Monday, May 24, 2021

Better living through science

 Better living though science:

So I went to the Dr. recently to get a little help in the bedroom.  Things just hadn’t been the same between my wife and I for a while, and everything I’d tried hadn’t really worked, so it was time for some serious help.  I never wanted to be that guy we see in all the commercials… sitting on the table, humbled by his condition, with the “can ya help me doc? “ look on his face.  I hated admitting that I needed help, but it was time.

After discussing the situation, the Doc set me up with a specialist.  Tests were done and soon I was sent home with a very specialized bit of equipment.  Let me tell you, it was a little strange strapping it on for the first time.  I was self-conscious about how it looked, but the way the Mrs. smiled at me when we woke up in the morning eased my mind and made everything all right.

I’m talking about a CPAP machine, you perverts:  A device that provides Continuous Positive Airway Pressure to prevent my relaxed airways from collapsing and to keep me breathing.  In other words, an anti-snoring device. 

Yep, it had been a problem for years and I hated to admit it.  Maybe it was genetic (my father’s snoring shook the walls) or maybe it was the weight gain.  Maybe it was that my otolaryngological tissue had become flabby with age, but whatever the reasons were, the result was I was out of the bedroom,  sleeping first on the couch and then on an air mattress.

I did not want it to come to this, which sounds strange, considering how I was already living.  Of course I wanted to sleep with my wife in an actual bed.  I just hoped I’d lose weight on my own and solve the problem.  When that didn’t happen, I felt bad because now I had TWO problems I wasn’t dealing with that were affecting my life.

But now, thanks to a device no larger than an old clock radio from the 70’s, I’m better rested with a happier disposition, and more importantly, I’m able to sleep with my wife without the fear of being stabbed in the middle of the night.

***

I remember when my sister and I, giggling with sneaky glee, crouched outside our parents’ bedroom with a tape recorder, documenting my father’s nocturnal auditory emissions.  He always denied that he snored, of course, but as he went to bed before we did most nights, we were all aware of the sheer power lurking behind his nostrils.  His snoring was legendary.  Decades later, we were traveling together and sleeping in the same hotel room.  His snoring kept me awake most of the night, and I hoped for a quiet time when I could slip into sleep and get a few winks.  It never happened.  I tried watching TV, but the volume required to drown him out was deafening and I didn’t want to wake the neighbors.  The next morning I woke up after he came out of the shower.  “Whew, Spike,” he said, “you really snore! 

With my face still in the pillow, I mumbled “It’s hereditary.”  He acted genuinely surprised.

I’d been accused of snoring since college, but at the time, there were no machines to solve the problem.  It was something you just had to deal with.  More like something your roommates and significant others had to endure.  You only had to deal with the possibility of being murdered in your sleep for keeping them from theirs.

I’d even discussed the issue with my Doctor, who suggested that losing weight might be a better solution and solve some other issues as well.  It’s not that I didn’t try, but as life happens, certain things get in the way… the ever popular “lack of time” and stress eating didn’t help me get on the bike and pedal the pounds away.  At some point, I did get a consult and a referral for a sleep study, but still wasn’t sold on the idea.   I’d heard horror stories of those studies, how they never really let you sleep, and how they were generally inconvenient.  That and the cost of going to a specialist to get the study performed were reasons that kept me away.  If I recall correctly, it was about $1100 to come into a clinic for the study, and I thought that if that’s what my insurance covered, how much would the CPAP cost?

Fast forward a few years and I’ve been out of my bedroom sleeping first on the couch and then on an air mattress. To be clear, I was not kicked out.  I was welcome back at any time as long as I didn’t snore.  I wanted to be there and Melissa wanted me there too; we missed sleeping next to each other.  But she couldn’t sleep with me in the room, and I sure couldn’t sleep with her constantly pushing me to roll over and complaining, so the only feasible option was for me to leave the room.  Even with that solution, she still had to have the fan on to drown out the noises I made.  I had to admit the situation was getting worse.  I was sleepy all the time.  No amount of coffee could keep me fully alert.  I walked around in a fog and there were many occasions I struggled to find the right words to speak. 

Thankfully, a new job had come along with a much better paycheck and healthcare than State Government seemed able to offer.  I finally made the call and told my doctor this was no longer just a small inconvenience and that I missed my wife.   I needed a referral for a sleep study and he agreed.  Here’s where the miracle of modern medicine kicks in, because NOW, thanks to science and social distancing, sleep studies are being done at home.

Within 2 weeks, I received a medium sized manila envelope in the mail.  Inside that was a padded envelope with a plastic package inside it.  Inside that was a monitor that looked like a chiclet.   The package, which was about the size of a tongue depressor and was less than half an inch thick, consisted of instructions (literally a flyer,) a Bluetooth connected device the size of a chicklet, and strips of medical tape to attach the monitor to my fingertip.

For two nights, I connected the device to my phone before going to sleep and in the morning the data was uploaded to the specialist.  I had no idea what my results were, but was anxious to get this party started. I thought these machines were huge and worried about excessive noise.  I was afraid I’d have to wear a full face mask all night, looking like a Mercury astronaut or a firefighter. 

About two weeks later, I finally saw the ENT in person and was presented with a new, very compact and VERY quiet CPAP device.  The mask I wear covers just my nose, and after a few days of using it… I can’t imagine life without it.  Honestly, with the amount of apnea occurrences I was experiencing (42 an hour,) I might not have a life without it.

This device is actually no larger than an old fashioned clock radio, and is dead silent. At times, I’m told there is a “whooshing” sound, but it’s no louder than a ceiling fan.  There’s even a water tank to keep the air, and my mouth, from getting too dry.  It connects to the internet so my specialist can keep track of my progress, and there’s an app that shows me each morning how I’m doing.  (I’m down to less than 2 events per hour, thank you for asking.) 

The technology is amazing, and I’m impressed at how it all happened so easily.  This time, my insurance has covered all of it, and not one red penny has been out of pocket.  I will need to cover replacement masking and tubes until the lease period is over, but those are negligible compared to the cost of the machine.

But most importantly, I’m once again sleeping in the same bed as my wife, able to snuggle with and wake up next to the woman I love so much.  It’s something I’ve been missing for a long time.  While the benefits of using a CPAP include better rest, lower blood pressure, and even weight loss, it’s the benefit to my heart that is the best; I’m once again with the one I love.