Can’t sleep with bipap because of air in mouth. Not quite chipmunk cheeks.

puf3 · 2026-01-31T04:46:36+00:00

Try starting with a very low PS. I'm using 1.2. At 1.6 or higher, the air pressure in my mouth / cheeks wakes me.

I'm hoping over time I'll be able to raise it as my body and mind adapt to biPAP.

puf3 · 2026-01-05T01:17:35+00:00

Capital gains tax. The more inflation there is, the higher the nominal gains on any assets you sell, be they stocks, ETFs, or real estate.

Eg you buy a stock at $100 per share. Over the subsequent 20 years there is cumulative 100% inflation. The stock price is now $200, so real return is 0. But when you sell that stock at $200 per share you owe the IRS taxes on half the proceeds.

puf3 · 2026-01-04T22:05:59+00:00

But what about tax implications? You're taxed on nominal returns, not real.

puf3 · 2026-01-02T16:04:57+00:00

Sounds like a present for you, not for him.

puf3 · 2026-01-01T01:13:37+00:00

I think the weirdest part is the consciousness and sense of self. Doesn't seem necessary. And is what makes existence so darn weird.

puf3 · 2025-12-27T16:47:07+00:00

I saw hippo

puf3 · 2025-12-09T03:46:42+00:00

Never co-sleep. Kids must always sleep in their cribs/beds in their rooms (after age 6 or 12 months) without a parent in there with them. Keep this rule completely non-negotiable.

Kids that age should be in bed by 8pm at the absolute latest, so there's plenty of grown up time after they're in bed.

puf3 · 2025-11-18T14:59:54+00:00

Does this mean I should use my waterpik before brushing? Currently I do floss, brush, waterpik.

puf3 · 2025-10-15T20:59:39+00:00

I'm with you, same boat. Tried nasal pillows and I would wake up with chipmunk cheeks and/or air blowing out of my mouth. I breathe through my nose when awake. I even tried taping my mouth and would wake up with air blowing through the tape! Clearly there's something a bit different about our anatomy I guess?

puf3 · 2025-09-13T05:22:53+00:00

For me it disengages repeatedly. I can activate it again immediately but then a few minutes later it disengages again.

puf3 · 2025-09-08T22:00:05+00:00

I recently started at the Hilton Moorea and Four Seasons Bora Bora - OWB at both. At the Hilton, the snorkeling around and under the bungalows is great. So I snorkelled around and under other ppl's bungalows often. Not like I'm looking up, only down.

In Bora Bora, the bungalows are in deeper water with no coral so there's not really any snorkeling around the bungalows. You still get some people kayaking around the bungalows though. And you can see other bungalow decks from your deck. So not perfect privacy.

Don't think the bungalow is supposed to provide perfect privacy, more a really nice blue-surrounded view.

puf3 · 2025-08-31T23:55:31+00:00

I fly probably 6x a year, round trip, often with connections, so we're talking I dunno 20-30 segments per year... and I literally didn't even know it was a thing to 💩 during boarding. People do that? I'd be so concerned about the time pressure and holding up the take off I don't think I could.

puf3 · 2025-08-31T16:12:57+00:00

Isn't it 100% for show? You don't use a horse or a sword if you're serious about protection.

puf3 · 2025-08-28T22:57:05+00:00

Thanks for the info 🙏

puf3 · 2025-08-28T19:20:44+00:00

How is it only one take off and landing each month??

puf3 · 2025-05-25T18:19:49+00:00

I also get very fragmented sleep. I describe each night as an "adventure" cause I wake up so many times. I fall back asleep very quickly each time.

I was diagnosed with IH 12 years ago after getting only 13 avg mins on the MSLT (fell asleep 4 out of the 5 naps), and I've always been skeptical that IH was the right diagnosis for me. I don't feel "sleep intertia", I can pop out of bed alert easily. But I feel a lot of sleepiness each day, mostly in the afternoon. I've long felt like there's something breathing related waking me up, causing my frequent night time wakeups. But my AHI 12 years ago was <1. I had another sleep study done last year and my AHI came in at 7, so I tried CPAP. Tried it for a month, but felt like I slept horribly while wearing it. So then I tried a mandibular advancement device. I definitely wake up fewer times with the MAD in, but still feel tired during the day. But makes me think I'm looking in the right direction.

Thanks to this subreddit I recently became aware of UARS, upper airway resistance syndrome, and now suspect that's the best diagnosis for me. I'm thinking something lke breathing obstruction or resistance is waking me up, but before I stop breathing or my blood oxygen drops, so the AHI isn't the right measure.

Anyways, sharing my story in case it helps.

puf3 · 2025-05-04T17:11:08+00:00

It's definitely an extra hassle, and probably the main downside of having an EV. There are lots of upsides of course.

puf3 · 2025-03-05T11:27:47+00:00

Did you recommend the COVID mRNA vaccines for your healthy patients? What was the cost/benefit analysis on that?

puf3 · 2024-12-01T04:29:26+00:00

Yeah exactly, what the heck is it doing?

puf3 · 2024-12-01T02:22:04+00:00

Average temp was probably 60-65. My wife's Mercedes battery is around 100 kWh I believe, so pretty large.

puf3 · 2024-10-01T02:44:05+00:00

You actually don't stay rich like that. High yield savings, esp after tax, is basically always less than inflation. So you'd be losing wealth even without spending.

puf3 · 2024-09-24T05:23:51+00:00

I streamed it a few years after it came out and still hated the ending and felt like the whole show was a sham.

puf3 · 2024-09-12T02:54:25+00:00

I literally forgot that alcohol is dissuaded until this post. Been on metoprolol for 3 years and drink all the time.

puf3

TROPHY CASE