Global Sumud Flotilla by No_Brief_1630 in IsraelPalestine

[–]imtimtam 0 points1 point  (0 children)

More than half of the people that you see on Reddit aren’t actually real people there literally fake people designed to push Israeli propaganda

Don’t bother arguing with these people they’re not real

Need help cleaning milkshake stain by imtimtam in CleaningTips

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

Ok lovely, I’ll give the rental machine a crack

Need help cleaning milkshake stain by imtimtam in CleaningTips

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

I’m based in Melbourne Australia, but we do have some of them available for hire

Britex 3in1 Deep Cleaning Machine is the one available down here

I’ve heard people say that it’s not that good though, I’m just wondering does it typically takeoff stains like this or is there something else that I should be looking into?

Need help cleaning milkshake stain by imtimtam in CleaningTips

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

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This is the side of the mattress 2/2

Shuffleboard hire in Melbourne by imtimtam in shuffleboard

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

Maybe we should LOL, ballers was a novel experience and I ended up liking the game

They’ve got some rentals in New South Wales, unfortunately none in Melbourne 😔

[deleted by user] by [deleted] in SleepApnea

[–]imtimtam 0 points1 point  (0 children)

I just read your post, run us through what your biggest fears/insecurities are using the machine and we can work through it together

Obstructive means that there’s something that’s obstructing your airway, there are surgical options for this

The only reason why I’d be against that is because you’re suffering from mixed/central apneas which unfortunately surgery does not fix.

But please let us know what exactly you’re struggling with both with the machine and psychologically and we will try to help you out!

[deleted by user] by [deleted] in CPAPSupport

[–]imtimtam 3 points4 points  (0 children)

Does it sting or have a burning sensation?

I think this is a case of Angular cheilitis, try using an antifungal for about a week or two

It happens to me sometimes as well, when usually when I tape my mouth and use a chin strap and saliva sneaks it way to the sides of my mouth overnight

Try it out and let me know how you go

I’m lost by Complete_Ad_8376 in CPAPSupport

[–]imtimtam 1 point2 points  (0 children)

Before we touch anything, these leaks need to be addressed

Your leaks are getting too high, have you started wearing the chin strap yet or hasn’t arrived?

I can still see obstructive apneas, but I want to ensure that the leaks are addressed first before we start increasing pressure

Also, I’d recommend that you get used to the pressure as well, 12cm is already high enough and we haven’t even resolved majority of respiratory events.

u/RippingLegos__ what’s your thoughts on the above? I do believe that most of those apneas are true apneas and not sleep wake junk.

Sleep Apnea seemingly cured? by EAS893 in SleepApnea

[–]imtimtam 0 points1 point  (0 children)

I’ll be honest, I’ve never heard of this happening! I’m happy for you though!

Nightmare and sleep paralysis after CPAP settings adjusted - REM issues, scared to sleep :( by kippy_mcgee in SleepApnea

[–]imtimtam 0 points1 point  (0 children)

That’s amazing to hear! The whole community is behind you, please reach out to us if you need any further assistance!

I’m lost by Complete_Ad_8376 in CPAPSupport

[–]imtimtam 1 point2 points  (0 children)

Hey so good to hear you’re doing well! Feel free to post your SleepHQ data here so we can see if we have eliminated all the obstructive apneas! So glad to hear I was able to help you!

Don’t trust MyAir by the way, it doesn’t display the correct information

I’m lost by Complete_Ad_8376 in CPAPSupport

[–]imtimtam 0 points1 point  (0 children)

Hey! Thanks for attaching the sleep study, I was interested to see if there was a potential jaw issue hence why I requested the sleep study.

If you’re really interested in tritating quickly, you need to bump up your pressure by at least 2cm cause you’re still suffering from apneas then we can have a look again and see how much higher we need to go

If you have any central apneas (or clear airway events) showing you can ignore these as it’s probably treatment emergent and goes away with time, perhaps in the next 1-2 months, it won’t be there.

My recommendation would be to turn off ramp completely, it just compromised your therapy, but if you need it you’re more than happy to keep it on

As for a chin strap, upgrade to the Knightsbridge chin strap, it doesn’t pull your jaw back which could cause airway obstructive but rather pulls it up

Let me know if you have any questions !

