Tuesday, June 24, 2008

2. UPPP

The ENT was very optimistic about the procudure called UPPP. (I'm not going to be putting all the technical names for all these procedures. They are all available with a simple search) I had severe apnea with and AHI of around 90. Now, if I had been my usual self and not trusted anything I was told until I could research it an verify it myself, I'd have figured out a different Plan B. I difinitely wouldn't have taken this surgeon's advice and gone ahead with a procedure that had a less than 20% chance of helping someone with apnea as severe as mine. Well, in May 2007, I went through with it.

The first clue that it may not have been a success came in the recovery room. I was still snoring and having apneas when I dozed. It seemed to clear up pretty well in a couple of weeks and I thought my sleep was improving. I soon realized, though, that my sleep was in a severe downhill spiral. The way I describe this stage of my ordeal is that before the surgery, I didn't really know that I had sleep apnea, but after....I KNEW it. My sleep got progressively worse until I was calling up and begging for the CPAP back just so I could try something to get some sleep. I was frantic. So, only 3 months after the UPPP, I knew it was a complete failure. My surgeon got very evasive with some of my questions at that point and I was scheduled for a follow-up sleep study. The result of that seemed to be identical to the first one except that either someone transcribed some of the numbers wrong or something changed fundamentally. I don't know what happened, but I've chalked it up to going to the wrong place for help.

The pulmonologist was convinced he could get me using cpap successfully, so I gave that a try again. I ended up on a series of drugs to try to help my sleep, but none worked very well. I tried weening off the drugs from time to time, but that was usually a disaster. I finally settled in with temazapam for a couple of months until I could figure out what to do. I really gave the CPAP a hard try, but it just wasn't working out. During this time, I did a lot of research on this other surgery called MMA. It is sometimes done in conjuction with a GA. The published success rate seemed pretty high. I got a referral to go to the Mayo Clinic in Rochester, MN. They have a very good reputation in the world for many things, so I figured that they should have someone good to help me. I was armed with a lot of questions and knowledge. Most of this after reading posts at Sleepnet.com. There is a wealth of info up there. It helped me a lot and would recommend that anyone looking for help should go looking there.