RE: Vitamin C for Central Sleep Apnea?
I see you have really given this a lot of thought and have good monitoring by your doc. Well done. I have had a look through the literature, but there seems to be a dearth of reliable information about your methodology. It might well work, and I certainly hope it does. Central Apnoeas need to be diagnosed by neurologists, as they are a "brain thing", and there are varying approaches to treatment, but your case is complicated by the heart issue, one that can be more than a little annoying, I should think.
Yes, the body starts to break down after 30. We were not designed to live as long as we commonly do nowadays, but once you hit 60 it really starts to take off. I had lunch today with an old colleague who turned 70, and the talk was all about ageing and death, and the methods we take to forestall it. He hasn't had red meat in 30 years, exercises, looks well after himself, but still in the end it was a door handle surgical consult, as he suspected he had to have something "done". All this tinged with thought of another old colleague who died of a stroke, despite his ultra healthy and ultra fit lifestyle. We keep trying to do the best to live a healthy life (okay, I don't, but I was always a bit of a zhlub that way), but we get sand bagged by a variety of ailments that come out of left field no matter what we do. I suppose this is a long winded way of saying take care of yourself, but don't make an obsession of it, always a good warning it all things.
The stimulant effects of high vitamin C intakes was documented back in the 40s, I cannot think of any specific papers just now, something we learned in med school back when dinosaurs ruled the earth. Mostly it makes for poor or disturbed sleeping patterns, not much else. Why not take a timed release C supplement so you don't have to get up at night?
Apple cider vinegar is still in use here as a common treatment of many things, mostly for dietary needs. Tried it once, found it foul in the extreme.
Blood draws at night for this sort of study are done via a catheter, so the patient isn't disturbed, btw. At least that's how we do it here.
I have heard of the method you describe, but have not seen it in action here. But I might just shoot the idea over to the Unispital to see if anyone might be interested in doing a study - in order to get the Doctor title here, you have to do a research thesis, and I am pretty sure someone might go for this. The idea is interesting, to say the least. So your post may well have moved the bound of medical science forward. Well done again.
And now we get to the heart of the question - a better treatment based on the underlying science and not just the dealing with the symptoms. That, I am afraid, for a case like yours is a holy grail, and I wish you luck finding it. Generally on such cases here we take a multi disciplinary approach, coordinating the specialists via a central "quarterback", usually the GP, and see if the synergy created by the different views of the same problem bring about a good resolution. I suspect that would be very expensive in your neck of the woods. Good luck and keep dropping by with updates. This could be really helpful to some people here.
But, if I may, let me disabuse you of the idea that a PAP device is a device of dependency - it is a tool to deal with a specific set of problems that cannot easily be dealt with by other means, one that is non invasive and relatively safe. As such, one does not become dependant on it. There is neither physiological not psychological dependence on a PAP device - it is a tool that when used alleviates a problem during the usage period - the problem returns immediately when the usage is halted, not because the body or the mind have grown dependant on it, but because it was never a cure, nor intended as one, but, like am artificial leg, there to do a job. Your leg does not grow back if you try to avoid using the artificial leg. Similarly, in most cases of apnoea, the cause of the problem is not cured, it does not "grow back" if you avoid using the device, it simply continues to be the same problem, and the result can be early death at worst, lowered life quality otherwise. That said, if your method works for you, then I am very happy. Due to the complex interconnected nature of your problem, PAP therapy alone probably would not be the way forward, unless a neurologist and cardiologist could together demonstrate is as the best way for you. But I do think it should be something you should consider trying, in the spirit of open minded research. If it helps clear up your afib then it is clear that the trigger is apnoea. If it does not, then apnoea is triggered by the a-fib. It could help to pinpoint the chicken or the egg problem you are faced with here and better effect a cure. Just an idea.
(This post was last modified: 08-21-2013 05:08 PM by DocWils.)