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I read that a company is working on technology to adapt existing hospital monitors so that they'll be able to screen every patient admitted for sleep apnea. the article said that APAP technology would be used. Not sure what they have in mind. Anyone have any ideas?

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I don't have any ideas at the moment, BUT I think it's an excellent idea!! Just think how many lives may be saved if surgeons, nurses, and any hospital-care staff knows someone needs CPAP in the hospital, especially with surgery!!!!!!!!!

Susan McCord
Yeah, something like that would truly raise awareness of Sleep Apnea in a BIG way.

susan mccord said:
I don't have any ideas at the moment, BUT I think it's an excellent idea!! Just think how many lives may be saved if surgeons, nurses, and any hospital-care staff knows someone needs CPAP in the hospital, especially with surgery!!!!!!!!!

Susan McCord
It would, Mike. And even if the goal were not to "get people into treatment", if it came across as regular info on a hospital monitor, which people are used to seeing anyway, it would not only educate unobtrusively, but it would alert floor or surgical staff immediately if a patient were getting into trouble, in time for an intervention...wow, having worked in and out of so many hospitals, I can't stop thinking about this.....

McCord

susan mccord said:
I don't have any ideas at the moment, BUT I think it's an excellent idea!! Just think how many lives may be saved if surgeons, nurses, and any hospital-care staff knows someone needs CPAP in the hospital, especially with surgery!!!!!!!!!

Susan McCord
I agree it's a very exciting prospect. The key will be whether they can actually execute. Time will tell, I suppose.

susan mccord said:
It would, Mike. And even if the goal were not to "get people into treatment", if it came across as regular info on a hospital monitor, which people are used to seeing anyway, it would not only educate unobtrusively, but it would alert floor or surgical staff immediately if a patient were getting into trouble, in time for an intervention...wow, having worked in and out of so many hospitals, I can't stop thinking about this.....

McCord

susan mccord said:
I don't have any ideas at the moment, BUT I think it's an excellent idea!! Just think how many lives may be saved if surgeons, nurses, and any hospital-care staff knows someone needs CPAP in the hospital, especially with surgery!!!!!!!!!

Susan McCord
i'm not a pessimist, as you must know, but there's a very compelling economic rationale for the insurance companies to pay more for the higher end, more sophisticated CPAP machines too. it has not held the day so far, however. but perhaps the liability exposure will in fact tilt the scales in favor of some sort of pre-screening for apnea in the hospital setting.

j n k said:
It's simple economics. No hospital wants patients to die there from a condition that in the view of some the hospital should have recognized. No surgeon wants his patient dying because of complications related to OSA in the recovery room after a successful operation. Growing recognition of the problem means growing recognition of the medical and financial risks of ignoring the OSA problem in a hospital setting. It may get to the point one day where a PSG may be required testing as a standard protocol for all patients who appear to have certain risk factors before being approved for some relatively minor procedures. This sounds like a way to use some sort of prescreening to keep that from happening yet.
Can you provide a citation?
I read it in the July/August issue of Advance for Respiratory Care & Sleep Medicine, p. 14. Here's the exact excerpt that I was talking about:


Brian Katzung said:
Can you provide a citation?
Thanks!
Interesting concept. I do believe it would be beneficial. I was the one that requested a sleep study. I have had a few surgeries and shutter to think that no one ever suggested, nor screened me for sleep apnea. I often complained of severe fatigue and yet not one doctor suggested a sleep study.

By this type of screening in the hospital would be beneficial for thousands that were like me.
sleepycarol said:
Interesting concept. I do believe it would be beneficial. I was the one that requested a sleep study. I have had a few surgeries and shutter to think that no one ever suggested, nor screened me for sleep apnea. I often complained of severe fatigue and yet not one doctor suggested a sleep study.

