Thank you Vik. You are an absolute blessing to humanity explaining all these things. Most of us with sleep breathing issues are just left to figure this stuff out ourselves . You really know your stuff.
It's really hard, and I'm sorry we doctors aren't good at explaining things. Sleep is so complicated that most people don't have the time to deal with it, but as you say patients are having to sort it out themselves. I hate the thought of people being passed around various clinics, or randomly trying devices with no direction. Means a lot to me that people are gaining from these videos. I have a lot to say on the subject, and I hope it will be useful once I get all of this out of my head.
@@VikVeerENTSurgeon It's already very useful and after having spent many many hours of reading on various CPAP forums I can tell that you know exactly what you are talking about. The bit where you explained why CPAP doesnt work so well for tongue based obstructions is a light bulb moment. I'm sure most companies selling CPAPs to patients aren't even aware of this. It sure isn't a one size fits all approach.
@@VikVeerENTSurgeon Besides that, wow your a great doctor!!! Referred this to my neice. Please can you make a video about Barrett's disease and how someone who can't take PPI's can get their acid in control...my Gerd had Hiatal hernia too and progressed in 2021 to Barrett's and I am screwed because I had to get off the PPI's for all kinds of horrible symptoms. I already do, raise the bed 5 inches, no eat hours before bed, small meal, twice day, aloe Vera gel, baking soda to improve ph., take an alginate that does nothing to help at all. I have continually ringing ears, mucus, raging acid and food burp up the throat, no matter what i do. Am I a dead duck, just sitting, waiting, for Esophagus cancer to come in to the picture? I am just terrified. 😟😥
Any improvement in technology that helps treat this disease is extremely welcome. Thanks so much for taking the time to bring it to everyone's attention.
THE MOUTHPIECE IS DANGEROUS. I used my inap last night and I woke to discover the center section almost bitten off and floating in my mouth. This goes along with my comment about the center section causing great pressure on the front teeth because any pressure there will weaken it and cause it to be disengaged from the main section thereby causing a choking hazard. I was lucky to have discovered this before I inhaled it. As I mentioned in a previous post, there are other mouthpieces available overseas but not here in the us. Perhaps this is the only mouthpiece available in the US because it's the only one that's been approved by the FDA but this thin silicone section of the mouthpiece is a potentially lethal situation.
@@sonyaallen-dwyer I wish I could use a CPAP, but I can't fall asleep at night with it on and no amount of trying has made any difference. I'll wait a bit on this device as I have been able to chew through a nightguard, so something this flimsy is unlikely to stand up to that.
This the first time I see a doctor actually educating on the problems a lot of people might experience. This a great improvement over the so called specialists without any credentials nor experience - essentially doctors without diplomas - putting themselves in a position of experts when they are not. All the doctors are met unifromly dismiss internet medical info as a rule of thumb. Obviously there is a merit to it. Until now. Thanks for taking the big leap of courage and break that bloody stigma, stereotype that specialist medical information from internet is counterproductive. Now I can tell it is clearly not - as it is coming from a person who is not only qualified but hugely succesful. Personally I wake at least once a night gasping for air, shaken and sometimes scared.Waking up tired is a norm. Few years ago I did my research online on the subject and called my local West Hame surgery - doctor dismissed my concerns as something normal. I believed him. And what an idiot I was. Now its time to take an action.
Really glad that my videos have helped - Do keep going as only you know how truly horrible it is to live with chronic sleep deprivation and not be able to do anything about it. Once you get your first night of good sleep I think it'll be worth it. Keep going mate.
Definitely seek GOOD medical advice. I started using a CPAP 3 years ago. My sleep study showed that I stopped breathing 53 times an hour! Yes, almost once a minute, all night! Like you I frequently woke up gasping for breath. Not at all pleasant as you know.
I’m so glad I found you here !! I live in US I’m on cpap and not the typical user and have a complicated medical background …I have so many questions and I can already see I will get many of them answered by watching your segments. I’m so amazed at your knowledge and thank you for all you helpful and educational content …it fantastic
Thank you for saying some people with claustrophobia can't do CPAP face masks. After the first month of almost non-stop mini panic attacks, I took my mask into the sleep shop. They didn't seem to believe me, but they did suggest an nasal pillow style instead. I have been using it for 9 years without issue. No more panic attacks. Yah!
@@joesmo5143 Nasal pillows are a type of CPAP mask consisting of plastic inserts that look like headphone earbuds that slip directly into the nostrils.
Yikes I thought I was the only one with that problem. I'd wake up suffocating! Nasal pillows don't work for me either...still looking for an alternative.
Vik, thanks for sharing this. I just called the company and spoke with someone about it. I have setup an appointment with a physician to get the prescription. I am going to give it a try and will let you know how I do with it. Just wanted to say.. thanks for taking the time to make these videos. . Please keep putting out good info like this video about sleep disorder. I am sure it is helping many people like myself.
Thank You very much for the previous video on the tongue exercises..and this one on this new device...very well explained sir,and thanks again for the information...You where God Sent.Ciao
great development. I read a comment about the mouthpiece (can you not order it online ? ) . Also having alternative products is ALWAYS a good thing for consumers (it's never one size / type fits all). I hope they continue to make product alternatives and improve current designs. I couldn't imagine having to sleep with a CPAP machine.
Thanks Vik, this looks like a great device, breathing through your nose is natural breathing, this is a major step up from taping your mouth at night, keep up the great videos
Totally agree - really hope this helps a lot of people. I think i need to do a better job of explaining how to use it correctly, as it's quite difficult to get it right. once it is in the right position the device seems to work very well, but it does take a bit of getting the technique right.
Love your video about OSA alternative treatments. Im in good health 6ft/175lb with a little HBP, controlled with Losarton. Over 20 years, Ive tried many ways to treat my now severe OSA. Never tolerated CPAP from the beginning. Im told I have a very large base of my tongue. Had UPPP, a dental appliance, back of tongue ablation, dev septum surgery, etc. Now 3 years on HGN stim/Inspire Ive had some improvement - AHI down to 35 from 70+, based on last HOME sleep study with Inspire on. 2 prior Lab sleep studies years before ended in less than 3 hours...cant get back to sleep in a lab with 30+ wired glued to my face/neck/chest/legs. Its taken several adjustments by the Inspire rep/ ENT to improve my use and results. Now that my AHI has lessened, Ive had a surprise issue. the wire running from the Inspire generator in my chest to my HGN decided to poke thru the skin in my neck. The ENT had my wire surgically removed in less than a week and a round of antibiotics. Supposedly, I'm the ONLY Inspire patient with this issue. Just had the wire replaced to the opposite side of my jaw and waiting 30 days to reprogram/activate. Tired of being tired !!!! I look forward to listening to your many reviews. Maybe Inap will be a game changer for many people. Cheers !!
Would LOVE to hear more about your thoughts on inspire!! You seem to have ALOT more patience than I do. I'm shocked/surprised at how much you've done thus far yet STILL are tired after all your efforts. This is one of my biggest "fears", issues. Doing all these things yet still not back to somewhat "normal". Anyway, am just really curious about how inspire works for you as I've been suffering a very long time due to not able to use cpap. Thank you
Hi Chuck. How are you faring now? I really hope you have had improvement ? Physical sleep issues are so much worse than emotional,mental sleep issues and i know your struggle(which i hope has come to an end?)
Hey!! Thank you for your expert advice on Sleep issues!! I recently downloaded a sleep app on my phone called ShutEye, the first night it stated i had a medium case of sleep apnea!!! I freaked out started studying facial exercises, i do have a deviated septum, i did find the tongue exercise to be very effective the last few days i did hear my self snort briefly, but not as severe on the first night of the app!! I have invested in breathe right strips as well that has been a lifesaver, i purchased an air purifier iconic, placed some oxygen filled plants,(rock aloe, plants), knowledge is power my fellow humans!! I luv a really good nights sleep!!!❤ 🎉
I appreciate that you look at all options. For me ENT only talked about surgery because that was his tool. Plumonologist focused on CPAP but recommended I talk to ENT. Neither mention mandibular device, found out about that when I was that the orthodontist with my daughter. I think this would work for me but $1k is ridiculous for a vacuum pump. Should be $350 and they would still make plenty. They don't need to recoup their FDA cost the first year.
Wow, great video. I was recently diagnosed with sleep apnea and prescribed a CPAP machine but there is a severe shortage here in the US. I’ve been waiting over 2 months now with no delivery in sight.
This absolutely amazing information 💪 so happy to hear about the inap! My husband is currently using a CPAP for the past 7 years, he's still not feeling refreshed in the morning....... He also takes it off half way through the night as it's uncomfortable. This device the 'inap' seems more practical as your explanation regarding the tounge problem is what he is also having. Thank you so much for the enlightenment. Hope this will be available to gat soon.thank you so much! We are from Sri Lanka.
I am getting this new a mouth guard that upper and lower arch connect in the back. Approved by my insurance already . No noise no electricity involved. It’s similar to a night guard just research on it.
