thank you guys I saw my HIV doctor today.(the only one I could see on such short notice. He think that I am going to be ok vitals Good 117/68 pulse75 no fever. the edema in my legs must have been from sitting at this machine for hours trying not to bleed.LOL. Hey thought I was water logged. I was drinking so much cold water because I had read that it helped in constricting blood vessels. He had results from my last CBC and all orgains are in acceptable ranges. In fact my CD4 was up over 230 and my viral load is undetectable. Platelets are on the rise. still low but better. my hemoglobin has started to rebound from the bleed. One of my HIV meds, Ritonivir is a cyp??? inhibitor. basically it increases plasma levels of opiates by 3 fold. and half life is increased al well. So I was really out of it. Oh and my fasting blood glucose was 107 (withing normal range). and this test was done just a week ago. so he highly doubts blood sugar problems. upon listening to my lungs he concluded that if I was aspirating it was very little but probably me being a HYPO! Chest sounds were normal, and resting stomach nosie normal. He made sure that I had an appointment with PT and another meeting with speech/swallow. therapist. vacume effect had gone away by morning. So he took me off the pain patch and gave me as needing IR oxycodone. And if I felt that I needed to go over what he had written just to drop him an email. So I was altered by opiates in high concentrations. I feel a bit like a heal. But he thought that I needed to address the real problems soon and I am. so thank you so much Cheryld, PaulB, Brain. for your help. Shawn U.