Post Reply 
Curious as to what it takes to become a certified sleep doc?
Author Message
Mosquitobait Offline

Advisory Members

Posts: 746
Joined: Apr 2015

Machine: Resmed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: integrated, Climate line tube
CPAP Pressure: 9-12
CPAP Software: ResScan SleepyHead

Other Comments: RLS and Bradycardia

Sex: Female
Location: Minneapolis

Post: #51
RE: Curious as to what it takes to become a certified sleep doc?
Love Seth Hazlit, although I'm currently reading the books having watched the entire series.

Quote: I see no problem with them doing the same in speciality areas.

PAs are pretty common in specialties in my area. I think they are great provided they are well trained and follow up with answers. I see an oncology PA every other visit, instead of the doctor. Regular and both specialty opthamologists have PAs do all the prelim stuff before I see the doc. I even saw a PA, at first, in the ER, when I had an infected animal bite. Neurology only uses PAs to take histories or as a contact for follow-up questions. I saw the Sleep center PA when I went to get my script after the titration, but I was frustrated because she referred me to the internet (to sites I cannot access as a non-medical professional) to get answers regarding cpap and glaucoma. So, hit or miss.

My late Dad saw a cardiology PA as far back as 2000. There seem to be more PAs in this specialty than any other with the possible exception of Ophthamology.
07-08-2015 09:31 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
archangle Offline
Wiki Editor
Advisory Members

Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #52
Good Doc/Bad Doc
Watch out on the good doc/bad doc dichotomy.

Sometimes the doc you like, who takes time to explain, etc. is really not that competent, and is getting by on personality.

Other times, the ahole doc who has delusions of grandeur and is gruff with the patients actually does know his stuff.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
07-09-2015 07:18 AM
Find all posts by this user Post Reply Quote this message in a reply
tedburnsIII Offline

Members

Posts: 196
Joined: Mar 2015

Machine: 3B RESmart APAP
Mask Type: Nasal mask
Mask Make & Model: Wisp nasal; ResMed FX nasal
Humidifier: came with unit-I vary it, currently set at '3', '5' is max
CPAP Pressure: 10 cm CPAP
CPAP Software: Other Software

Other Comments: Dx moderately severe OSA. Overnight pulse oximeter-CMS50D Plus

Sex: Male
Location: San Diego

Post: #53
RE: Good Doc/Bad Doc
(07-09-2015 07:18 AM)archangle Wrote:  Watch out on the good doc/bad doc dichotomy.

Sometimes the doc you like, who takes time to explain, etc. is really not that competent, and is getting by on personality.

Other times, the ahole doc who has delusions of grandeur and is gruff with the patients actually does know his stuff.

I could care less if a doctor personally cares about me, but do hope that he/she cares in the general sense.

If you refer to those docs who are a*ho*les, I'd prefer a fictional 'Dr. Gregory House' to one whose main attribute is compassion with less of a dx and treatment skill set.
(This post was last modified: 07-14-2015 10:39 AM by tedburnsIII.)
07-14-2015 10:39 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DocWils Offline

Members-b

Posts: 1,271
Joined: Jul 2012

Machine: Philips Remstar series 60
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: same as machine
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Switzerland

Post: #54
RE: Curious as to what it takes to become a certified sleep doc?
I can't speak for other docs out there, but I doubt I got to my level or responsibility without a certain degree of competence (heavens knows I have been one of the worst at playing office politics, so that ain't it). It is passing rare to see department heads who are duffers, if only because they would be eaten alive by their underlings. Although the medicine done in Dr. House was often unrealistic, and the process certainly was, I have seen my share of colleagues who were just as abrasive and self destructive as he was. A lot of them weren't very good physicians, either, and drug addled ones never are, no matter how good their brains may be when they are off drugs, and that is actually the most unrealistic aspect of Gregory House (also, it would not tolerated - he would have lost his license fast, no appeal). No matter how good a diagnostician he may have been when not on medication, on medication his thinking processes and judgement ability are severely constrained.

I try to listen to my patients, which may come across as compassionate, not because I necessarily care about them, but because it helps me to build a complete diagnostic picture - you would be surprised what clues come to light if you take time to listen that can save you very expensive and time consuming wrong alleys if you don't listen. That is why taking a thorough history is drummed into us in med school - it is the basis of how we can arrive at a diagnosis. I have heard from my patients that I am, as you Americans say, "crusty"(schroff) or "gruff"(ruppig, brüsk) but kind, my nurses complain that I can be a pain in the amount of detail I expect, and my juniors call me a martinet sometimes (to be fair, I only come down hard on them when they engage in lazy thinking) and I hesitate to guess what else behind my back (the nurses are more straightforward - if I am being a d*ck, they tell me to my face). But my wife and my (very few) friends like me. And usually I get to the bottom of the problem with any patient and when possible, fix them. And I like that. It is also what I like about this forum - it stimulates lateral thinking in me and exposes me to a range of complaints and solutions that I can bring into my daily practice. And more and more I am seeing how sleep influences some of the cases I see. It is an eye opener. For that I am very grateful to you all.
(This post was last modified: 07-14-2015 12:22 PM by DocWils.)
07-14-2015 12:20 PM
Find all posts by this user Post Reply Quote this message in a reply
TyroneShoes Offline

Preferred Members-2

Posts: 505
Joined: Oct 2014

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: Resmed H5i
CPAP Pressure: 10-14
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #55
RE: Curious as to what it takes to become a certified sleep doc?
(07-08-2015 04:22 AM)DocWils Wrote:  ...

