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Posted by deltadoc on May 09, 2004 at 19:35:57:In Reply to: BC/BS is requiring an Epworth score of 12 posted by Epworth on May 09, 2004 at 04:09:19:
Too bad. Anything to ration care. ESS is a great history tool but patients are notorious for not being able to evaluate their own sleep. That's why we need sleep centers and other tools. I've had patients asleep in the waiting room and snoring as well as asleep on the exam table who scored 3 or 4! Some of this is the problem with verbal understanding. Often with coaching and explanation patients will give a better score. Sometime it is as simple as explaining the difference between "likely to go to sleep" to acuallly going asleep. Driving history and spouse evaluation is also important. Even Medicare recognizes cadiovascular problems in the formula. Ultimately we may have to teach the public and employers not to buy those kind of policies. In our sate BC writes policies that specifically excludes sleep medicine---and that is the policy they have for their BC workers! I guess they hope by the time there is a CVA, MI or MVA that they will be on some one else's policy.
- Re: BC/BS is requiring an Epworth score of 12 sweet 20:24 5/09/04 (0)
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