Hi Adam, we had exchanged correspondence when I considering the Inspire Sleep device. I just wanted to write and Thank You for your input. I wet ahead and got my device implanted 09/01/23 and activated 10/02/23. I have done an overnight in lab sleep study and an at home sleep study since receiving the device. This past Tuesday I went to get the results and now my unit is now set giving me the ultimate therapy. The surgery was a piece of cake, the incisions felt like a slight bruise, the only discomfort was my neck only when shaving, but now everything is good. I love this device, and I am sleeping better and more deeply now than I have in years. Thanks again ! If anyone is considering getting Inspire, do it if you can, but like you said and were quite correct, it is a journey that is well worth it.
It’s so nice to hear another positive story. I’m still a bit apprehensive. My surgery is scheduled for 4/11/24. I need more encouragement from others who have had the inspire put in.
@@lisachambers6230 Hi Lisa, Just wanted to tell you my experience with Inspire. The surgery was a piece of cake for me. I was apprehensive about having something implanted in me. I watched just about every RUclips video on the device even watched the actual surgeries to gain information . After corresponding with Adam Heard and listening to the testimony of one of the patient’s on Inspire’s website I decided to do it.The incisions felt like a slight bruise and my neck was a little tender when shaving, but that didn’t last long. Soreness was from the surgeon installing the wire lead through my neck. Knowing what I know now, I would do it all again. I absolutely love it and it feels like I got my life back, I haven’t slept this well in years. Good luck.
Thanks. I am spreading the word about Inspire for anyone who is considering this. When I was at the last appointment, the doctor brought in a patient who is trying to get Inspire and wanted me to share my experience, and it all started with the Dr. and you, such a blessing.
Watched all of your videos this evening. Thank you so much for doing these. I am 10 days post implant. Was at 58.5 AHI. CPAP wasn't helping. Hopefully this will.
I had my device installed in March 23.. Been a year ... AHIs with device are down to 4.....however I still snore terribly....my solution is using inspire ...and a low pressure 7 on my CPAP....works for good sleep and others in the home....
Also was a CPAP user for 30 yrs....when diagnosed in my 30s I had the surgery....nose and palette ...so my anatomy is altered ...the snoring is the loose tissue not a restriction....also the way I breathe during sleep ..
Thanks! Most of the time I feel better too! This week though I’m fighting sinus and allergy issues and probably look like a zombie so I’ll probably wait till I’m over that before making any more videos! Lol!
Thanks Adam. Thanks for taking the time to share your experiences on RUclips, it helped me make quality informed decisions about getting the Inspire. I’ll keep in touch in the future. Thanks again for your help.
Hi Adam, just wanted to thank you for all your correspondence on the Inspire implant. I was diagnosed with severe sleep apnea 2.5 years ago with an AHI of 56. In the last year, I’ve lost 72lbs and recently had a new sleep study done, and I’m at a 17 AHI. I’ve been on cpap for the last 2.5 years and I hate it. All the issues you’ve had, I’ve had. It leaks, it wraps around my neck, I take it off and don’t realize it. My sleep doctor told me I can look into Inspire or an oral mouth guard now. I’m waiting on pre authorization from insurance for the Inspire appt, but after watching your videos, I feel like I know what to expect going into that appt. I also wanted to mention that I am a commercial truck driver, and I’m forced to wear the cpap for compliance, otherwise I can have my CDL revoked. So I’m really hoping that I can switch to either inspire, or the mouth guard soon. Thank you for your time, and I hope you’re still doing good on Inspire.
Hey Adam, thanks for your insight and also for your service and care as a hospice nurse. Your shared experience has moved the needle for me to go ahead and get the treatment done. My main concern is that I'm very active: I'm a Forester, wildland firefighter, and a new hunter (shot my first blacktail this season!). I'm also an avid runner, weightlifter, and I enjoy chopping wood. During wildfire season, sometimes I will camp out for weeks at a time - having that device would help me not have to worry about going without a CPAP or logistically having to figure it out. A couple questions: will you have to go back in to get the device renewed at any future date? What kind of batteries does the remote take? How is the device powered is what i'm curious about. Thanks again!
I don’t see any problems for you. I do anything I want to. Every 10years or so I’ll have to get a new battery but I understand they can do that in the docs offfice. The remote uses AA batteries and they last a couple months at a time.
Have really enjoyed and learned from your videos. My sleep apnea is considered moderate to severe and I was unable to tolerate APAP. This morning I had my DISE procedure and my ENT said I’m a prime candidate for the implant. Just waiting on insurance approval and scheduling the surgery. Your videos have helped me feel more confident in my decision to go forward.
Things are moving rapidly. My implant surgery is scheduled for next Tuesday, three days from now. Follow up a week later, and activation Dec 18. I’ll let you know how it goes.
Had my implant surgery yesterday and just took bandages off today. Everything went great and no numbness in tongue, lips or jaw. Minor pain but under control. I told my ENT and Inspire rep about your videos and how helpful they were to me. Thanks again Adam! Looking forward to activation Dec 18th now.
I am having my device put in June 22. Had all my other medical procedures for meeting criteria. I am a little frightened but looking forward to the procedure. I have tried to use the c-pap since 2018. I have had 3 different machines and tried 25 different mask. Too much!! Thank you for sharing.
mouth tape like Somnifix works fabulous for snoring…..doesn’t solve the sleep apnea but makes one breathe through your nose…..I stopped snoring after first time using
Hi Adam, thank you for your super informative videos and for being so open about your experience! I’m one week out from implantation surgery. All seemed to go well but I’m starting to get concerned that my tongue weakness isn’t improving. My speech is slurred. The doc said not to worry but I’m concerned. Everything else (the pain, swelling, incisions) has been totally fine. But my tongue isn’t moving so well on that side so it’s hard to chew on that side and I sound a little drunk or cotton-mouthed. Is this temporary?
Thanks Adam for taking your time to reply. Do you know anyone else who has an Inspire device and if so, what’s their experience been like ? I am being cautious about this device and I have some apprehensions about it. Thanks for your time.
My husband is 4 weeks post inspire implant and his lip is still paralyzed. He has feeling but his smile is crooked- we are extremely concerned this is permanent.
