Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Treating sleep apnea without CPAP

Joi Freemont, DDS
Conditions
January 11, 2019
Share
Tweet
Share

It was 4:00 a.m. when I made it to my parents’ home. My mother called me to say that my father was having a hard time breathing. I could hear him struggling in the background. I ran inside to see my mother cradling my father on the floor — not breathing. I performed CPR on the man that gave me life! CPR on the person who just three months earlier joined me as we renewed our CPR certifications together.

He had a heart attack following an episode of sleep apnea. He died a few hours later.

Sleep apnea. What is that? I had heard about it but knew very little. I always knew my father snored. I did too. But so what? What was the big deal with snoring? Doesn’t everybody snore?

My father, Dr. James Freemont, was a physician, an OB/GYN. When he died, he was not only chief of staff but the president of the hospital — the “Go-To Guy.” He delivered almost 8,000 babies during his career and loved the gift of life. Now he was gone. He was my hero and my idol. My life was forever changed.

Immediately after I lost my father, I began to study this disease and learned that over 70 million people don’t even know they have sleep apnea. I was in that number. My whole family soon got tested — my mother, two brothers and I — and all of us have it! We were walking time bombs and didn’t know it.

As I poured over my father’s medical records, it was amazing to me that all of the signs were there. He had high blood pressure. He was overweight. He smoked. He had glaucoma. He snored. But he went to the doctor — not only his primary care physician but a cardiologist! I wondered why none of the pieces in his health history led anyone to request a simple sleep study.

The week prior to his death he had a week-long stay in the hospital following a scare. That’s when he was diagnosed with having severe obstructive sleep apnea (OSA). They scheduled an appointment with the pulmonologist to get a CPAP in two weeks but time ran out. Why didn’t they give him one before he was discharged?

Five months after we said goodbye to my father I was on my way to attend the first of many courses on sleep apnea. Since then, my dental practice has focused on treating patients who are CPAP non-compliant and intolerant. It’s sad to say that I witness more times than I can count the number of patients that I treat who have hypertension or diabetes who have never had a sleep study. Over 30 percent of people with hypertension have sleep apnea and 85 percent of those with Type 2 diabetes have it, but it’s still going undiagnosed.

Furthermore, there are those with OSA who are never given treatment options by their doctors when they are told they have it. I’m met with a blank stare when I bring this up during our consultations. They never knew that there was anything other than a CPAP. The CPAP sits in a closet, the patients suffer, and their doctors aren’t doing anything about it.

When I was diagnosed, I knew immediately that I was never going to wear a CPAP. It was a bulky machine that had to be plugged up and put over my face at night. I couldn’t imagine what my husband would say. Armed with the knowledge that surgery and an oral appliance were options, I chose the oral appliance. I now have first-hand experience and can relate with my patients when they tell me their CPAP experience.

I sadly get pushback from a few physicians who are forced to give our mutual patients sleep studies. I’m even embarrassed when I learn of the doctors who won’t order a sleep study because they don’t think their patients need one despite their risk factors. I’m not sure if it’s a God complex or pride. I know that I’m “just a dentist,” but I’m also just a daughter who doesn’t want anyone else to go through what I did — especially if it can be prevented.

Joi Freemont is a dentist and can be reached at Freemont Dental.

Image credit: Shutterstock.com

ADVERTISEMENT

Prev

The clinical burden of documentation

January 11, 2019 Kevin 0
…
Next

10 surprising things you need to know about the hospital

January 11, 2019 Kevin 2
…

Tagged as: Pulmonology

Post navigation

< Previous Post
The clinical burden of documentation
Next Post >
10 surprising things you need to know about the hospital

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

Related Posts

  • Treating schizophrenia with long-acting injectables

    Greg Smith, MD
  • Treating the patient’s body is not synonymous with treating the patient

    Steven Zhang, MD
  • Sleep and the medical profession have an uneasy relationship

    Yoo Jung Kim, MD
  • Medical school and the science of sleep

    Sarah Murad
  • Bias when treating supporters of President Trump

    Anonymous
  • Don’t use stimulants to cram for exams. It ruins sleep and doesn’t help test scores.

    Sara C. Mednick, PhD

More in Conditions

  • 5 cancer myths that could delay your diagnosis or treatment

    Joseph Alvarnas, MD
  • When bleeding disorders meet IVF: Navigating von Willebrand disease in fertility treatment

    Oluyemisi Famuyiwa, MD
  • What one diagnosis can change: the movement to make dining safer

    Lianne Mandelbaum, PT
  • How kindness in disguise is holding women back in academic medicine

    Sylk Sotto, EdD, MPS, MBA
  • Measles is back: Why vaccination is more vital than ever

    American College of Physicians
  • Hope is the lifeline: a deeper look into transplant care

    Judith Eguzoikpe, MD, MPH
  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education
    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • How a TV drama exposed the hidden grief of doctors

      Lauren Weintraub, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • How a TV drama exposed the hidden grief of doctors

      Lauren Weintraub, MD | Physician
    • Why adults need to rediscover the power of play

      Anthony Fleg, MD | Physician
    • How collaboration across medical disciplines and patient advocacy cured a rare disease [PODCAST]

      The Podcast by KevinMD | Podcast
    • 5 cancer myths that could delay your diagnosis or treatment

      Joseph Alvarnas, MD | Conditions
    • When bleeding disorders meet IVF: Navigating von Willebrand disease in fertility treatment

      Oluyemisi Famuyiwa, MD | Conditions
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 7 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education
    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • How a TV drama exposed the hidden grief of doctors

      Lauren Weintraub, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • How a TV drama exposed the hidden grief of doctors

      Lauren Weintraub, MD | Physician
    • Why adults need to rediscover the power of play

      Anthony Fleg, MD | Physician
    • How collaboration across medical disciplines and patient advocacy cured a rare disease [PODCAST]

      The Podcast by KevinMD | Podcast
    • 5 cancer myths that could delay your diagnosis or treatment

      Joseph Alvarnas, MD | Conditions
    • When bleeding disorders meet IVF: Navigating von Willebrand disease in fertility treatment

      Oluyemisi Famuyiwa, MD | Conditions
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Treating sleep apnea without CPAP
7 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...