We had our follow up with Dr Sleep/Dr. Neuro... This appointment was with her Dr. Sleep "hat" on. She went over the reports from her stay in the hospital a couple weeks ago.
She said "has anyone shown you these reports?"
Me: Ummm. No.
Doc: But the home healthcare company came out and changed the settings on her BI PAP machine, right?"
Me: Ummm. No.
Doc: No one has told you anything then?
Me: Ummm.... (you got it...) No.
She looked rather puzzled and said well, let's go over them then. "yes, let's do!"
Her sleep study proved to be the most telling. (I found this interesting because she just had a sleep study last October and didn't need any changes to her BI PAP machine). She is still having apnea and really high CO2 levels. The respiratory therapist had to increase her settings so it was set appropriate for her needs. For the hours that she was sleeping, she had 114 arousals; 17 per hour... GOOD GRIEF!!! Apparently what is happening is that she isn't getting enough oxygen (to much CO2) and her body wakes her up just enough to take a deep breath and get some more oxygen. 114 times worth!!! So she never gets in a really good sleep... therefore, very tired the next day.
The MSLT (daytime study) was negative for narcolepsy. Out of the 5 naps, the person with narcolepsy has to get into the REM sleep cycle at least 2 of them. And, the average time they fall asleep must be less than 8 minutes. Hannah did fall asleep 4 out of 5 naps, but never got into REM. Her average time of falling asleep was 14 minutes.
Dr. Sleep is really hoping that increasing her settings on her BI PAP machine at home will improve her quality of sleep enough that she won't be so tired. She wants to give it a couple of weeks and see if we notice changes. If we don't, we will probably be looking at adding a medicine to her regiment. Ugh. She stressed the importance of Hannah wearing her mask every night. Actually her words... She really HAS to wear it every night. This did not go over well with Hannah. She doesn't like it. Never has... Sometimes it's a battle I choose not to fight. Make that...CHOSE not to fight. She has no choice in the matter now. She WILL wear it every night (maybe with just a little bribery... just a little). We go to home healthcare this Friday to get the settings changed as well as try on new masks. Apparently there are new and wonderful ones since we got her style three years ago. It would be nice if someone would just make a PINK one... Is that too much to ask??? Make it just a little...girlie??? It would make my life sooo much easier.
For whatever reason, the EEG report was nowhere to be found. She said she had read it, but now it was lost somewhere in the system. She will call me and/or send it to me when they get ahold of it. Kinda weird, but okay...
Meanwhile though, she thinks, (here comes why I think it's great to have a sleep doc and neurologist all in one....) there is a possibility that her high CO2 levels and seizures could be connected. She said there are some studies that are linking the two.... hmmm. This could be very exciting!!! High CO2....sleep deprivation.... increase in seiuzres..... I think it has validity...How bout you???