Not too crazy, I was 15 working on a table saw that someone else had previously changed the blade on and didn’t tighten properly. The blade wobbled hit the metal side of the table and broke two teeth off blade. One skimmed my shoulder leaving a scratch and the other lodged in my left neck missing my carotid artery by a millimeter. I was unaware that anything had happened until the instructor came running at me full speed and I thought he was trying to hit me but he was trying to put pressure on the wound. My parents were called, they came and got me and drove to the hospital. Doc said they could leave the metal in but it could move later and cut things so we decided to take it out since I was going into the military.
My husband has an appointment for an evaluation for the Inspire device this Friday. They'll arrange for an additional sleep study at that time since it has been years since he's had one. He's had a C-pap for decade and he hates it. Most nights he rips it off his face and just goes back to sleep. He's got a deviated septum so it just is not the best for him. I worry about the apnea leading to pulmonary hypertension and ultimately right-sided heart failure. I worked critical care, I saw some sad cases and I hate the idea of him facing the possibility of being a cardiac cripple. I've been bugging him for years to look into the Inspire but an eval would have involved a trip out of state since it was so new and not many physicians/providers were offering it. But it has become more widespread and the nearest facility to offer it is only an hour away. Fingers crossed that he is a good candidate!
Wishing the best for your husband! I was the same way. Cpap would end up off in the floor because I couldn’t get comfortable with it on so I just didn’t wear it ever. Hopefully he will meet the criteria for inspire and can atleast have a chance for some improvement. It’s not perfect and cpap is still the best treatment but if you aren’t wearing it it doesn’t help. The inspire has been good for me.
@@AdamHeard We'll he just had his appointment today with the doc about his sleep study results and potential Inspire device treatment. No go. Over the years of chronic obstructive along with the use of the Cpap he has developed Treatment-emergent central sleep apnea. He now has both obstructive *and* central sleep apnea. Doc said that the cpap alone will not work but Inspire is a definite no-go. He's going to need to move up to a bi-pap. So he'll end up with a machine that I know he'll hate to use even more. And, the (retired) nurse in me is wondering about the need for supplemental O2 now and the need for a portable concentrator since we fly quite a bit and have a few trans-Pacific red-eye flights coming up in less than a year.
Sorry to hear that. I know it must be frustrating. Hope he gets the proper therapy that will help overall health. Best wishes and may God be with you both.
Hi Adam I have been following your progress since I learned about Inspire. I have been on cpap since 2009 and I have hated it from day one, I have never felt energized when I wake up, pretty much feel tired most of the time even after my most recent sleep study and getting a new machine and mask. I am scheduled to the implant on September 1 and activation on October 2. My biggest concern is that that you mentioned about your tongue I think being irritated by rubbing on your teeth and being uncomfortable when your device has been turned up and is the movement annoying ? I am hoping to get all the benefits from this and hope it helps with my anxiety, depression and feeling like I don’t want to do anything unless it has to be done. Appreciate any input. Thanks
There was definitely an adjustment period to go through and it may take several weeks to get things dialed in. Mine has never been what I would call painful or severely uncomfortable. The movement of my tongue at one point was rubbing on the back of my teeth where I have some previous chipping and this caused a little irritation. I let my doctor and Inspire Rep know about it and they changed the programming so that different electrodes on the nerves were stimulated and this caused my tongue trajectory to change which stopped the rubbing. Best of luck and blessings to you!
Hi Adam, I have a couple more questions. Sometimes it takes me an hour or more to fall asleep, what do you do if this is the case ? Can you feel your tongue movement when you are asleep ? It’s been over a year since your implant and journey, with all of “adjustments “ to get the device tuned in, would you do it all again and would you say it’s worth it ? Thanks for sharing your experience with us that are considering this treatment. Hope you do another video once the device is finally dialed in at its optimum effacing. Wishing you all the best !
I would say yes I would have it done again. I have had good experience with it. As for not getting to sleep right away, if it is taking you over an hour to get to sleep that could be a whole other issue that needs to be addressed. I have never had much trouble getting to sleep usually. On rare occasions I have been still awake or just dozing off when it starts activating and in those cases I either turn it off to reset the delay or I hit the pause button which gives me another 10-20 minute delay. Usually when I go to bed I am so tired I am out before the initial delay is done.
thank you for latest up date. my situation: i am a male 75 , very active - lift weights , work on our property cutting firewood , moving tractor implements etc. body fat 9.1 % , 75% blockage of the "widow-maker" last dec (22) repaired with stent, heart ablation feb 23. afib corrected (so far) , sleep study/ test showed 84 occurences per hour lasting 17-20 seconds each , 29% were due to brain NOT telling me to breath. (as you know inspire says 25% is max for their guidelines) Now- i have been evaluated by ENT and can take the Inspire, medicare and insurance company have approved me for the procedure set for august 2 , 2023. been trying cpap since end of feburary , 6 different masks but none fit or work well, AIR leaks everywhere-- big nose and sunken cheeks - i guess! remember air pressure 17-20 lbs. Based on your experience , research, feed back from followers .what do you see as negative , problems i may encounter , pros , cons. with Inspire. anything you give back would be helpful. side note - my father was EENT specialist. so i am experienced with medical situations and not concerned about surgery. thanks, and take care , jim
Jim, firstly best of luck to you and it’s great that you are staying active like that at 75! I don’t think that physically you would have any issues, just be careful not to let anything land a really hard blow directly on the device while you are working. I hunt, fish, shoot, cut trees, lift patients and pretty much whatever I want to do with no problem.
Just a quick note to thank you for putting all this out. I’ve tried for years(too long) and just couldn’t make Cpap work. I’ve never had a surgery of any kind so I guess that’s what has had me so anxious about this. I’m all approved and my surgery is 11/16 a couple days away. Worried about the same things you were since I hunt, fish, run tractors and chains saws, etc. Glad to hear that I won’t be limited. Thanks again for the detailed answers. I’m not sure I get comfortable enough to do this without your videos. It really helped me.
I have been fighting with my Cpap for several years i don't sleep well at all I'm also dealing with chronic back pain i sleep about 1 to 2 hrs a night. I have an appointment with a new to me sleep specialist I'm hoping they can give me some help with my sleep.
I didn't have much luck with my CPAP either. Getting up to pee 3 or 4X/night really hampered getting re-adjusted with the CPAP. It was programmed to start at a 4 and ramp up to a 7 an hour or two later. Night time bathroom breaks was the deal breaker because the CPAP was still blowing a 7 and by the time I reset it to start over at a 4, I was wide ass awake. Yeah, I know. I have prostate issues too. North end of 60. What can I say....@@weirdshibainu
Thank you for your helpful videos, Adam. If you use the remote to turn on the device, and you fall asleep sooner than 30 minutes, does the tongue stimulation begin before the 30 minutes have passed? In other words, will the breathing sensor note that sleep has begun and activate at that time, or can activation not start until the 30 minute window has passed?
