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gretchen
gretchen

CPAP - low oxygen saturations nocturnally

I'm wondering if anyone else here is on CPAP or BiCap. I've been undergoing sleep studies, recently had an AEEG (ambulatory EEG) and am going to have two more medicated with Ativan, but my oxygen saturations are way low, way TOO low when I sleep and at least part of that is due to an astounding amount of nocturnal seizures I just found out. Also maybe periods of apnea lasting about one minute and I sleep "too profoundly". I don't move around in my sleep much at all, don't breath often or deep enough for some reason. I do know all of my life it takes me a good solid hour to really get fully conscious. I've always tossed it off to just being me and everyone throughout my life has known not to bug me if possible when I first wake up and for about an hour after. When I was raising all my babies? I'd get up and nurse them or give them a bottle and never remember it. I'd be alarmed in the morning sometimes, say to my husband that whatever baby at the time didn't wake up to be nursed, alarmed and he'd inform me I got up twice and nursed them or he'd get them, bring them to bed and I'd nurse them there, change their diapers too, and I'd never remember it. That was really alarming to me. I'd even get up and medicate 4 of my children with all different medicines with different alarms for each. I'd set out all their medicines before I'd gone to bed and I would medicate them, not remember, sometimes medicate them again, give them someone else's medicine, not hear the alarm at all. It was a mess because - I was never really totally awake or couldn't wake up. If anyone else out there has sleep apnea - are you like this also? Now I'm told I need CPAP. I have been on CPAP when hospitalized and frankly I found it intolerable. I'm really fighting it. Another person in the know suggested I explore BiCap, which I'm going to do. But I'd love to hear from anyone else who has sleep apnea, low oxygen saturations, many nocturnals for me probably causing alot of this, and how they handle all or any of this without CPAP or people who have to have CPAP and how they handle that. Also if someone has low oxygen saturations nocturnally and do you have trouble waking up. I just can't imagine being hooked up to that every night. I found it an extremely uncomfortable way to breath. I also have refractory asthma BTW.Gretchen

By gretchen at Tue, 05/10/2005 - 12:53pm | 1240 views | 28 comments

Recent Comments on this Discussion

Gretchen: CPAP really did help my Son when he was having TC seizures every second day. They decreased in frequency after about a week. He wore a full face mask for the first 3 months. We increased the pressure gradually as instructed by the sleep clinic. He did not want to participate in this therapy. He did not want it to work. As we increased the pressure his Seizures became more and more controlled. The full face mask is a pain, it left marks on his face and caused ugly gigantic zits to appear on his nose. but even he had to admit he felt better, less tired and able to think better. He used the full face mask because he is a mouth breather and did not think that he could keep his mouth shut with the nose pillows ( little plugs that fit into your nostrils).Because the full face mask was causing problems he decided to try the nose pillows. After 2 days the change was dramatic. He actually smiled in the morning!!He had a sleep study done again to assess the correct pressure for optimum sleep. They saw that he did not have many apneas but did have low oxygen levels with out the mask because he has respiratory problems while sleeping. The pressure for his CPAP has been increased, he is sleeping longer, he actually gets tired now (this has always been a problem) and the Myoclonics are decreasing dramatically. Incidentally the acne that covered his face a few months ago has been disappearing. We all (as a family) resisted the idea of CPAP for about a year, until we were desperate to try anything to help the worsening seizures. You will hear the same thing to anyone that needs the help of CPAP therapy say the same thing. It is not easy to get used to, but stick it out because it will change your life!!
willsmom
p.s.I just re read the post and thought I should make this clear. Being tired and sleepy are too different things for my son. He has been tired constantly for the past 4 or 5 years. In the past month he has not been tired and draggy all day!!Although he was constantly tired he was rarely sleepy... always overtired I guess.He now gets sleepy at night!!!