I feel like an impossible case. I've had sleep apnea for my 64 years. My throat collapses. Had a cpap eons ago when there were only nose masks. I'd wake gasping for for air. I've always struggled with breathing through my nose. Small passages plus allergies. Had surgery to correct a deviated septum with the hope it'd help. Nope. I think tubes going down my throat and nose would be my only hope! I fantasize about waking feeling oxygenated. Going to try your tongue/throat exercises. Thank you for your focus on this important issue!
Hi Kris. I feel for you. It's no fun to struggle at night. Have you perhaps looked into that device that attaches to your neck that also uses a negative pressure to suck your neck to create space? Based on your condition you describe it may be perfect for you. I don't know the name but let me see if I can find the link for you.
@@patrickhall7884 You may be thinking of the AIRLIFT procedure. This looks interesting. If that isn’t it and if you find out the name I would be interested too!
it is quite noisy, but if you develop that really deep negative pressure at the start of the night, it doesn't need to make anymore noise for the rest of the night. after that it's silent.
For me I recently found out that using a humidifier helped me sleep much better! My sinuses would get so stuffed I could hardly breathe at night and therefore couldn’t get a good nights sleep. Also I’d wake up with chest pains, because I couldn’t breathe. I just wish I had found out about this humidifier many years ago.
I assume this won’t work for me because I have large inferior turbinates. It’s hard for me to fully breathe through my nose. My last sleeping test (2022) with no machinery was 15 events per hour. I use a CPAP. I understand turbinate reduction surgery is brutal and at age 68 I can’t imagine having this done. I do have a big fat tongue, but I don’t want my jaw pulled forward with a mandibular device due to TMJ concerns. So, I guess I am stuck with CPAP because my soft palate tends to collapse as well. Thank you for your most informative videos and best wishes from Michigan, USA.
Wow this was a very good video explanation. I have UARS and I've always had a good BMI and I'm fit etc. I use nasal cpap because it works and its easy to live with, no dramas with squishing my face and the imperfect seal of a full mask. Recently I decided to get my turbinates restructured surgically, because I've been living on nasonex and beconase for 10+ years
I used to have a lot of hay fever and a continually blocked nose. I started to close my mouth more and to try to breathe through my nose, even if I could only do it for a minute. Gradually I could do it for longer and now I can easily breathe through my nose. It was a case of using my nose cleared my nose.
I was the same, couldn't close my mouth even for a minute. I started wedging a small pillow under my chin at night, to keep my mouth closed. Now my mouth is always closed during the day and breathing is easier through the nose. I'm sure I still snore at times, as I seem to still roll over at times.
This seems like a difficult device to work with if you can't control what your tongue is doing while you sleep. As one who has been using an apnea machine and mouth guard I have awakened from time to time clinching my teeth or slamming my teeth together sometimes biting my tongue or lip (awakening in horrible pain). I started intentionally pinning my tongue to the roof of my mouth to try to avoid these horrors. But, it seems like this is a good device in theory.
I have severe sleep apnea .i stop breathing every 3 mins ..i have a cpap but i suffacates me so i dont use it all the time .my daughter will wake me up to make sure im okay. The excercises you gave in the previous videos are awesome .im going to do those to see if it helps .sleep apnea sucks .i hate havibg it .
You have a lot of great videos; have you thought about regrouping and doing a modern up-to-date video on where things stand with everything you've talked about over the years?
Thanks for reviewing this product. I could not tollerate CPAP, and my insurance company would not cover a MAD. Lucky for me I tried a Tongue Retaining Device and started sleeping for the first time in many years. I'm assuming that since the retainer helped me, this device should also be of benefit? While the retainer is working it does cause some pain at my tongue tie during the day, so I'm excited to try this new product.
I didn't know there were so many devices. My health service in Spain has given me a CPAP with a mask that fits around my nose. I don't suppose it pushes my jaw back, but it's not easy to use. I notice that it creates a sort of vacuum which keeps my mouth shut. It's too uncomfortable for sleeping on my back. Background info: I have both a largish tongue and nasal breathing difficulty. Uncomfortable with sleeping on my side (broad shoulders) I tend to roll onto my back and snore more, this when I have no mask of course. My AHI is about 26 I think. I don't think the neumologist is taking my nasal difficulty enough into account. I do my best to clear my sinuses before bed, and this does help, but it's still a struggle to get a good night's sleep, especially with sleeping on my shoulder. I saw a video stating that some people forget to breath automatically due to sugar problems, related to a B1 Thiamine deficiency. And these sugar problems are not obvious enough to be noticed in a standard blood test analysis. Can anyone confirm this? Update: I am training myself to sleep on my back with the CPAP device attached (no pillow) and I'm taking B1 tablets. I remembered to eat some organic porridge today and I have reduced my other consumption of carbohydrates, particularly wheat. I'm trying to drink less wine, and I've dropped the beer almost 100 per cent. I feel a bit better. I suspect that I have a leaky gut, and that this problem is diminishing. Maybe my experience will help someone else.
Hi, there is mattress which is softer on the shoulder area which helps people who sleeps on the side. Maybe you can check it out on the market. I have one and I feel it is quite comfortable as it is not hurting my shoulders now.
Thank you for video. I never heard of this device and I am located in the US, glad I found your video. I can’t use the CPAP machine at all and I have tried several of times. I don’t qualify for the oral appliance due to having jaw surgery a long time ago due to braces. I do have a deviated septum but I still breathe through my nose and I am a side sleeper. Do you think this will work for me? I find I am battling with weight due to sleep apnea which is the cause of my weight gain. I am hoping to find something to help me sleep and lose weight while sleeping as I did before the sleep apnea. Cheers.
I don't know if it will work for you, but you may want to consider a sleep endoscopy to see which part of your body is causing the sleep apnea (tongue, soft palate, nose, or some combo). The CPAP didn't work very well for me either. If your sleep apnea is caused by tongue only then I would definitely say trying this device is worth a shot. Good luck.
Thank you so much for this video, I wonder if or when this would make it to us because my mom just can't seem to get along with her c-pap she could stand to try the device you were talking about in the video
Thanks for this review Dr. Veer. Sounds like a trip to Taiwan is in order. My interest in this product and alternative therapy to CPAP, APAP etc is several-fold... I have severe sleep apnea. I live in Canada. Both CPAP and APAP bring my apneas from over 50 p.h. to under 5, a safe level. However, my desktop devices, as effective as they are, are bulky and heavy for travelling, and they aren't the most comfortable or convenient. I tolerate them for the benefits they bring. If I had something equally as effective, I would try it. In fact, I am looking up the company in Taiwan to see is if they are looking for testing subjects. Context: I think the financial and healthcare factors must be considered... In Canada, the primary medical insurance is provincial not federal. So, exact comparisons cannot be made with the NHS. Also, our system is different than the US one, as different perhaps as it is to continental European ones. Some persons with supplementary insurance from their employer or subscribed to from private companies, get CPAP paid for. Most of the provincial insurance programs (monopolies in Canada, with no choice to opt out or to choose between competing companies) do *not* pay for CPAP therapy at all, although one or two to pay partial for the costs involved. Exceptions are made for persons on Disability. I have never understood this - either OSA is a medical need, or it is recommended, or it is a luxury. Out healthcare policy seems out of touch IMHO. Additionally, there seems to be a rather simplified not customized approach to sleep apnea in Canada. USA, Australia, and Europe I do not know. You get a sleep test, you get prescribed a CPAP typically, and afterwards you work with a Registered Respiratory therapist to get the appropriate therapy (i.e. a machine at the right pressure with a mask that works for you). But nobody ever calls you back and asks, "it is has been three years, perhaps it is time to see if you still have sleepa apnea." There is no follow up. And the mouth devices and surgery as far as I know are never recommended or even considered except in extreme cases. I had to laugh when I saw your explanation of the different causes of sleep apnea. My sleep doctor seemed to not investigate this. I was never told the cause, only the solution for the time (summer 2018) - CPAP. Losing weight wasn't even seriously considered when I mentioned this as a possible cure. So, I have to wonder, if these standard solutions to sleep apnea are not used in Canada, why would this new device? Is OSA taken more seriously in UK? And, if this device works well for a significant percentage of persons and the costs is much less than CPAP and all its frequently needing to be changing equipment and supplies, does this company have enough clout to lobby Ministries of Health and quasi-government insurance companies for a more efficient solution? Thanks again
I believe that Prof Brian Rotenberg in London Canada does a lot of surgery for sleep apnoea and looks into non-CPAP therapies quite a lot. Companies will never really be able to over turn government thinking, in my experience if the people want something and they lobby for it, only then do officials take note and change. No matter how much I talk about OSA to various political organisations I seem to get no where but when there is a media frenzy about a new device or operation etc then suddenly it becomes available. The old Roman Mob Rule....
