MQ (male 31) - San Francisco, California
Date of maxillomandibular advancement - October 14, 2009
The Bottom Line, First:
Undergoing Maxillomandibular advancement (MMA) surgery with Dr. Li was one of the best decisions I’ve made in my life. Only seven weeks removed from the operating room and I’m sleeping extremely well. I feel rested for the first time in ages; as a result, I’m thinking much more clearly, I have more energy and my mood has improved dramatically. Of course, now that I have a bit of perspective, it’s tempting to bemoan all that time and opportunity lost to unhealthy sleep through the years. With my severe sleep apnea a thing of the past, though, I’m just too excited about what lies ahead to worry about what could have been.
Background:
I was diagnosed with sleep apnea in 2005. I struggled with CPAP for years before being re-evaluated by the Stanford Sleep Disorders Clinic in 2009. There, sleep studies revealed a Respiratory Disturbance Index (RDI) of 46.4, meriting a diagnosis of severe sleep apnea. My prescribed treatment was CPAP at a pressure of 15 cm of water. Unfortunately, my anatomy once again conspired against CPAP – narrow breathing passages made it a struggle to exhale against the high air pressure coming in from the machine. When, and if, I fell asleep, I would wake up shortly with air streaming out of my mouth or abdominal cramping from swallowing too much air. Given my profile and inability to tolerate CPAP, the Stanford Sleep Disorders Clinic referred me to Dr. Li.
Surgical Recommendation:
Dr. Li’s reputation as a world class surgeon is matched by his bedside manner. He took the time to thoroughly evaluate my condition and familiarize me with all available options. Any question my wife and I may have had regarding the various procedures was answered with detail and consideration. Given my history and profile, it made sense to proceed with MMA surgery (in addition to correcting a deviated septum in my nose).
Day of the Surgery:
The morning of the surgery I was both nervous and excited, as was to be expected. The staff at Stanford Hospital, as well as the anesthesiologist and Dr. Li, ensured that everything progressed smoothly – from checking in to recording my vital signs to wheeling me into the operating room. Once I was moved to the operating room, it wasn’t long until I was under anesthesia. After that, my first solid memories are of the intensive care unit (ICU), where I spent the night after surgery.
The Hospital:
The staff at Stanford is fantastic. I don’t imagine it’s ever fun to stay at a hospital, but the staff’s attentiveness and familiarity with the procedure made my two days as pleasant as one could hope. The first night I spent at the ICU, where they made sure I was comfortable and recovering well from the surgery. For the most part, it was a blur of waking, sleeping and something in between. The second day I was moved to the general hospital, where I stretched my legs for the first time and began familiarizing myself with a liquid diet. There was some pain, as well as a little discomfort (my mouth was banded together), but overall it wasn’t bad. Mostly, I felt tired, thankful the operation had gone well and eager to continue the recovery process at home. Dr. Li visited each day to check on my progress and I was cleared to return home my third morning in the hospital.
The First Week:
The first week after the operation wasn’t a whole lot of fun. The minutes and hours seemed to crawl by, and I imagined that the coming few weeks would be some of the longest I could remember since childhood (I’m happy to say that wasn’t the case: after the sixth or seventh day, routine took over and time seemed to accelerate). Pain was not a major issue for me; however, post-surgery nasal congestion made my first few days home less than pleasant. Combine a closed mouth, a prohibition on sneezing and post-surgery nasal discharge (blood and mucus drain from the sinuses during the first days post-operation) and you have yourself an uncomfortable time. Even though I stopped by Dr. Li’s office immediately after leaving the hospital to have my nose drained, I found myself very congested the next morning, which happened to be a Saturday. My wife called Dr. Li, and he very kindly met us at his office just to clear my nose.
Fatigue and a bit of malaise set in after a few days. As Dr. Li noted, I had, after all, just undergone surgery. Neither condition lasted long, however. Looking back, I’m pretty amazed at how quickly I recovered – the first couple days I pictured an eternity sleeping in a easy chair with my mouth banded shut…and suddenly it’s seven weeks later, I’m eating soft foods and sleeping like I never thought possible.
Random Tips and Observations on Recovery:
It’s particularly important in the first week or so to remember that you will be feeling much better soon.
I did not experience a great deal of jaw or facial pain – some discomfort and a little pressure from time-to-time, but it was not bad. Aside from the nasal congestion of the first few days, the most uncomfortable thing I experienced was an inflamed Eustachian tube on the right side of my face. Brushing my teeth or drinking occasionally triggered a sensation similar to descending (or diving) quickly and being unable to equalize pressure in my ear. This was painful, but I soon learned to mitigate the unpleasantness by clearing my ears, swallowing or gently repositioning my teeth. As Dr. Li foretold, the inflammation decreased and the incidents became fewer and farther in between; finally disappearing altogether.
Keep breathing passages moist. Showering a couple times a day early on and sleeping near a cool-air humidifier really helped with my nasal congestion.
It helps to read about other people’s experiences with MMA surgery – there are a lot of blogs out there with interesting insight on what to expect.
Get outside and walk around, if only down the block. It really makes you feel better.
Aesthetics – think giant chipmunk for the first 7-10 days. As the swelling began to recede, I got a sense of my post-surgery appearance. With a stronger jaw and chin, I do look a little different. I’ll give all the credit to Dr. Li…as my wife even thinks it’s an improvement. You can definitely tell Dr. Li is a skilled cosmetic surgeon.
You’re not alone. Dr. Li and his incredible staff were always available if my wife or I had a question.
Results:
Life changing. I’d go through the process ten times over to be where I am today, and I’m only seven weeks out. Thank you, Dr. Li, for giving me a new lease on life.
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JBC (male 46) – East Lansing, Michigan
Date of maxillomandibular advancement – November 24, 2009
I suffered from OSA for more than 25 years and during my last year, due to a need for higher air pressure, CPAP was no longer an option for me. What I needed was a stable-definitive solution.
I make my living as a scientist so I did my research using my tools i.e. original peer reviewed manuscripts. All the information I gathered pointed to Stanford. So I made my appointment with Dr Kasey Li for September 17th. After careful physical examination and looking at my sleep studies and X-rays Dr Li concluded that an MMA was the best option. He was never pushy; he encouraged me to look at other surgeons and to consult with my family.
My surgery took place 2 days before Thanksgiving, on November 24. I had some uneasiness thinking that I would not be properly taken care of due to the holiday. Defying expectations, Dr Li was there every single day, including Thanksgiving. After I was release from the hospital, and for each subsequent appointment, I would show up with a long list of questions (some of them quite technical actually) and after he examined me he would listen and respond patiently. He also attended to my caregiver’s (wife) concerns as if both were his patients.
