Why am I starting health coaching right now?

I've been grieving a death for nearly 10 years, and I'm finally ready to make longevity decisions for myself.

For a long time, I had pretty much given up. I'm a 9/11 survivor and I live with complex PTSD. Food became my comfort drug, and by 2008 I had ballooned to more than 460 pounds.

I had one session of CBT, but I didn't have health insurance, so I had to figure things out on my own. Before I ever picked up a book on nutrition, I read about 30 books on psychology, trauma, behavior change, and personal growth. Eventually, I lost more than 200 pounds and kept it off for more than five years.

Then my mom died.

Grief led to comfort choices. Comfort choices led to weight gain. Weight gain led to health issues. Health issues led to mental health struggles. The cycle fed itself for years.

Fortunately, I finally gained access to health care about two years ago because my deteriorating health was leaving me disabled. I was diagnosed and treated for severe sleep apnea, and that turned out to be the first key to everything. It cleared my brain almost overnight, and I could finally make decisions that weren't based on the complex traumas that had become my default setting.

Since then, I've started rebuilding.

My blood pressure is normal. My resting heart rate is where it should be. My atrial fibrillation is under control. My sleep is better. My thinking is clearer. I'm moving again.

And that's what this next chapter is about.

Health coaching isn't about trying to save my life. It's about expanding it.

I want more sunrises, more trails, more beaches, more adventures, more conversations, more laughter, and more years to enjoy all of it. I want the freedom to explore the world, to hike the places that call to me, to dance again, to travel, to fall in love with life again, and to have a body that can come along for the ride.

At 460 pounds, I was surviving.

Today, I'm living.

Health coaching is about helping me build a future that is bigger than my past.

Get a sleep study and treat your sleep apnea today!

If you think you may have sleep apnea, drop everything you are doing right now and schedule a sleep study for yourself. You will be glad you did. Your future self will thank you for giving them a much healthier existence and for increasing the probability that you will live a longer, happier life.

This is not an overstatement. In fact, I feel it would be appropriate to be even more hyperbolic about the benefits of treating your sleep apnea. Let me share my recent story to highlight the many immediate benefits you may experience when you take this important, proactive approach to managing your health.

Treating my complex sleep apnea with that ResMed AirCurve 11 ASV

I had been told for decades by anyone I shared a bed with that my snoring was out of control. One person even said they saw me stop breathing multiple times throughout the night. Even with several people sounding the alarm, my philosophy was always, “That which does not kill me makes me stronger”. In this instance, though, I couldn’t have been more wrong.

Fast forward to 2016, when I was diagnosed with atrial fibrillation. My cardiologist said a sleep study was urgent, as my condition may be the result of or at least exacerbated due to chronic sleep apnea. I knew he was right, but I didn’t have insurance that would cover the entire procedure at the time, and the co-pay was beyond my current means.

Hindsight is 20/20

Looking back, I should have financed the sleep study, because instead I waited another 10 years before addressing my problem, and during that time my a-fib worsened, and my weight began to balloon.

Feeling guilty for my weight gain, I knew my mobility was lessened because of the a-fib but for some reason I blamed my lack of exercise on laziness. Then I began to shame eat any time I thought about the predicament I found myself in. My weight soon reached an all-time high.

By January of this year, my weight gain added insult to injury, and I was barely able to walk to do my everyday chores. In fact, I was unable to shower in my own bathroom because it was not built for someone my size. So, I began to wash myself the best I could without stepping in the shower. This made me feel even worse, because I never felt as clean as I would from standing in a shower.

The shame compounded when every week my ability to walk worsened. Plus, I was unable to work a regular job, so I began driving for Lyft to pay my bills. But existing in a constant state of sleep deprivation because of the unchecked apnea made working more than a few hours per day impossible.

Paying for the study

The loss in income turned out to be a blessing, as I was forced to apply for public assistance and found out that I qualified for Medicaid. My new health plan meant I would be able to methodically address my mounting health issues without breaking the bank. There was no longer any reason to avoid taking a more active approach to my health.

I scheduled a new patient appointment with a primary doctor in April, and he put me on medication for my a-fib that made an immediate positive impact on the way I felt. All year long, my arms and legs had felt they were coated in a blanket of lead. With the addition of this medication, I felt that blank lift overnight.

My doctor said my reaction to the medication was not physiological but rather I was experiencing a placebo effect, that the medication would not have that powerful of an effect on me. “What does he know,” I thought. Everything he knows about the med he learned from a book. I know through experience that the medication increased my energy level by at least 20 percent. I felt like a new man.

Of course, my mobility was still impeded by my weight, which at the time of my doctor’s visit was 455 pounds, but with my newfound confidence in the healthcare system, I booked my appointment for a sleep study and began to eat a more balanced diet, immediately cutting out fast food and candy.