While this may benefit those patients that refuse to wear CPAP/BiPAP (something is better than nothing), the reduction of the AHI to 8.7 still places the patient in the mild sleep apnea category. In addition, the study cited only contained 34 participants (35 started and one patient dropped out of the study) which is does not provide a large enough sample to accurately determine it effectiveness. Also, it is contraindicated for a vast majority of the causes of OSA. This device is a one size fits all. There is no way of increasing or decreasing the suction in order to tailor its effectiveness for each patient. This is also a vacuum pump, which means that along with the air that it is sucking out, it is also sucking out saliva. That is something that the buyer has to deal with.
I have one of these. The saliva is annoying but less invasive than cpap. There is an option to increase the pressure but it requires physician approval and they do it remotely. I guess cpap is technically the same way but everyone knows how to access the clinician menu. The staff is helpful in providing troubleshooting to the various problems one can face with this regarding the mouthpiece, leaking, etc.
Wow I'm so glad you have posted this. I have been struggling with sleep issues for 5 years now and my health is in tatters. 3 home sleep studies said moderate sleep apnea, although I only had 1 O2 desat during the night going down to 85%. Got APAP and used it solidly for 2 years with various settings and sleep still didn't improve. Had PSG study done and said no apnea, only UARS, so confused as hell and health still in tatters from no deep sleep. I can hear on Snorelab that I'm being constantly woken by what sounds like a swallowing type of event that occurs. No gasping for air ever. I've even tried VPAP on ST setting with no help either. I have been considering contacting you to see what you think these noises and arousals are. The aerophagia and associated belching/GERD that occurs from the CPAP doesn't help to get a good night's sleep either. So if it's my uvula that's the issue with me then this device looks promising.
Difficult situation and I hope you get it sorted. Often people get a surprisingly great result from a sleep study if they have been using CPAP / APAP the day before the sleep study - it's called a washout effect. you need to stop the CPAP/APAP at least a week before your sleep study to get a true reading or it will look like you have a normalish result when really you are much worse. Must make sure you have a normal nasal airway - get someone to look at your nose carefully. Some people with restless leg syndrome and / or LPR have swallowing problems in their sleep. lump in your throat sensation, throat clearing, hoarseness from time to time - look for all the standard problems and get it sorted. Good Luck!
@@VikVeerENTSurgeon Gosh I wish I was in London to come and see you! I've had 2 septoplasties already to assist my breathing, and yes I do have RLS, especially when falling asleep. Thats very interesting that you posted that about the swallowing. I dont have a hoarse throat ever, but there is that swallowing noise on Snorelab that wakes me, and I noticed when I moved onto VPAP it was causing a burping "noise" and sensation in my throat, almost like an air bubble, something I hadnt experienced on APAP before. If I happen to come into some money I will be on the first plane to come and see you in London! These past 5 years have been pure hell with no proper sleep.
@@VikVeerENTSurgeon After a lot of searching, I have found a thing called Palatal Prolapse-I am convinced I have. Signature of PP is difficult to breath (out) when lying on back and totally relaxed. C-pap does not work because it helps you breathe in and not out. I have also tried a MAD to the point of mis-aligning my bite & no luck. I have a narrow airway with a large tongue so after seeing this video I am excited about trying this machine. Please let me know if there is any other device or exercise that will help with this condition. Thank You for All you do. Sincerely, Don in California
Hi Vik, Great demonstration and introducing a new product like that. Sleep apnea and snore has bothered me for years. I tried CPAP but I couldn't tolerate it. The mask just couldn't stay on my face for over 3 hours. When I saw this video, it is amazing such a device could eliminate snore. I am located in Canada. I tried to purchase it from the USA site but they were unable to ship location out of USA. I am planning to go to UK in December for Christmas. I am wondering where I can get it in the UK. Thanks...
Hello Dr Veer. Interesting video. You might want to check the chapter descriptions in the video description. I don't think the chapter names are correct.
it's sooooo embarrassing when i keep doing that. So sorry everyone! I will try and remember to keep an eye on it. the chapters should be okay now. Thank you for spotting that.
I get along with cpap myself, but that seems like something I'd love to try and have in case of power outages and the like. I live in a country where power is a big issue and if this were to work for me as well as cpap does, I'd buy it in a heartbeat as a backup of sorts for night I'd expect to have power interruptions or no power at all. I could also go the power supply route but this seems like a promising device.
I have a 12volt battery and a pure sine invertor for when the power goes out. I also used this setup to run my CPAP for camping too. I used a small 2000 watt quiet generator to charge it if the power was out. Recently I just put in a transfer switch in my house for power outages and bought a 6500/8500 generator so I can run most of my house with the generator and one connection to my house.
Snoring & sleep apnoea for people that aren't affected by it seems like such a small thing it's almost a joke. But for the sake of my health and my relationship I need to do something. It affects so many factors of our lives. I wake up (on the sofa which I'm relegated to) and my heart rate feels elevated, I'm almost panting. My head aches, throat is sore. I'm dead tired all day, back aches from being on the sofa. I feel resentful almost.. it really does affect everything
I've been binging on your youtube videos this week. Thank you! Especially for your thorough explanation of sleep study results. You explained it so much more thoroughly than the person that conducted my study here in Kentucky (USA). I'm considering the Bongo RX, since I have to wait such a long time to receive a CPAP machine. (Backlogged due to the June recall.) Will you be posting a video about EPAP devices anytime soon?
You're kind of in a tough spot. Literally 20 years ago to the day, I was dating a nurse. She could sleep through almost anything including me snoring. What she could not sleep through is me holding my breath and then expelling it very loudly. I got a CPAP and hated it!! I felt like I was trying to sleep with an air hose in my mouth. I did not use it and I needed something desperately. Fast forward a few years and I'm now dating a new girl and she shares she is falling asleep on the way to work because of the noise I make when I sleep. I see a new doctor who tries me on a BiPAP. Better but not quite there until Philips ResMD invents the auto BiPAP that adjusts the pressure in and out on MY breathing pace. Because I have always played either basketball or soccer, my inhalations and exhalations have been long. The Auto BiPAP let's my body decide what is right and it has been a marriage saver. GOOD LUCK!
Vik Veer, Hi, When will the INAP be available on the NHS here in the UK please? Also, Could you please do a review of SNORGO. Thanks for your helpful, honest videos.
Sounds wonderful. I'm very interested. Wondering where the main hub of the device will be overnight? On the bed? On the bedside table? Thank you for the video - much appreciated.
I think somewhere not too far, but under a pillow or something to smother the noise it makes. it is quite noisy if you lose a seal. another good reason to generate a really deep negative pressure before falling asleep.
what about people who's jag goes slack when they fall asleep. I had to switch from nasal pillows to full face mask becasue when I fall asleep my jaw goes slack and my mouth opens. Is this vacuum strong enough to keep my mouth shut?
Frankly, if it feels too high and you'v been on it a while to get adjusted, it probably is too high. Let your sleep medicine doctor know. Mine was too high and I adjusted it downward. It really was the issue. The doctor's don' want the patients making the adjustments, so reach out to them pronto. Sleep is important for our immune system health and overall wellbeing!
@@nolaonyt I looked on YT and saw how to lower my pressure, it was 18. Finally landed at 12 over time and have for yrs. Sleep so much better now. Have not had a new sleep study since first one in 2010, but I sleep well, no day fatigue.
Can you do a video on Smart watches for sleep apnea? Like the Garmin Forerunner 245 and the Withings ScanWatch is even waiting medical approval for sleep apnea with a oxygen sensor
Full face masks (I use low profile full face below the nose) does allow you to breath on nights your nostrils are closed. Great info about the M.A.D. I might try it again.
I think one would need a chin strap while using that device because if your mouth drops open the tube is going to either drop out or simply have a large air leak around the tube . I have a trache, on oxygen 24/7, and use a non invasive ventilator at night. I'm looking to be decannulated and taking a look at devices like this device as an alternative to a cpap. Thank you for this informative video.
Sounds like a good idea if you can't get a strong enough negative pressure to keep your mouth closed. You could block your stoma and try out the various devices until you are sure you are happy with the results. that way you won't want to go back to trachy, you only reverse when you are sure.
Absolutely brilliant video, very informed, thank you. I would've loved to hear your thoughts on how well you think this would stay in someone's mouth while they sleep, etc
After trying pretty much everything, including a CPAP machine, I've finally found a solution to my sleep apnea. I now use a small piece of surgical tape over my lips. My wife says I've completely stopped gasping and snoring. If you haven't, give the tape a try. Its simple to use and inexpensive.
I know I will die in my snoring 😴 , I wish I could find something to help ! Each and every day is a struggle I’m losing my mind ! And nobody I know gets it ! Even those close to me . I’ve been snoring all my life ,
Re CPAP your comments assume only a “gas mask” assumption. I use the nasal pillows hence no mask. I much prefer it and would recommend it highly. What appeals to me about this new device is its portability and the absence of straps that tend to make marks on the face. Thx for the info. I wonder what they cost?