The procedure to remove arch bars (not trivial) was done on December 28th, between Christmas and New Year’s. Not only was Dr Li waiting for my-late-arrival from Michigan, the whole staff was there with the most delightful disposition (his office was full of patients too).
Since day 5 after the surgery I have been able to sleep like a normal person. I get out of bed rested, no body pain, no morning fogginess, no need for coffee. I sleep one hour less than before (7 hrs) and have no mid-afternoon sleepiness. I am currently dreaming in my sleep as I never had before, an added bonus. The question is, is this just pure coincidence? Was I lucky enough to have all the stars aligned for the surgery and the recovery? Not really, what made the difference is that I found a gifted physician and surgeon, Dr Kasey Li, assisted by a team of dedicated individuals like Daisy, Juanita and Linda.
Dr Li is not, I repeat is not, a typical surgeon. Besides having performed close to 1,000 MMAs and finding time to write dozens of seminal peer review articles in this subject, he is a human being that listen, does not hurry you, is reachable at all times of the day and responds to emails and calls (yes calls) personally. A steady hand, a bright mind, a driven individual that empathizes with each patient; what else one could ask?
For those suffering from a correctly diagnosed OSA, do not take my word for it, just go and visit with Dr Li once and you will get what you are looking for, the solution for a problem that not long ago was deemed incurable. Be prepare, you will also get the truth from him and if surgery is not the solution you will find out that as well.
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DSS (male 34) – New York, New York
Date of maxillomandibular advancement - July 28, 2009
Experience: Before I had my MMA surgery with Dr. Li, I was sleeping with a CPAP, but was not feeling rested even after a full night's sleep. Subjectively, I personally felt as if the sleep I was getting was "low quality." The process of preparing for the surgery, having the surgery and recovery were difficult of course, but more comfortable than expected due to a standard of care so good that I previously did not think it possible. The first few weeks were challenging, and my jaw did not feel "back to normal" for a few months. From the third or fourth day after the surgery, my subjective experience was of a quality of sleep many times better than my experience with CPAP. The amazing improvement in sleep made the recovery much easier, as I knew from very early in the process that the surgery had been worthwhile.
Dr. Li-
Thank you for the amazing, even miraculous, differences you have made in my life. I am forever grateful.
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HB (female 19) – Sacramento, California
Date of maxillomandibular advancement - April 15, 2009
I just wanted to thank you soooo much for giving me my life back! That might sound like hyperbole, but it's really how I feel. Everything has changed for me; I'm not depressed, I actually go to class, I think about things (I'm less impulsive), my memory is much better, and I've even been running two miles a day! This surgery has radically altered my lifestyle for the better and I am so appreciative!
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TN (female 62) - San Francisco, California
Date of maxillomandibular advancement - June 13, 2007
Not a day goes by since June 13, 2007 in which I don't thank my lucky
stars for having found Dr. Kasey Li after having been so ill advised about my severe
sleep apnea. I am another MMA success story. Before surgery, I had an RDI in the
'60's which has now been reduced to a mere 13. I went from working @ 8 hours per
week to a very fulfilling 30+. Dread symptoms--an exhaustion so profound I did not
think I could go on another day, frequent and frightening apneic episodes,
distressing heart palpitations, an unremitting 4 year headache--have been
eliminated. I am a better and newer, older woman!
I recommend Dr.Li unconditionally. Please feel free to contact me via e-mail
with any questions. I and other MMA victors hold an annual MMA get together,
usually in September, for those who are considering such surgery and want to
spend time with others who have undergone MMAs. We'd welcomed the opportunity
to meet with you.
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PF (male 51) - Oakdale, California
Date of maxillomandibular advancement - April 8, 2009
If you are reading this, you probably understand how debilitating apnea
is. It robs you of sleep, health and the basic ability to participate in life.
Dr Li performed my MMA 9 months ago, and I recall knowing that my problem was
resolved within a day or so of waking up from the anesthesia. It remains that way
today. Now, I fall asleep normally, wake up normally, have abundant wakefullness
and energy during the day... In other words - no more apnea. I enjoy life like a
normal person again.
Regarding the recovery process, it takes time and has its trying moments. But the
benefits far outweigh the inconvenience and minor discomfort. Over time, it heals.
Each day is better than the day before, but it takes time.
As far as Dr Li, this is a truly exceptional Doctor. Gifted hands and mind, caring,
and refreshingly straightforward.
Bottom line, Dr Li cured my apnea and gave me my life back. He told me he could fix
me, and that is exactly what he did. I cannot give him enough kudos. I, and my
family, are forever grateful
Thanks You Dr Li
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RF (male 50) - Maitland, Florida
Date of maxillomandibular advancement - December 7, 2007
Dr. Li, My experience with both you and your entire staff and surgical team was nothing less than extraordinary. The preop prep including the financial arrangements, the surgery itself and the postop recovery all went better than I had expected. The worst of the experience was the difficult nasal breathing during the first few days, but you did a super job in getting me through that even after office hours! It was most reassuring to be able to call you when needed after the surgery and always reaching you quickly. Your "bedside manner" was great even when you met me at your office after hours as needed. I am very thankful that I do not need CPAP any more and can get back to a normal life. I no longer dread bedtime! I hope you are able to help many more like I was who felt like a walking Zombie with CPAP. Thanks again and best wishes!
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SS (male 58) - Menlo Park, California
Date of maxillomandibular advancement - March 3, 2010
Experience: As a practicing physician myself, I have been in a unique position to observe Dr. Li and his work. I have been overjoyed at the expertise that he brings to this field. Quite literally, he has saved my life. I was on a not-so-slow descent into physical demise and my quality of life was abysmal.
Dr. Li quickly sized up a complicated problem and pushed forward expeditiously (along with his very caring office staff) in getting me a surgical solution where all else had failed.
I have the utmost confidence in his surgical skills, but I am equally impressed with his kindness and advocacy for the patient. He is a compassionate man who brings all the virtues of medicine into plain view. He has a very reassuring bedside manner, and has gone the extra mile for me in all matters relating to this challenging surgical intervention.
It is the rare individual who brings his impeccable surgical and clinical skills to the table, yet retains the compassion that is so essential to weathering this difficult operation.
I wish all doctors (including myself) could be so wonderfully gifted and have such a kindness. He is without peer in my humble opinion. It was a blessing that I came under his care, and I shall be forever grateful.
