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Can Sleep Deprivation Become Emergency? - ronlecroy - 04-21-2018

Has anyone experienced debilitation or crisis due to sleep deprivation that led to hospitalization?  I'm worried that I may lose consciousness or cognitive ability to the point where I'm in trouble.  I'm seriously exhausted but cannot sleep.  Right now I function by just closing my eyes for 3 minute micro naps during the day.  I have not had trouble driving yet, but that's bound to come either from inability to react quickly or dozing off.

As mentioned in my previous posts I'm stuck in a limbo between ENT, sleep doctor, and urologist (frequent urge to urinate) and none have offered any solutions or seem very concerned.  I have a grunt or hum that wakes me every time I doze off, over and over.  Therefore sleep in cycles lasting minutes until my body eventually gives up and will not sleep.

I'm trying to get sleep study (home or clinic) but my concern is that I never really sleep.  Who knows, I might not even have APNEA.  I don't really sleep for enough time to know.  I never even get to any sort of deep sleep because as I doze off I grunt myself awake.  I'm in the process of buying a auto cpap with out of pocket money.


RE: Can Sleep Deprivation Become Emergency? - Sleeprider - 04-21-2018

I don't know where you live, but it seems you need to find a different person to manage your sleep care. Hard to believe you have only one choice. We have also suggested self-care as a fast track to treatment. Many people end up in an emergency room when symptoms become overwhelming, but unfortunately, they rarely go home with a long-term solution.


RE: Can Sleep Deprivation Become Emergency? - ronlecroy - 04-21-2018

(04-21-2018, 09:28 AM)Sleeprider Wrote: I don't know where you live, but it seems you need to find a different person to manage your sleep care. Hard to believe you have only one choice.  We have also suggested self-care as a fast track to treatment.  Many people end up in an emergency room when symptoms become overwhelming, but unfortunately, they rarely go home with a long-term solution.
Thanks for the reply Sleeprider.  I'm working on the solutions you and the others have recommended.  I'm grateful and relieved that I have found this group.  My concern is that I'm going to suddenly have a fainting spell or otherwise become acutely unwell from lack of sleep. 

I'm shopping around online today to get an auto pap so I can start my own therapy.  If I can come up with a scheme to at least get some sleep that would buy me some time to find a proper care provider.  I'm in a small South Carolina town.  Doctors are good intentioned, but resources are limited and they don't have the time or desire to delve into something as weird as what I've got going on.  Plus it takes forever to get in to see a doc (if they are good).  Once I can get a situation where I can rest and function well, I am planning a 2 hour trip to Medical University of SC in Charleston.  They have a team of real sleep experts (not docs that just took a seminar).  They also specialize in unusual afflictions like catathrenia (which I may have).  They can do sedation endoscopy to actually see the source of problems.  I hate to spend the money on motel and driving, but it might be the best option.

Thanks again.


RE: Can Sleep Deprivation Become Emergency? - chill - 04-21-2018

I got myself to the point where I literally could not speak a complete sentence.  I would go for 3-4 words, stop, and work out the next few.  I was like that when I saw my doctor.   She put me on sleep meds that day and referred me to a sleep specialist.  It is only a crutch, but you need that now.  Chemical sleep is better than none. I'd see your primary care doc and get a prescription.   Temazepam works very well with the least side effects, in my limited experience.


RE: Can Sleep Deprivation Become Emergency? - ronlecroy - 04-21-2018

(04-21-2018, 12:21 PM)chill Wrote: I got myself to the point where I literally could not speak a complete sentence.  I would go for 3-4 words, stop, and work out the next few.  I was like that when I saw my doctor.   She put me on sleep meds that day and referred me to a sleep specialist.  It is only a crutch, but you need that now.  Chemical sleep is better than none. I'd see your primary care doc and get a prescription.   Temazepam works very well with the least side effects, in my limited experience.
Thank you chill.  I'm almost to that point, especially in the morning.  I get up have breakfast, then have to take a nap before I can proceed with my daily activities.  It's 10-11am before I can function.  I don't get much done in a typical day because of time it takes to wake up and then the number of hours actually in bed trying to sleep.  I'm glad you mentioned the sleep meds as a temporary solution.  I was wondering about that last night as I tossed and turned.  If I could just get knocked out for a few hours it would be such a relief.  I get so desperate and depressed at night it just doesn't feel like life is worth living  Fortunately during the day I'm a fairly happy guy.  I'll try to get my primary care doc next week for sleep meds.