My 32 year old daughter has Down Syndrome with obstructive sleep apnea. It is typical for people with DS to have a small mouth, high narrow arch and tongue that seems larger than their mouth causing tongue protrusion. My daughter had early intervention with a therapist that utilized exercises to decrease tongue protrusion so she does not have issues with that during the day but does have some protrusion while sleeping. My daughter did an at home sleep study, wore a monitor on her finger which recorded a high number of times during the night that she was experiencing sleep apnea. The recommendation was a CPap. She has tried several types of masks but each one created problems with nasal congestion even though the CPap had an air warming device and humidifier. She could not get comfortable at night and the CPap interfered with her sleep quality. She sleeps on her side and the CPap did not allow for her to do so. She gave up wearing the CPap all together. I believe the OSA is caused by tongue based obstruction so is this device something you would recommend for a person with DS
Hi Vic, thanks for your videos. Your explanations are trully clear and inspiring! i've got Aphnea problems since a few months ago, Aphnea comes at the first moment of my sleep and usually for a single time (not more times that i know) that make me wake up suddenly which is very disgusting and worrying for me. Do you think that is really an Aphnea or could be stress? Can you tell me your first diagnosis based on your experience? many many thanks Vik!
so similar concept to these mouthguards that suck your tonge out of your month. One of these have worked reasonable well for me so I might give it a try. thanks
Thank you for the information. Asking my question part way through the video. How would this work for someone who salivates a lot? thank you in advance for your reply, Vera
Thanks for the review of I-Nap. I will follow this product with interest. From an orofacial-pharyngeal myofunctional perspective, having the tongue suction to the roof of the mouth (discouraging forward or dentalised positions of the tongue) to keep the tongue out of the airway, is a primary goal for intra-oral muscle rest postures. I suspect with patients who have significant oral crowding it may have limited use (tongue is a hydrostat). Love to know more. Love that this device is easy to travel with.
Yeah, there are a lot of questions about the device. I am hoping it will be good for all with minimal issues, but I am fearful of nearly everything. If it works well, I think this will be great.
Question: You mentioned CPAP doesn't work very well for people with tongue obstructions because the mask pushes their jaw back (when jaw falling back is part of the problem itself)... but in this case why not just have the person switch to a nasal mask so the mask isn't even touching the jaw, so, in theory CPAP should work just fine for people with tongue obstructions? Or does nasal masks also affect the tongue/jaw? Question: You mentioned in UK you try CPAP and then switch to MAD device. Here in the USA it seems like the sleep doctors don't even mention MAD devices (first I've heard of one) LOL. It seems like they try CPAP and if CPAP is not working (person cannot handle the high pressure, aerophagia, etc), then they try BiPAP. Same for UK? I understand how the iNAP works (your very good at explaining), interesting solution, but, personally, I think I'd rather something around my nose than inside my mouth, but I guess I'd have to try it to be sure :).
Hi Vik, just watched your video the INap machine, which seems pretty impressive. Where would I be able to purchase one? I’ve had a quick look on Amazon & online but no joy.
Vik I just watched your fantastic video in a sleep study report. Even though mine is done by philips it’s very similar. I wonder if I could email a copy a one page report of 2 studies I have done. I know you are really busy and understand totally. It is just about my sleeping positions vary a lot in the report. Regards Rob
I sure wish a small device would come out for temporary use in certain circumstances in conjunction with my regular use of my CPAP . For instance when I have flown on a red eye flight I am fearful of falling asleep peacefully like most on the flight because of my snoring . If they came out with a small one that u could charge like our phones and use for special occasions such as this . I hope one day
I'm recently diagnosed but haven't used any devices yet! I wake up all night with dry mouth and have to take a sip of water every time I wake to pee. Personally, I don't even know what sleep apnoea is all about or how to treat it! Guess I need to set an appointment with my Dr. for a briefing!
Thanks so much for this video. It's exciting and gives me hope. I've got UARS. What I'm wondering is because I have silent reflux from UARS and the negative pressure exerted in the airway, would this device create that same kind of negative pressure creating reflux as well? I'm in the US and my doctor doesn't know about the iNap so couldn't say. Thanks so much for talking about these issues.
Thanks so much for all your work Vik. You. Are helping people so much! I have snored for as long as I've known My sleep study came up with nothing but I have recently discovered that I snore through my nose only when I'm on my back. I have recently started wearing a MAD and sleeping with pillows to stop me from rolling onto my back,however the device is already causing issues with my jaw during the day I am wondering how much longer I will be able to continue with the MAD but don't know what else I can use. Do you have any advice? Thinking of trying the woody knows backpack but seems it may be uncomfortable and pricey it I don't get on well with it. Any advice would be much appreciated. Thanks. Dave
Not really my area of expertise as it's a MaxFax thing, but I can do a video on the success rate etc. as a preview the results are about 67% improvement. Souresh Zaghi and his team from LA did a very good review on the subject some years back.
Thanks for covering this, looks interesting. Seemed relatively easy for you to remove it without switching it off (unless you did switch it off before removal and it just happened off-shot); do you think it would be prone to coming out during sleep (e.g. by accident when changing position, or by the user spitting it out/pushing it out with tongue while asleep or half-asleep)?
Creating a deep negative pressure makes a big difference. with enough suction the mouth piece doesn't fall out and the suction generator doesn't have to work all night to maintain the suction effect (which saves battery). hence my little snippet about how to generate a very deep negative pressure. keep your tongue down as much as possible and resist the pressure until you think there is enough suction to hold in place all night.
@@VikVeerENTSurgeon you’re an absolute legend for this content. I’ve got moderate sleep apnea and I’m in the process of trying different treatments, you’re videos are very helpful to me
Hi Donna, we have many users who also use a night guard. It depends of the thickness of the nightguard as to if it is compatible with the iNAP oral interface. You won't know unless you try it. Is the nightguard to protect for tooth movement or for bruxism?
From the ingredients it seems it is Homeopathic and therefore has been proved not to work apart from placebo. I'm not sure why they have so many amazing reviews.
Thank you Vik. You are an absolute blessing to humanity explaining all these things. Most of us with sleep breathing issues are just left to figure this stuff out ourselves . You really know your stuff.
It's really hard, and I'm sorry we doctors aren't good at explaining things. Sleep is so complicated that most people don't have the time to deal with it, but as you say patients are having to sort it out themselves. I hate the thought of people being passed around various clinics, or randomly trying devices with no direction.
Means a lot to me that people are gaining from these videos. I have a lot to say on the subject, and I hope it will be useful once I get all of this out of my head.
@@VikVeerENTSurgeon It's already very useful and after having spent many many hours of reading on various CPAP forums I can tell that you know exactly what you are talking about. The bit where you explained why CPAP doesnt work so well for tongue based obstructions is a light bulb moment. I'm sure most companies selling CPAPs to patients aren't even aware of this. It sure isn't a one size fits all approach.
@@VikVeerENTSurgeon Besides that, wow your a great doctor!!! Referred this to my neice. Please can you make a video about Barrett's disease and how someone who can't take PPI's can get their acid in control...my Gerd had Hiatal hernia too and progressed in 2021 to Barrett's and I am screwed because I had to get off the PPI's for all kinds of horrible symptoms. I already do, raise the bed 5 inches, no eat hours before bed, small meal, twice day, aloe Vera gel, baking soda to improve ph., take an alginate that does nothing to help at all. I have continually ringing ears, mucus, raging acid and food burp up the throat, no matter what i do. Am I a dead duck, just sitting, waiting, for Esophagus cancer to come in to the picture? I am just terrified. 😟😥
Thank you for all you do that the others doctors SHOULD be doing. It's very much appreciated!
Thank you for taking the time and keeping us up to date on important developments in your field along with ways to help anyone who needs it.
My Pleasure! obviously I love it too!
Any improvement in technology that helps treat this disease is extremely welcome. Thanks so much for taking the time to bring it to everyone's attention.
Sleep apnea is not a disease, it’s a disorder
THE MOUTHPIECE IS DANGEROUS. I used my inap last night and I woke to discover the center section almost bitten off and floating in my mouth. This goes along with my comment about the center section causing great pressure on the front teeth because any pressure there will weaken it and cause it to be disengaged from the main section thereby causing a choking hazard. I was lucky to have discovered this before I inhaled it. As I mentioned in a previous post, there are other mouthpieces available overseas but not here in the us. Perhaps this is the only mouthpiece available in the US because it's the only one that's been approved by the FDA but this thin silicone section of the mouthpiece is a potentially lethal situation.
Thank you for sharing this information.
I do not have this issue with the thin mouthpiece available in US
How does the Inap compare to the ASV for central apnea?
That is why I rather use the CPAP machine
@@sonyaallen-dwyer I wish I could use a CPAP, but I can't fall asleep at night with it on and no amount of trying has made any difference. I'll wait a bit on this device as I have been able to chew through a nightguard, so something this flimsy is unlikely to stand up to that.
This the first time I see a doctor actually educating on the problems a lot of people might experience. This a great improvement over the so called specialists without any credentials nor experience - essentially doctors without diplomas - putting themselves in a position of experts when they are not. All the doctors are met unifromly dismiss internet medical info as a rule of thumb. Obviously there is a merit to it. Until now.