willsmom
Thank you all for your input. I guess really deep down I know I'm choiceless, but it's a hard emotional commitment for me to make. And yes, the full rigid mask I had in the hospital did hurt my face. I'm very fair. The marks once it was taken off remained for a very long time. I'm not sure how long I wore it either. I haven't had active zits now but as a teen and well into my 20's I had polycystic acne, had a face peal in my 30's removing most of the scars, but I wonder if I'm still prone to pimples. I take really good care of my skin, have all of my life, after going through the horrors of polycystic acne but sometimes that's just not enough. Wearing CPAP in the hospital it wasn't for night time sleeping but weaning out of a sedation coma or a very long status seizure where I had to have so many sedatives to stop the seizure, it depressed my respirations too much or my seizure was so severe I stopped breathing and had to be intubated and then was weaned onto CPAP. They haven't done that often though, I don't think. The key word here is "think", which I'm not really able to do well after one of these seiges so my personal medical history account I have to rely on my family.All day today I was going to call my respiratory therapist, but didn't do it then I ran into him at the bank! YIKES! I have a script for the CPAP now. I called my doctor to get a script for the BiCAP also, just so I could try both.Thank you all for your shared experiences. It was really interesting to me how Classy, Will and I seem to feel the same all the time. And, yes, I do know that difference between tired and sleepy. I so often feel drugged out, tire easily, have to pace myself, but have problems many nights going to sleep because I'm not sleepy enough. Made total sense to me :)Classy I'm just going to give you my opinion, and please realize that is all it is, not medical gospel, okay? I assume you're referring to your EEG and MRI as rule out testing? IOW when you're first diagnosed and sometimes after you're diagnosed, EEGs, MRI's, CT scans, other testing will be done. In my opinion, knowledge base, EEGs are testing for one thing - brain wave patterns. MRIs or CTs are testing for another thing - physical abnormalities in the brain. Some people have epilepsy because they have a physical brain abnormality which would show up on a scan and may show up also in abnormal brain waves on an EEG. If so, that would aid your physician in treating your epilepsy. For instance if you're seizing because you have a brain tumor or a cyst? That'd need to be known, attended to. Seizures might have been the symptom that lead to that discovery then by an MRI. Some people have epilepsy for other reasons and can have an abnormal EEG, or abnormal brain waves, but show no physical abnormality on a scan because that isn't the root of their problem. In truth a brain researcher told me several years ago that many forms of epilepsy, and maybe it's most, I'm not sure, the total reason why we seize isn't known unless there is a significant brain abnormality. Or, the researcher said, they can "map" abnormal electrochemical activity, but it's not known why that's occuring, which causes a seizure. In myself? When I was first diagnosed I had the standard "rule out" testing: MRI scan, EEG, blood testing, neuropsych eval. Everything was normal except for my EEG, which showed spiking without a seizure. In my case? I clearly have genetic generalized seizures, with 7 family members who also have generalized epilepsy. I developed TLE's though from a head injury. Also, some people have seizures but have normal appearing EEGs. Now I THINK I'm right about all of this but even though I'm an RN? I'm rather neurologically stupid and the first to admit it. I hope though that helped answer that question.In answer to your other question? I would contact your contact, whoever wrote to you should have given a phone number, and ask them what medical records they want. There is also an 800 number to call that is supposed to be able to answer all of these questions and on most of my correspondence from Social SEcurity that 1-800 number is usually on there. It's also probably on the Social Security site. I've called them a lot. I don't find them able to answer more than the general questions but they might be able to answer this question of yours. I didn't have to gather my records. My case worker did it. But I know in my case she gathered records only pertaining to my disabilities, I have 3, because I'd moved to that area, immediately got epilepsy, discovered lung lesions, my asthma went bonkers, so ALL of my medical care revolved around these problems. Thus ALL of my medical records she would have known about, and gathered would have reflected the health problems I have. I don't think she even knew where I'd moved from where I had the regular medical care without all these problems, so much, I guess. Gosh I sound so ILL don't I? Well in truth this winter has really been frightful. I've had liver failure, which is now resolving, at least for now, and preliminarily I'm thought to have chronic serum hepatitus. Pending results of testing still. I've had pancreatitus. Right now miserable shingles from nerves I'm told, and I can sure