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SMAC (female 36) - Belmont, California
Date of maxillomandibular advancement - December 26, 2006
First of all, I actually had all four procedures. In 2006 I had an MMA,
GA and Nasal Surgery (Deviated septum) at the same time, and in 2008 I had a UPPP,
all with Dr. Kasey Li.
From the moment I met Dr. Li my life has changed for the better. Dr. Li was frank
and honest with his recommendations for which I am grateful. After years chasing my
tail trying to find out what was wrong with me, to get the RIGHT diagnosis and start
working towards my ultimate cure was in itself a huge weight off my back. I also
never felt like I didn't have enough information. For every question I asked, Dr.
Li had a direct and informative answer.
Dr. Li's staff is friendly and helpful, and always makes me feel welcome. When I am
concerned about something, I never have to wait long for a response after calling.
I have to say that Dr. Li is my favorite doctor of all time (and that's saying a lot
since my OSA was undiagnosed until 2005 and have been under doctors' care for as
long as I can remember). He is a master of his specialty, and has improved my
quality of life in such a way words cannot possible describe. The MMA, etc. didn't
just change my life, I think I got a new one...in a different world. A world where
I'm not sick every day, where I dream instead of fight for my life inside nightmares
every night. A world where I actually heal, and where I do not dread the
embarrassment and danger of inappropriately falling asleep at work, during meetings,
in waiting rooms, and most importantly while driving.
I am a new person thanks to Dr. Li.
If you want to know more (with fun pictures) feel free to go to my blog:
http://shelby.idstrom.com/category/sleep-apnea/ My first OSA entry was on February
4, 2005 and my surgery was December 26, 2006.
If you're reading this, you're most likely considering Dr. Li. In my opinion,
you're on the right track.
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GV (male 32) - Mountain View, California
Date of maxillomandibular advancement - July 7, 2009
Bottom line: I was diagnosed with sleep apnea, CPAP didn't work out always for me,
neither did UPPP. I underwent MMA surgery in July 2009. The surgery went extremely
well, so did the recovery. Dr. Li did an amazing job. It is 7 months since the
surgery, and I'm pretty much fully recovered. I still have a bit of jaw tiredness if
I eat things I shouldn't be eating, but it'll go away too. I sleep now and I dream
and I feel a lot better after the surgery. From the follow-up sleep study it seems
that that my sleep apnea is not completely cured - but that said, I have had a huge
improvement, and the MMA went really well. I'm going to continue seeking further
treatment with Dr. Li.
Details:
I had very bad sleep issues starting sometime in 2004. I would wake up at 2AM or so,
and would not be able to get back to sleep. I went thru behavioral therapy etc in
the beginning, which didn't work out. Later, I was diagnosed with sleep apnea in
2006 with an RDI of 23. Although the RDI doesn't seem too high, I felt really
horrible through the day. I was very rigorous with CPAP, but it worked out only 2
days a week for me. Those two days, I would feel like I can do absolutely anything
and bounce off the walls, but the rest of the days, despite CPAP, I felt absolutely
miserable. I underwent UPPP, Genioglossus, and Tonsillectomy in 2008 (in another
clinic), but it didn't help much.
Subsequently, I decided to do an MMA with Dr. Li. Dr. Li described the procedure
and talked about it at great length to me, and answered all sorts of questions (and
I had many). MMA has a success rate of 95%, and I was hoping for the best.
Despite preparation, the thought of an MMA was terrifying on the day of surgery.
Right befor the surgery, I almost ran out of the operating room:) But the surgery
itself was not too bad. My jaw was advanced by a whopping 16 mm IIRC, and the
surgery lasted only 3.30 hours! I don't think I look very different after the
surgery, maybe just a bit. The recovery takes a long time - it takes about 8 weeks
before you can eat solid food without a blender. The whole process is just
longwinded rather than painful if you ask me.
Advice that I can think of:
- Do not panic before the surgery (which I kinda did). You are lucky to be cared for
by Dr. Li.
- Feel free to ask questions to Dr. Li. I have never had a doctor who was as
friendly and prompt as Dr. Li.
- Ice your face as soon as possible after the surgery. Dr. Li will tell you to do
this, and take the advice very seriously. I kept icing my face for at least 2-3 weeks
after the surgery, and the sooner you start icing the better off you are. It made a
tremendous difference in my case.
- Have a good humidifier at home. It eases the nasal congestion you might have after
surgery.
- Have a good blender at home. You are going to live on blended stuff for 6 weeks or
so.
- Exercise. In my case, Dr. Li allowed me to walk about after 4-5 days or so. IIRC,
in about 10 days I was walking round the block with my wife to help me just in case.
It makes a difference in healing (not the wife, the walking:)).
- It took about 4 weeks for me to feel completely normal and to get off pain meds,
but YMMV.
It has been 7 months since the surgery now. I have almost completely recovered, the
only issue I have is that my left jaw becomes tired or hurts if I eat say, a steak.
I don't have loss of feeling anywhere. Dr. Li did a wonderful job with the surgery
and with the post-op care. I sleep better now and I have dreams. I still have some
sleep apnea according to the latest sleep study I did, and I still have some
difficulties with sleep. I guess I belong to the other 5% for whom an MMA doesn't
completely fix the issue. But I have certainly had a huge improvement after the
surgery and I'm glad I did it. I would recommend an MMA with Dr. Li to anyone with
sleep apnea. It really isn't as bad as it is made out to be (particularly on the
web), nor was it as big a deal as I expected it to be - thanks to the care I
recieved.
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DL (male 40) - Oakland, California
Date of maxillomandibular advancement - April 24, 2001
Pre-surgery synopsis
It was the snoring. I’m not sure how long I had snored as loud as people said I did...but definitely in college...I was a major snorer. My roommates told me so. Classmates in the architecture studio told me so...whenever I fell asleep on the lounge couch we stole from the administration floor...I was doing some major wood sawing. One night when my friend was using my drafting table in my room, I went to sleep while she worked and she awakened me because she claimed I stopped breathing (around 1982). Years later, my wife claimed that my snoring was getting worse. She also noticed the lapses in breathing during sleep. I apparently snored more loudly if I drank alcohol. I would get very strong nauseous headaches some mornings and for some strange reason and coincidence, I associated these headaches with consumption of foods with MSG. My solution was to take aspirin before going to bed if I ate foods with MSG that day. I would feel drowsy at the end of the day and often had problems staying awake on the BART or bus rides home in the evening. It also seems that once I hit 30, I had trouble maintaining a healthy weight.
