Psych and CPAP

Jun 20, 2014

I had appointments for both of these yesterday and I expected  to be  on cruise control, just trying to lose some weight and make some changes before my final weight management appointment.  No such luck.

In terms of psych, the therapist told me that it wasn't her job to clear me, just to provide a report  to the medical team and that report wouldn't be available for another week. At that point,  the medical team and the insurance company would decide. In terms of preliminary results, she told me that I needed some therapy in order to deal with the binge eating issues and in order to make sure I get enough support for the surgery as the normal support meetings provided by the programs is not going to be sufficient.

Surprisingly, I am not bothered by this state of affairs because i was considering therapy anyway because what I feel was missing from previous weight loss attempts was head work.

So we should know in maybe a week or two if getting therapy will be required for insurance clearance, pre-op, or post-op or up to me. The therapist said any of those outcomes in possible. However, if it is an insurance requirement, I don't know what that means.

Now, with CPAP, I was told (although I have to admit I don't remember who told me) that I would leave this latest sleep study with the  CPAP machine, properly programmed and adjusted, and I could begin  my 30 days of compliance.  No such luck.

The sleep tech told me that I did better with the CPAP, but it required a higher setting than he figured. But he said I would not get the machine until the sleep study was scored, reviewed, and approved by the Drs. That could also take 3-5 days. He was not sure whether I would need another appointment or not to actually get my machine, but if I another visit was required it would not be a sleep study.

But here is the thing: The machine in the sleep study seems to really aggravate my allergies. When I first put the machine on, I was really  aware of how inflamed my my nasal passages were to start with. The force of the air blowing  on the membranes was something I felt  and was pretty annoying. I might even call it painful. And some time during the night my nose completely clogged up and I couldn't even breathe through my nose. If you don't know, the machine makes quite a lot of noise when you open your mouth to breathe. But by the morning things had subsided enough. I still feel like I have a rock in my nose and sinus pain on that side. So I guess I will need to aquire some good HEPA filtering on my CPAP, because I am in a rock vs a hard place on this CPAP. I must be compliant. But the pain must be dealt with. Maybe a need a trip to the allergist?

 

 

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