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Wagthesam
searching PlanetScale…
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9 ms
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Wagthesam
4y ago
I did not put strict detail in the medical interventions as this is not meant to replace medical advise and its not as engaging in story form to list things rigorously But I did followup home tests after treating it, and have done polysomno
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Wagthesam
4y ago
if its allergic, then treat the allergies. non allergic I have less experience with, but my understanding is flonase / antihistamines could still help many other causes though (nasal infection, diet, etc)
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Wagthesam
4y ago
You have congestion. Could be allergic, or non allergic. See an allergist and an ENT and get it checked out
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Wagthesam
4y ago
My ENT gave me afrin and used it as a diagnostic tool
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Wagthesam
4y ago
Polysomnography is definitive for UARS. If you had a negative result, either do it again. But if its consistently negative then you do not have UARS as you do not have microarousals
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Wagthesam
4y ago
Late stage untreated UARS is similar to a catatonic existence. I think Christian Guilleminault described this population in his research. Thankfully even my experience did not get to this point
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Wagthesam
4y ago
yes. I hope one day allergy shots will cure my allergies. But until then I take daily meds. If I stop I will within days start waking up like i've been punched in the head
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Wagthesam
4y ago
I have some ideas for under-diagnosis: 1) Reluctance to seek treatment for something that can be still tolerated 2) Incorrect assumption that sleep apnea only affects overweight people that snore by a large portion of the medical community
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Wagthesam
4y ago
sorry, I was not clear. I did not mean medical devices when I said sleep gadget
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Wagthesam
4y ago
Just saw one post by someone that did EASE, but nasal breathing regressed as allergies got worse. Treating allergies and inflamation comes first I feel
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Wagthesam
4y ago
got it, thanks for making that clear. I was under the assumption that adhd masks sleep apnea, but didn't realize you can also have both
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Wagthesam
4y ago
I used to be known as someone that partied hard. Even at work I was the guy on the technical teams that found all the degenerates on the sales teams to go out with. Then after the hangovers got too much (probably due to sleep apnea), I swit
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Wagthesam
4y ago
Its been shown that sleep apnea related brain damage reverses completely within a year of treatment. If your issue is a narrow airway due to a recessed jaw an MMA can be curative. Insurance covers MMA if AHI > 15. Do you have people arou
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Wagthesam
4y ago
I agree with this. For me, I stuck it out longer than I should have due to a combination of youthful idiocy with a chip on my shoulder, a work visa, and a fear that if I threw in the towel now I would never work again. In retrospect, I woul
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Wagthesam
4y ago
It is very difficult to get his procedures covered as he normally charges more than the customary rate and is out of network. I guess most of his procedures are out of pocket
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Wagthesam
4y ago
Thank you for the comment. There are definitely issues you touched on intertwined with this story, and I don't fully understand them and will be digging deeper with therapy. Something I put off for far too long as I was busy dealing wi
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Wagthesam
4y ago
if you have the money, Dr. Kasey Li is the best sleep apnea surgeon in the bay area, possibly the world. He is the protoge of dr Christian Guilleminaul who is the founder of sleep apnea medicine. He does MMA and EASE, both of which solve st
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Wagthesam
4y ago
Also, in the meantime take an antihistamine like zyrtec daily as you have allergies
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Wagthesam
4y ago
thats fucking crazy and maddening. I'm sorry that happened to you
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Wagthesam
4y ago
Good to know. I almost went down the route of getting adhd meds. Yeah a baseline is key. Having a personality baseline is important as well, a personality change was one of the biggest indicators something was very very wrong
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Wagthesam
4y ago
Drinking induces sleep apnea for me. If I go out for drinks I will end up feeling like I completely regressed for a few days / up to a week. It relaxes the soft palette during sleep and causes major apnea / hypopnea events.
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Wagthesam
4y ago
I will add you can get a second hand off a marketplace cpap machine without a prescription. I think many go this route as with insurance they can take it away if they see you are struggling to use it.
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Wagthesam
4y ago
The only one i'm not sure about is acid reflux treatment. From my own experience congestion + sleep apnea => acid reflux. But I have not seen improvement in sleep apnea from treating acid reflux. Although in the study linked in the
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Wagthesam
4y ago
Not mentioned in the article but I also tried this. It worked in the short term but it was ultimately not the root cause as my symptoms persisted past it
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Wagthesam
4y ago
you can do immunotherapy--allergy shots. i have a friend at work with the same issues, loves his dog but it wrecks his sleep. allergy shots desensitize you to animal dander, but its a long process with weekly injections. Results in 1 year+
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Wagthesam
4y ago
For most people with sleep apnea this may be true. I didn't dive into the details but for a subset with UARS, people are typically thinner, younger and fitter. This group suffers from structural issues. In my case congestion and allerg
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Wagthesam
4y ago
Sorry I meant sleep gadgets like cooling pads, not referring to medical devices
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Wagthesam
4y ago
This is quite raw and I'm actually somewhat afraid to share this. But I think sleep apnea is criminally under-discussed and underdiagnosed. It can f your life up sideways and can take years to diagnose. So sharing my story and hope I c
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Poor sleep drove me insane, and my long path to recovery
(writing.samsonhu.com)
655 points
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Wagthesam
4y ago
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364 comments
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Wagthesam
4y ago
It's actually amazing to see empire builders in action. While some EMs are busy trying to keep their teams on track, others are rolling entire teams under them and growing their mandate
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