Marcus Mcmahon Case Study Supine Sleep

Thank you very much for referring Scott along for further management of his lifelong difficulties with sleep. As you are aware, Marcus McMahon investigated this in 2012 with a sleep study that revealed overall mild obstructive sleep apnoea. This was severe in supine sleep and was essentially supine isolated obstructive sleep apnoea. At the time, given his significant difficulties with sleep, the focus was more on the insomnia and he was referred on to a sleep psychologist but given the wait time to see her, he did not follow through with this and he has focused more on the clinical psychology side of things with variable benefit.

Unfortunately in the last three months since his discectomy for his lower back problem, his sleep in now the worst that it has ever been. He has taken to sleeping in a separate room from his wife and he is sleeping on a camping bed, but he is looking at purchasing a new bed very soon. He will go to bed at 10.30pm and believes that he essentially tossed and turns until 6.30am, not entering deep sleep at any stage. He does believe that he avoids supine sleep. He describes only mild restless legs symptoms and his wife still reports snoring and witnessed apnoeas when he does spend time in bed with her.
He does wake unrefreshed with significant daytime symptoms but he is able to avoid naps throughout the