...what next.....

Amenite said:

I was going to call them idiots for not looking it over but it would really depend on why they dismissed it - because they really ... don't know how to interpret it in context, or because there's no diagnosis code to bill the 30 minutes it would take to analyze and report back on it.

. This, minus mistrust of the machine data.

there's no reason to mistrust the machine data--these devices are FDA approved and have to have certain degrees of reliability. And they are trustworthy enough for daily treatment!

Yes, Kaiser does home titrations routinely with great success. It saves them lots of money.

But more than that, a sleep lab titration is a snapshot in a very artificial environment. An APAP titration over a period of time in your own sleeping conditions can be much more accurate. PLUS it is an opportunity to learn how to uses the machine and whether you can be compliant, too.

Janknitz wrote: there's no reason to mistrust the machine data--these devices are FDA approved and have to have certain degrees of reliability. And they are trustworthy enough for daily treatment!

Surely you and I and so many others agree on this but the PA I was speaking to at the time took on a deer-in-headlights kind of look when the subject of machine data came up which lead me to believe that I was more advanced in that area than she was. This automation is going to take a chunk out of their bottom line for sure. So I am leaning toward a luddite scenario rather than a lack of understanding since they obviously read sleep lab reports all the time.

I probably would have stayed on board with them if they had just stepped through the door into the Sleepyhead world

Thanks again Jedimark, you have my continued support!

My sleep tech expected that the doc would want me to do a 2nd titration study with a sleep med prescribed, cause he got so little data from the 1st titration study where I barely slept. I am so thankful my doc didn't make me do a 2nd because I'm not sure I would have went back for another night of torture. They should all just recommend apaps, that would be heavenly.