what I'm going to do there was green hard to get rid of carbon dioxide carbon
dioxide is that you're driving to please we got rid of co2 so you should be able
to hold your breath for a lot longer than before
that's the game so the up strongest a lot is feeding into that senselessly not
yet for somebody to desaturate 65% I would suspect new game is kicking in
here that the individual stops created a full stomach bleeding the hyperventilate
so much to get rid of so our co2 that neither has stopped waiting for such a
long time because their price increase depletions another is stronger hypoxic
effects so if you're it's naturally to 65% we've got a minor game but you've
also possibly have done to keep receptors we will speak try to help you
check occupation did I think you know these saturation and when you can be
saturated this time let's these programs okay what to treat or utility centric
but the last time you really wanted is naturalism
so we have been able to force that caused you to desaturate there by virtue
of the hyperventilation post-op diem which is feeding into the degree of
summary of my box give you context this during wakefulness to get an idea of
what's happening during sleep so Lou came a sign of anatomical arguably the
strongest deterrent our provost about here is a
hypersensitive ventilatory control system or elevation began if your
ornamentation to make sure you see the polysomnography you have to check how
many central apneas are enough if they have a high degree of central idea and
central obviously the brain isn't sending the signals brief but the
primary stimulus greediest carbon dioxide if they have a
lot of sex asleep out there you could suspect that they don't even
get during sleep directly through control awkward when during the day is
dominated by the lack of co2 oxygen laser let alone carbon dioxide is the
brightness stiffness degree in regular everyday with your body breathe be able
to access your food arterial co2 is the greatest it feels good increased co2
stimulation and increased immensely we drive people would I do games have
exaggerated that's waiting for responses to MIT what changes in carbon dioxide
how do you react to the build-up of co2 the first test that I gave you is to
twelve bones if you've got a little control course of less than 25 seconds
you've got a strong ventilate response to see or to any patient who is coming
at you and as they show you if you asked her to do a simple gradual time the
lower her record time the greenest the greater exaggerated ventilator response
of our blacksmith some exams generally that I'm curious about is that
their head between your control course a comfortable cause the germ acts compose
so we proximately 1/3 of our say patients have a loop gain so 33 percent
of their patients will have exaggerated ventilator responses in response to
carbon dioxide I can change or reduce the ventilator
response to be able to do yes how do we do breathing exercises we checked their
breathing during the day to reduce loop gain journal let's let me drive
determines not only the activity of the traffic muscles but also the upper air
metallic muscles we spoke about we need these muscles of the throat working our
turn you don't want these muscles being lazy if there's a severely that's how
you get work other you need to have normal co2 if you have
an individual who stops breathing and after they stop within the
hyperventilate you get rid of too much carbon dioxide the drive the open of the
upper area muscles is diseased so but your breathing is all over the place
stop it hyperventilate stop Hydra mentally started hyperventilating
these muscles aren't going to do the job that this goes the other areas flexible
sorry every race exact Botox and co2 therefore the herbal drive to be covered
airway muscles is low and what does not really do clear co2 levels it will tend
to producers so an individual who wakes up for a drive at morning they were at
firstly not only because of the increased risk of obstructive sleep
apnea how much is it once that is shown that we any trial next
juice by 33% just by entering my post and by the way fifty percent of patients
with arthritis about acquisitions Department their armies will double when
asleep in the background so 50 percent of their patient population community
when they sleep on the back is will double their they may try why because of
course the twelfth was not fall into the airway now back to Kentucky was point I
had we their perfect decision when communism wherever sure from town
do all of you have your own improvement a very simple way that we do it in terms
of is do the pockets a quick story short already gone in order to make that
happen sound where did you get your common when is an occupation zone you
have to place your trunk in the lip of the match and that's where the terms of
your time you get it from the room max there's one is important back in spirit
so when the center was hard reactor waxes and wanes the activity of your
everyday life muscles very supportive Lee so the periods of low sexual
reservoir to drive are associated with low error it was the activity I heard
was essence include this position collapse if you are outside and these
muscles are things after arousal most people recommend briefly and this
basically is the diagram second a supplemental instruction about our by
the stop women nuclear plants at the other than this inquiry that there's a
period of cultural time but the facts are either gets rid of too much co2
which feeds into the next time camp which is essentially higher lubricate
defines less stable control as a disproportionately large translate
immune response will result in a greater degree of time so we recently that kind
of measurement so I just gonna move on just when a couple dare I spoke about
that metric as a couple times anti the co2 significantly higher Drake knows
that my twitter it suggested that the loss of nasal function such as during
days obstruction may result in lower Ignacio truth quantum optics balance
rain stick I remember a perfect ox that not just the result of loop day not just
a result of the hybridization but in terms of the rapid interesting how does
not quit has such a negative impact and in this possibly due to the drive
throwing is reduced and also in the drive to be a prayer at night was
introduced when it increases the dryness of their prayer every postal service
