Sunday, June 24, 2018

Adjusting to CPAP


Welcome back to the next Thriving not Just Surviving blog post. I’m very pleased to report that I received my CPAP machine and returned to Kansas City last Thursday afternoon. I’ve spent the last few days settling in and adjusting to the CPAP machine at night. So far, it’s going well.

It’s a pretty slick process. The CPAP machine has a hard drive and can transmit data over a cellular network to an app on my phone, which allows me to see different types of advanced sleep statistics. It also transmits data to a sleep therapist who can use the data to make recommendations for adjusting the air pressure and other settings on the machine. My doctor can also see this data and provide recommendations as well.

I’ve now used the machine for three nights and I’ve experienced a significant improvement in my quality of sleep. As you might remember, during the sleep study I was experiencing approximately 36 sleep apnea events per hour. With the CPAP machine that number has dropped to 5-8 events per hour. Although not perfect, I am starting to feel the benefits of an improved quality of sleep.

For the past few months I would normally have to sleep 10-12 hours on both Friday and Saturday nights. Additionally, I would also need to take a 3-4 hour nap on Sunday in order to recover for the upcoming work week. Its still early on, but I don’t feel the need to have that type of sleep regimen now that I’m on CPAP.

Despite the good results, its still weird to be under the age of 30 and be needing a CPAP machine. Apparently sleep apnea can affect anyone at any age. However, similar to lung cancer, most people appear to be at a later stage in life. I laughed as I read through the testimonials of sleep apnea patients using CPAP. According to them, I should now have the energy and confidence to do water aerobics, model trains, and puzzles.

Its great to be back and I’m thankful that my health appears to be much more stable. To be completely honest, its been an overall rough start to 2018. The significant impact of the seizures on my body as well as the unpredictability of their occurrence has definitely taken a toll. I think the toughest part has not been the physical impact, but the mental and emotional impact of being away from home for extended periods of time.

We are nearing the halfway point of 2018 (approximately 26 weeks). To date, I’ve spent 9 weeks total in Kansas City since the start of the year. That’s a staggering amount of time to be away. I was actually hesitant to count up the weeks because I knew it was a lot, but I think it’s a great illustration of what some patients who have to seek medical care in another city are faced with on a daily basis.

Moving forward, we will be working to establish a relationship with a neurologist in Kansas City. This will hopefully create some long-term stability even if the seizures return. However, all my cancer care will continue to be at Siteman Cancer Center in St. Louis.

Maureen and I continue to be blessed with the prayers and support from all the communities in our lives. We cannot thank you all enough.

Sunday, June 17, 2018

Waiting For CPAP


Welcome back to the next Thriving not Just Surviving blog post. I decided to take a few weeks off from posting because there hasn’t been much to report. Its been a slow process waiting for the official results of the sleep study that was conducted at the end of May.

Fortunately, I received the results a few days ago and we will be moving forward with acquiring a CPAP machine to treat my severe sleep apnea. The official results reaffirmed what we already knew. It was noted that I average 35.9 sleep apneas every hour; meaning that I stop breathing for at least 10 seconds 35 times in a single hour. The excessive amount of sleep apneas cause my oxygen level to drop below 86% during sleep. Lack of oxygen can lead to a host of other medical problems including: heart attack, stroke, brain damage, and even seizures.

As I stated in my previous post from a few weeks ago, this is good news because it could explain the seizures and at the very least should improve my quality of life. The informal research that I’ve conducted found that there is a reciprocal relationship between sleep apnea and epilepsy. Some epilepsy patients develop sleep apnea from the anti-seizure medication they take. Apparently the medication can over-relax the muscles in the back of the throat and cause the airway to narrow during sleep, resulting in sleep apnea. The sleep apnea then exacerbates the seizures from the reduction in oxygen levels and excessive fatigue. Other research found that many people with primarily nocturnal seizures were able to successfully eliminate them after starting CPAP. Its impossible to know how it will impact my situation, but I hope six months from now we can look back and point to this diagnosis as the key in the elimination of the seizures.

We are currently waiting for the insurance company to approve the purchase of the CPAP machine. Hopefully they call in the next few days and I can receive the machine by the end of the week. If everything goes according to plan, I could be back in Kansas City at this time next week. However, past experiences have prepared me to accept that the process could be a bit slower.