Friday, August 29, 2008

My Sleep Study: Before and After Specifics

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Hi Mom;

As previously reported, I got the results from my post-surgical sleep study and I am still very happy, excited, and grateful for these amazing results.
However, since then a couple of people have asked me about the specific differences between my pre-surgical sleep study and the post-surgical sleep study, so I thought I'd break it down and show you how "worth it" this whole "Excellent Adventure" was!

The figure on the left represents the before (4/28/08) sleep study, and the one on the right in bold represents the after (8/25/08) sleep study:

Sleep Efficiency Index: 74.2% / 93.3%
Minimum 02 Saturation: 85% / 94.%
RDI: 24.5 events per hour / 4.8 events per hour
Impression: Moderately Sever Obstructive Sleep Apnea / Mild Snoring without significgant OSA.

Sleep Architecture:
# of Stage 1 Shifts: 87 / 25
# of Stage shifts: 208 / 107
# of Awakenings: 77 / 19
# of REM periods: 4 / 4
REM Latency: 66.5 min/ 68.5 min.
REM Latency minus Awake: 43.5 min. / 67.5 min.

Sleep Stages:
Stage 1: 32.1% / 7.9%
Stage 2: 38.2% / 56.7%
Stage 3: 3.2% / 3.2%
Stage 4: 0% / 0%
REM: 26.4% / 32.2%

Apnea Events: Obstructive
Number: 59 / 2
Index: 10.9 / .03
Mean Duration (sec): 27.6 / 11.5
Longest Duration (sec): 49.6 / 13.0
Occur in REM: 0 / 2
Occur in Non-REM: 59 / 0
REM Index: 0.0 / 1.0
Non-REM Index: 14.9 / 0.0

Hypopnea Events: Obstructive
Number: 69 / 29
Index: 12.8 / 4.5
Mean Duration (sec): 25.5 / 16.3
Longest Duration (sec): 50.1 /27.4
Occur in REM: 9 /15
Occur in Non-REM: 60 / 14
REM Index: 6.3 / 7.2
Non-REM Index: 15.1 / 3.2

Respritory Events with Arousals:
Total Events: Index 24.5 Total 132 / Index 4.8 Total 31
Non-REM Events: Index 30.5 Total 121 / Index 3.2 Total 14
REM Events: Index 7.7 Total 11 / Index 8.2 Total 17

Actually, I'm not 100% sure what it all means, but at least I can refer people here if they want to see what the results of my MMA/GA experience was.

Love:
Pinski
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Tuesday, August 26, 2008

Voot-Voot! The post-op Sleep Study results are in!

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We interrupt this (now-)monthly blog to bring you this important News Flash!!

Hi Mom!

Yes, as I mentioned in my last blog, my recovery has definately slowed down at this point. I didn't really see the need for weekly updates anymore, so I figured monthly updates would suffice.
However, I have good news about my apnea (or lack thereof!), and even though I'm a little over a week shy of an official monthly update, I just couldn't wait to tell you.

Quick back story:
I had scheduled my 3-month post-op followup sleep study at Bay Sleep Clinic in San Francisco for September 5th. As you may recall, my surgery was June 4th :-), however I got a call in the middle of last week from the lady at the sleep clinic, telling me they had a cancellation and asked if I wanted to come in that Friday night. At first I told her no - that I needed to wait the full 3 months, but thanked her for calling. Then, I got to thinking about it, so I called Dr KL who said it would be okay to do it a little early.

So, last Friday night I hopped on the bus and got to the sleep clinic at 9:30 sharp. After waiting much longer than I would have liked, the nice technician Mandy hooked me all up, and exactly 3.7 minutes later, I was fast asleep. I woke up once at 3 a.m. to go to the restroom, and before I knew it, 6 1/2 hours had passed and Mandy was waking me up, telling me I was done. Uh, I guess she was kicking me out....at 6:00a.m.!
She didn't say much about how I slept except for the fact that I snored lightly.
Before I left, she told me the results should be sent to Dr. KL at the beginning of next (this) week.
...and sure enough, they were.
It turns out P.Smitty was almost right. He said he didn't think I had any events anymore, which wasn't too far off.

Dr Li called me at work this afternoon with the good news.

. . . . . . . . . . . . . . drumroll please . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . My RDI is 4.8!!!

How awesome is that?? I feel SO fortunate that my MMA surgery was such a success. He said my O2 level never fell below 94%, and that I only stopped breathing about twice an hour for like 11 seconds. I can live with that!!!
Then, he said "For someone your age, we can consider this a success". Uh, hem? My age???
Well, I knew what he meant and I thanked him for the great news. He is a great surgeon and a great human being in general.

Anyway, I just had to share the good news with you, Mama! I'll save the rest for the monthly update, coming soon to a blogspot near you!!

Love;
Pinski
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