Hey Adam, I’ve had my implant for ~ 9 months now and doing well. I have a photo I would like to share with you but can’t figure out how to post it here or send it privately. Any suggestions? Thanks for the update video.
I just got my implant a month ago. Just got it activated 3 days ago. Every nite my remote disconnects and won't communicate with the implant. I have to take the batterie out in order to reconnect. Then, the implant seemed to turn itself off after a couple hours ago. I know this must be true because I go to sleep at, 11:00pm and when it turns on 45 min later, remote on the 4th peg, I feel it but I can still fall asleep. When I wake up to pee at 2:30-3:30am, I no longer feel the tongue stimulation.
@@AdamHeard I increased the intensity level and it is in fact working. I go to bed with my tongue launching forward but if I wake up to pee 3-4 hours later my tongue is used to the pulsing and the action isn’t so severe.
Hi Adam, I have watched all your videos and want to thank you for sharing your journey. I am scheduled to have my implant surgery on June 2. I have already had the pre procedure and have been approved by insurance. My questions are: 1) you mentioned that if you drink or eat with it turned on it could be dangerous. Sometimes at night I drink water. what will happen if I accidentally leave it on? 2) I am supposed to go to Iceland Aug 1st. Sounds like with your set back it might not be enough time before I go or have an issue while Im there. Im supposed to be activated. June 28th is my activation date. 3) Can I drink alcohol or will that have bad effects? Thanx in advance, Dan
If you drink or eat while it’s activating you could get choked due to the airway opening while trying to swallow. It’s best to get in the habit of automatically pausing it if you get up in the night. You will probably be ok for your trip, if it does get activated on June 28th you will still just be on the lowest setting and shouldn’t have a great probability of any issues the first couple of weeks. As far as I know, alcohol should not be a problem.
@@AdamHeard Thx for the quick response! Makes me feel a bit better about my vacation knowing it will take time to get to the ideal level. I also watched Doug's RUclips journey. You BOTH were very helpful for my decision to get Inspire. Thx for posting!
Been using CPAP for 6 years. I can count on one hand the number of nights I've had a good night's sleep. My RT recently recommended Inspire. Coin toss.
Adam, nice videos and thanks for all the updates. I am thinking of getting the Inspire and wanted to know snored prior to CPAP and Inspire? If so, did the Inspire device reduce or eliminate the snoring? I can bring the house down with my snoring when not using the CPAP so this would be a nice improvement to not have to wear a CPAP and not snore.
Thanks so much for your videos Adam. I have a couple questions -- I apologize as you've probably answered these already. I was approved for the procedure but I'm really worried about having such a large device (relatively speaking) implanted in the front of my chest. How visible is it with your shirt off? Can you feel it thru your skin? The ENT doctor said it "would be visible but look like a natural contour, not an outline of the device". He was really pushing the device, a little bit more than necessary I felt.
The device itself is not all that visible. Just a bump. There is about an inch and a half long 1/4 to 1/2 inch wide scar though. I personally don’t really even notice it.
@@AdamHeard Thank you Adam! It doesn't seem like it totally eradicates snoring but my doc said it would nearly eliminate my sleep apnea. It wouldn't cost me anything as I've already met my maximum out-of-pocket this year, so I'm highly considering it.
I wouldn’t count on it completely eradicating your sleep apnea, CPAP is still the best therapy out there. However, for people like myself, who cannot tolerate a CPAP. This has been a good option for me. My snoring has not completely went away, but my wife says that it is much improved.
Hi Adam, I'm looking to have this done in April. I was just wondering if you had to keep it turned on all day, or, just at bedtime. How long was the hospital stay, as well? Thanks.
I turn it on at bedtime. It times out after 8 hours or I turn it off if I have to get up early. Surgery was outpatient, in and out same day. I took off work the day of surgery(Thursday) and the next day then went back to work on Monday morning.
For me the surgical sites were pretty much healed within about two weeks. I had to wait atleast a month before they would turn it on in order to make sure everything was completely healed.
Adam,I’ve posted a couple questions and you’ve been very kind to respond. I’ve been ok that I qualify for this surgery. Due to scheduling on the doc and hospitals, I am not having surgery until mid August. Given the wait, Im questioning my decision, simply because it involves surgery. Im 68 and in my “4th qtr” and would like to be sure I’m as productive and can enjoy my remaining time here. Are you still sold on this?
So far, having had it activated for a good while now, I have not regretted it and would get it again. The surgery for me was minor and recovery was quick and easy. Wishing you the best whichever way you go.
Hey Adam, I am having surgery next Friday, December 29th. I am overthinking the crap out of it. Do you feel like you have any reduced breathing issues during the day, and as far as at home during recovery, do you recommend soft foods like soup for a few days. Surgeries don't normally bother or worry me, but for some stupid reason, this one has me questioning myself. I am extremely claustrophobic, so I am not a C-Pap candidate at all, and I absolutely need something because my doctor said my oxygen level is getting so low that my lips are turning blue during my sleep. I know you have said during your videos, but would you recommend this to a family member who is 61 years old?
Recovery was easy for me. You should be just fine. Just be careful about lifting for a few days to a week and keep the incision sites clean. Other than that I was able to do whatever I wanted.
I was back to work in under a week, actually about four days. The only complication I had was a little bit of infection in the incision under my chin, which was very easily treated with antibiotics.
Hi Adam, How is your AHI number now from the previous video you did ? I know it is suppose to be 5 or under, but as you explained everyone is different. You are blessing us by putting out the information and your experience with your Inspire device, Thanks
Hi Adam, I had my inspire device activated 3 days ago. First night went well, second night I some difficulties and when woke up turned off the device I felt shadow feelings as if the device was still on? Did have that feeling? I am in the 4 week stage of increasing stimulation from 1.1 to 1.4. Once I finish the 4 week I will visit my Doc to see my progress. Did you have the test period? I am 72 active male and by 4th week after the surgery I have resume swimming 1.5 to 2 miles in 60 minuted 3 days a week. Thanks for doing your You Tube Videos
Yes, I had that feeling as well but just very faint. Only lasted a very short time and now I don’t have that at all. Glad you are doing well and wishing you the best. Stay active! God bless you.
