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  • Self Medicating

    New research shows alarming but not surprising data that teens the world over self -medicate with over-the counter and prescription drugs. The statistics are: young people age 13 to 18 routinely self-medicate with over-the-counter and prescription medications for various health concerns; 22 percent of U.S. teens indicated that they ...
    Posted to Adventures in Sleep (Weblog) on October 6, 2014
  • COPD in the Sleep Lab

    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 COPD is so difficult to treat and why it made the list. Upon arrival to the lab all was well, ...
    Posted to Adventures in Sleep (Weblog) on August 28, 2014
  • Dealing with Discouraged Patients

    You're scanning the EMR and you see four office visits in the past month with the same chief complaint. You walk in the room knowing it's not going to be an average cut-and-dry visit. The patient is frustrated about their bowel, their bladder or their other non-emergent complaint that keeps driving them back to the office, and you have to address ...
    Posted to First Year PA (Weblog) on August 4, 2014
  • NP's Orders

    There are not many things that frustrate me in my clinical practice. Most patients are open, receptive and leave shaking their heads in agreement to your plan of care. What happens once they leave your office is often unknown. You hope that they venture directly to the pharmacy, take their medications as prescribed and their health improves. ...
    Posted to First Year NP (Weblog) on July 28, 2014
  • Can Ambien Be Linked to Murder?

    I read with some horror an article, Murder: Another Ambien Side Effect?, by John Gever in MedPage Today. Oh my goodness. I was aware of the bizarre behaviors reported with Ambien use: cooking while sleeping, having sex and not remembering... and driving while asleep. Still, I must admit this article shocked ...
    Posted to Adventures in Sleep (Weblog) on May 8, 2014
  • 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
  • Successful Weight Loss

    Over half of the US population is overweight. Most of us are considering again our old resolution for the New Year - losing weight. Fad diets that require severe calorie restriction have historically failed us long-term. Many of us lose weight with these diets temporarily, but then the weight comes on again, and is usually much more ...
    Posted to Aesthetics Practice Today (Weblog) on January 8, 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
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