CompSA, Hypoventilation, PLMs, Bradycardia and Hypotension?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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blizzardboy
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Re: CompSA, Hypoventilation, PLMs, Bradycardia and Hypotension?

Post by blizzardboy » Sat Jul 10, 2010 8:40 pm

Muffy wrote:That's disgusting.
Only if one is sitting on a stool.
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Muffy
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Right Next To The Bearded Lady...

Post by Muffy » Sun Jul 11, 2010 7:17 am

blizzardboy wrote:
Muffy wrote:
blizzardboy wrote:Naturally when one finds oneself diagnosed with condition X one looks back through one's annals...
That's disgusting.
Only if one is sitting on a stool.
For the record, just how many "annals" you got there?

I mean, are we talking like carnival attraction?

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Re: Right Next To The Bearded Lady...

Post by rested gal » Sun Jul 11, 2010 7:41 am

Muffy wrote:For the record, just how many "annals" you got there?

I mean, are we talking like carnival attraction?

Muffy

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-SWS
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Re: CompSA, Hypoventilation, PLMs, Bradycardia and Hypotension?

Post by -SWS » Sun Jul 11, 2010 8:43 am

SleepingUgly wrote: I had alpha intrusions noted on my sleep studies dating back to 1995, and only started having pain in 2006...Maybe alpha intrusions are like prophecies
Perhaps alpha wave intrusions (AWI) serve as preliminary or precursor symptoms in some cases---with AWI initially resulting from subliminal pain that progresses into supraliminal pain months/years later.

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Re: Right Next To The Bearded Lady...

Post by blizzardboy » Mon Jul 12, 2010 12:02 am

Muffy wrote:For the record, just how many "annals" you got there? I mean, are we talking like carnival attraction?
BB the Clown: headline act of See-Pap's Five Ring Circus. My feature performance - simultaneously taming 5 lions with stools - always makes the kiddies gasp. A true freak of nature.
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Re: Right Next To The Bearded Lady...

Post by timbalionguy » Mon Jul 12, 2010 12:48 am

blizzardboy wrote:
Muffy wrote:For the record, just how many "annals" you got there? I mean, are we talking like carnival attraction?
BB the Clown: headline act of See-Pap's Five Ring Circus. My feature performance - simultaneously taming 5 lions with stools - always makes the kiddies gasp. A true freak of nature.
I can supply you with all the lion stools you want!
Lions can and do snore....

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Re: CompSA, Hypoventilation, PLMs, Bradycardia and Hypotension?

Post by blizzardboy » Mon Jul 12, 2010 1:07 am

-SWS wrote:Perhaps alpha wave intrusions (AWI) serve as preliminary or precursor symptoms in some cases---with AWI initially resulting from subliminal pain that progresses into supraliminal pain months/years later.
Apart from not being able to kneel without pain for some years, I have also had acute pain in my wrist and ankle ligaments when I stretch my hands or feet palm/sole-wards - I just put this down to getting older and being less active. Maybe this is some sort of carpal tunnel-type problem, a feature also associated with RA, if I have read Goog-Oracle correctly. (Subliminal) "pain is such a rush" - NOT!
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Re: Right Next To The Bearded Lady...

Post by blizzardboy » Mon Jul 12, 2010 1:24 am

timbalionguy wrote:I can supply you with all the lion stools you want!
I'll deposit that nugget in my annals.
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Since starting on prednisone

Post by blizzardboy » Sat Jul 17, 2010 6:00 pm

Hi all,

I think this data shows some interesting trends in my respiration data, as recorded by a VPAP Adapt SV, since I commenced consuming 25mg of prednisone (an oral steroid) every a.m. to treat relatively-newly-emergent joint pain and inflammation:
Image
Notice the clear increase in minute ventilation and RR (95th percentile) with the steroid in my system. In combination with 400mg ibuprofen I can wake up without joint pain. Not sure of the clinical significance of this trend. I am now without EDS. Off to see a rheumatologist tomorrow. Cheers,
Last edited by blizzardboy on Sun Jul 18, 2010 5:07 am, edited 2 times in total.
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Re: CompSA, Hypoventilation, PLMs, Bradycardia and Hypotension?