Also I did have the period of having to increase through the levels prior to my first sleep study with the device. After you go back to doc they will likely make some adjustments and then your increases may be bigger than they have been. Just remember, if it’s not comfortable, tell them and make them adjust it till it is.
Thanks for your second response to my question. After the first week, I had good 6-8 hours sleep the last 3 weeks. I agree Inspire is not as good as CPAC but good enough. My next sleep test in Jan 2024. I am currently at 1.4 and seems like a strong pulse rate. They want me to get to 1.8 but I don’t I can handle it. Thanks a million for your video. During my meeting with Sleep doc and Inspire rep I was surprised the nightly metrics were not the same as CPAC. Oh by the my Medicare bill said the operation cost $100,000 but free for me. What a country.
Hi Adam, How’s it going with the Inspire so far ? I am suppose to get mine in little over a month from now, Sept. 1st. I have another question, I know you said that you fall asleep easily, but have you ever woke up sometime during the night and when you try to go back asleep, is the tongue movement noticeable and bothersome and make it harder to fall back asleep or have you just got use to the movement ? Appreciate your input.
Hi Adam I’m having my evaluation this Wednesday. I tried the c-paps but hated them. So I stop using them but what got attention to look at inspire was during my routine endoscopy and colonoscopy the nurse told me i stopped. Breathing a couple of times while on the table and they had to put an oxygen mask on me to finish up. I’m scared of course.
Anyone who has sleep apnea will have periods of apnea(stopping breathing) when sleeping and especially when sedated and given paralysis t medication such as is used during endoscopy and colonoscopy. Definitely worth taking it over with your doctor to see if inspire could be an option. Cpap is of course best but some people like myself can’t tolerate it. Best of luck!
Does the device prevent snoring? I hate CPAP but if I don't use it, my wife can't stay in our room. Don't know if you share a room with a spouse but wondering if you have any feedback about that. Going for Inspire consult tomorrow .
I still snore....been a year...AHI 4...for the wife I use a CPAP at low pressure with inspire...inspire stops the apnea...the positive low pressure stops the snore...
I’d really like to hear how it’s helped change your life and what positive impacts it’s had on you. I’ve listened to you talk about the experience if having it but not much at all about your quality of life pre vs post.
Anytime there is an opening made in the skin such as with any surgery, there is a risk for infection. Also, being a registered nurse, I can tell you that is not how cancer works. If it was then anyone who has ever had a bacterial infection would have cancer and we would all be dead by now.
Anytime there is an opening made in the skin such as with any surgery, there is a risk for infection. Also, being a registered nurse, I can tell you that is not how cancer works. If it was then anyone who has ever had a bacterial infection would have cancer and we would all be dead by now.
So I have watched almost all of your videos' and am grateful for your input, but how do you feel now? Meaning the overwhelming exhaustion and no desire to do anything except the bare minimum is life robbing and depressing. There are no words for how bad you can and do feel and function once this apnea curse takes hold of you, robbing you of fun, short term memory, general health and even weight gain simply because you can't do much when apnea rules your life. So where the rubber hits the road is #1 can you function like you did before your apnea started robbing your life.? #2 Do you wake up and feel rested? #3 Hobbies, work, fun and sex life are all affected by apnea. How are these functions? Lastly, how long after it was turned on did you really feel it was helping? Response would be greatly appreciated. I'm having my surgery in 6 days which will also include epiglottis trimming.
I think I noticed improvement in the first few weeks after activation but the real improvement came after I had sleep study redone and got all my settings adjusted to fit me. I have felt more rested and my wife says she can tell a difference. I have a pretty active lifestyle and have felt that inspire has been a good fit for me. Please let me know how you are doing once you get it activated and have had time to see results.
Yes, but my wife says it’s not as bad as before. Inspire is not approved or recommended just for snoring although a lot of people report it has improved the internet of their snoring.
Hi Adam, we had exchanged correspondence when I considering the Inspire Sleep device. I just wanted to write and Thank You for your input. I wet ahead and got my device implanted 09/01/23 and activated 10/02/23. I have done an overnight in lab sleep study and an at home sleep study since receiving the device. This past Tuesday I went to get the results and now my unit is now set giving me the ultimate therapy. The surgery was a piece of cake, the incisions felt like a slight bruise, the only discomfort was my neck only when shaving, but now everything is good. I love this device, and I am sleeping better and more deeply now than I have in years. Thanks again ! If anyone is considering getting Inspire, do it if you can, but like you said and were quite correct, it is a journey that is well worth it.
That’s awesome! Glad you are doing well!
It’s so nice to hear another positive story. I’m still a bit apprehensive. My surgery is scheduled for 4/11/24. I need more encouragement from others who have had the inspire put in.
@@lisachambers6230 Hi Lisa, Just wanted to tell you my experience with Inspire. The surgery was a piece of cake for me. I was apprehensive about having something implanted in me. I watched just about every RUclips video on the device even watched the actual surgeries to gain information . After corresponding with Adam Heard and listening to the testimony of one of the patient’s on Inspire’s website I decided to do it.The incisions felt like a slight bruise and my neck was a little tender when shaving, but that didn’t last long. Soreness was from the surgeon installing the wire lead through my neck. Knowing what I know now, I would do it all again. I absolutely love it and it feels like I got my life back, I haven’t slept this well in years. Good luck.
@@lisachambers6230I’m with you, I’m scheduled for 4/10/24, good luck! 🙏🏼
@lisachambers6230 how did your surgery go. Do you mind updating us. I'm considering it.
Thanks
Thanks. I am spreading the word about Inspire for anyone who is considering this. When I was at the last appointment, the doctor brought in a patient who is trying to get Inspire and wanted me to share my experience, and it all started with the Dr. and you, such a blessing.
Watched all of your videos this evening. Thank you so much for doing these. I am 10 days post implant. Was at 58.5 AHI. CPAP wasn't helping. Hopefully this will.
Thank you for your service as a Hospice Nurse providing comfort to all 🎉
Thank you.
Thank you. I appreciated this series.
I had my device installed in March 23..
Been a year ...
AHIs with device are down to 4.....however I still snore terribly....my solution is using inspire ...and a low pressure 7 on my CPAP....works for good sleep and others in the home....
