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(Note: This article contains medical
and other information which should be taken for illustrative
purposes only. You should always seek the advice of a competent
medical professional if you suspect you have any sort of
illness.)
I was diagnosed with sleep apnea several years ago. Sleep apnea,
for those of you unfamiliar with it, is a condition where your
airways relax as you sleep and close off. When they close too much,
you aren't getting enough oxygen into your body and you wake up,
causing the airways to open back up. A person with sleep apnea will
be pulled out of "restorative" sleep many times in a single hour.
They wake up exhausted, go through their days tired, tend to be
depressed, and have other problems like high blood pressure. It's
not a great way to live.
I spent several nights having various readings taken of me sleeping
at night, during the daytime, with a CPAP machine at various
settings, etc. When it was all said and done, my neurologist
prescribed a CPAP machine as a solution.
For those of you who don't know what a CPAP machine is, it's
essentially a big air compressor that pushes air out at a specific
level of pressure, into a tube which is connected to a face mask,
which is connected to a harness of sorts, and is strapped to the
patient's head while the patient sleeps. The theory behing the
CPAP is that by pushing air through the person's airways at a
continuous pressure as they sleep, you will keep their airways from
closing shut while they sleep.
Some patients see the CPAP machine as a godsend. They feel better,
wake up refreshed, and in general are thrilled with the device. As
for me, it was not a godsend. I felt no better on the device than
off. Worse, I couldn't sleep in positions I felt comfortable in
because they would dislodge the face mask. When that happened, it
blew air into my eyes, which made them burn and dry out. The mask
itself, if not washed every day, made my face break out. Then there
was the fact that you had to keep distilled water around for the
device's humidifier, and wash the whole thing once a week. For me,
these added troubles were more than whatever benefit I might have
been getting from the device.
After around 3 solid months of faithfully using the device, keeping
it on all night, etc., I felt no better. Not a bit. In fact,
because I'd had to sleep in positions I wasn't comfortable in and
deal with the mask, I now had backaches and facial acne that I
didn't before. I asked my doctor if there wasn't some other
solution. He referred me to an ENT (Ear, Nose, Throat) surgeon.
The surgeon felt I was a good candidate for surgery, and I was
fortunate that my insurance covered it. I underwent the surgery and
resulting pain, and for a while things were much better. That might
have been the end of the story if I hadn't gained about 40 pounds
and, it seems, negated the effect of the surgery. I was back to
snoring and apnea again. They (my neurologist and general
practitioner) wanted me back on the CPAP. I told them, quite
honestly, that if the CPAP added 20 years to my life, the hassles
it brought with it weren't worth the 20 years.
I've tried different masks, and in fact have on order an expensive
mask that claims to be more tolerable than any other. We'll see
about that. I'm not optimistic. (And no, in the meantime, I refuse
to use the darned thing.)
I read earlier today that a group of researchers, concerned about
how many people (like me) give up on the annoying CPAP device, is
working on a different device. Unfortunately, it's more of the
same. This one inserts a single tube into the patient's nose and
uses airway pressure along with extra oxygen. They claim it will
have better compliance than CPAP. Maybe.
To me, with an engineering mindset, CPAP and other air pressure
machines are not fixing the problem, but the symptom. It's like
solving a leaky tire by hooking up a battery powered air pump to
the wheel. Sure, the tire's not going to go flat, but it's still
a leaky tire. You're going to have to replace that battery, keep
the pump maintained, etc. The oxygen machine is like adding a
little fix-a-flat in with the air pump. Still, there's a hole in
that tire that needs repaired.
What amazes me is that no one seems to be thinking of THIS
solution... If you have a blocked artery or vein, doctors will
insert a device called a "stent" into the artery to prop it open
and allow blood to flow through. They don't insert miniature pumps
to push more blood through the blocked area, or give you drugs to
make your heart pump harder. They fix the blockage. Sleep apnea is
essentially the same thing. It's an airway that becomes blocked.
Why not a surgical implant, or implants, which can be inserted into
a patient's airways to make them stay open? No worries about
patient compliance because the appliances are installed by a
surgeon and don't come out. No issues (probably) with the patient
(like me) gaining weight because the devices prop the airway open.
The solution should be permanent (unlike a CPAP, that wears out
eventually), fixes the problem (closing up of airways) rather than
the symptom, and should have all the same health benefits. I
confident that we have materials from which such supports could be
made, which aren't rejected by the body and which are durable
enough to last a lifetime (or at least a few decades). I'd jump at
the chance to be in the trial group for such an appliance. I
suspect many current and former CPAP users would, too.
What about it, medical researchers?
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