Got a bug problem in your house? You don't have to move away from the problem
Reporter panics at diagnosis, then discovers simple, no-cost solution
Kaiser Health News
I woke up in a strange bedroom with 24 electrodes glued all over my body and a plastic mask attached to a hose covering my face.
The lab technician who watched me all night via video feed told me that I had “wicked sleep apnea” and that it was “central sleep apnea” — a type that originates in the brain and fails to tell the muscles to inhale.
As a journalist — and one terrified by the diagnosis — I set out to do my own research. After a few weeks of sleuthing and interviewing experts, I reached two important conclusions.
First, I had moderate apnea, if that, and it could be treated without the elaborate machines, mouthpieces, or other devices that specialists who had consulted on my care were talking about.
Second, the American health care system has joined with commercial partners to define a medical condition — in this case, sleep apnea — in a way that allows both parties to generate revenue from a multitude of pricey diagnostic studies, equipment sales, and questionable treatments. I was on a conveyor belt.
It all began with a desire for answers: I had been feeling drowsy during the day, and my wife told me I snored. Both can mean obstructive sleep apnea. With obstructive sleep apnea, the mouth and throat relax when a person is unconscious, sometimes blocking or narrowing the airway. That interrupts breathing, as well as sleep. Without treatment, the resulting disruption in oxygen flow might increase the risk of developing certain cardiovascular diseases.
So I contacted a sleep-treatment center, and doctors gave me an at-home test ($365). Two weeks later, they told me I had “high-moderate” sleep apnea and needed to acquire a continuous positive airway pressure, or CPAP, machine, at a cost of about $600.
Though I had hoped to get the equipment and adjust the settings to see what worked best, my doctors said I had to come to the sleep lab for an overnight test ($1,900) to have them “titrate” the optimal CPAP air pressure.
“How do you treat central sleep apnea?” I worriedly asked the technician after that first overnight stay. She said something about an ASV (adaptive servo-ventilation) machine ($4,000). And one pricey lab sleepover wasn’t enough, she said. I needed to come back for another.
(Most procedures and devices mentioned in this article were covered or would have been covered by insurance — in my case, Medicare, plus a supplemental plan. Unnecessary care is a big reason Americans’ insurance costs — premiums, copays, and deductibles — tend to rise year after year.)
As a journalist who spent years covering the business of health care, I found there was more motivating my expensive testing cascade than concerns about my health.
The American Academy of Sleep Medicine, or AASM, a nonprofit based near Chicago, decides what is sleep apnea and how to treat it. Working with sleep societies around the world, it publishes the International Classification of Sleep Disorders, relied on by doctors everywhere to diagnose and categorize disease.
But behind that effort lie considerable conflicts of interest. Like so much of U.S. health care, sleep medicine turns out to be a thriving industry. AASM finances its operations in part with payments from CPAP machine manufacturers and other companies that stand to profit from expensive treatments and expansive definitions of apnea and other sleep disorders.
Zoll Itamar, which makes the at-home testing device I used, as well as implantable nerve-stimulation hardware for central sleep apnea, is a $60,000, “platinum” partner in AASM’s Industry Engagement Program. So is Avadel Pharmaceuticals, which is testing a drug to treat narcolepsy, characterized by intense daytime sleepiness.
Other sponsors include the maker of an anti-insomnia drug; another company with a narcolepsy drug; Fisher & Paykel Healthcare, which makes CPAP machines and masks; and Inspire Medical Systems, maker of a heavily advertised surgical implant, costing tens of thousands of dollars, to treat apnea.
Corporate sponsors for Sleep 2022, a convention AASM put on in Charlotte, North Carolina, with other professional societies, included many of those companies, plus Philips Respironics and ResMed, two of the biggest CPAP machine makers.
In a statement, AASM spokesperson Jennifer Gibson said a conflict-of-interest policy and a non-interference pledge from industry funders protect the integrity of the academy’s work. Industry donations account for about $170,000 of AASM’s annual revenue of about $15 million, she said. Other revenue comes from educational materials and membership and accreditation fees.
