Is CPAP Treatment Really Just A Scam?

There are people who think that CPAP is just another way for ‘them’ to get your money. Is it? Join me as I examine this quite reasonable viewpoint.

“This is a Racket!”Is CPAP a scam?

The patient sitting before me was a rather tough looking gentleman who voiced his opinions quite bluntly. I kept trying to discuss the sleep study, but he just wanted to talk about guns and knives, and how he ‘takes care’ of situations.

He even took out one of his knives and showed it to me.

“Oh, it’s still got blood on it,” he said, wiping the blade on his pants leg. Putting the knife down, he scrutinized me suspiciously, and said: “I think this is a racket!” And he was serious. This guy doesn’t say anything unless he is serious.

Then he went on to ask me some pointed questions. One of which was “How many people that you test end up on CPAP?’ It was a good question, and I answered him as accurately as I could.  “About 50-75% + are started on CPAP”, I replied.

With that, he said, “Yeah, see. Now if you’d told me only a few people are put on CPAP, I’d be o.k. with that. But with that many, it sounds like a racket to me.”

I sure was glad he was no longer holding that bloody knife.

We continued this conversation as I proceeded to hook him up. As it turned out, He thought CPAP was a racket for several reasons. One of them was that he really didn’t understand the consequences of untreated sleep apnea.

However, he did listen as I talked. Maybe that was because I was up front with him. Or that I really tried to speak at his level. Actually, he didn’t have much choice; I kinda had him strapped in the chair. (LOL!!)

Standards of Care

We needed to find a way to treat people more effectively. Therefore, some kind of standard had to be developed. Something we could use as a reference to determine the severity of sleep apnea. Thus, the creation of the Apnea Hypopnea Index (or AHI).

This index categorizes the severity of sleep apnea and is based on the number of times you stop breathing in an hour. For instance, if you stop breathing 5 times in an hour, your AHI would be 5.

AHI categories are:

  • Not significant: AHI less than 5.
  • Mild sleep apnea: AHI 5-15.
  • Moderate sleep apnea: AHI 15-30.
  • Severe sleep apnea: AHI greater than 30.

Using this standard as a reference, it’s estimated that as many as 20% of Americans have some degree of sleep apnea; although that figure could actually be low. Also, many factors can impact the severity of OSA to a greater or lesser degree. These include age, disease, and sex.

Uncovering the Great CPAP Scam!!

But are these standards manipulated in a way that’s more focused on sales, as opposed to appropriate treatment? In other words, are these standards set intentionally low so that people who really don’t need treatment are started on CPAP anyway? Much research has gone into establishing accurate guidelines.

One such study is reported in an article in the American Academy of Sleep Medicine. It details an 18-year follow-up of 1,522 people. These people had anywhere from ‘no’ sleep apnea (AHI less than 5), up to severe sleep apnea (AHI greater than 30). The study shows that people with sleep apnea are 3 times more likely to die than those who don’t.

Also, we use at least 2 different standards to determine whether someone actually qualifies for CPAP. As a result, those who are more at risk of sudden death, such as people who already have heart disease, for example, can qualify for treatment with a lower AHI than those who have no known heart disease.

So no, we can’t just decide, ‘hey, let’s put this guy on CPAP because we’re a little short on money’. (And actually putting someone on CPAP when they don’t need it can be harmful in itself). That whole thing could be a lawsuit in the making.

Although it does seem like money, more than compassion is the driving force behind much of health care. Maybe it is. But the unfortunate by-product of that is many of us well-meaning healthcare folks get a bad rap.

To die or not to die, That is the Question
I’ve said this before, but it’s worth repeating. So many people don’t realize how threatening  poor quality sleep is to your health. There’s also a direct link between sleep apnea, Heart disease and Diabetes.
What Would you do?

So, if you had a friend with sleep apnea, and you knew about the diseases it caused, would you talk to them about it? Yeah, I know, we can’t force anyone to do anything. It’s ultimately up to the person. But the more you care about someone, the more strongly you’ll try to help, right?

And while I really don’t know my patients very well. I do have a concern for mankind in general. And that is what drives me to help. And there’s a bunch of us out there.

Final Thoughts

I guess there will always be those who think we’re just out to scam people. It’s funny, though. The only people I’ve heard accuse us of that are the ones who aren’t using CPAP, and/or don’t really know anyone who is. And really, I don’t hear the scam word all that often.

But I think about the lives I’ve really helped. And the people who have actually experienced CPAP, and what they say about it.

Sure, there are people who want to ‘help’ you just because they’ll make money doing so. And yeah, I also make money helping you. But, honestly,  even if I had all the money I needed so that I didn’t have to work, I’d still enjoy doing what I do.(But then again, maybe I’m a bit crazy!)

However, there are a lot of scams and insurance fraud out there. And I think it’s harder than ever to trust people. But Sleep Apnea really is a serious life-threatening disorder, and CPAP is still the gold standard of care.

