CompSA, Hypoventilation, PLMs, Bradycardia and Hypotension?

[Muffy]

Would you say that I was probably experiencing this SoS during a SWS stage, and then I had an arousal at the end of the SoS which resulted in the steep pick up of my VE?

You're starting to fall out of the SWS Window (funny word picture) a bit, but sure.

Kind of ironic when you think about it (not falling out of SWS's window, but looking essentially at artifact and interpreting that as stable sleep).

Artifact usually equates to bad sleep or wake.

Muffy

[blizzardboy]

Kind of ironic when you think about it (not falling out of SWS's window, but looking essentially at artifact and interpreting that as stable sleep).

Hi Muffy, In the context of a sleep centre, how common is it to see a 38-yo male with minute volume dropping down to 3.5L/min, or less, when perched on stable window of SWS?

[Muffy]

Dang!

I had to fix a spelling error, and now have an "Edited" tag!

I hate that!

Kind of ironic when you think about it (not falling out of SWS's window, but looking essentially at artifact and interpreting that as stable sleep).

Hi Muffy, In the context of a sleep centre, how common is it to see a 38-yo male with minute volume dropping down to 3.5L/min, or less, when perched on stable window of SWS?

If a sleep centre was going to looke for nocturnal hypoventilation, they would be monitoring TcpCO2 or ETCO2 (or maybe sneaking in for an ABG), and not relying (or shouldn't be, anyway) on a trende channel.

Muffye

[blizzardboy]

Dang!

I had to fix a spelling error, and now have an "Edited" tag!

I hate that!

Yeah, one must be quick or one earns a tag!

If a sleep centre was going to looke for nocturnal hypoventilation, they would be monitoring TcpCO2 or ETCO2 (or maybe sneaking in for an ABG), and not relying (or shouldn't be, anyway) on a trende channel.

Maybe already discussed within the bowels of this thread, but during hypoventilation PaCO2 can be higher than desirable in spite of SpO2 being within reasonable limits, right?

[blizzardboy]

According to that disgorged by Goog-orac-le, these are my latest suspects for explaining my condition:

Hyperparathyroidism and pseudogout.

When I get a chance I will try to link my symptoms to these conditions, if I can!

Cheers,

[SleepingUgly]

According to that disgorged by Goog-orac-le, these are my latest suspects for explaining my condition:

Hyperparathyroidism and pseudogout.

When I get a chance I will try to link my symptoms to these conditions, if I can!

Cheers,

Shouldn't a placebo work well for pseudo-anything?

[blizzardboy]

As a further aside, man, you gotta put some salve or something on that alpha intrusion.

Hi Muffy, Thanks for tip - I found down this at the local $2 store: Should do the trick?

[blizzardboy]

Shouldn't a placebo work well for pseudo-anything?

Hi SU, Maybe if I eat an apple every day?

[SleepingUgly]

Shouldn't a placebo work well for pseudo-anything?

Hi SU, Maybe if I eat an apple every day?

Maybe a sugar pill. Unless you believe in that apple business.

[blizzardboy]

Maybe a sugar pill.

Ha, that's hilarious - as if a sugar tablet would do anything for you! I'll stick with real medications, like ZaccArin and GlewKose, as they really have helped me in the past when prescribed for a whole heap of problems.

[Muffy]

...during hypoventilation PaCO2 can be higher than desirable in spite of SpO2 being within reasonable limits, right?

Correct.

Muffy

[rested gal]

Shouldn't a placebo work well for pseudo-anything?

Makes pseudo-sense to me!

And maybe a pseudo-placebo would work even better than a plain placebo for pseudo-anything.

[blizzardboy]

...maybe a pseudo-placebo would work even better...for pseudo-anything.

Hi rg, Today I started taking the pseudo-placebo prednisolone (25mg; working a treat right now to stop my joint pain ) for my new pseudo-anything: probable rheumatoid arthritis.

"Probable" because I received the following blood results from my GP:
Rheumatoid factor 48 IU/ml (regular<14)
CCF Ab 62 U/ml (regular<17)
ESR 25 mm (regular 0-20)
C-Reactive Protein 11 mg/L (regular 0-5)

Next stop for me is a rheumatologist - i.e. BB's battle has opened up on second front. I am still waiting to hear from my sleep doctor for his take on my PSGs.

My GP did not think there was any correlation between my use of CPAP and the onset of my joint pain and swelling. I am not convinced of this coincidence just for now. So there you go, yet another twist in the epic that is this thread. Cheers,

[Muffy]

My GP did not think there was any correlation between my use of CPAP and the onset of my joint pain and swelling.

Does he think there's any correlation between the discontinuance of fluoxetine and the appearance/increase in severity of RA symptoms?

http://www3.interscience.wiley.com/jour ... 7/abstract

Muffy

[blizzardboy]

Does he think there's any correlation between the discontinuance of fluoxetine and the appearance/increase in severity of RA symptoms?

http://www3.interscience.wiley.com/jour ... 7/abstract

Hi Muffy, Interesting abstract, thank you. I will discuss this possibility with the rheumatologist, with an emphasis probably more on "increase" rather than "appearance" as my joint pain and swelling was well under way prior to weaning off/quitting fluoxetine (first signs during Easter weekend).

As an aside, quite amazing for me to see how affective the oral steroid has been in treating my joint symptoms; Three 25mg tablets of prednisone over two days has restored me to near-perfect joint function. Before obtaining the script from the GP my joint pain and swelling had started to debilitate me to the point of distress. The GP did tell me that the steroid would provide fast relief.

As far as the treatment of my sleep apnea-hypopnea is concerned the Adapt SV tells me that everything is well in hand. As far as arousals and sleep quality are concerned I am wondering if another overnight PSG might be coming my way in the next few months, especially given the arrival of RA in the mail. What do you make of it all Muffy? Cheers,