Irish Sleep Apnoea Trust / Iontaobhas Apnoea Codlata na hÉireann.  The Irish Sleep Apnoea Trust promotes awareness, understanding and treatment of Sleep Apnoea through education, research and fund raising.    

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Page 2

ISAT Newsletter - Autumn 2001

   Volume 1, Issue 2

A true story from John

There I was: 50 years of age, overweight with high blood pressure. My wife said not only did I snore like a pig, I choked, gasped, snorted and gurgled, and then would suddenly stop breathing until I started again with a choking gasp. She also complained that I tossed and turned and kicked all night.

For years I had been getting sleepier and sleepier. I went to bed early, but woke up the next morning feeling tired out and unrested. I used to sit on the edge of the bed in the morning and count the hours till I could take a nap. I am a teacher. I had 32 beady little pairs of eyes just waiting for me to nod off! I fell asleep during the 5 o'clock news. I went to bed at 8:30 or 9:00 at night and woke up the next morning to start the whole thing all over. I could not drive any distance in the car without having to pull over and let my wife drive while I went to sleep. My wife claimed that I was irritable and that I had occasional bouts of depression. But the most telling symptom of all was that I totally denied that I had any sort of sleep disorder. I thought it must be the medication I was taking for my blood pressure problem. I looked for information on my pills, to figure out which one was making me drowsy. Meantime, my wife, being wiser and more realistic, was checking the internet for sleep, then sleep disorder, and finally narrowing down her search to sleep apnoea. She found many wonderful web sites, which simply confirmed her suspicions. She even downloaded an audio file of an apnoea patient snoring, which she played for me and told me that it sounded exactly like I did.
So I finally gave in to her and agreed, reluctantly, to mention the sleepiness to my doctor. I still hoped he would identify it as a side effect of medications. Fortunately, my doctor is well-informed, and he immediately referred me to a sleep specialist. The sleep specialist gave me an appointment and asked me to bring my wife along. The doctor seemed more interested in her answers than mine. Following a short examination and more questions I was given an appointment for an overnight sleep study. I will just say that it was neither painful nor uncomfortable, not really even inconvenient. The technician was very good about explaining what was happening to me. She told me that if I met the criteria in the first part of the study they would keep me in for a second night and put me on a CPAP machine for the second part and determine the proper setting.
Well, to make a long story short, my study showed that I had severe sleep apnoea and a very worrying  blood oxygen saturation level of 75%! I was titrated at 14 cm of water pressure. When I met with the sleep
doctor, he translated this very simply for me: severe obstructive sleep 

apnea and a dire need for immediate CPAP usage! Since I had a history of nose bleeds, I was also fitted out with a Passover Heated Humidifier. The technician spent a long time explaining how to use and care for my machines.

I had no trouble with the CPAP in the sleep study, and I adjusted to CPAP use from the very first night at home. I did experience a little dryness and congestion, but the doctor prescribed a nasal spray that helped. The noise of the machine was minimal, and my wife said she vastly preferred it to my snoring. From the very first night, the snoring quit almost entirely, and my wife reported I did not toss and turn and kick nearly so much.
It took a little longer for me to notice results, but gradually over the next few weeks I found that I could now wake up in the morning feeling refreshed, that I could make it through the school day without nodding off, and that I could stay up a lot later in the evening. I was watching TV programs that had always been too late for me before! I also was able to drive for hours without scaring my passengers or myself. In addition I found that my daily blood pressure readings were in a whole new range. I was averaging 10 to 15 points below where I was before.

I have now  been on my CPAP for 1 year!  Everything is great!  My whole lifestyle has changed in a positive manner. I feel vastly better than I have for years. My wife is totally delighted, and says not only does she not have to put up with the snoring any longer, but my bouts of irritability and depression are gone too! The sleep study is truly the best thing a doctor has ever done for me.
(We think that this true story will be familiar with a lot of partners/spouses of members)

 

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