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7 thoughts on “Expert Interview: Buteyko Breathing with Patrick Mckeown

  1. I have been diagnoised with sleep apnea and have a CPAP machine which I never use because it is so discomforting.

    I am looking for another way to deal with this issue like maybe a dental device or other means. I am slightly overweight and I am trying to lose weight.

    Please advise.

    Thank you.

    Monique Marshburn

  2. Here are some of the reasons that a very high percentage of people do not continue to use the CPAP or BPAP machines even though they raise Oxygen saturation which is demonstrated usually during the sleep study to show how, without any other intervention known to the testing clinicians, that the machines can save the oxygen starved patient’s life.
    Requirement to sleep on their backs due to masks leaking when turning.
    · Pressure marks on face due to tightness of mask to prevent leaking.
    · Allergic reaction to materials in masks.
    · Mask leaks and the associated noise disturbing their sleep and their
    partner’s sleep.
    · Feeling of claustrophobia and ‘drowning’ when using the machine.
    · Emotional and aesthetic objections to being attached to a machine through
    the night.
    and finally and most importantly directly connected with what can help to cure the apnoea through retraining the breathing using the Buteyko method possibly along with orofacial myology is the following sequence:
    The major reason why people reject CPAP, in such large numbers, is that it is
    too harsh, changes PaCO2 too quickly, and doesn’t give the brain time to
    readjust to the new breathing rate.
    As soon as the CPAP is applied, the PaCO2 is increased, the breathing rate is
    mechanically reduced, but the brain still wants to breathe at the higher rate –
    hence the discomfort, panic and feeling of ‘drowning’.
    Even the more modern and sophisticated machines which ‘adjust’ to the
    patient’s breathing rate cause this problem as the ‘splint pressure’ is often
    higher than can be comfortably tolerated.
    Sleep Apnoea and Dysfunctional Breathing.© Dr. Roger Price 7 & Dr. Derek Mahony
    In order to minimise this response it is necessary to reduce the rate at which the
    brain ‘wants’ to breathe so that the application of the mechanical rhythm will not
    cause discomfort.
    In those cases of genuine OSA, patients who have been taught to retrain their
    breathing pattern have reported much greater comfort and a higher success
    rate once they have been through a Breathing Retraining program such as the Buteyko method about which Patrick Mckeown will be speaking.

  3. It is amazing how many people disregard the structural (anatomical) aspect of the Jaw-tongue-throat relationship and balance. As previously discussed in a presentation on oral systemic balance, the tongue posture and position in the mouth and throat is influenced by the deflections of intra-oral structure and positions of the jaw that not only contribute to the intra-oral space and contours, but also impact the tongue because of mechanics based upon the five extrinsic muscles of the tongue (genioglossus, hyoglossus, palatoglossus, pharyngoglossus and styloglossus) with different origins and insertions and varying innervation. They also affect the 4 intrinsic muscles of the tongue. All of this impacts the size and shape of the airway from second-to-second and the size and shape of the mouth and position of the teeth over time.
    The inter connections of the muscles and the innervation’s impact our total body constantly. This includes posture along with the autonomic nervous system.
    Medical interventions ignore and disregard the complexity of this and, essentially (blow past this area with “PAP” interventions or butcher the intricacy with surgical intervention. Yet this is the most influential aspect of the human and body because the tongue controls the airway and life and death as validated by CPR and the sequences required.
    Medicine has no component in education, research and practice to recognize this relationship and its functional influence upon us, yet it is the trump card of body function, the tip of the pyramid of body functions, both actions and reactions.
    Understanding this and how the body reacts to survive is understanding the source of all chronic disease.
    Scientists, understand these priorities, engineers see this immediately, yet the medical profession skips over, even recognizing it, yet makes conclusions about how the body works and both research and treatment as if this functional relationship does not exist.
    Given that it is anatomical in nature, even genetic research without full knowledge of this is ludicrous. The whole approach to medicine is illogical and unscientific when you consider this. Scientific techniques are used within an unscientific context!
    Even breathing techniques are attempting to fight or bypass anatomy rather than understand it and work with it to support balance. When there is good balance, breathing becomes what many Yoga masters refer to as “ideal”. It is a natural flow.
    I will appreciate Steve’s response and possible, further inquiry, into this. I would begin with the question “Is the body functional design to keep itself alive?” If we hypothesize “yes”, the next question is “Why is it functional in a particular way at a particular point in time?” Within this context, “dysfunction” does not exist, as the body can only function.
    While this type of critical thinking exists in hard science, I can not see it in medical discussions. Is it because the profession is fragmented in specializations, is it because, demand and financial reward for intervention confines focus to “relieve, repair, replace and control (public health)” rather than to search to understand.

  4. I certainly appreciate what Dr, Strauss has said. I also hope that he and others will take a good look at the work of Dr. John Mew, Dr. John Flutter, and Dr. Derek Mahoney along with their collaboration with Roger Price and Patrick McKeown in the Buteyko Approach. I don’t think you will find many children with malocclusion who are not mouth breathers first prior to the adult teeth occurring. The mouth breathing itself causes so many imbalances beginning with the upper arch rising and the drop back of the mandible. Then asthma and apneas may begin to occur as the CO2 levels continue to drop decreasing the sensitivity of the brains breathing center in the case of apnea to the point at which the diaphram ceases to respond to the alkaline state. Then the force of the massive in breaths following the apneas as well as the swelling of the tissues in
    the back of the throat due to inflammatory processes from respiratory alkalosis and increased lactic acid produced in the bodies attempt to address this. IN turn the back of the throat is closed down similar to someone sucking on a straw that is near almost buried in ice cream in a soda sucking the ice cream in and collapsing the straw. This continues until someone’s breathing is retrained. Even with the intervention of CPAP machines ( more than 1/3rd of which are discarded as too difficult and uncomfortable to use ) while clearly able to save lives to begin with as well as surgical interventions and Orofacial Myology etc. unless the breathing is systematically reduced with regular voluntary reduction of the breathing until normalized, many complications will follow including asthma, and hypertension let alone other infirmities like frequent bladder spasms causing many waking moments at night to void and much worse issues.