Icd 9 Code For Sleep Apnea With Insomnia

How to Treat Sleep Apnea Naturally

Hi, my name is Troy Giles. I am a of Chiropractic and a Natural Internist. Today I wanted to talk to you a little about apnea,and sleep apnea. This is a major issue in the world. People are having trouble sleepingand there are many reasons for apnea. One is neurologic, where the nerves, the brain,the connection to the lung is not working correctly. Also, thyroid we find, thyroiddysfunction, where low thyroid. Thyroid is what helps you control your breathing patternswhile you are asleep. If you have low thyroid, the thyroid affects the heart and the rhythmof breathing. So low thyroid can affect it as well. But, apnea is when you can't breathwell. Your sleeping and you just stop breathing.

There can be constrictive apnea as well, whereyou have enlarged tonsils, or your throat is closed down. I had a patient that had,this has been probably ten years ago, had a roto rooter, if you will, where they went in down on thetrachea, the throat, removed the tonsils and literally removed and widened the trachea,all the way down through his neck, through his throat. Extremely painful, literally hewished he could have died. That ultimately, still didn't help any. He can get better air,bit still he is on a CPAP machine. The treatment for it, medically, is to use a CPAP or a ByPAPmachine, which helps to force air into you and helps you to breathe during the evening.Another issue is that many times its body

habitus, enlarged gut. If you are laying onyour side and you have a larger tummy, you have to push your tummy up while you are breathing,sleeping at nighttime. Literally, you are having to lift up your tummy all night long.After a couple of hours or so, you become fatigued. The diaphragm becomes fatigued oflifting, pushing. So you just stop breathing for a minute. You can go 30 seconds, a minute,2 minutes. Finally, you gasp for air. This happens over and over and over. The CPAP helpsto force the air in you are just basically breathing easier. The sense of breathing isthere, but you are now lifting with forced air, in the abdomen, and in to your lungs.So to treat this, naturally, we want to look

at supporting the lung tissue. We want tosupport anything that is going to help you to get rid of inflammation through the throat.We want to treat the thyroid and the adrenal glands to have them up and running the waythey should so they are giving good information to the heart and to your breathing pattern.We would do this through supplementation. The supplementation we would want to looktowards would be the adrenal glands first, Adrenex. We would support the adrenals withAdrenex. Thyroiden to support the thyroid tissue. Thyroid again, we want to get itsmetabolism and its function the way that it should. Permalung helps to bring clarity,helps to remove sluggishness of the lungs,

bronchial congestion, mucus. A lot of timesthere is a mucus build up throughout the lung. Even with that we would want to look towardsleaky gut syndrome because when you have leaky gut, you are actually leaking toxins throughthe gut and they overwhelm the liver and its ability to detoxify. So a lot of the overalltoxins will come up and out through the lung. So you will have a lot of increased amountof toxin and production of mucus, so you will tighten up as well. So, asthma and apnea alsowork together. So, you want to see if you can't get rid of some of that tightness andcongestion that you feel. I would work with the diet, just helping, just eating more greenleafy vegetables. It is so vital to eat green

leafy vegetables every meal. So how do eatgreen leafy vegetables for breakfasté I would encourage you to get a significant blender,Vitamix is a good one, Blendtec is another one, Montel Williams I think has one thatis a good like two horsepower motor, that you can put in all the kinds of fruits thatyou want, green leafy vegetables, like kale, baby spinach, literally any vegetable thatyou want can go in there as well. If you make it correctly, it tastes very good. You haveall your fruits. You can get some of the big box stores have frozen fruit. You can putthat with a banana, maybe a protein powder of some type. The one we carry here is calledLepterra. That helps make it smoother and

Narcolepsy Diagnosis and Treatment

Narcolepsy in in most simple terms is basicallya very distinct drive to want to sleep. You're feeling very sleepy all the time, sometimescan fall asleep even without being aware that you're falling asleep. And so somebody canbe in mid sentence talking to somebody and nod off and not even realize they were sleepyenough to be falling asleep. Typically what we see when patients come in is is hypersomniaor over sleepiness is how most patients present. To diagnose narcolepsy we actually need twotypes of sleep studies. We send the patient to the laboratory to get an overnight sleepstudy to look for any other sleep disorders specifically to rule out things like sleepapnea since that can also make you sleepy

during the day. If we do not see any evidenceof abnormalities on the overnight sleep study and a patient has slept well, slept five,six, seven hours, then we go on the next day to do something called an MSLT. And that studyis basically a series of naps that you do the next day in the lab while you're hookedup to our EEG machine so that we can tell whether you're actually truly in sleep ornot. And if you go into REM sleep during those naps after you've just slept a full night'ssleep, there are certain criteria of how many REM episodes you have that leads us to beable to give you a firm diagnosis or not of narcolepsy. There's a lot that actually goesin to the treatment of narcolepsy both from

the physician standpoint as well as the patientstandpoint. So it's very important for somebody that has narcolepsy to get really adequatesleep. We recommend that they get usually between eight and ten hours of sleep a nightand that they have a very consistent sleepwake schedule. We also oftentimes recommend quickdaytime naps, ten to fifteen minute naps in the morning and in the afternoon, which canbe very refreshing for a patient with narcolepsy. And then typically that's also paired witha medication that helps stimulate the brain. There's a thought that narcolepsy probablydoes have some genetic predisposition and some genetic base. It can run in familiesso from that standpoint you probably are you

may be born with it but typically we don'tdiagnose it until the teenage years at least.

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