Vik Veer - ENT Surgeon
Vik Veer - ENT Surgeon
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Turbinate Surgery: How to Avoid Empty Nose Syndrome
I explain how to perform a turbinate reduction (with Celon Radiofrequency Ablation) and avoid empty nose syndrome. If you want to learn more about empty nose syndrome look at this video - czcams.com/video/hC4AeYPgVvM/video.html
NEWSLETTER
If you would like more information, news and have access to various devices I give away for free, please sign up to my Newsletter. Click on the link below.
cheerful-knitter-8774.ck.page/35648c37b6
Camera kit
Canon EOS M6 Mark II - amzn.to/2KQjQPF
Canon 50mm F1.8 (nifty fifty) - The lens I use most of the time - amzn.to/3eI25yN
Canon Mount Adapter EF-EOS M - amzn.to/3j1opDF
Amazon Basics Tripod - amzn.to/3cntUuU
Google Pixel 6 Pro - amzn.to/3IDMBIB
Audio kit
Yeti Blue Microphone - amzn.to/3afEEJ7
Lighting kit
Neewer 2 Pack Dimmable Bi-color 480 LED Video Light and Stand Lighting Kit - amzn.to/3onLcu8
Laptop
ASUS ZenBook Pro Duo UX581 - amzn.to/2KUsfli
Software
Adobe Creative Suite
Chapters
0:00 Introduction
0:10 Do NOT use nasal sprays before an operation
0:26 How decongestion may make it harder for your surgeon to operate.
1:03 How Celon radiofrequency ablation works.
2:05 Do NOT ablate too much
2:20 Operation of turbinate reduction
2:51 Do NOT use decongestants before the operation.
3:19 Do NOT inject the turbinates
4:06 Where to ablate
4:50 Careful with outfracture
5:40 Conclusion
** DISCLAIMER: Please be advised that the information presented in this video is not intended to serve as a substitute for professional medical advice, diagnosis, or treatment. It is essential to understand that all content, including text, graphics, images, and information, provided in this video, is for general information purposes only. You will need to consult with your doctor or health professional before making any medical decisions based on the contents of this video. **
zhlédnutí: 585

