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Surgery happened

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Here I am on the loser's bench. For real. Settling in, getting the lay of the land, looking for the best foot rest. My surgery was eight days ago. The surgeons were very happy with how everything went.. I spent two nights in the hospital.

The first night was pure hell on earth. I did not get the sleep study, so I've never had a c pap. They had a O2 monitor on me with a claxon that went off if my oxygen levels went below 90%. Which they did.every.time.I.drifted.off.  I can see how this is a good technique for torturing people. I did not get a single minute of sleep. I started feeling very anxious, but I remember people on these boards saying there were hormones flying around after surgery. I asked for something for anxiety at 2am and at every hourly vitals check thereafter. By 6am, I was an incoherent sobbing mess. After 7am, they started rounding, and all stared at me like I was a zoo animal. I kept trying to tell them, that I wasn't like this, and no, I don't usually take anything for anxiety. I never did get anything for anxiety, but the day nurse was very sweet and treated me like a human, so I came back out of it later that day.

The second night, I rolled over onto my side and slept through the night without any awakening other than vitals/sugar checks. I really don't think I have sleep apnea. I think my breathing was shallow after surgery.

So now I have that on my doctor's record.

good times.

I saw my PCP today and I have lost five pounds since surgery. I can't seem process if that is a lot or a little, so for now it's just a number. I know it will build from there.

Oh, and I have to go get a sleep study :)

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Not to give poor medical advice (but I guess that's what this is), I'd drag my heels on scheduling a sleep study. You had a bad night less than 24 hours after general anesthesia. Just because you're awake doesn't mean that stuff is out of your system. Also, even if you have sleep apnea, you'll be losing weight so fast that they won't be able to manage your pressure needs effectively. Doing a test and getting a diagnosis and subsequent treatment is expensive and opens up a whole new level of headache, all because of one bad night while recovering from anesthesia. Sometimes it seems like doctors are so concerned with collecting data and protecting themselves from liability that all common sense goes out the window.

Okay, off my soapbox.

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I really don't think I need a cpap. I'm trying to get back to work, which would change my insurance and add to the mess. I think I will drag my feet on this one. Good advice.

Thank you, Wendy. You're awesome.

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I second dragging your heels on a sleep study. I had one a few years ago which I failed dismally, but there was such a long delay between when the ENT that ordered it passed the results on to the respiratory specialist that I'd actually lost a lot of weight by the time I saw him that I needed a second sleep study. I delayed that another month or two and continued dropping weight. By the time the second test was done I was no longer in CPAP territory. In my case to use a CPAP I was going to need surgery on my nose (which was why the first sleep study was actually done) as my nasal passages were so obstructed that a CPAP wouldn't have been useful. Once the second sleep study was done they did the nasal surgery just I case I needed CPAP in the future.

As the ENT explained to me, we have fat cells in our noses (as well as everywhere else) that obstruct the airway, so weightloss dismisses the nasal blockages and allows us to breathe better.

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On 05/06/2016 at 1:22 AM, WendyH said:

. You had a bad night less than 24 hours after general anesthesia. 

Surgery under general anesthesia is a sleep test in itself. The anesthesiologist can tell during surgery that a patient has sleep aponea. I've been in recovery rooms a few times after procedures and heard anesthesiologists tell other patients they have sleep aponea and need to have sleep studies ordered. It's not about one bad night following surgery, it shows on the monitoring equipment used during the surgery.

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That makes sense, Aussie. The surgeon was adamant that I get a sleep study ASAP when I saw him for follow up last week. I have a sleep consultation next Tuesday. I know I don't sleep right, I talk and move too much while I sleep.

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Update:  I had the sleep study last week. They said if they would wake me up at 1am to try different CPAPs if they saw so many incidents of apnea. And then they didn't wake me up until it was time to go home :) I thought that was a good sign. When I told my PCP that today, he said, "Well that's what we call a negative study." :D

I'm waiting for the official report, but hooray!!

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