OSA, UARS, and passive agressiveness
[Sleepnet.com's Homepage] [Sleep Disorders] [Sleep Links] [Search]

OSA, UARS, and passive agressiveness

[ Follow Ups ] [ Post Followup ] [ Sleep Tech Forum10 ]

Posted by REM Inhibitor on June 18, 2005 at 01:38:00:

I recently performed an overnight psg on a patient whom I found to have an AHI of 4.8 events / hour. Since she had an elevated score on the ESS, I called the technical director to set up an MSLT for her (in the same breath I called in sick for the next night).
During the MSLT, he reviewed the study and thought that she had an RDI of 28.4 (big difference). I went back and looked at the events he called, and had a mini-fit. I was under the impression that there had to be a 20-50% decrease in airflow preceeding either an arousal or a 4% desaturation of SA02 to be called a hypopnea. Events he called were baseline airflow, 1-2% desaturations w/ and w/o arousals. I talked to him later about it, and he said that he felt she had Upper Airway Resistance. Now, my question is this: Doesn't calling respiratory events lead to a diagnosis of OSA? Aren't OSA and UARS different? Does this seem sketchy to anyone else? My theory is that he was being passive agressive for me calling in (and him having to do an MSLT). Maybe I'm just being too sensitive, but hell, the docs haven't had any problems with my scoring in a long time (at least none they've told me about).

Follow Ups:


Post a Followup

Name    :  (required. Do not use real name. No time for removal later. Search engines will find you)
E-Mail  :  (use someone@sleepnet.com to avoid spam email, search engines,etc.)

Subject :  (change if you like)

Comments:

PLEASE ONLY CLICK THE SUBMIT FOLLOW UP BUTTON ONCE!!. Thanks, Sandman

[ Follow Ups ] [ Post Followup ] [ Sleep Tech Forum10 ]

WWWBoard 2.0a and WWWAdmin 2.0a © 1997, All Rights Reserved.
Matt Wright