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judeloren
on 12/8/15 7:37 am
Topic: what happenes at a pulmonary apointment?

Hello I am in the process of getting approval for a sleeve surgery and they say i need clearance from pulmonology. I am pretty sure I don't have sleep apnea. I sleep all night and i don't stop breathing.  I have an appointment set up with a nurse practitioner and i was wondering what to expect.  Will they just ask me questions? I hope i don't have to have an overnight sleep study i have young kids. The surgeon's office said they may not require one. I am asuming if i don't have symptoms of apnea that they will probably just release me?

 

thanks!

lking
on 10/18/15 10:24 am - Indianapolis, IN
RNY on 12/04/15
Topic: RE: Difference in surgery apnea vs. no apnea?

If you suspect you have SA why are you not seeing a sleep doctor to get tested/treatment? Discuss your concern of possibly having SA with your bariatric surgeon. If you have not been tested, your bariatric doctor will probably have you take a sleep test before scheduling your surgery. If you do have SA, you need treatment. You will be able to speak to the anesthesiologist prior to your surgery to discuss your needs, concerns, and any problems you have had in past surgeries. I have always used my BiPAP during surgeries. Usually the anesthesiologist will put the oxygen tube inside my mask. I always have my mask/BiPAP on during recovery as my oxygen levels seem to like to drop during recovery.

67 yrs old, 4'10", BMI 31.8 (51.8 at start), HW 256.4 (8/4/15), SW 217.4, CW 152.8 (4/30/18), GW 125.0, RNY 12/4/15 Dr. RoseMarie Jones, Breast Cancer DX 2/16, Bi-lateral mastectomy 8/9/16.

alicespeaks
on 9/23/15 12:34 am
Topic: Depression in adults reduced with CPAP therapy for sleep apnea

Latest health News: In adults with obstructive sleep apnea, treatment with a continuous positive airway pressure therapy (CPAP) therapy can improve depressive symptoms

Source: Depression in adults reduced with CPAP therapy for sleep apnea

(deactivated member)
on 9/18/15 8:10 pm
RNY on 05/04/15
Topic: RE: Difference in surgery apnea vs. no apnea?

70% of obese people have sleep apnea, so it certainly won't disqualify you. In fact, it's one of the weight-related comorbidities that some insurances use as justification for WLS in the first place. You certainly can die from untreated sleep apnea (surgery or no surgery!), but that just means your doctor will make sure it's adequately treated (i.e., you're wearing your CPAP religiously) for a period of time before surgery. My clinic requires a 30-day compliance check. You won't wear it during surgery because you'll be intubated, but they'll probably put it on you in recovery. It will be especially important to wear at home after surgery too since pain meds will further decrease your respiratory drive.

I wore CPAP for a few years, but I just had another sleep study, and my sleep apnea has actually resolved with the weight I've lost, so my machine is now my husband's travel one, lol. It doesn't happen all the time, but it certainly can. I think I just lucked out by still having s little bit of youth on my side.

MaraFaith
on 9/11/15 9:52 pm - denham springs, LA
Topic: RE: Difference in surgery apnea vs. no apnea?

Reicken, thank you so much for replying. I know the sleep apnea board moves a little slow, so I feel so lucky that you commented. I'll definitely follow through and get the sleep study as a just in case sort of thing, but sharing your experince made me feel so much better. Thanks again!

HW:362 SW:345 CW:287 GW:170 Surgery Date: 11-11-2015 with Dr. Bellenger

Reicken
on 9/10/15 9:47 pm - Victoria , Canada
Topic: RE: CPAP and Claustrophobia

Nose pillows are the best thing. Didn't try anything else and was hooked from day 1.

the one thing I will say about the pillows is that if you are a mouth breather it will take some getting used to breathing through your nose.

it takes a bit but once I'm asleep, regular nose breathing takes over and I have the best sleep of my life.

HW: 330 | SW: 300 | 1 Mo: -27 | 2 Mo: -12| 3 Mo: 0 (stalled!)

Surgery Type: VSG - Dr. Malik @ Royal Jubilee Hospital (2015/07/27)

Reicken
on 9/10/15 9:42 pm - Victoria , Canada
Topic: RE: Difference in surgery apnea vs. no apnea?

I have OSA and I didn't wear my machine during surgery. I did however wake up with it on in recovery. You will most likely take your CPAP into surgery with you. The anesthesiologist will monitor your blood oxygen levels and everything else while you are under. That is their job. The surgeon just has to get the work done.

 

Take care of the OSA first. Regimented use of your machine will reduce the risk.

 

Good luck!

HW: 330 | SW: 300 | 1 Mo: -27 | 2 Mo: -12| 3 Mo: 0 (stalled!)

Surgery Type: VSG - Dr. Malik @ Royal Jubilee Hospital (2015/07/27)

MaraFaith
on 9/9/15 8:07 am - denham springs, LA
Topic: Difference in surgery apnea vs. no apnea?

Hi guys! I've recently suspected that I have sleep apnea, and this has started to worry my friends and family. I had already scheduled an appt with a weight loss surgeon, however, he does not preform surgery on patients with a risk for complications. My mother is afraid if I go with another doctor and move forward with the surgery that I will die if I'm undiagnosed with sleep apnea and actually have it without knowledge. 

So my question is, how did having sleep apnea change your surgery? Did you have to wear your cpap machine during surgery, or did the surgeon monitor your oxygen levels in a different way during the procedure? 

HW:362 SW:345 CW:287 GW:170 Surgery Date: 11-11-2015 with Dr. Bellenger

lking
on 9/6/15 2:35 pm - Indianapolis, IN
RNY on 12/04/15
Topic: RE: CPAP and Claustrophobia

Eight years ago I was introduced to a CPAP machine and an over-the-nose mask.  I suffer from severe claustraphobia, so that machine in combination with a mask that leaked like a sieve, I got no sleep the first night.  I had a wonderful equipment supplier so I called him first thing in the morning.  

We tried a different mask night #2...better but still a large leaker.  I called my supplier the next morning.  He suggested I try a nose pillow mask...BINGO...no more leaking.  A week of use passed and it was time for me to see my sleep doc for a followup.  A few questions later he changed my script to a BiPAP machine.  The new machine was the answer and saving the grace to overcoming any effects of my claustraphobia.

My BiPAP has been my best friend since the day we were first introduced.  My original nose pillow mask was replaced by an even better one, the Fisher Paykal Opus 360 nose pillow mask.  My original brand of nose pillow mask became my backup if I ever was in need of a backup.  I have never been in need of a backup in 8 years.

I've been on a BiPAP for 8 years, without missing a night.  Once it was determined that I needed a BiPAP, instead of a CPAP, and I had a perfect fitting mask, any claustraphobia while wearing a mask disappeared.

67 yrs old, 4'10", BMI 31.8 (51.8 at start), HW 256.4 (8/4/15), SW 217.4, CW 152.8 (4/30/18), GW 125.0, RNY 12/4/15 Dr. RoseMarie Jones, Breast Cancer DX 2/16, Bi-lateral mastectomy 8/9/16.

soundview
on 8/18/15 7:36 pm
VSG on 09/28/15
Topic: RE: Home Sleep test

I had a home test done.  I took the machine home and had everything set up for testing on Sunday night.  It wasn't as bad as I thought it would be and the had plenty of data to use.  I just got the results today and I do have moderate sleep apnea.  I'm glad I was able to do it at home and on a weekend.

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