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re: Sleep Apnea treatment Inspire

Posted on 8/4/20 at 10:29 am to
Posted by YumYum Sauce
Arkansas
Member since Nov 2010
9657 posts
Posted on 8/4/20 at 10:29 am to
quote:

Your skinny BIL likely had a congenital issue, such as a narrow nasal passages.



nah he just had it because he thought it would be cool to have
Posted by Tiger in Texas
Houston, Texas
Member since Sep 2004
22264 posts
Posted on 8/4/20 at 10:36 am to
I use a CPAP, my wife and many friends as well. Has nothing to do with weight, as some have implied. I do know one friend that was able to stop using one after several years. Personally, I never thought I would ever get used to wearing one, but I did, feel better when I wake up after using it as opposed to skipping a night.
Posted by ThreauxDown
Member since Jan 2019
648 posts
Posted on 8/4/20 at 10:43 am to
quote:

I always love these comments. Everyone seems to know that one skinny guy with sleep apnea


I’m in my mid twenties and currently have it at 15% body fat. I’m 6’ 185lbs

Also had it at 25+ percent body fat Around 235ish
This post was edited on 8/4/20 at 12:15 pm
Posted by Barstools
Atlanta
Member since Jan 2016
12138 posts
Posted on 8/4/20 at 11:09 am to
quote:

The fact is that weight is a major contributor, likely the most serious risk factor.


False.

Weight may be a contributor. When it is, it is a major contributor. But many people are not overweight and have sleep apnea. Mine arises from a deviated septum and abnormal soft pallet which causes my airway to close at times.

Weight is not a contributor for someone like me, major or otherwise.


This post was edited on 8/4/20 at 11:11 am
Posted by greygoose
Member since Aug 2013
15191 posts
Posted on 8/4/20 at 11:45 am to
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.

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.


LOL! I've seen several prescriptions written for CPAP, from PCPs that say "psi" instead of "cmH20", over the years.

Here's the thing, and another reason to call out your ignorance. Your CPAP pressure is ever changing. You go to get a study, come out of it and they say your pressure needs to be 10cmH20. Yep, for that night! But pressure needs change, not only from one night to the next, but also from hour to hour. What you are being told when prescribed a pressure, is that is the pressure that alleviates your sleep apnea 90% of the time. When you change your pressure, up or down based on how you feel the next day, you are really just throwing darts at a dart board, while blindfolded.

If I were you, I'd invest in an autopap.
Posted by greygoose
Member since Aug 2013
15191 posts
Posted on 8/4/20 at 11:47 am to
quote:

False.

Weight may be a contributor. When it is, it is a major contributor. But many people are not overweight and have sleep apnea. Mine arises from a deviated septum and abnormal soft pallet which causes my airway to close at times.

Weight is not a contributor for someone like me, major or otherwise.



Weight is a major contributor, but there are tons of other factors also, age being one. Then you get into anatomical issues of the jaw, mouth, and throat.
Posted by SATNIGHTS
Red Stick
Member since Jan 2008
2517 posts
Posted on 8/4/20 at 12:10 pm to
I would love to try an oral appliance. I cannot stand my cpap. I am a side sleeper and it always leaks at night. Have tried a dozen different masks. The one I have now works the best, but still.
Posted by Lima Whiskey
Member since Apr 2013
22594 posts
Posted on 8/4/20 at 12:20 pm to
I really believe in them.

I had longterm health issues clear up with appliance treatment.
This post was edited on 8/4/20 at 12:22 pm
Posted by BengalBlood81
Member since Oct 2014
1359 posts
Posted on 8/4/20 at 12:34 pm to
I’ve personally seen Inspire therapy work very well for many patients. Of the sleep surgeries offered, I see it having the most predictable outcomes and far less invasive. The old surgeries that involve cutting out multiple levels of soft tissue have lower efficacy percentages and could possibly cause you to develop scar tissue and worsen the apnea.
Posted by greygoose
Member since Aug 2013
15191 posts
Posted on 8/4/20 at 12:52 pm to
quote:

I’ve personally seen Inspire therapy work very well for many patients. Of the sleep surgeries offered, I see it having the most predictable outcomes and far less invasive. The old surgeries that involve cutting out multiple levels of soft tissue have lower efficacy percentages and could possibly cause you to develop scar tissue and worsen the apnea.

UPPP surgery. Tons of horror stories out there from people who had that done.
Posted by SATNIGHTS
Red Stick
Member since Jan 2008
2517 posts
Posted on 8/4/20 at 1:21 pm to
I had UPPP surgery at 38 or so. It was the most miserable thing I have ever been through. I was on liquid codeine if I recall for 2 weeks. Sounds awesome right? It wasn’t because it burned on the open scabs going down. I had to cut it with Gatorade to even attempt to drink it. My Wife bought me a PS4 prior to the surgery because I was going to be in bed for 2 weeks. Yep I never opened it. The only thing I could stomach was potato soup from La Madeline and slushes from Sonic for some reason. The slushes essentially for the ice numbing my throat. The potato soup was a shot in the dark when I couldn’t eat anything else.
Posted by BengalBlood81
Member since Oct 2014
1359 posts
Posted on 8/4/20 at 1:26 pm to
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.


While I understand the thought of “something could go wrong” the complications from implantation are at a very low percentage rate and even then are mild in nature. It’s an outpatient procedure. Typically done in about 2-3 hours. And Inspire therapy is for patients that have failed/couldn’t use CPAP and are already in a problematic scenario without effective treatment.
Posted by Gorilla Ball
Az via La
Member since Feb 2006
13386 posts
Posted on 8/4/20 at 3:11 pm to
“Your skinny BIL likely had a congenital issue, such as a narrow nasal passages.”

This was your reply- looks like a diagnosis to me.
Posted by Obtuse1
Westside Bodymore Yo
Member since Sep 2016
31242 posts
Posted on 8/4/20 at 3:21 pm to
quote:

There are many people with sleep apnea who are not overweight you dumbfrick


True but the main (by a large margin) risk factor for sleep apnea is obesity. That and smoking are the two major factors one has control over.
Posted by ScoobyDont
Member since Sep 2016
816 posts
Posted on 8/4/20 at 4:01 pm to
Try a nasal pillow instead of a mask.
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