| > through a protocol-driven provider consult and a home sleep test. These tests have a high rate of false negatives. Most doctors would then escalate you to a test in a sleep center. How do you attempt to account for false negatives? Without insurance, why is your at-home diagnosis process better than the identical one I can get through my doctor? > treatment devices including oral appliances and sleep positioners from industry-leading manufacturers, and we look forward to adding other treatment options including CPAP. You don't have CPAP as a treatment option at all? Ok... > patients typically aren't presented with all treatment options Talking about sleep apnea treatment options is confusing. The dental appliances you offer are very effective, but not as effective as CPAP. If you cut a patient's AHI in half, that is statistically significant, but that person is still suffering from sleep apnea. Someone who has "moderate" apnea might have 20 events per hour, and if they cut that by 60%, that's an "effective" treatment, as long as you don't mind still waking up once every 7 minutes. No other option is as effective as CPAP. Not even close. IMO patients should be pushed to choose the only option that actually "cures" sleep apnea. No other treatment can get you to < 1AHI. CPAP takes time and work to get used to, and many medical professionals (including my own doctor at the time) don't have the time and patience to help patients get over the hurdles. It took me a year of learning to read OSCAR data and changing machine settings before I could stably sleep with the CPAP on. Pushing people towards significantly less effective treatments is a bad for them. When I talk to friends and family about my apnea, they often suggest getting a mouthguard or even surgery because the idea of sleeping with a mask is so unpleasant. But breathing all night is really pleasant, so I have begrudgingly grown to love it. Your site will probably do well, because most people don't like the idea of CPAP, but by pushing alternative solutions you may be encouraging people not to make the best decision for their health. |