Thanks for taking the big leap of courage and break that bloody stigma, stereotype that specialist medical information from internet is counterproductive. Now I can tell it is clearly not - as it is coming from a person who is not only qualified but hugely succesful.
Personally I wake at least once a night gasping for air, shaken and sometimes scared.Waking up tired is a norm. Few years ago I did my research online on the subject and called my local West Hame surgery - doctor dismissed my concerns as something normal. I believed him. And what an idiot I was. Now its time to take an action.
Really glad that my videos have helped - Do keep going as only you know how truly horrible it is to live with chronic sleep deprivation and not be able to do anything about it. Once you get your first night of good sleep I think it'll be worth it. Keep going mate.
Definitely! This doctor is awesome!
Definitely seek GOOD medical advice. I started using a CPAP 3 years ago. My sleep study showed that I stopped breathing 53 times an hour! Yes, almost once a minute, all night! Like you I frequently woke up gasping for breath. Not at all pleasant as you know.
I’m so glad I found you here !! I live in US I’m on cpap and not the typical user and have a complicated medical background …I have so many questions and I can already see I will get many of them answered by watching your segments. I’m so amazed at your knowledge and thank you for all you helpful and educational content …it fantastic
Thank you for saying some people with claustrophobia can't do CPAP face masks. After the first month of almost non-stop mini panic attacks, I took my mask into the sleep shop. They didn't seem to believe me, but they did suggest an nasal pillow style instead. I have been using it for 9 years without issue. No more panic attacks. Yah!
What is nasal pillow, ? Please. 🙏
Recuard in pakistan plz price
@@joesmo5143 Nasal Pilow is Another mini variant of the Mask which just covers your nose.
@@joesmo5143 Nasal pillows are a type of CPAP mask consisting of plastic inserts that look like headphone earbuds that slip directly into the nostrils.
Yikes I thought I was the only one with that problem. I'd wake up suffocating! Nasal pillows don't work for me either...still looking for an alternative.
Vik, thanks for sharing this. I just called the company and spoke with someone about it. I have setup an appointment with a physician to get the prescription. I am going to give it a try and will let you know how I do with it. Just wanted to say.. thanks for taking the time to make these videos. . Please keep putting out good info like this video about sleep disorder. I am sure it is helping many people like myself.
Hey Neal, have you started using this device yet? 🤟🏼
did it help?
@@Jimmy_Cavallo I think a lot of people die and never comment again. lol
Thank You very much for the previous video on the tongue exercises..and this one on this new device...very well explained sir,and thanks again for the information...You where God Sent.Ciao
This video saved me from a difficult cpap experience. 1 year later on iNap and Im going strong. Thx Dr. VEER
If you get iNap, make sure you optimize the suction pressure. I had to double the starting value to get my tongue out of the way.
great development. I read a comment about the mouthpiece (can you not order it online ? ) . Also having alternative products is ALWAYS a good thing for consumers (it's never one size / type fits all). I hope they continue to make product alternatives and improve current designs. I couldn't imagine having to sleep with a CPAP machine.
Thanks Vik, this looks like a great device, breathing through your nose is natural breathing, this is a major step up from taping your mouth at night, keep up the great videos
Totally agree - really hope this helps a lot of people. I think i need to do a better job of explaining how to use it correctly, as it's quite difficult to get it right. once it is in the right position the device seems to work very well, but it does take a bit of getting the technique right.
Love your video about OSA alternative treatments. Im in good health 6ft/175lb with a little HBP, controlled with Losarton. Over 20 years, Ive tried many ways to treat my now severe OSA. Never tolerated CPAP from the beginning. Im told I have a very large base of my tongue. Had UPPP, a dental appliance, back of tongue ablation, dev septum surgery, etc. Now 3 years on HGN stim/Inspire Ive had some improvement - AHI down to 35 from 70+, based on last HOME sleep study with Inspire on. 2 prior Lab sleep studies years before ended in less than 3 hours...cant get back to sleep in a lab with 30+ wired glued to my face/neck/chest/legs. Its taken several adjustments by the Inspire rep/ ENT to improve my use and results. Now that my AHI has lessened, Ive had a surprise issue. the wire running from the Inspire generator in my chest to my HGN decided to poke thru the skin in my neck. The ENT had my wire surgically removed in less than a week and a round of antibiotics. Supposedly, I'm the ONLY Inspire patient with this issue. Just had the wire replaced to the opposite side of my jaw and waiting 30 days to reprogram/activate. Tired of being tired !!!! I look forward to listening to your many reviews. Maybe Inap will be a game changer for many people. Cheers !!
Would LOVE to hear more about your thoughts on inspire!! You seem to have ALOT more patience than I do. I'm shocked/surprised at how much you've done thus far yet STILL are tired after all your efforts. This is one of my biggest "fears", issues. Doing all these things yet still not back to somewhat "normal". Anyway, am just really curious about how inspire works for you as I've been suffering a very long time due to not able to use cpap. Thank you
Hi Chuck. How are you faring now? I really hope you have had improvement ? Physical sleep issues are so much worse than emotional,mental sleep issues and i know your struggle(which i hope has come to an end?)
Hey!! Thank you for your expert advice on Sleep issues!! I recently downloaded a sleep app on my phone called ShutEye, the first night it stated i had a medium case of sleep apnea!!! I freaked out started studying facial exercises, i do have a deviated septum, i did find the tongue exercise to be very effective the last few days i did hear my self snort briefly, but not as severe on the first night of the app!! I have invested in breathe right strips as well that has been a lifesaver, i purchased an air purifier iconic, placed some oxygen filled plants,(rock aloe, plants), knowledge is power my fellow humans!! I luv a really good nights sleep!!!❤ 🎉
I'm from the USA but I really liked watching this video. It's definitely an interesting item and wonder if it will be available over here
I'm not sure, but I'm guessing that it's already there?
@@VikVeerENTSurgeon thank you
I appreciate that you look at all options. For me ENT only talked about surgery because that was his tool. Plumonologist focused on CPAP but recommended I talk to ENT. Neither mention mandibular device, found out about that when I was that the orthodontist with my daughter. I think this would work for me but $1k is ridiculous for a vacuum pump. Should be $350 and they would still make plenty. They don't need to recoup their FDA cost the first year.
Thank you for the news Vik. Very interesting and glad there is a possible alternative to the CPAP. Also interested in the great advice you have given.
I think it will work, but the thing to be careful about it to improve your technique with it. the wrong technique will lead to poor results.
Wow, great video. I was recently diagnosed with sleep apnea and prescribed a CPAP machine but there is a severe shortage here in the US. I’ve been waiting over 2 months now with no delivery in sight.
Not to mention to Philips Dreamstation issue...
@@hermes8258 Philips Dreamstation - Dream Project 😂
This absolutely amazing information 💪 so happy to hear about the inap!
My husband is currently using a CPAP for the past 7 years, he's still not feeling refreshed in the morning.......
He also takes it off half way through the night as it's uncomfortable.
This device the 'inap' seems more practical as your explanation regarding the tounge problem is what he is also having.
Thank you so much for the enlightenment.
Hope this will be available to gat soon.thank you so much!
We are from Sri Lanka.
I hope you manage to sort him out. good luck.
Now some articles say CPAP may cause cancer.
We should be seeing it here in the USA around 2040...
I am getting this new a mouth guard that upper and lower arch connect in the back. Approved by my insurance already . No noise no electricity involved. It’s similar to a night guard just research on it.
And in South Africa...like never
I won't live that long!
It's been available in the US for a while. Just got it a few days ago and trying it out.
Problem is I can't breathe through my nose when I sleep. My turbinates are enlarged.
I feel like an impossible case. I've had sleep apnea for my 64 years. My throat collapses. Had a cpap eons ago when there were only nose masks. I'd wake gasping for for air. I've always struggled with breathing through my nose. Small passages plus allergies. Had surgery to correct a deviated septum with the hope it'd help. Nope. I think tubes going down my throat and nose would be my only hope! I fantasize about waking feeling oxygenated. Going to try your tongue/throat exercises. Thank you for your focus on this important issue!
Hi Kris. I feel for you. It's no fun to struggle at night. Have you perhaps looked into that device that attaches to your neck that also uses a negative pressure to suck your neck to create space? Based on your condition you describe it may be perfect for you. I don't know the name but let me see if I can find the link for you.
@@patrickhall7884 You may be thinking of the AIRLIFT procedure. This looks interesting. If that isn’t it and if you find out the name I would be interested too!
I tend to be in the same boat as you. Will look ofr his video with the tongue/throat exercizes. Thanks!
Thank you for your time and effort to show us all these OSA treatment but I had a impression of this device to be a little bit noisy .
it is quite noisy, but if you develop that really deep negative pressure at the start of the night, it doesn't need to make anymore noise for the rest of the night. after that it's silent.