Video

Tongue & Tonsils Surgery Risks - and how to avoid them.
zhlédnutí 777Před dnem
Pain, Swelling, Spasm, Infection, Taste disturbance are all mentioned in this video. I go through each and explain what you can do to reduce the risks. NEWSLETTER If you would like more information, news and have access to various devices I give away for free, please sign up to my Newsletter. Click on the link below. cheerful-knitter-8774.ck.page/35648c37b6 Camera kit Canon EOS M6 Mark II - amz...
What you Need to Know about Tongue Surgery for Sleep Apnoea
zhlédnutí 2,8KPřed 14 dny
Sometimes the tongue can fall back and block your breathing causing sleep apnoea and snoring. In this video I describe the different operations that are performed on the tongue base (and lingual tonsil), that would allow people with OSA to breathe better. NEWSLETTER If you would like more information, news and have access to various devices I give away for free, please sign up to my Newsletter....
The Truth about Mouth Taping: A Sleep Surgeon Review
zhlédnutí 4,9KPřed 21 dnem
I explain how mouth tape whilst sleeping works. Who would benefit from it and who should not use it. Enjoy! NEWSLETTER If you would like more information, news and have access to various devices I give away for free, please sign up to my Newsletter. Click on the link below. cheerful-knitter-8774.ck.page/35648c37b6 Camera kit Canon EOS M6 Mark II - amzn.to/2KQjQPF Canon 50mm F1.8 (nifty fifty) -...
The Confusing Relationship between Blood Pressure and Sleep Apnoea
zhlédnutí 4,1KPřed měsícem
High blood pressure can be a sign of sleep apnoea, but why do some people have high blood pressure and some others don't? Why does CPAP solve some people with hypertension but make it worse in others? I try and explain this relationship between hypertension and obstructive sleep apnoea in this video. NEWSLETTER If you would like more information, news and have access to various devices I give a...
What to do if your nose is broken
zhlédnutí 1,2KPřed měsícem
A fracture of the nasal bones needs urgent treatment. A lot of people get this wrong, so watch this video so you know when to get it corrected. NEWSLETTER If you would like more information, news and have access to various devices I give away for free, please sign up to my Newsletter. Click on the link below. cheerful-knitter-8774.ck.page/35648c37b6 Camera kit Canon EOS M6 Mark II - amzn.to/2KQ...
Stop Blaming the Nasal Cycle!
zhlédnutí 4,3KPřed měsícem
Watch me control my 'Inner Rant' as I talk about blocked noses that shifts from one side to the other repeatedly. NEWSLETTER If you would like more information, news and have access to various devices I give away for free, please sign up to my Newsletter. Click on the link below. cheerful-knitter-8774.ck.page/35648c37b6 Camera kit Canon EOS M6 Mark II - amzn.to/2KQjQPF Canon 50mm F1.8 (nifty fi...
An Honest Conversation with an Anaesthetist
zhlédnutí 2KPřed měsícem
Face masks are critical in keeping patients safe. The design quality has degraded over the years as costs have become paramount. Dr Jim Roberts and I talk through the issues and our desire to change things in the future. The old mask image was taken from this link on amazon. www.amazon.in/Face-Mask-Anesthesia-Mask-Black/dp/B01AT7A3LE NEWSLETTER If you would like more information, news and have ...
Which operation is best for really loud snoring and sleep apnoea?
zhlédnutí 3,4KPřed 2 měsíci
Lateral pharyngeal wall collapse often causes very loud snoring and sleep apnoea. There are two main operations for lateral pharyngeal wall collapse - Expansion Sphincter Pharyngoplasty and Barbed Suture Pharyngoplasty. In this video I explain what all that means and which of these is better at dealing with the lateral wall collapse problem. Below are three articles that you might find useful a...
Do NOT have a UPPP (Uvulopalatopharyngoplasty). Here's why...
zhlédnutí 3,9KPřed 2 měsíci
Uvulopalatopharyngoplasty (UPPP) is an old operation for snoring and sleep apnoea. although the initial results are quite good, the effect is not long lasting. I explain why this operation is not done anymore. NEWSLETTER If you would like more information, news and have access to various devices I give away for free, please sign up to my Newsletter. Click on the link below. cheerful-knitter-877...
How to Fix Nasopharyngeal Stenosis: Complication of Laser Surgery
zhlédnutí 1,5KPřed 2 měsíci
Nasopharyngeal stenosis is a horrible condition where the palate and the throat are fused together. This stops you from being able to breathe through the nose at all. I explain what this condition is, how to avoid it and how I fix it. Nasopharyngeal stenosis image from Medscape emedicine.medscape.com/article/861554-overview Lateral throat image from wiki commons Pereru, CC BY-SA 3.0 creativecom...
Breaking News about three implants for sleep apnoea on the NHS
zhlédnutí 4,9KPřed 2 měsíci
I describe three implants for sleep apnoea in this video. Inspire, Nyxoah and a top secret one that no one knows about. NEWSLETTER If you would like more information, news and have access to various devices I give away for free, please sign up to my Newsletter. Click on the link below. cheerful-knitter-8774.ck.page/35648c37b6 Camera kit Canon EOS M6 Mark II - amzn.to/2KQjQPF Canon 50mm F1.8 (ni...
How to Drain an Quinsy ( Abscess in your Throat ! ) +18 content
zhlédnutí 2,9KPřed 2 měsíci
I show me cutting into the throat of a patient and releasing all the pus inside an abscess. Warning 18 content of a surgical procedure. NEWSLETTER If you would like more information, news and have access to various devices I give away for free, please sign up to my Newsletter. Click on the link below. cheerful-knitter-8774.ck.page/35648c37b6 Camera kit Canon EOS M6 Mark II - amzn.to/2KQjQPF Can...
This Simple Technique improves Insomnia by 22%
zhlédnutí 3KPřed 2 měsíci
This Simple Technique improves Insomnia by 22%
The Correct way to put Cream up your Nose (a Surgeon Explains)
zhlédnutí 1,6KPřed 3 měsíci
The Correct way to put Cream up your Nose (a Surgeon Explains)
How to Operate 3x Faster
zhlédnutí 2KPřed 3 měsíci
How to Operate 3x Faster
I'm Inventing a NEW Device for Snoring !
zhlédnutí 9KPřed 3 měsíci
I'm Inventing a NEW Device for Snoring !
An Implant that Unblocks your Nose?
zhlédnutí 4,3KPřed 4 měsíci
An Implant that Unblocks your Nose?
Inspire Implants NOW Available + When to use medication for Globus
zhlédnutí 2,1KPřed 4 měsíci
Inspire Implants NOW Available When to use medication for Globus
Tinnitus: How to go from Habituation to Silence
zhlédnutí 10KPřed 4 měsíci
Tinnitus: How to go from Habituation to Silence
NHS Hypoglossal Nerve Implants for OSA: New Jersey - Part 2
zhlédnutí 1,7KPřed 4 měsíci
NHS Hypoglossal Nerve Implants for OSA: New Jersey - Part 2
NHS Hypoglossal Nerve Implants for OSA: New York - Part 1
zhlédnutí 3KPřed 4 měsíci
NHS Hypoglossal Nerve Implants for OSA: New York - Part 1
Having an operation could be safer! A discussion with my Anaesthetist.
zhlédnutí 2,6KPřed 5 měsíci
Having an operation could be safer! A discussion with my Anaesthetist.
Ask Me Anything - Christmas 2023 special
zhlédnutí 3KPřed 5 měsíci
Ask Me Anything - Christmas 2023 special
Empty Nose Syndrome - My Theory & How to Fix it
zhlédnutí 14KPřed 6 měsíci
Empty Nose Syndrome - My Theory & How to Fix it
How to use Ear Drops & How to avoid the Risks
zhlédnutí 9KPřed 6 měsíci
How to use Ear Drops & How to avoid the Risks
Who should NOT take Melatonin - Part 2 by Dr Dipesh Mistry
zhlédnutí 2,7KPřed 6 měsíci
Who should NOT take Melatonin - Part 2 by Dr Dipesh Mistry
Melatonin - Part 1 - By Dr Dipesh Mistry
zhlédnutí 1,7KPřed 6 měsíci
Melatonin - Part 1 - By Dr Dipesh Mistry
Causes of Insomnia (hormones, psychology, medical conditions)
zhlédnutí 3,1KPřed 7 měsíci
Causes of Insomnia (hormones, psychology, medical conditions)
Why Doctors Don't Understand UARS (Upper Airway Resistance Syndrome)
zhlédnutí 7KPřed 7 měsíci
Why Doctors Don't Understand UARS (Upper Airway Resistance Syndrome)

