Sleep Apnea Diagnosis and Treatment - Dr. Anil Rama, MD | JawCast #61
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- Опубліковано 12 лип 2024
- JawHacks Official eBook
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1-on-1 Chat with Ron
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Dr. Anil Rama, MD
www.sleepandbrain.com/anil-ra...
JawHacks Baby (my wife's IG page)
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* Is 90% of sleep disordered breathing undiagnosed? 0:00
* AHI vs RDI 0:57
* Sleep disordered breathing in infants and children. 11:33
* Breastfeeding and co-sleeping. 17:01
* Underdiagnosis of sleep disordered breathing and lack of awareness among medical professionals. 21:20
* Sleep apnea as a traumatic brain injury, impact on mental health. 25:16
* Sleep disorders, brain function, and treatment options. 29:36
* Sleep disordered breathing, its impact on healthcare, and the relationship between jaw structure and breathing issues. 33:18
* The relationship between facial structure and sleep disordered breathing in medical school training. 41:23
* Nasal resistance and its impact on breathing. 45:53
* Nasal breathing and airway assessment using rhinomanometry. 50:07
* Sleep disordered breathing treatment options. Jaw surgery and nasal breathing. 56:40
* The limitations of orthodontic treatment. 1:01:10
* OCD, sleep, and breathing. 1:06:32
* Orthodontic expander use and turbinate size. 1:13:37
* Nasal surgery and jaw surgery techniques, patient outcomes. 1:21:06
* Choosing the right jaw surgeon for sleep disordered breathing patients. 1:25:49
* Jaw surgery outcomes, risks, and factors affecting success. 1:30:25
* Sleep apnea and UARS diagnosis. 1:38:54
* TMJ health and sleep disordered breathing. 1:45:21 - Наука та технологія
This was the best podcast that i have ever come across on youtube. Literally. Dr rama is an absolute genius.
I am currently a patient of Dr. Rama's and can confidently say that he is the GOAT when it comes to this stuff. Yesterday I had my follow-up brain map session to see how the CPAP was working and he was so generous with his time to thoughtfully analyze the results with me (which revealed that my brain is functioning MUCH faster and more efficiently since I started using the CPAP and his protocol). I will be forever grateful to him and his lovely team!
Man I've been going down this route starting as a referral for ADHD-PI. Still waiting for that (waiting list is 1.5 years!). Then I found out about SDB on my own. I have no energy at all, it's messing up my academic performance, I had major allergies during puberty, I had 4 premolars pulled for braces. It's insane to see how common this experience is and yet it has so little recognition.
Totally bro. Best of luck getting better.
Ron, I just wanted to thank you from the bottom of my heart for this and all of the interviews you’ve done.
You ask such profound and insightful questions and I really admire how present and locked in you are. Kudos, my friend. I think the impact you are having on others is not yet fully known but will be one day 🙏
And thank you Dr. Rama for sharing and your vulnerability in talking about your own jaw surgery!
That’s a very nice thing to say, thank you bro!
Thank you Ron for all the great info. I've been following your channel for more than a year now since i got diagnosed with severe sleep apnea at 32 years old(got premolars extracted + this crazy metal bar and band around the neck at night for months and have been snoring hard since teenage). Got mma surgery two weeks ago - recovery is hard but no more snoring + I can hold my tongue at the roof of my mouth. Cheers from France.
Congratulations bro I’m glad you are feeling better. Sending you all the best wishes.
Did you have MMA and expansion done in the surgery?
@@christinal434 i had MMA which gives forward expansion.
Dr.Rama is one of the best, most respected, knowledgeable, intelligent, caring Doctor out there! He is the type of Doctor that ACTUALLY wants to help his patients and see them succeed in their health! He goes above and beyond! This podcast is one of the most informative out there!
dr rama is my sleep dr and he's amazing!
Are you able to get reimbursed at all through your healthcare, I’m wondering past the initial consult how I would be able to afford repeat visits to hash out the problem
No I was not able to get reimbursed
Love Dr.Rama!! I saw him just over a year ago and he gave me a plan day one. He did in a few hours what all my other doctors couldn't do in years. I am so much better now. Did TMS and MMA surgery. Doing EASE with Dr.Li later this year.
Very nice, thanks for sharing.
Why did you do mma before ease? Did mma give you nasal benefits?
@@kichki777Because I would probably need both but mma would do the most for me. I was close enough to not meeting insurance standards for coverage so if I got either and it helped I wouldn’t get the second covered. So Li said MMA would probably be best to do first. I am the only person I have ever heard actually get a full reimbursement on Li’s fee.
MMA helped nasal breathing a lot but I had terrible nasal breathing before so it’s still not great.
@@chronicallyunfd oh ok. Did it help with nasal congestion when laying on your side ? Or do you wake up less congested in the morning the next day?
@@kichki777 about the same. I am pretty narrow so the advancement only could do so much.
Excellent podcast! Dr. Rama is on the cutting edge of technology and is an amazing doctor who cares deeply for his patients!
Wow, loved all the new info in this interview! Thanks guys!
Agree. Hands down the best sleep apnea podcast with mental health nuggets.
I saw Dr Rama for my sleep study before I did EASE and he was very enlightening. Loved this deep dive as well.
Ron and Dr. Rama, this is an eye opener. I had never heard of orthosomnia. There is very little about it on google. The OCD cheap made me laugh.
