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Joined 1 year ago
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Cake day: August 16th, 2023

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  • Snoring is produced by soft tissues vibrating when they flop where they shouldn’t (i.e., blocking airway).

    It is thus indicative of reduced airflow, which can result in negative health outcomes - including yes, brain damage. The full condition is called obstructive sleep apnoea (OSA), but there are other conditions like upper airway resistive syndrome.

    From the pictures I see online, it looks like an over the counter mandibular advancement splint (MAS). MAS are used for management of OSA, but only per the prescription of a sleep physician, who needs the results from a sleep study as well as an examination of the patient.

    Not all OSA sufferers will tolerate let alone benefit from a MAS. There are drawbacks and side effects with a MAS that may not be discussed with all patients, let alone purchasers of an OTC product.

    I have a custom fitted one, and even as someone in the industry, I find there are certainly limitations to it.



  • Putting aside whether it’s normal for you to be experiencing aging so early*, you should still see another PCP because they didn’t manage your actual concern: “I am experiencing issues functioning day to day life, and would like a plan to manage this”.

    It would have been one thing if the doctor had said “yup, just you, so let’s get you into an assisted living arrangement now”, or “I’m fairly certain this is just your shitty genes, but to rule out anything else, let’s send you for X tests and see the Y specialist”.

    From your post, it doesn’t sound like that was the case.

    *The joke goes that after thirty you don’t get injured, you get permanent disabilities.





  • Waterflossers are better than nothing. Best is floss to get the stuff wedged at the contact, then interdental brushes to get the stuff under the contact - these must be snug, otherwise you’re not effectively using them.

    Soft and small toothbrush, preferably an electric with a pressure sensor. The counter oscillating Crest/Oral B type is probably the most affordable. Don’t need to get the top model. Some only time 2 minutes instead of 30s, so I’d recommend counting to 30 seconds (properly! Not rushing!) and do a quarter of your mouth at a time. Point at the gumline a little when you brush, approximately 45 degrees. You must push your lips and tongue out of the way. Do an extra minute after you’re done with 2 minutes. Do this at least twice daily, consider a third time during the day, and you must not skip the one just before you sleep. Do not consume anything but water after this and prior to sleep. Do not get a midnight snack.

    Use neutrafluor/prevident 5000 toothpaste, or clinpro 5000. Extra fluoride means extra protection from acid challenges. Use neutrafluor mouthwash if you must use a m/w during the day. Do not rinse the paste off your teeth.

    Eliminate where possible from your diet anything sour, tart, or fizzy. That includes soda water and citrus and ACV. Eliminate where possible sweet things, including fruit - especially dried fruit.

    Rinse with plain water after eating and drinking.

    Common triggers of heartburn are foods that may be fried, fatty, and or spicy. Some people are triggered by dairy or lactose, or eating too late before lying down.

    Treat your heartburn by prevention, not relievers. If you experience any symptom relating to heartburn, rinse thoroughly with plain water. Do this too if you vomit for any reason.

    If you have dry mouth, try Xylimelts or the new range Freshmelts (this doesn’t seem toxic to dogs). You can wear these during your sleep. Also treat the origin of your dry mouth.

    …I’m sure I have other tips… But these are the most common ones I make to my patients.



  • Haha I had to go digging.

    So it is mentioned in an Australian page about the costs of Tobacco in Australia:

    https://www.tobaccoinaustralia.org.au/chapter-17-economics/17-2-the-costs-of-smoking#17.2.6

    A report commissioned by the tobacco company Philip Morris, when the Czech government proposed raising cigarettes taxes in 1999, concluded that the effect of smoking on the public finance balance in the Czech Republic in 1999 was positive, an estimated net benefit of 5,815 million CZK (Czech koruny), or about US$298 million. 77 The analysis included taxes on tobacco, and health care and pension savings because of smokers’ premature death, as economic benefits of smoking, and these benefits exceeded the negative financial effects of smoking, such as increased health care costs. The report created a furore; public health advocates found the explicit assumption that premature death is beneficial morally repugnant. The controversy was described by the journalist Chana Joffe-Walt on the radio program This American Life,78 and was reported in the British Medical Journal.79 According to This American Life, Philip Morris distanced itself from the report in response to the controversy, banning its employees from citing the findings. In fact, the report’s claim that smoking was beneficial relies on its inclusion of taxes as a benefit, not any savings due to smokers’ premature deaths80 Costs associated with smoking while the smoker was still alive totalled 15,647 million CZK, 13 times more than the ‘benefits’ associated with early death. The net benefit reported in the analysis arose because the tobacco tax revenue of 20,269 million CZK was regarded as a benefit. As detailed in Section 17.1.1, taxes are not an economic cost (or benefit); they are a transfer payment. The recipient (the government) gets richer, while the taxpayer gets poorer.

    So darkly amusingly it has actually been reported before, but in the Czech Republic.