Post by SleepingUgly » Sat Jul 17, 2010 6:07 pm

Are you taking ibuprofen daily for a long period of time? If so, think about adding a PPI.
Never put your fate entirely in the hands of someone who cares less about it than you do. --Sleeping Ugly

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echo
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Re: CompSA, Hypoventilation, PLMs, Bradycardia and Hypotension?

Post by echo » Sat Jul 17, 2010 6:18 pm

Hey BB, sorry I haven't been following this forum for about 2 months now and in the meantime this monster thread has grown to an insane 70+ pages (so that means I need to catch up on about 35 pages ).

Anyhooo, I see you are now dealing with arthritis issues? Did you ever resolve the hypothryoid question? One of the symptoms of hypothyroidism is joint pain. Did I post this here already? : http://thyroid.about.com/cs/hypothyroid ... cklist.htm

on a personal note, I had been getting more and more joint pain especially problems in my knees (which my doc said was due to age, a ripe old 32! ), but since getting on the right dose of the thyroid meeds it seems to be getting better, and no pain left at all in my fingers. Fwiw.
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Muffy
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Re: Since starting on prednisolone

Post by Muffy » Sat Jul 17, 2010 7:42 pm

blizzardboy wrote:Not sure of the clinical significance of this trend.
Do you have trend oximetry reports?

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SPO2

Post by blizzardboy » Sat Jul 17, 2010 11:16 pm

Muffy wrote:
blizzardboy wrote:Not sure of the clinical significance of this trend.
Do you have trend oximetry reports?
Hi Muffy, Looking at the SPO2 reports that I have taken over the last 3 months:
http://users.adam.com.au/sixsome/ASV/04 ... 042010.JPG
http://users.adam.com.au/sixsome/ASV/04 ... 042110.JPG
http://users.adam.com.au/sixsome/ASV/05 ... 052410.JPG
http://users.adam.com.au/sixsome/ASV/06 ... 060210.JPG
http://users.adam.com.au/sixsome/ASV/07 ... 070910.JPG
Nothing stands out as far as average SPO2 goes, staying in the 94->95% band according to the pulse ox. software. Cheers,
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RA diagnosis by rheumatologist

Post by blizzardboy » Sat Jul 17, 2010 11:40 pm

blizzardboy wrote:Tomorrow I am off to see a rheumatologist.
Rheumatologist believes I have rheumatoid arthritis, and that it is purely coincidental that I also have OSA. When I mentioned the possibility of fluoxetine-withdrawal-induced RA symptoms, he commented that this was unlikely due to RA symptoms emerging prior to fluoxetine withdrawal. Didn't believe that there was any evidence for hypothyroidism based on thyroid function blood results and my normal cholesterol levels. He also didn't believe that I had hyperparathyroidism based on my normal calcium results.

Based on my symptoms and blood results he believed that I have rheumatoid arthritis, something that affects 1 in 400 males.

So now I am starting on: methotrexate; an antimalarial drug; folate; and a specific brand of Norwegian fish oil for its omega-3 anti-inflammatory benefit (discovered through clinical trials done at Adelaide University; has mercury and vitamin A removed). I am to gradually weaning off prednisone - according to the rheumatologist my GP had prescribed me quite a high dose of the oral steroid - and ramp up my dose of methotrexate over the coming weeks. Weekly blood tests have been prescribed. The rheumatologist said that I am not to take ibuprofen (NSAID) while taking the steroid, but can take paracetamol if an analgesic is required to assist with sleep.

So there you have it: BB is currently a member of the RA-OSA-PLM-AWI subset. Cheers,
Last edited by blizzardboy on Mon Jul 19, 2010 1:34 am, edited 2 times in total.
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Re: CompSA, Hypoventilation, PLMs, Bradycardia and Hypotension?

Post by blizzardboy » Sat Jul 17, 2010 11:46 pm

SleepingUgly wrote:Are you taking ibuprofen daily for a long period of time? If so, think about adding a PPI.
Hi SU (hopefully with a healing throat), on the 5th of this month I started taking 400mg of ibuprofen with milk most nights before bed to successfully assist prednisone in suppressing the development of pain and swelling in my joints as I sleep. Last night I didn't take it and I had developed sore finger joints by this morning. What do you reckon, enough ibuprofen to warrant munching on a few PPIs? Cheers,
Last edited by blizzardboy on Sun Jul 18, 2010 5:06 am, edited 1 time in total.
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