The Pro's

This is a group for those who work in the world of sleep studies and sleep disorders.

My Sleep Apnea surgery

In July of 2001 I was diagnosed with Sleep Apnea, I used a Remstar CPAP, and later a REMstar Series M CPAP from 2001 to 2008. I travel a lot by Air and it is a supreme Hassle to get your CPAP through the TSA checkpoint. They always made me feel like a terrorist. You put it in your checked baggage and you risk having it damaged (been there, done that) or missing a flight connection, not having your baggage and having to sleep without it, not a very good option. Last spring my wife and I visited friends in Italy and it was then that I grew so fed up with dragging a CPAP around the world that I vowed to explore surgical options.

On Sept 17th 2008 I underwent surgery to hopefully alleviate my severe chronic obstructive sleep Apnea. I was being operated on by Dr Ryan Stevens at Samaritan Regional Health Center in Corvallis Oregon. I discussed every one of the surgical possibilities with Dr Stevens. After an endoscopy exam he concluded that my biggest problem was the excess tissue on base of my tongue. He suggested a Lingual Tonsillectomy and a UPPP. We proceeded with the surgery and I remained in the hospital for 2 days then was released for a 2 week recovery period. Probably the roughest part was that the Dr placed a loop of suture on the underside of my tongue in case I began to choke while in the hospital recovering. The suture caused me to salivate like Niagra Falls and saliva leaked out of my mouth when I tried to sleep it would wake me up. After they removed that the following morning things improved. My pain was managed with Roxicet (liquid Oxycontin) and by syringes of a lidocane gel. The Lidocaine made everything numb and seemed to increase the salivation so I used it sparingly. The second night at the hospital was much more comfortable and by the following morning I was doing well enough to be released. I was cleared to eat solid food upon my release of the hospital, I could eat but it was a slow process and swallowing was difficult, more from the tissue stretching than from pain.

I stayed off work for 2 weeks, the second week I was well enough to go on a 5 day trip to the San Francisco Bay Area to visit family. Probably the things I can say looking back on this are: It was worth it! The pain is no worse than a bad sore throat from Tonsilitis. The end definately justified the means.

During recovery I drank warm water with meals, anything hot, cold, alcoholic or carbonated was not tolerated. I slept with CPAP for 2 weeks post surgery. After the swelling was totally reduced I quit using it. I no longer have apnea episodes, I no longer gasp and I rarely snore, when I do snore it's about 90% less than before. The only thing I've notivced is that sometimes I'll cough if I have post nasal drip, that seems to be the only thing that wakes me from a sound sleep. I have to say I look and feel better, I awake rested, alert and there's no grogginess at all. My wife is very pleased, My coworkers say I'm easier to get along with and my boss has commented that I'm more productive. (I work for Hewlett Packard at a Research and Development Center)

I have had 2 post op checkups and Dr Stevens is elated with the results. I had an appt with the sleep Doctor (Dr Mark Reploeg) and he's signed me up for an another sleep study, They are going to do an overnight Oxygen saturation study at home to ensure that I'm not having apnea episodes. Personally I don't think another sleep study is needed but that's for the Docs to decide. I turned 54 on Jan 20th and this surgery made me feel 15 years younger. I highly recommend considering it.

Feel Free to contact me with Questions. Dr Stevens has performed this dual procedure several times in 2008 and his patients have had great success with getting off of CPAP.

Randy Bray,
Corvallis Oregon
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  • up

    Randy Bray

    I was off work for 2 weeks, after a week at home we headed for the S.F. Bay Area to visit family and friends. I tired easily, but did ok. When they work on your throat like that you can eat and swallow, it just takes awhile. They signed me off for eating solid foods before I left the hospital. My wife had a good laugh at me in San Fran when it took me 45 mins to eat a sandwich. Some things I would recommend avoiding. Ice Cream, regardless to what Bill Cosby used to talk about it hurts to swallow it. I wouuld avoid anyhting with ice in it to drink, avoid carbonated soda, alcohol. I even drank glasses of warm water with dinner and it helped immensely. Good luck with the surgery. I don't use CPAP anymore, I do use a "Snore Guard" from a Dentist which helps keep my jaw pulled forward while sleeping, it's been so good to travel without a CPAP in Airports. Best of luck with your procedure.
  • up

    BC

    Many many thanks!

    What I didn't think about was that I might not be able to leave town due to the check-up process. My hopes were to get back to my folks place as soon as possible since both parents are there, dog, etc. But now that I think about it, even if I were able to put up with the 4-hour drive, I'd still need to get back for checkups.

    In your case from the time you left the hospital until you got back from san fran 2 weeks later were there any check-ups where you went back in to get a review? I've got an e-mail into the doctor asking.

    Thanks

    Randy Bray said:
    I was off work for 2 weeks, after a week at home we headed for the S.F. Bay Area to visit family and friends. I tired easily, but did ok. When they work on your throat like that you can eat and swallow, it just takes awhile. They signed me off for eating solid foods before I left the hospital. My wife had a good laugh at me in San Fran when it took me 45 mins to eat a sandwich. Some things I would recommend avoiding. Ice Cream, regardless to what Bill Cosby used to talk about it hurts to swallow it. I wouuld avoid anyhting with ice in it to drink, avoid carbonated soda, alcohol. I even drank glasses of warm water with dinner and it helped immensely. Good luck with the surgery. I don't use CPAP anymore, I do use a "Snore Guard" from a Dentist which helps keep my jaw pulled forward while sleeping, it's been so good to travel without a CPAP in Airports. Best of luck with your procedure.
  • up

    Randy Bray

    I had a checkup about 3 weeks after the surgery, everything was better by then and I was able to eat normally. On thing I would caution on is to not get overly active during your recovery. Walking, riding in a car would be ok. I would avoid anything as strenuous as riding a bike, jogging, etc. The possibility of post operative bleeding exists if you overdo it. Othe rthan that things have been great.

    BC said:
    Many many thanks!

    What I didn't think about was that I might not be able to leave town due to the check-up process. My hopes were to get back to my folks place as soon as possible since both parents are there, dog, etc. But now that I think about it, even if I were able to put up with the 4-hour drive, I'd still need to get back for checkups.

    In your case from the time you left the hospital until you got back from san fran 2 weeks later were there any check-ups where you went back in to get a review? I've got an e-mail into the doctor asking.

    Thanks

    Randy Bray said:
    I was off work for 2 weeks, after a week at home we headed for the S.F. Bay Area to visit family and friends. I tired easily, but did ok. When they work on your throat like that you can eat and swallow, it just takes awhile. They signed me off for eating solid foods before I left the hospital. My wife had a good laugh at me in San Fran when it took me 45 mins to eat a sandwich. Some things I would recommend avoiding. Ice Cream, regardless to what Bill Cosby used to talk about it hurts to swallow it. I wouuld avoid anyhting with ice in it to drink, avoid carbonated soda, alcohol. I even drank glasses of warm water with dinner and it helped immensely. Good luck with the surgery. I don't use CPAP anymore, I do use a "Snore Guard" from a Dentist which helps keep my jaw pulled forward while sleeping, it's been so good to travel without a CPAP in Airports. Best of luck with your procedure.