Having anxiety has led to a number of "cardiac" incidents over the years i.e., palpatations. Coupled with a family history of heart disease, I've had echocardiograms, stress tests, Holter monitering and other than some trivial valve issues and a slightly irregular heartbeat, every cardiologist I've seen has told me I have nothing to worry about. Last Friday's pre-surgical clearance with my doc had my BP at 110/74.

Today - after the BiPap fitting, I drove an hour to meet with the pulmonlogist - for 15 minutes. When I got there my BP was 138/84 and he expressed concern. Nevertheless, my pulmonary function tests were fine - lung capacity and oxygenation well within a normal healthy range. The pulmonologist didn't even feel that my SA issues were that severe that if the BiPap didn't work for me, it wouldn't be a big deal...but the Resp Therapist told me my poor sleep quality and oxygen levels could lead to a heart attack or stroke. Apparently I shouldn't sleep on my back either. Okay - except that I have arthritis in my neck and any other position is uncomfortable, coupled the carpal tunnel which make my hands go numb when I lay on my side. I still have to wonder about the accuracy of the sleep study, when none of these issues are addressed. Beyond dealing with my weight, I have to say getting older sucks as it seems it's a juggling act of trying to balance life's responsibilities with managing health issues.