Also was a CPAP user for 30 yrs....when diagnosed in my 30s I had the surgery....nose and palette
...so my anatomy is altered ...the snoring is the loose tissue not a restriction....also the way I breathe during sleep ..
Dude. You look great! You look younger and more vibrant.
Thanks! Most of the time I feel better too! This week though I’m fighting sinus and allergy issues and probably look like a zombie so I’ll probably wait till I’m over that before making any more videos! Lol!
Hi Adam, Got the Inspire implanted today, so far, so good, went smoothly. Beginning of the journey. Gets activated Oct 2nd.
Best of luck and blessings to you!
Thanks Adam. Thanks for taking the time to share your experiences on RUclips, it helped me make quality informed decisions about getting the Inspire. I’ll keep in touch in the future. Thanks again for your help.
Very interesting and helpful. Thank you for being so candid and sharing your experience. You look well rested!
Hi Adam, just wanted to thank you for all your correspondence on the Inspire implant. I was diagnosed with severe sleep apnea 2.5 years ago with an AHI of 56. In the last year, I’ve lost 72lbs and recently had a new sleep study done, and I’m at a 17 AHI. I’ve been on cpap for the last 2.5 years and I hate it. All the issues you’ve had, I’ve had. It leaks, it wraps around my neck, I take it off and don’t realize it. My sleep doctor told me I can look into Inspire or an oral mouth guard now. I’m waiting on pre authorization from insurance for the Inspire appt, but after watching your videos, I feel like I know what to expect going into that appt. I also wanted to mention that I am a commercial truck driver, and I’m forced to wear the cpap for compliance, otherwise I can have my CDL revoked. So I’m really hoping that I can switch to either inspire, or the mouth guard soon. Thank you for your time, and I hope you’re still doing good on Inspire.
Thank you for your information. I’ve had a Cpap for almost a year and I still struggle with it. Your information has been helpful.
Glad to be helpful. Best of luck!
Thank you & I appreciate you Sharing🙏🏿❣️
Thanks, I needed to hear from someone like me. Someone that seems honest thoughtful and understands the decision making process. Once again thanks.
Very informative, thank you very much for taking the time to post these videos and sharing your experience.
Hey Adam, thanks for your insight and also for your service and care as a hospice nurse. Your shared experience has moved the needle for me to go ahead and get the treatment done. My main concern is that I'm very active: I'm a Forester, wildland firefighter, and a new hunter (shot my first blacktail this season!). I'm also an avid runner, weightlifter, and I enjoy chopping wood. During wildfire season, sometimes I will camp out for weeks at a time - having that device would help me not have to worry about going without a CPAP or logistically having to figure it out. A couple questions: will you have to go back in to get the device renewed at any future date? What kind of batteries does the remote take? How is the device powered is what i'm curious about. Thanks again!
I don’t see any problems for you. I do anything I want to. Every 10years or so I’ll have to get a new battery but I understand they can do that in the docs offfice. The remote uses AA batteries and they last a couple months at a time.
Have really enjoyed and learned from your videos. My sleep apnea is considered moderate to severe and I was unable to tolerate APAP. This morning I had my DISE procedure and my ENT said I’m a prime candidate for the implant. Just waiting on insurance approval and scheduling the surgery. Your videos have helped me feel more confident in my decision to go forward.
That is great! Best wishes for you!
Things are moving rapidly. My implant surgery is scheduled for next Tuesday, three days from now. Follow up a week later, and activation Dec 18. I’ll let you know how it goes.
Had my implant surgery yesterday and just took bandages off today. Everything went great and no numbness in tongue, lips or jaw. Minor pain but under control. I told my ENT and Inspire rep about your videos and how helpful they were to me. Thanks again Adam! Looking forward to activation Dec 18th now.
@@edpoole6700How are you doing now? Any rough patches along the way?
I’m doing great now. No issues so far.
I'm starting the process thank you for sharing your experience 🙏
Wishing you all the best!
I am having my device put in June 22. Had all my other medical procedures for meeting criteria. I am a little frightened but looking forward to the procedure. I have tried to use the c-pap since 2018. I have had 3 different machines and tried 25 different mask. Too much!! Thank you for sharing.
You’re welcome. Best wishes to you!
Now that you have the inspire...do you notice that you feel refreshed in the morning? Also do you get better sleep? More energy?
Yes. I do sleep better and feel more refreshed. Can definitely tell a difference.
mouth tape like Somnifix works fabulous for snoring…..doesn’t solve the sleep apnea but makes one breathe through your nose…..I stopped snoring after first time using
I am fighting my cpap every night and I do not sleep well.
Hi Adam, thank you for your super informative videos and for being so open about your experience! I’m one week out from implantation surgery. All seemed to go well but I’m starting to get concerned that my tongue weakness isn’t improving. My speech is slurred. The doc said not to worry but I’m concerned. Everything else (the pain, swelling, incisions) has been totally fine. But my tongue isn’t moving so well on that side so it’s hard to chew on that side and I sound a little drunk or cotton-mouthed. Is this temporary?
Yes it should be temporary. I think mine lasted 2-3 weeks but was steadily improving. Before you know it you won’t even notice it anymore.
Thx for that reassurance! (I rely a lot on talking for my job so was getting a little worried). Thanks again
Ìts the best thing I love it
Thank you 🙏🏼
Thanks Adam for taking your time to reply. Do you know anyone else who has an Inspire device and if so, what’s their experience been like ? I am being cautious about this device and I have some apprehensions about it. Thanks for your time.
I have friends at church, a husband and wife who both have it and so far as I know they have done well also.
just saw all the vid3eos, thanks for shareing this.
You look great I'm glad you are doing good
Hi Adam, does having the device stop u from having a MRI or CT scan done?
Hi Adam I’m getting the inspire just waiting on a surgery date 😊
My husband is 4 weeks post inspire implant and his lip is still paralyzed. He has feeling but his smile is crooked- we are extremely concerned this is permanent.
Check out Inspire Surgery Review Part 1-5.
now i wanna hear the table saw story...that must be a crazy story!
Not too crazy, I was 15 working on a table saw that someone else had previously changed the blade on and didn’t tighten properly. The blade wobbled hit the metal side of the table and broke two teeth off blade. One skimmed my shoulder leaving a scratch and the other lodged in my left neck missing my carotid artery by a millimeter. I was unaware that anything had happened until the instructor came running at me full speed and I thought he was trying to hit me but he was trying to put pressure on the wound. My parents were called, they came and got me and drove to the hospital. Doc said they could leave the metal in but it could move later and cut things so we decided to take it out since I was going into the military.
