Participants: Dr. James Marcum (Host), Anuj Chandra
Series Code: BRX
Program Code: BRX00005B
00:01 Welcome to Bible Rx!
00:03 Biblical prescriptions
00:04 to change your chemistry
00:06 to make your life better.
00:07 Today's topic is Sleep and Sleep Apnea.
00:11 We are answering questions from literally all
00:13 over the United States and the world with
00:14 Dr. Chandra a board-certified Sleep Specialist.
00:18 Let's move on to our next question.
00:20 This question says:
00:32 so I guess you are question asked is sleep apnea
00:35 irreversible or can it go away?
00:37 It definitely can go away
00:38 with a healthy lifestyle,
00:40 exercise, and a good
00:42 amount of weight reduction.
00:43 You can actually
00:45 reverse sleep apnea.
00:46 They have shown that even 10% weight loss results
00:51 in a 25% reduction in the severity of sleep apnea.
00:56 So it is definitely something which is
00:59 treated in many different ways.
01:01 But while you are achieving the weight loss,
01:04 I strongly recommend that your brother continue
01:08 to wear his CPAP because, as I said earlier,
01:12 if you do not treat this condition that not only is
01:15 it life-threatening but during the day he will be tired,
01:18 and he will not have enough energy to exercise
01:20 to lose that weight.
01:21 That is exactly right!
01:22 So it is really multi-pronged approach.
01:26 You know what I tell my patients with cardiovascular
01:28 disease, I go if you are not getting enough sleep,
01:31 if you get that treated, is probably the more important
01:33 than any medicines I can give you because it is like
01:36 going under water.
01:37 You go underwater and hold your breath and you can't
01:39 get any more oxygen and the alarm goes off and you
01:41 grab a deep breath and go back under.
01:44 If you think about the tissues in the stress that
01:46 puts people under, with when your body is under stress
01:49 adrenaline is made, cortisol, you store cholesterol and
01:51 all these bad things that we are talking about happens.
01:54 That is exactly right Jim.
01:55 You have just given this beautiful analogy.
01:58 That is exactly what is happening to the person at night
02:01 Unbeknown to themselves, they will come a lot of time
02:04 will say, well Gee, I don't think I have this problem.
02:08 All I do is snore, I never stopped breathing and nobody
02:11 has ever found me stopping breathing.
02:13 But the problem is that even the snoring in itself, it is
02:16 a sign of breathing through a partially included airway.
02:20 So even to the casual observer, to the loved one,
02:23 if the person is still breathing and yet they are snoring,
02:27 they feel well and not stopping breathing, the truth is that
02:31 they are ineffective breaths that are not actually
02:35 getting past a partially included airway.
02:38 So you can think of sleep apnea and wearing the sleep
02:41 mask and oxygen as a treatment just like a medicine
02:44 and other therapy that well used your body chemistry.
02:46 That is exactly right and that is why a lot of sleep
02:50 medicines, you can actually treat people with just
02:54 oxygen and air can really change their lives.
02:57 Of course advice about healthy habits changing their lifestyle
03:01 Now can you have an overdose or side effect
03:03 on sleep apnea treatments?
03:05 Well, not really!
03:07 That is one of the reasons why sleep tests is so
03:10 important, because we want your CPAP
03:12 pressures to be exactly right.
03:14 Now what are your CPAP?
03:15 CPAP is the mask that we are talking about and the
03:20 machine that sits on your side which pumps
03:22 in double filtered air.
03:24 So it pumps in at a specific pressure?
03:26 Right, and it is different for everybody depending on
03:30 the severity of your sleep apnea.
03:31 Or depending on your airway is, and many other features.
03:36 I assume that the airway is worse off then you would
03:38 have to put more air pressure in, and if it is not
03:41 too bad less pressure, is that correct assumption?
03:43 That is exactly right! That is exactly right.
