Wednesday, April 22, 2009

Sleep(less) Study

I have sleep apnea. In short, my airway closes when I am sleeping and I stop breathing. My heart rate then goes up due to lack of oxygen until I finally take a breath. This cycle is repeated many, many times a night. As you can imagine this is not good.

For 17 years I have slept with a CPAP (continuous positive airway pressure) machine. This machine blows air, at a controlled pressure, into my nostrils to keep my airway open. Every so many years I go for a new sleep study, which determines if the pressure needs adjustment, as well as other things.

The protocol is to go to sleep without the CPAP. A technician and instrumentation measure things like how often you stop breathing, eye moment, leg movement, etc. After two hours of sleep without the CPAP, the technician comes into the room and attaches a CPAP mask to your face. The rest of the night is spent with the technician adjusting the pressures (from a control room) to see what pressure is optimum.

Last night was the first study since Medicare covered me. Medicare has their own protocol. The medicare protocol insists that the determination of the correct pressure be done after at least two hours of sleep without the mask. This determines how bad your apnea is, i.e. how many times you stop breathing. Their other protocols, in my case required that these two hours be up by 2 am.

I went to bed at 11pm, of course without the CPAP. I took a sleeping pill just before bedtime and another one hour later. Here is the short of it: by 2am I had only slept 1-½ hours. Therefore they could not do the second part of the study (called titration). They would continue taking measurements until 6am without the CPAP in place! After sleeping for 17 years with the mask on, I do not sleep very well with it off. I got a measured 2.25 hours of sleep during this sleep study!

Now I get to go back for another night so they can do the titration!

Saturday, April 11, 2009

Back from Florida!

I am back home with memories of Tradition Field (Mets spring training home) and especially Kerri, the Sports Management Intern from Mississippi. I also have memories of the River Cruise on the North Fork of the St. Lucie River during which I saw many birds, and some alligators and a few turtles. After the cruise as I was driving to my rental I saw the group of white Ibis crossing the road.

Thursday, April 2, 2009

It's the Little Things in Life!

My eight year-old grandson wanted everyone to know that he ate a small Domino's bacon and cheese pizza by himself!