Urgent advice needed - In hospital - Lots of CA's and respiratory feels depressed

It is always amazing how many things get blamed on anxiety. Anxiety is real, but sometimes it is just a blanket to cover up what is really going on.

In the off chance you are suffering from anxiety may I suggest dropping by the lounge and tuning in the Women's World Chess Championship. It is going on from May 2 - 20 so you may be able to tune in the finale.

OK enough fooling around...

Your oxygen alarm may be triggered by an artifact that interferes with the reading and causes the level to drop. Do you have access to your SpO2 report to read the amount of artifacts being recorded?

Artifacts are generally caused by finger movement that disrupts the beam being read and the recording software doesn't know what to do so it sounds an alarm. However in this case the reduction is a result of lost signal and not a reduction of blood oxygen levels.

Here are screenshots of early morning that go with the sleepyhead screenshot.
My alarm went off at around same time as their official medical O2 monitor that is standing next to my bed. i had their sensor on my right hand finger, and my sensor on the left hand. their's showed it dropped to 85% during one event. So since the medical grade O2 sensor went off, that is pretty trustworthy that my O2 is dropping.

Also look at all the flucuation here in O2. I normally dont have that flucuation so bad. It normally is fairly staright at 93-94%, then in REM sleep it flucuates more. But never as much as i see here.

I would suggest turning your PS down to 1, maybe 0, until this resolves.

The extra ventilation of the PS may be depressing your respiratory drive enough, in these different circumstances, that you're having some centrals as a result.

Try that, take a nap, see what happens... if this fixes it, then you can nudge the PS back up after you get home.

In certain situations, hospital docs need to keep your sleep doc in the loop to understand fully how your conditions and medications relate to sleep-breathing. That's why docs certified in sleep exist and why they need to have a say as a member of your team.

Your second graph shows an increase in heart rate at around 05:37. This pattern looks more like a position change and could possibly be an artifact.

The first graph show an increase in heart rate at roughly the same time as your oxygen levels drop. This pattern may be the real thing, but it shows up at roughly 06:28 and that is about the time you woke up.

Oops, after saying all of this I just realized that your oxygen graphs were from 5/19 and I was comparing them to your sleep graphs from 5/18. Do you happen to have oxygen data for 5/18?

It's worth trying the reduction in Pressure Support that Palerider suggested.
Won't hurt anything that I can think of and it might just help.

Are forum members protected from litigation resulting from giving medical advice on this forum?

Selenium1% wrote: ↑

Sat May 19, 2018 4:14 pm

Are forum members protected from litigation resulting from giving medical advice on this forum?

The CPAP Police have not arrested anyone yet. By the way...why are you here if not to get advice?

LSAT wrote: ↑

Sat May 19, 2018 4:26 pm

Selenium1% wrote: ↑

Sat May 19, 2018 4:14 pm

Are forum members protected from litigation resulting from giving medical advice on this forum?

The CPAP Police have not arrested anyone yet. By the way...why are you here if not to get advice?

Just read the user agreement.
Then read the disclaimer at the bottom of this page.
Why DID you join the forum, Selenium1%?

Here are from today. I'm still unable to sleep long. Have insomnia or something. And my O2 alarm i have set to 85 still goes off.
I have odd breathing now too. In the 3rd screenshot notice how my HR and O2 is all over the place. Several days ago, these used to be fairly steady lines. This is truely messed up and im not sure what is going on.

My HR used to be in 50-70 but now it is 70-100 when laying down and trying to sleep.

LSAT wrote: ↑

Sat May 19, 2018 4:26 pm

Selenium1% wrote: ↑

Sat May 19, 2018 4:14 pm

Are forum members protected from litigation resulting from giving medical advice on this forum?

By the way...why are you here if not to get advice?

Asshats trying to causing trouble.

Selenium1% wrote: ↑

Sat May 19, 2018 4:14 pm

Are forum members protected from litigation resulting from giving medical advice on this forum?

Are the Ad's on your T.V. protected from it. More lying and false info on T.V. than here, only they do it for profit, not to help. Jim

OK, let's start with the obvious...

Your heart rate is variable. The last graph shows a higher "average" heart rate than your previous graph shows. However, keep in mind that a flat line heart rate occurs just before death. I would offer a wild guess that your heart rate indicates that you are not near death.

It is interesting that your drop to 85% oxygen and the spike in your heart rate comes at almost the end of your sleep. My first thought is that you startled awake and moved around causing some inaccuracies in the measurement. It would be interesting to set up a camera to record your tossing and turning to see if there is a correlation there. That is most likely not going to happen.

I would be more concerned if the O2 drop and heart rate spike occurred at something like 17:10 and then occurred again at something like 17:20 and so on. I am not sure what to make of one dip.

Looking at your hear rate graph, it is gradually sloping down over time, and that is somewhat normal.

At this point it is unclear what is going on. It's time to discuss this with your doctor. An EKG would add more useful information and rule out PVC or flutter or irregular beats, but that would come from the doctor.

The best I can do is say a prayer for you that you will somehow get a restful nights sleep and wake up ready to great the day.

Well after adjusting pressure support to PS2 and MinEPAP 5,4 that helped for tonight, I got a few hours of sleep with no O2 drops, and instead of usually a 93-94% O2, I got between 95-97%.

I think they may release me today from the hospital. I'm ready to go home. I just wish I could figure out what causes those days where i feel unwell and then at night i have a lot of CA's and can't sleep. I asked the doctor for some tests but it doesnt look like they are too concerned, since this only happens occassionally.

Great news that you feel ready to go home. I would just keep a close eye on your data, and how you feel, in the near future. And maybe book a follow up appointment sooner than later with your normal doctors. If the settings you are using work, just stick with them unless otherwise indicated by the data - assuming the therapy is comfortable and you are able to sleep fine.