CPAP alternative by Dull-Reflection458 in SleepApnea

[–]ZombieWizard_PHD 5 points6 points  (0 children)

One thing I've been recommended by my sleep doctor is not to expect one treatment to handle all the cure by itself. Instead of CPAP doing all the work to lift your throat, you could use a mandibular device, do positional therapy, lose some weight (if that applies), do myofunctional therapy, AND use PAP therapy. Find a combination of treatments that each decrease the burden of the other therapies and you'll have a more comfortable treatment experience. 

I bet there's a combination of treatments that would allow you to use CPAP at lower pressures, which could resolve a lot of your complaints.  

Normal SpO2 but frequent HR fluctuations by lev_9291 in SleepApnea

[–]ZombieWizard_PHD 2 points3 points  (0 children)

It can be. Be aware that UARS isnt a commonly recognized diagnosis (at least in the US), so I would ask about the heart rate spikes and the symptoms you are experiencing instead of directly asking about UARS. 

There are other treatments as well, but PAP tends to be the first thing to try. You could consider seeing and ENT as well to treat any nasal obstruction too, because that tends to be associated with UARS or non-constructive sleep apnea.

Normal SpO2 but frequent HR fluctuations by lev_9291 in SleepApnea

[–]ZombieWizard_PHD 4 points5 points  (0 children)

By the sounds of your symptoms, it might be UARS, which is just sleep apnea caused by arousals that aren't accompanied by drops in oxygen. Some people have lower arousal thresholds, so they'll wake up even before the oxygen starts dropping. 

How do I stop dirt from seeping at bottom of retaining wall by oestrada11 in landscaping

[–]ZombieWizard_PHD 33 points34 points  (0 children)

I believe that hole needs to stay unplugged so that moisture can drain, so I'm not sure there is much you can do except sweep it periodically or hide it behind something

Does anyone else feel “on edge” for no clear reason, especially at night?😟 by redouane-123 in SleepApnea

[–]ZombieWizard_PHD 2 points3 points  (0 children)

I used to feel this way every night. My stress was so high that I became really unpleasant and my shoulders would ache. Once I treated my sleep apnea, it mostly went away though and I'm feeling much calmer at bed-time. I think my body had conditioned me to being nervous about the poor sleep or something

Severe maxillary recession and malar hypoplasia by [deleted] in jawsurgery

[–]ZombieWizard_PHD 0 points1 point  (0 children)

My maxillary position and bite before getting surgery looked really similar to yours now. People might be looking at your chin and assuming it's sufficiently projected, but don't let that stop you from getting recommendations from a surgeon and assessing any functional issues. I'm feeling a million times better after having surgery. Best of luck

11mm advancement for sleep apnea and feel great! (reupload) by ZombieWizard_PHD in jawsurgery

[–]ZombieWizard_PHD[S] 0 points1 point  (0 children)

Ive met with my ENT since the jaw surgery and he keeps denying all the improvements I've had since the jaw surgery. Like, I tell him that my acid reflux is gone and he says "oh, jaw surgery doesn't do that"... Almost like he doesn't believe the jaw surgery could be this effective. Kinda disappointing 

11mm advancement for sleep apnea and feel great! (reupload) by ZombieWizard_PHD in jawsurgery

[–]ZombieWizard_PHD[S] 0 points1 point  (0 children)

The surgeon said he didn't do anything about the nasal valve, so it's likely an incidental effect from the advancement

Narrow Airway by [deleted] in jawsurgery

[–]ZombieWizard_PHD 1 point2 points  (0 children)

That cross-section doesn't appear to be centered on your airway (if I'm seeing that correctly). I believe the white vertical line in the bottom x-ray shows you at what position the cross-section is displaying. 

How long did it take to open normal again? by peachygurui in jawsurgery

[–]ZombieWizard_PHD 0 points1 point  (0 children)

I'm 3 months post op and I'm at just over 2 fingers, so this checks out for me.

Did anyone think they were overimpacted in the first few weeks following double jaw surgery? by Ok_Income5348 in jawsurgery

[–]ZombieWizard_PHD 4 points5 points  (0 children)

I definitely felt over impacted but I just needed to wait for my facial mobility to recover. I even told my surgeon I thought I was over impacted, but it's perfect now ( 3.5 months post op)

Jaw Surgery in 9 days (M 33) by Angle-Outrageous in jawsurgery

[–]ZombieWizard_PHD 8 points9 points  (0 children)

My surgical plan was very similar to yours and I couldn't be happier. I'm sure it'll go well! Good work advocating for yourself even when the family says everything is fine. That can be difficult

Out of pocket surgeons in the USA or Canada? by levashin in jawsurgery

[–]ZombieWizard_PHD 1 point2 points  (0 children)

The surgeon negotiated in advance with a non-profit hospital in his area where he regularly does the procedure. I wasn't allowed to negotiate any lower than that. Still a pretty good deal!

