My journey to the Sleep Study began in 2008 with an "unmentionable" nighttime problem. I figured it was stress. It kept getting worse until, by 2012, I couldn't get through a night without dealing with it at least once. And I couldn't keep up with the laundry: clothes AND linens.
So finally, last fall, I went to see my primary care physician. Since we were both concerned that my problem may be related to my female surgery in 2006, she referred me to a uro-gynecologist.
After office visits and exams and tests and home "assignments" and trial medications, the uro-gynecologist came to the conclusion that my problem had nothing to do with my female surgery, nor was it related to the, uh, uro- part of her expertise. She referred me to pulmonologist.
A respiratory doctor? For my, um, unmentionable nighttime problem? How could those possibly be related?
Well, you know how we've heard that in times of physical crisis, our adrenaline shoots up and we can do extraordinary things? As a former Registered Dietitian, I know for a fact that all non-essential bodily functions, such as digestion of food, shuts down at times like that. The body is concentrating on its priority.
For the same reason, the pulmonologist explained, some sleep disorders have many symptoms unrelated to the respiratory system. Sleep apnea prevents the body from obtaining enough oxygen during sleep. The body wants to sustain the heart (good choice!), so it pulls as much fluid as possible out of the blood to ease the pumping burden on the heart muscle. And where does the fluid go? To the kidneys, of course!
So last night, I reported to a Sleep Disorders Study Lab at 7:30 p.m. and got wired. (I'm posting some photos here: please remember that I was NOT at my best).
My beautiful and comfy room.
Not to make me anxious or anything...
The infra-red camera that videotaped me all night.
(Ignore the television...I didn't watch it anyway.)
The intercom was also on all night.
Continuous positive airway pressure (CPAP) device
(red arrow), just in case they discovered I had sleep apnea.
12 leads to monitor my brain (continuous EEG),
nose cannula to monitor my air flow pressure,
leads on my jaw and neck to monitor any teeth grinding or talking,
leads on my chest to monitor my heart (continuous EKG),
chest band to monitor lung action,
stomach band to monitor deep breathing,
leads by eyes to monitor REM sleep,
2 leads on each leg to monitor erratic muscle electrical impulses...
And there might have been more that I don't remember.
It took about 45 minutes.
GRAND TOTAL: 30
So a little after 11:00 p.m., about my usual bedtime, I settled in for the night. And, of course, I couldn't fall asleep. I was tossing and turning, which was no small feat under the circumstances, let me tell you. And suddenly I had to go to the restroom.
All I had to do was say, "Georgette?" in a normal voice, but I wanted to put it off as long as possible. After all, I hadn't been in bed all THAT long, and she had another patient, too. Just as I was about to call her, she knocked on my door.
"I'm sorry to disturb you, but I just finished reading all your completed forms you brought with you, and I really think I need to put more leads on, to monitor some other things the doctor's going to want to know."
WHAT?!
I went to the restroom, then let her work on me some more. The wires kept getting tangled, she ran out of paste, etc., etc. Another 25 minutes. She put leads on both my upper arms, and 8 more on my head! New GRAND TOTAL: 40, and 20 of them were monitoring my brain. Wow.
Finally, I fell asleep. Later, Georgette came in and woke me gently, asking me to move from my side to my back. I fell asleep again, then had to call her so I could go to the restroom. I told her I was starting to experience the all too familiar gastric reflux. She said, "I know, I could hear you, and I kept thinking, 'please don't throw up, please don't throw up,'" as is common with me. "Have I been snoring?" I asked. "Oh, yes," she said emphatically, "Both on your side and on your back." Well, that's just great, I thought.
(You didn't know you would have to suffer a play-by-play, did you?)
Back to sleep on my back, as instructed. I had a bad dream, as per usual, that included some physical elements that made me wake up. I was under strict orders to call Georgette if that happened, so I did, and we discussed it. She said, "I could hear you talking but couldn't make out what you were saying. I have to document all this for the doctor." Sheesh. Maybe I could lay on my side now? No.
Asleep again. Georgette gently waking me: "I'm going to go ahead and put the CPAP mask on you now. Then you can turn on your side again." Hmm. So it was true. I have sleep apnea. But my focus then was, "Hallelujah! I can sleep on my side!"
This is what the nasal mask looked like;
the hose connected at the bottom.
(Photo courtesy of Philips Respironics).
I woke up with a headache. "Georgette." And there she was. "I'm getting a headache." "Maybe the straps are too tight." She loosened them; much better. "I was about to come in here anyway," she said. "I need you to turn on your back."
You have GOT to be kidding me!
When she woke me again, I was on my side, so I had actually turned over in my sleep without waking up. That never happens. Georgette said, "Your study is over. Time to let me get all these leads and wires off you." I sat up, but I was groggy.
Georgette asked, "How was the reflux?" I thought a moment. "It went away after you started the CPAP." She smiled. I asked, "How much did I snore after that?" She smiled again. "Absolutely no snoring in any position, no tossing and turning, no talking in your sleep." Wow. Was that even possible? "How do you feel?" she asked. "More rested than I can remember feeling in years," I replied.
After I was completely unhooked, had received instructions on how to get all the glue and paste out of my hair, and received a $5 coupon for coffee, Georgette said goodbye and I started packing up to leave. I found my cell phone and checked the time. 7:20 a.m. Whaaat?
Unhooked but sticky, sticky!
When I got down to the lobby, I saw that my coupon would buy things other than coffee. I walked out of the hospital with an almond croissant, 2 bottles of Dr. Pepper, and a smile on my face!
Next step: follow-up appointment with the pulmonologist on September 9th, at which time I'll get my CPAP machine. I'm not happy to have sleep apnea, but I sure am looking forward to less laundry!