For me I recently found out that using a humidifier helped me sleep much better! My sinuses would get so stuffed I could hardly breathe at night and therefore couldn’t get a good nights sleep.
Also I’d wake up with chest pains, because I couldn’t breathe. I just wish I had found out about this humidifier many years ago.
That's really helpful...I might try that. Thanks! Any brands you'd recommend?
I add 10 drops of ALBAS oil to the water.
Let me also try this. So helpful. humidifier of which brand? Pls reply. 🙏
I assume this won’t work for me because I have large inferior turbinates. It’s hard for me to fully breathe through my nose. My last sleeping test (2022) with no machinery was 15 events per hour. I use a CPAP. I understand turbinate reduction surgery is brutal and at age 68 I can’t imagine having this done. I do have a big fat tongue, but I don’t want my jaw pulled forward with a mandibular device due to TMJ concerns. So, I guess I am stuck with CPAP because my soft palate tends to collapse as well. Thank you for your most informative videos and best wishes from Michigan, USA.
Wow this was a very good video explanation. I have UARS and I've always had a good BMI and I'm fit etc. I use nasal cpap because it works and its easy to live with, no dramas with squishing my face and the imperfect seal of a full mask. Recently I decided to get my turbinates restructured surgically, because I've been living on nasonex and beconase for 10+ years
NutriBiotic nasal spray with GSE and Peppermint really help my sinuses. I was a frickin' Afrin addict for years. This stuff works and no side effects.
I used to have a lot of hay fever and a continually blocked nose. I started to close my mouth more and to try to breathe through my nose, even if I could only do it for a minute. Gradually I could do it for longer and now I can easily breathe through my nose. It was a case of using my nose cleared my nose.
I was the same, couldn't close my mouth even for a minute. I started wedging a small pillow under my chin at night, to keep my mouth closed. Now my mouth is always closed during the day and breathing is easier through the nose. I'm sure I still snore at times, as I seem to still roll over at times.
RUclips recommends Vik along with cooking with Babish.
The algorithm has hit another level.
Hahaha! I looked him up.. he looks like me but better looking and with glasses! perhaps they assume you need to watch people who look like us?
So happy to have come upon your videos. Thank you!!!
This seems like a difficult device to work with if you can't control what your tongue is doing while you sleep. As one who has been using an apnea machine and mouth guard I have awakened from time to time clinching my teeth or slamming my teeth together sometimes biting my tongue or lip (awakening in horrible pain). I started intentionally pinning my tongue to the roof of my mouth to try to avoid these horrors. But, it seems like this is a good device in theory.
You might still be having apnea.
I have severe sleep apnea .i stop breathing every 3 mins ..i have a cpap but i suffacates me so i dont use it all the time .my daughter will wake me up to make sure im okay. The excercises you gave in the previous videos are awesome .im going to do those to see if it helps .sleep apnea sucks .i hate havibg it .
Looks interesting. Be interesting to see the results of further studies on this object.
when I get some results I'll let everyone know.
thank you very much -very informative and helping me to understand the whole sleep apnea thing...:)..there's hope...:)
Great video Dr.Veer. I am eager to try the INap and I am looking forward to fourth ER updates you may have!
You have a lot of great videos; have you thought about regrouping and doing a modern up-to-date video on where things stand with everything you've talked about over the years?
Thanks for reviewing this product. I could not tollerate CPAP, and my insurance company would not cover a MAD. Lucky for me I tried a Tongue Retaining Device and started sleeping for the first time in many years. I'm assuming that since the retainer helped me, this device should also be of benefit? While the retainer is working it does cause some pain at my tongue tie during the day, so I'm excited to try this new product.
I am guessing that iNAP would be perfect for you. I hope it is. good luck
Where did you get the tongue retaining device? I found a CPSP much too uncomfortably disruptive of my sleep.
I didn't know there were so many devices. My health service in Spain has given me a CPAP with a mask that fits around my nose. I don't suppose it pushes my jaw back, but it's not easy to use. I notice that it creates a sort of vacuum which keeps my mouth shut. It's too uncomfortable for sleeping on my back.
Background info: I have both a largish tongue and nasal breathing difficulty. Uncomfortable with sleeping on my side (broad shoulders) I tend to roll onto my back and snore more, this when I have no mask of course. My AHI is about 26 I think.
I don't think the neumologist is taking my nasal difficulty enough into account. I do my best to clear my sinuses before bed, and this does help, but it's still a struggle to get a good night's sleep, especially with sleeping on my shoulder.
I saw a video stating that some people forget to breath automatically due to sugar problems, related to a B1 Thiamine deficiency. And these sugar problems are not obvious enough to be noticed in a standard blood test analysis. Can anyone confirm this?
Update: I am training myself to sleep on my back with the CPAP device attached (no pillow) and I'm taking B1 tablets. I remembered to eat some organic porridge today and I have reduced my other consumption of carbohydrates, particularly wheat. I'm trying to drink less wine, and I've dropped the beer almost 100 per cent. I feel a bit better. I suspect that I have a leaky gut, and that this problem is diminishing. Maybe my experience will help someone else.
Hi, there is mattress which is softer on the shoulder area which helps people who sleeps on the side. Maybe you can check it out on the market. I have one and I feel it is quite comfortable as it is not hurting my shoulders now.
I hope your new routine helps you.
Thank you for showing this new device.
Aunt B
Thank you for video. I never heard of this device and I am located in the US, glad I found your video.
I can’t use the CPAP machine at all and I have tried several of times. I don’t qualify for the oral appliance due to having jaw surgery a long time ago due to braces. I do have a deviated septum but I still breathe through my nose and I am a side sleeper. Do you think this will work for me?
I find I am battling with weight due to sleep apnea which is the cause of my weight gain. I am hoping to find something to help me sleep and lose weight while sleeping as I did before the sleep apnea.
Cheers.
I don't know if it will work for you, but you may want to consider a sleep endoscopy to see which part of your body is causing the sleep apnea (tongue, soft palate, nose, or some combo). The CPAP didn't work very well for me either. If your sleep apnea is caused by tongue only then I would definitely say trying this device is worth a shot. Good luck.
Thank you so much for this video, I wonder if or when this would make it to us because my mom just can't seem to get along with her c-pap she could stand to try the device you were talking about in the video
Thanks for this review Dr. Veer. Sounds like a trip to Taiwan is in order. My interest in this product and alternative therapy to CPAP, APAP etc is several-fold...
I have severe sleep apnea. I live in Canada. Both CPAP and APAP bring my apneas from over 50 p.h. to under 5, a safe level. However, my desktop devices, as effective as they are, are bulky and heavy for travelling, and they aren't the most comfortable or convenient. I tolerate them for the benefits they bring. If I had something equally as effective, I would try it. In fact, I am looking up the company in Taiwan to see is if they are looking for testing subjects.
Context: I think the financial and healthcare factors must be considered... In Canada, the primary medical insurance is provincial not federal. So, exact comparisons cannot be made with the NHS. Also, our system is different than the US one, as different perhaps as it is to continental European ones. Some persons with supplementary insurance from their employer or subscribed to from private companies, get CPAP paid for. Most of the provincial insurance programs (monopolies in Canada, with no choice to opt out or to choose between competing companies) do *not* pay for CPAP therapy at all, although one or two to pay partial for the costs involved. Exceptions are made for persons on Disability. I have never understood this - either OSA is a medical need, or it is recommended, or it is a luxury. Out healthcare policy seems out of touch IMHO.
Additionally, there seems to be a rather simplified not customized approach to sleep apnea in Canada. USA, Australia, and Europe I do not know. You get a sleep test, you get prescribed a CPAP typically, and afterwards you work with a Registered Respiratory therapist to get the appropriate therapy (i.e. a machine at the right pressure with a mask that works for you). But nobody ever calls you back and asks, "it is has been three years, perhaps it is time to see if you still have sleepa apnea." There is no follow up. And the mouth devices and surgery as far as I know are never recommended or even considered except in extreme cases. I had to laugh when I saw your explanation of the different causes of sleep apnea. My sleep doctor seemed to not investigate this. I was never told the cause, only the solution for the time (summer 2018) - CPAP. Losing weight wasn't even seriously considered when I mentioned this as a possible cure.
So, I have to wonder, if these standard solutions to sleep apnea are not used in Canada, why would this new device? Is OSA taken more seriously in UK? And, if this device works well for a significant percentage of persons and the costs is much less than CPAP and all its frequently needing to be changing equipment and supplies, does this company have enough clout to lobby Ministries of Health and quasi-government insurance companies for a more efficient solution?
Thanks again
I believe that Prof Brian Rotenberg in London Canada does a lot of surgery for sleep apnoea and looks into non-CPAP therapies quite a lot. Companies will never really be able to over turn government thinking, in my experience if the people want something and they lobby for it, only then do officials take note and change. No matter how much I talk about OSA to various political organisations I seem to get no where but when there is a media frenzy about a new device or operation etc then suddenly it becomes available. The old Roman Mob Rule....