Great interview!! I'm honestly more confused than ever, the steps going through all of this and still seems left up to the patient to figure out what to do and where to go for help. It's so frustrating
Hey Ronald, you should cover more how MSE can exacerbate sleep apnea. One surgeon explained to me that when you open up nasal complex greater pressure occur down the throat and that increase collapsibility of airways, which happened to me. Bernoulli s law, like Dr. Anil mentioned.
this happened to me. I have marpe in and my sleep apnea got worse.
did your apnea get better after your mse was taken out
@@teethree141 No, I am waiting to have MMA surgery
The tongue probably gets weaker with that device in your mouth.
@@giavalles4270 how so?
Great video. I would like a video where you discuss decompensation of teeth before jaw surgery with a jaw surgeon. Like the pro and cons of extracting teeth like premolars or wisdom teeth to do the dental decompensation.
Yes!!!
Dr. Rama is my doctor and I have to say he’s the best. Very knowledgeable and more helpful than any other physician with cpap therapy.
I’m convinced it’s mostly from narcissistic abuse especially in family. And of course underdevelopment
Please explain further.
Very informative podcast ❤
I've truly enjoyed the direction you've taken. Better late than never. Onwards and upwards!
Ron, get more perspectives like this. Dr. Rama is amazing.
Great discussion. A couple of comments from another Stanford Trained Sleep Physician. 1. I don’t need a CBCT in my office because every airway orthodontist I work with has one and I can look at their scans. 2. Most ENTs don’t like RF turbinate reduction because they feel it doesn’t get good results and doesn’t last. And question for Dr. Rama if he has considered pursuing MMA?
He had MMA done, mentions it a bit later in the interview
A post-outcome survey would be extremely interesting, Ron! I am undergoing EASE and would be willing to participate when I'm done. Likely undergoing MMA eventually as well.
This is a great one
Glad you enjoyed it.
Before I had MSE I did turbinate reduction which helped very little. And now when my expander is removed and all went well, CBCT showed my turbinates filled the space again, but my nasal breathing is better than ever despite that. Very interesting.
How does the location of an arousal in the brain due to a respiratory event affect the possible symptoms that may occur? Does it affect the possible behavioral symptoms that may be experienced, or can it even affect any physiological symptoms that may occur due to the drop in oxygen level?
I think Dr. Rama's saying that depending on where the electrodes are placed you may miss the arousal. There unfortunately isn't that much data on the symptoms especially since arousals are hard to detect and pinpoint.
Interesting
Indeed, I learned a lot in this one.
Ron, can we talk more on the tongue base thickening causing airway blockage?
so can the brain damage from sleep apnea be reversed? Im going to experiment with psilocybin/lions mane/niacin(stamets stack) microdoses
You are either brave or too far gone already. 😂
@@giavalles4270 wish me luck lmao
@@giavalles4270 wish me luck lmao
It definitely can. Everything you do modulates your brain: the food you eat, exercise, hormone imbalances, TMS. Basically your entire lifestyle determines how your brain changes. There's a common assumption that your brain only changes when you're young but neuroplasticity prevails in all ages. Therefore brain damage can definitely be reversed by maintaining a healthy lifestyle, though it does take time.
50k subs? I didn t even know that you crossed 10k 😂 Congrats
Thank you bru
Interesting podcast, I wonder if there’s any brain treatments that can be done in the comfort of my home .
It depends where you go to receive care! Dr. Rama can give you a personalized plan that aims to solve sleep issues! You should definitely check him out if no where else is working!
wow
Anyone caught that procedure of getting the inflammation of your turbinates down so they shrink to normal size?
Can someone write down all the sprays he was mentioning and is anyone doing this?
So, if I get it right that's actually something that you need to keep on doing even after all the expansions because allergy doesn't go away from surgery (sadly), right?
Would be happy about some insides because it struck me that I may needed to use way more medication all the time.
I think he said radio frequency.
Saline spray and Antihistamine spray
Talking about babies…I wonder if infants should NOT be placed on their backs. I wonder if sleep position not only affects the airway closing, but the development of the airway. I also wonder that with lying on tummy, as a person gets older maybe they should use specialized positioning on their knees, versus lying flat on stomach. And other positions that could be used.
Ron, you mention that there is a lack of knowledge with the results of your patients “after” having treatment…
Maybe you should have another UA-cam channel and call it “JAWHACKED” ;-) and have it focusing on those that “went through” treatment 😊
Great idea! 💡
Drug Induced Sleep Endoscopy is helpful in pinpointing the location of the airway obstruction
I prefer Dr. Rama's method of using the CBCT scan.
I also believe Doctor Li is not a big fan of Drug Induced Endoscopy
@@diyasongs381 Do you know the reason why?
@@austinknoll14 pinpoints the obstruction but not the cause of obstruction
Please link Jawhacks baby channel?
Just added it to the description. Enjoy.
Jawhacks we still didn’t discuss , The Epiglottis,
Tell us what we should know.
If what I learned from Dr. Rama, focusing on the epiglottus is a little OCD.
Can you be born with a small airway?
I think it typically develops as a result of breathing wrong.
@diyasongs381 I'm sure people can be more with a narrow airway, though
so you can't fix the brain injury, ever?
According to Dr. Rama, it is never too late to fix the brain. I think it's called brain plasticity.
@@nuggetrouble1677 I’ve tried scrubbing through this interview but can’t find any answers. How do you fix the brain plasticity?
@@habababa1312 There are many ways to help neuroplasticity. If you have sleep apnea you should definitely make sure your brain is receiving enough oxygen as that can be a large contributor to brain damage. Leading a healthy lifestyle in general will help as well: decreasing stress and eating healthily. You can also try to learn new skills or use your non-dominant hand to increase plasticity. Learning new things "tests" the brain and helps strengthen neural networks and build new connections between neurons which enhances plasticity and reverses brain damage.