|This makes a bit more sense, now... (more medical stuff)
||[Jan. 19th, 2015|02:47 pm]
So, I saw an ENT. Thankfully, with all my medical tests, they have a head MRI, and he could see, and visually verify, a severely deviated septum - my left side is pretty heavily blocked. |
Now, if you lie on one side, blood tends to pool on that side - so it gets a bit more congested. So if I lie on my right side, my right nostril is partially stuffy, *and* my left is tight due to the deviated septum. Breathing is hard - do-able, but with a significant effort.
This explains why one of the notable changes since getting the CPAP is that my left shoulder hurts *a lot* less.(I was sleeping on it pretty constantly. I would go to sleep in that position, and wake up in that position. I knew people moved when asleep - but I was wondering if I was a partial exception. Instead, it looks like I just keep returning to that position, but have to keep leaving it due to the shoulder pain.)
This also explains why I'm waking up with a rabid blowdryer attached to my face - my nose is clogged enough that the pressure of the CPAP won't help (or won't help enough). Without my being so deviant, it probably wouldn't be as annoying. (Seriously: the doctor says it looks like a u-turn, but I prefer to think of it as a switchback.)
A quick search about deviated septum repair surgery suggests that it's routine surgery with a pretty good shot at success - 80% is the number I've seen quoted.
Does anyone know if there's another "sleep apnea" surgery that's riskier, or less likely to work? See, my memory is screaming there's *something* about "surgery" and "sleep apnea" that go together, and there's something about "but it usually doesn't work". And I'm wondering where my brain is pulling that from.
In the meantime - I've found some things similar to Breathe Right strips that might help with my airway at night. I'm going to try them and see. Before I let people start looking at my nose with knives in their hands, I want to see if I can prove it's likely to help.
A spot of research, and some helpful LJ/DW comments, shows that a pure "deviated septum" surgery is relatively low risk, with a pretty good prognosis. After that, there's a variety of other surgeries, but they're all a bit more of a gamble.
I have a vague recollection of surgery on the uvula to treat sleep apnea, but I'm not positive about that.
That is one of the possibilities I've seen. Also on the soft palate and the tongue.
there's a surgery that is sometimes done on the palate/back of the throat to try stop it 'falling closed' when you sleep. I think it's a laser surgery.
Nod. There are several. Some are worrisome reading.