03:46 So we can think of sleep apnea just like taking
03:49 any other medication and is probably more valuable
03:51 in the long term?
03:52 Oh, absolutely!
03:53 Let's go to the next question.
03:54 This is from actually Prince Edwards Island
03:57 in Summer Town.
04:11 Yes, this is a wonderful question and you are not alone.
04:15 There is over 60 million people, Exactly, over 60 million people
04:20 who suffer from some form of insomnia or trouble
04:24 initiating or maintaining sleep through the night.
04:27 This can really play havoc, not only in the terms
04:31 of the diseases it has been linked to,
04:33 but all systems of quality of life.
04:35 The truth of the matter is that a lot of research has
04:39 shown something called Cognitive Behavior Therapy works
04:43 as well as any of these sleep aids.
04:45 All it really is Jim, is that a bunch of simple
04:49 exercises which are put together like relaxation
04:54 techniques at night, not drinking too much caffeine,
04:58 or no caffeine and all, no alcohol,
05:00 exercise a couple hours before bedtime, etc.
05:05 a lot of this information is available on the
05:08 Internet in terms of what this comprises.
05:11 So I would definitely start off with that,
05:14 including other tips like if you are just laying
05:17 in bed and not sleeping, that is not going to help.
05:20 If you have tried for about half an hour or so,
05:23 and able to sleep it is best to get up and
05:26 do some light reading, read the Bible or Scriptures
05:30 and not watch TV, or do something on the computer
05:35 because that is going to all that light stimulus, is going
05:38 to activate your brain and dissolve your melatonin.
05:42 So there is a lot of things that can be done which
05:45 are other than medications to help your sleep.
05:49 You know I am one that I want to get back
05:51 to the basics, if we can because all the medications have
05:54 a lot of side effects.
05:55 Now I know you have a website, this is go into some
05:58 of these ways to help you better sleep on your website?
06:00 Absolutely! Jim if people can log on to
06:04 www. sleepforhealth. org.
06:08 Once they go there, there is a lot of information,
06:11 but I also recommend everybody if they go to the links
06:14 section it takes them on to the
06:17 National Sleep Foundation website.
06:19 That is another wonderful resource where they can
06:22 actually punch in all their
06:24 symptoms and come up with
06:26 a lot of solutions and
06:28 information about this.
06:30 I'm sure that will help a lot of our viewers today.
06:33 I tell people that I think if you eat a big meal before
06:36 you go to sleep, that damages your ability to sleep,
06:38 is that factual?
06:40 I think that your body needs to rest including digestion.
06:43 Digestion is part of rest and I see so many people that
06:46 eat and have reflux and their bodies busy digesting and
06:50 it takes away their sleep too?
06:52 Right, Jim you are 100% right.
06:54 Research has shown exactly the same thing.
06:57 You should not eat too close to bedtime.
06:59 It should be at least a couple hours before.
07:01 Just for all the same reasons that you have cited.
07:04 Let's go on to another question and it says:
07:10 A Pulmonologist is a lung doctor!
07:21 Yes!- do you hear that one very often?
07:23 Yes, I hear it all the time.
07:25 You are amongst the 50% of people who have been
07:29 prescribed CPAP machine and a mask,
07:32 who have struggled with this whole thing.
07:34 The truth of the matter is, nobody likes to sleep
07:37 with something put on their face.
07:38 With a tube running down onto a machine.
07:41 It is for many reasons people feel confined.
07:44 They do not like the idea of doing that
07:46 and it is understandable.
07:48 But the truth is also that other treatments that
07:52 are available, like the rest surgery can be done,
07:56 also there is auto appliances like a bite block that you wear
08:00 wear and sleep.
08:02 The one thing that I really want to stress is that
08:05 these days there are over 40 different types of masks.
08:09 You should find something that anyone can wear?
08:12 Sometimes with just the CPAP machine is not working,
08:15 there are other machines like the Bi-Pap and a newer
08:19 one which came out just last year.