Here’s what else I found. Almost everybody breathes irregularly sometime at night, especially during REM sleep, characterized by rapid eye movement and dreams. Blood oxygen levels also fluctuate slightly.
But recent European studies have shown that standards under the International Classification of Sleep Disorders would doom huge portions of the general population to a sleep apnea diagnosis — whether or not people had complaints of daytime tiredness or other sleep problems.
A study in the Swiss city of Lausanne showed that 50% of local men and 23% of the women 40 or older were positive for sleep apnea under such criteria.
Such rates of disease are “extraordinarily high,” “astronomical,” and “implausible,” Dr. Dirk Pevernagie, a scientist at Belgium’s Ghent University Hospital, wrote with colleagues two years ago in a comprehensive study in the Journal of Sleep Research.
“Right now, there is no real evidence for the criteria that have been put forward to diagnose obstructive sleep apnea and rate its severity,” he said in an interview.
Likewise, 19% of middle-aged subjects in a 2016 Icelandic study appeared to have moderate to severe “apnea” under one definition in the International Classification of Sleep Disorders even though many reported no drowsiness.
“Most of them were really surprised,” said Erna Sif Arnardóttir, who led the study and is running a large European program to refine detection and treatment of apnea.
Nevertheless, the official AASM journal recommends extremely broad screening for sleep apnea, looking for patients who have what it defines as illness. Everybody 18 and older should be screened every year for apnea if they have diabetes, obesity, untreated high blood pressure, or heart disease — even if they have never complained about sleep problems, the group says.
AASM “continually evaluates the definitions, criteria and recommendations used in the identification of sleep apnea and other sleep disorders,” Gibson said in the statement. Meanwhile, routine screening by primary care doctors “is a simple way” of gauging whether a high-risk patient may have obstructive sleep apnea, the statement said.
The U.S. Preventive Services Task Force, an authoritative body that reviews the effectiveness of preventive care, takes a conservative view, more like that of the European researchers, concluding there is “insufficient” evidence to support widespread screening among patients with no symptoms.
Many insurers refuse to pay for CPAP machines and other treatments prescribed for people at the outer edges of the AASM’s apnea definition. But AASM is pressuring them to come around.
After all my reporting, I concluded that my apnea is real, though moderate. My alarming reading in the overnight lab — diagnosed quickly as central sleep apnea — was a byproduct of the testing machinery itself. That’s a well-described phenomenon that occurs in 5% to 15% of patients.
And when I looked closely at the results of my at-home diagnostic test, I had an epiphany: My overall score was 26 breathing interruptions and blood-oxygen level declines, on average, per hour — enough to put me in the “high-moderate” category for apnea. But when I looked at the data sorted according to sleeping positions, I saw that I scored much better when I slept on my side: only 10 interruptions in an hour.
So I did a little experiment: I bought a $25 pulse oximeter with a smartphone app that records oxygen dips and breathing interruptions. When I slept on my side, there were hardly any.
Now I sleep on my side. I snore less. I wake up refreshed. I’m not daytime drowsy.
None of my specialists mentioned turning on to my side — known in medical parlance as “positional therapy” — though the intervention is recognized as effective by many researchers.
“Positional patients … can sleep in the lateral position and sleep quite well,” said Arie Oksenberg, a sleep researcher formerly at Loewenstein Hospital in Israel.
But it’s not easy to find this in the official AASM treatment guidelines, which instead go right to the money-making options like CPAP machines, surgery, central apnea, and mouth appliances.
Dealing with apnea by shifting slightly in bed gets little more than a couple of paragraphs in AASM’s guideline on “other” treatments and a little box on a long and complex decision chart.
A third or more of patients wear CPAPs only a few hours a night or stop using them. It turns out people don’t like machines in their beds.
“Positional therapy is an effective treatment option for some patients,” said the AASM’s Gibson. But she said there are concerns about whether patients will sleep on their sides long term and whether trying to stay in one position might cause sleep interruptions itself.
It’s true that And it often takes practice. (Some people tape a tennis ball to their pajamas to keep them off their backs.) Even conservative sleep doctors say CPAP machines are the best solution for many patients.
