Man, I have a big psychosocial problem. I am going to have to figure out how to move (from U.S) to London and become a British citizen so I can become your patient. You make such sense and are so open to discovering what really works for each individual.
Wow, SO impressed with how you approach sleep apnea! I'm on 23 YEARS now of UNtreated severe sleep apnea due to doctors here that don't give the time needed to truly understand my situation and seemingly don't go beyond just writing a script for a cpap then you're on your own. If you ever come to the USA, I wish to be your very first patient and will shout from the rooftops to anyone that wants to hear that Dr. Vik Veer saved my life. Until then, I'll be struggling daily/nightly as usual. No pressure, lol
@@VikVeerENTSurgeon what do you suggest we should do?I wonder which one would you rely on more when diagnosing patient with OSA the AHI result or patient opinions? if result came in severe OSA and patient said I felt good and no issues what do you do?
A 90+ y.o. lady called into a local radio show in my area of Western Wa, USA, complaining of terrible long-term severe night sweats. NO ONE has been able to help her, not her personal physician. not even the radio doctor. I caught a glimpse of this symptom on your questionaire during the video above. I think this may be the answer to this lady's problem. I"m going to suggest to the doc that this may well be this dear lady's solution. I'll let you know if the message get through to them and, if and when she gets tested for sleep apnea. You are doing so muc good for so many people. God bless you and your work. Wish you were in America!
How likely is my gp going to take me seriously if I request to be referred to you? You make it sound easy, I think they will just follow the same old routine you mention hoping something will work.
I get what you mean. Suffering with 19 AHI I use my Cpap but in the morning I don’t feel any better than when I went to bed. So I end up not using it. There’s others that feel the same as me. It makes me feel claustrophobic with the face mask. I’m still waiting for my system my dreamstation to be changed due to Phillips recall. I would really like to come and chat to you. Rather than seeing my own hospital because they just threaten me if I don’t use it they will report me to DVLA because I’m disabled I need to drive. I wished they would listen to me. I’m just so depressed.
I'm sorry to hear that, ask them for a mandibular advancement device and see if that helps. do a sleep study afterwards to see the benefit. if your AHi drops to below 15 you won't need to threatened with reporting to the DVLA. ask them to also look at the new NICE guidelines as well. it might help. th-cam.com/video/LNbPhogMTzM/w-d-xo.html
Is there anyone else like you besides god in this world. Id never seen nor heard anyone with heart like you, very caring, very loving and deterministic for the human soul and well being, you are truly a one of a kind doc, may the lord god blesd you a long lifw for such a purpose, please may bless you a long life doctore. Truly truly one of this word base on your words, thoughts and intentions.
Thanks for shedding some light on this. People, including clinicians, sometimes think that the test/parameters we currently have are perfect. Which they are not. There are many aspects to health and wellbeing (tangent but, the WHO has a great definition of health.) As usual, your videos are very enlightening and informative to watch.
"WHO constitution states: "Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity." An important implication of this definition is that mental health is more than just the absence of mental disorders or disabilities." Agreed, that is a very insightful definition. Thank you for your comments
Dr. Veer it’s so refreshing hearing you say this. I just had a tonsillectomy today and I’m hoping it helps my sleep apnea. I’ve tried CPAP for years but I can never fall asleep with something strapped to my face. I appreciate your holistic thinking to the overall well-being surrounding this.
I wish you were my sleep consultant. You are like a breath of fresh air. On your suggestion I asked to see my sleep report from 2016 in the hope I would learn more about my condition. Had to send a freedom of information request and finally the report arrived. Its not my sleep study!!!!! Dont know how you even would challenge this. My journey has not been a good one. But I am resourceful and intelligent and I research
I cannot stand my CPAP...it fills my lungs and stomavh with air and I wake up finding that I cannot breath out or after pressure adjustment that it I dont have enough air.
Several years ago I realized that I would go to sleep and have this kind of panic sometimes where I'd fall asleep and then wake up like I'm unable to breathe. I also started being really sleepy during the day, and often would be driving home from work and starting to fall asleep. So, I talked to my doctor, and I ended up having two home sleep studies, an inpatient sleep study, and then an inpatient CPAP titration. I had an AHI of 7 which i think is quite low and maybe doesn't even qualify me for cpap REALLY - especially since it was almost all hypopneas and especially on my back which I don't usually sleep on (they made me do it during the study to see what happened). I got a CPAP, and I could tell it helped me breathe better when I was trying to sleep. However, it didn't make me feel any better at all. Also, I'm in America, and I never once actually talked to a sleep doctor - I was just put through this system and given a CPAP machine to use which I eventually stopped using. I'm pretty sure that in reality, I have UARS, especially based on the 'chair' waveforms I'd see on my CPAP graphs when I pulled them up in that open-source DIY analysis software whose name I completely forget. I also have nasal valve collapse, which I can treat with nose strips or those nose dilators. I bet the CPAP also helped, cuz I used the nasal mask which would shove my nose up and back which opens it all up. One thing I didn't really like was that everything was based on the AHI, and I was pretty sure that I was subtly waking up a lot but not having incidences of actual severely reduced ventilation or full stoppages. I can tell physically that my throat closes up when I'm relaxing to go to sleep, and I'm guessing it's partly because I have a relatively short jaw/flat face compared to some people. I tend to sleep rather lightly sometimes as a result.