Dr. Kasey Li who eventually performed my surgery was actually someone I went to for a second opinion. In keeping with insurance procedure, I originally went to a specialist who was both referred to by General Practitioner Doctor and who was on the prescribed list. This doctor initial prognosis was that I had a large tongue and gave me a brief description about snoring and breathing patterns during sleep. He talked about cures such as burning off some of the palate and levels of operations. He also scheduled me for an overnight sleep test.
Anyway, I had no problem going to sleep even though it was a strange environment with stuff taped all over me. It was never uncomfortable. I think about 3 hours later, I was awakened by the technician who wanted to hook me up with a CPAP mask. Once he had this thing on...I was immediately uncomfortable. It changed what I felt to be a normal breathing pattern as it seemed to keep me inhaling but never allowing me to exhale. It was sort of a claustrophobic gagging. I removed it right away and asked the technician about the importance of this part of the test...I did not want to compromise it nor waste the time, effort, and money...but at the same time, I could not imagine myself tolerating this mask much less falling asleep with it. I was told that many people reject it but that also many people end up wearing this mask for sleep apnea every night However in my case, other data was going to be achieved without it. So I wimped out and rejected the thing. In summary, I have a severe case of sleep apnea and the test showed I was getting about 67% oxygen during the night and had breathing “incidents” about 1.5 times a minute. My doctor does not feel that anything less than the jaw/mouth surgery will reverse the sleep apnea problem. He tells me to think it over...even suggests getting a second opinion.
I got online and made an appointment with Dr. Li and I have an X-Ray of my profile done and I showed him a copy of my sleep study. Dr. Li agrees with my doctor’s recommendation for the surgery (formally called Maxillomandibular Advancement). When I asked my doctor how many times he had performed this procedure, his answer was 50. When I asked Dr. Li...he has done it hundreds of times specifically for sleep apnea. Well to me, if I was going to go through with this...it was pretty clear that Dr. Li held somewhat of an edge in experience. He advised me to think it over and maybe come back with my wife.
My wife and I went back together one week later with our list of questions; how long is the procedure, what is the recovery period, how and what do I eat, etc. This day, Dr. Li also sends a camera down my nose. My wife and I start to feel very confident in Dr. Li and feel that having this operation is probably the best thing for me considering the long term benefits to my health and Sharon’s ability to sleep. The next day, I call Dr. Li’s office to schedule my surgery.
Afterthoughts / 20-20 hindsight.
Wish I went to the dentist before my surgery and had a checkup and cleaning. While I had my mouth kept shut after the surgery...I kept feeling that my mouth was unclean and that I might have a cavity. I kept worrying about a pain that never happened. The thought of having a cavity was worse.
Have a notepad for right after the surgery.
Buy the water-pic before the surgery so I would have had it.
Best food during this: Has to be the mashed potatoes. Also liked mixing one bag of Instant Cream of Wheat with one instant bag of Quaker Oats Oatmeal for breakfast.
Food I bought that I thought I would like but did not: Jello pudding snacks. Too sweet.
After returning to work, it still took a few months of eating soft foods. Which was fine...I like having lost the weight. I have Jamba Juices or soups for lunch. I move up to ordering Tuna sandwiches but even then I eat it with a knife and fork.
This was a life altering surgery for the better for me. I feel that I have lowered my risk of a stroke or heart attack. I have much more energy during my day and am no longer drowsy in the afternoons. I no longer fall asleep on the commute home and had to get a new walkman radio so I could at least listen to the news on the way home (can’t read on the bus...motion sickness). I owe so much to my wife who just could not stand my snoring to the point where I had to sleep in the guest room on some nights. And to the medical people involved in my diagnosis, my blood extraction, my hospital care, etc. Most of all, Dr. Li for his experience, his professionalism, his confidence, and his sincere concern for my welfare. I never doubted that I was in good hands from the moment I met him.
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JM (male 46)- San Francisco, California
Date of maxillomandibular advancement - June 4, 2008
Dr. Li is a great, great man. Both, as a surgeon and a human being.
His level of experience and care make him second to none.
15 years ago, I was diagnosed with sleep apnea, (although I had it for many, many years prior to that) and had a radical UPPP surgery (by a different doctor) whichseemed to help for several years. Unfortunately, it did not last and by 2007 my OSA was back at a "moderately severe" level. Even after sleeping for 8 hours, I would wake up feeling tired, and struggle to stayalert during the day. I once even fell asleep while driving (at 3 in the afternoon!) My quality of life was not good and I needed help.
That is when (after getting 3 of the same opinions) I chose Dr Li to perform my MMA and GA surgeries. It was an easy choice for me and definitely one of the very best choices I have ever made. Leading up to my surgery, he answered every question I had, and helped me understand *exactly* what was going to happen.
Only 3 months after my surgery, a new sleep study revealed that I had an RDI of 4.8, so I feel it was all a huge success. Dr Li has also performed 2 turbinate reductions to help "fine tune" my breathing at night and that has helped as well.
I am still in awe at the level of care that Dr Li gave me, before, during and after my procedures, and as you can see by all of these other testaments, there are many others who agree with me. I must also add that along with this amazing surgeon, comes an amazing support staff who *all* really know what they are doing.....and they are all SO NICE to-boot! What a truly great crew!
So, if you are suffering from OSA, I highly suggest you contact Dr Li because I am very confident that he will have the right solution to your problem.
I also blogged about my whole experience, so feel free to have a look at:
http://www.sanfranpinski.blogspot.com/
Thanks, Dr Li! You're the best! ~JM
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SL (male 43)- Key Largo, Florida
Date of maxillomandibular advancement - May 22, 2007
Experience: I was first diagnosed with OSA in 1994, but I am certain that I was
suffering from it since the late 1980's. Prior to Doctor Li performing the MMA/GA (
he also fixed my deviated septum ) I had undergone many other procedures: LAUP,
Hyoid Suspension, etc. over the course of 10+ years. I was first told about the MMA
procedure by my doctor in the late 1990's. When I learned of that procedure, I said
to myself that I would never do it!
Many years later, things had deteriorated to the point that I started to rethink
that decision. I had reached a point where my quality of life was so severely
impacted by the OSA that I was now willing to do it. I looked for the best surgeon
in the world and found Doctor Li.
The result of the procedures was immediate and dramatic. I was at once dreaming
again and sleeping better....even in the ICU. I didn't even realize that I had
stopped dreaming! I wished that I had found Doctor Li 10 years earlier.