verify THAT! But on the other hand? I exercise every day. I laugh, sing, cook up a storm, go fishing and hunting, hire out for dog training, love living and also veg out a lot, way too much for my tastes. I am a champeen napper! I do tend now to be a sprinter, not a long distance runner as I always was before. I use to always run at such a high energy level, all the time. Then about once every few weeks I'd collapse into bed and sleep 15 hours or more. Recharged again and up and going again. Course I was younger too. I was a midwife, thus was called all hours of the day and night. I also worked night shifts at a hospital. I ran a very busy nursing consulting business and I had 11 children, 4 of whom have significant health problems. I think I got into a groove where I just went and went like a Duracell battery, I was so darned tired all the time it felt normal. I didn't expect to feel differently. I actually think the times I wasn't tired? It made me feel nervous. I wonder if that's true? During those years someone labeled me, my kids caught onto it and called me "Sparky" instead of mommy. Odd ball family humor I guess. Friends have told me I probably have adult ADHD and I figure - thank God, I probably NEED IT! hehe. My mind can be going a million miles an hour but the old bod just isn't keeping up any longer. But gosh when you seize all night? That's like working in your blasted sleep! I hate waking up all the time feeling like sludge. Then too we're all fighting post ictal all the next day. If I may so say? My medical opinion is? Epilepsy? Sucks. Even though this sleep problem isn't new, it's worsened, seeing a pulmonologist so much she's investigated all of this. I've never complained about it to anyone else before. It's been noted during my many hospitalizations but I was hospitalized for acute unrelated problems, mainly for severe seizure trouble, and I thought it'd never been mentioned to me but my daughter who goes to as many appointments with me as she can tells me, not so. I zone out when my epileptologist talks about things I don't care to hear, to be honest. But you know IF this would reduce my sz's. Wearing CPAP? That truly gives me some drive, push, to overcome my obstinancy about trying it. I seize so much? I honestly would hesitate to even post it here. I wonder if I'd be believed. Thanks all.GretchenPS This is a funny. Stores are such an ambush for me. I have drop attacks and I'm wildly photoconvulsive and most stores have something that can drop me. My husband had this grand idea after a drop, which people recover fairly rapidly from it APPEARS, after one drop I had in the grocery I should get one of those motorized scooters, so I could sit down. Wanna know how I drove post ictal? LOL - well if you EVER need help finding something or want employee assistance? Drive a motorized scooter PI. You'll have LOTS of employees, right at your side!Gretchen
gretchen
Ms. Gretch, aka Everready bunny...lol I also lived my life at that pace, but have slowed down marginally. I guess depression is setting in, cause of all that is going on.. :-( But, this too shall pass!I can see why you had to be untubated..geeesh! My last sleep studies showed I dropped to 76%, and I too had a hard time climbing bad up to normal readings. One study showed, something like 356 jirking episodes...could that be seizures? Only my doctor knows for sure! EVen with the BiPap, I still feel drained during the day, and can only contribute that to nocturnal seizures. My old body, can't take that muscle tenseness, I guess...lol Silly question, but is seizing considered exercise?..lol Well, when we seize, our muscles do tense up, right? Ok, so it's a far reach...lolI have my SSI phone interview on Tuesday, and am prepared. It's like a double edged sword, having emphysema, and epilepsy. It seems like one feeds off of the other...which really does suck!Off to clean the house, and make the kiddies some breakfast!Have a great and safe day...and thanks again for all your help!classy
classy1g
Classy,I would like to thank you for the laugh today. I like that... Seizures as excercise.LOLJust thought I would say Hi.Dayna
pongosmommy (not verified)
Dayna,My pleasure...*g* I do find humor in the strangest of situaitons! It helps me cope.Keep safe...classy
classy1g
Hi classy,I hope all is well with you. Happy Mothers Day,Dayna
pongosmommy (not verified)
OK membbe I em gggggggggoing to getts en t rubal but this guy he wass hear I no it en I DO TOOOOOOOO NO OR I EM NOOOOOOOOOOOT A CUPP HAFF YEMPPPPPPTYU annd he ssay tthet at me 3 times an I thawt this here or an oslo i thhhhhowt hearrrrr is whhhhare peeeeeple commmmmmmmmes to ssssssssay or an oslo tto say I hafffff a p rrrrrobelm annnnnnnn gesssss not sooo I em gooooody byy ssssso thar an oslo I mmeeen it
gretchen
Don't worry about getting in trouble Gretchen.Yes this is where you are to turn if you have a problem and we your friends are here to support you. Please hang in there. E-mail me...I am at on and will remain online for you.Dayna
pongosmommy (not verified)

Gretchen,

    I don't know what you posted nor do I need too to tell you we're here for you 24/7. You're a wonderful person and a kind-hearted friend and I think you're great!    Smilers!!!

