you experience heartburn during sleep at least twice a week?
• Are you restless during sleep, tossing and turning from one side to another?
• Do you wake feeling that you are choking or suffocating?
• Do you have some repetitive movement such as a jerk, or leg movements?
• Does your posture during sleep seem unusual--do you sleep sitting up or propped up by pillows?
• Do you have insomnia--waking up frequently and without an apparent reason?
• Do you have to get up to urinate several times during the night?
• Have you wet your bed?
• Have you fallen from bed?

While awake

• Do you wake up in the morning tired and foggy, not ready to face the day?
• Do you have headaches in the morning?
• Are you very tired or sleepy during the day?
• Do you fall asleep easily during the day?
• Do you nod off readily or fight to stay awake while driving?
• Do you have difficulty concentrating, being productive, and completing tasks at work?
• Do you carry out routine tasks in a daze?
• Have you ever arrived home in your car but couldn't remember the trip from work?

Adjustment and emotional issues

• Are you having serious relationship problems at home, with friends and relatives, or at work?
• Are you afraid that you may be out of touch with the real world, unable to think clearly, losing your memory, or emotionally ill?
• Do your friends tell you that you're not acting like yourself?
• Do you feel like you are depressed? Do you feel overwhelmed by your life? Do you lack interest in your activities?
• Are you irritable and angry, especially first thing in the morning?

Medical, physical condition, and lifestyle

• Are you overweight?
• Do you have high blood pressure? Is it hard to control?
• Do you have heart disease? Do you have difficulty controlling the symptoms with medication?
• Do you have pains in your bones and joints?
• Do you have trouble breathing through your nose?
• Do you often have a drink of alcohol before going to bed?
• Do you have a small chin and receding jaw?
• If you are a man, is your collar size 17 inches (42 centimeters) or larger?
• Have you been diagnosed with severe esophageal reflux?
• Do you have family members or relatives who have sleep apnea?

What your answers may mean

A "yes" answer to any of these questions may be a clue that an underlying sleep disorder exists. This may be sleep apnea, another sleep disorder, or even a problem not related to sleep. Each of the questions points to a symptom. Symptoms are the clues, sometimes subtle and perceived only by the patient (such as memory loss), and sometimes overt and observable by friend or family (such as snoring), which indicate that the mind or body is diseased. Your doctor, trained to see symptoms as the manifestation of disease, can help you interpret and understand the basis of your condition.

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?	New Technology Publishing, Inc.? 53 N Central St. Peabody MA 02160-1743 USA telephone: 800-67-APNEA (800-672-7632); fax: 800-452-7632 http://www.HealthyResources.com/sleep/

T. Scott Johnson, M.D., William Alexander Broughton, M.D., and Jerry Halberstadt.
Forewords by Carl E. Hunt, M.D., Director, National Center on Sleep Disorders Research, NHLBI, NIH, William C. Dement, M.D., and Colin E. Sullivan, M.D.

Sleep Apnea--the Phantom of the Night.

Onset, Massachusetts: New Technology Publishing, Inc. 2003.

ISBN 1-882431-05-7 Available direct from the publisher, through bookstores, and online bookstores. Quantity discounts are available. To order from outside the United States, write or email for shipping costs and payment information.

 

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