Komentáře

  • @killnow80
    @killnow80 Před hodinou

    Now how about doing Turbinate Surgery with a Septoplasty. Any difference in procedure when fixing deviated septum?

  • @user-xi3yu9iw7q
    @user-xi3yu9iw7q Před 2 hodinami

    Hi I found your video very informative. My elderly mother who I hv noticed over 3 months, blood has been in her nasal cavity, mom suffers with high blood pressure and hayfever. Yesterday I went to see ENT specialist, he didn't explain anything about how the nasal vessels work within the nasal passage etc, basically he, didn't explain anything like you did within your video. He just explain the type of assessments, like; x-ray, put a camera within the nasal. He just asked when was the last time mom's nose had bleed, then he went onto said there's 10% reasons for bleeds and majority of the time there's no explanation for why the nose hv blood high up in the top of the nose. I'd could it be a connection to mom's blood pressure, he said may. With the Nasal cream you'd mentioned "Naseptin nasal cream" he said do not use cotton bud or your finger, push the actual high up into mom nasal in the direction of her eye socket, then squeeze the cream straight into her nasal passage, he then said don't clean out mom's nose, as it will take off any scabs in the nose, just use a syringe with saline water, or warm saltire water clean out inside mom nasal. I just had the feeling he was giving me bad advice. I need to know why mom has suddenly been having onset bleeding inside her nostrils?.. I need medical advice?.

  • @dhs33669
    @dhs33669 Před 3 hodinami

    Can you have this surgery done every 3-5 years without ENS or pathological scarring? I ask for the cases where the turbinates grow again and again

    • @VikVeerENTSurgeon
      @VikVeerENTSurgeon Před 48 minutami

      I would choose a more permanent option. the abbey needle technique is quite old now. the modern techniques are permanent.

  • @kavopic
    @kavopic Před 3 hodinami

    Thank you very much for explaining all this.

