It’s 2:41pm on a Saturday afternoon, and I find myself alone at my girlfriend’s house as she has elected to volunteer today at a festival in Hamilton. I am sitting in front of her computer and what’s most astonishing about all this is that right now I am awake. A couple of months ago Saturday afternoon would arrive and it wouldn’t take very long at all for me to decide that it was time for a nap. In fact on our second date, it actually was a Sunday and I was near my girlfriend’s vicinity for a baptism, and it was suggested by her that I stop by for the afternoon. I couldn’t help but take her up on her offer. So when I arrived I was greeted ever so warmly by her, with a big hug and a kiss to boot. We looked into each other’s eyes, asked each other how we were, and then I said “Say listen, that baptism really wore me out, I was wondering would it be okay, if I took a nap?” I wish I could make this up, but it’s absolutely true, and justifiably so she gave me a rather puzzled look, followed by her concession saying “um…sure.” Of course she thought perhaps this was my way of wanting some cuddle time, but she ended up realizing that it was no ploy, as soon as I hit the bed, she was treated to a melody of snores.
She would soon realize that this was not an isolated incident. I slept a lot. I remember for a period of time there were Koalas at the Toronto zoo. It was heavily advertised, was indeed a big attraction people filled the place to get a look at the Koalas myself included, and upon seeing the Koalas all myself and the other people saw was a bunch of sleeping animals. Apparently Koalas are only awake for a small percentage of the day, and let me tell you, I could have very well competed with them. It was rather wretched, I was always tired. Whenever my girlfriend would drive me somewhere in the car, it wouldn’t take me long to dose off, at work after lunch there were multiple times where I went to the bathroom to put cold water on my face, would constantly dose off at home in front of the television, or with my girlfriend at a movie or even in a movie theater. I’d be ready for bed whenever, and of course when it came to sleeping I snored like a bear…no scratch that, I don’t think any bear, even a grizzly could have competed with me. It was embarrassing, especially when it came to sharing sleeping quarters with someone. I call to mind a few years ago when Last Call Poets performed in Montreal, and Rahul Gupta(a.k.a. That Brown Bastard) had the misfortune of sharing a bed with me. I kept the poor guy up all night long. But little did I know, and was soon to find out that what I thought was embarrassing turned out to be life threatening.
My girlfriend noticed all too often that while I was asleep, I would cease breathing. It would be like an episode of Fear Factor, where there would be these enormous snores followed by complete silence, and then she would count, ten seconds….twenty seconds…thirty seconds….and when she hit forty she would poke me awake. She would tell me this several times and I tried to put off thinking about it, but the fact of the matter is, when you wanna stick around a little longer you have take care of things. So, it was time for a sleep test. I have had sleep tests before, and I have absolutely loathed them, which is part of the reason why I put it off for as long as I did. I really don’t know how anyone is supposed to actually sleep during a sleep test. Apart from the technician coming in every so often, an infrared camera on you all the time, and the technician telling you to change sleep positions, they wire you up worse than the FBI wiring some guy to bust a drug dealer. Along with that you have this gross goup in your hair to keep the electrodes in place, and usually you leave the clinic feeling like a zombie. Apparently they don’t need you to sleep very long to determine your sleep pattern, and they got what they wanted from me.
Now the previous two sleep tests I had, the doctors acknowledged that apnea was present. By apnea I mean Sleep Apnea a condition where one ceases breathing while sleeping, an instance when you stop breathing is known as an apnea. So back to the previous two sleep tests, the solution was the ever unoriginal “lose the weight.” They have a chart in front of them showing that I have been a bigger guy and struggling with a weight problem all of my life, and they say it so simply non challant, “lose the weight.” It’s not like I don’t give it a shot to lose the weight, I mean I exercise pretty regularly, and I have yo-yoed up and down plenty of times, but I don’t have that magic metabolism. This time though, I went to see a different Doctor, and his solution was not as simple as the others. The results of my sleep test took forever, and on the day that I went to hear the verdict I was prepared for some concerning news, so I took my girlfriend with me into the Doctor’s office. No matter how prepared you are to hear certain news, when the stats are told to you by someone in a position to tell you, it’s always a good thing to have a hand to squeeze.