I’d like to hear your thoughts. Have you ever experienced any medical or insurance fraud? Please leave out any names, but otherwise, be as specific as you can. Let’s talk.

Till next time…Blessings.

 

But

Can Poor Quality Sleep Really Cause Every Disease?

In this article, we’ll take a look at a different aspect of sleep and stress. I’ll show you how stress causes inflammation, and inflammation can ultimately cause many, if not all diseases.

Balance is the key

First of all, too much sleep is just as deadly, as too little sleep. This is because either state puts stress on your body. So then, balance is the key, and therefore, balance equals health.

Look at it this way. Our bodies are balanced when things that should be working are working. However, when things that should work, aren’t working; or, when things that shouldn’t be working are working, an imbalance is created.  And sooner or later, disease will set in.

By the way, if you’re thinking I’m exaggerating by saying too little or too much sleep is deadly, I’m not. With that in mind, let’s take a closer look at stress and inflammation as they relate to sleep.

 Inflammation and Sleep

Poor quality sleep causes stress And stress causes a whole series of events to take place. However, we’re going to focus on a little guy called cortisol.

Cortisol regulates your immune system. Too much or too little over a period of time can cause frequent infections, autoimmune diseases, allergies, and chronic inflammation.

So even though Cortisol initially works to reduce inflammation, it eventually sets in motion a process that leads to chronic inflammation. And while inflammation is a part of wound healing, it can eventually cause disease, including cancer.

Also, reducing inflammation leads to suppression of the immune system, exposing us to disease. Yet inflammation itself can also lead to disease! It does this by ‘hiding’ mutated cells so that they go undetected by your immune system.

Remember, it’s all about balance.

I think further clarification is necessary here. That is that inflammation and infection are two different things. An infection can cause inflammation. But inflammation can take place without an infection, which is the focus of this article.

Let’s take a look a closer look at this.

Inflammation and Diseases

When you get an injury, your body responds by making your blood vessels ‘leaky’. This allows certain blood cells to go to the infected area and to properly deal with the invading organism; resulting in redness, swelling and tenderness to the area. Once the invader’s  dealt with, swelling goes down, and things return to normal; or at least they should.

But what if they don’t? What if you’re constantly under stress?  We’ve already seen how inflammation can turn deadly. Therefore,  poor sleep causes stress, and chronic stress causes damaging inflammation, and chronic inflammation could be the cause of every disease. So then, poor quality sleep could be behind most, if not all diseases!

Or put another way. Balance equals health, and imbalance equals disease. Therefore, good quality sleep (balance) equals health; while poor quality sleep(imbalance) equals disease.

The following is a list of some of the diseases caused by inflammation:

1-Allergic diseases, like Asthma, Eczema.

2-Neurodegenerative diseases, such as Alzheimer’s, Dementia, and Parkinson’s.

3-Heart disease.

4-Chronic Inflammation is also a critical component of tumor growth. Although it takes inflammation 20-30 years to produce cancer. Cancer’s also a risk factor for heart disease.

sleep and inflammation

 

 

 

 

In addition to all this, inflammation even causes us to age faster!

So then, if it’s all about balance, what’s the best way to cure disease?

Treat the Cause, not the Symptoms

Guess what? Good quality sleep is an excellent treatment for inflammation.

Again, if disease is caused by imbalance, then restoring balance should restore health. But modern medicine deals with symptoms, not the cause itself. Therefore, by getting to the cause of the disease, many, if not all, diseases could possibly be cured without medicine. Or, are there man made drugs that do restore balance?

Allow me to rant a bit here. And I speak only for myself. But I wonder if entities that stand to make a lot of money selling drugs for diseases are censoring information that prove natural forms of treatment are more effective than modern medicine?

In either case, here’s a list of foods that affect inflammation.

Foods that promote inflammation

Pasteurized dairy products, red meat, refined carbohydrates, sugar.

Foods that reduce inflammation

1-Fiber, Fruits, and Vegetables.

2-Garlic is good because it has a high sulfur content, and sulfur inhibits inflammation.

3-Herbal teas, including green tea which has mild anti-inflammatory properties.

In addition to this acupuncture can effectively treat stress. And studies also show that moderate physical activity does reduce inflammation as well.

Conclusion

We saw how poor sleep causes stress,  stress causes inflammation, and inflammation causes disease. Now if inflammation is the cause of all disease, including premature aging, then a good night’s sleep can keep you healthier. Remember, it’s all about balance. Too much or too little of a good thing becomes a bad thing.

Therefore if inflammation is the common denominator of all diseases, including aging And if inflammation is an imbalance, then restoring balance, not medicine, is the key to curing disease.

And one of the ways to restore balance is to get good quality sleep.

So, what do you think are some good ways to restore balance? Or do you think it’s more involved than that? And can modern medicine really restore balance?

Please leave a comment. I’d really like to hear your thoughts on this.

Any feedback from you will help to improve this blog.

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Till next time…Blessings.