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SpO2 outputs noise

Hi.  We've set up the EVM5515 and the SpO2 front end but we are getting either a flat red line or noise coming out.  No heartbeat pictures like in the pdf; no SpO2 or HR readings. Below is what it looks like.  The red noise occurs just after we insert our finger into the probe:

But according to the application note, we should be getting something that looks like this:

Where do I start looking?  Any help would be greatly appreciated.

Thank you.