“I didn’t have the sleep study that you recommended,” he says. I wait. “I went for the consultation. She said that looking at me (30 year young fit man), I don’t fit the stereotype for sleep apnea, but talking to me, she thinks I have it and I should have the study.”
I tell him about skinny children who have sleep apnea, not because they’re overweight middle-aged men, but because they have large tonsils. The therapy for them is surgery, not CPAP masks. “You’re closer to those kids than the middle aged men,” I say.
He waits a beat, then glances at me sideways. “Also, I didn’t want to get diagnosed with something else,” he adds. “I have insurance now, but I don’t want it to be a pre-existing condition… if something happens.” He has had asthma since age six. He is an expert on getting denied insurance coverage and pre-existing conditions. Hopefully, soon that expertise will become obsolete.