🎉 congratulations, you have been spreading knowledge and valuable information for a while, thank you very much, you are an exmple of humility and philanthropy 🎉🎉🎉
This is amazing! Your patients are truly lucky to have someone like you caring for them. I love to see healthcare professionals fighting to give their patients the care that they need.
Hi Dr Veer ! Just wanted to say I hope I’m first again!!! Glad to see the hyperglossal nerve implant on the NHS as a whole I find these trend style videos super interesting. Looking forward to hearing more progress updates and how many more are done over the next few months/years Thanks as always !!!! Looking forward to the next video
not a fan of trending videos myself, but I wanted to get this information out there. keen for others to know we are now implanting and that we can get on a help people with these problems.
This is a very interesting development. It is good that doctors are looking at other methods rather than defaulting to the cumbersome CPAP machine every time. Five years of no sleep and counting for me - quality of life low and life expectancy dropping like a stone 😪 Keep these innovations coming - maybe one will work for me 🤞
I'm with you brother. 6 months and the longest I've slept is for 3 hours ONE TIME. OTher than that, never more than a hour. And can't get back to sleep once I've woken up. Anxiety has taken over my life. Hate it Hate it Hate it.
Well it is wonderful BUT what about the rest of us all around the country who cannot get to you and your hospital. I have a CPAP for many years but I doubt I would be offered such an expensive procedure.
I bought the Knightsbridge Dual Band Plus Anti-Snoring Chin Strap you recommended previously. I am looking for to using it this weekend. Thank you for all you do.
The NHS is paid for though our national insurance contributions and general taxation. Please do not mislead viewers that the NHS is FREE it is not. Despite that comment I really enjoy your content.
Very informative video Vik thanks, by the way my op to reduce my turbinates has been cancelled on Monday due to me having MRSA via my pre-op which is rather annoying-but i'm talking Mupirocin nasal ointment for a week then will be rebooked! Just thought I would let you know.
Thank you Mr. Veer for the good news! I still wake up gasping air (feels like I’m holding my breath) when wearing a tongue retaining device. Does that mean I’m not a candidate for Inspire? I had a modified U3P 7 months ago as DISE suggested my long fatty soft palate is another source of obstructions. I believe (and feel) now my soft palate doesn’t contribute too much to my apnea.
@@VikVeerENTSurgeon Thank you Doc! My soft palate does open a bit, however, as you said in that video I’m more prone to mouth leaking while on CPAP using a nasal mask due to soft palate seal lost. That is why I’m considering Inspire.
I wonder if the device wakes you up or not when it stimulates the tongue. Either way its a brilliant step forward I hope when I go to my sleep clinic in august they refer me to somebody like yourself.
@VikVeerENTSurgeon hi Mr Veer, thank you so much for your advice. I have severe sleep apnea, my heart rate drops to around 32 and once I breathe again then it will shut up to over 120. The problem I have is I can't find any way of dealing with the masks, as I have boney spurs on the spine right up high so the mask hurts when wearing it and I've already had 3 heart attacks. I saw the consultant once a few years ago, never since I do let the people I do see there technician but I'm honestly not getting anywhere and I do know this will kill me, sorry to sound dramatic, I'm just, well I've lost all hope with them, I'm under the sleep lab at Leicester general hospital. Kind regards Bridget.
Hi, I was diagnosed with sleep apnea 10 years ago. I was classed as severe and was recorded stopping breathing over 100 per hour. I really struggle with CPAP. I hope I would quality for this as it is really debilitating.
And I thought sublingual meant "under the tongue" ;-) What are the patient parameters to qualify? Also, do you see GLP-1s coming into play to reduce BMI/OSA?
I’ve had sleep apnea since I was a child. I went to the sleep clinic today, and they told me they could do nothing. I’ve told him about these new device treatments I’ve heard on your videos. Advise me on how I can go without this, please I feel like I’m going round in circles.
Hi Vik, Is this the procedure that stimulates a single lingual nerve, ie not symmetrical on tongue flexion? Is there an oblique tensing of the tongue base?