08:21 Now what is Bi-Pap, we talked about CPAP that is
08:25 continuous what is Bi-Pap?
08:26 Jim a lot of times when we get into higher pressures
08:29 which people need for sleep apnea...
08:32 to open up the airways?
08:33 Exactly and when they breathe out they are breathing
08:37 against this high pressure which is coming in.
08:40 Oh, I see.
08:41 So that can be uncomfortable and it is one of the
08:44 reasons people decide they can't use this.
08:46 Because it is uncomfortable to breathe out.
08:49 Even other times when they are not comfortable with
08:52 a CPAP it is always a good option, or they come to the
08:56 point where they say they will not be able to do this
09:00 treatment, it is good to think of an alternative like
09:03 Bi-Pap and try them on that.
09:05 Or we can change the mask, or lower the pressures and
09:09 add humidification to the machine.
09:12 Sometimes something little can make all the difference
09:15 in terms of not being able to use the machine and the
09:19 mask, and being able to use it every single night.
09:22 I really complement you in terms of you at least
09:26 attempting to try and use this.
09:29 I would also advise that you go ahead and go back to
09:32 sleep facility and sleep physician and tell them that you
09:36 are committed in using this and is not working
09:38 what else can we do?
09:40 That is a great answer to a tough question.
09:42 I hear that quite a bit.
09:43 The next question concerns snoring.
09:51 I did know we're going talk about marriage today,
09:52 we will be marriage counselors.
10:07 Oh boy! - yes!
10:10 This is not uncommon at all.
10:12 Snoring, especially loud snoring, which is ongoing all
10:16 the time can lead to a lot of matrimonial disharmony.
10:19 She is probably not sleeping well either?
10:21 Exactly, and she is tired next day and have to do your
10:25 household chores and your job and everything.
10:27 This needs to be addressed in I think the starting point
10:31 would be to just approach this in a delicate manner.
10:34 Maybe just print out stuff from the Internet, get some
10:38 brochures off and put them there and discuss it.
10:41 Did you know the snoring can potentially be life-
10:44 threatening, we really need to do something about this?
10:47 Or honey why don't you watch the show that
10:49 I saw the other day,
10:50 it might interest you it's called?
10:51 There we go, there we go Jim.
10:54 Sure why don't you take a look and see what you see.
10:56 That is exactly right!
10:58 But truly it is only for the snorers only potential good
11:02 because he is damaging his chemistry.
11:03 That is exactly right and it needs to be addressed and
11:05 because he doesn't have medical problems now,
11:07 this is the beginning.
11:09 We need to start now and we will prevent heart disease,
11:12 we will prevent memory loss, and strokes down the road.
11:16 Of course it is going to lead to a happier marriage.
11:20 I would really advise you to go ahead and definitely
11:25 bring the topic up, not in a way where it is
11:28 unacceptable to the spouse.
11:31 Approach it in a health related manner and go from there.
11:35 You know Dr. Chandra, for years we have called blood pressure
11:39 the silent killer because it can go on for years and years
11:43 and no one knows it until there is organ damage.
11:46 We need this for sleep apnea, we need to call it the silent
11:49 destroyer or something because you can have in the 30s and it
11:52 goes to the 40s, 50s, 60s.
11:54 The funny heart rhythms that you see and everything.
11:57 That is exactly right Jim.
11:58 I have actually coined the term, not so silent killer.
12:02 The snoring right?
12:04 The snoring, but the truth of the matter is that not
12:07 everybody will snore loudly.
12:08 They can still have other things like the gasping and
12:12 the choking and reflux and other symptoms,
12:15 daytime tiredness.
12:16 We really need to keep an open mind about this condition.
12:19 Why do you think this is, has it always been or are we
12:22 more aware of it now, because of the prevalence of
12:25 having more heavy adults, what's the reasoning?
12:28 All of the above Jim.