Did u ever ask your sleep doc of what he thinks could be the issue? Just curious what you got as a response. I'm in a similar boat. I get really bad nasal congestion to the point where one nostril feels Completely blocked. Also tried mute/turbine nasal dilators. I feel like the nasal congestion plays a role in poor sleep as well.
I heard something about the soft palate injections for snoring to keep that muscle contracted so it doesn’t obstruct the airway at night which causes snoring. Can a similar effect be achieved by spray? Is it worth it? Thank you.
No need to apologise you’re not ranting but rather you’re passionate about advocating on behalf of your patients - I fear I’ve suffered with sleep apnea from a very young age though only recently diagnosed AHI 24 though shocking oxygen saturation levels of 60% during rem sleep would have a panic styled attack as I was dosing off then purposely wake myself up I also used to frequently sleep walk as a child also grind my teeth at night so sleep and I sadly have never been good friends - I’m hoping that will change as I progress with my cpap journey - do you think we should have a range for the pressure level on the cpap machine or just a single number?
Very empathetic of you Dr. Veer. There are so many variables with sleep apnea, AHI does not do the condition justice at all. Thank you for applying your expertise for free for the betterment of everyone.
It applies to all sleep breathing disorders including UARS. especially important to those conditions which have a normal AHI as it forces people to look closer at the Sleep Study. see this video here... th-cam.com/video/WkPjOmgh40A/w-d-xo.html
You are spot on about the numbers, I range between 5 and 8 which is very low, but know that if I don't use my cpap I will start to get the symptoms that you mentioned.
Hi Vik, another great video and it captures the things that the other questioniares do not. Can I ask a question, do you recommend a home sleep study gadget or device that can measure the Co2 and other parameters?
Sir I had a tonsillectomy 4 weeks ago today. I am worried I have an infection and not sure how to tell. My wounds healed in about 2 weeks. Now they are turning white again, and seems like a small hole has formed where my tonsil use to be. I went on augmentin for five days in case but something just feels off. No fever, not bad pain. Should my wounds turn white again? I feel as if I took a step back.
It’s me again!! Have a problem with Resmed CPAP!! Grr! Been told to adjust the mask! Hmmm!!! HOW? Nothing in the booklet on HOW to do that! Saga goes on………
Please my question is not in any way related to this your recent video, but I will be really grateful if you reply me. My doctor said am having a clogged ear and a eustachian tube blockage. He gave me a nasal spray and I have been using the nadal spray for about 1 monyh now but there have not been any significant improvement, and the nasal spray is almost finish. After watching one of your previous video on how to use nasal spray, I guess I was not using the right way. ... can I buy another nasal spray and use it for another 1 month? Making it 2 months all together. Is it safe to use nasal spray for straight 2 months?
safe to use - but nasal sprays are not associated with an improvement in ETD. not sure if it is worth it. if you are going to use a spray, make sure its one that has low bioavailability.
@@VikVeerENTSurgeon yea........the doctor said the ETD was caused by sinuses. So he gave me a nasal spray(Avamys fluticasone furoate)does it have low bioavailability????...... and he also gave me an earpopper and some drugs. I have been using the nasal spray and the earpopper. Though i have been using the earpopper for jus 2 weeks now, the fullness in the left ear has reduced greatly, but the ear is still glue and blocked. That's why I said there is no significant improvement for now. I have been using the earpopper 4 times in a day. Can I increase it to like 10 times in a days? Won't there be any side effect for using the earpopper for up to 10 times in a day? Is there any other thing you can suggest or recommend to me and can help hasten my recovery, please I feel so confused now
Doc I also a question. Can u discuss with a Pharma company to develop a syrup or a gargle etc that can be used before sleep that works like for 8 hrs clearing the airway. Similar to the otrivin nasal drops. Pl think about it. It’s just temporary blocking of airways. Eureka moment. 🤩😇🙏 Thank you
I wish someone would help me with my central sleep apnea. It's been a nightmare and I'm so fed up. AHI was over 100, pure centrals on my second sleep study (the first was 9 years before and my AHI then was around 14 but they decided in their infinite wisdom to do nothing about it, despite being heavily symptomatic). Unfortunately when CPAP surprise surprise) proved not to be the answer, my local sleep clinic decided to, instead, forward me to the ventilation unit - but all they give a damn about is if I'm hypercapnic or not. So right now they have me on the most godawful NIV that fails dismally at controlling my apnea or forcing me to breathe when I stop even as they keep increasing the pressure and worsening the apnea... because my AHI is 30-40 which is as bad as when I "failed" CPAP but they don't even care as long as my carbon dioxide level is okay. The irony is that my pCO2 is still higher now with their choice of therapy than it was when I was just on CPAP alone. It's completely ridiculous and I'm so fed up. I want to get back on ASV but nope. They won't let me. And I'm just so tired and exhausted - and I can't do anything because I'm literally bedbound by my other health issues. I'm so, so exhausted and I just want to feel better.