I have general osa and the first question came to my mind about this treatment is that if it sends signals only when you stop breathing (not constantly), would i still be able to get a deep sleep? cause you will wake up everytime you stop breathing
Dr Veer. I am in Sussex and under the care of the Sleep Clinic at Princess Royal Hospital as a NHS patient. They told me they will not do any type of surgery for me. I was diagnosed and using a Cpap machine, but it is difficult as I have a blocked nose problem nightly that no sterior spray they prescribe me for it works. I have seen the ENT specialists (actually 3) and they looked in my nose and just said its inflamed take these sprays. The sleep clinic just sends me different types of masks. Nothing is working and now I feel that my Sleep Clinic wont help me. Is your office NHS as well and can i transfer to you? Or as a private patient? I was not sure how the NICE guidelines work with the patient asking to be treated at a specific trust. I hope you get this message.
So the cost of getting all those people in one room at the end of the day surely would be more than the cost of an implant 🤔 Reassurance is always a good thing, cost lines have to be allocated to something..R&D, CPD etc when the numbers do the crunching.
aren't the problems with this : 1. It is visible under the skin 2. It is reactive so you already can are having at least an hypopnea before it kicks in. In other words, you've already had the events start before it triggers. 3. The wire is on one side so the tongue can twist. My primary doctor doesn't recommend it because he has apnea and his friend does as well . his friend had it implanted and had loss of control of speech when it clicked on. I am Not exactly sure why he was talking as he should have been sleeping but the point was with my doctor was very leery of it And said his friend had a loss of control until it stopped pulsing. To my surprise though, my sleep doctor, who only is concerned about the numbers on the machine, said I qualify for it. it almost seems like the inspire people are in their pocket because the doctors are eager to push it and insurance seems to cover it. He doesn't believe surgeries work. Other than CPAP devices, The only thing he was open to was losing weight or this device because insurance covers it but not things like surgeries. My sleep doctor also says one of his friends is a doctor at Mount Sinai who does plenty of surgeries for apnea and that they just don't work Or work for long for the majority of people, In his opinion. It's hard when you have a doctor against certain things, they won't even let you speak to someone else or have colleagues that find that surgeries don't work either. When I speak to my sleep doctor it's almost like he's a primary doctor where they just do the minimal or what insurance will cover rather than what's the right treatment. I only started a month ago 's so my follow-up appointment. I asked about all sorts of things like a dise study or a titration study to make sure my pressures were correct and to find out what type of obstruction I have. He wasn't sure insurance covered it and didn't think it was important because getting the numbers on the machine down is the same type of indicator that something's working or not. But did I really need a sleep doctor then? I could have bought the machine on my own and played around with the numbers and then any wrong numbers. People would blame me. But that's all they're doing. They lowered the pressure because of complaints I had and just want to see what happens. They don't know that we know how to change the numbers on the machine so he thinks I'm talking to them and they're altering the numbers on the machine. Anyway, it still seems like CPAP not a gold standard but just the standard they get the most results out of the most people. But it still hit or miss. It's torture to get used to it and since I've been using it, don't feel any better on it even when I got my numbers below. Five per hour versus the $40 per hour I was having. That's another joke about CPAP. The numbers are mathematical, wrong and divided over the entire night. Most people in the business will tell you they have no idea why a machine marks certain events. It's just not smart enough to realize the difference between certain occurrences, but that affects you when your doctor is only monitoring the summary numbers, not the actual waveforms. In the USA, many are just saying that doctors aren't paid enough through insurance to spend the time to analyze the data. So they only look at the some report that is sent through the internet to them from the machine. It would be nice Not to have to deal with taping, mouth guards, mask fit issues or applying a tape and a bleep system. And be nice not to deal with a hose. All that stuff is great, but this pacemaker device, well might be life-saving for those who can't tolerate anything else and are having major obstructions, I don't think it's the be all and all device. A device like this is interesting but the whole idea of implanting it and then waiting for things to heal and if it doesn't work now you have something implanted in you that you would need to remove as well as eventually you need to change the battery. Implanting something that can be seen by others is not attractive. I just don't think it's going to turn out to be the solution for many of the people being diagnosed with obstructive apnea.