My husband has an appointment for an evaluation for the Inspire device this Friday. They'll arrange for an additional sleep study at that time since it has been years since he's had one. He's had a C-pap for decade and he hates it. Most nights he rips it off his face and just goes back to sleep. He's got a deviated septum so it just is not the best for him. I worry about the apnea leading to pulmonary hypertension and ultimately right-sided heart failure. I worked critical care, I saw some sad cases and I hate the idea of him facing the possibility of being a cardiac cripple.
I've been bugging him for years to look into the Inspire but an eval would have involved a trip out of state since it was so new and not many physicians/providers were offering it. But it has become more widespread and the nearest facility to offer it is only an hour away. Fingers crossed that he is a good candidate!
Wishing the best for your husband! I was the same way. Cpap would end up off in the floor because I couldn’t get comfortable with it on so I just didn’t wear it ever. Hopefully he will meet the criteria for inspire and can atleast have a chance for some improvement. It’s not perfect and cpap is still the best treatment but if you aren’t wearing it it doesn’t help. The inspire has been good for me.
@@AdamHeard We'll he just had his appointment today with the doc about his sleep study results and potential Inspire device treatment.
No go. Over the years of chronic obstructive along with the use of the Cpap he has developed Treatment-emergent central sleep apnea. He now has both obstructive *and* central sleep apnea. Doc said that the cpap alone will not work but Inspire is a definite no-go. He's going to need to move up to a bi-pap. So he'll end up with a machine that I know he'll hate to use even more.
And, the (retired) nurse in me is wondering about the need for supplemental O2 now and the need for a portable concentrator since we fly quite a bit and have a few trans-Pacific red-eye flights coming up in less than a year.
Sorry to hear that. I know it must be frustrating. Hope he gets the proper therapy that will help overall health. Best wishes and may God be with you both.
Hi Adam I have been following your progress since I learned about Inspire. I have been on cpap since 2009 and I have hated it from day one, I have never felt energized when I wake up, pretty much feel tired most of the time even after my most recent sleep study and getting a new machine and mask. I am scheduled to the implant on September 1 and activation on October 2. My biggest concern is that that you mentioned about your tongue I think being irritated by rubbing on your teeth and being uncomfortable when your device has been turned up and is the movement annoying ? I am hoping to get all the benefits from this and hope it helps with my anxiety, depression and feeling like I don’t want to do anything unless it has to be done. Appreciate any input. Thanks
There was definitely an adjustment period to go through and it may take several weeks to get things dialed in. Mine has never been what I would call painful or severely uncomfortable. The movement of my tongue at one point was rubbing on the back of my teeth where I have some previous chipping and this caused a little irritation. I let my doctor and Inspire Rep know about it and they changed the programming so that different electrodes on the nerves were stimulated and this caused my tongue trajectory to change which stopped the rubbing. Best of luck and blessings to you!
Hi Adam, I have a couple more questions. Sometimes it takes me an hour or more to fall asleep, what do you do if this is the case ? Can you feel your tongue movement when you are asleep ? It’s been over a year since your implant and journey, with all of “adjustments “ to get the device tuned in, would you do it all again and would you say it’s worth it ? Thanks for sharing your experience with us that are considering this treatment. Hope you do another video once the device is finally dialed in at its optimum effacing. Wishing you all the best !
I would say yes I would have it done again. I have had good experience with it. As for not getting to sleep right away, if it is taking you over an hour to get to sleep that could be a whole other issue that needs to be addressed. I have never had much trouble getting to sleep usually. On rare occasions I have been still awake or just dozing off when it starts activating and in those cases I either turn it off to reset the delay or I hit the pause button which gives me another 10-20 minute delay. Usually when I go to bed I am so tired I am out before the initial delay is done.
thank you for latest up date.
my situation: i am a male 75 , very active - lift weights , work on our property cutting firewood , moving tractor implements etc.
body fat 9.1 % , 75% blockage of the "widow-maker" last dec (22) repaired with stent, heart ablation feb 23. afib corrected (so far) , sleep study/ test showed 84 occurences per hour lasting 17-20 seconds each , 29% were due to brain NOT telling me to breath. (as you know inspire says 25% is max for their guidelines)
Now- i have been evaluated by ENT and can take the Inspire, medicare and insurance company have approved me for the procedure set for august 2 , 2023.
been trying cpap since end of feburary , 6 different masks but none fit or work well, AIR leaks everywhere-- big nose and sunken cheeks - i guess! remember air pressure 17-20 lbs.
Based on your experience , research, feed back from followers .what do you see as negative , problems i may encounter , pros , cons. with Inspire.
anything you give back would be helpful. side note - my father was EENT specialist. so i am experienced with medical situations and not concerned about surgery.
thanks, and take care , jim
forgot-- i do not drink alcohol , sleep primary on my left side but move around a lot. AHI is 12.
Jim, firstly best of luck to you and it’s great that you are staying active like that at 75! I don’t think that physically you would have any issues, just be careful not to let anything land a really hard blow directly on the device while you are working. I hunt, fish, shoot, cut trees, lift patients and pretty much whatever I want to do with no problem.
Just a quick note to thank you for putting all this out. I’ve tried for years(too long) and just couldn’t make Cpap work. I’ve never had a surgery of any kind so I guess that’s what has had me so anxious about this. I’m all approved and my surgery is 11/16 a couple days away. Worried about the same things you were since I hunt, fish, run tractors and chains saws, etc. Glad to hear that I won’t be limited. Thanks again for the detailed answers. I’m not sure I get comfortable enough to do this without your videos. It really helped me.
I have been fighting with my Cpap for several years i don't sleep well at all I'm also dealing with chronic back pain i sleep about 1 to 2 hrs a night. I have an appointment with a new to me sleep specialist I'm hoping they can give me some help with my sleep.
Wishing you all the best! Hope you find what works for you.
I always end up taking my cpap off in the middle of the night. I'm really considering inspire.
Same. I've been using CPAP for 6 years. I take off my mask about 10 percent of the time. Why? No idea.
