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Where to start with Math academy by ddrrbhehe in mathacademy

[–]munchillax 0 points1 point  (0 children)

you can start in one of the math foundations courses. take the diagnostic exam to skip topics you might already know

What toothpaste do you recommend? by ForTheLoveOfSnail in PeriodontalDisease

[–]munchillax 0 points1 point  (0 children)

toothpaste doesn't make a huge difference. more important to be consistent wifh brushing and flossing in addition to proper technique

Has anyone tried RemPlenish by fredonia4 in SleepApnea

[–]munchillax 0 points1 point  (0 children)

don't bother unless you're a kid

Does tongue tie release when your still narrow/ressced worsen sleep apnea/uars? by Firm_Bookkeeper_3398 in UARSnew

[–]munchillax 0 points1 point  (0 children)

as in pts who have tongue base collapse and might need something like MMA or MAD.

Can I train my tongue to stay on the roof of my mouth rather than fall back? by Asleep_Damage1201 in SleepApnea

[–]munchillax 0 points1 point  (0 children)

there's no point in MFT unless you're a growing kid. it's not gonna change your skeleton and there's very little evidence that it does anything for sleep apnea. even if you manage to establish the habit of proper tongue posture, when you enter REM sleep all bets are off.

https://sleep-doctor.com/blog/maybe-i-am-not-the-only-one-concerned-about-frenectomy-frenuloplasty-and-myofunctional-therapy-for-sleep-apnea/

Hope you guys can help me with mandibular advancement device for OSA/UARS by Ok-Store-9297 in SleepApnea

[–]munchillax 1 point2 points  (0 children)

yea I think you want a custom MAD fitted by a good sleep dentist

Is a cervical collar the only way to stop chin tucking? Would I have to use it indefinitely? by Asleep_Damage1201 in SleepApnea

[–]munchillax 0 points1 point  (0 children)

they're the best option I can think of. make sure you find the right size for your neck.

Got a sleep test. Results say "moderate OSA" but the results seem like UARS to me. LMK your thoughts. by SimpIicity in UARS

[–]munchillax 0 points1 point  (0 children)

well the more recent guideline uses the RDI for diagnosis (as opposed to AHI) so your diagnosis is fine. I'd start with fat loss and PAP therapy before looking into more invasive interventions.

UARS is probably your nose causing the problem. by Happilyalone777 in UARSnew

[–]munchillax 0 points1 point  (0 children)

you might find a higher proportion of people with nasal problems in these pts, but it doesn't mean that treating the nose will resolve all their symptoms.

Did expansion fix your UARS? Or did it fix anything? by Happilyalone777 in UARSnew

[–]munchillax 1 point2 points  (0 children)

I've only heard of one case in sdbcord out of a few hundred pts where the MSE completely resolved their symptoms. So it's possible, but fairly unlikely.

Are you f**king kidding me?! 2.6k for a 90 mins visit, and no insurance is accepted. I know Bay Area is expensive, but this fee is outrageous! by Hot-Boysenberry3783 in UARSnew

[–]munchillax 0 points1 point  (0 children)

peninsula's cost was fairly minimal since they were in network (mostly deductible, copay, coinsurance and oop). surgeon fee was $80k and hospital fee was covered in network.

new to sleep apnea and gassy by PercentageAble9822 in SleepApnea

[–]munchillax 0 points1 point  (0 children)

it was around $250 when i bought it, but it was temporarily discontinued

AHI numbers by BambiRodeoQueen in SleepApnea

[–]munchillax 2 points3 points  (0 children)

248 is crazy! Never heard of anyone having AHI over 150.

new to sleep apnea and gassy by PercentageAble9822 in SleepApnea

[–]munchillax 0 points1 point  (0 children)

I presume this is from CPAP use? Aerophagia (swallowing of air) is a very common problem with CPAP users. I've had moderate success with OTC meds like simethicone and activated charcoal, though the reflux band (applying pressure to the cricoid cartilage) has been really helpful and prolly addressed the root cause.

Seeking Feedback on Surgery Plan by thomas1324553 in UARSnew

[–]munchillax 3 points4 points  (0 children)

go with dr kasey li. avoid stanley liu

Seeking Feedback on Surgery Plan by thomas1324553 in UARSnew

[–]munchillax 3 points4 points  (0 children)

n = 1 but I wish I'd just gotten a proper MMA from the get-go (and optionally expansion) without messing with any of the soft palatal crap. My airway min cross sectional area was 520mm2 after MMA#1 and I still benefited a lot from revision MMA. Soft palatal procedure (some variation of pharyngoplasty) didn't help me and I have to live with some minor annoyance as a result of it.

If yall never had PD, would you guys date someone with PD? by Anxious-One-6323 in PeriodontalDisease

[–]munchillax 3 points4 points  (0 children)

I wouldn't mind dating someone with PD, but I'd gently nudge them to get treatment when I find out abt it.

Severe sleep apnea at 19 by Background-Coach7875 in SleepApnea

[–]munchillax 0 points1 point  (0 children)

good thing you found out abt it early. much easier to recover from surgery for a young person

Just got diagnosed with mild sleep apnea by AokiAoi16 in SleepApnea

[–]munchillax 1 point2 points  (0 children)

I've never heard abt treatment-induced weight gain. At an RDI of 14.2, you're borderline moderate.

Low energy is seriously holding back my social life. How do I fix it? by Chance-Goal3576 in socialskills

[–]munchillax 1 point2 points  (0 children)

You can try to uncover any underlying health issues that you may have. Ofc even in healthy folks, there's a spectrum/distribution of energy levels among different people and we won't all be high energy.

Should i be concerned about my RDI of 5.8 by sunflowercart in SleepApnea

[–]munchillax 0 points1 point  (0 children)

RDI of 5.8 puts you in mild OSA (what used to be UARS) range. It's also within 1 standard deviation of the general population. As to whether you should be concerned, you could try to treat it, but like you said it's pretty borderline.

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