I would also like to see the incision scar size And yes please do make more videos about it because I don't understand how it can be on for every breath. You said it gets triggered once It thinks that you stopped breathing and stimulates the nerves that make tongue move. So if the tongue is already back by that time you've already had the obstruction in my opinion. So yes please do clarify and if you can cite sources that would be great.
If only North Manchester General Hospitals sleep department were this helpful and caring. I have to argue with atleast 2 members of staff before they'll give me a new mask, it's terrible and causes a lot of anxiety. Thanks for all you do and have a fantastic weekend.
I'm pretty sure that manchester are setting up a similar system for the implant. I am not sure which hospital, but i doubt it will be hard to find out. they did an implant this week as well.
If people want to have this instead of the cpap machines it should be their choice and not up to some doctor. They say you can possibly get this if you can not tolerate the CPAP machine. Well, I say screw the machine, I don't want it. I want this so do it.
You’re a gem of a doctor. Well done
My pleasure - thank you.
🎉 congratulations, you have been spreading knowledge and valuable information for a while, thank you very much, you are an exmple of humility and philanthropy 🎉🎉🎉
So nice of you
Wow amazing technology!!! Well done!! You must be proud of yourself !
Team effort as always, merely a helper. thank you.
This is amazing! Your patients are truly lucky to have someone like you caring for them. I love to see healthcare professionals fighting to give their patients the care that they need.
Very nice of you to say that - thank you.
Hi Dr Veer !
Just wanted to say I hope I’m first again!!!
Glad to see the hyperglossal nerve implant on the NHS as a whole
I find these trend style videos super interesting. Looking forward to hearing more progress updates and how many more are done over the next few months/years
Thanks as always !!!!
Looking forward to the next video
not a fan of trending videos myself, but I wanted to get this information out there. keen for others to know we are now implanting and that we can get on a help people with these problems.
This is a very interesting development. It is good that doctors are looking at other methods rather than defaulting to the cumbersome CPAP machine every time. Five years of no sleep and counting for me - quality of life low and life expectancy dropping like a stone 😪 Keep these innovations coming - maybe one will work for me 🤞
I'm with you brother. 6 months and the longest I've slept is for 3 hours ONE TIME. OTher than that, never more than a hour. And can't get back to sleep once I've woken up. Anxiety has taken over my life. Hate it Hate it Hate it.
I am working on new implants that will target other nerves and muscles as well.
Well it is wonderful BUT what about the rest of us all around the country who cannot get to you and your hospital. I have a CPAP for many years but I doubt I would be offered such an expensive procedure.
I treat patients from the whole of the UK. anyone can be referred to us on the NHS
Fabulous will be interesting to follow this and see how it progresses…. Well done Dr Veer
Many thanks!
I bought the Knightsbridge Dual Band Plus Anti-Snoring Chin Strap you recommended previously. I am looking for to using it this weekend. Thank you for all you do.
The NHS is paid for though our national insurance contributions and general taxation. Please do not mislead viewers that the NHS is FREE it is not. Despite that comment I really enjoy your content.
Hi vik, watching ! Love all your videos
glad you like them, thanks.
Well done Dr Veer!
Many thanks
Very informative video Vik thanks, by the way my op to reduce my turbinates has been cancelled on Monday due to me having MRSA via my pre-op which is rather annoying-but i'm talking Mupirocin nasal ointment for a week then will be rebooked!
Just thought I would let you know.
I heard - I hope to see you soon.
Brilliant news! xx🤩
Thank you Mr. Veer for the good news!
I still wake up gasping air (feels like I’m holding my breath) when wearing a tongue retaining device. Does that mean I’m not a candidate for Inspire?
I had a modified U3P 7 months ago as DISE suggested my long fatty soft palate is another source of obstructions. I believe (and feel) now my soft palate doesn’t contribute too much to my apnea.
I hope you get better soon. I have a video about UPPP, as i'm not a big fan - but I hope you get the result you need.
@@VikVeerENTSurgeon Thank you Doc! My soft palate does open a bit, however, as you said in that video I’m more prone to mouth leaking while on CPAP using a nasal mask due to soft palate seal lost. That is why I’m considering Inspire.
