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nvrgavup
Unread post  Post subject: inspire upper airway stimulation  |  Posted: Thu Feb 18, 2016 6:16 pm

Joined: Mon Feb 23, 2015 6:08 pm
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Location: Westchester, NY
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Hello again!
Been some time as once I found the right mask fit have been on CPAP and feeling myself again. If you recall 2,000 posts ago ;-) it took 6 months for the bonehead Dr's to figure out I had sleep apnea. So the reason for this post, I saw this www.inspiresleep.com and being I do hate the CPAP any hope of not having to do is of interest. You know of any success? I searched all posts and cant find much so sorry if you have addressed this in detail prior, send me a link if so.
Thanks!!!! You're still the man on this stuff and I've told so many Dr's about you, seems many have no clue.


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oncomingspork
Unread post  Post subject: Re: inspire upper airway stimulation  |  Posted: Thu Feb 18, 2016 9:13 pm
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Joined: Sat Jan 16, 2016 11:31 pm
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What a weird idea.
It looks like it's only good for OSA, if you mostly have centrals it might not do much?

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jonny515
Unread post  Post subject: Re: inspire upper airway stimulation  |  Posted: Sun Feb 21, 2016 11:51 am

Joined: Mon Sep 14, 2015 2:15 pm
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I think it's only for OSA. There is quite a lot of determination of who is a good candidate at this point. You have to be young (roughly 20-50), thin, and they want you really to fail at CPAP, not just someone who dislikes it but can use it.


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TheLankyLefty
Unread post  Post subject: Re: inspire upper airway stimulation  |  Posted: Sun Feb 21, 2016 10:11 pm
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This is hypoglossal nerve stimulation. I don't like the idea at all for myself. You have an implant near your hypoglossal nerve and upper chest.

To cut to the chase it's an electrical impulse that is supposed to keep your airway open. (think of what a TENS unit does to your muscles....that's what it does to your upper airway.) I can't imagine trying to sleep with that pins and needles feeling.

Even with it, you need titration. Too much nerve stimulation and it's going to wake you or keep you awake. Too little and your airway won't be "shocked" open. I'd do the mandibular advancement if I were going the surgery route. No implants or potential nerve damage.

I may discuss it in this video....but quite honestly I can't remember. :roll:

https://www.youtube.com/watch?v=8F3KyMg6LKE

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jonny515
Unread post  Post subject: Re: inspire upper airway stimulation  |  Posted: Mon Feb 22, 2016 10:32 pm

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Nope, not in the video, but i did enjoy your drawing. I have no interest in surgery. :)


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TheLankyLefty
Unread post  Post subject: Re: inspire upper airway stimulation  |  Posted: Tue Feb 23, 2016 10:21 pm
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Baaah!!!! I'm SLIPPING!!!! :shock:

Well....at least there is another video idea! ;)

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49er
Unread post  Post subject: Re: inspire upper airway stimulation  |  Posted: Fri Feb 26, 2016 8:17 am

Joined: Wed Aug 19, 2015 9:22 am
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I looked into it and as an FYI, my age, 60, did not rule me out. Unfortunately, my sleep endoscopy showed completely concentric collapse which has apparently been shown during studies to not respond as well to the procedure. So I was unfortunately disqualified.

Jason, I am starting to look at the MMA procedure but the Inspire procedure seemed alot less invasive.

49er


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jonny515
Unread post  Post subject: Re: inspire upper airway stimulation  |  Posted: Fri Feb 26, 2016 10:12 pm

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TheLankyLefty wrote:
Baaah!!!! I'm SLIPPING!!!! :shock:

Well....at least there is another video idea! ;)



I'll be looking forward to this. ;)


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TheLankyLefty
Unread post  Post subject: Re: inspire upper airway stimulation  |  Posted: Wed Mar 02, 2016 10:12 pm
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49er wrote:
I am starting to look at the MMA procedure but the Inspire procedure seemed alot less invasive.
Really? I look at it the other way. The MMA is a "larger" surgery, but there aren't any implants left behind. Having something implanted is invasive to me. Let's face it....neither sounds good!

MMA seems to have better results.

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oncoming spork
Unread post  Post subject: Re: inspire upper airway stimulation  |  Posted: Wed Mar 02, 2016 10:45 pm
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I've got a TENS unit. That sensation is weird enough on my shoulder, I wouldn't want it in my chest.


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jonny515
Unread post  Post subject: Re: inspire upper airway stimulation  |  Posted: Sat Mar 05, 2016 10:50 pm

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Had a friend who went thru the TENS on his back. And it was a total bust and didn't do anything. So that could happen as well.


oncoming spork wrote:
I've got a TENS unit. That sensation is weird enough on my shoulder, I wouldn't want it in my chest.


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49er
Unread post  Post subject: Re: inspire upper airway stimulation  |  Posted: Sun Mar 06, 2016 6:21 am

Joined: Wed Aug 19, 2015 9:22 am
Posts: 26

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TheLankyLefty wrote:
49er wrote:
I am starting to look at the MMA procedure but the Inspire procedure seemed alot less invasive.
Really? I look at it the other way. The MMA is a "larger" surgery, but there aren't any implants left behind. Having something implanted is invasive to me. Let's face it....neither sounds good!

MMA seems to have better results.


I guess it is an issue of what your preferences are. I thought the Inspire Procedure should be tried first because it would have been an outpatient procedure vs. the MMA and a much quicker recovery. It also seemed like it wouldn't take as long to find out if it was successful or not. And since my AHI is 25, it seemed my chances of success in getting the AHI down to 5 were alot greater although the sample size of their studies is small.

Agree that the MMA has a better track record.


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