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Sleep Apnea

(OSAS) OBSTRUCTIVE SLEEP APNEA SYNDROME

ACCORDING TO MEDLINE-PUBMED DATABASE A META-ANALYSIS WAS PERFORMED OF STUDIES INVESTIGATING THE RELATIONSHIP BETWEEN COLLISIONS AND OSAS , DATA FROM THE NATIONAL SAFETY COUNCIL WERE USED TO ESTIMATE OSAS –RELATED COLLISIONS , COST AND FATALITIES AND THEIR REDUCTION WITH TREATMENT.

OVER 800,000 DRIVERS WERE INVOLVED IN OSAS-RELATED MOTOR VEHICLE COLLISIONS IN THE YEAR 2000. THESE COLLISIONS COST $ 15.9 BILLION AND 1,400 LIVES IN THE YEAR 2000. IN UNITED STATES TREATING ALL DRIVERS SUFFERING FROM OSAS WITH CPAP (CONTINUOUS POSITIVE AIRWAY PRESSURE) WOULD COST $ 3.18 BILLION

OSA IS A BREATHING DISORDER DURING SLEEP THAT HAS IMPLICATIONS BEYOND DISRUPTED SLEEP, ITS INCREASINGLY RECOGNIZED AS AN INDEPENDENT RISK FACTOR FOR CARDIAC , NEUROLOGIC , AND PERIOPERATIVE MORBIDITIES.

Symptoms of OSA

  • SNORING
  • FEELING TIRED OR SLEEPY DURING THE DAY
  • NIGHTTIME GASPING, CHOKING OR COUGHING
  • NON-REFRESHING SLEEP
  • WAKING UP FREQUENTLY DURING THE NIGHT TO USE THE BATHROOM
  • MORNING HEADACHES
  • TROUBLE CONCENTRATING, FORGETFULNESS
  • IRRITABILITY, LOW MOOD
  • DRY MOUTH OR DRY THROAT IN THE MORNING
  • HIGH BLOOD PRESSURE

Test

EPWORTH SLEEPINESS SCAL OR BERLIN TEST

A QUISTIONAIRE TO CHECK MARK FROM SCAL OF 0 TO 3 OF THE SYMPTOMS , DURING THE PATIENT IS WAITING IN WAITING AREA BEFORE SEEING THE PHYSICIAN, IF THE SCORE ARE HIGH THEN PGYSICIAN WOULD GO FOR (HST - HOME SETTING TEST)

HST PORTABLE

DIAGNOSIS OF OSA (OBSTRUCTIVE SLEEP APNEA)

PHYSICIAN SHALL PROVIDE A SMALL MACHINE LIKE A WALKMAN TO TAKE IT HOME AND A DEMO CD AND INSTUCTION SHALL BE PROVIDED TO THE PATIENT , SIMPLE WITH A BUTTON TO TURN ON AT NIGHT AND SLEEP AND TURN OFF IN THE MORNING WHEN YOU GET UP

BRING THIS MACHINE BACK TO PHYSICIAN OFFICE

PHYSICIAN STAFF WILL RUN THE RAW DATA COLLECTED DURING THE NIGHT AND GENERATE AN REPORT OF THE ANALYSIS

SEND THIS REPORT TO PULMONARY SPECIALIST OR BY ABSM ( AMERICAN BOARD OF SLEEP MEDICINE

ASAA (AMERICAN SLEEP APNEA ASSOCIATION)

IF REQUIRES TESTING FOR MLST BE DONE AT LABORATORY SETTING.

MEDBILL PROVIDE STATE OF THE ART MACHINE IN THE INDUSTRY APPROVED BY THE ( ABSM ) ALSO PROVIDE DME FOR THE MACHINE TO PERFORM A TEST . ALSO A SOFTWARE TO GENERATE RAW DATA AND PDF FORMAT REPORTS RESPECTIVELY.