I wonder if the device wakes you up or not when it stimulates the tongue. Either way its a brilliant step forward I hope when I go to my sleep clinic in august they refer me to somebody like yourself.
Hi Mr Veer, how would I get referred for this implant ? Kind regards Bridget.
please just ask your sleep clinic or GP. we take referrals from the whole of the UK. Scotland / Wales etc.
@VikVeerENTSurgeon hi Mr Veer, thank you so much for your advice.
I have severe sleep apnea, my heart rate drops to around 32 and once I breathe again then it will shut up to over 120. The problem I have is I can't find any way of dealing with the masks, as I have boney spurs on the spine right up high so the mask hurts when wearing it and I've already had 3 heart attacks.
I saw the consultant once a few years ago, never since I do let the people I do see there technician but I'm honestly not getting anywhere and I do know this will kill me, sorry to sound dramatic, I'm just, well I've lost all hope with them, I'm under the sleep lab at Leicester general hospital.
Kind regards Bridget.
Will it cover Northern Ireland? We're part of the UK. I have severe sleep apnoea, 37 pauses per hour when diagnosed. Thanks Vik!
I have treated patients from N.Ireland. no problem.
@VikVeerENTSurgeon How would I organise this through the NHS? Thanks for the reply Vic!
Hi, I was diagnosed with sleep apnea 10 years ago. I was classed as severe and was recorded stopping breathing over 100 per hour. I really struggle with CPAP. I hope I would quality for this as it is really debilitating.
I hope thie comes to the north east. I am waiting for septoplasty then ent is looking at a referal for jaw surgery. Would this be a better option?
And I thought sublingual meant "under the tongue" ;-) What are the patient parameters to qualify? Also, do you see GLP-1s coming into play to reduce BMI/OSA?
agreed - it doesn't make sense - glosso / lingual. weight loss helps a bit (30% or so), but those drugs seem not to work well with OSA patients.
I’ve had sleep apnea since I was a child. I went to the sleep clinic today, and they told me they could do nothing. I’ve told him about these new device treatments I’ve heard on your videos. Advise me on how I can go without this, please I feel like I’m going round in circles.
Ask to be referred to Mr Vik Veer on the NHS.
Hi Vik,
Is this the procedure that stimulates a single lingual nerve, ie not symmetrical on tongue flexion? Is there an oblique tensing of the tongue base?
I have general osa and the first question came to my mind about this treatment is that if it sends signals only when you stop breathing (not constantly), would i still be able to get a deep sleep? cause you will wake up everytime you stop breathing
@Vik Veer reach out to me for a chat about this. I have some important information I want you to know. Cheers
Dr Veer. I am in Sussex and under the care of the Sleep Clinic at Princess Royal Hospital as a NHS patient. They told me they will not do any type of surgery for me. I was diagnosed and using a Cpap machine, but it is difficult as I have a blocked nose problem nightly that no sterior spray they prescribe me for it works. I have seen the ENT specialists (actually 3) and they looked in my nose and just said its inflamed take these sprays. The sleep clinic just sends me different types of masks. Nothing is working and now I feel that my Sleep Clinic wont help me. Is your office NHS as well and can i transfer to you? Or as a private patient? I was not sure how the NICE guidelines work with the patient asking to be treated at a specific trust. I hope you get this message.
What is the eligibility criteria?
congrats good sir
So the cost of getting all those people in one room at the end of the day surely would be more than the cost of an implant 🤔
Reassurance is always a good thing, cost lines have to be allocated to something..R&D, CPD etc when the numbers do the crunching.
Where do I sign up Vic 🙏
just ask your GP. I'll see you as soon as i can.
@@VikVeerENTSurgeon thank you 👍🏻
aren't the problems with this :
1. It is visible under the skin
2. It is reactive so you already can are having at least an hypopnea before it kicks in. In other words, you've already had the events start before it triggers.
3. The wire is on one side so the tongue can twist.
My primary doctor doesn't recommend it because he has apnea and his friend does as well . his friend had it implanted and had loss of control of speech when it clicked on.
I am Not exactly sure why he was talking as he should have been sleeping but the point was with my doctor was very leery of it And said his friend had a loss of control until it stopped pulsing.