12:30 It has always been around but we know now that all over
12:34 the United States obesity is an epidemic.
12:37 The heavier we grow, the chances of sleep apnea
12:42 are much more there.
12:46 So that definitely has a direct link, along with this now
12:51 we have a lot of research showing what all this does.
12:56 In the past when somebody was snoring,
12:58 they are sleeping deeply and are sleeping well.
13:01 But that is far from the truth.
13:03 It is a mix and match what you said.
13:06 We know more about it and also our lifestyle are
13:10 leading us to bring this on to ourselves.
13:13 Now for earlier you mentioned this chemical, we talk
13:16 about how the Bible changes a person's prescription.
13:18 You know like a merry heart doeth like medicine and
13:21 you laugh and make endorphins.
13:23 You know God teaches rest.
13:24 We have these are Circadian Rhythms at night that heal.
13:28 You mentioned this chemical called melatonin,
13:30 what is melatonin?
13:32 Jim, this is the hormones of darkness.
13:36 This pretty much goes up and down with our
13:40 Circadian or our daily rhythms.
13:42 So it is higher when it is dark?
13:44 Exactly right!
13:46 We do things that can cause us to dissipate this natural
13:49 harmony which God gifted to us.
13:54 Basically if you are just up watching TV and working
13:59 under bright lights at night, it is going to
14:01 dissipate all this melatonin.
14:02 That is the natural sleep aid that we have.
14:07 Do you ever recommend this?
14:10 Well yes and people, now of course we have other medicines
14:14 that are similar to melatonin, but melatonin still has a big
14:18 role in people who have Circadian Rhythms problems.
14:22 This is a whole other subset of.
14:25 Yeah with people working night shifts and other.
14:28 Or as we are getting older and you are waking up
14:32 earlier in the morning.
14:33 Around 4 o'clock or 4:30 or 5, whereas in your teenage
14:37 years, your biological clock is set forward.
14:39 So you find teenagers all the time are up late at night,
14:43 they are sleeping in late, and people say well gee,
14:46 they are ruining their body.
14:48 Part of it is also biologically driven.
14:50 So I guess tonight since we are under all these lights,
14:54 we are going to have to take a little
14:55 extra, find some melatonin somewhere?
14:57 Well I think so.
14:58 Let's go on to another question.
15:01 This is from Alberta Canada.
15:16 Well they are not watching you through invisible windows,
15:19 there are sleep technicians who are present and who are
15:22 recording everything right for the brain waves, to the
15:24 heart rhythm, to oxygen in the blood.
15:27 As I said earlier, it is a valuable piece of information,
15:33 a lot of information that we get.
15:34 All these people are sleep professionals so
15:39 basically they are recording you and not watching
15:43 you through a window.
15:44 There is an infrared camera there because we are
15:46 recording other things, like seizures,
15:48 which some people can have.
15:51 Leg movements and all of that.
15:53 Basically they are busy scoring the sleep study and
15:56 watching the brain waves and oxygen, and really do
15:59 not have time to even glance back and forth.
16:02 That is a common thing which people feel uncomfortable
16:06 about, but that is something that you need to get over
16:10 and say it is for my good and I need to get it done the
16:15 way I going to do any other test.
16:17 You know Dr. Chandra this is so interesting.
16:20 I was tired when I started, but I think this discussion
16:22 is waking me up a little bit.
16:24 But we are all out of time.
16:25 Well thank you so much, this has been wonderful and the
16:29 questions have been wonderful.
16:31 For our listeners out there if you would like more
16:35 information on sleep,
16:36 or sleep apnea,
16:37 we have the website
16:38 that Dr. Chandra gave us
16:39 and also you can write us at:
16:50 we thank you for spending time with us today and we
16:53 want to thank Dr. Chandra for joining us as we talked
16:56 about this important, I guess it is non-hidden disease
16:59 now, in sleep apnea and sleep disease.
17:01 Thank you for joining us!