-Spiz

spiz
Thank you Spiz and Dayna. Sometimes since I've gotten epilepsy I feel very socially insecure. Both of you are always supportive to me, and many others. You both are the special ones. Thank you again for always being - who you both are.Gretchen
gretchen
Awww Gorsh Gretchen you are welcome
pongosmommy (not verified)
I am wondering if any of you only have these nocturnal seizures around the new moon. That is what I am experiencing. I know it sounds "strange" to say the least, but my husband and I have been tracking it on the calendar just to see if it was related to anything at all, like maybe how often I dye my roots (maybe a chemical reaction) or when we went out to eat. What we accidently discovered was that about 2 days after the new moon (not the full moon) I am having nocturnal seizures that seem to be brought on by nasal congestion which causes me to stop breathing, and then for the next 3 or 4 days I have periods of black outs all day long. Does anyone else experience this on a monthly basis? I have never had seizures in my life before 1999 when I started perimenopause. I am now in menopause completely, and I am 53 years old. I am scheduled for my 2nd sleep study and will probably get a CPAP machine. Thank goodness (or should I say "Thanks to my Union") I have health care. Lynn
lynn610
Lynn. Hi. What an interesting thought about the moon phases with regard to seizure. The moon effects the waves of the oceans. It has been observed that during a full moon the ER is more frequently visited. The psych wards also tend to be fuller than usual during a full moon. The moon directly effects certain peoples behavior. I have heard that the moon effects a womans menses cycle. It seems that if the moon can effect all of these other things then the moon more than likely has some effect on certain peoples seizure as well? I will have to watch the moon to see if it has any effect on seizure in me. Did you have an increase or decrease of seizure during menopause? All the best to you. Linda.
yakota
That's an interesting thought Lynn. If it did? I wouldn't doubt it at all. Yakota already gave some excellent reasons why it might. I personally? Apparently sz a LOT at night, every night, but I'm not sure if it's more with moon cycles or not. Unless certain things occur during or after the nocturnal sz for me? I'm not aware I've sz'd. A NEW oxymeter is on order for me which will record a strip with more indices per minute and I think I will keep a record or the 02 sat dips it records and the moon phases. I've seen now the difference between periods of apnea dips and sz dips. (good grief like what friend locally should I call and discuss nocturnal 02 sat DIPS! My life is becoming too bizarre - even for ME!). I worked in Labor and Delivery? For 3 years we kept track of the phases of the moon along with our birth census. This was a research project on all shifts of all qualified personnel who took recording our data seriously and I'm sure our data was accurate during that 3 year period of time. l987 was the start of the project (I typo'd l798 - like, how long was your study?) In l993 when the area where I worked had a low disturbance thingy with weird sustained and almost unheard of barometric thingys and the midwest had intense flooding as a result for days, even flooding into the non-flood plains? We started about 25% through that meteorlogical event, eventual flooding and ceaseless rain, low pressure thingies, barometric readings, other indicators recording these facets of the weather, and pre term births, false labor, arrested pre term labor, labor commencing from popped amniotic sacs (usually 10% of labor starts in this way - "EEKKSS my water broke!), assisted labor, c-sections, vaginal delivery, a follow up with volunteer delivered mothers of reports of PP depression treated and untreated, and total births, birth weights and lengths. We also plotted other potential and suspected by ONLY the nurse's observations of natural phenomena that either seemed to produce labor, such as a full moon, or a popped bag of water, such as during an intense low pressure area. We had incontrovertible proof, over 3 years. A good study, a lot of data, we wrote it up too for submission. We were told by those with more letters after their names than nurse's (a nice way to say OB/GYNS) -- we were wrong. Oh. Now what is going to happen is like what happened to me when I went up in a day almost 5,000 feet in altitude and started