By this type of screening in the hospital would be beneficial for thousands that were like me.
Carol, ME TOO!! Since I know how MANY years I've had undiagnosed apnea symptoms now, I was thinking about the very same thing yesterday. I too, have had multiple major surgeries and 4 heart caths, in the midst of chronic c/o of chronic fatigue--no one ever mentioned apnea to me. When I think of all the times I've been under anesthetic for significant lengths of time and the sleeping that occurred after waking from that, it's a worrisome and also intriguing thing to contemplate. I wonder how many people who have "died on the table" or "didn't make it", etc. actually died from apnea......Jeez!! Makes me want to go stand at the door of every surgery suite I can find and stand there with a sign that says, "Do you have CPAP on board for this patient???" Can't imagine what it's gonna take to get the massive public education rolling......well, actually, yes I can. There's a powerful organization called WomenHeart, to which I belong, that began with 3 women with heart disease sitting around a kitchen table talking about how underdiagnosed women's heart disease is. Out of that discussion was born a HUGE network of women who are trained and educated re: same, and WH has a very structured program of selective training to get women with HD out into their own communities to do presentations, work local functions, etc. to promote early awareness and diagnosis of women's heart disease which presents VERY differently from men's and is frequently overlooked and/or ignored by many, many healthcare personnel, including MDs. Progress is being made now--what started out with big ideas and tiny steps, has become a national organization working in tandem with Mayo Clinic/Rochester!!!! Now, THAT kind of thing would be a magnificent arena for apnea patients. The format could be tweaked, if necessary, but I for one would LOVE to get on board for THAT kind of pro-active educational stance in regard to sleep apnea. Wondering now.....we should all give this some thought.

HEY MIKE!!!, what are your thoughts on this???????????? Or anyone else who may be reading this discussion.....whatta 'ya think? I think I'll start a Discussion in a couple of days about this very thing.....

Susan McCord

susan mccord said:
sleepycarol said:
Interesting concept. I do believe it would be beneficial. I was the one that requested a sleep study. I have had a few surgeries and shutter to think that no one ever suggested, nor screened me for sleep apnea. I often complained of severe fatigue and yet not one doctor suggested a sleep study.

By this type of screening in the hospital would be beneficial for thousands that were like me.
I'm 100 percent all for anything that raises awareness of sleep apnea in a responsible, intelligent manner. I don't know anything about the WomenHeart organization other than what you just mentioned, but sounds great. Susan, I'm game to put some time and effort into this. Let talk about what I can do to move things forward.

susan mccord said:
Carol, ME TOO!! Since I know how MANY years I've had undiagnosed apnea symptoms now, I was thinking about the very same thing yesterday. I too, have had multiple major surgeries and 4 heart caths, in the midst of chronic c/o of chronic fatigue--no one ever mentioned apnea to me. When I think of all the times I've been under anesthetic for significant lengths of time and the sleeping that occurred after waking from that, it's a worrisome and also intriguing thing to contemplate. I wonder how many people who have "died on the table" or "didn't make it", etc. actually died from apnea......Jeez!! Makes me want to go stand at the door of every surgery suite I can find and stand there with a sign that says, "Do you have CPAP on board for this patient???" Can't imagine what it's gonna take to get the massive public education rolling......well, actually, yes I can. There's a powerful organization called WomenHeart, to which I belong, that began with 3 women with heart disease sitting around a kitchen table talking about how underdiagnosed women's heart disease is. Out of that discussion was born a HUGE network of women who are trained and educated re: same, and WH has a very structured program of selective training to get women with HD out into their own communities to do presentations, work local functions, etc. to promote early awareness and diagnosis of women's heart disease which presents VERY differently from men's and is frequently overlooked and/or ignored by many, many healthcare personnel, including MDs. Progress is being made now--what started out with big ideas and tiny steps, has become a national organization working in tandem with Mayo Clinic/Rochester!!!! Now, THAT kind of thing would be a magnificent arena for apnea patients. The format could be tweaked, if necessary, but I for one would LOVE to get on board for THAT kind of pro-active educational stance in regard to sleep apnea. Wondering now.....we should all give this some thought.

HEY MIKE!!!, what are your thoughts on this???????????? Or anyone else who may be reading this discussion.....whatta 'ya think? I think I'll start a Discussion in a couple of days about this very thing.....

Susan McCord

susan mccord said:
sleepycarol said:
Interesting concept. I do believe it would be beneficial. I was the one that requested a sleep study. I have had a few surgeries and shutter to think that no one ever suggested, nor screened me for sleep apnea. I often complained of severe fatigue and yet not one doctor suggested a sleep study.

By this type of screening in the hospital would be beneficial for thousands that were like me.

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