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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
There's probably room for a @Levels-like intervention in this space in which interested clients get set up with a two minute telemedicine call to tick the box. But yes, would be nice if that weren't necessary at all!
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