CompSA, Hypoventilation, PLMs, Bradycardia and Hypotension?

[Muffy]

Oh.

NM.

Muffy

[SleepingUgly]

p.s. What's the right link SleepingUgly? All I get is an empty post box for this thread!

Sorry, I fixed it in my original post. This brings me back to my tangent about Hashimotos but euthyroid patients...

[SleepingUgly]

Interestingly, I just happened to be doing some research on paraphernalia.

ParaPHILIA. For paraphernalia, you go to jail; for paraphilia, apparently they lock you up forever in a psychiatric hospital and use you as a subject in hypothyroidism/OSA research.

[blizzardboy]

posting.php?mode=reply&f=1&t=51063
...
BTW, I love Case C:

p.s. What's the right link SleepingUgly? All I get is an empty post box for this thread!

http://ajrccm.atsjournals.org/cgi/conte ... /160/2/732

Interestingly, I just happened to be doing some research on paraphernalia.

Hmmm, very interesting article.

BTW, from 20/05/09 my TSH was 1.1 in a normal range of (0.5 - 4.0) mIU/L. This was concluded to be "Consistent with normal thyroid function."

p.s. I think I do suffer from paraphernalia, but it should fixed next week when I order in a large garbage skip.

[Muse-Inc]

Thought y'all'd like to read this article on hypo and apnea (I'm investigating this connection for our local meetup of forum members as most have or suspect hypothyroidism): http://ajrccm.atsjournals.org/cgi/conte ... /160/2/732

I esp found this interesting (bold text is my emphasis)

Differentiation between the two disorders is made more difficult because hypothyroid patients are also at risk for secondary sleep-disordered breathing. Other respiratory complications that occur in some hypothyroid individuals include upper airway obstruction (secondary to goiter), obesity, respiratory myopathy, and blunted ventilatory chemosensitivity (8). Each of these complications can contribute to sleep-disordered breathing. Obesity, airway obstruction, and altered ventilatory chemosensitivity also occur in primary OSA. Is a "positive" diagnostic polysomnogram which demonstrates abnormal hypopneas or apneas evidence of primary OSA or "secondary sleep apnea," that is, sleep-disordered breathing secondary to underlying hypothyroidism?

and this:

We have identified patients with sleep apnea and hypothyroidism, where thyroxine replacement reversed both secondary sleep-disordered breathing and other symptoms, that would not have been controlled with CPAP. However, it must be emphasized that careful follow-up of both the respiratory disturbance and thyroid status is required in such patients. In particular, close observation is required to ensure that the sleep apnea is substantially cured once euthyroid status is achieved.

[echo]

I have no trust in those TSH measurements anymore. Mine have been jumping all over the place so I wonder if there are times in the day when the TSH goes up really high and then shoots back down again (somewhat like the liver's regulation of glucose)? The one time my reading was really really high was when my blood was taken first thing in the morning (after the titration) (after I had a hypoglycemic attack) (after a really healthy hospital breakfast of 4 slices of white bread and jam with coffee ). I shoulda just skipped the breakfast. All other times it's been in the afternoon during my peak "i'm feeling pretty good" hours.

Sorry, can't come up with a good comeback to paraphernalia I must be all joked out for today!

[echo]

Thought y'all'd like to read this article on hypo and apnea (I'm investigating this connection for our local meetup of forum members as most have or suspect hypothyroidism): http://ajrccm.atsjournals.org/cgi/conte ... /160/2/732

I esp found this interesting (bold text is my emphasis)

<snip> In particular, close observation is required to ensure that the sleep apnea is substantially cured once euthyroid status is achieved.

Woah!

BTW I don't think the TSH is sufficient for diagnosing and monitoring the hypothyroidism, it's really the whole panel that needs to be tested. I've had them done recently but also a few months after the titration, unfortunately I don't have the results, need to ask the doc thanks for the reminder ...

[blizzardboy]

thanks for the reminder ...

Which reminds me...one of my grandmas was treated for thyroid problems from a relatively young age.

[Muffy]

That's exactly what we're trying to do, because the progression would be

Low body temperature > hypometabolic state > hypothyroidism > chronic respiratory acidosis > elevated pCO2 > hypercapnic SDB > ASV incompatibilty

http://users.adam.com.au/sixsome/ASV/04 ... 042410.txt
My average waking axillary temp over the last two mornings was 36.1 C/97.0 F.
This was measured with a one-decimal-place digital thermometer.
Quick, pass me the pig armour.

Before we go ahead and Pith the Pig, we're going to need that fresh lab work. The übersyllogism has a number of limbs, not the least of which is:

Low body temperature > hypometabolic state > +/- hypothyroidism > decreased CO2 production > decreased minute ventilation > eucapnia > STOP

While we wait for those results, perhaps we should quietly genuflect on the words of the great philosopher S.J.A.Germanotta, who mused:

I want your ugly
I want your disease...
I want your psycho
Your vertigo stick.

Muffy

[blizzardboy]

genuflect on the words of the great philosopher S.J.A.Germanotta, who mused:

I want your ugly
I want your disease...
I want your psycho
Your vertigo stick.

Aaah, those words...they cause me to feel inside like birds flying in a frenzy through the torn curtain of the rear window.

Yes, fresh bloods, indeed. 5 sleeps until D-day then fury will be unleashed on my body. Hypometabolism beware.

[DreamDiver]

Thought y'all'd like to read this article on hypo and apnea (I'm investigating this connection for our local meetup of forum members as most have or suspect hypothyroidism): http://ajrccm.atsjournals.org/cgi/conte ... /160/2/732
...

So... is this implying that it's possible that some people diagnosed with CompSA could really be misdiagnosed hypothyroidism?

genuflect on the words of the great philosopher S.J.A.Germanotta, who mused:

I want your ugly
I want your disease...
I want your psycho
Your vertigo stick.

Aaah, those words...they cause me to feel inside like birds flying in a frenzy through the torn curtain of the rear window.

Yes, fresh bloods, indeed. 5 sleeps until D-day then fury will be unleashed on my body. Hypometabolism beware.

Lady Gaga? ?? (Does this make us all her 'little monsters'?)

[-SWS]

Crazy people... A thread full of wonderfully funny and helpful crazy people!

Blizzardboy, we look forward to hearing those lab results.

[Muse-Inc]

...is this implying that it's possible that some people diagnosed with CompSA could really be misdiagnosed hypothyroidism?...

From the reading I've been doing, I think ruling our ANY form of thryoid problem is as critical as a PSG in the beginning of the journey for restful sleep. There are just too many variables and thyroid issues could be a huge factor.

[fiberfan]

Mine have been jumping all over the place so I wonder if there are times in the day when the TSH goes up really high and then shoots back down again (somewhat like the liver's regulation of glucose)?

My naturopath's instructions are that I should have my blood work done 4-6 hours after taking my thryoid med. I am on a twice daily (different doses) compounded synthetic equivalent to armour so it might be related to that. My doc also pays the most attention to free t3 and free t4.

[Muffy]

Aaah, those words...they cause me to feel inside like birds flying in a frenzy through the torn curtain of the rear window.

In an uncanny coincidence, did you notice how Muffy similarly makes a cameo appearance in all of her posts?

Muffy