Everyone I encountered at Stanford was first rate. The nurses and the technicians
were always prompt, cheerful and were sensitive to my needs.
Recovery from the surgery requires patience and preparation. I was unable to talk
and used a memo pad to communicate. Also, I had provisioned myself for a liquid
diet. Suprisingly, there was very little pain after the surgery. Instead, there
was numbness which, while not pleasant, is still better than being in severe pain.
I did not have a great deal of energy the first week, but I was not exhausted
either. I was able to function but certainly could not have been able to do a full
days work.
The archbars in my mouth were causing me to drool a great deal during the first 2
weeks. It diminished each day, but I had to sleep with a towel under my head to
absorb it. I also recall that during the first week, I was somewhat sensitive to
changes in temperature. One moment I would be cold, the next hot. Slowly, but
steadily, the numbness in my lower jaw and lip was going away. In about 3-4 months
the numbness was barely noticable but it was about one year before all of the
feeling returned.
Recovery is a slow process. In approximately 4 weeks after the surgery, Doctor Li
removed the archbars. I was still on a liquid diet as I recall, although I may have
started with extremely soft food such as pudding after the archbars were removed. I
started to eat things such as eggs and fish after 8 weeks of recovery. It was about
6 months before I was able to eat a tender steak. It was about a year before I was
able to eat steak without difficulty. I lost approximately 15 pounds and have not
gained it back!
The surgery performed by Doctor Li has changed my life. I now sleep like a baby and
have dreams and wake up feeling refreshed. Yes, it's a big step, but Doctor Li
would tell you if he felt that the procedure was not for you. As I said, I wish I
had done this with him 10 years earlier.
Throughout the entire process, from initial consultation to post surgical care,
Doctor Li was phenomonal. In addition to the fact that he is an amazingly skilled
surgeon, he was always available and extremely accessible. He demonstrates genuine
caring, concern and empathy for his patients; and his skill as a surgeon is second
to no one. He is the best of the best.
Thank you Doctor Li.
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PJO (male 46) - Cincinnati, Ohio
Date of maxillomandibular advancement - September 2, 2008
Experience: I had my surgery in September of 2008. The surgery is not easy but Dr.
Li is the best in the world and it was a great success. I have almost zero sleep
apnea today and my life has changed dramatically for the better.
Thank you Dr. Li
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MC (female 45) - Mountain View, California
Date of maxillomandibular advancement - May 7, 2007
The surgery changed my life! Before I was falling asleep when I was reading, watching TV, at the theater, at the traffic light and started to fall asleep driving, even though I was using a CPAP machine. I was very tired all the time. I had jaw surgery and now my life is completely different. I can get up in the morning, I am not falling asleep during the day, I have energy, I can watch an entire movie in the evening and read a book. I feel so much better and I am able to work again.
The pain after the surgery was not so bad. I only felt pain in the evening at the joints of the jaws because I was talking through my teeth during the day, when my mouth was held be rubber bands. I did feel some numbness in my upper front teeth and below my lower lip, but it gradually went away after several months, and it is all gone now. Eating with a syringe after surgery was frustrating and challenging. The syringe kept getting stock, while pumping the food or pushing it out, so it was taking a long time. I received great care from Dr. Li, and his staff. The surgery went very well and Dr. Li was very caring and attentive to my needs. I had many follow-ups to make sure things were progressing well, until I was completely healed. The surgery was a success for me, if I had to, I would do it again, I got all the care I needed, and I would recommend Dr. Li and the jaw surgery if needed.
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Mother of NF (female - 25) - Seattle, Washington
Date of maxillomandibular advancement - March 29, 2006
Dr. Li - The results of my daughter's surgery have been miraculous! We are blessed to have the resources financially to provide the best care possible for her. She is now breathing easily and pursuing her dreams - She looks great! Thank you.
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LD (female 44) - Livermore, California
Date of maxillomandibular advancement - March 21, 2006
My experience with Dr. Li and his staff was superb and very professional. Dr. Li was referred to me based on his knowledge and expertise so I knew I was in good hands. The level of care and communication was comforting. The results of my surgery have been flawless. I have no numbing or tingling or visible scarring.
Dr. Li is an expert in his field and I would highly recommend him.
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WC (male 41) - Seattle, Washington
Date of maxillomandibular advancement - January 18, 2005
My experience was fantastic. An odd thing to say about a major procedure. However, things couldn't have gone better! Dr Li's service was exemplary and his staff were and are fantastic!!
I have documented my positive experience on numerous patient support groups online and will continue to refer complex (sorry Dr Li) patients to your practice.
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MU (Male 42) - San Francisco, California
Date of maxillomandibular advancement - March 11, 2008
My surgery was a huge success. It changed my life. I wish I had done this sooner. Sure it's inconvenient and not fun but it's not painful and it can have a positive impact on other aspects of your life to like diet not to mention finally feeling rested and not tired all day. Dr. Li and his staff are amazing and will explain everything to you in detail.
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JT (male 60) – Phoenix, Arizona
Date of Maxillomandibular advancement – January 5, 2010
Experience Equals a Miracle
Some people speak of being reborn after experiencing a life changing event in their lives. Often it is a near death experience or a new found religion or just the realization/awareness of the blessings that surround them.
I have no problem stating emphatically that on January 5, 2010 I experienced a rebirth, a life changing event, which will dramatically change my daily life for the rest of my life (not to mention a likely extended life). I have been reminded daily, over the course of the past ten weeks of recovery, what a miracle and blessing occurred when Dr. Li successfully completed my Maxillomandibular advancement surgery at Stanford Medical Center.
I must first give credit to God and for all the people that prayed for me and Dr. Li. I then must give credit to Dr. Li. His expert surgical skills and extensive experience is without a doubt tops in the country. The most important thing that I could ever say to anyone contemplating this surgery is that “you must”, I will repeat this, “you must” utilize a surgeon with extensive Maxillomandibular advancement surgery experience; And, one that performs this surgery specifically for the correction of obstructive sleep apnea.
Background and Symptoms
I struggled for over 20 years with low energy, irritability, mental & physical exhaustion, fragmented sleep, lack of focus & concentration, lost memory, low testosterone, low antibodies, continuous sinus infections and other depression like symptoms. As many know, your family also suffers right along with you. These symptoms are very similar to symptoms of persons suffering from depression and in fact, I was misdiagnosed with chemical depression and treated with various and multiple anti-depressant medications for over ten years. I tried over 8 different anti-depressant medicines and at one time I was on 3-4 meds to combat what the doctors thought was depression. I consistently informed the doctors that the medicines were not working.
