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Adventures in Sleep

COPD in the Sleep Lab
August 28, 2014 10:50 AM by Penny Mehaffey
We had a COPD patient in the lab this week. This is not an unusual occurrence, but it was an exclamation point for me, given that CMS adds COPD to the list of targeted and tracked diseases this October. I thought our patient was a prime example of why Read More...
2 comments »     
Difficult Patients in the Sleep Lab
August 21, 2014 11:15 AM by Penny Mehaffey
Difficult patients in the sleep lab are no surprise, nor are they a new phenomenon. What is new is the frequency with which they are showing up. Sometimes it feels as if the doctors are in a contest to see who can refer in the most difficult patient. Read More...
4 comments »     
Ultimate responsibility?
August 1, 2014 8:52 AM by Penny Mehaffey
Problem: A patient was diagnosed with sleep apnea 5 years ago and has been treated with CPAP since. At his office visit this year he complains of poor sleep and a return of symptoms of OSA. He has gained 60 pounds and has other lung problems as well. Read More...
4 comments »     
Sleep Study 101
May 29, 2014 9:59 AM by Penny Mehaffey
There's a conversation going on in LinkedIn revolving around this question: Does a sleep study require a doctor's order? It's been an interesting feed to follow. You would think that this is a no-brainer, right? It's a medical test, so it requires a physician's Read More...
4 comments »     
Review, Review, Review!
March 20, 2014 8:33 AM by Amy Reavis
The one thing I can tell you as I teach is how much reviewing the rules is important. I have recently taught scoring and titration. As I am going through the curriculum it is always helpful to remember that reviewing the rules makes me a stronger technologist. Read More...
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Do As I Say, Not As I Do
February 6, 2014 10:38 AM by Amy Reavis
I do not know about you but I used to hear, "Do as I say, not as I do," all the time from my parents. I know that as sleep techs we are not perfect, but we really should follow our own advice. I have worked in labs, I have sent students out to labs and Read More...
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When It's Icy in Georgia
January 30, 2014 11:37 AM by Penny Mehaffey
I'm blogging today about the weather. It is the big story here in the Garden City where I am. The lab closed Tuesday and Wednesday nights due to snow and ice. We had originally planned to remain open for testing but as the weather worsened Tuesday afternoon, Read More...
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Why a Sleep Study?
December 12, 2013 10:01 AM by Amy Reavis
We need to encourage our patients. This is especially true this time of year when holidays are foremost in people's minds. So why do we need to treat sleep apnea? There are so many reasons, but most people do not realize they have symptoms -- they just Read More...
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Reasons PAP Devices Denied as ‘Not Medically Necessary'
December 5, 2013 11:23 AM by Penny Mehaffey
I want to comment on the following that I read online in SleepReview : "The top two reasons for a positive airway pressure (PAP) device being denied as not medically necessary are as follows: 1) no face-to-face clinical evaluation by the treating physician Read More...
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Embracing -- and Surviving -- Home Sleep Studies
November 7, 2013 9:21 AM by Penny Mehaffey
I concur! I read a blog by Matt Kaplan on the SLEEP SCHOLAR web site this week that I found gratifying. His lab has conducted over 5,000 home sleep tests recently and he has a seasoned insight into the dos and don'ts of home testing. I have to say it Read More...
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A Call to Arms
October 17, 2013 10:58 AM by Amy Reavis
The AAST has called us to arms. Our future is banging on the door and we do need to embrace it. Many of us saw the handwriting on the wall and have attended the sleep educators coarse with the desire to earn a new credential. Why do we want this new credential? Read More...
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Sleep Educators Course
October 3, 2013 8:54 AM by Amy Reavis
I have to admit that the BRPT has really stepped up to create the next step of growth in our field. It is an impressive sight, when a conference room is overfilled and there are 300 eager people learning about the extended role of the educator. This was Read More...
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Surprise!
September 5, 2013 9:17 AM by Amy Reavis
The AASM announced what the techs have been saying all along: It is too time consuming to score a study twice, once for the AASM and once for CMS. The AASM changed the hypopnea scoring rules from 4% to 3% desaturation when they came out with the new scoring Read More...
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Home Sleep Testing
August 15, 2013 10:31 AM by Penny Mehaffey
I wanted to pick your collective brains about home sleep testing. Our lab is recently accredited for OOCT testing. The jury is still out for me on some issues. I like the convenience it affords patients, but I don't like being mandated to go that route. Read More...
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The Latest Sleep Research
August 8, 2013 8:56 AM by Amy Reavis
We look at sleep studies and we use CPAP but how many of us actually read the new research out there? We have great new ways of marketing our labs by using this research. From the studies that associate sleep apnea with new stroke patients and recently Read More...
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    Adventures in Sleep
    Occupation: Sleep technicians
    Setting: Various sleep facilities
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