Accidents, job productivity issues related to OSA

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Sonnyboy
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Accidents, job productivity issues related to OSA

Post by Sonnyboy » Sun Apr 26, 2015 8:46 pm

Hi,

I understand a lot of research has been done related to automobile accidents and OSA - particularly truck drivers.

Does anyone know of any good research or articles discussing OSA in relation to other types of accidents - accidents occurring in the home or office, job performance and productivity be it a computer job, executive position, nurse, doctor, teacher, contractor, electrician, or anything else?

Thank you

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Julie
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Re: Accidents, job productivity issues related to OSA

Post by Julie » Sun Apr 26, 2015 9:01 pm

Can't answer your question re websites, but I am curious, because OSA's OSA, and if you're sleepy, you can mess up and cause trouble... the car thing is just the classic one talked about because it is so obvious... in traffic for too long, too much exhaust all around, sitting down, losing track of where you are (asleep) and the big, dangerous car runs into something. What difference does it make what kind of accident is involved or who had the experience?

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Re: Accidents, job productivity issues related to OSA

Post by Sonnyboy » Sun Apr 26, 2015 9:11 pm

Just trying to figure out how to explain to family, friends, and co-workers what OSA is and how it may be causing me to be more accident prone, miss deadlines, and having the energy to get things done.

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Re: Accidents, job productivity issues related to OSA

Post by palerider » Sun Apr 26, 2015 9:15 pm

Sonnyboy wrote:Just trying to figure out how to explain to family, friends, and co-workers what OSA is and how it may be causing me to be more accident prone, miss deadlines, and having the energy to get things done.
this video may help with the "what it is" part: https://www.youtube.com/watch?v=-gie2dhqP2c

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Re: Accidents, job productivity issues related to OSA

Post by Krelvin » Sun Apr 26, 2015 9:16 pm

That is just it, sleep deprivation causes accidents, loss of concentration etc... Sleep deprivation is one of the symptoms of OSA, but you can have it from many other non-OSA causes.

So normally, you will hear that someone fell asleep at the wheel for example, but you won't know how come the person fell asleep or what the underlying issues causing the sleep deprivation was. Could be they are just working too long, school work etc...

You won't see a report saying the guy had an accident due to OSA. You will instead hear that the guy fell asleep at the wheel.
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Re: Accidents, job productivity issues related to OSA

Post by Sonnyboy » Sun Apr 26, 2015 9:37 pm

palerider wrote:
Sonnyboy wrote:Just trying to figure out how to explain to family, friends, and co-workers what OSA is and how it may be causing me to be more accident prone, miss deadlines, and having the energy to get things done.
this video may help with the "what it is" part: https://www.youtube.com/watch?v=-gie2dhqP2c
Nice video, thank you, it does help explain the "what it is" part.

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Re: Accidents, job productivity issues related to OSA

Post by Sonnyboy » Sun Apr 26, 2015 10:03 pm

Julie wrote:Can't answer your question re websites, but I am curious, because OSA's OSA, and if you're sleepy, you can mess up and cause trouble... the car thing is just the classic one talked about because it is so obvious... in traffic for too long, too much exhaust all around, sitting down, losing track of where you are (asleep) and the big, dangerous car runs into something. What difference does it make what kind of accident is involved or who had the experience?
Not everyone out there understands all of this like you do. Even my family doctor attributed my issues to "laziness", "age", to the point that it took 3 years to get her to do seriously evaluate my fatigue and order a sleep study. First time I saw her after the sleep study she referred to me as lazy, that the problem is I don't do enough. I have never fallen asleep while driving. I have frequently pulled over on to the side of the road and taken a nap before proceeding. I can daze off when talking to someone. My problem was frequent naps, brain fog, memory issues.

I have severe cervical stenosis and cervical radiculopathy and the neck pain also interferes with my sleep. I need to treat the pain, not through pain medication but injections or a tens unit, something like that. The UR nurse told me she had OSA and got rid of it by losing weight and denied my doctor's request for pain treatment.

I have been involved with caretaking and family estate legal issues involving disputing beneficiaries for years. The workload is tremendous. I need help. No one helps. So I guess my problem is knowing how to explain the OSA and how a little help for a while is needed while I deal with the OSA problem.