increased bought stickiness made that make the upper area more difference to
be open after voting nobody should wake up the drive back to
the market drive back to the morning the trauma to the appearance and also you
will find that people from this virtual those predicted you're not developments
the box was what you're missing if you're not really generously you're
more likely to be the licensing super rather than speak earlier we don't
necessarily Huckabay in trying to get sleep in the morning if you have a lot
of paralysis variously due to even the slightest pressure a lower concentration
it's all for what increase our volume we have to be using
the diagram I'd like you to look down at your breathing your abdomen your chest
look down at your coming apart are they breathing are you using are you using
the other chester are you using your life interpret if you use your diet
creatures you're improving your not volume you're using your chest
you will not reduce not money increase the body stabilizes this is published in
the master in 2014 the respire to probably stabilizes the rest part
resources process by christmas worth of ultimen co2 and the spa from the blood
asks from changes in methylation and this is what we're trying to do in terms
of addressing new game so rocky exercises how can we reduce the next
lengthy response to co2 how many reduce to gain thirty percent of people what
our strategy map and i became that feeds into the rosette I like it for 100 and
test 100 above your neighbor I liked it when I go to relax and I would likely to
feel the air pollutants in your notes I would like to feel this light
programming into your notes and it's like more mirrors addictiveness
be the spot progress since we know something slightly worker earnestly
vehicles as you feel your breathing I would like you to start softening and
slow down the breath I would like you to slow down the speed of hairs and since
your nose and at the top of the branch in the true feeling of relaxation
starting to allow relaxed I really need you to slow down the speed
of variance in your notes so that you're breathing that was less than what it was
before you started I want you to pay attention bring your attention back to
the rest I'm really slow down the speed of air coming into your body to the
point you can feel the air cover
I'm not going to incorporate I cannot agree to because it would be too much of
the moment little I want you to practice this for about two to three minutes
a few things I need you to pay attention to what does a - live in the house
number two is your body temperature or the temperature of your - I'm number
three is your state of the Arts so again your father the air closer comes in
three roots under frontier close of leaves your house I really need you to
reduce the speed of air that comes in out of your notes to slow down your
breaths by about 20% if you're doing it correctly you should be a 1 or a hunger
for air some of you would have ran out Bree gently to maintain that with her
prayer degree gently to maintain them on the prayer I'm deliberately how to be
reduce your breathing to increase carbon dioxide a little in the glove you don't
have carbon dioxide as increased because you feel the need to breathe The Hunger
prayer is determined by the accumulation of carbon dioxide in the blood I want
you to slow down your breathing to wipe your best to calm your breath and feel
there for her take the rest of us take rest
there's nothing funny how many of you hear what they're up to what life is
really changing the slide of the mountains that's more saying
or a change of body temperature for the world war decided so what's happened
there you just have to pay that some of you would get a ceiling let me do a
strong record that activates the sympathetic response
it's a stretcher but what we do slope with this gentle breathing is activating
the our sympathetic response but amusing that exercise there for us to reduce
eventually in response to our classes they're deliberately increasing co2 in
the blood and better material Europe resisting our veterans their reset and
essentially we're suckers supports five hundred sincerity we don't know the
theory but we know that we are reducing the best in response to co2 if you've
got a strong response to the accumulation of carbon dioxide you will
have independent region now witness we also want to get
diaphragmatic movements if you're not a medic nice light down Ventura knees and
start breathing gently using your driver it's true
as dr. Patricia you know he says that people with our embassies not make they
don't talk to Russell for the driver of course they don't we must are doing
strong breath polls during their sleep and the brain is sending continuous
messages to desire to bridge the difference between the obstructive sleep
apnea and a central sleep apnea no duelist will be taking home a rather to
your notes Norma mentally and almost pinching those ultra rosensweig
autographs unlimited young to keep working and keep feeling the air my
muscles die little air they're trying to interfere your diaphragm is trying to
move down to some tracks that's enough struggle sleep on it
you're waiting muscles are trying to bring their in do you feel the
involuntary contractions of you stop dreaming there so people would
always say without fighting about doctors but they don't use them because
most of them will be greater to the eyes so we need to restore it so just
naturally the diaphragm strength is not going to be enough because I would
expect these people to have a high inspire trans exposure muscle strength
but they produce now I'm gonna have you do that once more and I want you to
check your nostrils because we said when you eat yes to those by going into
breath so whenever you're ready to take you gagging over by that tree rose and
norm about nitrogen or some pinching those foods are those pants way more
than the breath and wait for the right food and see how long does it take how
long can you keep working your record but I also want you to check how is your
second Rex after you resume breathing so hold your record as long as you can
whatever some creative powers of the second practice integrity just check
your nostrils there by the way check of that muscle check right nostril
after you did not exercise it is there any change to your notes there's a field
here your mental state by the way is really changed for America's Health
