Sunday, 13 October 2013

83 Sleep Apnoea

You might recall that in my last posting I mentioned that my husband has had some health issues. For some time now he had been feeling very very tired. He had been waking in the morning with a headache and a sore throat feeling that he just can’t get out of bed. His doctor referred him to a specialist who recommended that he have a sleep apnoea test. I was sceptical as he does not snore excessively and what I knew of sleep apnoea sufferers snore loudly and stop breathing in their sleep and start again with a mighty snort of a snore. I told the specialist that Jonathan never does that but he assured me that surveys had been done and they had found out that what the sleeping partner of the sufferer reported was hardly ever the correct situation.

We made an appointment with the sleep clinic, more to prove that Jonathan did not have sleep apnoea than expecting a positive result. Jonathan was given a machine to take home and shown how to attach it and told to sleep with it on that night and to return it the following day. With all the wires attached he looked like some sort of alien invader and he was sure he would not sleep a wink that night. Surprisingly enough he did not have too bad a night all things considered and we took the machine back the next morning and awaited the results.

It took about six weeks for the results to be ready; on the basis that “no news is good news” we were pretty sure that all was well so it was quite a shock to learn from the specialist that Jonathan had very severe sleep apnoea.  Jonathan laughingly said “Does that mean I could wake up one morning and find I’m dead?” and the specialist said it did. He explained that the reading was 60.5 which meant that he was having an average of about 60 apnoea incidences every hour and that he needed to go on to an apnoea machine. He referred us back to the sleep clinic so that they could do more tests and recommend the best machine for his needs.

The young ladies at the clinic were all very nice and they explained further what it was all about and fitted him up with a trail machine to begin with. The first machine did not seem to be working properly as Jonathan said that it was pumping ice cold air into his lungs and was very uncomfortable so they changed it for another machine which did not seem any better. After struggling for about two weeks and not feeling as if he was getting anywhere Jonathan decided to contact the brother-in-law of one of our church elders who has been on a sleep apnoea machine for many years. He told us that he did not use the humidifier on his machine and found it was much better for him so Jonathan decided to try it that way.  This proved much more successful and he woke the next morning feeling refreshed and so much better.

During the time that all this testing was going on Jonathan received a letter from the driving licence  authorities telling him that as he was now 76 he needed to pass a medical test to continue to hold a diving licence. I think if we had realised that he really did have sleep apnoea we would have quickly gone to the doctor and got the forms signed but we left it until our next doctor’s visit and of course by then sleep apnoea had been diagnosed and he needed a letter from a sleep specialist to say that he was receiving treatment for his apnoea and that it was controlled. This took some time as he had a problem at first getting used to the machine and then he had to have four weeks use of it before they could say that it was controlled. This meant that he could not get a letter to say he had passed the medical until after the date set down by the authorities and was not able to drive, not a great problem as I can drive but an inconvenience none the less.

We were told that a sleep apnoea machine would cost about $2500 and that there was no assistance from Medicare to cover it. We really don’t have that kind of money so we did a bit of research on the internet and looked into the possibilities of second hand machines. We eventually decided on a demo model that the sleep apnoea clinic offered us for $1185, still way out of our pocket but my sister Adele, in the UK very kindly offered to pay for it and for this we are both very grateful.

It is now six month since Sleep Apnoea was first mentioned as a possible cause of Jonathan’s excessive tiredness and it has been rather traumatic. We feel that we have had rather a run around, from one doctor to another, having tests done, things not going the way we expected, worrying about the effect that the apnoea was having of his health and generally feeling that we were out of our depth and maybe being taken for a ride by people that only wanted to make money out of us. But then we remember how poor Jonathan’s health was before all of this and we have to admit that we have been given good advice and he is really much better. Before he started on this treatment he would wake up in the morning feeling as if he had not slept at all, or as if he had been to a wild party the night before. He was having the hang over without the alcohol. He was having difficulty concentrating and was grumpy and tired the whole time. It is amazing what a difference a good night’s sleep has made. From a reading of 60.5 the readings are now between 4 and 5 which is normal. Jonathan now wakes in the morning feeling refreshed; he is able to get out of bed instead of dragging himself out of bed. He is less stressed and much more relaxed. Unfortunately a sleep machine cannot reverse all the effects of ageing but it has got rid of a lot of the problems that we were putting down to “just old age” and given him a much better health prognosis.

I have heard many different views on sleep apnoea, some people seem to believe that it is all in the imagination. If it is suggested that you might have sleep apnoea go ahead and have the tests but be very sure that the machine is really making a difference to your health and well-being. While searching the internet for a second hand machine we came across quite a few machines that were being sold because “I have found out that sleep apnoea is not the cause of my problem”. Jonathan’s machine has definitely made a difference to his health and we are very pleased to have it.