Participants: Dr. James Marcum (Host), Anuj Chandra
Series Code: BRX
Program Code: BRX00005A
00:01 Are you confused by the conflicting health reports
00:03 in the news today?
00:05 In this well marketed world it is hard to know who
00:07 or even what to believe, but there are answers
00:10 you can depend on.
00:11 Hi, I'm Dr. James Markham.
00:14 Join me for Bible RX, a program exploring the
00:18 healthcare world.
00:19 Looking at all aspects of healing, using the Bible
00:23 and biblical prescriptions as the ultimate
00:26 source of truth.
00:49 Oh, I'm glad you joined us today.
00:53 Welcome to Bible RX again.
00:55 I'm Dr. James Markham and today's topic is going
00:58 to be on how to get a good nights sleep.
01:00 I guess I just didn't get a good nights
01:01 sleep last night.
01:03 We have a very special guest, Dr. Chandra,
01:06 and he is going to answer questions on sleep
01:09 and sleep apnea.
01:10 He is board certified in sleep,
01:12 and very well qualified.
01:13 Thank you for joining us today.
01:16 A third of our lives we spend in sleep.
01:18 This is something that we all
01:19 want to do well.
01:20 Without good sleep our body
01:21 does not rejuvenate itself.
01:23 In fact our Creator made us to rest.
01:25 We are lucky to have a specialist in sleep and
01:28 sleep medicine with us today, Dr. Chandra.
01:30 Dr. Chandra how did you get interested in sleep
01:34 and sleep medicine?
01:35 Jim it is a long story, through
01:37 my early years of practice and
01:39 also through medical school,
01:42 I found people were coming with
01:44 all kinds of medical problems.
01:45 Diabetes, high blood pressure, heart disease.
01:48 If you take a minute extra to ask them
01:51 how their sleep was, invariably the answer would be,
01:54 they sleep poorly.
01:56 At the same time I was aware of a lot of research
01:59 that was going on.
02:00 A lot of literature was coming out that showed poor
02:03 sleep and sleep disorders can be linked with
02:06 potentially life-threatening conditions like stroke.
02:09 Also debilitating conditions like depression.
02:12 So that pretty much took me into the field.
02:17 I found this was one measure that could
02:21 really make a difference.
02:22 And really make a difference not only in people's
02:27 quality of life, but also in their long-term risks
02:31 from dying of heart disease, stroke, diabetes, etc.
02:36 a lot of people do not think about not sleeping well,
02:39 and not eating enough oxygen at night as the disease.
02:43 Exactly, and that is where the problem is.
02:46 We get patients all the time that say, well you know
02:49 I do not know why I am here.
02:50 My spouse, my husband or wife, brought me in here.
02:53 I sleep all the time.
02:54 I sleep on the couch, I sleep in front of the TV,
02:57 and that in itself is not good.
03:00 After a good nights rest, about 7 to 8 hours,
03:03 you should be able to function really well.
03:06 Be it if you are 20 years of age or you whether you are
03:10 80 years of age.
03:11 If you are unrested and sleepy during your waking
03:16 hours, or you are tired and exhausted
03:20 there is a problem.
03:22 It needs to be addressed.
03:23 Now I understand you were recently in India.
03:26 We have many viewers that watch
03:28 this program in India.
03:29 What were you doing over there?
03:30 Jim, over there is a lot of work that still
03:33 needs to be done in healthcare and especially
03:37 sleep disorders.
03:38 So we were trying to reach out through the medical
03:42 communities over there, to the physicians to provide
03:45 them with all this knowledge that
03:47 we have over here now.
03:48 So they can actually reach out to their patients
03:51 and they don't have this stigma that we've had in
03:54 the United States, where it took years for us to
03:57 get all this beautiful research into the community
04:00 and make a difference.
04:03 Where as in other developing countries,
04:06 like India, we can leapfrog and get years
04:09 ahead and start this work.
04:11 That is fantastic, well actually what we have done
04:13 is we have collected questions from all over the
04:16 United States and all over the world, specifically
04:19 regarding sleep and mainly sleep apnea today.
04:21 We are going to answer people's questions.
04:23 Some want a second opinion, some just want to hear
04:26 answer, some want to know what the truth is about
04:28 some of these items.
04:29 Our first question is this:
04:46 Well, it is a chronic condition.
04:49 Sleep apnea is basically comprises of a cessation
04:56 or pauses in breathing when you sleep.
04:58 Usually it is accompanied with snoring, but not always.
05:01 It can be accompanied with just gasping respiration,
05:03 some choking spells, or sometimes just
05:06 shallow respiration.
05:07 Yes it is like diabetes because it can affect every
05:12 single organ of your body.
05:14 It can affect the heart, it can affect the brain,
05:16 and just for the low oxygen damage
05:19 you were talking about, Jim.
05:21 I would not say it was like cancer,
05:26 but yes it is a very important condition which
05:30 can be easily treated and reversed.
05:33 So basically sleep apnea is a condition where
05:36 we are not breathing?
05:38 Exactly, Exactly!
05:40 And when we are not breathing our oxygen levels go
05:42 down and that damages everything?
05:44 That is exactly right!
05:46 Do we have criteria that define exactly how low
05:48 these things, or how long we go without breathing?
05:51 Is their numbers that goes with these things?
05:53 That is exactly right and they are pretty well
05:55 defined criteria from people having mild, moderate,
05:58 or severe sleep apnea.
05:59 The bottom line is that research has shown that all
06:04 kinds of sleep apnea is detrimental.
06:06 In some people, even with mild sleep apnea,
06:08 have significant symptoms.
06:10 Others with severe do not feel that sleepy during
06:14 the day, but all of these need to be treated.
06:19 It is a very common problem that you mentioned is
06:23 over 24 to 30 million people.
06:27 Yes, who suffer from this.
06:29 The scary part is that at least half of them will
06:34 not even be aware that they have a problem.
06:37 Well let's move to the next question.
06:47 He wants to know if their blood test,
06:48 or some simple test that you can get
06:50 for sleep apnea?
06:51 Unfortunately not.
06:53 The Gold Standard Test is still the sleep study,
06:56 where the person comes in and spends
06:59 the night in a sleep lab.
07:02 It is pretty much like a hotel room.
07:05 Most sleep centers make sure that the patients
07:08 are comfortable and they try to simulate the
07:12 home surrounding, or a hotel room so that people
07:15 can get tested and go to work the next morning.
07:19 Over here we monitor many different vital functions.
07:23 Including the heart, oxygen in the blood,
07:27 respiration, leg movements and muscle twitching,
07:31 brain waves, and we put all this data together to
07:35 make the diagnosis of sleep apnea.
07:38 Lots of times people come for a sleep study and we
07:42 actually pick up other problems, like an irregular
07:45 heartbeat, and children we pick up seizures,
07:48 or other muscular problems.
07:52 So it is a pretty detailed test.
07:55 It is not painful or anything.
07:57 It is a little uncomfortable because you have to go
08:01 to sleep with these electrodes on, but most people
08:04 are able to go to sleep.
08:06 It is nothing to fear.
08:07 That is one of the common questions which patients
08:12 always ask me.
08:13 They say really do not want to go to sleep elsewhere
08:16 and I will not be comfortable and I dread the thought
08:20 of this test.
08:21 But really it is not an unpleasant test all.
08:25 It gives us really good information and is
08:28 potentially life-saving in the long run.
08:32 Well that is a great answer to that question.
08:34 We have to go to a short break right now,
08:37 but we will come right back and answer your
08:39 questions on sleep apnea and sleep problems.