Thanks again chill.


RE: Can Sleep Deprivation Become Emergency? - Sleep2Snore - 04-21-2018

I think you need to get a sleep study done sort of quick.
The reason you are probably waking up with a grunt is your throat is closing, or just about to close off and your body wakes you.
Is there no one in your area that can arrange a home test to see if an APAP will allow you to sleep?
I think your body will not allow you to sleep knowing what is going to happen, what is more, I think you know as well, this is why you will not allow yourself to sleep.
Don't know how or when this started with you, but you need to push  fpe something to happen.
If you can over there, hire a home study machine for three nights and see what happens.
You can't go on like this, in the end you will fall asleep at the wheel of your car and might kill someone.
I know to many people that has had bad accidents car and others, before they went for help.


RE: Can Sleep Deprivation Become Emergency? - ronlecroy - 04-21-2018

(04-21-2018, 01:47 PM)Sleep2Snore Wrote: I think you need to get a sleep study done sort of quick.
The reason you are probably waking up with a grunt is your throat is closing, or just about to close off and your body wakes you.
Is there no one in your area that can arrange a home test to see if an APAP will allow you to sleep?
I think your body will not allow you to sleep knowing what is going to happen, what is more, I think you know as well, this is why you will not allow yourself to sleep.
Don't know how or when this started with you, but you need to push  fpe something to happen.
If you can over there, hire a home study machine for three nights and see what happens.
You can't go on like this, in the end you will fall asleep at the wheel of your car and might kill someone.
I know to many people that has had bad accidents car and others, before they went for help.
Thank you for the reply Sleep2Snore.  I agree with you.  And yes, being awakened so often basically gets my body to a point of not wanting to shut down.  By 5 or 6 in the morning I'm in an exhausted wake state, desiring sleep but it's pointless.  Last June I had home sleep study that showed an AHI of just 1.6.  First problem is that the number of apnea events was divided by 7h 27min of sleep time.  I know that I did not sleep 7h 27min, more like 2 hours.  I was tossing and turning all night.  So the machine only recorded a few apnea events because I wasn't asleep.  I cannot get anyone to commit to giving me an in clinic sleep study because of my over active bladder.  Also, my fear is that the sleep study wouldn't show apnea events, because I simply don't sleep much.  It's likely the test would be a failure due to my getting up to pee and never really falling asleep.  I don't really have an apnea event, I just grunt and wake up. The grunting is a new thing happening for the last 2-3 months.  Maybe the additional sensors could pick up something.  Next week I'm going to request an in clinic sleep study with some sort of sleep medication.  With sleep med I might at least sleep between trips to the bathroom.  I'm also going to buy an apap with out of pocket money until I can get a doctor that can grasp (or care about) what's going on.

Thanks again Sleep2Snore.


RE: Can Sleep Deprivation Become Emergency? - PaulaO2 - 04-21-2018

In studies, people who drive, work, etc while sleep deprived behave the same as someone intoxicated.


RE: Can Sleep Deprivation Become Emergency? - ronlecroy - 04-21-2018

(04-21-2018, 05:08 PM)PaulaO2 Wrote: In studies, people who drive, work, etc while sleep deprived behave the same as someone intoxicated.

Thank you for the reply PaulaO2.  It definitely can be a distraction.  I make sure I get a quick mini nap and that I'm full on before I head out in the car.  But I can see where it could result in impairment if this continues.  Certainly my worst time is from 5am until about 10:30am.  By 11am I'm ok and the miserable night before starts to fade from my mind.  At night I look at my bed and literally wish myself good luck as I prepare to sleep.  This situation is ruining my life.  I had planned to travel and do some backpacking trips this year, but unless the overactive bladder and sleep issues get resolved I'm stuck staying close to home.


RE: Can Sleep Deprivation Become Emergency? - Sleeprider - 04-21-2018

I'm not in the diagnosis business, but have you considered that your symptoms may all be related to an anxiety problem? Everything you mention from disrupted sleep to frequent urination and even the throat grunting, can be related to anxiety which is treatable.