sleep (2)

Uvulopalatopharyngoplasty


As most of you know, I’ve made my career working in healthcare. Spending 8 hours a day in a hospital seems normal to me. I’ve always had a morbid fascination with the internal processes of the body, especially surgical procedures. So what do I do on my day off? Research surgeries! I know, I’m insane.

I’ve only had surgery once, but I’ve had a long history of less invasive procedures. I had my sleep study last week, and I meet with my sleep specialist on Thursday to discuss the best treatment options for my sleep-disordered breathing. At my initial visit with him, he had listed a variety of surgical options that may be of value to my health (including Lap Band for weight loss, as my sleep issues will not subside until I lose at least 80 pounds).

This morning I’ve been researching UPPP – Uvulopalatopharyngoplasty. It’s a procedure where my tonsils, uvula and part of my soft palate would be removed to remedy my very constricted airway. I have been wavering for a few years whether I would get a tonsillectomy because I have large tonsils and frequently get tonsillitis, but I know the recovery time and pain level is horrible as an adult. But since my breathing has been so labored since October, and my snoring (caused by a constricted air passageway) is out of control…it really may be time for surgery.

As I read about it on Wiki, I was freaked out by the following side effect:
Patients who have had the uvula removed will become unable to correctly speak French or any other language that has a uvular ‘r’ phoneme.

If I get the UPPP, I might have to give up on Le Français and take up Español.

Picked up the paper, it was more bad news…

Now that I have a bit of time to blog, I’ll give you the gory details on my last 24 hours. I got to the sleep center at 8:30, registered, filled out questionnaires, and told the sleep tech that I’d like to get to bed around 10:30. She said that it wasn’t likely, but she’d get me to bed as soon as she could. I sat around for a while and enjoyed the hospital’s sporadic, yet complimentary wifi. I watched a terribly outdated video about sleep apnea, and was told by the tech that she’d come to hook me up around 11:00. I wasn’t happy about this because I remembered from previous sleep studies that it takes over a half hour to get all hooked up to the monitors and electrodes. When she came back in, she took a sharp red marking pen and marked a variety of spots on my head and neck. Then she roughly scrubbed cleanser over these spots to take the natural oils away so the electrodes would stick. Next, she put freezing cold gobs of sticky electrode gel on each spot, and jammed on each electrode with her thumb. Each electrode had a colored wire that connected to a control box.

After the head, neck, and face electrodes, she repeated the process on my abdomen and calves (luckily she let me guide the wires through my clothes myself). Then she clippped two different monitor bands around my midsection. Once I got in bed, the two sets of nasal cannulas were stuck up my nostrils, and I was told that I must sleep on my back for at least 3 hours. I know that my doctor ordered a CPAP test, but the paperwork confused the tech and she decided to be “safe” and go with a baseline study (which I’ve done twice already) I allowed to go off into camera-monitored dreamland around 12:00 am.

Six hours of sleep time was required for the full study, but I was wide awake just around 4:00 am (just like usual). I sat up, streched, and was told that they needed at least 90 more minutes of sleep time. I layed around for about 30 minutes before dozing back to sleep. I dreamed that I was having my sleep study in a high-rise hospital in California during an earthquake, and it made me fall off of my bed. I nearly choked to death on the cords around my neck. Luckily, Chandler from Friends (and I don’t even watch Friends) saw the whole thing happen from the car wash next door to the hospital, and he came to my room to save the day. Bizarre.

At 6:00 am, my Blackberry alarm clock went off, despite the device being turned off. It was across the room, so I couldn’t reach over and turn it off. It blared on for about two minute before the tech came to the room to turn it off for me. At this point, she said I needed 15 more minutes of sleep time. Luckily, I fell back asleep immediately, and I got up around 6:45. The tech removed all of the wires, monitors, and electrodes, and then scrubbed all the spots with acetone to remove the electrode goo, and I was sent on my way at 7:40.