The doctor didn’t mince words. He told me of the three levels of sleep apnea, mild, moderate, and severe. He told me my name was attached to the severe label. He told me I stop breathing 120 times an hour and that my oxygen level goes down to 89% when I am asleep, and he told me that could largely explain why I am so tired all the time. However, when it came to treatment the Doctor seemed to be a little more creative than “lose the weight.” Apparently weight is only part of the problem. Yes there is more of you to breathe this is true, but I learned the main reason for my apnea was the alignment of my jaw. Apparently because of the way my jaw is aligned my airway is not entirely clear. So he suggested two things:
1) Have surgery where they break my jaw and reset it (no thanks)
2) Get a CPAP Machine: A mechanism where air is shot into my airway either through the nose, the mouth or both, and I am able to attain full REM sleep (I’ll take the latter).
He also went on to say, that if I did not seek treatment for this, that he would notify the Ontario government and that my license would be suspended as the Ministry Of Transportation considers people with my condition just as dangerous if not more than drunk drivers. Apparently drunk drivers still have reflex control even while slower, people with my condition just dose off. He said it was unfortunate that previous Doctors did not suggest the CPAP machine before, because while losing weight would make a difference, having the CPAP machine would let me get proper sleep, which would lead to me being awake more, which would lead to more energy, which would lead to me being more active and doing more active things….makes sense right? I think so too, which at this point leads me to conclude that the initials PHD don’t tend to mean a hell of a lot.
So on I went to pursue exploring the mechanism of the CPAP machine. The plan was to get a machine, have it for a month so I get used to it, and then have another sleep test with the machine so they can adjust the pressure level to the one that best suits me. There were all these different variations of sleep machines. The one they ended up lending to me was one of their most advanced ones. It had a humidifier built in so you could adjust the temperature of the water and humid air that will be blown into you, it took into account that you breath in and out, and when you breath back out it backed the air off a little bit, it had a ramp feature where you could set a time so the machine gradually gets to your pressure level. My air pressure level was 12, and it was set to reach 12 within 20 minutes. The toughest part of getting used to the machine, and this is the popular opinion here, is the mask, the mask is everything and apparently for some it takes a long time to find the right mask. I was given two. There was a full face mask, and nasal pillows. At first I thought the full face mask covering my nose and mouth would be the way to go as my mouth drops open during sleep, however, I noticed that the full face mask was extremely obtrusive, and a pain in the ass. The nasal pillows took some time to get used to as I had to train my mouth to stay closed (as many of you know that is a feat in itself). I did eventually get the hang of it, took a few days, and actually slept quite well with the machine averaging between five and six hours, which is good when you’re first starting out.
I’ve had the machine for about a month and a half now, and let me tell you, please forgive the pun, the difference is night and day. There have been little differences that have added up to quite a bit. My girlfriend can’t recall as well when the last time it was when I fell asleep in the car. I work in a call center and my supervisors at work have noticed my stats change for the better, oh yeah and getting an afternoon coffee or splashing cold water on my face has stopped. I have far more energy at the gym when I work out, and have noticed a significant drop in my heart rate while doing cardio vascular workouts, and my resting heart rate. I had my second sleep test with the machine not long ago, and slept through the whole night, also they weighed me, and there has been a decrease in my weight. Thoughts are a lot clearer when I sit down to write, and I am more energetic about performing spoken word gigs, they don’t seem as much of a chore to me as they once did and I deliver my pieces with a bit more gusto than usual. I am more attentive, and responsive in social situations, and don’t drift off as much, as I was told by some that I did before. I am able to stay up pretty late on most nights and not feel tired, and when it comes to my girlfriend she finds it refreshing that we can go through entire movies again.
I could go on, but these examples alone are just after a month and a half, and I am optimistic and excited about what else is going to come of this. My father passed away of a heart attack at 51 years of age. This has always been in my head from the day it happened. Sometimes it’s in my head more than I care for it, and sometimes it affects me more than I want it to. There’s an echo there telling me to take care of things now, because this is a mere sip of life, and I want mine to last longer than 51 years. I have always been against radical surgeries, like lap band, or stomach stapling, and I always will. I don’t like the notion of having to rely on technology to sustain one’s life, I am a bit uncomfortable with that, and with the fact that I am 33 and I need a machine to sleep. But, in more ways than one I have been sedated for awhile, and I gotta tell you, as much as I loved heading into bed for an afternoon nap on a Saturday afternoon, in recent time I’ve been treated to some of the most wonderful awakenings, and I am treating this one no differently. I know as do all of us that there is one hell of a long sleep awaiting us, and who knows when it’s gonna come, so if I have to use a machine to breathe in the time before that, well those conditions are hard to argue with, cause in the end…it’s nice to be awake, it really is.