To my surprise though, my sleep doctor, who only is concerned about the numbers on the machine, said I qualify for it. it almost seems like the inspire people are in their pocket because the doctors are eager to push it and insurance seems to cover it.
He doesn't believe surgeries work. Other than CPAP devices, The only thing he was open to was losing weight or this device because insurance covers it but not things like surgeries. My sleep doctor also says one of his friends is a doctor at Mount Sinai who does plenty of surgeries for apnea and that they just don't work Or work for long for the majority of people, In his opinion.
It's hard when you have a doctor against certain things, they won't even let you speak to someone else or have colleagues that find that surgeries don't work either.
When I speak to my sleep doctor it's almost like he's a primary doctor where they just do the minimal or what insurance will cover rather than what's the right treatment.
I only started a month ago 's so my follow-up appointment. I asked about all sorts of things like a dise study or a titration study to make sure my pressures were correct and to find out what type of obstruction I have. He wasn't sure insurance covered it and didn't think it was important because getting the numbers on the machine down is the same type of indicator that something's working or not.
But did I really need a sleep doctor then? I could have bought the machine on my own and played around with the numbers and then any wrong numbers. People would blame me. But that's all they're doing. They lowered the pressure because of complaints I had and just want to see what happens. They don't know that we know how to change the numbers on the machine so he thinks I'm talking to them and they're altering the numbers on the machine. Anyway, it still seems like CPAP not a gold standard but just the standard they get the most results out of the most people. But it still hit or miss. It's torture to get used to it and since I've been using it, don't feel any better on it even when I got my numbers below. Five per hour versus the $40 per hour I was having. That's another joke about CPAP. The numbers are mathematical, wrong and divided over the entire night. Most people in the business will tell you they have no idea why a machine marks certain events. It's just not smart enough to realize the difference between certain occurrences, but that affects you when your doctor is only monitoring the summary numbers, not the actual waveforms. In the USA, many are just saying that doctors aren't paid enough through insurance to spend the time to analyze the data. So they only look at the some report that is sent through the internet to them from the machine.
It would be nice Not to have to deal with taping, mouth guards, mask fit issues or applying a tape and a bleep system. And be nice not to deal with a hose. All that stuff is great, but this pacemaker device, well might be life-saving for those who can't tolerate anything else and are having major obstructions, I don't think it's the be all and all device.
A device like this is interesting but the whole idea of implanting it and then waiting for things to heal and if it doesn't work now you have something implanted in you that you would need to remove as well as eventually you need to change the battery. Implanting something that can be seen by others is not attractive. I just don't think it's going to turn out to be the solution for many of the people being diagnosed with obstructive apnea.
It is a lot more complicated than that. I'll do some other videos on it so it makes sense to you. thanks for your message.
for clarity it doesn't stick out of the skin - you can't see it. it is on for every breath - not just the blocked breathing.
@@VikVeerENTSurgeon hello, I don't know why then my doctor told me you can see it because it's just under the skin. So he's wrong?
I would also like to see the incision scar size And yes please do make more videos about it because I don't understand how it can be on for every breath. You said it gets triggered once It thinks that you stopped breathing and stimulates the nerves that make tongue move. So if the tongue is already back by that time you've already had the obstruction in my opinion. So yes please do clarify and if you can cite sources that would be great.
Why oh why would you do this when you can buy a $7 dollar plastic tongue retainer and not have anyone slice into you?
This is only for people were those options don't work.
If only North Manchester General Hospitals sleep department were this helpful and caring. I have to argue with atleast 2 members of staff before they'll give me a new mask, it's terrible and causes a lot of anxiety. Thanks for all you do and have a fantastic weekend.
I'm pretty sure that manchester are setting up a similar system for the implant. I am not sure which hospital, but i doubt it will be hard to find out. they did an implant this week as well.
If people want to have this instead of the cpap machines it should be their choice and not up to some doctor. They say you can possibly get this if you can not tolerate the CPAP machine. Well, I say screw the machine, I don't want it. I want this so do it.
ok, pay for it.
If you don't want the cpap - you can get the implant so long as you also fulfill the other criteria.
Wow amazing technology!!! Well done!! You must be proud of yourself !
many thanks.