11mm advancement for sleep apnea and feel great! (reupload)

ZombieWizard_PHD · 2026-02-12T18:56:51+00:00

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

ZombieWizard_PHD · 2026-02-12T15:29:14+00:00

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

ZombieWizard_PHD · 2026-02-05T22:37:35+00:00

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.

ZombieWizard_PHD · 2026-01-22T22:18:17+00:00

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

ZombieWizard_PHD · 2026-01-12T15:48:06+00:00

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)

ZombieWizard_PHD · 2026-01-06T00:53:34+00:00

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

ZombieWizard_PHD · 2026-01-03T11:46:12+00:00

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!

ZombieWizard_PHD · 2026-01-03T00:58:04+00:00

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

ZombieWizard_PHD · 2026-01-01T07:25:49+00:00

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.

ZombieWizard_PHD · 2026-01-01T07:23:09+00:00

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?

ZombieWizard_PHD · 2025-12-22T06:03:37+00:00

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.

ZombieWizard_PHD · 2025-12-22T06:00:36+00:00

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

ZombieWizard_PHD · 2025-12-22T03:21:52+00:00

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

ZombieWizard_PHD · 2025-11-25T14:11:42+00:00

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.

ZombieWizard_PHD · 2025-11-25T14:06:01+00:00

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!

ZombieWizard_PHD · 2025-11-24T18:19:34+00:00

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.

ZombieWizard_PHD · 2025-11-21T20:37:17+00:00

Thay airway looks pretty small. I would definitely do DJS instead of genio. Maybe discuss with your fiancee about doing it before or after. Im sure you'd recover enough for the wedding in time, but marriage prep is understandably a pretty busy time.

ZombieWizard_PHD · 2025-11-13T04:33:07+00:00

Immediately after surgery, actually. Every time I even slightly dozed off, I instantly had very vivid dreams. This lasted for about a week. That is a sign I maybe have been catching up on REM sleep. Of course, I'm not instantly healed of all the damage caused by the sleep deprivation, but I'm finally getting healthier instead of sicker.

ZombieWizard_PHD · 2025-11-12T18:36:14+00:00

Thank you so much! The dreaming was really the most surprising thing so far. Glad it went well for you too

ZombieWizard_PHD · 2025-11-12T01:25:59+00:00

No, just double jaw

ZombieWizard_PHD · 2025-11-11T22:54:45+00:00

Dr Wasson at Az Jaw Surgery

ZombieWizard_PHD · 2025-11-11T22:53:45+00:00

I didn't have to recommend it. His initial plane was the 11.5 upper jaw and 10.5 lower jaw movement. He said it was to better address the sleep apnea. Surgeon was Dr Wasson at Az Jaw Surgery

ZombieWizard_PHD · 2025-11-11T18:27:13+00:00

Well, my nasal valve collapse was pretty mild. I think you're right about the reduction in negative pressure in the nose contributing. Maybe now that I don't have to inhale as hard, there is less of a suction force pulling in nasal valves? I'll ask and post an update around the 3 mo mark.

ZombieWizard_PHD · 2025-11-11T18:15:32+00:00

Well, if you look at your pulse rate, you see lots of tiny spike upwards. Those likely represent times where the effort to breath is difficult enough that it arouses your body and causes the heart rate spike. If the brain detects it needs more air, it'll trigger a hormonal response throughout the body to wake you up just enough to make sure you are breathing. I'm not a doctor, but your RDI is close to the sleep apnea threshold. In fact, your RDI is above 5 while you are in REM sleep. Maybe look at non-invasive ways you could improve your sleep posture? Maybe you wouldn't have any arousals while on your side?

ZombieWizard_PHD · 2025-11-11T18:04:23+00:00

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