While this may benefit those patients that refuse to wear CPAP/BiPAP (something is better than nothing), the reduction of the AHI to 8.7 still places the patient in the mild sleep apnea category. In addition, the study cited only contained 34 participants (35 started and one patient dropped out of the study) which is does not provide a large enough sample to accurately determine it effectiveness. Also, it is contraindicated for a vast majority of the causes of OSA. This device is a one size fits all. There is no way of increasing or decreasing the suction in order to tailor its effectiveness for each patient. This is also a vacuum pump, which means that along with the air that it is sucking out, it is also sucking out saliva. That is something that the buyer has to deal with.
I have one of these. The saliva is annoying but less invasive than cpap. There is an option to increase the pressure but it requires physician approval and they do it remotely. I guess cpap is technically the same way but everyone knows how to access the clinician menu. The staff is helpful in providing troubleshooting to the various problems one can face with this regarding the mouthpiece, leaking, etc.
Good points raised. Thank you. ☘️🌝🌲
Wow I'm so glad you have posted this. I have been struggling with sleep issues for 5 years now and my health is in tatters. 3 home sleep studies said moderate sleep apnea, although I only had 1 O2 desat during the night going down to 85%. Got APAP and used it solidly for 2 years with various settings and sleep still didn't improve. Had PSG study done and said no apnea, only UARS, so confused as hell and health still in tatters from no deep sleep. I can hear on Snorelab that I'm being constantly woken by what sounds like a swallowing type of event that occurs. No gasping for air ever. I've even tried VPAP on ST setting with no help either. I have been considering contacting you to see what you think these noises and arousals are. The aerophagia and associated belching/GERD that occurs from the CPAP doesn't help to get a good night's sleep either. So if it's my uvula that's the issue with me then this device looks promising.
Difficult situation and I hope you get it sorted. Often people get a surprisingly great result from a sleep study if they have been using CPAP / APAP the day before the sleep study - it's called a washout effect. you need to stop the CPAP/APAP at least a week before your sleep study to get a true reading or it will look like you have a normalish result when really you are much worse.
Must make sure you have a normal nasal airway - get someone to look at your nose carefully.
Some people with restless leg syndrome and / or LPR have swallowing problems in their sleep. lump in your throat sensation, throat clearing, hoarseness from time to time - look for all the standard problems and get it sorted.
Good Luck!
@@VikVeerENTSurgeon Gosh I wish I was in London to come and see you! I've had 2 septoplasties already to assist my breathing, and yes I do have RLS, especially when falling asleep. Thats very interesting that you posted that about the swallowing. I dont have a hoarse throat ever, but there is that swallowing noise on Snorelab that wakes me, and I noticed when I moved onto VPAP it was causing a burping "noise" and sensation in my throat, almost like an air bubble, something I hadnt experienced on APAP before. If I happen to come into some money I will be on the first plane to come and see you in London! These past 5 years have been pure hell with no proper sleep.
I can relate. We should talk privately, I'm from USA.
@@VikVeerENTSurgeon After a lot of searching, I have found a thing called Palatal Prolapse-I am convinced I have. Signature of PP is difficult to breath (out) when lying on back and totally relaxed. C-pap does not work because it helps you breathe in and not out. I have also tried a MAD to the point of mis-aligning my bite & no luck. I have a narrow airway with a large tongue so after seeing this video I am excited about trying this machine. Please let me know if there is any other device or exercise that will help with this condition. Thank You for All you do. Sincerely, Don in California
Hi Vik,
Great demonstration and introducing a new product like that. Sleep apnea and snore has bothered me for years. I tried CPAP but I couldn't tolerate it. The mask just couldn't stay on my face for over 3 hours. When I saw this video, it is amazing such a device could eliminate snore. I am located in Canada. I tried to purchase it from the USA site but they were unable to ship location out of USA. I am planning to go to UK in December for Christmas. I am wondering where I can get it in the UK. Thanks...
Hello Dr Veer. Interesting video. You might want to check the chapter descriptions in the video description. I don't think the chapter names are correct.
it's sooooo embarrassing when i keep doing that. So sorry everyone! I will try and remember to keep an eye on it. the chapters should be okay now. Thank you for spotting that.
You're videos are so informative and have helped me greatly..
I get along with cpap myself, but that seems like something I'd love to try and have in case of power outages and the like. I live in a country where power is a big issue and if this were to work for me as well as cpap does, I'd buy it in a heartbeat as a backup of sorts for night I'd expect to have power interruptions or no power at all. I could also go the power supply route but this seems like a promising device.
I like the idea of a backup device, very conscientious of you. let me know if you end up buying it.
I have a 12volt battery and a pure sine invertor for when the power goes out. I also used this setup to run my CPAP for camping too. I used a small 2000 watt quiet generator to charge it if the power was out. Recently I just put in a transfer switch in my house for power outages and bought a 6500/8500 generator so I can run most of my house with the generator and one connection to my house.
Snoring & sleep apnoea for people that aren't affected by it seems like such a small thing it's almost a joke. But for the sake of my health and my relationship I need to do something. It affects so many factors of our lives. I wake up (on the sofa which I'm relegated to) and my heart rate feels elevated, I'm almost panting. My head aches, throat is sore. I'm dead tired all day, back aches from being on the sofa. I feel resentful almost.. it really does affect everything
agreed, you only realise how important sleep is when yours is affected. I hope you find your solution soon!
Hi Vik,
Great video again. Any updates?
I plan on getting this device in the US soon.
I've been binging on your youtube videos this week.
Thank you! Especially for your thorough explanation of sleep study results.
You explained it so much more thoroughly than the person that conducted my study here in Kentucky (USA).
I'm considering the Bongo RX, since I have to wait such a long time to receive a CPAP machine. (Backlogged due to the June recall.)
Will you be posting a video about EPAP devices anytime soon?
I don't want to come across as CPAP bashing so I have to be careful how i do that video. I'm scared basically :)
You're kind of in a tough spot. Literally 20 years ago to the day, I was dating a nurse. She could sleep through almost anything including me snoring. What she could not sleep through is me holding my breath and then expelling it very loudly. I got a CPAP and hated it!! I felt like I was trying to sleep with an air hose in my mouth. I did not use it and I needed something desperately. Fast forward a few years and I'm now dating a new girl and she shares she is falling asleep on the way to work because of the noise I make when I sleep. I see a new doctor who tries me on a BiPAP. Better but not quite there until Philips ResMD invents the auto BiPAP that adjusts the pressure in and out on MY breathing pace. Because I have always played either basketball or soccer, my inhalations and exhalations have been long. The Auto BiPAP let's my body decide what is right and it has been a marriage saver. GOOD LUCK!
Where can I buy one to try it...USA
Vik Veer, Hi, When will the INAP be available on the NHS here in the UK please?
Also, Could you please do a review of SNORGO.
Thanks for your helpful, honest videos.
Sounds wonderful. I'm very interested. Wondering where the main hub of the device will be overnight? On the bed? On the bedside table? Thank you for the video - much appreciated.
I think somewhere not too far, but under a pillow or something to smother the noise it makes. it is quite noisy if you lose a seal. another good reason to generate a really deep negative pressure before falling asleep.
Most users keep it between their pillow and the headboard, or by their shoulder or hip.
what about people who's jag goes slack when they fall asleep. I had to switch from nasal pillows to full face mask becasue when I fall asleep my jaw goes slack and my mouth opens. Is this vacuum strong enough to keep my mouth shut?
Looks very interesting, My Cpap machine pressure feels way to high and wakes me in the night .
Frankly, if it feels too high and you'v been on it a while to get adjusted, it probably is too high. Let your sleep medicine doctor know. Mine was too high and I adjusted it downward. It really was the issue. The doctor's don' want the patients making the adjustments, so reach out to them pronto. Sleep is important for our immune system health and overall wellbeing!
@@nolaonyt I looked on YT and saw how to lower my pressure, it was 18. Finally landed at 12 over time and have for yrs. Sleep so much better now. Have not had a new sleep study since first one in 2010, but I sleep well, no day fatigue.
Thanks for sharing this Information, Vik. Where can I buy this device? How much does it cost?
Can you do a video on Smart watches for sleep apnea? Like the Garmin Forerunner 245 and the Withings ScanWatch is even waiting medical approval for sleep apnea with a oxygen sensor
I will try and get on to these. I have so many videos to do....! thank you for the tip - it is now on the list.
Full face masks (I use low profile full face below the nose) does allow you to breath on nights your nostrils are closed. Great info about the M.A.D. I might try it again.
I could never sleep with this in my mouth, I have a hard time sleeping even with a mouth guard. i hope it works for others though.
I think one would need a chin strap while using that device because if your mouth drops open the tube is going to either drop out or simply have a large air leak around the tube .
I have a trache, on oxygen 24/7, and use a non invasive ventilator at night.
I'm looking to be decannulated and taking a look at devices like this device as an alternative to a cpap. Thank you for this informative video.
Sounds like a good idea if you can't get a strong enough negative pressure to keep your mouth closed. You could block your stoma and try out the various devices until you are sure you are happy with the results. that way you won't want to go back to trachy, you only reverse when you are sure.