  • @grahamparkinson209
    @grahamparkinson209 Před 4 hodinami

    20-40 minutes??!?!!? My operation was approximately 98 minutes 🥹😅 After watching this Video I would be surprised if mine took the whole 98 they estimated, i wonder if that 98 minute calculation was Including my Remaining Period of Unconsciousness after the Operation?!? (And then i spent what was probably 2.5 maybe even 3 Hours in Recovery, Puking my Guts out, Gushing Blood from my nose and Feeling the Worst Sensations and Symptoms ever! (If anyone reading this comment is about to have a septoplasty, I pray you dont smoke Cannabis daily like i do, and If so, take a week Long tolerance break beforehand because i was apparently Having Hightened Withdrawals AND they also said I was having medicine resistance fron what they use in the IV apparently all Issues due to my daily Cannabis consumption!?!?!!?) One day without it wasnt a good enough effort on my part obviously! Paid the Price too because the Nurse was supposed to go Home and She stuck around to Monitor my Vitals and condition, even though She knew other nurses were ready to takeover the Task 😮

  • @jonfrisch2584
    @jonfrisch2584 Před 5 hodinami

    Well done. As a candidate for the device, I would like to learn more about physical activity, regarding Inspire implant. Thank you!

  • @paulbonaventura4969
    @paulbonaventura4969 Před 5 hodinami

    Does the cholsteoma go into the mastoid bone (infect the skull bone)?

  • @kategrant334
    @kategrant334 Před 5 hodinami

    Can you please talk about deviated septum I have a deviated septum and have hayfever can you talk to us about this thank you

    • @VikVeerENTSurgeon
      @VikVeerENTSurgeon Před 47 minutami

      I have videos on both of these. there is one on hayfever and several on septoplasty. hope they help you.

  • @SomethingNick
    @SomethingNick Před 6 hodinami

    Any advice in what I can do in the mean time whilst waiting for the NHS referral for sleep apnea? I’ve been doing positional therapy and myofunctional exercises but still find myself frequently waking up in the night and snoring very loudly

    • @VikVeerENTSurgeon
      @VikVeerENTSurgeon Před 45 minutami

      I've got videos on tongue retaining devices and positional devices? nasal dilators etc. hope they help.

  • @kategrant334
    @kategrant334 Před 6 hodinami

    Thank you vik where are you based in London and can we consult with you for checkups thanks

  • @magno5157
    @magno5157 Před 6 hodinami

    What a great idea! I can tell my mom buying PS5 is a doctor's order!

  • @chazlon5061
    @chazlon5061 Před 7 hodinami

    Hi Dr. Veer. Question. Does outfracturing turbinates have a higiher risk of ENS than radiofrequency ablation?

  • @ShirleyCooper08
    @ShirleyCooper08 Před 7 hodinami

    I have swollen turbinates for at least 7 years now, I had a procedure called Vivear, which didn't help at all ..after two years of still suffering I had surgery..the ENT took out some bone but said he couldn't take out much because of all the scar tissue left from the vivear treatment... And he told me there was nothing else he could do for me. I still suffer... Not sure what else to do...I go back to a new ENT next week . Wish you was my doctor...I need someone that actually knows what they're doing .

    • @VikVeerENTSurgeon
      @VikVeerENTSurgeon Před 40 minutami

      I'm not a fan of vivear. it looks too similar to linear cautery to me (which keeps recurring). I personally don't like bone removal either but there are some occasions when it is needed. I'm sorry I can't give advice unless I see your turbinates. I wish you the best.

  • @Mau365PP
    @Mau365PP Před 8 hodinami

    Still too dangerous 😢

    • @mikekaraoke
      @mikekaraoke Před 3 hodinami

      All depends who is doing it, this man knows what he is doing and never given any of his patients ENS!

    • @VikVeerENTSurgeon
      @VikVeerENTSurgeon Před 39 minutami

      I perhaps worry about it more than most. but I'll take the compliment. thank you.

  • @catallergiccat
    @catallergiccat Před 8 hodinami

    Thank you Mr. Veer! Your explanation gives me a lot of confidence if one day I have to undergo this operation!

  • @nogeneticboys
    @nogeneticboys Před 9 hodinami

    Iam very scared of ens….. I get a septoplasty soon and they told me the yalways reduce turninates with it. Is it worth without ?

    • @VikVeerENTSurgeon
      @VikVeerENTSurgeon Před 37 minutami

      if you don't have big turbinates, then there is no reason to touch the turbinates. if you have a straight septum but you feel blocked then try one spray of otrivine to see if you can breathe better. if you can then it might be big turbinates.

  • @Abdul12_34
    @Abdul12_34 Před 9 hodinami

    Hello Dr Veer Thanks for treating me with this exact same procedure, recovering well😊 It makes sense as you say to not use any steroid sprays or decongestants before the procedure because you want as much tissue area as possible to work with

    • @VikVeerENTSurgeon
      @VikVeerENTSurgeon Před 36 minutami

      I thought of you when I spoke about this. hope you are recovering well.

