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The drive was great. The weather is cooler with a storm passing through. Traffic was rather mild, not too thick, mean, or slow. The appointment was a breeze. I did ask about an APAP but I was told that is contraindicated because of my heart condition. And the bi-PAP was out too. So, it's a CPAP. I am supposed to call someone and set up an in-home setup. But I truly hate having people in my home, you never know what kind of creepy people will arrive. And it seems, more and more, if the work has anything to do with the government, the workers will be the gnarliest people the government can find. So, I may see if I can go in to an office and have it done. Some people I don't want in my house, heck, I don't want them to know where I live. How can I know if they just show up?
In spite of pushing, hard, to make it. I never quite... pulled myself out of that morning exhaustion. It is not like, lately, I have been overflowing with energy. But I have been rested when I wake, I have been able to do some things on some days, and it hasn't been an issue to my conscious mind. I am doing less these last few weeks. But I haven't felt tired. Today is different. No matter, I did make it in, on time, and got it done. The woman doing the physical and review... was shocked at me. She simply couldn't wrap her head around my physical condition and physical appearance. She stated simply that I shouldn't... look this good. And I suggested, or do what I do as well as I do, given all. I could have said more, but that would have just been snark (not at her, or doctors, just... just snark). It might have been funny too, in a guy way. But one must assume all professional women are feminists and never discuss anything with them. Ever.
Anyway, that is where things stand. I honestly doubt if I have any sleep apnea whatsoever. I never just fall asleep. Heck, sometimes I CAN'T even nap when I want. Tired, sure. But the heart covers that. The only reason I went with the machine is just in case the machine might improve conditions brought about by the heart condition. There is no more a sleep apnea problem than there was a psychiatric condition. I will try it for a month, maybe two. If I see no improvement, I will toss Darth Vader's lungbox back to them.
Later.
They're cheap-ass f*ckers, that's all. The CPAP is substantially cheaper than the more advanced versions. Not better in any way. Risk to your heart? Pf!
ReplyDeleteO well. I have a CPAP at the apartment. I don't sleep as well with it as I do with the APAP out on the farm. But it does help.
I suspected as much. Well, that and I am their least favorite patient. I think only the eleven disciples (as one chose to handle his own medical needs) would receive lesser care.
ReplyDeleteWhen she said a doctor (the woman suggested it was a woman doctor) wrote that, something seemed fishy. Either the woman I was speaking with was outright lying to me or she knew the orders were bogus, or something. I haven't checked it yet, but I will. I should have asked for the doctor's name.
Hmm, well... Actually it is contraindicated for patients with heart failure. She did, actually, discuss why. Once I got my mind working a bit on it, as I otherwise get ready for bed. She was actually pleasant, at first, but then... something changed. At the end, she just wanted me out of her office.
ReplyDeleteI was wrong on this. Still, I get this odd feeling when I go to clinics, meet doctors, nurses, and such. I am not liked there. I look too healthy. I am too young. I don't necessarily do what they want. They don't even like me taking the stairs. And I talk, ask, question. Oh, and I blog.
The APAP machine specifically? I can't imagine why. But apparently there must be a reason. That comes as news to me.
ReplyDeleteThe only difference I am aware of is that the APAP is smarter--it adjusts the pressure to match your needs. If it senses apnea events, it bumps up the pressure until they stop. I think it also backs down if needed, but always starts at a lower pressure and adjusts up as needed. It has different inhale and exhale pressure settings which makes exhalation a tad easier (that feature is shared with the biPap).
The CPAP has a single pressure setting. It can be set to ramp up from a lower setting to the fixed single setting over a specified period of time, which can make going to sleep easier.
But as I said, the CPAP in the apartment does a adequate job, just not as luxuriously as my APAP.
As I remember it, when I finally did remember, people with heart failure (where mine is advanced even) can develop a breath problem just because of the condition. APAP seems to both encourage the condition when it starts and might even create the condition. I think there might have been another reason or three I heard or read somewhere, but that is the main one.
ReplyDeleteAt least, when I remembered, I gave her credit.