klm672 From United States of America, joined Oct 1999, 2399 posts, RR: 3 Posted (1 year 2 months 1 day 9 hours ago) and read 2477 times:
.....Yawn....for the past few months I've been very, very tired. I am only 26 years old, non smoker. I do have high blood pressure, which is being treated with Amlodipine and anxiety which is being treated with paxil. I accepted a new job, where my schedule would be on the night shift. Classroom training was 8AM-4:30PM. I had a very hard time getting up at 7, often playing chicken with the alarm clock. I couldn't wait until my "OTJ" training was 10:30AM, but yet, again the tiredness, getting up just minutes before I had to leave for work, but alas there was hope as soon I would be moving to night shift, working at 12:30PM. I could get up early, have breakfast and wake the F-up. But, yet, currently I wake up at 11AM and rush out the door. I can't believe that I sleep this long. I spent one night at a friends, only to find her laying on the couch at the early morning of the hours. "Was my snoring that loud??" I asked. She said yes, and also said that it sounded like I stopped breathing. "You might have sleep apnea" she said.
So after doing some research it seems like I do have that. I've always prided myself on my memory, but it seems as of late I can't remember conversations. "We talked about that, dude!" Friends would say. I don't recall the conversation at all. I am very tired. My eyes are heavy now, but I've been entertaining myself with youtube videos as I've been instructed not to take a nap. I haven't had this problem until a few months ago, when I moved 500 miles away from home. The thing is, I am not stressed here, I have a good job, place, and friends. In the last few months (even before the move) my weight has been on the steady increase. Working for US Airways as a ramp rat getting usual exercise to an office job resulted in the gain. I have, however, lost weight. I had a dr's appointment yesterday at a sleep study and I go for the actual sleep study test tonight. The conclusion from yesterday was that it could be stress from the move. Like I said, I don't recall being this tired. Having had jobs in the airline industry, some start times are very, very early in the morning.
Has anyone had this before? Anyone use a CPAP machine? Thoughts on that?
BMI727 From United States of America, joined Feb 2009, 15055 posts, RR: 26 Reply 1, posted (1 year 2 months 1 day 9 hours ago) and read 2465 times:
Quoting klm672 (Thread starter): Has anyone had this before? Anyone use a CPAP machine? Thoughts on that?
Both of my parents have sleep apnea and use CPAP machines. They seem much better now than before, my mom now rarely takes naps throughout the day.
Travelling is a little more complicated for them. When they fly they always take the machine as a carryon and my dad has had a couple rough nights when he left a part in hotels and once scrambling to find a replacement.
Why do Aerospace Engineering students have to turn things in on time?
Ken777 From United States of America, joined Mar 2004, 7841 posts, RR: 8 Reply 2, posted (1 year 2 months 1 day 8 hours ago) and read 2450 times:
I got the OSA diagnosis in '98 and started on cpap. Since then I have "upgraded" treatment twice. One is a heating humidifier, which is fantastic. On cpap air goes through your nose faster than you nose can warm and moisten it - the heating humidifier addresses that problem. It cuts down on sneezing and stuffy noses big time.
The other major upgrade was moving to an autopap. In a cpap the air pressure is constant (as in constant positive airway pressure). An autopap is set at a pressure range (mine is set at 8 to 16, with no ramp) and I'm general in the 10 - 12 range during the night. I have that higher range for emergencies and surgeries. Prostate cancer saw me hit that 16 on Day 1, 13 on Day 2 and 12 on Day 3. That was a good indication of the impact of a general anesthetic on OSA - especially in major surgeries.
These days I am using an easy system to operate and it has a thermostat for use with a heating hose. It's the S9 from ResMed (the brand I happen to use). I use it all the time, including on overnight flights.
There is some excellent patient information on resumed.com (and probably on other brand sites) which I recommend you going through. Then there needs to be a discussion with your doctor as you need a sleep study to get a solid Dx AND the pressure levels for a prescription. Depending on your insurance company you may be required to rent the machine for some years before they purchase it. Or you can go on the internet and use your script there.
If you get the sleep study & a Rx I'll spend some time putting down some hints for successful use.
9MMPQ From Netherlands, joined Nov 2011, 283 posts, RR: 0 Reply 3, posted (1 year 2 months 1 day 8 hours ago) and read 2442 times:
Depending on the results of your sleep test perhaps you want to consider a further check-up ? I'm very far from being medically qualified but years back in school i had a friend who had problems with her thyroid gland. Maybe it's sleep apnea or perhaps you've just got a lot on your plate without realising it (moving & switching jobs can take something out of you) but the weight increase & then loss plus tiredness got me thinking about the thyroid gland.