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Re: Accidents, job productivity issues related to OSA

Post by chunkyfrog » Mon Apr 27, 2015 7:41 am

Fire that doctor! NOW! And file a formal complaint against the nurse!
A nurse is NOT supposed to countermand the doctor's orders.

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Re: Accidents, job productivity issues related to OSA

Post by BlackSpinner » Mon Apr 27, 2015 8:42 am

Search for the effects of sleep deprivation. There are at least 100 years of studies done by big manufacturers and the armed forces. All of them show that while simple repetitive tasks are not affected much judgement is impaired by sleep deprivation.

Throw a big stink about that stupid nurse - go over her head and make formal complaints.

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Re: Accidents, job productivity issues related to OSA

Post by Sonnyboy » Mon Apr 27, 2015 9:01 am

chunkyfrog wrote:Fire that doctor! NOW! And file a formal complaint against the nurse!
A nurse is NOT supposed to countermand the doctor's orders.
Actually, in this scenario, I have a good doctor.

The problem is the California Worker's Compensation system.

The claim's representative [lay person] is allowed to forward the doctor's request to UR [Utilization Review] without medical records.
The UR doctor is allowed to deny the MD order without a review of medical records.
The UR decision can be appealed but they simply deny again without a review of medical records. I spoke with the UR nurse manager to explain my situation and ask for a review of medical records. I explained how the pain was interfering with sleep and how this was effecting my Cpap treatment. She shocked me when she said she had OSA and she got rid of it by losing weight like losing weight would resolve my OSA diagnosis also. My neck pain is real and I know it hinders my ability to sleep. My limited neck range of motion as a result of neck pain is real and does interfere with my ability to drive safely.

The next appeal is the IMR [Independent Medical Review] process. In California IMR has an exceptionally high rate of denial. The doctor is not required to be licensed in California and is not required to identify his name.

The California WCAB [Worker's Compensation Appeals Board] has no jurisdiction over IMR. On appeal the WCAB judge agreed with me but there was nothing he could do. In California the WCAB judge cannot overrule the IMR physician.

Going back to my original request, when I am confronted with an uninformed nurse, claims representative or someone else, it would be helpful to have a some sort of reputable article to refer them to.

Private insurance and Medicare can not pick up and cover Worker's Compensation claims.

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Re: Accidents, job productivity issues related to OSA

Post by Sonnyboy » Mon Apr 27, 2015 9:11 am

BlackSpinner wrote:Search for the effects of sleep deprivation. There are at least 100 years of studies done by big manufacturers and the armed forces. All of them show that while simple repetitive tasks are not affected much judgement is impaired by sleep deprivation.

Throw a big stink about that stupid nurse - go over her head and make formal complaints.
I am searching for an article without success but will continue.

Sometimes in the Worker's Compensation insurance world the claims representative, UR case manager, medical doctor receive brownie points and positive reviews for denials and the amount of money they have saved the company. Some employees, even licensed nurses and medical doctors, are overly influenced by who writes their pay check. That's my opinion anyway.

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Re: Accidents, job productivity issues related to OSA

Post by Sonnyboy » Mon Apr 27, 2015 9:44 am

BlackSpinner wrote:Search for the effects of sleep deprivation. There are at least 100 years of studies done by big manufacturers and the armed forces. All of them show that while simple repetitive tasks are not affected much judgement is impaired by sleep deprivation.

Throw a big stink about that stupid nurse - go over her head and make formal complaints.
I have been googling OSA, accidents, cognition, memory, pain, productivity -- things like that.
Never occurred to me to substitute "sleep deprivation" for "OSA". Thank you for that suggestion.

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Re: Accidents, job productivity issues related to OSA

Post by BlackSpinner » Mon Apr 27, 2015 9:47 am


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Re: Accidents, job productivity issues related to OSA

Post by Sonnyboy » Mon Apr 27, 2015 10:00 am

BlackSpinner wrote:http://onlinelibrary.wiley.com/doi/10.1 ... 225.x/full

http://www.metabolismjournal.com/articl ... tract?cc=y

https://www.google.ca/search?client=ubu ... gASu_IHoCw

Oh and only 49% of people who have weight loss surgery will cure their OSA. I can't find that link back.
Thank you for this.
My sleep deprivation was interfering with my ability to come up with "sleep deprivation" in my previous searches.

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