"please keep me updated about oximeters "
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do snorers need sleep test to diagnose OSA?
following study used as evidence for need to do sleep study on so-called "simple snorers" to diagnose OSA. i think it suggests just the opposite. what do you guys think?
Views: 193
Replies to This Discussion
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Permalink Reply by RockRpsgt on
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I forgot that it was the unions that ruined the public school systems. How is the veiw from way up there Banyon?
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Permalink Reply by jfarr on
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Mike;
I was at the Respiratory Conference in Atlantic City on Thursday, October 7. You must have had way too much to drink the night before; and every day before and since. You are way too narrow minded to be involved in sleep medicine and should be banned from the industry. You say that you were a corporate lawyer; you should go back to something that you were probably very bad at.
That off my chest, did you ever consider CO-MORBIDITIES in any of your thought processes? In your exemplified study, you do not mention arrythmias, PLMS, or any other sleep disorder that could be diagnosed by PSG. What about Narcolepsy? (Do you even know what that is?...) How is a physician that YOU SAY doesn't know much about sleep medicine supposed to know what the REM latency is in order to pre-determine Narcolepsy other than through a PSG? Also, what about pneumothorax or a bleb on the lung? These are severe contraindications to CPAP therapy at high pressures. Your doctor knows all of your health history and what is proper therapy for your INDIVIDUAL case. That is what they are trained for. We, as lay people, do not have a clue as to what is proper therapy. However, we have far too many people that are trying to porray themselves as "experts" like yourself.
Dude, you are doing your followers a severe disservice with your lack of responsible use of this medium. Your irresponsibility could lead to some deadly results. Can you SLEEP with THAT on your head?
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Permalink Reply by 99 on
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we are pleased to have your input here we have other drs on this site as well and we are usually well guided by the mix of drs here on this site, we look forward to your positive contribution and direction that i am sure that you will bring to sleepguide and your expertise and help as we sure do need your help to explain the whys and wherefores of our condidtion of sleep apnea and related problems like you mentioned
it is not just about sleep apnea but it is about things related to sleep apnea like a cpap, distiled water, traveling with cpap, etc etc
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*sigh* I'm w/Rock Hinkle, I can see the value and the need for both HSTs AND the in-lab PSGs. Due to "my" co-morbidities I'm not too impressed w/HSTs for me. And my biggest concern about HSTs is all the literature about their success being touted include the advance education prior to the HST and at-home auto titrating. Hell, they aren't even doing a good job of education and support prior to AND AFTER an in-lab PSG and assignment of the proper equipment (xPAP).
Initial at-home auto-titration when a person hasn't found the correct comfortable, relatively leak free mask for them sets them up for failure and incorrect pressure settings as well as initiation of central apneas as the APAP "chases" the leak rate. The leaks skew the data. A higher pressure than truly needed once the right mask is found can be a direct result of a high leak rate auto titration.
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John-
I think you are being rude in the fact that you cannot handle another perspective on sleep. He said he is not all encompassing and was just expressing the point of view of the patients. If you have a problem with him you can come to me since I very happily invited him to speak at the conference. I will also back his opinion 110%. There is no reason to bash him on this forum or any other forum. Again he is allowed to express the view of the patient since that view is overlooked in many respects. Good luck with Life.
Linda
John Farraye said:Mike;
I was at the Respiratory Conference in Atlantic City on Thursday, October 7. You must have had way too much to drink the night before; and every day before and since. You are way too narrow minded to be involved in sleep medicine and should be banned from the industry. You say that you were a corporate lawyer; you should go back to something that you were probably very bad at.
That off my chest, did you ever consider CO-MORBIDITIES in any of your thought processes? In your exemplified study, you do not mention arrythmias, PLMS, or any other sleep disorder that could be diagnosed by PSG. What about Narcolepsy? (Do you even know what that is?...) How is a physician that YOU SAY doesn't know much about sleep medicine supposed to know what the REM latency is in order to pre-determine Narcolepsy other than through a PSG? Also, what about pneumothorax or a bleb on the lung? These are severe contraindications to CPAP therapy at high pressures. Your doctor knows all of your health history and what is proper therapy for your INDIVIDUAL case. That is what they are trained for. We, as lay people, do not have a clue as to what is proper therapy. However, we have far too many people that are trying to porray themselves as "experts" like yourself.
Dude, you are doing your followers a severe disservice with your lack of responsible use of this medium. Your irresponsibility could lead to some deadly results. Can you SLEEP with THAT on your head?
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Permalink Reply by Rooster on
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John Farraye said:Mike;
Dude, you are doing your followers a severe disservice with your lack of responsible use of this medium. Your irresponsibility could lead to some deadly results. Can you SLEEP with THAT on your head?
The people who visit this forum know that is not correct. There are at least 200 patient health forums on nearly all conditions from acid reflux, acne and ADD/ADHD to cancer and lung disease to weight loss and West Nile virus. They have millions of followers who attest daily to the value of patient forums.
I feel sure I would be dead today if I had not found a good CPAP forum five years ago to help me straighten out the mess of a therapy the sleep professionals had prescribed for me.
As far as deregulation goes, the requirement for prescriptions for CPAP machines is helping to keep the prices up, the usage down, and the patient awareness down. If anyone should have a guilty conscience it is the regulators and their supporters who have created and maintain this situation.
Let these machines be sold OTC at WalMart and Best Buy and watch the awareness increase and the compliance rate increase. Watch the undiagnosed take an interest and get rid of their "fear of the mask". Watch a robust used market for machines develop and watch it become easier to sell you old machine and trade up to the newest technology.
Watch sleep apnea and CPAP become a national discussion much the way cholesterol levels were in the eighties and nineties.
