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General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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deltadave
 
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Re: 12 years on cpap and it's time to move on.

Postby deltadave on Sun Mar 18, 2012 4:55 am

Lizistired wrote:This thread should fall off the page until something relevant is posted.

OK, I got one for you...

A search of the other site presently under discussion (not that one-- the "Second" one) for "hypoglossal nerve stimuation" yields 3 results, while a search for "scoring" yields 3568 results.
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deltadave
 
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Re: 12 years on cpap and it's time to move on.

Postby deltadave on Sun Mar 18, 2012 5:38 am

Drowsy Dancer wrote:Can you spell this one out a little bit more for me? I think I get where you're going with this, but I'm not entirely sure I'm following along. Fascinating thread though.

deltadave wrote:Hey, this is that thread!!

In a very small, but interesting study in Laryngoscope 112 February 2002, response to HGNS was measured in 14 subjects. The first 3 are females:

Image

While it may be tempting to conclude that females exhibit a more favorable response to HGNS than men, of additional interest are the non-responders.

However, it was noted:

Optimal placement of the stimulating electrode is essential to achieve anterior tongue displacement because stimulation of immediately adjacent muscles, including the hyoglossus and styloglossus muscles, can produce retrusion of the tongue into the hypopharyngeal airway. Three of our subjects demonstrated modest decreases in the hypopharyngeal airway during stimulation. These findings may represent displacement of the electrode during the study into the mylohyoid or geniohyoid muscle, which lie superficial to the genioglossus muscle, using our percutaneous approach (see Fig. 1). Electrical stimulation of the mylohyoid, which forms the floor of the oral cavity, could elevate and posteriorly displace the tongue. While the geniohyoid muscle exerts an anterior vector of force on the hyoid bone and caudal tongue base,in a few subjects we have noted posterior tilting of the epiglottis during stimulation. Thus, displacement of the electrode into either of these muscles could have resulted in reduction of the hypopharyngeal airway measurement.
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deltadave
 
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Re: 12 years on cpap and it's time to move on.

Postby deltadave on Sun Mar 18, 2012 6:30 am

BTW, the recent Apnex study by Eastwood had exclusion criteria. Among other things:

  • >5% central or mixed apneic events combined as a proportion of total apnea and hypopnea events
  • Untreated or incompletely treated sleep disorders other than OSA

This certainly suggests that insomniacs will not qualify.
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Re: 12 years on cpap and it's time to move on.

Postby chunkyfrog on Sun Mar 18, 2012 12:32 pm

This just in:
Corky was a lab rat; and after the experiment, he met the fate many test animals do.
Brave little corky.
He will be remembered.

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Re: 12 years on cpap and it's time to move on.

Postby Goofproof on Sun Mar 18, 2012 1:09 pm

At least the Snakes were well fed. Jim

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Re: 12 years on cpap and it's time to move on.

Postby deltadave on Sun Mar 18, 2012 1:23 pm

chunkyfrog wrote:This just in:
Corky was a lab rat; and after the experiment, he met the fate many test animals do.
Brave little corky.
He will be remembered.

Fortunately, there was a photograph taken when the the HGNS device was "powered up":

Image
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NightMonkey
 
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Re: 12 years on cpap and it's time to move on.

Postby NightMonkey on Mon Mar 19, 2012 5:32 pm

chunkyfrog wrote:Image
This just in: Corky was a lab rat; and after the experiment, he met the fate many test animals do.
Brave little corky.
He will be remembered.


Careful. I understand Corky's agent also supplies high school biology labs.
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Re: 12 years on cpap and it's time to move on.

Postby Starlette on Mon Mar 19, 2012 10:59 pm

ChunkyFrog & DeltaDave,

*chuckling* You're bad. Very, very bad! :twisted:
Karma may not be on your side.

*whispers in their ears* However, I do believe you're both right, hehe

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Re: 12 years on cpap and it's time to move on.

Postby CorkyD on Wed Mar 21, 2012 10:53 am

Got my remote today!! Everything went great and I can't wait to sleep tonight!!

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Re: 12 years on cpap and it's time to move on.

Postby debtheveg on Wed Mar 21, 2012 6:33 pm

That's exciting, Corky! Do let us know how it goes. I'm back from my trip to Sydney yesterday for a complete medical, about twelve pages of questions and an overnight sleep study. Should hear by next Tuesday if I progress on to the endoscopy stage.

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Re: 12 years on cpap and it's time to move on.

Postby debtheveg on Sat Mar 24, 2012 6:22 pm

Hi Corky, you've had a few nights since you last posted. How has it been going?

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Re: 12 years on cpap and it's time to move on.

Postby chunkyfrog on Sat Mar 24, 2012 8:04 pm

Luckily, the animal rights people have come up with computerized virtual dissection programs.
More of my kind can go free. Not so for the rodents--they're still considered vermin.

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Re: 12 years on cpap and it's time to move on.

Postby BlackSpinner on Sat Mar 24, 2012 8:11 pm

chunkyfrog wrote:Luckily, the animal rights people have come up with computerized virtual dissection programs.
More of my kind can go free. Not so for the rodents--they're still considered vermin.


"It's dead, Jim"

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Re: 12 years on cpap and it's time to move on.

Postby deltadave on Sun Mar 25, 2012 4:22 am

chunkyfrog wrote:Not so for the rodents--they're still considered vermin.

Yeah, well there was that Bubonic Plague thing.

I mean, killing off 100 million people certainly gives one "street cred".
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Re: 12 years on cpap and it's time to move on.

Postby deltadave on Sun Mar 25, 2012 4:28 am

BlackSpinner wrote:
chunkyfrog wrote:Luckily, the animal rights people have come up with computerized virtual dissection programs.
More of my kind can go free. Not so for the rodents--they're still considered vermin.


"It's dead, Jim"

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