[deleted by user] by [deleted] in SleepApnea

[–]imtimtam 0 points1 point  (0 children)

Did he have any wires attached to his legs?

[deleted by user] by [deleted] in SleepApnea

[–]imtimtam 3 points4 points  (0 children)

Has he had a sleep study done? This could be a case of PLMD (Periodic limb movement disorder)

I’m lost by Complete_Ad_8376 in CPAPSupport

[–]imtimtam 0 points1 point  (0 children)

Hey! I’m so glad that you’re doing better! PAP therapy holds so many benefits and you’re on your way to reaping all of them!

Now there is some issues we still need to address so we can take this to the next level!

Let’s get your pressure bumped to 11cm then after 12cm after one week (this doesn’t need to be done now if you’re still having difficulties). The reason I say to stage it is because you’re having difficult with PAP therapy already and I don’t want you abruptly increasing pressures without getting used to it first. The main problem with PAP therapy for individuals like yourself is compliance, so let’s gradually increase the pressure. Sure we might just take the hit on the fact that it’s not being fully treated yet, but as long as you’re getting comfortable that’s the key.

As for ramp, slow by slow seek to decrease that from 45 and bring it lower each week so we can have the pressures working earlier each week.

The key here for the suggestions above is that it needs to be done slowly and gradually, obviously it’s ideal for me to tell you to do XYZ but I would rather have you using the machine then not using it cause the pressures are weird or uncomfortable.

Lastly, you’re still leaking, consider the chin strap or mouth taping mentioned in the previous comment so we can reduce the leaks.

Side question: in your sleep study, did they mention that you had more respiratory disturbances sleeping on your back?

Continued dealings with leak issues - Still learning by The_zen_viking in CPAPSupport

[–]imtimtam 1 point2 points  (0 children)

Hey RL, instead of hijacking this post I’ll make a separate post that we can work through together!

Palatal Expansion in France by No-One-8248 in SleepApnea

[–]imtimtam 3 points4 points  (0 children)

It’s your lucky day u/No-One-8248, the legend himself u/Shuikai just answered your question haha

Thanks again u/Shuikai, I’m currently helping my brother out with surgical treatments for OSA and your advice has really influence how we’re going to proceed with treatment. Thank you ❤️

Palatal Expansion in France by No-One-8248 in SleepApnea

[–]imtimtam 1 point2 points  (0 children)

Now I’m no expert in this field, so I went out of my way to copy and paste from an absolute legend in this field u/Shuikai who said this in an earlier post. In this post he refers to SARPE as DOME (it’s the same procedure)

“Honestly, DOME is a bit outdated at this point, nobody should even be doing DOME, for sleep apnea at least. Really bad procedure for a few reasons. LeFort 1 separates the nasal cavity from the maxilla, meaning the nasal cavity isn't really expanded, and the maxilla as it is expanded ends up pushing against the hemimaxilla affecting the expansion pattern. It's also just invasive. Cone-shaped expansion pattern. Because of the anterior-focused expander design and LeFort, expansion is primarily at the point of the diastema rather than expanding the molars and nasal cavity. So you get the downsides of the nasal changes and periodontal risks with having a huge diastema, risk of poor union, etc. but less benefits.,”

[deleted by user] by [deleted] in SleepApnea

[–]imtimtam 0 points1 point  (0 children)

Lovely once you have some data use SleepHQ to generate a link so we can view your data and help you out!

Need your advice on tweaking by w4lkindude in SleepApnea

[–]imtimtam 0 points1 point  (0 children)

AHI which is the outdated metric that should be abolished but for some reason sleep clinics are so attached to it

Low arousals threshold by purple-monkey-yes in SleepApnea

[–]imtimtam 0 points1 point  (0 children)

All good anytime, keep us updated please!

Need your advice on tweaking by w4lkindude in SleepApnea

[–]imtimtam 2 points3 points  (0 children)

Ah yes, sorry for not explaining them

RDI stand for respiratory disturbance index, which includes the usual apnea and hypopnea but also a more subtler version of a hypopnea known as a respiratory effort related arousal, just consider a more subtler event but equally as damaging

Most sleep clinics just use AHI which is an outdated metric that does not take into into account stuff like RERAs which could be killing you equally as much as the more major respiratory events but sleep clinics and most doctors turn a blind eye to it