Nothing but good will come out of this.
Keep doing the good work Mike. The naysayers entrenched in the current mess will yelp at you until their end.
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Permalink Reply by Kath Hope www.hope2Sleep.co.uk on
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Hear Hear Rooster. Mike, the founder of this forum gives up hours and hours of his time to run the forum, and it's a place for people to have free speech, which is actually welcomed. However, there is NEVER a need to publicly insult any member of this forum, and least of all Mike himself, and I'm sure I speak for most of the 4,728 members!
Keep up the good work Mike :)
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people eleveate themselves by lowering others
Kath Hope www.hope2Sleep.co.uk said:Hear Hear Rooster. Mike, the founder of this forum gives up hours and hours of his time to run the forum, and it's a place for people to have free speech, which is actually welcomed. However, there is NEVER a need to publicly insult any member of this forum, and least of all Mike himself, and I'm sure I speak for most of the 4,728 members!
Keep up the good work Mike :)
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Permalink Reply by Mike on
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The context of John's remarks is the keynote speech I gave last week at a Respiratory Therapist conference in Atlantic City. I used the platform to advocate for the deregulation of CPAP and Sleep Apnea (i.e., lifting of prescription requirements and making a doctor's participation in treatment and diagnosis of OSA optional instead of compulsory). Many RTs and industry insiders actually came up afterward and agreed with my views. One said he disagreed. Most said nothing. John, on the other hand, comes up with (i) an argument that veers off-topic from plain OSA, which is what my talk at the conference was about, and (ii) name calling -- a libelous personal attack on me (i.e., alleging that I'm a drunk and a bad lawyer). All of this toward the end of making his case for the erudition and professionalism of his industry!? C'mon John . . . you make the case better than I ever could for why we should at least have the option to bypass folks like you.
John Farraye said:Mike;
I was at the Respiratory Conference in Atlantic City on Thursday, October 7. You must have had way too much to drink the night before; and every day before and since. You are way too narrow minded to be involved in sleep medicine and should be banned from the industry. You say that you were a corporate lawyer; you should go back to something that you were probably very bad at.
That off my chest, did you ever consider CO-MORBIDITIES in any of your thought processes? In your exemplified study, you do not mention arrythmias, PLMS, or any other sleep disorder that could be diagnosed by PSG. What about Narcolepsy? (Do you even know what that is?...) How is a physician that YOU SAY doesn't know much about sleep medicine supposed to know what the REM latency is in order to pre-determine Narcolepsy other than through a PSG? Also, what about pneumothorax or a bleb on the lung? These are severe contraindications to CPAP therapy at high pressures. Your doctor knows all of your health history and what is proper therapy for your INDIVIDUAL case. That is what they are trained for. We, as lay people, do not have a clue as to what is proper therapy. However, we have far too many people that are trying to porray themselves as "experts" like yourself.
Dude, you are doing your followers a severe disservice with your lack of responsible use of this medium. Your irresponsibility could lead to some deadly results. Can you SLEEP with THAT on your head?
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Permalink Reply by E.M. on
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I may not contribute to this site often but I have to say that Mike and this site has helped me so much with my care of sleep apnea. When my doctors and DME were not able to help me with finding a mask that worked for me I turned to this site. Mike was there for me and because of him I was able to find a mask that fit. I feel that Mike is an amazing man to take time out of his day to help me with my small yet big problem. For someone to come out and attack him like the way this one person has should be ashamed of himself. He has helped so many of us when nobody else could or cared. Thank you Mike for what you do and keep up the good the work.
John Farraye said:Mike;
I was at the Respiratory Conference in Atlantic City on Thursday, October 7. You must have had way too much to drink the night before; and every day before and since. You are way too narrow minded to be involved in sleep medicine and should be banned from the industry. You say that you were a corporate lawyer; you should go back to something that you were probably very bad at.
That off my chest, did you ever consider CO-MORBIDITIES in any of your thought processes? In your exemplified study, you do not mention arrythmias, PLMS, or any other sleep disorder that could be diagnosed by PSG. What about Narcolepsy? (Do you even know what that is?...) How is a physician that YOU SAY doesn't know much about sleep medicine supposed to know what the REM latency is in order to pre-determine Narcolepsy other than through a PSG? Also, what about pneumothorax or a bleb on the lung? These are severe contraindications to CPAP therapy at high pressures. Your doctor knows all of your health history and what is proper therapy for your INDIVIDUAL case. That is what they are trained for. We, as lay people, do not have a clue as to what is proper therapy. However, we have far too many people that are trying to porray themselves as "experts" like yourself.
Dude, you are doing your followers a severe disservice with your lack of responsible use of this medium. Your irresponsibility could lead to some deadly results. Can you SLEEP with THAT on your head?
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Permalink Reply by Banyon on
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John Farraye said:Mike;
I was at the Respiratory Conference in Atlantic City on Thursday, October 7. You must have had way too much to drink the night before; and every day before and since. You are way too narrow minded to be involved in sleep medicine and should be banned from the industry. You say that you were a corporate lawyer; you should go back to something that you were probably very bad at.
Dude, you are doing your followers a severe disservice with your lack of responsible use of this medium. Your irresponsibility could lead to some deadly results. Can you SLEEP with THAT on your head?
John Farraye, Please tell me that someone with such a vindictive vicious slanderous attitude as you displayed here is not a health professional with responsibility for patients. Pity the poor patients who depend on you. I know that attitude has to negatively affect your work. There is no "Off" button on that attitude to push when you walk into your professional setting. Professionals with your attitude are a major reason that internet patient forums are popular.
Thankfully internet patient forums will be around a long time and thanks for people like Mike who create them.
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