I didn't have much luck with my CPAP either. Getting up to pee 3 or 4X/night really hampered getting re-adjusted with the CPAP. It was programmed to start at a 4 and ramp up to a 7 an hour or two later. Night time bathroom breaks was the deal breaker because the CPAP was still blowing a 7 and by the time I reset it to start over at a 4, I was wide ass awake. Yeah, I know. I have prostate issues too. North end of 60. What can I say....@@weirdshibainu
Thank you for your helpful videos, Adam. If you use the remote to turn on the device, and you fall asleep sooner than 30 minutes, does the tongue stimulation begin before the 30 minutes have passed? In other words, will the breathing sensor note that sleep has begun and activate at that time, or can activation not start until the 30 minute window has passed?
It will wait the entire time, but your doc can set it for a shorter period if you are someone who falls asleep quickly.
Thank you for taking the time for this informative video. Does insurance cover this?
Hey Adam, I’ve had my implant for ~ 9 months now and doing well. I have a photo I would like to share with you but can’t figure out how to post it here or send it privately. Any suggestions? Thanks for the update video.
You can message through fb.
facebook.com/adam.heard.355?mibextid=LQQJ4d
Do you feel like it has helped you not feel exhausted all the time?
Yes. I do feel it has helped me feel more rested.
I just got my implant a month ago. Just got it activated 3 days ago. Every nite my remote disconnects and won't communicate with the implant. I have to take the batterie out in order to reconnect. Then, the implant seemed to turn itself off after a couple hours ago. I know this must be true because I go to sleep at, 11:00pm and when it turns on 45 min later, remote on the 4th peg, I feel it but I can still fall asleep. When I wake up to pee at 2:30-3:30am, I no longer feel the tongue stimulation.
I would call my doctor, sounds like they have the settings wrong. Let them know what it’s doing and I am sure they can reset everything.
@@AdamHeard I increased the intensity level and it is in fact working. I go to bed with my tongue launching forward but if I wake up to pee 3-4 hours later my tongue is used to the pulsing and the action isn’t so severe.
Thank you
Hi Adam, I have watched all your videos and want to thank you for sharing your journey. I am scheduled to have my implant surgery on June 2. I have already had the pre procedure and have been approved by insurance. My questions are: 1) you mentioned that if you drink or eat with it turned on it could be dangerous. Sometimes at night I drink water. what will happen if I accidentally leave it on? 2) I am supposed to go to Iceland Aug 1st. Sounds like with your set back it might not be enough time before I go or have an issue while Im there. Im supposed to be activated. June 28th is my activation date. 3) Can I drink alcohol or will that have bad effects? Thanx in advance, Dan
If you drink or eat while it’s activating you could get choked due to the airway opening while trying to swallow. It’s best to get in the habit of automatically pausing it if you get up in the night. You will probably be ok for your trip, if it does get activated on June 28th you will still just be on the lowest setting and shouldn’t have a great probability of any issues the first couple of weeks. As far as I know, alcohol should not be a problem.
@@AdamHeard Thx for the quick response! Makes me feel a bit better about my vacation knowing it will take time to get to the ideal level. I also watched Doug's RUclips journey. You BOTH were very helpful for my decision to get Inspire. Thx for posting!
Did you have to shave the beard for surgery?
Been using CPAP for 6 years. I can count on one hand the number of nights I've had a good night's sleep. My RT recently recommended Inspire. Coin toss.
Adam, nice videos and thanks for all the updates. I am thinking of getting the Inspire and wanted to know snored prior to CPAP and Inspire? If so, did the Inspire device reduce or eliminate the snoring? I can bring the house down with my snoring when not using the CPAP so this would be a nice improvement to not have to wear a CPAP and not snore.
Yes. I snored terribly. Since getting the inspire, I still snore but my wife tells me that it is much improved.
Thanks for the reply!@@AdamHeard
Thanks so much for your videos Adam. I have a couple questions -- I apologize as you've probably answered these already. I was approved for the procedure but I'm really worried about having such a large device (relatively speaking) implanted in the front of my chest. How visible is it with your shirt off? Can you feel it thru your skin? The ENT doctor said it "would be visible but look like a natural contour, not an outline of the device". He was really pushing the device, a little bit more than necessary I felt.
The device itself is not all that visible. Just a bump. There is about an inch and a half long 1/4 to 1/2 inch wide scar though. I personally don’t really even notice it.
@@AdamHeard Thank you Adam! It doesn't seem like it totally eradicates snoring but my doc said it would nearly eliminate my sleep apnea. It wouldn't cost me anything as I've already met my maximum out-of-pocket this year, so I'm highly considering it.
I wouldn’t count on it completely eradicating your sleep apnea, CPAP is still the best therapy out there. However, for people like myself, who cannot tolerate a CPAP. This has been a good option for me. My snoring has not completely went away, but my wife says that it is much improved.
@@AdamHeard It is extremely helpful to hear REAL testimony on this process. I really appreciate you taking the time to do this
Hi Adam, I'm looking to have this done in April. I was just wondering if you had to keep it turned on all day, or, just at bedtime. How long was the hospital stay, as well? Thanks.
I turn it on at bedtime. It times out after 8 hours or I turn it off if I have to get up early. Surgery was outpatient, in and out same day. I took off work the day of surgery(Thursday) and the next day then went back to work on Monday morning.
@AdamHeard thank you, Adam for the reply. One more question, please. Healing time and do they have to wait for healing until turned on?
For me the surgical sites were pretty much healed within about two weeks. I had to wait atleast a month before they would turn it on in order to make sure everything was completely healed.
Adam,I’ve posted a couple questions and you’ve been very kind to respond. I’ve been ok that I qualify for this surgery. Due to scheduling on the doc and hospitals, I am not having surgery until mid August.
Given the wait, Im questioning my decision, simply because it involves surgery. Im 68 and in my “4th qtr” and would like to be sure I’m as productive and can enjoy my remaining time here.
Are you still sold on this?
So far, having had it activated for a good while now, I have not regretted it and would get it again. The surgery for me was minor and recovery was quick and easy. Wishing you the best whichever way you go.
Hey Adam,
I am having surgery next Friday, December 29th. I am overthinking the crap out of it. Do you feel like you have any reduced breathing issues during the day, and as far as at home during recovery, do you recommend soft foods like soup for a few days. Surgeries don't normally bother or worry me, but for some stupid reason, this one has me questioning myself. I am extremely claustrophobic, so I am not a C-Pap candidate at all, and I absolutely need something because my doctor said my oxygen level is getting so low that my lips are turning blue during my sleep. I know you have said during your videos, but would you recommend this to a family member who is 61 years old?