Hope your sleep test gets you some useful answers.
I believe in coincidences. Coincidences happen every day. But I don't trust coincidences.
klm672 From United States of America, joined Oct 1999, 2399 posts, RR: 3 Reply 4, posted (1 year 2 months 1 day 7 hours ago) and read 2425 times:
Thanks for the replies. Yes, maybe the move has taken more out of me than I thought? I don't get home sick and am happy, but maybe its something...more? Yes, I have a follow up visit with both the sleep specialist and my primary Dr. The weight gain was from the office job and just not getting exercise. I have gained weight and now I am on a diet and trying by best to lose it. I've lost about 10 lbs so far.
Ken777 From United States of America, joined Mar 2004, 7841 posts, RR: 8 Reply 5, posted (1 year 2 months 1 day 6 hours ago) and read 2416 times:
Quoting klm672 (Reply 4): I have gained weight and now I am on a diet and trying by best to lose it. I've lost about 10 lbs so far.
A weight gain can make the OSA more severe, but the sleep study can provide what you need for a decent night's sleep now. One of the nice things about the autopap is that it will adjust your pressure down as you loose weight. (Just as it adjusts for various meds that can impact muscle tone in your airway or alcohol.) My "cpap pressure Rx" was 10. I had the autopap set at 8 to eliminate the ramp and also to take care of any lowering of my Rx. If your pressure is around 10 (probably in the 9 to 11 range if you are an average patient) then a "floor" pressure 2 or 3 points lower would address weight loss very well. I wouldn't go below 7 as a floor as 6 is too close to normal breathing pressures.
Other points: OSA is linked to Diabetes. When you see your Dr see if you can get an a1C blood test to see how close you are. You should be OK with your diet, but it's good to be safe. GERD is another problem many OSA patients have - rather painful at night. Sleeping in a rocker/recliner helps until you get the pap.
SmithAir747 From Canada, joined Jan 2004, 1610 posts, RR: 31 Reply 6, posted (1 year 2 months 1 day 5 hours ago) and read 2399 times:
I have Treacher Collins syndrome, a rare disorder of craniofacial development. My maxillofacial skeletal anomalies have produced a very narrow upper airway. So I have severe OSA. I was not diagnosed until September 2004 (just before I moved to London from the USA). The primary sleep study revealed about 200 episodes of apnea in the night, and I was prescribed CPAP. Before my diagnosis, for years, I had increasing difficulty staying awake in the daytime, which affected my driving and other activities. It got worse, to the point where I would wake up with a pounding headache, nausea, and retching and sweating. Once, on a trip where I slept next to my mother in the same room, she noticed I quit breathing multiple times in the night and fought for air. My GP had trouble locating the source of my daytime somnolence, until he had me sleep with a pulse oximeter one night. Alarmed at the results (a very low O2 level in my blood), he called my home and urged me to see a pulmonary/critical specialist right away. This pulmonologist did two overnight sleep studies, discoverd 200 apneic episodes/night, and prescribed CPAP.
CPAP has made a huge difference. I took it to London with me when I moved there in 2004, and brought it to San Francisco in 2007.
In 2007, I had a follow-up sleep study at UCSF Medical Center's sleep clinic (housed in a hotel in San Francisco); from these new results, they prescribed a higher pressure.
With Treacher Collins syndrome, I definitely need CPAP to stay alive at night. I have read that the airway problems in people with TCS only get worse with age. I have found in my own experience that my airway problems are getting worse; the recent scientific literature on TCS just confirms that.
I will praise thee; for I am fearfully and wonderfully made... (Psalm 139:14)
aloges From Germany, joined Jan 2006, 8522 posts, RR: 46 Reply 7, posted (1 year 2 months 1 day 5 hours ago) and read 2396 times:
My father has it and uses a CPAP machine. However, it hasn't changed his sleep patterns much... but maybe that will happen due to other circumstances.
Quoting Ken777 (Reply 2): One is a heating humidifier, which is fantastic. On cpap air goes through your nose faster than you nose can warm and moisten it - the heating humidifier addresses that problem. It cuts down on sneezing and stuffy noses big time.
How bad was your sneezing? My father gets several episodes on an average day and none of them is less than, say, fifteen sneezes. It does annoy him rather a lot.
Quoting SmithAir747 (Reply 6): Once, on a trip where I slept next to my mother in the same room, she noticed I quit breathing multiple times in the night and fought for air.
That's exactly how I found out about my father's sleep apnea - the hotel we were booked in couldn't provide an extra room for me, so I slept in my parents' room on an extra bed. It was downright scary to hear him stop breathing all the time.