For 15 years I believed I had some form of depression that was untreatable by meds and therapy. Fortunately for me I tried a new psyche doctor every three years and the last one said to me after 3 months of unsuccessful treatment, “John you do not fit the profile of a sleep apnea patient, but I think we should have you tested at a sleep lab.” This is a very important point to understand and a major reason why many sleep apnea patients go undiagnosed. I did not fit the profile of a sleep apnea patient in that I was not over weight, did not have a large neck and did not snore much. I also did not fall asleep during the daytime.
For more detailed background you may visit my MMA surgery blog at: http://sleeplessinphoenix.blogspot.com/
Diagnosis
In March 2006, after a diagnostic sleep study, I was diagnosed with severe obstructive sleep apnea and had an AHI of 47.7. That means I stopped breathing 47.7 times per hour. That’s 3 out of every 4 minutes throughout the night.
Unsuccessful Sleep Apnea Treatment
For the next four years I tried CPAP, BiPAP, APAP and several other “positive airway pressure” machines (with total compliance – I only missed 3 days during this entire period) along with at least 6-8 sleep medications. All of my symptoms continued and I had no positive results. I also had four sleep apnea surgeries (all at one time) which included Septoplasty and a Limited UPPP. This surgery reduced my obstructive apneas, however it did not improve my symptoms. I continued with the APAP (a $5,000+ automatic BPAP) without any corrective effects.
Stanford Medical Center – Dr. Guilleminault
I researched, researched and did some more research (I am a retired Federal Investigator and currently conduct forensic criminal and civil investigations) and determined that the number one sleep center in the country is located at Stanford Medical Center where the “founder and leader” of Sleep Apnea diagnosis and treatment lives, breaths and practices. I set up an appointment for an evaluation by Dr. Christian Guilleminault, the top doctor at the sleep clinic and a diagnostic sleep study. The results from the sleep study and Dr. Guilleminault’s examination were that my obstructive apneas were not being treated by the BiPAP; my sleep apnea was genetic; my airway opening is very small; and I likely have suffered from this all my life. Dr. Guilleminault brought in Dr. Li the next day and they both reexamined my airway. I was advised to consider MMA surgery and to be evaluated for being a viable candidate.
Stanford and Sleep Apnea Surgery Center - Dr. Kasey Li
I saw Dr. Li on December 7th 2009 for my initial evaluation and consultation for surgery. You can be assured that surgery will only be recommended if there is a very good chance of success. I was advised that my sleep apnea could be improved 80-85%. Surgery was scheduled.
Surgery and Recovery
Surgery went as expected. My expectations were high. My pain was little to non-existent. Eating was difficult but that was expected. Everything went well and my recovery has progressed as expected. The only thing that has not gone well and was unexpected was how my insurance company has paid or reimbursed the medical costs. This is the patient’s responsibility and not Dr. Li’s.
Dr. Kasey Li
Thank you so much. I am so blessed and fortunate that you were my surgeon. There is no one out there that could have done a better job. Your expertise and your remarkable results surpass even the top sleep apnea surgeons.
Future Patients
Good Luck. By reviewing Dr. Li’s website and reading these reviews, you have started out in the right direction.
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AL (Male 30) - San Jose, California
Date of maxillomandibular advancement - January 3, 2007
My treatment was awesome. I didn't have much pain and yet the surgery changed my health and life a lot! Thank Dr. Li's amazing skills!
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PS (Female 45) - Denver, Colorado
Date of maxillomandibular advancement - January 26, 2010
I cannot say enough about doctor Li in helping me through this, and being entirely accessible and wonderful doctor. I couldn't have picked a better person to rearrange my face!
Did it work? Well, at almost six weeks postop-I can say I am sleeping more deeply and dreaming than I have in years.
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MG (Female 30) - Orange, California
Date of maxillomandibular advancement - January 12, 2010
Experience: I had the mma (maxillomandibular advancement) surgery on 1/12/2010 which advanced my lower jaw 12 mm. I don’t know how much my upper jaw was advanced. This surgery has been THE dream of mine for several years now and was my last hope from escaping the nightmare that is sleep apnea/sleep-breathing disorders. When I first heard about the surgery several years ago, I thought it seemed quite drastic but now that I’ve experienced it first hand, I would have it done every year for the rest of my life if it meant not having to live with this disorder. First let me tell you a bit about myself:
Age: 30
Race: Asian specifically Filipino/Chinese
Gender: Female
Height: 5’8
Weight: 140
Family history: Father has severe obstructive sleep apnea
I previously had 2 sleep studies at accredited sleep clinics that showed nothing but an AHI of 2 and unexplained spontaneous arousals. The sleep clinic tech let me try out a cpap machine even though I was not diagnosed with severe enough OSA/UARS. I immediately felt better after a few nights so I knew I had a sleep breathing disorders. I also tried the TAP 1 and Somnodent oral appliances but they gave me jaw problems. I needed a definitive diagnosis and was having difficulty self-treating myself so I faxed a letter to Dr. Li in spring 2009 explaining my situation. He was kind enough to call me the next day. He suggested that I do the sleep study at Stanford Sleep Disorders Clinic. I had it done in 7/2009 and was relieved to be diagnosed with an AHI of 14, all hypopneas and many, many flow limitations. I stopped by his office and within 2 minutes of examining me, he knew the mma surgery would help me. It was like visiting the Wizard of Oz.
Of course, surgery is a last resort but I had exhausted all options at this point including two oral appliances and the cpap/apap at the max pressure of 20 cm.
As many of you know, it is difficult to articulate how cruel and debilitating OSA/UARS can be. I felt like I had Alzheimers/narcolepsy/fibromyaglia/chronic fatigue syndrome all in the same body. I remember being almost bed-ridden and was ready to quit my job. In desperation, my family and I (thank God for my family) made the decision to do the mma surgery even if it meant paying for it out of pocket. I could not wait any longer for my insurance to approve it and with my low AHI it would be a fight.
Dr. Li said my case was unusual given my low AHI but the fact that I had many flow limitations probably was the cause of the sleep disruption. My pre-surgery x-ray revealed a narrow airway which was probably caused by my small, narrow, recessive jaws. Dr. Li agreed to do my surgery on me even with a low AHI (which I am grateful for). He said AHI does not reflect the severity of OSA/UARS symptoms. January 12, 2010 was my surgery date. I arrived 5 days earlier with my mom for the pre-surgical appointment and to prepare for the surgery. We stayed at the Homestead Studio Suites Hotel in Mountain View which had a mini-kitchen - great for cooking.
