GREENSBORO CHEST DISEASE & ALLERGY ASSOCIATES, P.A.
E.W. Stevens, M.D., F.C.C.P., F.A.C.A.
C.D. Young, M.D., F.C.C.P., F.A.C.P.
July 14, 1998
N. C. 27401
On July 12,
1998 1 had the opportunity to discuss Ronnie Kimble's history of
sleep complaints with you and then to interview Mr. Kimble as
requested. I have subsequently reviewed the medical records you have
provided with particular attention to sleep studies that he had in
June 1995 and January 1997 with the related evaluations by
specialists in Neurology, Otolaryngology and Sleep Disorders
Medicine (Dr. DeBeck).
has given a consistent description across several years and through
different Interviewers, of a perception of excessive daytime
sleepiness not obviously associated with impaired nocturnal sleep.
described episodes of being asleep on his feet, for instance while
marching, and similar near automatic behavior.
polysomnograms(sleep studies) on the 2 dates showed fairly similar
results. He does snore but does not demonstrate significant
objective evidence of obstructive apnea, narcolepsy or
It is possible that he either needs more sleep than the average person, or Alternatively, he might have a very mild incomplete form of narcolepsy which is a disorder of excessive daytime sleepiness.
TO; MR. HATFIELD
I am sending
you some pages from a coding book which describe this disorder.
disorder and associated sense that he may be somewhat different from
other people, may cause some degree of depression but I get no
Impression from Mr. Kimble that it would significantly affect his
ability to make decisions or to control significant actions. I do
not get the impression that he has difficulty distinguishing reality
describe occasionally vivid dreams and is able to relate them the
next day. To the extent that dreaming may represent some mental
processing of daytime issues, we are not surprised if dreams
recalled the next day seem to have threads of relevance to issues of
daytime life but I can offer no formal opinion that the content of
dreams actually means anything very specific.
I hope these
thoughts are of help to you.
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