My Sleep Apnea: The Beginning

It's time for a new occasional feature! Rejoice! In this column, I'll talk about my personal experience being diagnosed with sleep apnea, what treatments are available, the science behind the condition, and (hopefully) my miraculous improvement after being treated. For this first entry, I'll talk about the experience leading up to my sleep study. In future columns I'll reveal the diagnosis and treatment, and you can follow along as I try to catch some sleep. Before we begin the narrative, let's get a quick definition of "sleep apnea" from Wikipedia (slightly edited for clarity by me):

Sleep apnea is a sleep disorder characterized by pauses in breathing during sleep. Each episode, called an apnea, lasts long enough so that one or more breaths are missed, and such episodes occur repeatedly throughout sleep. The standard definition of any apneic event includes a minimum 10 second interval between breaths, with either a neurological arousal, a blood oxygen desaturation of 3-4% or greater, or both arousal and desaturation. Sleep apnea is diagnosed with an overnight sleep test called a polysomnogram, or a "Sleep Study" which is often conducted by a pulmonologist.

...the individual with sleep apnea is rarely aware of having difficulty breathing, even upon awakening. Sleep apnea is recognized as a problem by others witnessing the individual during episodes or is suspected because of its effects on the body. Symptoms may be present for years (or even decades) without identification, during which time the sufferer may become conditioned to the daytime sleepiness and fatigue associated with significant levels of sleep disturbance.

My sleep problems started probably ten years ago, during college, when I became aware that my snoring was really loud. And let me dwell on this a moment -- we're talking sawing logs with industrial machinery loud. The term "epic" was used to characterize my snoring, and neighbors in my college apartment building actually complained. I tried using several nose-opening devices, nasal sprays (disgusting!), sleeping with my mouth closed, and different sleeping positions, but nothing seemed to help. Eventually I ended up in a corner apartment where my neighbors couldn't hear me: problem solved?

Rewinding a few years...at some point during my teenage years, my father had been diagnosed with obstructive sleep apnea. He and I have very similar body types, including a predisposition for charming plumpness as well as a relatively narrow airway in the throat. I have a small mouth (at least relative to my neck), and I still have my tonsils. So it stood to reason that I might develop obstructive sleep apnea as well.

In the time since my snoring became an issue and my recent diagnosis, I really didn't do anything about my sleep problems. I've always been a very sleep-positive person, often sleeping in until noon (and beyond) on weekends. Over the last year or two, I found myself even sleepier: spending entire weekend days asleep, and ultimately not feeling refreshed. Something was wrong. I went to my doctor, who did a bunch of blood tests and ultimately referred me to the Sleep Disorders Program at a local medical institution.

The sleep specialist had me fill out extensive questionnaires about my sleep history and habits, and did some physical tests and a complete interview before prescribing a sleep study. Now, let me back up a little bit here: I actually had a sleep study before. Three years ago, in a similar bout of sleeplessness, I had been sent off to a somewhat lower-rent sleep clinic for a study (which was not preceded by a consultation with a sleep specialist). That experience was a disaster: I spent the night covered in wires and surgical tape, vaguely panicked, and ultimately unable to sleep. After ten hours, they finally discharged me without having slept at all. The study was inconclusive, and my insurance paid handsomely for the ordeal. So when I was prescribed another sleep study, I was wary. Well, let's just say it: I hated the idea. The previous study was awful, lying in the dark for ten hours struggling to sleep while connected to various machines, occasionally being interrupted by lab techs over a speaker asking me why I wasn't sleeping. I didn't want to go through that again to end up with nothing.

This time, things would be different, the sleep specialist said. For one thing, the new sleep study would be carried out in a modified hotel suite, rather than a hospital room. In the new study, I was encouraged to bring my own pillows from home (this actually was a real problem at the old study -- their pillows were awful). For another thing, my doctor prescribed Ambien as a sleep aid during the study, and suggested I get used to taking it prior to that night. Finally, being aware of my previous experience, the staff was extra-nice and accommodated my one odd request: I wanted the room to be as cold as possible, to get as close to my home situation as possible. (I sleep in a fortress of solitude in the frozen North.) With the air conditioning set at 64, I was all set.

Next entry: I'll talk about the sleep study -- what was involved, what they were looking for, and how it went. Do you have sleep apnea? Share your experiences in the comments!