Walk together, talk together all ye peoples of the earth. Then, and only then, shall ye have peace.
ltbewr From United States of America, joined Jan 2004, 12665 posts, RR: 13 Reply 8, posted (1 year 2 months 1 day 3 hours ago) and read 2378 times:
For years I had a serious snoring problem. My mom had one for years, so did one of my brothers. Over the last 5-6 years, we were all diagnosed with Sleep Apnea. I spoke to my primary doctor first of my tiredness during the day, that I snored with interruptions of my breathing, waking up during the night frequently. I noted to her that my mom and brother were also diagnosed with Sleep Apnea and she made the reference for the overnight study in a nearby hospital clinic. The diagnosis showed I had a high level of Sleep Apnea, I went back for a 2nd test with a CPAP. I also saw a specialists doctor and see him 2 times a year to maintain my CPAP parts.
Regular use - and regular cleaning of its components - make me much healthier. I also seem to have nasal problems, mainly allergies, that makes it difficult to use the CPAP consistently. Use of saline solutions to lubricate or flush out the allergens from the nasal passages also helps. I probably had a problem going back to my 30's and I wish I had recognized it then and not live sleep deprived for years.
Aaron747 From Japan, joined Aug 2003, 7890 posts, RR: 27 Reply 9, posted (1 year 2 months 1 day 2 hours ago) and read 2363 times:
My dad uses a CPAP machine and swears it improved his quality of life by 2x or better. But as with anything you should have a proper sleep study done. You should find non-medicinal treatment for anxiety as well. Long term use of SSRIs and benzodiazepines will screw up sleep cycles in many people.
On another note, my girlfriend has a sleep disorder. She can fall asleep in any moving vehicle and routinely sleeps in until 10 on weekends
If you need someone to blame / throw a rock in the air / you'll hit someone guilty
Until you have your test, don´t automatically think you have sleep apnea. The reason you feel tired when you wake up is usually because you are not reaching all the stages of sleep during the night. There are many reasons for that. Sleep Apnea is one of them, but not the only one. Stress can do it too. Paxil sometimes has that effect. Maybe it´s just a matter of changing anxiety meds. Myself, Alprazolam gives a great sleep.
Just wait for the results and PM if you have more doubts.
My God! you are literally telling my story. I'm 56 and went to my first Sleep Disorder Doctor back in 1980 when the specialty was still in it's infancy. To make a long story short, I have some Narcolepsy (not the classic fall asleep at the drop of a hat type) and Apnea. I've been on CPAP therapy for four years and it helps a bit. Also, I'm a perennial night owl. A lot of people with Apnea and Narcolepsy tend to be night people. I detest getting up earlier than 1200. I go to sleep like 0400. This works because my shift is 1630 to 0100. When we become WN it's going to be interesting because, this will probably change.
Not to play into the victim card but, I really feel we night owls are considered 2nd. class citizens. Especially with loser government people. Every few years in "Murdertopia" Baltimore City I get picked for Jury Duty. Try explaining to some of the borderline intelligent clerks and drones I work a night schedule. They can only perceive 0800 to 1600 with all those weenie holidays off. I one time asked one of these folks: Suppose I made you do Jury Duty where you had to report at 2030 hours and stay till 0430 then you'd go to your job? You'd think I was asking her questions about droll Shakespeare literature.
Follow up, follow up, did I say follow up with your doctor (s). If they tell you to go on C-Pap then by all means do it. They make many different styles of masks and you will find something you can sleep with. Apnea/excessive hypersomnia is nothing to sneeze at. Best of luck and there are many of us out there. You are far from being alone!
klm672 From United States of America, joined Oct 1999, 2399 posts, RR: 3 Reply 14, posted (1 year 2 months 11 hours ago) and read 2304 times:
Thank you for all the replies. I had my sleep study done last night and it lasted until 6AM this morning. It was very difficult to fall asleep with all the wires and such. I tossed and turned for hours, but I do know that I did fall asleep at some point. The Specialist did not come in and put a CPAP machine on me, like he said he would IF I needed it, so I guess I wasn't that bad. Waking up 6 hours before my shift, I just went home and, of course fell alseep right off and I know I snored loudly at home. It'll be about a week before I know the results (with him watching, he couldn't sit with me for a few minutes and tell me what he saw throughout the night?)
CrimsonNL From Netherlands, joined Dec 2007, 1723 posts, RR: 41 Reply 17, posted (1 year 1 month 3 weeks 9 hours ago) and read 2002 times:
AIRLINERS.NET CREW CHAT OPERATOR
I actually just took my first (Melatonin) sleeping pill ever. Once I am asleep, I sleep very well. Getting myself to fall asleep before 11PM however, is a disaster. I work in shifts at the airport and regularly have to get up at 4AM. I never sleep more than 4 hours on one of these nights, and sometimes only as little as 30 minutes, as I just can't seem to fall asleep early.
