u/i-want-great-sleep-2

I get it you don’t want to show your face

but show a damn surgical plan or an X-ray or something. anything !

and tell us how you were “botched”. were you over advanced ? under advanced? Or is your bite fine and your sleep apnea cured but you have numbness like everyone else? give details.

seriously frustrating seeing comments claiming a surgeon botched them when you have nothing to substantiate their claim, it makes trying to pick a surgeon so hard

So I’m currently titrating PAP and on a waiting list for a MAD. By the end of this year I want to have explored these options.

I am in the UK and a self-pay patient, so surgical route is cash.

The main plan I’m considering right now is to pursue a plain Jane lefort 1 DJS to pull my jaws forward and hopefully cure my UARS and mild sleep apnea. I have a classic weak chin recessed jaw profile so I feel I could be a good candidate for that, and I have a perfect bite from Damon system braces which required no extractions. Let’s call this plan A.

Plan B would be to pursue expansion first.

Plan A would take ~1 year and ~£25k. This is a huge cost in term of my life, money, youth, career etc. and all the risks. But it seems there is a decent chance it could resolve my issues

Plan B I have questions about:

- I’m in the UK, what is a realistic expansion cost prior to MMA? I’m willing to travel, but what are real all in self pay treatment costs?

- Do I have to get ortho twice if I’m doing MMA or can you combine those e.g. expand -> ortho for decomp plus repair bite after expansion -> MMA done? or do you have to do two rounds of ortho?

- How much longer would the process take?

All these concerns are the make or break for me. My nasal breathing is terrible, I’ve already relapsed since my septoplasty 2 years ago. So I think expansion could benefit me. But if it’s double the cost and 2 years out of my twenties, man I just don’t know if I can do that.

I guess plan C would be something like a segmental lefort

Plan D might be do the transverse now and in some years I could probably expand with surgical assist down the line when I have no money and FME is available in Europe

Ant advice appreciated

Southerner heading North to complete a Master's degree. Is there good surf up here? Thanks

(will travel for waves)

In Europe so fuel is twice as expensive as US making electric car viable even on public charging rates.

And seems like there’s a few benefits:
- heater does not require engine to be on, so can silently idle with main heaters, very useful in urban environments. I’ve heard people saying they can do this overnight without much power loss
- same with A/C
- electrical system can be tapped into to power induction based cooker & electronics for long time periods
- silent vehicle makes late pull-ups discrete
- low maintenance, less time spent without car as it undergoes repairs in a garage taking away your home (though can still happen)

I realise EVs don’t really make sense in the US given how cheap your fuel is and how big it is (although your power is cheaper there) but my entire country is a few hundred miles end to end so range not a big problem

And we’re starting to see cheap e-vans on the market

But maybe I’m overrating something?

Hi there, I am going to view this VW T4 tomorrow and I’ll be honest I know Jack shit about cars https://ebay.io/m/HvMswg

I am a PhD student (so permanently broke) looking for a cheap surf van to use as a daily driver and camper and I’m hoping this T4 could be a good purchase

Summary:
Automatic gearbox
2.5l Diesel
155,450 miles
Bed in the back, some insulation
Listing claims rust and rot free - this is the main attraction for me, I have not come across any T4s at this price range that are not at least a bit rotten (I’m in the UK)

I’m planning on booking a mechanic but if anyone here with some know how could point me to ask the right questions etc then that would be great

Looking for a mooring to call home and commute into the science park. I have found this marina a 30 min drive away and the total cost is looking like ~£10k / year https://www.fishandduck.co.uk/moorings/ but can I do a lot better? This would be about the same cost as renting a small flat all in.

Currently viewing vans and was originally set on a SWB L1H1 transit custom/transporter. I’ve just seen a decent local van which is L2H2 with a parking camera which I think would make the 5.3m length very manageable. However, the jump above 2m then takes a good number of spots off the table. That said is this really a problem? I’m imagining any car park with height restrictions also has a no overnight rule. And L2H2 is a big step up in terms of volume while still being on the small end of van for urban use. Anyone got experience with this? Big van drivers do you ever wish you could squeeze under those barriers and low van drivers do you ever do so?

