robotech_master: (unicorn tree)
The other day on Twitter, I mentioned how weird and unnatural it seemed to wake up from a deep sleep without a sore throat from snoring like a chainsaw. These changes come courtesy of my CPAP, which makes it possible for me to get enough air through the night to fall into a deep sleep without having to resort to Benadryl. Something else that seems a bit unnatural is how much less sleep I need now.

I used to need a good eight to nine hours in order to function the next day. If I got seven or less, I'd end up shambling zombie-like through the day. Due to problems staying asleep, I tended to need to get that sleep in two shifts, with several hours awake in the middle of the night.

But now, I sleep soundly and deeply for 6 to 7 hours, and wake feeling perfectly well-rested. It's nice to have the extra time in the day, but it's throwing my lifelong "rules of thumb" about how much sleep I need to try to get right out the window. Even the sleep tracking app I use on my tablet thinks I only got about 70% of a "complete" night's sleep, when in the past I needed at least a 90% rating to feel human, and yet I feel fine with that much.

It honestly does seem weird and unnatural to wake in the night and know that it's still too dark for me to have gotten "enough" sleep—and yet to feel so well-rested that there's just no point in lying in bed tossing and turning trying to get back to it. So I get up and resign myself to feeling like a zombie the rest of the day—and then I don't.

Something else my CPAP makes possible is cooling my bedroom enough to sleep in. Lately I've been opening my window and using a fan to bring in enough outside air to cool it down to more or less outdoor temperature, so that I can sleep under several layers of covers. The extra layers seem to help me sleep better. In the past when I'd done that, I always got the aforementioned sore throat, and had assumed that was from the cold air being too dry for my throat. Now I know better—and I've got the CPAP and its built-in humidifier to make the air more humid anyway without growing mold on the ceiling.

(And the radiators in the rest of my apartment are so overpowered that once I get up, I can just close the window and open the door, and ten minutes later my bedroom's warmed up to room temperature again.)

I still can't believe I'm sleeping this well now. It's like a dream. I keep expecting I'm going to wake up…and then I do.
robotech_master: (energy ball)
Well, work training proceeds apace.

My job is going to be a Utilization Management representative. That means I handle precertifications (the mandatory cases where a particular course of treatment has to be approved by the insurance company prior to it being covered) and predeterminations (the optional-but-recommended cases where the treatment can be submitted for approval ahead of time, or can be submitted at the time the claim is turned in instead).

What that means. )

Meanwhile, after work today I stopped and checked into the little mini-clinic built right into the building where I work. Needless to say, they'll accept my job-given insurance, which will be active as of July 1. I checked with my regular doctor and found that she can't see me until July 14th—but there's a regular doctor at the clinic at work, and they're open to seeing me sooner, and might even end up becoming my primary care physician. And they're certainly a lot closer than my regular doctor, so there's the convenience thing too. I've already put in a request to the office of my old regular doctor to fax my medical records over.

A couple of nice things about said clinic: first off, if I get prescribed medicines by the doctor there, and pick them up at that clinic, they're effectively free. And second, they have one of those home sleep study gizmos they can send home with me—a machine I hook up and sleep with for three nights, that will transmit information about my sleeping habits back to home base for analysis so I might well end up able to get a CPAP. I already have plenty of friends and brothers who use such things. If they make such a difference for them, maybe they can help me too.

In any event, I'm doing the best I can to make the best of things and get good at my new job. I hope I don't screw it up too badly in days to come. Whatever happens, I'm probably going to be doing it for about 11 more months before I can apply for other internal Anthem postings. Hopefully it will get less stressful once I understand it better.

August 2020

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