The AASM released a “Clinical Practice Guideline” for diagnostic testing for OSA.1 Not surprisingly, the guideline is heavy on home sleep apnea testing (HSAT). This replaces a practice parameter and a clinical guideline from a decade ago.
Not a big fan of Arizona. Went to APSS when it was in Phoenix years ago and the soles of my shoes melted because the sidewalk was so hot. I kinda like the grumpy old “mavericky” senator sometimes. And maybe the airplane graveyard outside of Tucson. And the food. And the cacti are cool. OK, maybe I like it more than I thought. The best reason for liking Arizona may be that they do not go along with this Daylight Savings Time (DST) business. Good for them.
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This morning I sat down at my computer and searched for “sleep apnea screening.” The first headline was “MTA to Expand Sleep Apnea Screening to Include LIRR and NYCT.”1 I took a sip of my medium roast Sumatra Mandheling and, nodding my head, said to myself, “yes, yes, screening is good.” The next headline was “USPSTF Fails to Endorse Routine Sleep Apnea Screening.”2 Out came the coffee in a fine spray on my iMac Retina 5K display.
Creating the Journal Club modules is one of the best parts of my job as educational consultant for the AAST. I read the literature on a regular basis just for fun, which shows you what kind of person I am. When I sit down to construct a Journal Club I get to trace back the influences on a paper or series of papers, and from time to time I get to talk with the authors.
The AAST recently held a Fundamentals of Sleep Technology course in beautiful Cleveland, Ohio. If you were unable to attend for one reason or another (such as an aversion to rock and roll, World Series losers (go Cubs!) or burning rivers), you should check out the course modules as they become available in the on-line store. These modules are just like being at the course, except you don’t need to dress up and you can pause them at any time.
For patients with sleep apnea, a visit to the doctor’s office all too often consists of a review of test results and downloads, a brief physical examination and a change in PAP pressure levels or mask size. What’s missing from this? The patient. A new initiative seeks to put patients back at the center of medical care where they belong.