Do you declare you are living in the vehicle

Hi everyone, I have benefitted greatly from reading content on r/urbancarliving and r/vandwellers about full-time vehicle living. However, these are primarily USA oriented forums which are therefore very different in terms of legality, culture, weather, vehicle market etc.

There are UK subreddits for topics related to living in a vehicle but these are overwhelmingly lifestyle subreddits such as for weekend camping, short term travel, or vehicle enthusiasts. There are no active communities on Reddit focussing on full-time vehicle living, despite the increasing interest due to the housing market and cost of living crisis. While there are Facebook groups called “full-time van life UK”, in addition to being on Facebook and therefore not a nice experience, it’s still mostly hobbiests with full-time houses.

The aim of this subreddit is to fill that gap, to be a community for people living full-time in a vehicle in the UK.

Any vehicle is welcome whether it has wheels or floats, or both!

Please specify your status using a flair (I will create these when I’m on my computer) and introduce yourself below, in this thread!

Welcome!

I’m checking fb marketplace, gumtree and Autotrader. I’m also aware of quirky campers but tends to be premium.

Any other specific places? If a fb group please provide the name

Thank you!

Hello, I made this little online tool to help me plan a road trip of the US which helps visualise typical minimum overnight temperatures as my plan was to sleep in the vehicle

The road trip never happened but maybe the tool could be helpful to someone here

All best best from a UK nomad

https://overnight-temperature-atlas-usa.pages.dev/

I get no money from the site btw I tried to set up google ads and it didn't work lol

My day time nasal breathing is fine, but during my sleep I mouth breathe and always wake up with congestion. I spend most of the night on my back, even though my AHI is lower in my side, because I thrash around so much in the night I can’t stay in my starting position. I wonder if this is because on my side my tongue doesn’t fall back as much (but not sure).

I have my CPAP fitting appointment in a week. Is it worth starting with nasal just to try it and then take the L and move to full face if that doesn’t work? Or given my nasal breathing trouble just start with full face?

A lot of people say they recommend everyone tries nasal because it’s a nicer experience but I’m also concerned that being an NHS patient the time between getting that mask and then getting a replacement could be a long while.

NHS UK patient, obstructive sleep apnea + UARS 8 AHI, 13 RDI

In the sea of options I’m thinking a VW T5 would be good for me. Is it possible to buy a decent base or converted van for ideally around £5000?

Plenty of info on buying a good car but has anyone got a good resource on what to look out for when buying a base or converted van for living in?

I get a lot of help from r/SleepApnea, r/CPAP, r/UARS and r/UARSnew, but being in the UK we have specific challenges with receiving treatment through the NHS, or private treatment whether here or abroad, so I've created this community to discuss these issues. Feel free to cross post anything relevant to here. Also please DM if you want to help moderate.

*How common is...?

I've recorded myself sleep a few times and I'm constantly turning from side to side, using my hands to say rub my face, itch my nose etc. then going back to sleep. I sleep with a fitbit air and it tracks a lot of restlessness / motion during the night. In a few clips I even stick my knees up or even legs periodically while lying on my back.

Is this common / universal for sleep apnea patients? My mum has restless leg syndrome and wondering if I might have that as well.

I was recently diagnosed with mild sleep apnea and UARS (AHI ~ 10, RERAs)

Edit: I am currently untreated, I'm wondering whether it's common in untreated sleep apnea / UARS patients and whether CPAP treatment is likely to stop it?

The account is deleted but the thread and images are still there https://www.reddit.com/r/jawsurgery/s/pVY69VANgr

20 year old Irish lad flies to Turkey seemingly on a whim with little planning, no orthodontics, and gets a jaw surgery + genio which he decided on hours before. Posts pictures of himself pre surgery where he looks completely normal, no signs of recession, did the surgery for “facial harmony”. I really hope he’s okay, the thread is completely mental.

I’m guessing he was on a lot of painkillers while posting this. He does seem like a happy and care free lad.

I’d be interested in knowing what’s happened in the year since.