I have scheduled my physc and sleep study can anyone tell me what to expect?

I have my appointments set for my physc , and sleep apnea Can anyone give me and idea on what I have to look forward to? Thanks

On a Sleep Study, on the first appointment with a Dr. (I went to Mid Ohio Pulmonary & Sleep Medicine) he talks about your medical history and then they schedule you for your first overnight sleep evaluation night.  WEAR Pajamas or a Tshirt and Shorts (ladies) to sleep in because they have to put different monitoring wires and things on you and its easier in PJs instead of a nightgown.  Once you get into the bed (each patient has a private bedroom) they will do a couple checks to make sure the monitoring wires are fine and then they tell you to go to sleep and they start the evaluation. I really found it hard to sleep with the idea that I was being watched but I kept telling myself, this is a medical test, let go of the anxiety over it. So, I went to sleep eventually and if you turn over and a wire comes loose, they may come in to adjust it or something.  IF you do truly have a severe case of sleep apnea, I had a friend that they came in after less than 2 hours or her sleeping, they went ahead that first night and put her on a CPAP machine, fitted her with a mask and then finished the rest of the night evaluating her with the CPAP.  I didn't have that happen. I was told then that I needed a CPAP machine for the 2nd night evaluation. Same thing, plan to wear PJs, they wire you up for monitoring, get you on the CPAP machine - try different mask styles on you to see what size and configuration of mask feels best to you -- they all are going to feel and look strange-- and then they tell you to go to sleep so they can monitor you with the mask on. That night while they have you on the CPAP, they try different air pressure settings to determine what will be right for you for the long term. They then have you come back and see the Dr. for a post study appointment and he orders your CPAP machine for home use and prescribes what level of setting the equipment supplier should set it to. Its something like a credit card sized piece that goes into the back of the machine and records your use of the CPAP machine. After a month or so of use, they have you go back to the Dr. one more time so he can evaluate the data on the CPAP machine setting card (you pull the card out of the machine slot and take it in for your appointment) and he discusses how you are doing, if you can see improvement in sleep, tiredness, snoring, etc. Okay, that was a long note.... hope it helps.  Just remember -- you can get through this!

2nd Question Response on what I presume you meant was your Psychological Evaluation or Psych Eval.  Different psychologists handle this different than others. I suppose if you are seeing someone you regularly see for depression or other issues, they could write your Psych Clearance - that you understand fully what you are anticipating doing, the consequences of the surgery, eating behaviors that will need to change, etc.  If you are seeing someone you haven't seen before for the Psych clearance, that was the case with me, she wanted to see me for 2 start up appointments to get to know my background, what might be behind my eating and overweight situation, etc. did I understand the surgery, etc. Then my insurance required her to actually administer a 400 question psychological evaluation test -- it was very simple questions and I whipped through it in maybe 45 minutes.  The idea of the questions is to see what you underlying behaviors are, if you will be compliant to making a change, if you are a self-destructive person where you'd defeat the band and not work with it, etc.  I had to go in one more time to talk with her about those results and she then wrote my psych clearance report to send to the surgeon's office to submit for the insurance. So I had to do 4 total appointments to get my psych clearance done. Took me about a month to fit all those in but you might be able to squeeze it in faster depending on your psychologist's availability.  P.S. this psych clearance has to be done by someone with a PHD in psychology not just a Masters in psych or LISW psych counselor training.

My psych eval was a single appointment.  He just asked lots of questions about my history (family history, weight history, any mental health history, etc.), then made sure I could explain to him what the surgeon was going to do (to make sure I understood the physical operation), what I would need to do and not do after the surgery (to make sure I could explain how my life and eating habits were going to have to change), and asked questions about how I deal with stress (other than eating!), the current stress level in my life, etc.  He had me do a Beck Depression Inventory (BDI) and some other questionnare about coping skills (it asked... seriously... 4 different times if I used alcohol or drugs to deal with problems). I didn't like the guy much -- he was a psychologist who seemed to have a bit of an "attitude" when he found out that I'm a licensed professional counselor, and especially when I told him that I knew the BDI would show a moderate level of depression -- but the process was painless (even if a bit annoying). Lora