Re: Sleep apnea rating scale
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Re: Sleep apnea rating scale

Posted by RPSGT on November 28, 2002 at 05:03:08:

In Reply to: Re: Sleep apnea rating scale posted by RPSGT and Proud of It on November 28, 2002 at 02:54:46:

You are correct. The MD is attempting to increase referrals from cardiologists and is seeking a worksheet to determine OSA. Why should the referrals be limited to OSA when that specific population has additional SDB types? The MD could help more patients through expanding the criteria.

We have all known patients who deny EDS or don't desaturate more than 2% or don't snore yet have severe OSA. Then come the sleep onset obstructive apnea patients who can't fall asleep for more than 20 seconds due to complete airway obstruction. They are up half the night suffering from "insomnia." So they are tired during the day, suffer from "insomnia" at night and the primary care MD gives them all kinds of Benzos, Trazodone, Ambien, (and yes, even Chloral Hydrate!) All the pt. needs is CPAP. Let's not forget those patients when making our criteria.

The goal is to #1 help the patients #2 increase we can help more patients. Let's not exclude anyone. The MD is looking for more business. She/He should educate the cardiologists as to what various symptoms can present, perhaps make a list to help them remember and be available when there is a question about a particular patient.

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