sz'ing and never stopped, the second day of a new job, rather tacky. I asked and I asked, "do you think the rapid increase in altitude could have started this". Answer: there is no proof of that. Well? WHAT WAS I? NOW there is a study completed, that guess what? A sudden rise in altitude over so many feet can cause someone with a low sz thresh hold to start sz'ing. NO KIDDING! I wonder if the same researchers will discover full moons, storms approaching, cause more births, water breaking? Well. I'm smugly sitting by waiting to say - I TOLD you so. I have time :)CPAP hasn't worked as hoped. Trying different masks, many different settings on the pressure, the 02 delivered? I still have very dismal nocturnal 02 sats. The theory now is I make a very poor respiratory effort when I sz, especially apparently nocturnally even with the pressurized 02. So if I'm barely making respiratory effort even under pressure and ever increasing 02 liters? If I'm not breathing I'm not going to bring in 02. Simple enough I guess. Certainly no one could sit arouond and BAG me all night. (pardon sarcasm) I seem to have a "hold my breath" type reaction during a sz under pressurized air, sort of, type reaction. In fact my 02 sats got WORSE. Gee even when I'm asleep? I'm beligerant. NOW the talk is of a humidified croup type tent. I was told it would ruin my hairdo. I feel my short , wash and go hair style can suffer far batter than my brain cells. This new area we're living in. Spring has sprung and my lungs are going to pure hell. I'm having to have the AC on with 3 air purifiers now in not that large of space. I'm not sure I'm going to make it here. We'll see. I'll let you know what the world looks like through smeary, drippy plastic at night. WHAT NEXT?It is nice to have such a devoted, persistent RT though. I was a little hesitant to even post the continuing travails of my low 02 sats at night. I USED to think being incontinent during the occasional nocturnal was THE worst thing. There are worser things huh? No one has given up though.Gretchen
gretchen1
Gretchen. Hello. Would you mind sharing with me about the "study and altitude" with regards to increased seizure? I am puzzled. Ever since coming to bc, Canada from Texas I have had considerably more seizure. Where might I be able to read about this study? I'll see what I can find out on my own. Anything you can contibute will be helpful. Thanks. Linda. (Interesting thoughts about labor, birth, and the moon. I'm another who believes there is more to the moon than meets the eye!!!)
yakota
Hi Ladies,Isn't it interesting that we mostly seem to be women? I never had any seizures before 1999 when I started to enter into perimenopause (sp?). Anyway about the new moon, which we are in right now... last night I took a decongestant because I find that I seem to get congested around this time and that seems to be the catalist that cuts off the oxygen that (as my husband puts it )makes my body hollar "hey let's get some air down here!!!! and that's when he wakes up to me seizing. So last night I was able to ward off that event. I was sleeping lightly and felt that "rising" feeling in my stomach (the aura) and just started breathing deeply, which is what I guess the CPAP machine would do for me. All I got was a little twitching in one foot. Then it happened again, and I did the breathing again and then the other foot twitched and it stopped. Then it happened one more time and my hand startted to tingle. All in all I think that being slightly AWAKE is what really stopped it, because I only have seizures when I am sleeping during the new moon. We will see what happens tonight. I'll be taking another decongestant before bed. I think that drying out your sinuses is the key not getting them moist. But what do I know I'm no doctor. nudge,nudge wink,wink! Lynn
lynn610
Lynn. Hi. Yes most of us here are women. I for one am going to be keeping track of the phases of the moon to see if the seizure I have is influenced by it. So was the E a direct result of your body being thrown into menopause? The seizure I have is horrible since starting menopause. The seizure has been absolutely dispurptive to my life. Since stating menopause I have seizure just about every day. There are a few days though that are seizure free, (not enough.)Still looking for a report on the "altitude" and "latent seizure?" Also am curious about how many of you with E were premature babies? (*Persistance usually pays off.) LOL. Linda.
