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The Annual Sleep Meeting, put on by the American Academy of Sleep Medicine, is being held in San Antonio, Texas as we speak.  They'll discuss the latest scientific research, products and best practices generally in the Sleep Medicine field.  Let's get our agenda on their minds.  If you yourself were to speak at the Sleep 2010 meeting, what would you have to say?

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Wow what a post! I believe that I would like to think on a response for a little while.
don't think that folks high up at the ASAA don't read what we write here. I have heard that they do.

Rock Hinkle said:
Wow what a post! I believe that I would like to think on a response for a little while.
If I could give the lecture under an assumed name (like, maybe, 'Banyon,' or something),

If Banyon was you alter ego????????? I am starting to see things more clear now. ;)
I'd talk, on my soapbox, about how we need to nationwide change the starting times for our kids in school. It's way to early and needs to be moved to at least 0830-0900 so our kids can start getting a better opportunity to achieve the sleep they need. And...parents need to act like parents and get the freaking tvs, computers, cell phones out of their kid's rooms!!!!
Walt Service said:
I'd talk, on my soapbox, about how we need to nationwide change the starting times for our kids in school. It's way to early and needs to be moved to at least 0830-0900 so our kids can start getting a better opportunity to achieve the sleep they need. And...parents need to act like parents and get the freaking tvs, computers, cell phones out of their kid's rooms!!!!

That's a great thing about internet forums - start a post and you never know what you will get!!

But that is a good point, Walt. I believe Duke University has changed their schedule so that no classes start before 9:00 a.m. and it all had to do with sleep needs of the youthful students.
j n k said:
If I could give the lecture under an assumed name (like, maybe, 'Banyon,' or something), and could wear my Groucho glasses for a disguise, and and could wear my Kevlar suit, my theme would probably be this:

"So, Hey, When Are We Gonna Give Up On This Silly 'Medical Therapy' Business-Model (So We Can Thumb Our Noses at the FDA) and Start Selling These Machines at Wal-Mart as "Anti-Snoring Devices' So the Machines We Make Can Be Inexpensive but We All Start Making Some REAL Money From the Volume?"

(Please note that the above was said in jest by someone who temporarily broke into j n k's computer and posted those words completely without his permission.)

I get a large fee for renting my identity out. However, if you will stick to that script the fee will be waived.
I want a fully data capable PAP. I want access to my data via the software. I want copies of my PSG full scored data summary reports w/condensed graphs. I want a DVD of my full PSGs. I want a sleep doctor who actually takes an interest in my PAP therapy data and I want a sleep doctor who actually provides GUIDANCE of my therapy.

What I DO NOT WANT is some prima donna sleep "specialist" who only jumped on the cash cow sleep medicine bandwagon as a lucrative sideline that doesn't take up any time having to consult w/patients. Screw the sleep specialist who doesn't consult w/the patients.

IF I'm going to have to deal w/RRTs for my PAP therapy then I want an RRT who actually knows and understands the features and options of the PAP I use and who actually really and truthfully DOES know something about sleep and PAP therapy and who really does know how to do a proper mask fitting. I want a CHOICE of brand and model of PAP and mask I get.

I want easy access to the RPSGTs who do my PSGs. I don't want them "gagged" by some prima donna sleep doctor who can't be bothered consulting w/me. The percentage of CARING RPSGTs appears to be CONSIDERABLY HIGHER than the percentage of CARING RRTs or sleep "specialists".

Best sleep medicine practices??

A sleep lab that schedules 1] a sleep evaluation PSG AND 2] sleep specialst consult AND 3] titration PSG AND 4] sleep specialist consult at which time if PAP is indicated the patient is referred to some DME providers to "shop" for the brands and models of PAP and mask that interest them all in series at the time of the referral or initial consultation that indicates a PSG is in order. THEN the patient AND sleep doctor should come to an amicable agreement on what the equipment order should specify and include. Its easy enough to cancel those appointments not needed in a timely manner. I should think two weeks between each should be sufficient.

AND get the doggone FDA off the backs of the manufacturers as far as patient access to the software.

Loosen up and treat OSA and PAP therapy more like diabetes by including the patient in treatment decisions and monitoring and providing proper GUIDANCE. The more the medical profession tries to keep me in the dark the more I distrust the profession, the more I dislike the profession and it certainly destroys respect for the profession.

It is MY health, MY therapy, "I" am the one to endure the benefits - or consequences - of EVERY decision made, of every test or procedure conducted. Its the doctor's responsibility to advise, to see to it that I am able to make an INFORMED decision - but in then end it is MY decision that counts.

Whew!! I'm on a roll today!! Let it all hang out, Judy. Get it off your chest. *wicked grin*

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