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Cheney, M.D.'s Oxygen Treatment for Chronic Fatigue Syndrome

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Read below:

Cheney, M.D.'s Oxygen Treatment for Chronic Fatigue Syndrome

ImmuneSupport.com

10-14-2002

By Carol Sieverling

Note from Carol Sieverling: This article is intentionally detailed

and technical so those who wish to try this treatment can share it

with their doctor. It is based on a taped conversation with Dr.

Cheney and has been reviewed and edited by him.

Dr. Cheney recently began prescribing oxygen for patients with

alkaline venus blood. Up to an hour of oxygen in the morning can

provide half a day of significant improvement and numerous benefits.

He has been seeing alkaline blood results in patients for years, but

dismissed it as insignificant, based on his medical school training.

His growing suspicion that it was a very significant factor was

confirmed when a speaker at an international conference on fatigue

in London began a presentation by announcing " Ladies and gentlemen,

I'm here to tell you that CFS patients are alkalotic. "

Blood alkalosis inhibits the transport of oxygen to tissues and

organs, constricts the blood vessels, and lowers overall circulating

blood volume.

The purative cause of the alkalosis is the glutathione deficiency

that is pervasive in CFIDS. Low glutathione causes an elevation in

citrate, which in turn lowers a substance (2.3 DPG) that controls

the release of oxygen from the hemoglobin. Our blood could be full

of oxygen, but without enough of this substance it cannot break free

of the hemoglobin and get into the cells. This causes oxygen

deprivation in the tissues (hypoxia), which makes the body switch

over to anaerobic metabolism, and that produces tissue acidosis,

which can be painful. The acidosis here is unusual because instead

of generating a lot of carbon dioxide, it generates a lot of organic

acids that stay inside the cell. The body compensates for tissue

acidosis by increasing renal bicarbonate reabsorption, and

developing tissue alkalosis.

This blood alkalosis is unusual in that Cheney usually sees venus

blood pH values over 7.4 and urine pH values under 6.0. (Optimum

venus pH values are 7.30 to 7.35.) When both blood alkalosis and

urine acidosis are seen, it's a metabolic problem - not a

psychogenic reaction to a needle stick. A blood pH above 7.4 shows

impairment, and above 7.5 there is significant impairment - almost

no oxygen transport at all. A urine organic acid test will also

reveal this problem: elevated citrate and/or low 2-oxo-glutatic are

markers.

The really terrible thing is the presence of a vicious cycle. The

blood alkalosis further lowers the levels of 2.3 DPG (inhibiting the

release of oxygen), causing tissue hypoxia, which causes tissue

acidosis and pain, which then causes blood alkalosis, which lowers

2.3 DPG even further. And around and around we go.

The ultimate treatment for this situation is Immunocal or IMUPlus,

the undenatured whey protein supplements that help restore

glutathione. However, some patients cannot afford this, and it does

not work on all patients. An immediate solution to the oxygen

transport problem is to use a partial rebreather mask set at 35 to

40% FIO2 (Fraction of Inspired Oxygen), which requires a flow rate

of about 10 liters per minute. Try to do an hour a day, broken into

one, two or three sessions. You can do more than one hour a day, but

do not do more than one hour at a time. Do not breathe heavily -

breathe normally. Most CFS patients have headaches, and this can

help those headaches. If the prescription is written for headaches,

insurance may cover it. One hour of oxygen a day on a partial

rebreather can run $75 to $100 a month.

Oxygen through nasal prongs will not work. Oxygen alone in a mask

will not work. It has to be a parietal rebreather mask, which has a

bag attached. This allows you to rebreathe your expired carbon

dioxide along with the oxygen that is flowing into the mask.

Breathing increased levels of both CO2 and O2 at the same time is

essential. The CO2 breaks the cycle. It corrects the alkalosis and

frees the O2 in your blood to move into your cells. With proper

functioning, vessels dilate and you start perfusing your brain and

tissues, bringing out the toxins and brining in the nutrients.

Raising oxygen levels will also help kill off yeast and other

pathogens. Lack of oxygen allows them to multiply.

It is important to the function of the rebreather that the bag

contract and expand with the breathing cycle. It can fully expand

when you exhale, but it must collapse when you inhale, though no

more than two-thirds . It's not working properly otherwise. If the

flow rate is too high (usually above 10 I.pm) the reservoir bag will

remain expanded during the entire breathing cycle and there will be

insufficient rebreathing of CO2. If the flow rate is too low, the

reservoir bag will collapse fully when breathing in. It must not

collapse more than two-thirds. if the bag will not collapse well,

check for leakage around a poor fitting face mask. The openings on

the mask near the nose can be left open, or fitted with the rubber

disks that turn the openings into one-way valves. An open mask has

less rebreathing potential. With one-way valves, the CO2 rebreathing

potential is increased.

The speaker at the London fatigue conference sends his patients to

breathing experts like Hale, who wrote Breathing Free. Most

patients are walking around over breathing and thus becoming more

alkaline. Learning to under breathe properly can help address the

alkalinity of the blood and improve oxygenation.

Two problems can be seen in some patients on a rebreather mask:

1) Rapidly correcting blood alkalosis or overcorrecting (that is,

acidosis) can provoke vasodilatation. If there is significant blood

volume contraction some patients may become hypotensive and feel

dizzy or faint. Taking oxygen lying down and expanding the blood

volume with an isotonic electrolyte drink such as Gookinaid ERG

(Electrolyte Replacement with Glucose), found at

http://members.aol.com/Gookinaid/ 800-283-6505 can prevent this.

Reducing the time spent on the mask rebreather will also address

this problem.

2) Patients with a history of migraine may provoke a migraine in the

moments just after going after going off the rebreather. Again,

expanding blood volume and reducing the time on the rebreather can

help with this side effect.

© Carol Sieverling. Source: http://virtualhometown.com/dfwcfids. All

rights reserved.

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Related Articles:

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