Dr vik veer, can I ask you whether it’s worth asking my gp for stimulants for my mild OSA . I know it’s mild but I’m very tired, and I have other medical conditions that contribute to my tiredness, mild OSA on its own probably won’t be too bad but altogether it impacts on me daily. I have sinus tacycardia and I’m hypermobile and I have lipoedema which affects how tired Iam. Just wondered if you think it’s worth asking my gp if I could possibly take stimulants so I feel more awake and refreshed. The sleep consultant told me that he doesn’t think cpap will help as my other health conditions affect my tiredness too?
I would try and work out why you are tired rather than masking the problem with stimulants. they also only work for a short time. that's my personal opinion. you might find someone who obviously disagrees. good luck either way.
@@VikVeerENTSurgeon hi, thank you for your reply, I asked my gp about Stimulants but he said there is no such drug for tiredness, when I know there is, as I’ve researched it. I know why I’m tired, I have OSA and I also have a few medical conditions that contribute to my tiredness, I have sinus tachycardia, where my cardiologist said that can contribute to my tiredness , also a rhumatolagist told me that being hypermobile can also contribute to my tiredness as my joints need to work harder, I also have lipoedema, where I have abnormal fat cells that grow rapidly and contribute to my weight gain, so the extra weight that I can’t help as no diet or excercise can get rid of the excess weight due to the lipoedema. All those contribute to my tiredness. If I had mild sleep apnea on its own I might not feel to bad but them altogether I’m feeling tired. I just thought a stimulant my make me feel more awake and alert and less tired. As my consultant in leeds told me that he doesn’t think a cpap will help me, due to me having medical conditions that play their own part in my tiredness. Something has to be done, I can’t feel exhausted everyday for the rest of my life, I have no energy to enjoy my life, I’m exhausted day in day out and I feel I don’t have a fulfilling life. , I force myself to go to work and that’s all I can manage? I generally sleep the weekend away and it frustrates me that I’m So tired and I can’t do the things I want to.do. I wish I could give up work but we are not able to due to rising costs etc. i feel so low.it’s the tiredness that’s making me feel depressed.
@@juliaandrewjuju Honestly, with sinus tach, any kind of stimulant is not going to be pleasant. It's just going to worsen that, almost certainly. Have you been evaluated for PoTS properly? That might explain a lot of your exhaustion too, especially with your hypermobility.
I have used cpap for 15 years and the treatment is good. Has an average of 0.5 incidents per night and that's top notch. Am I satisfied, no. In recent years, I have struggled a lot with cpap and have very poor sleep quality. Waking up 2-4 times every night due to cpap mask and other discomfort. Haven't been on a mountain trip in 15 years because of cpap. In Norway, apneotherapy is free and all equipment is available for loan as long as I need it. Due to my bad experience of cpap, I have requested apnea skin instead of cpap in the hope of a better experience and better sleep. Thanks for good and informative videos. Love from Norway.
I wish I had much better sleep but my obstructive sleep apnea combined with severe restless legs combined with pulse time transit deficit each night almost make me dread going to bed. People often say to me, "you are looking tired, you ok" and I think to myself; I wish I was just tired. I often feel exhausted, despite taking tablets for the morning brain fog and eating healthily.
Hi Doc I think u nailed it. I would go further to say that every sleep apnea patient has to be understood individually with his symptoms and problems. This is not happening. Till about 5 years ago (age now 51) I was sleeping sound on my back and slowly I was struggling with sleep and snoring which eventually lead to the sleep test and a cpap machine which of course I didn’t accept as a mode of treatment. I simply don’t like the damn thing. I eventually figured that side sleeping towards left had solved my problem. If only my doc could have told me that instead of recommending a cpap! I have been observing myself and have found that on cold nights it gets worse and in summer I sleep better. Multiple things play a role including weather, position etc. every case needs specific solution.
