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Is it just obstructive SA or there is more to it?

I've been diagnosed with OSA and on CPAP since 2015, but the sleep is still poor (no N3). After recent surgery sedation (medazolam+ propofol) I woke up unusually well rested and lucid. That cannot be squared with my OSA diagnosis (where no CPAP and strong muscle relaxants could have only made apnea worse) or at the very least suggests another component to the root cause of my condition.

I'd like to find a good clinic or inquisitive and compassionate doctor willing to explore/research this seemingly unorthodox subject with hopes to get better myself and potential for helping others.

  1. This is an interesting discussion. I'm not a medical expert at all, so this is just pondering on my part, but as far as I know, the brain behaves differently under sedation (even conscious) than it does during sleep. So it might be something that simple -- the mechanism is different. Glad to have you here, Gleb! -Melissa, team member

    1. Thanks for pitching in Melissa! That's exactly my point. OSA has nothing to do with brain and is purely mechanical - hence the name. So, my questions to the experts was why my altered brain state had any bearing on the sleep quality? If my diagnosis were CSA, I would be able to connect the dots, but with OSA, sorry, we have an incongruity.

  2. Hi . I see you are new to the community. Welcome! That is an interesting observation. Have you asked your pulmonologist about it? Most often, when people are under anesthisia, the anesthesiologist places a breathing tube down the trachea to ensure that you keep breathing properly. It's sort of like using a CPAP. Do you know whether you had a breathing tube? If so, that might explain why you slept better despite the anesthisia. It would be wonderful if there was a medication you could take instead of always having to wear a mask. Much more freeing, for sure. Best wishes. - Lori (Team Member)

    1. Midazolam (4mg) and Propofol (75mg). Propofol being the main suspect from what I gathered.

    2. It would great to find someone with professional curiosity and desire to help - the qualities seemingly absent from healthcare in Canada and likely other places. Thank you, Lori!

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