Naturally as a result I'm very tired throughout the day. This doesn't affect me at work as the worst part usually kicks in around 2PM. However the rest of my free afternoon is usually ruined because I'm just too tired to do anything, and I regularly nap for an hour of sleep in the afternoon.
I've tried everything, afternoon naps, no afternoon naps, alcohol, no alcohol, warm milk with honey, you name it! . I'm so sick and (literally) tired of this that I have now resorted to Melatonin sleeping pills.
klm672 From United States of America, joined Oct 1999, 2399 posts, RR: 3 Reply 18, posted (1 year 1 month 3 weeks 8 hours ago) and read 1982 times:
Thanks. When I am at work, I am tired, but I am fine. I function well at work even though I am sleepy. I have called in several times in the last few months because I just don't have the energy to get out of bed even. This is VERY unlike me, and I am worried about my job. I sent an email to the superviosors who gave me a copy of the attendance proccedure, but I don't know where I am "at". The sad thing is, at 26, I've decided THIS is the company I want to retire at.
On another note; I just decided to try a different approach to this and am drinking (sipping rather) an energry drink. Has anyone gone about it, that way?
I have some sleep "anxiety" and I use melatonin. When I'm not tired and laying in bed it becomes harder for me to fall asleep and I get anxious about not being able to fall alseep which makes it even worse. Anyway I find that using the melatonin when I'm not that tired does help a bit and relaxes me a bit. Definetly a decent way to go at first to stay away from sleep meds.
"It was just four of us on the flight deck, trying to do our job" (Captain Al Haynes)
Ken777 From United States of America, joined Mar 2004, 7841 posts, RR: 8 Reply 20, posted (1 year 1 month 2 weeks 6 days 23 hours ago) and read 1908 times:
Quoting aloges (Reply 7): My father gets several episodes on an average day and none of them is less than, say, fifteen sneezes.
Sorry to take so long in responding.
If you father is sneezing a lot it may well be because of cold, dry air hitting his nose (sinus area). Heating humidifiers are fantastic for solving my problem. I just checked the ResMed site to se if the humidifier I use (the original HumidAire) was still available. it isn't.
These days it appears that the only heating humidifiers will be the ones built to physically integrate with the cpap/autopap. The one for the S9 that I use ( http://www.resmed.com/us/products/products-patients.html?nc=patients ) is designed to act as one unit. I continue to use my old one as it allows me to have almost everything in a "go bag". I use the full kit (including heating hose) when traveling.
With the ResMed S9 you can have a special heating hose integrated with the cpap and basically use a thermostat to set the heating level. Very slick and effective.
Quoting ltbewr (Reply 8): I also seem to have nasal problems, mainly allergies, that makes it difficult to use the CPAP consistently.
Nasal problems are common and are a major reason why patients cannot be compliant. That was the case in '98 when I started treatment and it is the same today. It might be because of insurance company policies that some people don't het a humidifier system, but i really recommend one.
You might check various online companies selling cpaps for information on humidifiers for the cpap brand you have.
Quoting Aaron747 (Reply 9): On another note, my girlfriend has a sleep disorder.
Has her problem been defined in a sleep study?
If not an easy way to get an indication (not a diagnosis, but an indication) of OSA is to time her for an hour or two. People with OSA will generality stop breathing, then start again with a "snort". the timing is simple - she is snoring and then stops making any noise, then starts up again with a snort. You need to time that "silent" period. Anything over 10 seconds is considered an apnea "event". In my original sleep study I averaged 55 events an hour, wit the longest one lasting 45 seconds.
One interesting factor (using mine as an example): I "woke up" 55 times an hour. In an 8 or 12 hour period I might have had 1 hour of "sleep".
Quoting klm672 (Reply 18): This is VERY unlike me, and I am worried about my job.
Telling your boss that the problem is being addressed can help solve any work issues.
In my case I was awake after 8 hours of sleep on my first night on cpap. Some people take a bit longer, but you can move back to normal pretty fast. I would recommend no beer. wine or other drinking for the first 2 to 4 weeks, and only very mild drinking after that. Alcohol isn't good for OSA patients.
Quoting klm672 (Reply 18): The sad thing is, at 26, I've decided THIS is the company I want to retire at.