  • @mmmwangi
    @mmmwangi Před 10 hodinami

    Thank you for the informative videos. I have learned so much from you. I have three questions for you. With Celon radiofrequency, do the turbinates usually grow back? Why do you prefer Celon radiofrequency to microdebrider? Do you accept international patients if they are willing to pay out-of-pocket?

    • @VikVeerENTSurgeon
      @VikVeerENTSurgeon Před 32 minutami

      I'm not a fan of microdebrider as I find that some of it grows back in patchy areas. it seems to be hard to be precise with the debrider, whereas it is much easier with celon (at least in my hands). it is mostly personal choice, I guess I want to be sure where the scar tissue is which you can't be sure about with a microdebrider (again personal opinion).

  • @DurhamHearingSpecialists
    @DurhamHearingSpecialists Před 10 hodinami

    3:22 Might the explanation be that some junior doctors are heading off troublesome bleeding or feeling shrinking things down to its true size gives a better reflection of what's being ablated? Cool pin

    • @VikVeerENTSurgeon
      @VikVeerENTSurgeon Před 23 minutami

      That's a tough one Conor. I think it's because they don't understand how it works and they don't see the patients again in clinic so they never learn what is too much and what is too little.

  • @manuelsza7064
    @manuelsza7064 Před 10 hodinami

    Saying that pH 7 distilled water is going to lead to a less acidic pH is just nonsense. If there is no buffer forthe pH in the distilled water, the pH adaptation with virtually any amount weak acid is going to be instantaneous. No hate, but this interpretation is not chemically correct.

  • @abdirahmanhassan707
    @abdirahmanhassan707 Před 11 hodinami

    Great video Dr.Vik, would you typically repeat the surgery if nothing improved with your patience.

    • @VikVeerENTSurgeon
      @VikVeerENTSurgeon Před 22 minutami

      I've not that that situation before. but I have had people who I wasn't aggressive enough with. in those have have improved but not enough I will repeat. never had to do it three times.

  • @shinebo3495
    @shinebo3495 Před 11 hodinami

    Hey Vik, hopefully you see this comment, I wanted to know if over-using nasal strips like ''breath right strips and such'' can weaken the nasal valves in any way? I couldn't find any information on it but it seems a bit logical to me that a constant force in that valve area can weaken the nasal valves, I hope that I am wrong, would love if you educate me on that one, thank you <3

  • @mikekaraoke
    @mikekaraoke Před 11 hodinami

    Very informative video Vik you are reducing my turbinates on the 1st of July-have my pre-op tomorrow 👍🏻 You said when I last saw you/in letter you may redo my Eustachian Tube Dilation-as still have fullness/ringing in both my ears with popping/crackling when I yawn/swallows o will that be done?? I think I may need a scan of both my ears. Reply when you can thanks 👍

  • @user-sh7nt1pg9g
    @user-sh7nt1pg9g Před 11 hodinami

    Thank you for new video.

  • @user-mg8pt6pv1o
    @user-mg8pt6pv1o Před 15 hodinami

    This is Device amazing… Is it possible to order one from the United States?

  • @KenJohnsonUSA
    @KenJohnsonUSA Před 16 hodinami

    I've always had ear problems. About 15 years ago, I had both ear drums rupture. The ENT did an inpatient procedure where they inserted tubes after chemically blanching my ear drum. It was nothing short of barbaric. Also, in the process of blanching my ear drum, they hit a nerve so all I could taste for 45 days was this zinc-metallic taste. The tubes they used then messed up and caused me more hearing problems and difficulties that led to another surgical procedure where they sedated me, removed the tubes, and inserted a different kind. My hearing was never the same. Fast forward, I spent the better part of last year in agony with my ears. I had perforated ear drums and drainage. When they did a hearing test, the only way I could hear was with a bone conductivity device. Finally, due to the marked hearing loss, they decided to do a eustacian tube dialation. The entire procedure cost $40k and did nothing to help. Now, they are saying my only option it to get tubes again...which they admit probably won't work. It is so frustrating.

  • @SK-ry5we
    @SK-ry5we Před 21 hodinou

    thank you doctor.

  • @laurenlacey418
    @laurenlacey418 Před dnem

    Am from the uk and just prescribed olive oil drops

  • @jacobohlenschlager1

    You should get expansion of your palate and Learn proper tongue posture. It will keep your tongue in the roof of your mouth even at night. That’s the correct treatment. My experience as a dentist, treating these patients, is all of these patients have narrow arches and crooked teeth, not leaving space for their tongue, to get a proper suction on the roof of the mouth.