Hi Dr veer how refreshing and helpful these videos are! I have sleep apnea which I kind of diagnosed myself after two years of seeing all kind of doctors and not one could tell me what is wrong with me. I am 5’4” and 130 lbs. eat very healthy, exercise often and I am now, 50 years of age. My main complaint was fatigue. None of the doctors I saw thought that I could have sleep apnea. But as it turns out According to two sleep studies I do have mild sleep apnea. I am using a mandibular appliance and it seems to help. I definitely have more energy to go through the day. I will see a surgeon in September to assess if my problem can be fixed through surgery. This doctor does the procedure with the hyoid bone. I am considered mild and my GP cannot understand why I am pushing forward on this since it is just mild… well he was not in my shoes these last two years where I really thought that I am dying… I do not think that they do the DICE procedure here, but thanks to you I will ask and see if it can be done. Do you by any chance have private practice? Do you see patients from the US? I know you are not doing this for the money, but from a genuine desire to help! I cannot believe that there is no more awareness on this since so many chronic disorders stem from it… If you have time, please advise on the hyoid bone procedure for sleep apnea. I would love to learn your opinion on it. Thank you sir and my God bless and keep you so that you can help and give hope to more people! Take care!
Your channel has been so helpful to me. Thank you for articulating how I feel about my c-pap. I don’t like it. It is embarrassing. It doesn’t work for me. I have some great Dr.’s that are very interested in patient comfort and in finding the best solution for their sleep apnea. I’m considering the Inspire device in the hope that over time, it will be a better solution for me and give me increased freedom in my life along with better sleep.
Yea me to and I tried CPAP machine I just can't do it I'm costraphobic I just stopped using it I've got to find another replacement because I think it's getting worse one night I sleep the next 3 I don't and the nights I sleep good is only cas I'm fkd from not sleeping properly
Due to hip bursitis I can’t sleep on my side (it’s worse on one side , a little better on the other. I feel doomed via sleep apnea. I wish I could talk to you in person and work with you.
@@VikVeerENTSurgeon Wow. You wrote back! Well it’s hard to describe the size but it’s where I lie down. I exercise it regularly and that helps but I worry about it getting worse as I age. I’m 68. I met with my sleep apnea doctor at Mass Eye and Ear in Boston since writing this. It’s such a long process. Very discouraged. Trying mouth tape which I thought would be the answer but one time got a bad headache (I’m prone) and the other my jaw hurt somewhat. Sorry to be so complex. Thanks for writing. I know you are so in demand.
Hello do you do telehealth consults by chance ..I’m in USA have so many questions for my specific medical history RHS, mixed apnea etc . I’m on bipap and although it’s helped I know you would have suggestions to help improve things even further. I wouldn’t even want a prescription or any medical tests ordered I’d just want a Q & A to see what things are out there I might try that I havnt . Thank you so much for helping educate us…I need to find all your posts and go through them all. Blessings
Have you found some alternative approaches to help your OSA. I’m in the Chicago area and would appreciate finding a sleep Doc like Dr. Veer with an individual vs trial & error in the US.
Question for you Vik: I got a sleep study done and overall, oxygen saturation was good, but there was one point where my oxygen dipped to 87% for like 10-15 seconds. It only happened once, but it has me a bit worried. What would you advise someone to do in this situation?
Hi Vik I am due to visit yourself in London. I have had the telephone consultation and I am told I am waiting for a disposable sleep study to be sent out. I am on a waiting list. The trouble is I have already done 3 different studies at my hospital and I am told I have severe OSA. Would it not be best if I email my previous studies and results. This would save money on doing a 4th home sleep study Even though it’s disposable it is still a cost etc. thanks Vik
Man, I have a big psychosocial problem. I am going to have to figure out how to move (from U.S) to London and become a British citizen so I can become your patient. You make such sense and are so open to discovering what really works for each individual.
Wow, SO impressed with how you approach sleep apnea! I'm on 23 YEARS now of UNtreated severe sleep apnea due to doctors here that don't give the time needed to truly understand my situation and seemingly don't go beyond just writing a script for a cpap then you're on your own. If you ever come to the USA, I wish to be your very first patient and will shout from the rooftops to anyone that wants to hear that Dr. Vik Veer saved my life. Until then, I'll be struggling daily/nightly as usual. No pressure, lol
I'm sure you'll find someone who is interested in sleep, please don't give up.
Thank you for your kind comments.
@@VikVeerENTSurgeon what do you suggest we should do?I wonder which one would you rely on more when diagnosing patient with OSA the AHI result or patient opinions? if result came in severe OSA and patient said I felt good and no issues what do you do?
Rant all you want. I'll keep listening
Thank you !
A 90+ y.o. lady called into a local radio show in my area of Western Wa, USA, complaining of terrible long-term severe night sweats. NO ONE has been able to help her, not her personal physician. not even the radio doctor. I caught a glimpse of this symptom on your questionaire during the video above. I think this may be the answer to this lady's problem. I"m going to suggest to the doc that this may well be this dear lady's solution. I'll let you know if the message get through to them and, if and when she gets tested for sleep apnea.
