G00006S0012.txt

19.65428464133242	24.62866391714542	C1	Hello, doctor. I've been having some issues with my sleep lately,
24.62866391714542	28.711431468402466	C1	and I was hoping you could help me figure out what's going on.
29.060002253201922	33.174273375322834	O1	Hello, I'd be happy to help you with that.
33.63426736678438	39.86283214304538	O1	Could you please describe your sleep issues in more detail? For instance,
40.05729328519475	47.04303418015075	O1	how long have you been experiencing these problems and what specific symptoms are you noticing?
47.28571385653297	51.61428689453433	C1	Sure. I've been feeling extremely tired every day.
51.72857303800137	57.93714382280082	C1	No matter how long I sleep, I usually sleep about six to seven hours a night.
58.10857303800137	66.10857303800137	C1	But when I wake up, I feel just as tired as when I want to bed. It's been happening for about a month now.
66.48571310546566	74.0028584304011	C1	Before this, I could get by with just three to four hours of sleep and feel okay just a bit tired.[N]
74.56999924893269	80.5528576793338	O1	I see. So, this issue has been persistent for about a month.
80.89	85.97000075106729	O1	And your sleep duration is around six to seven hours at night.
86.81713105465663	94.52143071733518	O1	You mentioned feeling exactly, extremely tired upon what waking.[N]
94.99714156959891	98.6542681178517	O1	Do you have any other symptoms such as.
101.63141569598906	109.08901234716683	O1	You mentioned feeling extremely tired upon waking. Do you have any other symptoms,
109.14179227645253	115.6575771886365	O1	such as difficulty falling asleep, staying asleep, or waking up too early?[N]
116.05857078479944	121.34427487745744	C1	I usually don't have trouble falling asleep or staying asleep.
121.58713781426242	126.92998497865392	C1	It's more about how I feel when I wake up. I'm always so groggy,
126.9433338560059	130.88620580561852	C1	and it feels like I haven't rested at all.
131.1300007510673	139.1300007510673	C1	I also notice that I wake up a few times during the night. But I usually fall back asleep quickly.
139.58714532493542	145.61570935012912	O1	Thank you for sharing those details. Waking up multiple times during the night,
145.66141945132557	152.547129552522	O1	could be a sign of fragmented sleep, which can prevent you from reaching the deeper,
152.6862876719549	155.8228554261319	O1	more restorative stages of sleep.[N]
156.1942853923997	162.82285542613187	O1	Do you have any stress or anxiety in your life that might be affecting your sleep?
162.87999849786542	169.16571385653296	O1	Or any significant changes in your routine or lifestyle recently?[N]
169.73714457386814	177.73714457386814	C1	There hasn't been any major stress or anxiety. And my routine hasn't changed much er- either.
178.20571385653295	185.3485677805302	C1	I've been trying to figure out if there's something in my environment or habits that could be causing this
185.4628464133242	188.25784982606862	C1	but I haven't noticed anything usual.
188.68642286407	195.14856702946292	O1	It's good to hear that stress and routine changes aren't major factors.
195.28000300426922	203.28000300426922	O1	Sometimes, sleep disorders can be caused by underlying medical conditions or lifestyle,
203.3371423206662	208.3957063458599	O1	habits that uh we might not immediately recognize.
208.53856026985716	215.62427112212092	O1	Do you re- consume caffeine or alcohol especially close to bedtime?
215.68141043851787	221.02425760290936	O1	And uh do you use electronic devices before going to bed?
221.629403718442	227.77228392979498	C1	I do drink a cup of coffee in the morning, but that's about it.
227.80284941759342	233.3456973330522	C1	I don't drink alcohol very often, maybe once or twice a month.
233.51516263901334	239.60089977863282	C1	I do use my phone and watch TV before bed though, could that be affecting my sleep?
240.23142996626788	245.32142921520057	O1	Well, caffeine consumption seems minimal, which is good.
245.60714457386817	253.15	O1	However, using electronic devices before bed can indeed affect your sleep quality.
253.26428614346705	261.15	O1	The blue light emitted from screens can interfere with the production of melatonin,
261.26428614346696	264.4928584304011	O1	the hormone that regulates sleep.
264.5785730380013	271.8528591814684	O1	I would recommend reducing screen time at least an hour be- before bed.