A month later, I had lost about 30 pounds through my efforts. My sleep study revealed I had an extreme case of complex apnea, where I would stop breathing nearly 80 times per hour without support. So they fitted me with an assisted breathing machine, and on that very first time using my ResMed AirCloud 11 ASV I experienced an immediate change in my daytime energy levels.

The brain fog lifted

I also noticed the brain cloud I’d become accustomed to for years had lifted. Achieving REM sleep for the first time in probably many years, my brain was now processing my complicated throughout the night leaving me feeling refreshed and with increased mental clarity and acuity. From one day to the next I was able to work as many as 12 hours at a time.

That’s right, I went from having enough energy to work three hours at a time to 12 hours literally overnight! That is the incredible power of sleep therapy in a nutshell.

I still have a few issues to deal with. I have some arthritis in my hip and knees, which also contributes to limited and painful mobility. And I’m in the process of testing cardiovascular health to see if I am healthy enough for surgery to deal with my a-fib. Once these things are under control, I imagine I will feel even better than I already do.

Don't be afraid to change

Through lifestyle changes and watching what I eat, I have now lost a total of 45 pounds in less than two and a half months. Next for me is increasing my daytime activity, getting my steps up. Currently I average only 1,500 steps on my good days. My goal is to slowly work up to 5,000 steps. Then, I will work on getting back up to the recommended 10,000 steps per day.

I hope by sharing my story you might be encouraged to treat your own sleep apnea or perhaps encourage a family member or friend to get themselves the treatment they need and deserve. If so, please subscribe to my blog, follow me – “Brianopolis” on social media and YouTube – and leave a comment with your experience below.

After years of declining health, sleep therapy provides hope

This has been a difficult year for all of us. I am no exception. Besides struggling financially due to rising costs of pretty much everything, I have been dealing with taking care of several health issues that had been going unchecked, leaving me very, very sick for the first time in my life. I was so fatigued, my bones and muscles were constantly causing me pain, and I couldn’t seem to get better no matter what I tried. It turns out I had a severe case of complex sleep apnea, and I had had it for years. Leaving my sleep apnea untreated was literally killing me, slowly but surely.

My dog was happy I was sleeping so much, but I was not

By the grace of God I have been surrounded by a loving church community over the past two years, and when I got sick many people from the church offered all types of support to me. Their compassion gave me the ability to seek out the medical treatment I so desperately needed. I was able to get on an excellent health insurance plan. And I started getting treatment for all that was ailing me, which as it turns out was more than just sleep apnea.

The sleep apnea had exacerbated and probably caused atrial fibrillation, which is a disorder of the heart which, left untreated, most inevitably leads to stroke and other severe issues. I was able to get on a medication to help me avoid such a fate, and immediately I could tell the difference in how I felt. I got on a blood thinner and believe it or not it felt like a weighted blanked had been lifted off me. Once I got that physical aspect taken care of it was time for the sleep study.

My sleep study was done in two parts and at two different locations, both within the UPMC hospital system. I had a split study done first. This is where you get hooked up to a bunch of wires and sleep in your normal state. After four hours they observed that I stopped breathing nearly 80 times per hour. Not only that, but of the four levels of sleep – the fourth being the all important REM sleep – I did not get beyond a superficial sleep. In other words, my brain was not getting any rest and was not able to process any of my thoughts overnight, which is essential for mental clarity and health.

After the first four hours, they began to try a CPAP machine at varying levels of intensity to see what I could tolerate. It turns out my case was a bit more complicated and required a second study. Then, for the second study, they tried a BiPAP ASV machine. This machine adjusts the intensity of the air pressure to match my specific, moment-by-moment needs. This proved almost miraculous. That night I slept like a baby for more than six hours without interruption and reached REM sleep multiple times.

Treating my sleep apnea with my ResMed AirCurve 11 ASV

After the study, the doctor prescribed me the top-of-the-line ResMed AirCurve 11 ASV. After having had such a great night sleep, the next few days I was on a high from the amazing night’s rest I got. Unfortunately, though, I had to wait nearly a month to get the machine through my insurance company, and by then I was back to my former groggy, exhausted, and mentally confused state. But then the day came for me to pick up the machine, and since that very first night my life has been completely changed.

I have loads of energy. I work currently as a Lyft driver, and while before I could only manage a two-hour shift before becoming too sleepy to drive, I can now driver for 12 hours at a time and not loose mental clarity and focus for that entire time. I have so much more energy now. And I finally have enough clarity to get control of other areas of my life, which had gotten out of control.

The result of all this is that I am back on my healthy eating plan and am getting more exercise in the form of stretching and walking. Soon I plan to rejoin the gym. From my top weight I hit during my illness of 455, I have lost about 40 pounds. I am hoping to lose another 20 by the end of August to finally be back under 400 lbs.