You are doing so muc good for so many people. God bless you and your work. Wish you were in America!
Do let me know. It is very common in OSA
How likely is my gp going to take me seriously if I request to be referred to you? You make it sound easy, I think they will just follow the same old routine you mention hoping something will work.
I'll do a video on this. that's a good idea.
I get what you mean. Suffering with 19 AHI I use my Cpap but in the morning I don’t feel any better than when I went to bed. So I end up not using it. There’s others that feel the same as me. It makes me feel claustrophobic with the face mask. I’m still waiting for my system my dreamstation to be changed due to Phillips recall. I would really like to come and chat to you. Rather than seeing my own hospital because they just threaten me if I don’t use it they will report me to DVLA because I’m disabled I need to drive. I wished they would listen to me. I’m just so depressed.
I'm sorry to hear that, ask them for a mandibular advancement device and see if that helps. do a sleep study afterwards to see the benefit. if your AHi drops to below 15 you won't need to threatened with reporting to the DVLA. ask them to also look at the new NICE guidelines as well. it might help.
th-cam.com/video/LNbPhogMTzM/w-d-xo.html
Is there anyone else like you besides god in this world. Id never seen nor heard anyone with heart like you, very caring, very loving and deterministic for the human soul and well being, you are truly a one of a kind doc, may the lord god blesd you a long lifw for such a purpose, please may bless you a long life doctore. Truly truly one of this word base on your words, thoughts and intentions.
Thanks for shedding some light on this. People, including clinicians, sometimes think that the test/parameters we currently have are perfect. Which they are not. There are many aspects to health and wellbeing (tangent but, the WHO has a great definition of health.)
As usual, your videos are very enlightening and informative to watch.
"WHO constitution states: "Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity." An important implication of this definition is that mental health is more than just the absence of mental disorders or disabilities."
Agreed, that is a very insightful definition. Thank you for your comments
Dr. Veer it’s so refreshing hearing you say this. I just had a tonsillectomy today and I’m hoping it helps my sleep apnea. I’ve tried CPAP for years but I can never fall asleep with something strapped to my face. I appreciate your holistic thinking to the overall well-being surrounding this.
Best of luck!
I did tonsillectomy a year ago and it was the most painful experience I had in my life. I hope your’s was not as bad
Hi original poster.. could you give us an update please?
So true - the psychosocial aspect is really important. Nothing wrong with an occasional 'rant' - in my opinion!
I wish you were my sleep consultant. You are like a breath of fresh air. On your suggestion I asked to see my sleep report from 2016 in the hope I would learn more about my condition. Had to send a freedom of information request and finally the report arrived. Its not my sleep study!!!!! Dont know how you even would challenge this. My journey has not been a good one. But I am resourceful and intelligent and I research
Can’t seem to get the app for snoring, says link not found?
I cannot stand my CPAP...it fills my lungs and stomavh with air and I wake up finding that I cannot breath out or after pressure adjustment that it I dont have enough air.
The pressure level may be either to low or too high for you try adjusting it
Several years ago I realized that I would go to sleep and have this kind of panic sometimes where I'd fall asleep and then wake up like I'm unable to breathe. I also started being really sleepy during the day, and often would be driving home from work and starting to fall asleep. So, I talked to my doctor, and I ended up having two home sleep studies, an inpatient sleep study, and then an inpatient CPAP titration. I had an AHI of 7 which i think is quite low and maybe doesn't even qualify me for cpap REALLY - especially since it was almost all hypopneas and especially on my back which I don't usually sleep on (they made me do it during the study to see what happened). I got a CPAP, and I could tell it helped me breathe better when I was trying to sleep. However, it didn't make me feel any better at all. Also, I'm in America, and I never once actually talked to a sleep doctor - I was just put through this system and given a CPAP machine to use which I eventually stopped using.
I'm pretty sure that in reality, I have UARS, especially based on the 'chair' waveforms I'd see on my CPAP graphs when I pulled them up in that open-source DIY analysis software whose name I completely forget. I also have nasal valve collapse, which I can treat with nose strips or those nose dilators. I bet the CPAP also helped, cuz I used the nasal mask which would shove my nose up and back which opens it all up.
One thing I didn't really like was that everything was based on the AHI, and I was pretty sure that I was subtly waking up a lot but not having incidences of actual severely reduced ventilation or full stoppages. I can tell physically that my throat closes up when I'm relaxing to go to sleep, and I'm guessing it's partly because I have a relatively short jaw/flat face compared to some people. I tend to sleep rather lightly sometimes as a result.
