Me in the Middle of Sleep Apnea and Weight Gain

I’m making peace with my weight!  I surrender!

Surrender #1

When I was first diagnosed with Severe Obstructive Sleep Apnea I was actually relieved.  This explained a whole slew of symptoms I was having over the years.  When the pulmonologist told me some of the benefits of receiving treatment with CPAP, I was particularly happy when she said I would most likely drop some weight.  As she explained, sleep deprivation and oxygen deprivation causes weight gain over the years if Sleep Apnea isn’t treated.  That was enough to motivate me to stick with the whole plan, along with the promise of increased energy and better sleep.

Me in the Middle of Sleep Apnea (Part I)

As my treatment went on I was receiving different takes on this whole weight gain/weight loss thing associated with Sleep Apnea.  Sometimes, I was told, obesity can be the cause of Sleep Apnea.  Once you lose the weight you may not need the CPAP treatment anymore.  Sometimes, obesity has nothing to do with you having Sleep Apnea and the reason is more about facial structure.  It turns out that, in my case, it was the latter.  Good thing because no matter what I did, I wasn’t losing weight.  It was staying stable along with my commitment to healthy eating and exercise.  Better to maintain and not gain, right?

Then came the second stage of my Sleep Apnea experience.  I learned I had developed worsening symptoms of AVNRT which is a form of ventricular tachycardia.  Heart rhythm problems can be aggravated by Sleep Apnea over the years.  A cardiac ablation took care of the AVNRT and I was put on an increased dose of blood pressure/beta-blocker medication.  This caused a pile on of TEN more pounds in a span of one week.

Me in the Middle of Sleep Apnea (Update ~ Part II)

weight gain

So!  I’m making peace with my body and my weight.  I’ll continue to take care of myself and be grateful for the quality of life that I’ve received now that I’m getting treated for OSA.  I’m not going to stress out over every pound I put on or get excited about every pound I drop.  Life’s too precious for that.

In two decades I’ve lost a total of 789 pounds.  I should be hanging from a charm bracelet.

~ Erma Bombeck ~

Seize the moment!  Remember all those women on the Titanic who waved off the dessert cart. 

~ Erma Bombeck ~

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Me in the Middle of Sleep Apnea (Update)

This is an Update to my Update to my original post about my experience with Obstructive Sleep Apnea (OSA) and my success with four years of CPAP treatment which has changed my life.

My recent trip to the ER to stabilized my heart rate was a new development that I mentioned at the end of my original post on Sleep Apnea. 

After a visit to my cardiologist for an Echocardiogram and Nuclear Stress Test, and wearing a 24-hour holter monitor, I was sent to see an Electrophysiologist.  Finally, I have a diagnosis of AVNRT (Atrioventricular Nodal Reentry Tachycardia) and am scheduled for a Cardiac Ablation next month. 

AVNRT is a form of supraventricular tachycardia that has been with me for awhile over the years and will only get worse as I get older.  There are also signs that Untreated Sleep Apnea is connected with the development of heart arrythmias.  My sleep apnea went untreated and undiagnosed for a long time. 

So ……. here I am!  Cardiac Ablation has few risks and will eliminate the abnormality so I’ll be feeling much better going forward.  

“Atrioventricular nodal reentry tachycardia (AVNRT), a form of supraventricular tachycardia (SVT), is the most common narrow-complex tachycardic arrhythmia in healthy individuals and only second to atrial fibrillation and atrial flutter in the general population.”

Supraventricular Tachycardia

“In people with OSA, repeated episodes of falling oxygen levels lead to a variety of physiological changes that affect the heart and blood vessels. During these episodes, the heart is stressed, which increases blood pressure and heart rate.”

~ So, treatment for Obstructive Sleep Apnea is very important as it appears to be connected to heart arrhythmias if left untreated ~

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~ Original Post ~

 

This post is a wee bit longer than my usual posts.  Awareness is Important!

It’s been four years since I started treatment for Severe Sleep Apnea.  It’s changed my life!  Or maybe I should say that I never realized before just how my living with undiagnosed/untreated sleep apnea over the years had affected my life.

OSA (Obstructive Sleep Apnea) is one of the most under-diagnosed conditions that can ultimately lead to serious, life-threatening consequences if left untreated.  It affects men, women and children; overweight and thin … and it has many causes.

