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Normal sleep study. Now what?

Sleep study normal, now what?

You ordered the sleep study. You were pretty sure it was going to show sleep apnea.

The pattern was classic: waking every 2-3 hours, never feeling rested, fatigue through the day.

Then the results came back showing…

“No significant sleep apnea”.

And now you’re sitting with the patient who’s still struggling, a normal-ish sleep study, and not much of a roadmap for what to do next.

This scenario comes up more than you’d think, and it’s exactly what inspired this week’s video.

A reader wrote to me asking:
“Do you have any information on treatment for interrupted sleep patterns, for example, waking every 2-3 hours in the context of a negative home sleep study?”

It’s such a good question because a home sleep apnea test tells you one thing but misses a lot of others.

In this week’s video, I’m sharing what to do next, including the 4 broad categories that drive most sleep fragmentation, some case examples, and a personal sleep fragmentation story of my own.

Fair warning: I was recording this while getting over an upper respiratory infection, so please excuse the congestion.

It actually felt fitting, because nasal congestion is one of those commonly overlooked factors that can fragment sleep, and I got a firsthand reminder of that while making this video!

More from Dr. Nishi

Sleep study normal, now what?
Sleep Health

Sleep Study Is Normal but Your Patient Keeps Waking Up — What Are You Missing?

Dr. Nishi Bhopal MD, a psychiatrist and sleep medicine physician, explains how to evaluate patients who wake every few hours despite a “normal” sleep study, emphasizing that a single study especially a home sleep apnea test does not rule out sleep apnea or other causes of sleep fragmentation because it mainly measures breathing rather than sleep architecture, limb movements, or narcolepsy.

Sleep study normal, now what?
Sleep Health

Normal sleep study. Now what?

You ordered the sleep study. You were pretty sure it was going to show sleep apnea. Then the results came back showing… “No significant sleep apnea”.

Med adjustments for DST
Sleep Health

Med adjustments for DST

I’m writing this from Vancouver, BC, where I’m visiting family, and where the clocks just sprung forward for the last time!

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