Page 14 of 16

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

Posted: Thu Mar 15, 2012 10:42 am
by ems
deltadave wrote:
Sleep2Die4 wrote:I am beginning to like the roles played by Corky and debtheveg.
Roles?

Perhaps they are one in the same...
Perhaps they are... perhaps not. Interesting to see how this plays out. It will all come out in the wash.

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

Posted: Fri Mar 16, 2012 3:56 am
by deltadave
ems wrote:
deltadave wrote:
Sleep2Die4 wrote:I am beginning to like the roles played by Corky and debtheveg.
Roles?

Perhaps they are one in the same...
Perhaps they are... perhaps not. Interesting to see how this plays out. It will all come out in the wash.
Once again, we shall turn to "The Most Interesting Man in the World" to seek advice:

Image

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

Posted: Fri Mar 16, 2012 11:35 pm
by debtheveg
Determined to have the last word, aren't you! Well, I shan't be posting again until Corky gives an update or there is something intelligent written.

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

Posted: Fri Mar 16, 2012 11:44 pm
by Lizistired
And that's what should happen.
This thread should fall off the page until something relevant is posted.
If you are not interested, don't post to it.
Where is my "Report Bickering" button?

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

Posted: Fri Mar 16, 2012 11:47 pm
by Goofproof
debtheveg wrote:Determined to have the last word, aren't you! Well, I shan't be posting again until Corky gives an update or there is something intelligent written.
Both, or will either do. Looks like the thread died, as long as there's no info on Corky's previous treatment and other info. Jim

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

Posted: Sat Mar 17, 2012 2:58 am
by deltadave
debtheveg wrote:Determined to have the last word, aren't you!
Moi?

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

Posted: Sat Mar 17, 2012 5:06 am
by deltadave
deltadave wrote:
debtheveg wrote:Determined to have the last word, aren't you!
Moi?
Image

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

Posted: Sun Mar 18, 2012 4:55 am
by deltadave
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.

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

Posted: Sun Mar 18, 2012 5:38 am
by deltadave
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.

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

Posted: Sun Mar 18, 2012 6:30 am
by deltadave
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.

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

Posted: Sun Mar 18, 2012 12:32 pm
by chunkyfrog
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.

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

Posted: Sun Mar 18, 2012 1:09 pm
by Goofproof
At least the Snakes were well fed. Jim

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

Posted: Sun Mar 18, 2012 1:23 pm
by deltadave
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

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

Posted: Mon Mar 19, 2012 5:32 pm
by NightMonkey
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.

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

Posted: Mon Mar 19, 2012 10:59 pm
by Starlette
ChunkyFrog & DeltaDave,

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

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