Surgery day:
I was pretty nervous on my surgery day but Dr. Li, his staff and anesthesiologist were informative, professional and competent so was unafraid. I don’t remember anything about the surgery day other than Dr. Li telling me that everything went perfectly. No nerves were cut so he did not expect too many problems. Dr. Li even threw in extra surgeries - my impacted wisdom teeth were pulled and my deviated septum was fixed. I didn’t even know I had one.
1-2 days:
The staff at the hospital were wonderful. They gave me good pain meds and on a regular schedule so that the pain was minimized. I basically slept a lot. My face was really swollen - like a giant chipmunk. They put ice packs over my cheeks and I took small sips of liquid through a big syringe. Pain was the worse during these first few days as expected. Sleeping at an angle and on your side is a must. Dr. Li stopped by my hospital room several times each day to check up on me which I greatly appreciated.
Day 3-7
I was discharged from the hospital to my hotel room. I slept more and watched a lot of TV. Make sure you keep your pain meds on a regular schedule and don’t get behind. Sometimes I took Oxycodone if the pain was real bad. I slept with a foam wedge pillow and drank liquids blended in a Magic Bullet blender then strained. The pain was still bad but not unbearable and highly controlled with pain meds. I felt a squeezing pressure in my jaws like it was in a vise (it was tolerable). DO NOT talk at all don’t even moan. Buy a dry erase board and marker to communicate. I bought a water pik to clean my teeth between meals. I stopped by Dr. Li s office every few days for nose cleaning and progress checks.
Days 7-14
Ten days after being discharged from the hospital, I was allowed to go back to Southern California. The day before leaving for home Dr. Li, loosened my arch bar rubber bands a bit. I would come back 3 weeks later to have the arch bars removed.
Weeks 2-4
Recuperated at home. Continued not to talk at all. Did light walking and deep breathing as suggested by Dr. Li. Also try to get out for fresh air and sunshine. Do not engage in seemingly harmless exercises like Yoga I would unconsciously clench my teeth causing jaw pain. Drinking liquids constantly got really boring but fortunately I lost 15 pounds. Sleep was much better than pre-surgery sleep but still felt fatigued on many days. Slept noticeably better on sides than on back/stomach. At first I would wake up after 5 hours and then it took me 2 hours to fall back asleep. I think my body has been so sleep deprived it thinks 5 hours is adequate enough. I would have vivid, memorable dreams most occurring in the last 2 hours of sleep (last stages of REM). Later my sleep changed - I would sleep 9-10 hours and still be tired throughout the day but definitely not as bad as pre-surgery sleep. Try not to think about your sleep too much or you’ll start to over think your recovery. I continued to communicate with Dr. Li via e-mail. He always gets back to me promptly which I find quite amazing. I researched other people’s mma blogs and experiences. Many people said significant sleep improvements do not show until 8 + weeks so I tried to be patient..
Weeks 4-8
Getting the arch bars removed was a milestone in the recovery period. I began to talk too much immediately which caused jaw pain. My voice did not change at all and I found it best to speak with a modulated voice. I ate soft foods like mashed potatos/yams, soft noodles, soft fish etc. It is good to research soft foods you can eat and different kinds of recipes. My sleep slowly improved and I had my fair share of bad days. I would still be tired/fatigued throughout the day but did not have any deep urges to nap. I noticed the perpetual dark circles under my eyes and skin bruises went away. My ability to read/focus and articulate words/language also improved. I felt less irritable and anxious. However, I did experience depressive symptoms which gradually went away. If you experience these symptoms which are common after surgeries please contact Dr. Li for guidance.
Currently 8.5 weeks post-surgery:
It really does take 8+ weeks for noticeable sleep improvements. Dr. Li and former mma patients said that sleep improves continuously over several months. I’m back at work full-time and while I m not at 100% (more like 75% - 80%) I do feel improvements with each passing week. It’s best to focus on the progress you’ve made.
This surgery is truly life-changing. Just the other day I was thinking how nice it is to feel normal again I was willing to do anything just to feel this way. I can’t express enough gratitude to Dr. Li and everyone involved in my surgery. I could not have asked for a better surgery.
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WB (Female 39) - Helena, Montana
Date of maxillomandibular advancement surgery - October 13, 2009
Dr. Li and Staff,
Thank you all so much for your excellent care and service. You helped a very miserable situation have a positive outcome. Everyone involved was so caring and helpful. Dr. Li, I especially appreciated being able to communicate with you directly and you always responded so promptly. I also can't thank you enough for your generosity and making the surgery within my financial reach.
I can finally say that I am feeling much better. What a difference a little sleep can make! The world is a very different place for me now - much brighter. But, don't take my word for it - the proof is in the report (RDI 4). Thanks so much for helping me out! - with your incredible skill and compassion.
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TP (Female 54) - San Carlos, California
Date of maxillomandibular advancement Surgery - March 10. 2009
It has been one year since my MMA surgery. I now know what a good night sleep feels like!!!! Thank you Dr. Li!
Dr. Li has given me my life back. I was diagnosed with SEVERE sleep apnea. It was so bad that the last 6 months before surgery I had to sleep sitting up in a chair. Before seeing Dr. Li, I had two other consultations with doctors from UCSF. One very disturbing! A friend of mine referred me to Dr. Kasey Li and that was the beginning of my new life. I knew what needed to be done and who was going to do it after my examine with Dr. Li. I took my girlfriend with me to my examine. She was looking for every excuse not to do this very invasive surgery. She was convinced after my consultation with Dr. Li. He has state of the art, high tech equipment
that showed the blockage of my breathing path on a screen and what needed to be done to open my airway. Dr. Li thoroughly explained my diagnosis and what needed to be done. I was ready.
My surgery went well and with full attention and follow up care from Dr. Li. The kindness and extra attention was available at all hours after the operation including weekends via cell phone. Dr Li is a dedicated, wonderful, caring doctor. I now sleep much better, have more energy and I am loving life. I must also add that Dr. Li's staff are exceptional! Very professional, caring and friendly. Thank you Ladies!
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AP (Female 53) - Palo Alto, California
Date of maxillomandibular advancement - March 31, 2010
I’m 7 weeks out from my MMA, still a bit numb and with limited mobility, but thrilled to have done it. My airway (exemplified by x-ray) is huge!!! Next month Dr Li will remove my son’s adenoids and tonsils.
