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re: Sleep Apnea treatment Inspire
Posted on 8/4/20 at 9:48 am to SuperSaint
Posted on 8/4/20 at 9:48 am to SuperSaint
Some of you should have to pass even a simple IQ test to be allowed to post.
0
Posted on 8/4/20 at 9:48 am to jimlsu1
there is no question that a CPAP is not sexy, it can be noisy, it can cause stomach distention and pain if not calibrated properly...all that jazz. oral appliances are for mild to moderate apnea...so this is an oversimplification but if your AHI is under 30 with no central-sleep apneas, you may be a candidate for this
Posted on 8/4/20 at 9:48 am to tbabino
quote:
one more thing to "go wrong" vis a vis the insertion
Wink wink nod nod
Posted on 8/4/20 at 9:49 am to OysterPoBoy
No sleep apnea, peanut allergies or lactose intolerance in Ethiopia.
Posted on 8/4/20 at 9:50 am to OysterPoBoy
quote:Would wake up from sleeping and feel like shite the next day. Over and over again.
What did people do in the old days?
quote:The notion has been around for a while. The popularity of treatment for apnea skyrocketed 15 years ago. But it's been around a lot longer than that.
You never heard about sleep apnea until about 15 years ago.
quote:Or eventually had strokes in their sleep, which led to an early checkout in one way or another.
I guess they just died?
Posted on 8/4/20 at 9:52 am to RealityTiger
when you hear that someone "died in their sleep"...with NO OTHER predisposing factors, the odds are overwhelmingly high they passed away from apnea, or apnea related fallout. THAT'S what people did before treatment. They died
Posted on 8/4/20 at 9:53 am to tbabino
quote:This is bullshite. You can adjust the pressure yourself if you look up how to get into the machine's settings. We're talking VERY small amounts of pressure. It's sending just enough pressure to where you have positive pressure. Going one way or the other is not going to cause "pain".
pain if not calibrated properly
Posted on 8/4/20 at 9:56 am to Bjorn Cyborg
The issue is almost always skeletal, and it’s simply under diagnosed in skinny people. People just don’t know better, and they only seek treatment when it gets serious.
This post was edited on 8/4/20 at 9:58 am
Posted on 8/4/20 at 9:57 am to jimlsu1
quote:
Does anyone have any experience and feedback
I do the surgery. What do you want to know?
In short, the tech itself has been around for awhile(there's various stimulators out there for a variety of disorders), this device itself has been around for 12-13 years but maybe only in the last 3-4 years has it been picked up outside of the academic centers and making its way more mainstream. Mainly due to more aggressive marketing recently.
In any case, the company itself is good and believes in the product. It works for the right patient. There are a number of exclusions and criteria that you have to meet. There are 5 & 7 year data trials that show it's efficacious. I do worry that as it becomes spread out and quality control will suffer as there may be a blurring of who is a good candidate, as now it's mostly surgeon determine to fit some of those criteria.
With that said, if you have a good candidate, I know your ahi will lower, but sometimes thats not always correlated with better feeling/subjective sleep scores.
Posted on 8/4/20 at 9:59 am to tbabino
I was treated with an appliance, my AHI dropped from the mid twenties to zero.
I’m really happy.
Edit - it also fixed a lot of other issues, open bite, cross bite, off center midline. My jaws were a mess.
I’m really happy.
Edit - it also fixed a lot of other issues, open bite, cross bite, off center midline. My jaws were a mess.
This post was edited on 8/4/20 at 10:40 am
Posted on 8/4/20 at 10:00 am to Bjorn Cyborg
quote:or BLM. Imagine that
No sleep apnea, peanut allergies or lactose intolerance in Ethiopia.
Posted on 8/4/20 at 10:02 am to Lima Whiskey
And it gets serious because of a fat neck.
Posted on 8/4/20 at 10:05 am to tbabino
quote:
As a dentist who collaborates with MDs for nearly 30 years treating sleep apnea and snoring, I can tell you that this modality is MAYBE not quite ready for prime time. And it is just one more thing to "go wrong" vis a vis the insertion and management of the device.
CPAP, and even oral appliances (depending on a number of variables, one being your Apnea Hypopnia Index)are more predictable in their results. Proceed with caution.
I was not aware there was a dentist alive, who didn't push these oral appliances! Kudos.
Another thing to keep in mind, some insurances will pay for the appliance or a CPAP, but not both. People should choose wisely, otherwise they'll be 100% out-of-pocket on the one they didn't get.
Posted on 8/4/20 at 10:06 am to Puffoluffagus
So what is sounds like you are saying the person needs to trust their doctor/dentist in prescribing what therapy would work best based and several things including the clients current AHI?
Posted on 8/4/20 at 10:09 am to OysterPoBoy
quote:
What did people do in the old days? You never heard about sleep apnea until about 15 years ago.
I guess they just died?
Yep. Who hasn't heard of someone having a heart attack late at night, when sleeping? Most people think heart attacks happen during physical exertion, but if you saw the heart rate response in someone with untreated sleep apnea while they slept, you'd understand why so many pass away during the night.
Posted on 8/4/20 at 10:12 am to RealityTiger
quote:
This is bullshite. You can adjust the pressure yourself if you look up how to get into the machine's settings. We're talking VERY small amounts of pressure. It's sending just enough pressure to where you have positive pressure. Going one way or the other is not going to cause "pain".
You are showing your immense ignorance. Here, I'll help you out. Google "what happens if my CPAP pressure is too high". Hint: central sleep apnea
Posted on 8/4/20 at 10:20 am to greygoose
quote:My "immense ignorance" has worked fine for me, for the past ten years bud. But go right on ahead and schedule a $500 sleep study so they can pinch back or bump up your pressure a cmH2O or two.
You are showing your immense ignorance. Here, I'll help you out. Google "what happens if my CPAP pressure is too high". Hint: central sleep apnea
ETA: my PCP knows that I've made adjustments, and said going up or down one or two isn't dangerous. Now, if I'm currently on say, 12 - and I want to bump it up to 20 then yeah. That's not something you should do without medical assistance.
This post was edited on 8/4/20 at 10:25 am
Posted on 8/4/20 at 10:21 am to jimlsu1
quote:
trust their doctor/dentist in prescribing what therapy would work best based and several things including the clients current AHI?
Yes. As with most things, therapies should be tailored to the patient. Current ahi/sleep study results, physical exam and realistic goals of therapy all factoring in. Unfortunately, some people get tunnel vision in their own field(dentists, ENTs, pulm) and may push people towards certain treatments.
There are many academic centers who host multi-disciplinary clinic's with oral surgeons, dentists, pulm/sleep medicine, and ENTs to try better tailor therapy for the patient.
Posted on 8/4/20 at 10:26 am to Bjorn Cyborg
quote:
And it gets serious because of a fat neck.
Yes
Posted on 8/4/20 at 10:29 am to Puffoluffagus
CPAP is,and in all likelihood will remain, the Gold Standard for apnea treatment. I don't think ANY physician would argue with that. Problem is, for many people,it is too cumbersome...for those who travel it is too inconvenient...for those who are lazy, it stays on the shelf. Oral appliances are good options for that crowd.
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