yakota
UPDATE:I'm now I guess it'd be called weaning into wearing/using CPAP. I have a full face mask, it's flexible rubber type and connected to an 02 tank, set on 3 L of 02. I AM trying very hard to do this. Those who posted here who have experience with CPAP were THE ones who gave me the reasons/rationals to go ahead and do it. I've had the pressure setting adjusted once because I felt like my lungs were going to explode, but I can't adjust it. My RT has to come out and adjust it. It's getting warm here, finally, and the tight fitting rubbery mask makes me sweat, it's hot. They're bringing me a different mask I think tomorrow to try out. I asked about the nostril pillows, or whatever that is called and they said - not yet. I am wearing the mask but when I'm wearing it I can't go to sleep. They assure me, I told them that I was already assured by people in the know, here, that I realize it takes some breaking in time and I'm trying. I don't know what my sleeping 02 sats are though because so far, I can't go to sleep with it on! I am wearing it for several hours a night and then take it off, go to sleep but put it back on quick as a bunny the minute after I take my AEDs and wear it for 1.5 hours more. I'm still very draggy but I'm probably sleep deprived now too. I know it's a break in period. Thought I'd update because all of your posts were so kind. You're all great cheer leaders. I don't know if I could have made myself try CPAP without your support.Thank you all for giving of yourselves. Classy? I've been thinking of you and your SSI interview. I hope it went well.Gretchen
gretchen
Gretchen,Try sleeping with a fan on you. That helps me when it get hot in the room. Between the cpap, and the oxygen converter, it turns my bedroom into a rain forest! The fan helps with the heat, so I can sleep somewhat more comfortably!My interview went really well. The lady at the SSI office didn't think I'm have a problem taking into consideration all the medical problems that I do have. So, that was reassuring, to say the least.I called my neuro here in NJ to report side affects, and his office never called me back, so I made an appt. with another neuro in PHila. I did see him at Tom Jefferson last week. More of a second opionion than anything. Still a little perplexed as to what he said tho'. I had my MRI films, and my EEG results, and he felt that I don't have epilepsy, even tho, my EEG came back abnormal. He feels I have cough induced syncope? (sp) So, my brother is bringing him up the actual readings from the EEG, so he can read them. He said that everybody interprets them differently. If he is not happy with those results, I'm scheduled for a 48 hr. ambulatory EEG, and then a VEEG in the near future. So, I still don't know what direction I'm going in..it's getting real frustrating for me, and I just keep feel worst day by day. On a good note, I haven't had a seizure in 3 days! I guess the Topomax is working...*s* I'm on 3 pills a day right now, and am working up to 6, which will take another 3 weeks.Oh Gretchen...make sure your respiratory nurse explains to you how to clean your cpap...the filter too. I didn't know about that, until 3 years later! I guess they take alot for granted.Keep me posted.keep safe...always.classy
classy1g
Good going Gretchen, Hang in there! The feeling that your lungs are going to explode is normal. The air pressure is likely low so that you get used to using the CPAP. Because The pressure is low it will only help minimally. Once the pressure is adjusted to what you need you will see results. For my son it was 3 or 4 weeks. I used a bribe to keep him trying. Maybe you will have to promise yourself a great treat for putting yourself through this!!A new pair of red shoes?
willsmom
Ha! I too find that a good laugh really helps. Living through all the crap associated with epilepsy and how it often times cramps my style: Somehow through it all I have developed quite a lovely sense of humor. It is nice to see other people smile. It is good to feel happy inside. I have lived through lots of er visits, trips by ambulance, vns surgery, tons of aed's, gained and lost 1/2 my body weight, suffered through some really bad medical diagnosis, (advise at the hands of professionals,) and by a single hair escaped a life confined to indoors. Wow. I have had to move to another country to start my life over. Now I have a chance to write a best sellar. My story is a whopper! I am going to take the horrible mess of what happened to me and turn it into something good that will benefit others. The point of focus being that through it all I have learned to laugh. On the thought of 02 I just started taking some drops that I add in H2O Tid. The drops are suppose to add 02 to my blood. I have actually seen some benefit from these 02 drops over the past three days. Yea buddy!!! I sure hope that my physical health continues on the up and up. It has been too long for me to remember life without having to make certain accomidations for seizure. But it is my life. I am happy just to be here. Smile. Thanks for lending your eyes. Blessings. Linda.
