I will ask why, are dentists and ENT treating patients with Sleep Apnea?
I can see Sleep Docs referring patients to ENT if surgery is a possibility and to dentists for fitting oral devices..So is the almighty Dollar involved?...Yes......What can we do in the US?..........very little.
What about "true" Sleep Docs"?....They concentrate on AHI?....Yes!!!....Many know better?...YES!.
I been seeing a Board Certified Sleep Specialist for 10 years....Good guy?...yes...Knows about OSCAR? YES,he likes that is colorful and gives a lot more information than EncorePro.
He likes that I have 100% compliance and my AHI is <5......What is happening is that I am a good patient that does what he says and not someone that constantly needs to be tritated because of high AHI.
So I asked him during my last visit why if I my AHI was great was I suffering from EDS?....Gave me Modafinil which is working about 80-90%.....BUT I had to point out AHI is not everything?
Gave my DME new prescription for new ResMed AirSense because I asked!...Does he understand the difference that patients experience between DreamStation and AirSense devices?....No!...It's not in the medical literature.
So,how do we improve this problem that needs fixing?