Please let me know how much it's the operation cost. Please. Thanks
ty
Does the device have a life span? Will it need to be replaced at some point?
Hi Adam, I’m having the surgery in September. What was your recovery like? I don’t have anyone who is able to help me after the surgery.
Recovery was easy for me. You should be just fine. Just be careful about lifting for a few days to a week and keep the incision sites clean. Other than that I was able to do whatever I wanted.
Can you go back to work when you get it?
What was the surgery like? Mine is scheduled next Monday and I am afraid of a giant scar on my neck.
Surgery was not bad. I have a 1 inch scar on my chest and one under my chin.
How long did it take to recover? Did you have any complications?
I was back to work in under a week, actually about four days. The only complication I had was a little bit of infection in the incision under my chin, which was very easily treated with antibiotics.
Hi Adam, How is your AHI number now from the previous video you did ? I know it is suppose to be 5 or under, but as you explained everyone is different. You are blessing us by putting out the information and your experience with your Inspire device, Thanks
John, I haven’t had it checked again yet since that video. I will definitely update when I do have another sleep study.
Thanks Adam, get my Inspire in about 3 weeks.
Hi Adam, I had my inspire device activated 3 days ago. First night went well, second night I some difficulties and when woke up turned off the device I felt shadow feelings as if the device was still on? Did have that feeling? I am in the 4 week stage of increasing stimulation from 1.1 to 1.4. Once I finish the 4 week I will visit my Doc to see my progress. Did you have the test period? I am 72 active male and by 4th week after the surgery I have resume swimming 1.5 to 2 miles in 60 minuted 3 days a week. Thanks for doing your You Tube Videos
Yes, I had that feeling as well but just very faint. Only lasted a very short time and now I don’t have that at all. Glad you are doing well and wishing you the best. Stay active! God bless you.
Also I did have the period of having to increase through the levels prior to my first sleep study with the device. After you go back to doc they will likely make some adjustments and then your increases may be bigger than they have been. Just remember, if it’s not comfortable, tell them and make them adjust it till it is.
Thanks for your second response to my question. After the first week, I had good 6-8 hours sleep the last 3 weeks. I agree Inspire is not as good as CPAC but good enough. My next sleep test in Jan 2024. I am currently at 1.4 and seems like a strong pulse rate. They want me to get to 1.8 but I don’t I can handle it. Thanks a million for your video. During my meeting with Sleep doc and Inspire rep I was surprised the nightly metrics were not the same as CPAC. Oh by the my Medicare bill said the operation cost $100,000 but free for me. What a country.
My bill was $107k
Hi Adam, How’s it going with the Inspire so far ? I am suppose to get mine in little over a month from now, Sept. 1st. I have another question, I know you said that you fall asleep easily, but have you ever woke up sometime during the night and when you try to go back asleep, is the tongue movement noticeable and bothersome and make it harder to fall back asleep or have you just got use to the movement ? Appreciate your input.
It has a pause function so I just hit pause and it sets a 10-30 minute delay to let me get back to sleep.
Hi Adam I’m having my evaluation this Wednesday. I tried the c-paps but hated them. So I stop using them but what got attention to look at inspire was during my routine endoscopy and colonoscopy the nurse told me i stopped. Breathing a couple of times while on the table and they had to put an oxygen mask on me to finish up. I’m scared of course.
Anyone who has sleep apnea will have periods of apnea(stopping breathing) when sleeping and especially when sedated and given paralysis t medication such as is used during endoscopy and colonoscopy. Definitely worth taking it over with your doctor to see if inspire could be an option. Cpap is of course best but some people like myself can’t tolerate it. Best of luck!
@@AdamHeard I will let you know how it went tomorrow night. I never wake up refreshed.
What does it cost will Medicare cover it
Has your sleep improved? Do you still get headaches?
Sleep improved. Rarely have a headache.
What was your doctors name?
Hello Adam, is this something where they'd have to open you back up every few years to change batteries?
No. The batteries are replaced at 10 years post implant.
Does the device prevent snoring? I hate CPAP but if I don't use it, my wife can't stay in our room. Don't know if you share a room with a spouse but wondering if you have any feedback about that. Going for Inspire consult tomorrow .
Does not prevent it but my wife says it improved some.
I still snore....been a year...AHI 4...for the wife I use a CPAP at low pressure with inspire...inspire stops the apnea...the positive low pressure stops the snore...
I’d really like to hear how it’s helped change your life and what positive impacts it’s had on you. I’ve listened to you talk about the experience if having it but not much at all about your quality of life pre vs post.
Thanks for the comment! If I can find the time soon I may make another video talking about that.
Does it prevent snoring?
No. Not really.
Can you still have an MRI or CT Scan with this device?
Yo
If you got an infection from it that's bad the infection can come back and cause bacteria's that could end up cancer form.
Anytime there is an opening made in the skin such as with any surgery, there is a risk for infection. Also, being a registered nurse, I can tell you that is not how cancer works. If it was then anyone who has ever had a bacterial infection would have cancer and we would all be dead by now.
Anytime there is an opening made in the skin such as with any surgery, there is a risk for infection. Also, being a registered nurse, I can tell you that is not how cancer works. If it was then anyone who has ever had a bacterial infection would have cancer and we would all be dead by now.
So I have watched almost all of your videos' and am grateful for your input, but how do you feel now? Meaning the overwhelming exhaustion and no desire to do anything except the bare minimum is life robbing and depressing. There are no words for how bad you can and do feel and function once this apnea curse takes hold of you, robbing you of fun, short term memory, general health and even weight gain simply because you can't do much when apnea rules your life. So where the rubber hits the road is #1 can you function like you did before your apnea started robbing your life.? #2 Do you wake up and feel rested? #3 Hobbies, work, fun and sex life are all affected by apnea. How are these functions? Lastly, how long after it was turned on did you really feel it was helping? Response would be greatly appreciated. I'm having my surgery in 6 days which will also include epiglottis trimming.
I think I noticed improvement in the first few weeks after activation but the real improvement came after I had sleep study redone and got all my settings adjusted to fit me. I have felt more rested and my wife says she can tell a difference. I have a pretty active lifestyle and have felt that inspire has been a good fit for me. Please let me know how you are doing once you get it activated and have had time to see results.
Would you get it again?
Yes. I would.
Do you still snoring?
Yes, but my wife says it’s not as bad as before. Inspire is not approved or recommended just for snoring although a lot of people report it has improved the internet of their snoring.