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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 ...
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 ...
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 ...
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 ...
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.
It is fall again. If
the temperatures haven't started to drop yet where you live, they likely will
soon. It is time to break out the sweaters, jackets, coats, sweatshirts and
warmer sheets, blankets and comforters. It is also prime time for dust
Usually around this
time of year I see an influx of patients presenting to the ...
I just returned from Uganda 5 days
ago -- a harrowing 43 hour journey with a more than a few moments of thinking
we might not ever get home, but I did. And I wanted to recount a day with a
problem we as NP/PA students don't face much in the U.S.: malnutrition.
Bugabero is in the Manafwa
District, a sort of rural suburb of the city we ...
We have carved deep into the second half of my first year as
a professional physician assistant. This is the perfect time for a Quarterly
Check-Up to examine some of the biggest lessons over the last three months
We learned that our
patient's beliefs can trump the strongest medicine and that our acceptance
of those beliefs makes us better ...
An recent article in Medpage Today expressed concern that the general public does not understand how Medicare works and that in general we are clueless as to it how it is paid out and funded. The author, David Pitman, said that our policymakers need to create an educational campaign to help us understand the system.
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 ...