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  • Difficult Patients in the Sleep Lab

    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.  I come from a nursing background and so I can usually handle whatever comes through the ...
    Posted to Adventures in Sleep (Weblog) on August 21, 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
  • Sleep Educators Course

    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 a motivated group of people open to learning new skills, the role of ...
    Posted to Adventures in Sleep (Weblog) on October 3, 2013
  • The True Problem in Our Sleep Field

    It is amazing what I keep reading. Sometimes I feel like I am surrounded by Chicken Little saying the sky is falling. All I ever hear anymore is that the field is being taken over by OCST and the insurance companies.  Then I get a test asking for the name of a good tech that is registered and can score because a lab has an ...
    Posted to Adventures in Sleep (Weblog) on June 27, 2013