Did u ever ask your sleep doc of what he thinks could be the issue? Just curious what you got as a response. I'm in a similar boat. I get really bad nasal congestion to the point where one nostril feels Completely blocked. Also tried mute/turbine nasal dilators. I feel like the nasal congestion plays a role in poor sleep as well.
that is 100% true. the first thing you should do is fix the nose.
@@VikVeerENTSurgeon Thanks. I have to try those nasal stents.
@@jakec5618which ones would you recommend?
I heard something about the soft palate injections for snoring to keep that muscle contracted so it doesn’t obstruct the airway at night which causes snoring. Can a similar effect be achieved by spray? Is it worth it? Thank you.
No need to apologise you’re not ranting but rather you’re passionate about advocating on behalf of your patients - I fear I’ve suffered with sleep apnea from a very young age though only recently diagnosed AHI 24 though shocking oxygen saturation levels of 60% during rem sleep would have a panic styled attack as I was dosing off then purposely wake myself up I also used to frequently sleep walk as a child also grind my teeth at night so sleep and I sadly have never been good friends - I’m hoping that will change as I progress with my cpap journey - do you think we should have a range for the pressure level on the cpap machine or just a single number?
Very empathetic of you Dr. Veer. There are so many variables with sleep apnea, AHI does not do the condition justice at all. Thank you for applying your expertise for free for the betterment of everyone.
That was very kind of you to say that. thank you.
Is there any new developments for UARS patients? Does this new questionnaire apply to them too?
It applies to all sleep breathing disorders including UARS. especially important to those conditions which have a normal AHI as it forces people to look closer at the Sleep Study. see this video here...
th-cam.com/video/WkPjOmgh40A/w-d-xo.html
You are spot on about the numbers, I range between 5 and 8 which is very low, but know that if I don't use my cpap I will start to get the symptoms that you mentioned.
@vic veer Thank you very much I will phone them and do this.
Fantastic vik. I’m still on the road to recovery for sleep apnea, not there yet but keep going until it’s under control
Hi Vik, another great video and it captures the things that the other questioniares do not. Can I ask a question, do you recommend a home sleep study gadget or device that can measure the Co2 and other parameters?
If only you live in the US, more people would be relief just because of that.
CPAP can't help me, my airway gets closed off as I exhale during sleep.
What help is out there for people like me?
Oral appliance Therapy! Dentist here. Many of us make them!
Have you tried a full face mask?
What about tongue reduction procedures or surgery?
Sir I had a tonsillectomy 4 weeks ago today. I am worried I have an infection and not sure how to tell. My wounds healed in about 2 weeks. Now they are turning white again, and seems like a small hole has formed where my tonsil use to be. I went on augmentin for five days in case but something just feels off. No fever, not bad pain. Should my wounds turn white again? I feel as if I took a step back.
I would see your doctor and ask them to look at that hole and the white stuff. some people gargle with H2O2 but see your doctor first.
It’s me again!! Have a problem with Resmed CPAP!! Grr! Been told to adjust the mask! Hmmm!!! HOW? Nothing in the booklet on HOW to do that! Saga goes on………
I don’t reply to myself! Especially at 3.42am!!!!Woe is me!!!!!!
Please my question is not in any way related to this your recent video, but I will be really grateful if you reply me.
My doctor said am having a clogged ear and a eustachian tube blockage. He gave me a nasal spray and I have been using the nadal spray for about 1 monyh now but there have not been any significant improvement, and the nasal spray is almost finish.
After watching one of your previous video on how to use nasal spray, I guess I was not using the right way. ...
can I buy another nasal spray and use it for another 1 month? Making it 2 months all together.
Is it safe to use nasal spray for straight 2 months?
safe to use - but nasal sprays are not associated with an improvement in ETD. not sure if it is worth it. if you are going to use a spray, make sure its one that has low bioavailability.
@@VikVeerENTSurgeon yea........the doctor said the ETD was caused by sinuses. So he gave me a nasal spray(Avamys fluticasone furoate)does it have low bioavailability????......
and he also gave me an earpopper and some drugs.
I have been using the nasal spray and the earpopper. Though i have been using the earpopper for jus 2 weeks now, the fullness in the left ear has reduced greatly, but the ear is still glue and blocked. That's why I said there is no significant improvement for now.
I have been using the earpopper 4 times in a day. Can I increase it to like 10 times in a days? Won't there be any side effect for using the earpopper for up to 10 times in a day?