No reason why you can't. Get your machine, get compliant and get on with your life. Join a sleep forum ( http://www.talkaboutsleep.com is the one I used for a couple of years) and you can get support there. Feel free to PM me if you have questions "from a long time user". And be positive about the future treatment. Actually you might PM me when you are told you will be getting a cpap. Push for the heating humidifier and hoses and (with luck) a cpap.
klm672 From United States of America, joined Oct 1999, 2399 posts, RR: 3 Reply 21, posted (1 year 1 month 2 weeks 6 days 11 hours ago) and read 1865 times:
Thanks, luckily I was able to move up my appointment (the one where I will find out the results from my study) to THIS wed; 10/17/2012, so I am pretty excited about that. I'll keep everyone updated and thanks so much for the support.
kanban From United States of America, joined Jan 2008, 3048 posts, RR: 23 Reply 22, posted (1 year 1 month 2 weeks 6 days ago) and read 1817 times:
Been dealing with sleep apnea for 30 years and found 1/2 dose of Afrin each night solved the problem.. now 30 years later, no side affects from the Afrin (by the way a nose and throat guy OK-ed it) and I get the sleep I need. For some cases those adhesive tabs on puts over the bridge of the nose work as well. I'd try some alternatives before investing is a CPAP.
There is also a new laser surgery that pares away the extra tissue, usually works wonders, but you have to deal with a sore throat and eat soft foods for several weeks. (beer is a soft food, right?)
usairways787 From United States of America, joined Jun 2005, 290 posts, RR: 1 Reply 23, posted (1 year 1 month 2 weeks 4 days 23 hours ago) and read 1749 times:
I haven't been diagnosed with anything but I can attest to most of your same symptoms, especially the memory loss, but the main kicker for me is the sleep deprivation brought on with anxiety. It seems the less I sleep, the more I become overcome with panicked/anxiety.
I'll lay in bed knowing I have to work in a couple hours, but will still have a mind racing with things from past events. I however am stressed, and suffered from extreme depression over the years, in which recently the depression has receded, and have taken back a lot of ground in my life. I however didn't know I was depressed, until it was brought to my attention, and which I started to notice it more and more, and caused me to slip into a deeper depression, making matters much, much worse.
Much like you, I have heavy eyes, and a very bad memory, I actually chuckled when you said your friends said "we talked about that" because mine have to say that all the time. Something that has helped quite a bit, is subliminal hypnosis, ontop of a little bit of a sleep aid. I'll listen to a subliminal recording I got from amazon MP3, put it on, and in about 10-20 minutes I'm out. The nights I don't use it I don't sleep as good.
I also toss and turn horribly in my sleep, a long with horrible teeth grinding. I'll wake up with pillows on the floor, jaw cracking, assisted with a very sore body, much as if I just worked out. I'm going to great lengths to resolve my sleep issues, even to the point of recording myself sleeping, just to see exactly what I do in my sleep, and why. Sounds weird I know, but I've been sleepless for years, and it has taken a very significant tole on my body. I'm in what is called a sleep deprivation state, and believe me I feel every bit of it.
"Pre departure walk around complete, all doors closed, ready for pushback"
klm672 From United States of America, joined Oct 1999, 2399 posts, RR: 3 Reply 27, posted (1 year 1 month 2 weeks 2 days 9 hours ago) and read 1600 times:
Sorry for the short reply. The results did not show sleep apnea, I "only" stop breating about 2 times an hour. She did, say, that I don't have a "refreshing" sleep (ok, duh), and repeatly asked if I like my job. Yes! I love my job. The only down side was the call volume, I'm not sure to taking 100 calls a day, but I like the job, my coworkers and the daily functions of the job. She also said that the sleep test was done earlier than my normal bed time, but I don't think that affected it, rather, all the cords and such hooked up to me did.
Could it be the stress from moving? I moved a few months ago, but this isn't my first move and I feel I am "better off" now than I was 600 miles away from home and when I moved before then, I felt I was in a more stressful situation.
MD11Engineer From Germany, joined Oct 2003, 13596 posts, RR: 63 Reply 30, posted (1 year 1 month 2 weeks 2 days 7 hours ago) and read 1582 times:
My sleep disorder is called "alarm clock". It is an enemy who never fights fair and always gets me in deep sleep, especially when I´m on early shift. Then I´ll never get enough sleep, late to bed and getting up early.
klm672 From United States of America, joined Oct 1999, 2399 posts, RR: 3 Reply 31, posted (1 year 1 month 2 weeks 2 days 4 hours ago) and read 1571 times:
Right, my alarm clock is the same. I'll set a time and when it goes off I'll look at it and think "pfft...snooze... I am so tired".
The not getting into deep sleep makes since though because recently I've remembered my dreams.