(Image courtesy of American Academy of Family Physicians.)

nextArticle.image_alt|e
iStock
The Hidden Benefits of Your Health Insurance Plan
iStock
iStock

When we talk about health insurance, it’s usually in the context of a complaint. While it’s true that insurance companies often fight tooth and nail to keep their financial exposure limited, they’re also making moves to offer benefits beyond standard health care—and you might not even know about these perks.

A prime example is the recent trend for companies to offer a discount savings card on groceries. United Healthcare, Humana, and Medica are just a few of the insurers who have issued cards that can be used for an instant price reduction when checking out at participating stores. The catch? The programs typically cover healthy or organic foods. Along with discounted gym memberships, the benefit is an effort to keep policy holders fit and—at least theoretically—to reduce the need for medical interventions.

If you’re surprised to hear about it, you’re not alone. Here are some other programs offered by the nation's largest insurance companies that you might be missing out on. (Bear in mind that each company has various tiers of coverage and not all perks may apply to all levels.)

UNITED HEALTHCARE

The company’s Healthy Savings program for groceries allows shoppers to save on select items that change on a weekly basis. Each Sunday, the cards will recognize between $40 and $50 in deals on healthier grocery options. It’s only good at participating retailers, including Shop ‘n’ Save, Giant, and others. You can search for locations on their website.

Through UnitedHealth Allies, the company also offers discounts on weight loss programs like NutriSystem and Jenny Craig, as well as gym memberships and even active footwear [PDF].

CIGNA

The Northeast-based insurance company provides an umbrella discount service, Healthy Rewards, that offers savings on eye exams and up to 25 percent off alternative health therapies like acupuncture, chiropractic, and massage appointments [PDF]. They also offer fitness membership discounts. More information can be found at MyCigna.com.

AETNA

It’s hard to know what the pending acquisition of Aetna by pharmacy giant CVS will mean for health care perks moving forward. Currently, the company offers discounted memberships and trial passes to more than 10,000 gyms nationally, as well as discounts on home fitness equipment like treadmills [PDF]. You can also find discounts on meal home delivery subscriptions. Logged-in members can go to the Aetna website and select “Health Programs” then “Discounts” to determine your eligibility.

ANTHEM BLUECROSS

In addition to savings on groceries, gym memberships, and weight loss programs, Anthem BlueCross offers savings for members on DNA ancestry kits, pet insurance, and even baby-proofing.

HUMANA

Humana offers an impressive array of “lifestyle discounts” that range from basic wellness perks to teeth whitening, identity theft services, and 15 percent off in-network LASIK procedures. They also offer discounts on over-the-counter medications like Claritin and Advil. You can register at MyHumana.com to find out more.

nextArticle.image_alt|e
Bose
Bose's New 'Sleepbuds' Are Designed to Help You Doze Off Faster
Bose
Bose

If you’re the kind of person who can’t fall asleep without the whir of a fan or some other ambient noise in the background, then Bose has a product for you. As spotted by The Verge, the audio equipment company’s new wireless noise-masking Sleepbuds are designed to fit comfortably into your ears and help you doze off faster.

The Bose sleepbuds
Bose

Unlike other Bose earbuds—and, well, most headphones in general—the Sleepbuds don’t actually play music or allow audio to be streamed from external devices. Instead, they come equipped with 10 soothing audio tracks, including brown noise, rain, ocean waves, a running stream, and more.

The earbuds aren’t noise-canceling, but their audio tracks are specifically engineered to mask certain outside sounds like traffic and, perhaps most impressively, your partner’s snoring. The rechargeable battery lasts for 16 hours, and at just 1 centimeter in width and height, they’re Bose’s tiniest product yet.

For early risers whose partners like to sleep in, the Bose Sleep app can sound off an alarm in your ear that only you can hear. The app can also be used to adjust your sleep settings, including your noise of choice, volume levels, and how long you want the sound to play for.

Bose spent a couple of years developing the product and raised over $450,000 in an Indiegogo campaign to help improve the Sleepbuds by getting backers to test them out and provide feedback. The Sleepbuds are now available for purchase on Amazon for $249.

[h/t The Verge]

SECTIONS

arrow
LIVE SMARTER
More from mental floss studios