Sadly, I was going to incur some very high out of pocket expenses to have the sleep study conducted. I was a new teacher with very little in the way of money and I decided that spending $500 on a test was a bit too much for my checking account.
I was a bit dubious going into this given the internal med doc I was seeing at the time was jumping all over the place as he tried to decide why I was so tired. First, I got "you are a woman therefore you must be depressed," then I got "you are a woman and therefore depressed," needless to say I had little faith in this guy. After meeting with the sleep disorder doc I was even more dubious about the study and felt these two had some kind of buddy system thing going. It concerned me that no one in the sleep doctor's office could tell me how much, even a ball park figure, I should expect to have to pay. It bothered me that when I met with the sleep doc he told me if the sleep study did not give him the numbers he wanted he would order a whole new serious of test to rule out narcolepsy (I literally saw $$$ flashing in his eyes), it bothered me he cut my consult short because he had something else to do. After my short visit I was left wondering what kind of expensive boat he had docked on the river, for I felt I was paying for it. After a lot of questioning I was finally able to get the insurance codes out of the sleep center and talked to my insurance company regarding what I should expect to pay. The out of pocket expensives were far too much for my checking account (I had to meet a deductible first before they kicked in any money). The icing on the cake was when I received a bill for "out patient" services, dated for the day I talked to the sleep doctor. It seem using the elevator to get to the sleep doc's office, located in the hospital's basement, constituted being an out-patient. I fought this one for quite some time but in the end had to pay the bill (they got $5.00 for several months to cover my brief talk with the doctor).
In the end, after much research and finally finding a wonderful endocrinologist I was diagnosed with hypothyroidism (runs in my family). Two weeks after starting my thyroid medication I felt like I was getting my life back and well on the road to resuming my life. I glad I listened to that little voice in my head, I'm glad I found my endocrinologist (he is a wonderful man) and I'm glad I walked out on the internal medicine doctor with the parting words "I'm out of here and I won't be back!"