Is there any other thing you can suggest or recommend to me and can help hasten my recovery, please I feel so confused now
Most interesting thank you
Doc I also a question. Can u discuss with a Pharma company to develop a syrup or a gargle etc that can be used before sleep that works like for 8 hrs clearing the airway. Similar to the otrivin nasal drops. Pl think about it. It’s just temporary blocking of airways. Eureka moment. 🤩😇🙏 Thank you
I wish someone would help me with my central sleep apnea. It's been a nightmare and I'm so fed up. AHI was over 100, pure centrals on my second sleep study (the first was 9 years before and my AHI then was around 14 but they decided in their infinite wisdom to do nothing about it, despite being heavily symptomatic). Unfortunately when CPAP surprise surprise) proved not to be the answer, my local sleep clinic decided to, instead, forward me to the ventilation unit - but all they give a damn about is if I'm hypercapnic or not. So right now they have me on the most godawful NIV that fails dismally at controlling my apnea or forcing me to breathe when I stop even as they keep increasing the pressure and worsening the apnea... because my AHI is 30-40 which is as bad as when I "failed" CPAP but they don't even care as long as my carbon dioxide level is okay. The irony is that my pCO2 is still higher now with their choice of therapy than it was when I was just on CPAP alone. It's completely ridiculous and I'm so fed up. I want to get back on ASV but nope. They won't let me. And I'm just so tired and exhausted - and I can't do anything because I'm literally bedbound by my other health issues. I'm so, so exhausted and I just want to feel better.
Dr vik veer, can I ask you whether it’s worth asking my gp for stimulants for my mild OSA . I know it’s mild but I’m very tired, and I have other medical conditions that contribute to my tiredness, mild OSA on its own probably won’t be too bad but altogether it impacts on me daily. I have sinus tacycardia and I’m hypermobile and I have lipoedema which affects how tired Iam. Just wondered if you think it’s worth asking my gp if I could possibly take stimulants so I feel more awake and refreshed. The sleep consultant told me that he doesn’t think cpap will help as my other health conditions affect my tiredness too?
I would try and work out why you are tired rather than masking the problem with stimulants. they also only work for a short time. that's my personal opinion. you might find someone who obviously disagrees. good luck either way.
@@VikVeerENTSurgeon hi, thank you for your reply, I asked my gp about Stimulants but he said there is no such drug for tiredness, when I know there is, as I’ve researched it.
I know why I’m tired, I have OSA and I also have a few medical conditions that contribute to my tiredness, I have sinus tachycardia, where my cardiologist said that can contribute to my tiredness , also a rhumatolagist told me that being hypermobile can also contribute to my tiredness as my joints need to work harder, I also have lipoedema, where I have abnormal fat cells that grow rapidly and contribute to my weight gain, so the extra weight that I can’t help as no diet or excercise can get rid of the excess weight due to the lipoedema. All those contribute to my tiredness. If I had mild sleep apnea on its own I might not feel to bad but them altogether I’m feeling tired. I just thought a stimulant my make me feel more awake and alert and less tired. As my consultant in leeds told me that he doesn’t think a cpap will help me, due to me having medical conditions that play their own part in my tiredness. Something has to be done, I can’t feel exhausted everyday for the rest of my life, I have no energy to enjoy my life, I’m exhausted day in day out and I feel I don’t have a fulfilling life. , I force myself to go to work and that’s all I can manage? I generally sleep the weekend away and it frustrates me that I’m
So tired and I can’t do the things I want to.do. I wish I could give up work but we are not able to due to rising costs etc. i feel so low.it’s the tiredness that’s making me feel depressed.
@@juliaandrewjuju Honestly, with sinus tach, any kind of stimulant is not going to be pleasant. It's just going to worsen that, almost certainly. Have you been evaluated for PoTS properly? That might explain a lot of your exhaustion too, especially with your hypermobility.
I have used cpap for 15 years and the treatment is good. Has an average of 0.5 incidents per night and that's top notch. Am I satisfied, no. In recent years, I have struggled a lot with cpap and have very poor sleep quality. Waking up 2-4 times every night due to cpap mask and other discomfort. Haven't been on a mountain trip in 15 years because of cpap. In Norway, apneotherapy is free and all equipment is available for loan as long as I need it. Due to my bad experience of cpap, I have requested apnea skin instead of cpap in the hope of a better experience and better sleep. Thanks for good and informative videos. Love from Norway.
I wish I had much better sleep but my obstructive sleep apnea combined with severe restless legs combined with pulse time transit deficit each night almost make me dread going to bed.
People often say to me, "you are looking tired, you ok" and I think to myself; I wish I was just tired.
I often feel exhausted, despite taking tablets for the morning brain fog and eating healthily.
Hi Doc
I think u nailed it. I would go further to say that every sleep apnea patient has to be understood individually with his symptoms and problems. This is not happening. Till about 5 years ago (age now 51) I was sleeping sound on my back and slowly I was struggling with sleep and snoring which eventually lead to the sleep test and a cpap machine which of course I didn’t accept as a mode of treatment. I simply don’t like the damn thing. I eventually figured that side sleeping towards left had solved my problem. If only my doc could have told me that instead of recommending a cpap! I have been observing myself and have found that on cold nights it gets worse and in summer I sleep better. Multiple things play a role including weather, position etc. every case needs specific solution.