leaders from carbon oxide has a protective mechanism German struggle see
pop in when you stop reading trigger speak yes it's true thruster that was
rough we were co2 levels increase I need peace of heart action because the right
shift of the other human vocal association perfect that hemoglobin
would release more oxygen but also ridiculous from records the
forever blood type from the strips and you live in Crystal's brain so carbon
dioxide is very protective during who is there this paper is very
exciting if you have just a month ago but it's based on what we would have
been sick for about 18 years it's the first time that's ever been studied it's
currently not possible to recognize elevated lubricating patients we test
the hypothesis the little bit of you dangerously could be recognized during
the voluntary breath world glucose during rivers this is exactly what I had
to do they had 20 individuals half an hour saying 10 controls they
participated in the sickle overnight study with voluntary breath warning
maneuvers performed friend witness they assessed two things one was the maximum
record generation people would I knew cane have a low rate for time so any of
you that had a retro fragment and sax I would really encourage you to do some
research if you have a little retro time and if you suspected property but again
I think if you're breathing also that needs to be addressed and I don't want
to give you 101 that different things to do but start those breathing and start
slowing down your breathing to feel back slightly longer to reset breathing
centered towards a reduced heads may be responsible for the bags later the
second thing that the rock was the met many responses in the first two breaths
follow the 20 seconds of reference so they have individual stop waiting for 27
and they are the question under second Brett's other deliveries individuals who
read our Ironman Ironman patron sleep was associated with a shorter maximum
breath for the duration we invested with retro climb as an index
of your breathing after disorders if you're less than 25
seconds you're more likely to get processed with it you're more likely to
be breathing through your mouth you're more likely to have irregular breathing
you're more likely to breach our posture so 25 second is the cutoff points honey
patient or try to convince me I want to get the breathing exercises just as we
did gently slow it down the rest getting means of breathing motor and weightless
and during sleep to approve their breath work on that their breathing is electric
heart breathing is not a good sign in in which work with walking and are feeling
excessively breakfast are disproportionately breathless that
individual is going to be breathing harder drinks thing and it ties back in
what is obstructive sleep apnea it's when the negative pressure created
during inspiration exceeds the dilated force of the upper areas keep down their
way over and that's the father we want to reduce the negative pressure and I'm
happy to go that way that again and I have to put 100 your chest 100 above
your name I want you to really pay attention to your breath and I want you
to feel slightly boogers in your nose and slightly forward there other things
your nose if you find that your mind wanders a lot to forget so much other
this because a football attention theaters like the quota are
coming in on fears like before we're live in your house as he OCD agreement I
would like to pretend this off from the right to quite some time so you make
attention to the select order coming in on the select operator needed and just
reduce the speed of air as it enters and leaves your mushrooms just reduced to
speeder debris just reduce try and breathe so they can see the carbon under
sensational arrows try great almost if we have nowhere to the materials so that
the breaths to the point of being arrogant work and try projecting to
maintain that interpreter this exercise would improve your blood circulation you
slow down your breathing you pre likely and look those whom you're good
influence of the reclassify from blood vessels by slowing down the breath by
breathing lightly you practice this exercise a bracelet will exercise their
gradual time increases your breathlessness during the physical
exercise decreases due to take rest so also when you break likely your
notice it's more likely to be mortal so we practiced operating exercise it
improves with the Cochran's orders after a few weeks we recognize our rhythm we
need to die from signaling to the corporate without any muscles you always
have to think of these as limits but you have a patient in your dental chair
even when they're not paying attention to you and asked the question are they
equated using the chest or are they breathing using your driver they're not
you will find the die cut locator device for what was strong in shorter seeing
what would you feel it but it's like a tip sheet of better yours lucky truth
auger it's very strong it's right in and it's shaped like the door I think the
could be separate supports from the optimum so the two hints that we love a
good name retro time message the retro final generation singing but how often
the corner bucks give you good feedback how hard to breathe and the he will
respect sensitivity he determined to do get coming estimated simply by measuring
how long participants and property for the record this signal is the first that
is because into what we've been saying for almost 20 years
we also believe that we can determine that our people receptors of roads are
not so by virtue of your preference under your control costs should be half
your max loss so I asked you to write down two biggest over 12 oz one of your
buffers or gradual time I want to see are you able to feel the slight
accumulation of carbon dioxide in your love can you feel the air hunger but
easily Argos doesn't take a huge from record where you'd feel the mental
barrier in other review theater progressively increasing their hunger
are you only theater when is extreme so your maximum for them if your maximum
horses face the controls should be about them but if
we find the control part of their maximum causes the same because
sensitivity to the increase of co2 is not as hypothesize we found strugglin
significant inverse correlation between the maximum retroland
and Luca equipment hood horizon thresholds how easy is equivalent to
horizon stick
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