yakota
Oh...I forgot to add...you can get an oxygen converter, that works with your CPAP. It does stabilize the oxygen levels while you sleep. And, if you feel low oxygen during the day...go breathe in some oxygen...it also helps with the headaches associates with seizures! Now, there's a business idea!...lolclassy
classy1g
Oh gosh Classy, your reply fascinated and really? Stunned me because what you describe how you feel the next day? Wowzah, that's me. I've been SO sleepy, draggy and worn out today all day. I just woke up from my 3rd nap and still don't feel rested. I don't feel like this every day but more and more I'm having too many of these days and it does get depressing. I've been wearing a nasal cannula from an 02 extractor but it hasn't raised my oxygen saturations much at all. My lungs, starting in December have just been shot. I had pneumonia then? And I just can't get over the inflammation and irritation in my lungs for some reason. You made me feel better though about more flexible masks. I was on a ventilator and they weaned me over to CPAP and that's how I woke up from a sedation coma to stop a status sz and gosh did that panic me. My hands were restrained because I'd kept trying to reach up and pull the vent tube out. I'm frequently intubated when I have a status seizure and several times I've been weaned onto CPAP. I feel like my lungs are about to have a blow out though with CPAP. Maybe they just have the settings too high. The mask is SO tight it hurts my face. My daughter said it looks like the deice is humidified but you couldn't prove it by me. My mouth is so dry my tongue feels like it's a foot in there. But you know too? Those are the recollections of someone very post ictal and full of sedatives. Also I have an excellent respiratory therapist that comes to my home and his company has been very quick and responsive to my supply needs. So? Maybe (maybe?) I'm going to have to take this plunge.My neurologist and pulmonologist told me I am saying "I'm gonna die with panic" wearing CPAP and they're saying no you're not - you're gonna die if you do NOT do the CPAP. YIKES!Well, gosh. A more flexible mask would help me a lot. YOU'VE helped me alot and yes thank you - hello dark side - LOLGretchen
gretchen
I have sleep adema or how ever you spell it.. i sleep to hard aparentley when i go to sleep dont worry about waking me up unless you have water or screaming.. i stay sleepy dring the day and i can be really mean to people.. well thought i would say my bit on it
hope19
Gretchen,Yes, it is so important to get used to the mask. Believe it or not, it does help. Make sure you have a humidifier attached to the CPAP, it helps fight against the adverse effects (drying out like a potato chip) of the oxygen.Wow, you really have been thru hell and back! I'm so sorry to hear all that you have had to endure. The idea of being intubated, scares the hell out of me. But I know it is necessary to save one's life.I am curious...what levels are you oxygen? What is low? I run on an average around 92%. WE should have an oxygenation level of at least 97. I can always tell when I'm low, cause I get headachy, and feel like in a dream state. Or is that part of the seizures? Did one cause the other, and vice versa? This is just all too wierd for me, and thinking so hard, hurts what brain I have left!Keep safe...and wear that mask!!huggs,classy
classy1g
Hope - (sarcasm) oh yes Hope I just figured you were one mean lady in your private life - guffah! You big silly!Classy - You're gonna die when you hear my 02 sats at night. Okay before December, even at high altitudes (8200 feet) and with asthma my 02 sats ran around 98-99% at rest and without active asthma. Since December since I've had all these asthma related infections/problems? My awake, at rest 02 sat I can't get above 95% and that's on my good days. Brace yourself - I'm AVERAGING now 79-83% in my sleep. OMG and YIKES - isn't that AWFUL? I've sunk to the 40%'s during nocturnal sz's with a very slow return but I've known a long time when I have a prolonged or status seizure my oxygen saturations just keep dropping and dropping, thus I'm frequently intubated. One night in one of the sleep studies I hovered around 79% with frequent one minute sharp dips. Another night 81%. So, one of my problems is - I'm not rebounding. My husband said I'll have periods of times he can't hear me breathing, can barely see it, I take a breath just once in awhile and my skin is ashen, pallor. Then I'll switch over and have nearly panting, loud raspy breathing with my whole body shaking every time I take a breath.Throughout my life I've gathered alarm clocks. I've even had people send me clever alarms knowing that alarm clocks do NOT wake me up. I've been lucky through most of my life that I have someone to wake me up. In high school my father would call to me over and