But there is a largely overlooked alternative.
“Are we missing a simple treatment for most adult sleep apnea patients?” was the name of a 2013 paper that Oksenberg and a colleague wrote about positional therapy.
In my case, the answer was “yes.”
Jay Hancock is a former KHN senior correspondent.
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Considering joint replacement? You might want to wait a little longer
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St. Joseph-Ogden tumbles at Central Catholic, slideshow & recap
Unable to regain their first quarter swagger and precision when action resumed after halftime, the St. Joseph-Ogden offensive effort against an embolden and confidenet BCC defensive unit yielded just 22 yards in the second half. Junior Justice Wertz led the Spartans' ground attack with 66 yards. Coy Taylor was held to just 15 yards rushing, and Tyler Burch ran the ball in on 4-yard run for a touchdown in the fourth quarter. SJO's passing game faired better against BCC. Taylor caught 12 passes for 132 yards, including one for a 25-yard touchdown in the first quarter. Burch, a senior, caught a 19-yarder in the first quarter. Logan Smith finished the game 13-for-24, passing for 151 yards and had a negative seven yards rushing. In stark contrast, the Saints, who moved to 4-2 overall, finished contest with 455 total yards against SJO's 170. The Spartans, now 3-3 overall and 2-3 in IPC, hosts Pontiac this Friday. For a quaranteed playoff berth, SJO has to win this week's game and beat the last two teams on their schedule, which include Rantoul and Paxton-Buckley-Loda.
Game Slideshow
St. Joseph-Ogden at Bloomington Central CatholicSeptember 30, 2022
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Julio Angrave leads Urbana harriers at Peoria Invite
This year's 1A/2A race was won by Marion with 136 points. Normal University placed second with 152 points, and Mather High School was third, edging-out Champaign Central for the bronze medal position by 32 points with 172. Tigers' Hudson Coady, Michael Allison, Cordaro Sims, and Brian Allison contributed toward their final team score of 443. Coady finished 78th at 16:32.34, Michael Allison crossed over at 16:39.00, and Cordaro Sims was next to finish a second later behind his teammate at 16:40.60. Brian Allison rounded out the top five runners in 133rd place with a time of 17:05.37. The Urbana boys program also had strong finishes from sophomores Mohammed Amrani and Dereje Jahiel, who clocked times of 17:07.76 and 17:33.98, respectively. The Tigers will run again on Tuesday on the University of Illinois Cross Country Course at the annual Twin City Meet and then again on Saturday for the Big 12 Conference title back at Detweiller Park.
Tigers run at Peoria Invite, Stori top finisher for the UHS
Senior Maya Stori led the Tigers' squad to the finish line circumventing the course at Detweiller Park in 20 minutes and 6.49 seconds in the Class 1A/2A race. 80th overall, she finished behing Bloomington's Alexandra Noona and ahead of Morton's Cali Fitzgerald.
Later, Stori was followed into the chute by teammate Abby Fairbanks, who stopped the clock at 20:10.80 for best time in the 3-mile distance this season. Prior to Saturday's race, Fairbanks' top finish this season was 21:09.70.
Also scoring points for UHS were Ellie Scully, Noam Kramer, and Kaleigh Bell. Scully finish 158th at 21:50.16, Kramer 180th at 22:34.20, and Kaleigh Bell finished out the top-five runners with a time of 22:37.05, good for 182nd overall.
Lavie Maisha and Brianne Wefel finished the race with times of 22:55.61 and 23:18.61 respectively.
The 1A/2A title was won by Crystal Lake South with 88 points. Dunlap tallied 105 points to take second, and Glenwood finished third in the team standings with 148 points.
The Tigers will run again this Tuesday on the University of Illinois Cross Country Course at the annual Twin City Meet and then again on Saturday for the Big 12 Conference title back at Detweiller Park.
