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+--- Thread: Out of the sleep clinic and into cardiologists' hands (/Thread-Out-of-the-sleep-clinic-and-into-cardiologists-hands)
Out of the sleep clinic and into cardiologists' hands - sheepless - 06-23-2019
Sleep apnea: Out of the sleep clinic and into cardiologists' hands
http://flip.it/XvwgTe
from m.jpost (jerusalem post) via flipboard
sounds like a much needed expansion of service to apneacs but will it really be cheaper & faster in cardiologists' hands?
RE: Out of the sleep clinic and into cardiologists' hands - ajack - 06-23-2019
My cardio has a visiting sleep doctor in the rooms. My sleep doctor and I had a discussion about it a couple of years ago. There was high hope for it, but they discontinued the procedure. In practice, it turns out the mild electrical neurostimulation of the hypoglossal nerve, causes an arousal in most people. We know about the MAD, with it's issues and success rate. So it looks like the "unpleasant CPAP" is still the gold standard.
"Once diagnosed, patients are often encouraged to lose weight and many are prescribed unpleasant Continuous Positive Airway Pressure (CPAP) therapy.
Emerging therapies include mandibular mouth guard devices and, even more promising, mild electrical neurostimulation of the hypoglossal nerve, named as the second top medical innovation of 2018 by the Cleveland Clinic."
RE: Out of the sleep clinic and into cardiologists' hands - DeepBreathing - 06-23-2019
A poorly researched and written article which is really just a puff piece for an unproven diagnostic device.
RE: Out of the sleep clinic and into cardiologists' hands - sheepless - 06-23-2019
agreed. this appears to be an orchestrated effort on the part of a mfgr. I'm not even sure their main argument holds up (more doctors, more money in cardiology). I haven't had to use the services of a cardiologist but my impression is that they're busy and expensive. moving millions of apnea patients to cardiologists offices will only make that worse. but I hear that watchpat is good. edit: or is that you're unproven device?