Hi Dr veer how refreshing and helpful these videos are!
I have sleep apnea which I kind of diagnosed myself after two years of seeing all kind of doctors and not one could tell me what is wrong with me. I am 5’4” and 130 lbs. eat very healthy, exercise often and I am now, 50 years of age.
My main complaint was fatigue. None of the doctors I saw thought that I could have sleep apnea. But as it turns out According to two sleep studies I do have mild sleep apnea. I am using a mandibular appliance and it seems to help. I definitely have more energy to go through the day. I will see a surgeon in September to assess if my problem can be fixed through surgery. This doctor does the procedure with the hyoid bone. I am considered mild and my GP cannot understand why I am pushing forward on this since it is just mild… well he was not in my shoes these last two years where I really thought that I am dying…
I do not think that they do the DICE procedure here, but thanks to you I will ask and see if it can be done.
Do you by any chance have private practice?
Do you see patients from the US?
I know you are not doing this for the money, but from a genuine desire to help!
I cannot believe that there is no more awareness on this since so many chronic disorders stem from it…
If you have time, please advise on the hyoid bone procedure for sleep apnea. I would love to learn your opinion on it.
Thank you sir and my God bless and keep you so that you can help and give hope to more people!
Take care!
You are the best You are always motivating people.
Thank you so much 😀
Your channel has been so helpful to me.
Thank you for articulating how I feel about my c-pap. I don’t like it. It is embarrassing. It doesn’t work for me.
I have some great Dr.’s that are very interested in patient comfort and in finding the best solution for their sleep apnea.
I’m considering the Inspire device in the hope that over time, it will be a better solution for me and give me increased freedom in my life along with better sleep.
Good idea matey well done. I'm finally after 12 years getting my first CPAP soon 👍 well APAP but so thankful.
Thanks for the video. Any news from the iNAP studies? seems like its not the miracle we all espected
I love my cpap.
Make sure to check out "Breath" by James Nestor. A great book with some great insights for all you mouth-breathers out there.
Had sleep apnea test september last year and apparently i stop breathing 75 times in the hour
That sounds quite bad. hope you have got to the bottom of it.
Yea me to and I tried CPAP machine I just can't do it I'm costraphobic I just stopped using it I've got to find another replacement because I think it's getting worse one night I sleep the next 3 I don't and the nights I sleep good is only cas I'm fkd from not sleeping properly
It is so good to have a doctor at last that actually understands people with sleep apnea thank you
BRILLIANT!!
Due to hip bursitis I can’t sleep on my side (it’s worse on one side , a little better on the other. I feel doomed via sleep apnea. I wish I could talk to you in person and work with you.
Thank you, I'll try and implement this into my new pillow I'm making.
Roughly how big an area is painful on the side of your hip?
@@VikVeerENTSurgeon Wow. You wrote back! Well it’s hard to describe the size but it’s where I lie down. I exercise it regularly and that helps but I worry about it getting worse as I age. I’m 68. I met with my sleep apnea doctor at Mass Eye and Ear in Boston since writing this. It’s such a long process. Very discouraged. Trying mouth tape which I thought would be the answer but one time got a bad headache (I’m prone) and the other my jaw hurt somewhat. Sorry to be so complex. Thanks for writing. I know you are so in demand.
Hello do you do telehealth consults by chance ..I’m in USA have so many questions for my specific medical history RHS, mixed apnea etc . I’m on bipap and although it’s helped I know you would have suggestions to help improve things even further. I wouldn’t even want a prescription or any medical tests ordered I’d just want a Q & A to see what things are out there I might try that I havnt . Thank you so much for helping educate us…I need to find all your posts and go through them all. Blessings
Have you found some alternative approaches to help your OSA. I’m in the Chicago area and would appreciate finding a sleep Doc like Dr. Veer with an individual vs trial & error in the US.
Question for you Vik:
I got a sleep study done and overall, oxygen saturation was good, but there was one point where my oxygen dipped to 87% for like 10-15 seconds. It only happened once, but it has me a bit worried. What would you advise someone to do in this situation?
I wouldn’t worry about that my oxygen dropped to 60% for 50 minutes twice during my rem sleep
More rants please!
Send me a STAMP then Vik! 😁
- brilliant rant moment! Vik turns green and hulk smashes everything! 🤣
First
Hi Vik I am due to visit yourself in London. I have had the telephone consultation and I am told I am waiting for a disposable sleep study to be sent out. I am on a waiting list. The trouble is I have already done 3 different studies at my hospital and I am told I have severe OSA. Would it not be best if I email my previous studies and results. This would save money on doing a 4th home sleep study Even though it’s disposable it is still a cost etc. thanks Vik
Seems like the only solution is CPAP
Oral appliances!,