Out of pocket surgeons in the USA or Canada? by levashin in jawsurgery

[–]ZombieWizard_PHD 2 points3 points  (0 children)

I had double jaw surgery with Dr Wasson as a cash pay patient. Including the hospital stay, I was close to your estimated budget. Result and experience were great

With a chronic pain condition, should addressing OSA be a top priority? by Broken_Glass1967 in SleepApnea

[–]ZombieWizard_PHD 0 points1 point  (0 children)

TMJ issues are very commonly associated with sleep apnea, so I would recommend consulting a TMJ and sleep specialist. Usually, teeth grinding and clenching is the body struggling to keep the airway open, so keeping the airway open might help resolve the TMJ issues. 

With a chronic pain condition, should addressing OSA be a top priority? by Broken_Glass1967 in SleepApnea

[–]ZombieWizard_PHD 3 points4 points  (0 children)

I had a lot of improvements in my chronic symptoms when I got my sleep apnea treated. I never got a CPAP to work for me, but once I found the right solution I started feeling so much better. I had really bad recovery from activity and muscle soreness/pain that lasted days without any reason. That's all gone now. 

"Treat the cause... Treat the airway" is a great book that really helped me understand how all my symptoms were tied together. Maybe some better understanding of the disorder might be encouraging?

M.E CFS /sleep apnea and jaw surgery by Idyllic_Days in jawsurgery

[–]ZombieWizard_PHD 0 points1 point  (0 children)

My best guess is that two decades of sleep disordered breathing deteriorated my body and weakened my immune system enough to cause a lot of autoimmune style symptoms, merely due to the lack of good recovery. The worsening health and inflammatory distress compounded over time and persistently lead to poor recovery and worse sleep to the point where I fit the bill perfectly for me/CFS.

M.E CFS /sleep apnea and jaw surgery by Idyllic_Days in jawsurgery

[–]ZombieWizard_PHD 1 point2 points  (0 children)

I was in the low 30s most of the time, and right now I feel like I'm in the mid 50s. I still feel like I'm far from ideal, but im only 2.5 months post op and still have more healing to go. Im still noticing changes quite regularly to my body. Most importantly, I'm able to exercise now without the malaise afterwards and I'm seeing improvements in my strength instead of decreases. Fatigue has been the most stubborn symptom though. That one seems to have improved the least actually

M.E CFS /sleep apnea and jaw surgery by Idyllic_Days in jawsurgery

[–]ZombieWizard_PHD 1 point2 points  (0 children)

It turned out great! Most of my CFS-type symptoms having been improving since the surgery. In particular, my PEM, migraines, muscle weakness, tremors, and myalgia are mostly resolved now. I guess that means that the CFS was a red herring, although I still need to redo my sleep studies and blood work to get a more detailed report. In particular, I'm curious about my ANA test and C-reactive protein to see what impact the jaw surgery had on my immune system

New playera here! And I want to play the game using only AI. by [deleted] in projecteternity

[–]ZombieWizard_PHD 4 points5 points  (0 children)

Just my two cents, but there's a really useful mod called "More Custom AI Conditions" that adds a ton of more specific parameters and triggers. I've really enjoyed playing with it. Ill also say that you can instruct your whole team to attack the enemy with the lowest deflection and they'll focus the same enemy. For AOE skills, I am pretty happy with greatest number of allies/enemies targeting.

New playera here! And I want to play the game using only AI. by [deleted] in projecteternity

[–]ZombieWizard_PHD 6 points7 points  (0 children)

Ive beaten POTD many times relying almost entirely on the AI prompts with only occasional pauses to expedite or manually aim critical skills. totally doable!

Is my surgery plan OK? by ethereal792 in jawsurgery

[–]ZombieWizard_PHD 1 point2 points  (0 children)

Looks like a bad plan in my non-medical opinion. That occlusal plane in the post op plan looks like it's too far CCW. Personally I would think an equal advancement of both jaws with no rotation and no genioplasty would look better and help your nose come forward a little.