Upon reaching my 70th birthday, what I considered to be a fairly healthy life began to spiral downward with a series of symptoms that were puzzling for both me and my doctors.  Over the years I had had what seemed to be age-related medical issues that I was quick to address for the best outcome.  Looking back, in hindsight, I can now connect the dots to what I’ve come to understand were symptoms of Obstructive Sleep Apnea.

There were times over the past 30 plus years where I struggled with low energy, feelings of depression, racing heart, nausea, fainting spells and anxiety.  Coping with everyday stresses were also complicated by the early onset of menopause in my late thirties.  Most of the time I approached these symptoms in a proactive way without medication by learning about exercise, diet and mind/body balance techniques.  Never in all my proactive approaches over the  years did I ever learn, nor was it ever brought up by the doctors I’d seen, that I might have Sleep Apnea.  There were thyroid checks, blood tests and heart tests ~ along with reassurances that nothing abnormal was found other than an insignificant tricuspid-valve leakage.  In the early Eighties it was confirmed through FSH blood tests that I was indeed in the middle of early menopause.

Then, as I approached my seventies, symptoms became more troubling.  The expected onset of spinal stenosis, along with a family history of joint replacements, were complicated by vascular symptoms in my legs where I would lose control of coordination and feeling.  There was a series of surgeries over the next years for EVLT (Edo-Venous Laser Treatment), Lumbar Laminectomy and, last but not least, THR (Total Hip Replacement).  It was while I was in the hospital right after the THR surgery that my son, a cardiologist, saw that I had stopped breathing which immediately confirmed his suspicions that I might have Sleep Apnea.  My cardiologist was contacted and a sleep study was ordered.

Up until that time, it was progressively looking like I was developing A-Fib and Tachycardia.  I was prescribed blood pressure medication and set up with a heart monitor for tracking the events where my heart rate would become so fast that I couldn’t read a pulse.  I’d be waking up many times in the night with my heart pounding so hard I could feel it in my neck.  When walking up an incline I was finding myself short of breath and was attributing it to signs of aging.  A trip to the Emergency Room after I passed out at work forced my decision to stop part-time work.  The ER doctor did all sorts of tests while I was there.  His final diagnosis was Vasovagal Syncope (fainting) and he sent me on my way.  No mention of Sleep Apnea.

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So, when I received the call from the Pulmonologist who prescribed the Sleep Study for me four years ago I was stunned by what she told me.  I had Severe Obstructive Sleep Apnea!  No way!  AHI 43 events per hour (stopped breathing); Sleep efficiency @ 51%; Oxygen level @ 80% (dangerous).

Sleep Apnea and Women

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Over the course of the last four years of treatment on CPAP I’ve been catching up on activities that I never had the energy for in the past.  Daily fatigue had drained me in so many ways and I thought I’d have to let go of so much that I’d hoped to do in retirement.  Well, it’s never too late!  It’s never too late to begin writing your story;  It’s never too late to begin watercolor sketching;  It’s never to late to try out on-line dating;  It’s never too late to do foreign travel;  It’s never too late to change your perspective on things; and It’s never too late to be young at heart!
This is the CPAP mask that I’ve found works best for me!  I hardly know that I’ve got it on and now my AHI is <2.0 and my oxygen level is 99%.  I wouldn’t go to sleep without it.
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All of my symptoms are gone!  No more anxiety, no more racing/pounding heart, no more fainting, no more waking up many times in the night and no more shortness of breath.  Now I get lots of restorative sleep (8 to 9 hours) and I’m dreaming again because I’m spending more time in the very important deep-sleep stages of the sleep cycles.  My blood pressure is back to normal and staying stable.  My medications have been cut in half.
So I hope my sharing my experience will encourage anyone who notices some of these symptoms to ask about having a sleep study done.  And if you are diagnosed with Moderate or Severe Sleep Apnea I hope that you’ll hang in there with the CPAP treatment.  It’s all worth it ….. and it may save your life.
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~ Update ~

The cardiac symptoms have returned in full force after four years on CPAP treatment where I had no Atrial Fib/Atrial Flutter and Atrial Tachycardia symptoms. I spent 5 hours in the ER this week with high blood pressure and high heart rate. The ER team did a great job in stabilizing my heart rate and now it’s a matter of just finding the best medication adjustment for this new development.
I can’t emphasize enough the importance of diagnosing Obstructive Sleep Apnea early on and to encourage anyone in staying with the CPAP treatment. I really believe I wouldn’t have developed this heart condition if mine was discovered sooner. I’ve been blessed in these past four years where treatment gave me back the energy and life that I was meant to have. 🙂