Muse's ResScan & SpO2 Graphics -- Lotta Wakeups

[Muse-Inc]

OK, 2 night's so far. Here's Apr 27, 2010 (.png). I have no idea why part of the chart is grayed out like that (and I'm gonna not pixel edit it, I'm too slow at it ) Lotta wakeups
My AutoSet II is set one hr behind real time so if I sleep late or take a midmorning nap on the weekends, it won't mess with the data at the noon rollover.


Last night: Apr 28, 2010 (.png) Alarm kept going off--slip sliding on finger.

Too soon I think to ID any relationships. Will post some of the earlier images when I master this copy pieces, paste and not screw anything up resizing graphs thing

[echo]

bump.

Also leaks do not seem to be under control? In the first graph, as your leaks went up, pressure stayed the same, and SPO2 went wayyyy down, between 2:30 and 4am.
Second night at around 2:30 and 4:30 you also had some major drops but I don't see anything in the data to correlate with...

What's the problem we're trying to solve?

[Muse-Inc]

[quote="echo"]...leaks do not seem to be under control?
My Hybrid vents more than the ResMed FFMS, so I expect some leak to be reported.

In the first graph, as your leaks went up, pressure stayed the same, and SPO2 went wayyyy down, between 2:30 and 4am. Second night at around 2:30 and 4:30 you also had some major drops but I don't see anything in the data to correlate with...
Odd isn't it.

What's the problem we're trying to solve?
Trying to see if there's an obvious...read fixable...cause for my multiple nightly wakeups. They started up as my thyroid started to go wonky(TSH 3+ rising up to 5.91, now down to just under 3) and that may be the cause, blunted response to ventilatory control mechanisms...maybe. I don't feel good until my TSH gets close to 2 and under. On the other hand, I had a lot of arousals in my '07 PSG but they seemed to stop (or at least I stopped being aware of waking up) for my first 17-18 months on CPAP therapy. SuperGeeky loaned me his CMS 50D handheld pulseox as I decided that was something to look at. So far the only thing that seems obvious is my pulse rate seems to change a lot.

[Muse-Inc]

4/29/2010 graphs:

I still don't see anything.

[echo]

Are you noting the times of the wake-ups as well?
I also don't see much, except those leaks. I assume if your mask is entered correctly in your machine, then even with the normal mask venting the leak should be reported as 0.

[Muse-Inc]

4/30/2010. Interesting: as my SpO2 flattens, my pulse is more stable...so which occurs first. Beginning to think this is not going to yield any useful data that will help me resolve the wakeups...ah well, will continue for a bit to see if anything does turn up. If nothing else, these printouts will serve as conversation at my sleep doc appt

[Kalisto]

Hi Muse how old are you?

Im no doctor but your bpm looks quite high at 72? Do you suffer from tachycardia?

Should your bpm not be around 60 when sleeping? Maybe thats a reason you are restless?

ps. correct me if im wrong, maybe 72 is still considered normal.

[DreamOn]

Just for reference, I checked my pulse oximeter reports, and my average nighttime pulse rate is in the mid- to low 60's. Hyperthyroidism can cause raised pulse rate. Hyperthyroid can cause frequent sleep arousals. From http://drhotzeblog.netymology.com/2006/ ... p-at-night:

"Sleep-related symptoms of hyperthyroidism can include insomnia, frequent waking, restlessness, anxiety, heart palpitations, restless leg syndrome, and tremors, all which can disrupt sleep. While some hyperthyroid patients report feeling energetic, many do not, and complain of fatigue and exhaustion, while at the same time feeling 'keyed up' or anxious. They go to bed feeling exhausted, but have a difficult time getting to sleep, remaining asleep, and may wake unrefreshed."

Muse, you may want to see if your thyroid medication needs adjustment, and also may want to look at all the supplements you're taking to see if there could be any cause/interactions there. I hope you work it out soon. We all know how difficult it can be not to sleep well.

[Muse-Inc]

...We all know how difficult it can be not to sleep well.

Sucks that's what it is . Not enough sleep...trouble getting sleepy & falling asleep and staying asleep. Plus, I'm goint thru a dreading sleep phase right now. Add in mask leaks and nightmares the past few nights. Oh yeah, add in work stress and worry about just how long this temp job is gonna last. Whadda get? One very stressed, tired person. Bought some melatonin+ theanine+valerian to try tonight. Sleep doc appt in 10 days. Gonna take all the printouts and list of symptoms and let him help me sort it out and come up with a plan.

[echo]

Oh muse, i can definitely sympathize! When you have all those things going on, it makes it hard to focus, stay patient, and fix the problem. I'm also dealing with various issues that are causing stress, and I too have that dreaded "I dont want to go to sleep" feeling , but then in the mornings I don't want to get out of bed. My friend was recently asking if I was depressed..... who knows, when one is at the end of one's rope....

I don't think 72 is necessarily high, but I too have a slower heart beat at night than during the day (usually low 60s). That, and the low blood pressure, were like that before the hypothyroid treatment started. My doctor said the same about being over-dosed with the thyroid meds, that you will get anxious/nervous, heart palpitations, and sleep problems.

So back to the wake-ups, GERD, GERD, GERD.... ?

[Muse-Inc]

Oh muse, i can definitely sympathize!
Thanks. Therapy good but sleep is not restful & after sleeping with a recording oximeter, it's not because I'm desatting -- that's good (therapy good) and bad (not a cause).

...being over-dosed with the thyroid meds, that you will get anxious/nervous, heart palpitations, and sleep problems.
Don't think so, been there; still have symptoms of low thyroid

So back to the wake-ups, GERD, GERD, GERD.... ?
Don't think so, have never had stomach issues, no pain, no sore/dry throat...will add it to the list of possibles.

[echo]

Well...if none of these suggestions work out for you, and the other issues are stable (eg thyroid, eliminating GERD, reduce stress (easier said than done!) ) maybe it's time for another sleep study with your current settings. ?

[Muse-Inc]

...maybe it's time for another sleep study...

Yup. Needed one last June -- not possibe then and still not possible. I was laid off Mar '09. Been working a temp job the last 6-7 wks that's likely to end at the end of this month or in June -- so, there's just no $ for co-pay, insurance or not.

[echo]

Got it. Sorry to hear it's been so long. I'm only on week 3 of that fun little adventure.

Well, pull out the video recorder and see how you're sleeping! We've exhausted all other possible ways of measuring your sleep at home...

[Muse-Inc]

I decided that I would list all the hypops & the few apneas I've had this month, time they occurred, & pressure at the time they occurred. I am also listing that session's median, 95thcentile, and max. All to see if there's a pattern to these wakeups or something I am/am not doing. I've been tracking my congestion at night & morning too as I've been more congested than usual this Spring pollen season; in late twice this week, awful allergy-sinus headache...using the full assortment: Nasonex, Astepro, Ocean, even did some nasal irrigation, a few shots of Afrin, staying inside/in AC this season.

I am making a heroic effort to get more sleep each night; it's a challenge trying to get back into a rhythm.

Will take this data into Friday's appt with sleep doc...haven't seen him since I got the AutoSet II and his RTs checked it out...maybe he'll have some thoughts on all this. Saturday is our local Forum Meetup & I've asked everyone to bring their SpO2 data and/or APAP/BiPAP data so we can discuss where we are in our therapy and see if we can spot patterns that might help us achieve more restful sleep.