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At-home polysomnography for all! I've talked to people who *realize* that apnea may be their problem, but they don't want to deal with going into a sleep center etc—and they don't realize they don't even have to do that anymore!
It really should be an OTC non-prescription device without need for testing at all. Just try it and see if it works to combat drowsiness. If not return the machine, treat the headgear as a consumable cost. Cheaper than a full sleep study.
I mean, it’s not a complex intervention. Even if the diagnosis is subtle. Trying it should be like trying out a new diet or workout routine. We don’t do subtle instrumented testing before deciding to try running for a few weeks. The gross indicators change dramatically enough.
Very much agreed — especially with modern Cpaps that automatically adjust to whatever is needed. Polysoms are expensive, annoying and intrusive. Pretty much zero downsides to simply trying. Big Sleep^TM’s monopoly on cpap prescription probably kills like 3% of QALYs
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