Keepin' It Real

Big S got all the information she needs to know which skills she has to demonstrate to tryout for the jumprope team at school this year. Her tryout day is this Tuesday, the 16th, after school. Tuesdays are also Lil S' gymnastics days. If Big S makes the team, she will have practice every Tuesday and Thursday after school. Wednesdays and Fridays she has Physical Education classes at school, so the only days she will be able to dress-up (non-athletic) on school days will be on Mondays. This Tuesday, in addition to being her jumprope audition, is also school picture day. Now we have to come up with a clever way to make her look pretty while appropriately dressed to audition for the jumprope team or send her to school with a change of clothes. The school is having a fundraiser (as usual), some of you got emails about it. There are actually some worthwhile things for sale this year. The girls obviously earn prizes and can earn parties and things when you make a purchase from them. To order from Lil S, click here (she has no orders). To order from Big S click here.

I saw my Pulmonary Specialist again on Monday. He gave me a copy of my sleep study results. He said my sleep apnea was very very very very very very very very very very (yes, seriously he said very an exaggerated amount of times) severe. Here's a rundown of the results. A lot of it probably won't make sense to most of you, if it doesn't, no worries, but it will get my blog more hits from search engine results! Now my actual report is 10 pages long, so this is the abbreviated version:
Patient: Female, 29 yrs 3 mos.
Height 63"
Weight: 282 lbs.
BMI: 50
REPORT:
Sleep Summary: The total recording time was 442 minutes. The total sleep time was 401 minutes. Sleep efficiency was 90%. Stage I, stage II, stage III and REM sleep were seen. Stage II and REM sleep were prominent.
Cardiac Rhythm: The rhythm was sinus.
Cardiopulmonary Data: There was presence of mild to moderate snoring and severe apnea in the diagnostic phase. The RDI was as high as 91 per hour. The patient slept mostly in supine position.
Oxygen Saturation: The baseline saturation was 92%. The lowest desaturation was 66%.
Periodic Limb Movements: There were mild to moderate periodic limb movements. PLMS index was 27 per hour. PLM arousal index was 0 per hour. The PLMs were controlled during CPAP titration.
CPAP Titration: CPAP was started at 5 cm and increased to 13 cm of water. CPAP of 12 cm appeared to be adequate. The RDI was reduced to 1.4. The saturation baseline was stabilized above 90% with isolated desaturations.
RECOMMENDATIONS:
1. Start this patient on CPAP of 12 cm of water.
2. A full face mask was used.
3. The patient should be cautioned about driving or use of dangerous equipment until daytime tiredness symptoms are improved.
4. Weight reduction measures are recommended.
5. Behavioral modification techniques like avoidance of sedatives, sleeping with head of bed elevated, avoiding the supine sleep position, are generally helpful in management of sleep apnea.

Time in bed: 7.4 hrs
Total Sleep Time: 6.7
Stage N1 Sleep: 3.7% of TST
Stage N2 Sleep: 61.8% of TST
Stage N3 Sleep: 1.4% of TST
REM Sleep: 33.1% of TST
Sleep Efficiency: 90.85%
Sleep Onset: 6
REM Latency: 61.5%
Positional Summary:
Left 0%
Right 0%
Supine 100%
Prone 0%
PLM Analysis:
Total PLMs:
Number 183
Index
27.3
Heart Rate Analysis
Average Heart Rate (BPM):
REM 109
NREM 111
TOTAL 111
Scoring Technologist Comment Section:
This was an emergency split-night polysomnogram. Diagnostic phase revealed severe sleep disordered breathing, with an A/H index of 91.7 and an oxygen saturation nadir of 66%. Events consisted of 20 obstructive apneas, 9 mixed apneas and 207 hypopneas. Snoring was mild.
Optimal CPAP therapy pressure tested appeared to be 13cm H20. A/H index was 4, with an oxygen saturation nadir of 91%. Events consisted of 1 mixed apnea and 3 hypopneas. Mild snoring remained. REM sleep in the supine position was noted. Arousal index was 0. No significant EKG abnormalities noted.

I have more to say, but my upper back is hurting so bad, I have to lay down!