over to wake me up and then make me do math problems to see if I was really awake. When I have had to have alarms? I'll have 3 planted all around my bedroom, forcing me to get out of bed and shut them all off and still I'll not hear them, frequently, usually sleeping an hour or more until they wear out, shut themselves off, or I finally wake up. Anything related to children though will still tend to wake me up. Now that all of my children have grown and gone? The phone wakes me up. But we have one placed close to me with an irritating buzzer sound. A child could cry once and I'd be right up - even if I wouldn't remember it. If I have one of my grand children now with me overnight their little night sounds, and they sleep in my bedroom, will wake me up immediately. Mother's ears.Yeah, intubation, sucks but so does dying I guess. I breath normally in seizures but the respiratory effort is very poor and shallow, plus intermittent. I'm usually intubated through my nose when I'm unconscious and usually I, at some point reach up while the sz is ending and rip it out myself and I'm told - hurl the tubing across the room after ripping it off of the ventilator. Bad me! Even if I'm still ventilated after I'm conscious if I'm intubated through my nose, while that always hurts, and sometimes depending upon where the tubing ends it can make me gag constantly, you can still talk, it's not such a claustrophic feeling. Plus you can take voluntary breaths easily too unlike being intubated through your mouth and the ventilation machine has to be set to allow you to start initiating your own breathing. But a few times I've been intubated through my mouth, you can't talk, there's a "drag" feeling on your face, that is VERY - awful feeling. That's when I get my hands restrained. ONCE this sadistic jerk who was an ambulance attendant (EMT designation), not licensed to intubate, WOULD intubate me every chance he got. ONCE I was AWAKE but I couldn't move yet, when he intubated me and I know awake my oxygen saturations were okay. That one? I'll never forget. I made an in person complaint to his boss.I don't know if this is still the parameter but I knew of one man who had emphysema who applied, got Disability BTW and the parameter for emphysema or other respiratory problems then was if your oxygen saturations were at 88% or less while awake. Thought you might find that interesting. That was quite awhile ago - I'm not sure what it is now but I'm sure it's on Social Security's very confusing huge web site.Gretchen
gretchen
Gretch Baby! Welcome to the 'Darker Side'..Darth Vadar!...lol Only those that sleep with a mask, can appreciate that bad humor! I also have sleep apnea, and have had it for years. I do sleep religiously with my mask. If I don't, I simply can't funtion the next day. You do get used to it Gretch...and there are sooo many different models out there to choose from. Contact your sleep center, and ask them about the nasal-aire one. It's not a mask...more like a canular that fits snugly into your nostrils. Although I'm used to my Darth mask, I have no need for the nasal-aire, but can appreciate it not being comfortable. I have asthma, as well as emphysema. So, my oxygen levels are ALWAYS low...which, naturally doesn't help the seizures! It's like a double-edged sword. The seizures, cause a lack of oxygen, and the lack of oxygen causes seizures! I'm supposed to be on oxygen 24/7...but I hate it! It dries out my nose and throat, and makes me hack up a lung! Honestly, I hack with or without the oxygen...lol Just trying to validate it, I suppose..lol I too have done things in the middle of the night, and have no memory of them in the morning. My hub would tell me in the morning, that I was up 3-4 times during the night, to go to the bathrom, or get a drink, and here, I thought I slept straight thru! I think that is pretty typical of sleep apnea. Sometimes, I wake up in such a foggy state...where it takes me a couple of hours to 'awaken'. It's horrible, but that is just another delightful side to sleep apnea, and drops in oxygen levels.Oh, off this topic...I did receive a packet from SSI. I have a phone interview on Tuesday. The packet said, that they would send for the medical forms..which is such a relief to me! Do they want just the doctors, pertaining to the condition that is disabling me?...or my complete list of docs I've been to throughout my life? They aren't real explicit on that, so I do have to wonder! Also Gretch, I know you are a nurse...if a MRI comes back, somewhat normal...does that mean, that I don't have epilepsy, even though my EEG showed seizure activity? I'm a little confused about this, and searching online, hasn't been much help.. :-(If you ever want to talk about the sleep apnea...feel free to email me at: roseyak@comcast.nethuggss...and do something nice for yourself today!classy
classy1g