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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
  • Ultimate responsibility?

    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.  His doctor orders a new sleep study since it's been 5 years. Said sleep ...
    Posted to Adventures in Sleep (Weblog) on August 1, 2014
  • Do As I Say, Not As I Do

    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 I chat with my fellow techs all the time. It amazes me how bad our ...
    Posted to Adventures in Sleep (Weblog) on February 6, 2014
  • Why a Sleep Study?

    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 think this is what normal is. One of the men I work with is a typical ...
    Posted to Adventures in Sleep (Weblog) on December 12, 2013
  • 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
  • A Call to Arms

    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? Who told us this would be the next step and the best idea? The ...
    Posted to Adventures in Sleep (Weblog) on October 17, 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 Latest Sleep Research

    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 performed ablations to the research on changes in EEG associated with ADHD, there is always ...
    Posted to Adventures in Sleep (Weblog) on August 8, 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