  • @WendyMcPherson-sy9qb

    So informative. Thank you!

  • @19tet
    @19tet Před dnem

    11:42 wait. yeah lol tinnitus lowkey reminds me of ocd. its like a type of ocd 😂

  • @CalleyWalsh
    @CalleyWalsh Před dnem

    Thanks, I recognised the sniffing effect. Why are we not told this to start with.

  • @mishacalvin1
    @mishacalvin1 Před dnem

    You can reduce 50% of your tinnitus wuth the herb call Ginko. It works for me. Mine one is really loud cos I am rock guitar player

  • @jazminluevano7688
    @jazminluevano7688 Před dnem

    I'm having a cholesteatoma removed soon and I am freaking out 😢

  • @PiisKhan
    @PiisKhan Před dnem

    What are the effects of all these things on the eardrum?

  • @joec0000
    @joec0000 Před 2 dny

    Thank you so much Vik. You have totallly reframed this for me and it has provded immense healing.

  • @rozalynanderson8387

    Thank you for this. Im having no luck with my ENT dept! I need to get BP down. I exercise every day eat healthy not overweight etc then a friend told me it could by my snoring!

  • @Ida-Adriana
    @Ida-Adriana Před 2 dny

    Finkelstein technique sounds awesome. In olden times drs would taste the pee of patients, now that’s dedication!

  • @LexaTerrestrialx
    @LexaTerrestrialx Před 2 dny

    What is removing the bone of the turbinates ??? Mine were out fractured so crushed

    • @LexaTerrestrialx
      @LexaTerrestrialx Před 2 dny

      Btw.. Theres many patients that get ens after getting anyyyy surgery to their turbinates ! New ones popping up everyday. Not just a total reduction. Any damage to the turbinate can cause this…

  • @LexaTerrestrialx
    @LexaTerrestrialx Před 2 dny

    Ps it’s awesome you raise the nasal floor for ens patients ! How do you raise the nasal floor??? Absolutely incredible & your inquisitive thinking helps

  • @LexaTerrestrialx
    @LexaTerrestrialx Před 2 dny

    Ps it’s awesome you raise the nasal floor for ens patients ! Absolutely incredible & your inquisitive thinking helps

  • @Riya-ds6pd
    @Riya-ds6pd Před 2 dny

    I need Mostoid surgery operation please help me I am from Bangladesh,,,😢😢😢😢😢

  • @kikigirlkauai
    @kikigirlkauai Před 2 dny

    Always tell nurses ahead of surgery you are good patient but after may need three things , tiny sip of water or ice if mouth is all dry, Vaseline for dry cracked lips, and if you need some joy juice before you go home you will tell them. The car ride and getting home is terrible unless they give you just a tiny bit more of the good stuff. That way you doze in car and once in propped up you will sleep for a few hours. Take pain med before it gets bad.

  • @HSRA71-rn6lj
    @HSRA71-rn6lj Před 2 dny

    New research led by the University of Leicester has examined the cellular mechanisms that underlie hearing loss and tinnitus triggered by exposure to loud sound, demonstrating that physical changes in myelin itself -the coating of the auditory nerve carrying sound signals to the brain-affect our ability to hear. It is not ear damage.

  • @confory9620
    @confory9620 Před 2 dny

    It's the same problem in mental health. If you're depressed you're fobbed off with citalopram and 12 weeks of CBT (after a long wait). If that doesn't work, maybe they try some other antidepressants. No attempt to actually work out what's going on and what is the best set of interventions to help you. You have to work all that out on your own, in combination with working with private therapists who actually do proper long-term therapy. Yes it seems cost-effective on the surface, in that you're giving people the cheaper treatments at first before moving onto more expensive interventions. But if you actually could intervene early, work out what's the best thing for people, and then provide that for them, people wouldn't be languishing for decades with supposedly treatment-resistant depression. I can see a lot of value in the evidence based movement, but it's also turned doctors into algorithm followers, and allowed them to dismiss anything that doesn't fit into their boxes.

  • @drexplordinaire
    @drexplordinaire Před 2 dny

    you are a newb, people in Asia use these all the time w/o issues

  • @Judgement24
    @Judgement24 Před 2 dny

    I use breathe right but they make my skin itch and can be uncomfortable. Also, they can irritate the skin and leave a sticky gluey residue.

  • @mariachristinaborges-lutz7157

    How can we know, if we are a dipper or non-dipper?