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  • Sleep Defeat

    What do you say? Should we ever admit defeat with sleep patients?  Is it just me or does it seem that men in their 80s are particularly harder to coach and titrate? They tend to fight CPAP and usually come with a library of reasons they can't or won't use it. My most recent example was in the lab just this weekend. The techs ...
    Posted to Adventures in Sleep (Weblog) on January 16, 2014
  • Another Opportunity for Sleep Field Growth

    I read an interesting article about how the Affordable Care Act will be covering weight loss coaching as part of the mandatory coverage starting in 2014. The article goes on to talk about the fact that physicians will not be able to do this counseling due to their current work load. They are instead turning to health and wellness coaches ...
    Posted to Adventures in Sleep (Weblog) on January 9, 2014
  • Reasons PAP Devices Denied as ‘Not Medically Necessary'

    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 prior to the sleep test to assess the beneficiary for obstructive sleep apnea (OSA) or to ...
    Posted to Adventures in Sleep (Weblog) on December 5, 2013
  • Thankful for Many Things, Including a Sleep Career

    I always spend November being thankful. It is a busy month for me as I find that work is busy, my son's birthday is celebrated -- this year he is 21-- and the holidays gear up. This year I even get to deal with Hanukah in November. It has been a crazy year so I am grateful for so many things -- including the challenges. I ...
    Posted to Adventures in Sleep (Weblog) on November 14, 2013
  • How to Educate about Studying

    At the beginning of the school year the one thing that everyone is looking for is new study skills. Students want to know the latest trick to get better grades. So I did a little research and have figured out how to add value and encourage sleep at the same time. It works with my students who are aged 17+ years and they have ...
    Posted to Adventures in Sleep (Weblog) on September 19, 2013
  • Are You an Apnea Tech or a Sleep Tech?

    Our job is to work with people with multiple disorders and to help educate them about the need for sleep and how sleep apnea affects the body. But are we really only teaching about apnea?  I would tend to say no. Our audience in the lab may be limited but I have learned when teaching about sleep that hygiene, parasomnias and ...
    Posted to Adventures in Sleep (Weblog) on August 22, 2013
  • Sleep Apnea Patient Care Needs Improvement

    I am concerned and frustrated this week. I keep hoping to find that magical sweet spot between DME's and patients. Our city has about 10 different DME companies and as you might expect, service can vary greatly. It can be a challenge to understand exactly what takes place at the DME. I know the patient is given RX for therapy and usually a copy ...
    Posted to Adventures in Sleep (Weblog) on August 16, 2012
  • Why CPAP Therapy is Failing

    There is a huge failure rate for CPAP therapy; some would even say it is as high as 50 percent. That number is being used by insurance companies, home sleep testing companies, and people who do not believe in sleep apnea to prove that we are testing too many people and spending too much money. But we're not. The failure rate results from our ...
    Posted to Adventures in Sleep (Weblog) on February 1, 2012
  • Non-Compliance 'R' Us

    NON-COMPLIANT: Failure or refusal to comply, or in the medical community it can be the degree to which a person follows medical advice.  Is it just me, or are we sleep magnets for/to the non-compliant?  I had a person today make me laugh out loud.  We called her to schedule a repeat titration study and she refused the appointment ...
    Posted to Adventures in Sleep (Weblog) on August 25, 2011
  • It IS Possible to Get a Good Night's Sleep

    I attended another health fair today. I typically am involved in about 6 or so per year. Health fairs, for me at least, take on their own personality or theme. This one today for example had a lot of healthy people in attendance. A big employer for our state and just really nice people to be around ... so why am I sitting here so ...
    Posted to Adventures in Sleep (Weblog) on July 14, 2011
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