Absolutely brilliant video, very informed, thank you. I would've loved to hear your thoughts on how well you think this would stay in someone's mouth while they sleep, etc
Great content, thanks.
I can listen more effectively without the background music.
FYI, there are many nasal masks for CPAP. They ar4e small and effective compared the full mask which is hard to live with.
Any idea when this will be available in U.S? You always get the good stuff first. 😌
After trying pretty much everything, including a CPAP machine, I've finally found a solution to my sleep apnea. I now use a small piece of surgical tape over my lips. My wife says I've completely stopped gasping and snoring. If you haven't, give the tape a try. Its simple to use and inexpensive.
Robert how did you used the tape in your lips?
Ya. Mouth taping is legit
I know I will die in my snoring 😴 , I wish I could find something to help ! Each and every day is a struggle I’m losing my mind ! And nobody I know gets it ! Even those close to me . I’ve been snoring all my life ,
Always great information.
Glad you think so!
This is kinda cool ! If I don’t like my cpap machine I’m going to look into this
Re CPAP your comments assume only a “gas mask” assumption. I use the nasal pillows hence no mask. I much prefer it and would recommend it highly. What appeals to me about this new device is its portability and the absence of straps that tend to make marks on the face. Thx for the info. I wonder what they cost?
My 32 year old daughter has Down Syndrome with obstructive sleep apnea. It is typical for people with DS to have a small mouth, high narrow arch and tongue that seems larger than their mouth causing tongue protrusion. My daughter had early intervention with a therapist that utilized exercises to decrease tongue protrusion so she does not have issues with that during the day but does have some protrusion while sleeping. My daughter did an at home sleep study, wore a monitor on her finger which recorded a high number of times during the night that she was experiencing sleep apnea. The recommendation was a CPap. She has tried several types of masks but each one created problems with nasal congestion even though the CPap had an air warming device and humidifier. She could not get comfortable at night and the CPap interfered with her sleep quality. She sleeps on her side and the CPap did not allow for her to do so. She gave up wearing the CPap all together. I believe the OSA is caused by tongue based obstruction so is this device something you would recommend for a person with DS
Hi Vic, thanks for your videos. Your explanations are trully clear and inspiring! i've got Aphnea problems since a few months ago, Aphnea comes at the first moment of my sleep and usually for a single time (not more times that i know) that make me wake up suddenly which is very disgusting and worrying for me. Do you think that is really an Aphnea or could be stress? Can you tell me your first diagnosis based on your experience? many many thanks Vik!
so similar concept to these mouthguards that suck your tonge out of your month. One of these have worked reasonable well for me so I might give it a try. thanks
Thank you for the information. Asking my question part way through the video. How would this work for someone who salivates a lot? thank you in advance for your reply, Vera
Thank You very much very good information hope will benefit from this ..
Move over Alexei Sayle...there's a new comedian in town! Great video thank you! informative and made me laugh as well!! Always good for the spirit!
I love❤ my CPAP and the huge mask. Can’t take a nap without it. I also have asthma and the CPAP makes breathing when laying down mush easier.
Very informative. Thank you!
Thanks again for your work on this!
Thanks for the review of I-Nap. I will follow this product with interest. From an orofacial-pharyngeal myofunctional perspective, having the tongue suction to the roof of the mouth (discouraging forward or dentalised positions of the tongue) to keep the tongue out of the airway, is a primary goal for intra-oral muscle rest postures. I suspect with patients who have significant oral crowding it may have limited use (tongue is a hydrostat). Love to know more. Love that this device is easy to travel with.
Yeah, there are a lot of questions about the device. I am hoping it will be good for all with minimal issues, but I am fearful of nearly everything. If it works well, I think this will be great.
Question: You mentioned CPAP doesn't work very well for people with tongue obstructions because the mask pushes their jaw back (when jaw falling back is part of the problem itself)... but in this case why not just have the person switch to a nasal mask so the mask isn't even touching the jaw, so, in theory CPAP should work just fine for people with tongue obstructions? Or does nasal masks also affect the tongue/jaw?
Question: You mentioned in UK you try CPAP and then switch to MAD device. Here in the USA it seems like the sleep doctors don't even mention MAD devices (first I've heard of one) LOL. It seems like they try CPAP and if CPAP is not working (person cannot handle the high pressure, aerophagia, etc), then they try BiPAP. Same for UK?
I understand how the iNAP works (your very good at explaining), interesting solution, but, personally, I think I'd rather something around my nose than inside my mouth, but I guess I'd have to try it to be sure :).
When has sleep apnea become as big a problem as it is now? 10 years ago you never heard of it. Now it seems like everyone has this problem
Not sure but maybe it's just more understood now
Its always been a big deal for people with sleep apnea but its much better understood and there are better ways of treating it
Very Informative. Thank you.
You are welcome!
Hi Vik, just watched your video the INap machine, which seems pretty impressive. Where would I be able to purchase one? I’ve had a quick look on Amazon & online but no joy.
Absolutely fantastic what a great person helping people not like normal doctor surgery's
Vik I just watched your fantastic video in a sleep study report. Even though mine is done by philips it’s very similar. I wonder if I could email a copy a one page report of 2 studies I have done. I know you are really busy and understand totally. It is just about my sleeping positions vary a lot in the report. Regards Rob
I sure wish a small device would come out for temporary use in certain circumstances in conjunction with my regular use of my CPAP . For instance when I have flown on a red eye flight I am fearful of falling asleep peacefully like most on the flight because of my snoring . If they came out with a small one that u could charge like our phones and use for special occasions such as this . I hope one day
There are a number of travel CPAPs available. about the size of a laptop charger.
I'm recently diagnosed but haven't used any devices yet! I wake up all night with dry mouth and have to take a sip of water every time I wake to pee. Personally, I don't even know what sleep apnoea is all about or how to treat it! Guess I need to set an appointment with my Dr. for a briefing!
Thanks so much for this video. It's exciting and gives me hope. I've got UARS. What I'm wondering is because I have silent reflux from UARS and the negative pressure exerted in the airway, would this device create that same kind of negative pressure creating reflux as well? I'm in the US and my doctor doesn't know about the iNap so couldn't say. Thanks so much for talking about these issues.
Nice video Vik! You think I could trial this?
trying to get it out on the NHS. but apparently you can just buy one. when you can, i'll tell you.
I was given a MAD but my lower jaw kept dropping out. I’m using a Cpap but I sleep on my side so getting a good seal is often difficult.
Thanks so much for all your work Vik. You. Are helping people so much! I have snored for as long as I've known
My sleep study came up with nothing but I have recently discovered that I snore through my nose only when I'm on my back. I have recently started wearing a MAD and sleeping with pillows to stop me from rolling onto my back,however the device is already causing issues with my jaw during the day
I am wondering how much longer I will be able to continue with the MAD but don't know what else I can use. Do you have any advice? Thinking of trying the woody knows backpack but seems it may be uncomfortable and pricey it I don't get on well with it. Any advice would be much appreciated. Thanks.
Dave
I am a mouth breather…can I use this?
Can you do a video sharing ur thoughts on MSE and EASE ?
Not really my area of expertise as it's a MaxFax thing, but I can do a video on the success rate etc. as a preview the results are about 67% improvement. Souresh Zaghi and his team from LA did a very good review on the subject some years back.
looking forward to this in the US
Nice...top video..maybe a good device for me.
give it a try and let me know.
Really appreciate your videos.
Hello again-
Do you see a dentist or Ent Dr. For the mandular device?
Thanks for covering this, looks interesting. Seemed relatively easy for you to remove it without switching it off (unless you did switch it off before removal and it just happened off-shot); do you think it would be prone to coming out during sleep (e.g. by accident when changing position, or by the user spitting it out/pushing it out with tongue while asleep or half-asleep)?
Creating a deep negative pressure makes a big difference. with enough suction the mouth piece doesn't fall out and the suction generator doesn't have to work all night to maintain the suction effect (which saves battery). hence my little snippet about how to generate a very deep negative pressure. keep your tongue down as much as possible and resist the pressure until you think there is enough suction to hold in place all night.
@@VikVeerENTSurgeon you’re an absolute legend for this content. I’ve got moderate sleep apnea and I’m in the process of trying different treatments, you’re videos are very helpful to me
good luck with your tonsillectomy.
Wow, this looks great can you use this with a night guard? My customer night guard is for the lower jaw.
I'm not sure - perhaps one with a hole in the middle? it's not designed for it however.
Hi Donna, we have many users who also use a night guard. It depends of the thickness of the nightguard as to if it is compatible with the iNAP oral interface. You won't know unless you try it. Is the nightguard to protect for tooth movement or for bruxism?
@@inapsleep6923 that is correct.
Grinding
Have you reviewed the shoe stop starter kit?
From the ingredients it seems it is Homeopathic and therefore has been proved not to work apart from placebo. I'm not sure why they have so many amazing reviews.