u/AccurateBet1998

Nervous about DJS MMA next week

TL;DR - Anyone got some "It's not that bad" or "it's not great, but it's manageable" stories to calm my nerves?

Hi all,

I'm booked in for MMA surgery next week and getting pretty nervous about it.

I have moderate-severe sleep apnea which is really negatively impacting my life. CPAP doesn't work for me but a mandible advancement device has modest efficacy. The oral surgeons clinic measured by airway and it's only 0.4mm at the narrowest point - they said it should be at least 10mm. That makes sense. I'm not overweight and I run 2-4 times per week, but I choke on my palate when I get out of breath, and I have pretty bad forward head posture that I assume is a naturally developed way to open my airway day-to-day.

I'm getting DJS. It's a Lefort 1 for the top, a break and pull forwards for the bottom, and also genioplasty. He's going to trim down my turbinates while he's in there, but my septum was straightened a year ago in a separate surgery.

I really don't like the idea of how disabled i'm going to be, and also worried about persistent numbness. The surgeon told me the upper lip will start numb but will return quickly in 99.9% of cases. The lower should take longer, but 95% will return after a few months and then there is a modest chance than there may be a gap or 2 of a couple mm in diameter that stays numb.

Fortunately I have a loving and dedicated wife, and i'm a teacher so i'm off work for the whole summer.

There's a lot of comments in here from people saying how bad it's been for them. I mean, surely it's going to just be like having the flu and i'll lay in bed watching the Sopranos for 7-10 days? It seems pretty consistent that pain is basically zero, and it's just swelling, weakness, and psychology. What kind of timeline are we looking at before I can do housework, go for walks, or go shopping? The surgeon's leaflet makes it sound like 2 weeks, but posts here have people on death's door until week 4.

Anyone got some "It's not that bad" or "it's not great, but it's manageable" stories to calm my nerves? I know that i've got like a >90% chance of improving my breathing significantly, likely to perfect, so i've got that going for me.

Thank you.

reddit.com
u/AccurateBet1998 — 2 days ago
▲ 2 r/NIH

Do R16 funds carry from year to year?

Hi everyone,

I have a question about carryover on an NIH R16/SuRE award. The award has annual budget periods within a multi-year project period, and I am trying to understand how unobligated funds are handled from one budget period to the next.

If funds remain unspent at the end of a budget period because of startup/purchasing delays, do they generally carry over into the next budget period? If so, is the full unobligated balance usually available, or is carryover limited in some way?

I realize this may depend on the specific Notice of Award and institutional policy, but I would appreciate hearing how this typically works in practice.

Thank you!

reddit.com
u/AccurateBet1998 — 4 days ago