Jackson Greer does it all, SJO rolls over Rantoul
Showing he is an asset anywhere on the pitch, Greer helped SJO get on the scoreboard with a pass to Alex Accosta for the open goal of the game in the first half. At the start of the second half Greer replaced Hunter Ketchum, who had one save, at keeper. While guarding and directing teammates on the field, Greer deflected one of the few solid threats made on the SJO goal during his short stint. He returned to the offensive side of the field, and with 23:10 left on the clock he put an unassisted shot into the north goal at the Rantoul Family Sports Complex. Minutes later, on a pass from the team's top defender Will Page, Greer scored a second goal to give the Spartans at 5-0 lead. Between Greer's assist and first solo shot, freshman Zach Harper padded his stats with two goals. He notched the first one on a pass from Will Childers in the first half to give St. Joseph-Ogden a 2-0 lead. Harper than put his team up 3-0 after he guided the ball into the net on a corner kick. Greer, Ketchum and Carter Mabry each recorded one save as the Spartans improved to 12-4-1 on the season. The Spartans face St. Anne tonight at home in their final contest of their run of five consecutive matches in a row.
Slideshow | St. Joseph-Ogden wins homecoming game, 42-12
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Prep Sports Notebook: SJO, Unity soccer programs suffer losses
Rice picks win for Spartan tennis program
Watseka -- St. Joseph-Ogden's Lily Rice defeated Watseka's Annika Greene in tie-break 8-7 (6) on Tuesday. Spartan doubles duo Halie Harms and Emma Thurman cruised to a 8-4 victory in the team's road match over Warriors' Annika Greene and Marisa Clark at #3 doubles. SJO lost the dual match, 7-2.
Box Score:
No. 1 - Emma Simons, Watseka def. Abbey Dow, SJO, 8-5
No. 2 - Ava Swartz, Watseka def. Katie McDermott, SJO, 8-1
No. 3 - Baler Rigsby, Watseka def. Addison Seggebruch, SJO, 8-5
No. 4 - Moriah Pueschell, Watseka def. Lauren Lannert, SJO, 8-0
No. 5 - Sarah Parsons, Watseka def. Izzy Sexton, SJO, 8-0
No. 6 - Lily Rice, SJO def. Annika Greene, Watseka, 8-7 (6)
Doubles:
No. 1 - Emma Simons/Baler Rigsby, Watseka def. Addison Ross/McKennah Hamilton, SJO, 8-1
No. 2 - Moriah Pueschell/Sarah Parsons, Watseka def. Jessica Gadbury/Madison Clampitt, SJO, 8-4
No. 3 - Halie Harms/Emma Thurman, SJO def. Annika Greene/Marisa Clark, Watseka, 8-4
Spartan soccer team blanked
St. Joseph -- The St. Joseph-Ogden soccer team fell 3-0 to visiting Bloomington Central Catholic after their Illini Prairie Conference match. Starting keeper Hunter Ketchum made three saves and backup goalie Jacik Slowikowski also recorded three saves for the Spartans (10-4-1). The Saints got first half goals from Boyden Chaon and Jarrett Wieduwilt. Jaylen Bischoff scored the third time for BCC.Rockets 2, Olympia 6
Sanford -- Nolan Remole scored once and later feed a pass on an attack that allowed Gabe Pound to score in the second half for Unity against the visiting Spartans. After Pound's goal, Olympia scored two more to go up 6-2 in the non-conference match. The Rockets' regular season contest winds down next week with a home match against Oakwood on Monday. The team is on a bus for a roadtrip to north Champaign to face the Sabers of St. Thomas More.Subscribe today, get The Sentinel news & sports delivered to your inbox
Recipe: Budget-friendly Crunchy Mushroom Wrap
Blended Crunchy Mushroom Wraps
Cook time: 20 minutes
Servings: 6
Put it together In large skillet over medium-high heat, heat olive oil. Next, cook onions 1-2 minutes until translucent. Add mushrooms and ground beef. Cook about 5 minutes, or until beef is no longer pink. Stir in taco seasoning. Cook 2-3 minutes and then set aside. Lay one large flour tortilla on flat surface. Spread 2 tablespoons mushroom-meat mixture on center of tortilla. Drizzle dollop of nacho cheese over mushroom-meat mixture. Top meat with one tostada shell then spread thin layer of sour cream over tostada shell. Top with shredded lettuce, diced tomatoes and shredded Mexican cheese then one small tortilla. Make sure not to overstuff so wrap doesn’t break apart while cooking. Fold edges of large tortilla toward center until completely covered. In hot skillet, generously spray with nonstick cooking spray. Carefully place wrap seam side down on skillet. Cook 2-3 minutes until golden brown. Flip and cook other side until golden brown. Repeat with remaining mushroom-meat mixture, tortillas and toppings. Cut wraps half and serve.