As I started to embark on this MMA journey a friend, whose son has had multiple surgeries due to an exceptionally rare disease, advised me that the difference between a very good surgeon and the best surgeon can be life altering. But just how does one know which is the ‘best’? Luckily we live in Palo Alto and over the months of this process I’ve run into many people that had heard of Li, used Li, consulted with Li, or had their children see Li. They all said the same thing (unprovoked): “Oh, he’s the best”. But my favorite comment came from a professional in an associated field (who sees many post-MMA patients): ‘All of Dr. Li’s patients look and feel great following their surgeries. That’s not true for some of the other surgeons’.
Aside from that, I don’t have much to add to the plethora of patient stories. Here are just a few things that surprised me:
- I had a nasal septoplasty in conjunction with the MMA and was really concerned that I would not be able to breathe, given the multiple on-line descriptions of dripping mucus and noses being suctioned out. It turned out to not be a problem, breathing was always easy and I hardly noticed the septoplasty (except for the advantages of it).
- For the first few days don’t lean forward or your reward is a bloody nose.
- In the hospital your family, and even the nurses, may encourage you to talk. Don’t do it.
- Miso soup and baby food (with some salt) are great options for the first week.
- I really didn’t like the arch bars. If you can, opt for braces instead.
Good luck. Dr. Li, I hope you’re still in business in 9 years when my son will be old enough for his MMA!
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KT (Male 53) - Seattle, Washington
Date of surgery - December 17, 2009
My journey to Dr. Kasey Li began differently than most I believe. In the spring of 2009 I was referred to Dr. Li by my sleep apnea physician. My primary physician and sleep apnea physician submitted pre-authorization requests to insurance to have Dr. Li perform my maxillomandibular advancement surgery. Dr. Li and I exchanged numerous e-mails about my situation and the impending surgery. His response to any inquiry was always extremely prompt and I felt complete confidence in him. My wife and I purchased airline tickets for a consultation, but the day before we were to leave we received notice from our insurance carrier that they would not cover Dr. Li because of being out-of-network ... and gave us names of physicians in-network in our area. I didn't feel at peace having another surgeon perform this surgery ... but felt I had no choice.
The maxillomandibular advancement was performed on 9/21/09 in Seattle ... metal bar removal approx. three weeks later ... a "redo" of the left jaw (screws having become dislodged) on 10/26/09 ... and the metal bars reapplied around 11/03/09. Pain was a constant companion from 9/21 on. Friday, 12/11/09, my teeth were not lining up and the left jaw that had been redone was sagging ... so I called my surgeon and was told to call on Monday for an appt. After relaying this info to my wife she immediately called Dr. Li and he returned her call within five minutes. We booked tickets for Monday, 12/14, and arrived at Dr. Li's office around 10 a.m. that day.
Dr. Li and his outstanding staff (Juanita, Daisy, & Linda) took us in for six hours that day and could not have been more professional and kind to us and the situation we were facing. Both jaws had a non-union, missing areas of bone, and major bone infection. This was devastating news; along with hearing that at this point depending how much bone was missing and how much may have to be removed due to infection (now or in the future if things didn't go well) Dr. Li couldn't be sure of a complete healing. Worse case scenario would leave me as a cancer patient who would need reconstructive surgery ... with being able to ever chew again or not in
question.
We left Dr. Li's office that day emotionally drained but with complete confidence in him to do his utmost to save my jaws. If anyone could do it, he would be the one and having him as my surgeon gave us "great" hope.
I was admitted to Stanford Hospital the next morning to begin i.v. antibiotics. Surgery was done on 12/17/09 to repair my now fractured jaws and deal with the extensive infection. Additional infection was found in the chin and sinus areas. A bone graft was also needed. Three days after surgery I could literally go without pain medication; especially during the day. After three months of ongoing pain this in itself was a miracle.
I was released from Stanford a week later and stayed in Palo Alto an additional week. Because of the extensive infection I needed to continue i.v. antibiotics. We returned home on 12/28/09 and are still doing i.v. antibiotics from home at this time (2/8/2010). Blood tests are done weekly to monitor the infection & the numbers are improving.
Dr. Li manages my care and is in close contact with the physicians near my home to monitor and advise ... and doesn't hesitate to call me at home to reiterate instructions and what my limits are and are not at a given time. My Infectious Disease doctor at home stated on my first visit that no physician in our area could have handled this case of a surgery gone wrong.
Dr. Li is always upfront, thorough, and kind in all the care he gives. At the point I came to him, the situation for having a healed and workable jaw was grave. I firmly believe that no one else could have gotten me to this point of healing, and cannot imagine what life would have been like without Dr. Li accepting me as his patient. He stands out above all others in his expertise and experience, thought-process, communication, care management, and his all-around treatment of the patient and the patient's family. I can never thank him adequately for taking on this more than challenging task.
Although I would never wish to have gone through this ordeal, meeting Dr. Kasey Li will always stand out in my mind and my wife's mind as a quality experience with an outstanding individual. We are so thankful for him and all he does. In closing I would say to be very informed and follow your instincts because many doctors claim to have this surgery down, but Dr. Li is the only one I could and would ever recommend. My experience and health would have been so much the better if he had done my original surgery.
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YMA (male 42)- Doha, Qatar
Date of maxillomandibular advancement- February 18, 2010
My doctor send me from Qatar to see Dr. Li because he told me there is only 1 doctor in the world can help me. My oxygen goes to 65% when I sleep and I wake up all the time from choking. Now I sleep very well and no more waking with apnea. Dr. Li changed my life.
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CM (male 55)- Ashburn, Virginia
Date of maxillomandibular advancement- August 3, 2010
Maxillomandibular advancement is "as advertised." My brother stayed with me the night before the surgery. He was astonished at how I thrashed around in bed, gasping for air. After the surgery the constant tiredness of the sleep apnea was gone. Completely, totally gone. I tried CPAP. I tried three different airway -pressurizing machines- CPAP, BiPAP, and ASV. Only MMA is the cure. I feel like I have been given my life back.
It is serious surgery, but by the end of the first week I was on my own safely. After a few days getting liquid food- juice, soup, protein shakes, milk shakes, etc. -through a large syringe is easy. The pain was not very serious. After discharge from the hospital I mostly only took medicine for pain at night just to sleep more easily.
I recommend MMA to everyone with serious effects of sleep apnea like I felt. If sleep apnea is dragging you down, leaving you tired 24 hours a day, seven days a week, give MMA a chance to restore you to a normal life.
Thank you, Dr Li.
