Saturday, June 20, 2009

US Open

I doubt anyone will be checking my predictions, but here they are. Mike Weir, Lee Westwood or Retief Goosen will win the US Open. My money is on Weirsy.

Spike

Thursday, June 18, 2009

Issues

For the last five years I have been ignoring an issue that I need to confront. I am tired. My exhaustion affects my job, my life, my health and adversely impacts the lives of my children. I have ignored this problem because I felt that I was just lazy, but the issue has become more important because of the nature of my current employment. When one diagnosis oneself with laziness, it leads to a lack of self confidence; it’s your own dirty little secret. I sneak naps in my car during lunch, before my kids get home and when I am supposed to working independently. These furtive sessions of sleep make me feel lazy and selfish and contribute to a lack of self esteem.

I’ve been avoiding the issue. In 2003 I was diagnosed with sleep apnea. I am 6’1” tall and weighed, at the time, 195 pounds, certainly not svelte, but not obese. I found out through a sleep study. I snored loudly and told my doctor and she ordered a sleep study. Sleep studies normally come in two parts; the first part is a night hooked up to wires that measure several functions. It revealed that I stopped breathing for significant periods of time and those stoppages woke me up. In a normal night of sleep, I got about 1 hour of restorative sleep.

I was asked to return for a second night of titration. In titration, you are hooked up to a Continuous Positive Air Pressure (CPAP) machine through a mask. The air pressure prevents your soft palate from collapsing which stops your breathing and wakes you up.

I woke up the next day feeling good, but not great. As the day wore on, I found myself energized – I wasn’t sleepy and had energy. By the end of the day, I felt like Superman – an entire day of work, 36 holes of golf and I went home and made dinner. Wow!

I was prescribed a CPAP machine but I was quitting my job and moving. I moved and had no support to deal with the issues associated with learning to live with a CPAP. I became noncompliant because the mask would leave bruises on my forehead and was causing scar tissue on the bridge of my nose.

Eventually, I sought help for a deviated septum. I had septoplasty and turbinate reduction and thought this would solve my apnea problem. Apnea is typically, and erroneously, associated with the obese. I was in denial.

This year, things came to a head. I had an inordinately difficult work schedule and had gained about 20 pounds since my sleep study. I found myself sleeping in my car, sleeping for 12-14 hours every night and sneaking naps like a crackhead sneaks hits. I’ve found that apnea causes hypertension, irritability and an inability to concentrate. It also makes the sufferer seek energy through carbs, leading to weight gain, among other attractive side effects.

So, I asked for another sleep study, which revealed, …severe hypopnea – a reduction in breathing but not a complete stoppage like apnea. However, my oxygen levels were reduced to 74 percent and I had 77 events in 4 hours, meaning…for every eight hours of sleep that I got, I got about one hour of real sleep. This explains the naps.

Relief, but not remediation, yet. I am currently waiting for delivery of a new CPAP and am worried about overcoming the challenges. But, I am looking forward to feeling like Superman again. Having a restorative night’s rest is high on my pert chart. I hope to be able to complete my work, to play with my kids and to get some shit done around the house. None of which, in my opinion, is too much to ask.

I am now around 210 pounds. Not ideal, but not clinically obese. My BMI is 27. I am 45 years old and look forward to many more years of productive life, raising my kids, playing golf and growing old as a productive member of society. I write this in the hope that anyone reading it that is suffering from lethargy, hypertension, irritability or daytime sleepiness, will take the hint and get a sleep study. I know the CPAP will solve my problems – assuming I am compliant and not really lazy. Take it seriously, it can make a difference.