Four tips to selling your home in today's market
"It’s unlikely that an inexperienced agent would have noticed this," she remarks. To assess the experience of potential agents, Zachman recommends careful research: "Do they know your area? Have they sold other homes in your area? What customer ratings have they earned? These seem like obvious questions, but they’re easy to forget when you’re eager to start the listing process."
3. Take your time. Speaking of eagerness, don’t rush to put your home on the market if it’s not ready. "Don’t list a messy or cluttered house," Zachman cautions. "You want to make sure that it’s orderly, show-ready and professionally photographed. Cellphone photos just won’t cut it." She adds that the listing should contain all relevant information and that homeowners are prepared to respond to an offer. According to Zachman, "the most important timeframe for a listing is the first 14 days. You need to put your best foot forward so that the listing doesn’t get stale.” 4. Prepare for short-term inconveniences. Bad news for those who hate vacuuming: Your home should stay clean throughout the listing process. “If you’re pricing your home appropriately, you can expect many showings and some will be at the spur of the moment,” Zachman points out. “But the right price leads to a fast sale, so you won’t be inconvenienced for long. Any effort you put toward mopping floors, washing windows and making beds will be well worth it. "There are still ample opportunities for both buyers and sellers in this market," Zachman concludes. "If you follow these guidelines, you can successfully navigate through all kinds of market cycles. So, list at a reasonable price, work with an agent experienced in your market, remember that preparation is key, and expect a few inconveniences that shouldn’t last too long. Good luck!”MV Realty
You have a new business idea, here is how to finance your dream job
C-U Pride Fest Parade Saturday
URBANA -- The annual Champaign-Urbana Pride Fest Parade will be held this Saturday, October 1, starting at 11am in Urbana. The route will start on the corner of Busey and Green Street and head east on Green to downtown Urbana.
Judges for this year's parade are Xander Hazel, Executive Director of the Champaign Center Partnership, long-time local radio personality Diane Ducey, and Berry Stevenson, the Executive Director of the Greater Community AIDS Project. Judges will review entries as they pass from under a tent on the corner of Race and Elm.
This year's awards include the Best Float/Vehicle, Best Marching Group, and an Overall Best of Show. Winners will be announced at the Fair Stage in downtown Urbana at 12:30pm.
Parade route
The parade route will terminate near downtown Urbana at the Pride Fest Fair, which starts at noon until 4pm. In addition to live entertainment, dozens of local artists displaying their work will be onhand, informational booths for community groups about the activities or services, pop-up vendors, and food from the downtown restaurants.
For more information on Saturday's parade and Pride Week activities contact Uniting Pride of Champaign County at info@unitingpride.org.
Urbana District 116 holding Family Forum online tonight
Prep Sports Notebook: Accosta scores SJO's first, Unity volleyball drops heartbreaker
Schweighart, Atkins net 6 kills each
Unity's Emmalee Atkins and Kaitlyn Schweighart put away six kills each in the team's home match against St. Teresa on Monday. Their effort was not enough for the Rockets, who fell to the visiting Bulldogs, 2-1.
JJ LeFaivre, who recorded one block, contributed five kills to the UHS cause. Schweighart also had 11 digs and hammered four aces in the non-conference clash.
The Rockets won the opening set 26-24 and then dropped the next two, 25-17, 25-23.
