July 2023 Sleep Case of the Month: Fighting for a Good Night’s Sleep

No abstract available. Article truncated after first 150 words. A 31-year-old man presented for follow-up in the Sleep Medicine clinic. He has a past medical history of seizure disorder and supraventricular tachycardia (SVT) was referred complaining excessive daytime sleepiness. Current medications include citalopram diltiazem. Four months prior, he diagnosed with severe obstructive sleep apnea characterized by an apnea-hypopnea index (AHI) 34 oxygen saturation nadir 86%. The patient initiated on continuous positive airway pressure (CPAP) therapy; however, reported ongoing mask discomfort difficulty exhalation while wearing CPAP. Despite partial improvement fragmentation sleepiness, sleeping only 4 hours per night. patient's schedule irregular, bedtime ranging between 9:30 pm 12 am, waking up at 5 taking daily nap 4-5 morning during which continued to use Additionally, described …