I was driving home from the hospital down LaVista, and the sun was blaring in my eyes. I was driving in a school zone at about 20 MPH, and the lady in front of me slammed on her brakes when the crossing guard walked into the croswalk. (My guess is that the driver I hit wasn’t paying attention, and had to brake immediately) Even though I was going an acceptable speed with an acceptable following distance, I skidded into a shiny new Volvo. Her hard plastic bumper had very minimal scuffing on the bumper, but the whole front of my hood was crunched (although my bumper remained completely intact) We pulled into the neighborhood to exchange information, and she was a lot more difficult with me than she needed to be. She asked if I worked for Emory, and I told her I did, and she told me people she knew from my division. She repeated, in a menacing tone, “I really want to trust you” about 40 times. She wanted to leave so she could drop her kid off at school, and threatened “If you try to throw this situation around, and make it seem like it was my fault, my attorney will be after you.” I’ve tried to call her twice today to give her more of my info, but she hasn’t returned my calls.

So now I have a car that needs to be repaired, and a $500 deductible I honestly can’t pay. It will drive, but I know it won’t pass the state inspection that needs to happen before my Michigan car registration expires on Thursday (happy birthday to me). And since I haven’t been able to get in touch with the “victim” of the accident yet, I can’t complete filing my claim nor get my car repair started. At least I opted for the rental car reimbursement.

To top off the horriblenes of the day, Taylor and I had a meeting with a credit counselor today. We have been drowning in our student loan debt and wanted to see if we had any options available to relieve our financial stress. The rep checked our credit scores, reviewed all or our monthly expenses and consumer debt. We were told that they have no pull with the student loan companies, and we were basically left on our own to try applying for more consolidation loans. As for our consumer debt, he offered a credit card consolidation plan that would RAISE our monthly payment. And as for the deficit of our income vs bills..he suggested we both look into supplementing our income with part time jobs. We’re screwed.

Sleep Study Number Five

I’m just finishing up packing for my overnight sleep study over at Piedmont Hospital Sleep Lab. This will be my fourth overnight sleep study since 2004, and fifth if you include my daytime multiple sleep latency nap test. I’m deciding on what comfortable, yet accessible pajamas I can wear so the sleep lab tech doesn’t see too much (yes, there are cameras in the room and someone watches you sleep all night. Almost voyeuristic). It’s time to figure out how to fix my sleep apnea and daytime hypersomnia. Is anyone interested in a silly photo narrative of what it’s like to be the patient in a sleep lab?

Destined to NOT be a ZOMBIE

Today is the sleepiest I’ve been on a workday in ages. I have two explanations. One is that I haven’t been taking one of my meds to keep me awake during the day. I’m in prescription stimulant withdrawl. I have my sleep oximitery test tonight. Had to take a long lunch to drive to Alta View Hospital sleep lab to pick up the machine. I’ll have to use PTO this week. GRRRR

The other reason is that right after my head hit the pillow last night, my cell phone rang. I toyed with the idea of leting it be and just attempting to sleep, but I was not tired enough to sleep as “Robotica” (my ring tone) pulsed and vibrated next to my feet. I answered the phone and it was Tim Fritz. About 10 seconds into the conversation my smoke alarm beeped. It has been beeping anywhere from every 3 minutes to every hour since February. Yes, I know that I could have avoided a lot of insanity-causing sound effects had I just gone to the neighbor’s house and borrowed a ladder (It was on my vaulted ceiling, not quite low enough to use a chair)

SO anyways…Fritz insisted on a after-midnight maintenence run to fix my smoke alarm. Kinda silly to be the damsel in auditory-distress, rescued by a mechanically-minded hotty. He has complained everytime that I have talked to him about his annoyance of the beeping. So now I can rest easy, and he won’t have to complain when he calls me. Funny that he decided to show up at 1 am.

So…that said…once I actually fell asleep, I was out like a log. With no beeping. Just only got 5 hours of sleep. Goin’ to bed early tonight with the pusle-ox in my finger. If any of you catch me up past 10 pm tonight….scold me and send my to my bedroom.

Current Mood: content
Current Music: Avril Lavigne, The BEEEESS, Black-Eyed Peas, Eclipse