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Showing posts with label American Sleep Apnea Association. Show all posts
Showing posts with label American Sleep Apnea Association. Show all posts

3/24/2009

"Jeanne's Endo Blog": Are Sleep Apnea & Endometriosis Co-Existing Conditions?

To view the striking chart below, just click to enlarge it:



This chart was obtained from the CureTogether blog in this story:

Endometriosis Survey Shows High Comorbidity Rates

Recently, Endochick was asking me some questions about sleep apnea. You see, I have obstructive sleep apnea and she was going for sleep studies and wanted to know more about it going in. (She had a study to be diagnosed with sleep apnea days ago).

See her blog post on it: Adventures in the Land of CPAP & Pain, Pain Go Away Don’t Come Back Another Day!

Someone in my local endo support group also has sleep apnea.

That got me thinking. So I took a look at the graph CureTogether produced to see if sleep apnea was included on the endometriosis chart. Sure enough, it was.

I know I haven't blogged about my sleep apnea (too many illnesses, not enough hours in the day to cover them all).

Basically, my pulmonary specialist emphasized to me that not getting enough oxygen during sleep (when I stop breathing) can negatively impact ALL of my illnesses. By the way, I was referred to the pulmonary specialist when I flunked the echocardiogram-stress test and my lung pressure was too high (I was referred to the cardiologist by my PCP). So the cardiologist referred me to the pulmonary specialist to rule out pulmonary hypertension.

So it went:

PCP --> cardiologist --> pulmonary specialist --> sleep disorder clinic

Thankfully, the pulmonary specialist did not think it was PH. So he referred me to a sleep disorder clinic. There, like Endochick, I had 2 sleep studies. The first overnight study (called polysomnography) was to evaluate/diagnose me. The second night was to study my sleep with the CPAP (Continuous Positive Airway Pressure) mask on.

Here's a video that gives a rough idea of what to expect in a sleep study. (Like Endochick's, mine was split into two sessions... unlike the video)...



The second study measures what air flow will be appropriate for a patient and then the doctor who ordered the test (the pulmonary specialist in my case) interprets the test results and prescribes a particular air pressure.

The next step is finding a CPAP provider from which to obtain the machine/equipment. (Hint: there are many)!

Since I needed latex-free (I'm allergic) and PVC-free materials (PVC is not good for endometriosis patients), I had to call around to several providers. I found one that was very helpful. The woman there researched the options for latex-free and PVC-free equipment.

Like many sleep apnea patients, my first headgear did not work out. So I had to start from square one. This very kind woman found another option for me. I wore it for awhile but developed sores on my head (in the back). My husband looked at them (since I couldn't see them). They were painful, numerous and large. My husband said they were directly lined up to where my headgear meets my head. Great.

So I stopped using the CPAP and allowed my head to clear up. Then I went to the fabric store and bought some cotton flannel material for covering the headgear. As my dermatologist has drilled into my head, I washed the cloth several times to remove any chemicals like formaldehyde. (I'm allergic to formaldehyde and apparently garment companies routinely dip fabric in various chemicals at the manufacturing facilities, according to my dermatologist). So, I washed the cotton quite a bit and laboriously fitted it to the headgear as a barrier.

Again, I wore it for awhile until... you guessed it. I got sores on my head again! In the same exact spots.

By now I was totally frustrated. About this time I had a follow-up appointment with my primary care physician. She asked how I was doing with my CPAP. (Many CPAP users struggle with CPAP treatment, for a variety of reasons).

I explained where things were at. Long story short, she suggested putting another barrier between the headgear and the cotton cloth. So I did. The good news is that it worked as far as not causing any more sores. The bad news is that it makes my headgear slippery. So, heaven forbid I want to dare to roll over... my headgear falls off my head! (I'm not a back-sleeper). It's set on the tightest setting. So this is a problem. My husband recently rigged some sort of velcro thing on it. Honestly, I need to get back into wearing the CPAP nightly. No wonder my Raynaud's has been so horrible lately. I need some oxygen.

Aside from the fact that I can't move without my headgear falling off or the fact that it blows cold air on my poor husband, I really WANT to wear my CPAP. I know wearing it will make me feel better. It's just a constant process of adjustments and modifications to make it work. I'm working on it...

I saw a story on PBS about the risks of untreated sleep apnea and it was alarming. I went onto the PBS site looking for the story and found a URL but nothing embeddable. I think this was only the 1st of multiple segments they had featured but I definitely think it's worth watching.

VIDEO FROM PBS: Just click the link below to view it...
Doctors Aim to Better Diagnose Troubling Sleep Apnea

Anyway, for for information regarding sleep apnea, you can contact:

American Sleep Apnea Association

Sleep apnea and endometriosis may not be extremely common co-existing conditions but the fact that sleep apnea does appear on CureTogether's chart (above) and the fact that I know of multiple endometriosis patients who have sleep apnea too made me decide to post about it. Untreated sleep apnea can lead to a whole host of other health problems... some quite serious.

These risks include:

* Heart problems
* Heart attacks
* Poor quality of life
* High blood pressure
* Strokes
* Death
* Car accidents and work related accidents due to sleepiness

This article was posted by Jeanne via "Jeanne's Endo Blog" at www.endendoat.blogspot.com.

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