272.37428464133245	280.25999849786547	O1	And trying uh some relaxing activities instead, such as uh reading a book,
280.40105299636326	282.40106050703633	O1	or taking a warm bath.
282.7371415695989	289.0514209534602	C1	I'll defit- definitely try that. Do you think there could be any other reasons,
289.0867998998577	291.7439527354662	C1	for my persistent tiredness?
291.85142771306596	295.62968161334527	C1	Should I be concerned about a more serious condition?
295.7153962209456	299.7371415695989	O1	It's a good idea to consider all possibilities.
299.7957131054657	307.25428614346697	O1	While reducing screen time and improving sleep hygiene can help, persistent tiredness,
307.28285767933374	314.2257108522637	O1	can sometimes be a sign or conditions such as sleep apnea,
314.2542748774574	319.82571310546564	O1	restless leg syndrome, or even thyroid issues.
320.14	327.1685677805302	O1	It might be beneficial to monitor your sleep patterns more closely and perhaps,
327.2257070969272	332.1399812233173	O1	undergo a sleep study if the problem persists.
332.40124827386285	339.4012745612186	C1	That makes sense. What exactly is a sleep study and how does it work?
339.7685737890687	347.368572286934	O1	A sleep study, also known as polysomnography, is a comprehensive test,
347.3828501686607	353.12569883518677	O1	used to diagnose sleep disorders. It records various,
353.23998497865375	360.5256928266483	O1	physiological parameters such as brain waves, blood oxygen levels,
360.5828358983819	366.9842808859958	O1	heart rate, breathing, and uh eye and leg movements during sleep.
367.32713931639694	374.4699932403942	O1	While this can help, definitely specific sleep disorders like sleep apnea,
374.50284941759344	378.4299925552101	O1	that might be contributing to your symptoms.
378.6457033415907	385.6456995862542	C1	That sounds pretty detailed. How would I go about getting a snip study done?
386.07856928266483	393.764286143467	O1	You would typically need a referral from your primary care physician or a sleep specialist.
393.93571535866755	400.33571310546563	O1	They can then uh schedule the study at a sleep center.
400.47857078479944	404.73569958625416	O1	Alternatively, there are home sleep tests,
404.9071288014547	412.7356995862541	O1	available for certain conditions like sleep apnea, which can be more convenient.
413.37570334159074	420.5757003373215	C1	I see. Is there anything I can do in the meantime to improve my sleep quality,
420.66141118958524	424.03282237917045	C1	while I consider the sleep study?
424.4015937648237	429.40158249881415	O1	Absolutely. Along with reducing screen time before bed,
429.6587563643072	433.7730575291203	O1	try to e- establish a consistent sleep schedule.
433.9757168608022	440.86143071733517	O1	by going to bed and waking up at the same time every day, even on weekends.
441.06143146840253	446.0785737890686	O1	Then create a sleep conducive environment.
446.2214277130659	452.33714232066626	O1	Keep your calm, keep your bedroom tight, quiet, and cool.
452.48	458.8228584304011	O1	Avoid large meals, caffeine, and alcohol close to bedtime.
458.9657161097349	465.7771438228008	O1	Regular physical activity during the day can also promote better sleep at night.
466.5200037553366	472.3199954935962	C1	Those are all good tips. I'll start incorporating them into my routine.
472.4028471643915	479.3171288014547	C1	How long should I try these changes before deciding if I need further medical evaluation?
479.9446594898013	487.3732588151584	O1	I would recommend trying these changes for at least two four weeks.[N]
487.51	494.51	O1	Two to four weeks. If you don't notice any improvement in your sleep quality or daytime fatigue,
494.62428614346703	502.4814284641332	O1	then it would be a good idea to follow up with a healthcare provider to discuss further evaluation,
502.7099932403943	508.42427037105364	O1	including the possibility of a sleep study.
508.9428389026514	514.4856868181101	C1	Thank you so much for all the advice, doctor. I really appreciate it.
514.7447901755125	521.9162456780689	C1	I'll make these changes and see how it goes. Hopefully I'll start feeling better soon.
522.3428591814683	526.1471438228008	O1	You're welcome. I'm glad I could help.
526.232858430401	533.89	O1	Well, remember, it's important to listen to your body and seek further medical advice,
533.89	541.7471348099931	O1	if things don't improve. Wishing you the best of luck and better sleep ahead. Take care.