Spartans crush visiting Tribe
The St. Joseph-Ogden soccer team went on a first-half rampage, scoring three goals in the first half of their home match against Judah Christian on their way to a 4-0 victory on Monday. Sophomore Alex Accosta started scoring effort with an unassisted shot between the post. Later, Aiden Cromwell booted one in to put SJO up, 2-0. Before the midgame break, Ryker Lockhart's pass allowed Collin Thomey to join the goal party. Will Childers, a senior defensive specialist, also recorded a second-half assist after sophomore Logan Mills found the net for the fourth unanswered score of the game. The win kicks off a grueling schedule for the Spartans (10-3-1), who play five-consecutive matches this week, four at home. This afternoon, SJO will host Central Catholic from Bloomington for a conference confrontation and are back on the pitch on Wednesday for a non-conference bout against Iroquois West. On Thursday, the soccer team travels to Rantoul to face the Eagles and back at home again on Friday for a varsity-only match against St. Anne.Unity loses soccer match, 7-0
In non-conference action on Monday, the Unity soccer team was shut out 7-0 by the Fisher Bunnies. The Rockets travel to Stanford today to take on the Spartans of Olympia high school in another non-league match.City of Urbana application window open for government rescue plan dollars
URBANA -- Applications for American Rescue Plan Act (ARPA) funds available through the City of Urbana are accepted now through November 16. Urbana has $12.97 million to distribute to help those affected by the Coronavirus pandemic that started in March 2020.
"The city is seeking applications for organizations that will provide services meeting the funding goals. Rather than households or businesses seeking individual assistance, applicants should be organizations who will use the funds to facilitate one of the funding goals," according to the City of Urbana website.
The goals include:
Increase support for community violence interventions
Increase availability and affordability of food
Provide relief and support for local businesses
Rogers named interim president at OSF HealthCare Heart of Mary Medical Center
Guest Commentary: If today was the last day of your life, how would you live it?
Life is one day at a time. You don’t have tomorrow. You hope for tomorrow but it’s not guaranteed. We plan for tomorrow. We save for tomorrow and look forward to tomorrow.
Today is what we have. If today is the last day of your life, how is it going? If you knew for sure, how would you want to spend your last precious 24 hours? You wouldn’t be planning next year’s vacation. No, you would want to get in all that you could possibly do. Only you know for sure how you would want to spend your day and everyone is different. Maybe you would spend your day with loved ones or maybe you would want to be strolling in the mountains or by the oceanside. Maybe you would want to spend your day eating ice cream, hamburgers and pizza. If it’s your last day then why not?
I like ice cream, hamburgers and pizza but my doctor doesn’t recommend them as a daily diet because of the hopes of tomorrow. There are ways that we can shorten our days and too much of what we enjoy is not always very good for us.
Since life is one day at a time, we can’t go back and repeat yesterday. All the good you did is in the past. All the mistakes you made are in the past. You can spend the rest of your life wishing you could repeat high school, college or an old relationship. Actually, you are better off if you don’t sit around and think about it all the time. It’s good to remember the good memories of family, friends, life’s successes and joys but they are in the past. This often makes us sad because we know we can’t relive some of those great moments of life. It’s best to give thanks for them and move forward.
Today is a good day to make some more memories – good ones. Living your life today regardless of what you are doing is the life you have. Make the best of it by enjoying your life. Do what you enjoy. Be good to yourself. Don’t beat up on yourself. Don’t live your life fighting with others. Do your work. Find joy in your work or move on to a work that you do enjoy. Find ways to reduce stress and to be happy.
Keep in mind that you can’t make everyone else happy and don’t take on everyone else’s problems. You probably have enough of your own.
Be patient. All good things take time if they are worthwhile.
Finally, just in case you do live a bunch more years, live today in such a way, that you can look back to today and remember it as a good day.
Dr. Glenn Mollette is a syndicated American columnist and author of Grandpa's Store, American Issues, and ten other books. He is read in all 50 states. The views expressed are those of the author and are not necessarily representative of any other group or organization.
This article is the sole opinions of the author and does not necessarily reflect the views of The Sentinel. We welcome comments and views from our readers. Submit your letters to the editor or commentary on a current event 24/7 to editor@oursentinel.com.
Finance, econ students have just a few days left to sign-up for annual futures trading competition