30 patients a week? Paradise!...

My point was not that he saw few patients; it was that he still worked a 70-hour week caring for 30 patients a week while docs today see seven or eight times that many (and probably also work long hours). The only thing paradisiacal about him seeing 30 patients a week was that he was allowed to spend however much time he thought was necessary to get them the care that they needed.

But even if Ronald Reagan was railing about the evils of socialized medicine to him in 1960, Dad continued in his profession for another 35 years.
07-14-2015 12:56 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DocWils Offline

Members-b

Posts: 1,271
Joined: Jul 2012

Machine: Philips Remstar series 60
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: same as machine
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Switzerland

Post: #56
RE: Curious as to what it takes to become a certified sleep doc?
Good on yer Dad! I bet he was good physician, too. Certainly dedicated. Well done, that man.
07-14-2015 01:39 PM
Find all posts by this user Post Reply Quote this message in a reply
TyroneShoes Offline

Preferred Members-2

Posts: 505
Joined: Oct 2014

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: Resmed H5i
CPAP Pressure: 10-14
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #57
RE: Curious as to what it takes to become a certified sleep doc?
I think maybe the important part is that I think of him every time I read one of your posts.
07-14-2015 02:00 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Mark Douglas Offline

Advisory Members

Posts: 513
Joined: Apr 2015

Machine: Sys 1 (60) RemStar BiPAP Auto with Bi-Flex 760P Auto Bi-Level (Variabl
Mask Type: Nasal mask
Mask Make & Model: PR Wisp
Humidifier: PR Sys One heated
CPAP Pressure: RiseTime 3 Fxd E-9.0 / I-11.5
CPAP Software: SleepyHead EncoreBasic

Other Comments: Hashimoto's thyroiditis.

Sex: Male
Location: SW Ohio

Post: #58
RE: Curious as to what it takes to become a certified sleep doc?
(07-14-2015 02:00 PM)TyroneShoes Wrote:  I think maybe the important part is that I think of him every time I read one of your posts.


High praise indeed!

I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)
07-14-2015 02:15 PM
Find all posts by this user Post Reply Quote this message in a reply
Mark Douglas Offline

Advisory Members

Posts: 513
Joined: Apr 2015

Machine: Sys 1 (60) RemStar BiPAP Auto with Bi-Flex 760P Auto Bi-Level (Variabl
Mask Type: Nasal mask
Mask Make & Model: PR Wisp
Humidifier: PR Sys One heated
CPAP Pressure: RiseTime 3 Fxd E-9.0 / I-11.5
CPAP Software: SleepyHead EncoreBasic

Other Comments: Hashimoto's thyroiditis.

Sex: Male
Location: SW Ohio

Post: #59
RE: Curious as to what it takes to become a certified sleep doc?
(07-14-2015 01:39 PM)DocWils Wrote:  Good on yer Dad! I bet he was good physician, too. Certainly dedicated. Well done, that man.

Docs who do a thorough history and are great problem solvers are still out there even if an endangered species. Dr B takes as much time as he - or I - need and for that I am grateful. First visit was about 45 minutes. Smile He recently told me he would do his job for free he loves it so much.

Doc Wils I'll take a crusty old Charles W. Kingsfield Jr. who is at the top of his game anytime over a personable yet ineffective "nice" person any day.

I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)
07-14-2015 02:21 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DocWils Offline

Members-b

Posts: 1,271
Joined: Jul 2012

Machine: Philips Remstar series 60
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: same as machine
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Switzerland

Post: #60
RE: Curious as to what it takes to become a certified sleep doc?
(07-14-2015 02:00 PM)TyroneShoes Wrote:  I think maybe the important part is that I think of him every time I read one of your posts.

Tyrone, I am deeply flattered by that. I honestly am at a loss for words. Thank you, that was a very kind thing to say.
(This post was last modified: 07-14-2015 04:46 PM by DocWils.)
07-14-2015 04:46 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  I'm curious. What was your untreated AHI before you started therapy? nzbnate 25 1,288 07-18-2016 10:18 PM
Last Post: MrGadget
  [News] "Sleep apnea takes a toll on brain function" [Science Daily, new study results] WakeUpTime 2 809 02-12-2016 10:17 PM
Last Post: Sleepster
  Medicare & CPAP: Just Curious Ross 1 428 02-01-2016 01:08 PM
Last Post: justMongo
  Curious what happened last night nozs4me 4 783 08-27-2015 06:03 AM
Last Post: nozs4me
  Curious about AHI Hanrahan 7 1,100 08-13-2015 07:45 PM
Last Post: Hanrahan
  I'm curious, how many here are on ASV Bilevel/Bipap? JVinNE 13 3,775 04-23-2015 09:33 AM
Last Post: JVinNE
  Curious to know average life of a mask before breaking down? ShelaghDB 10 2,460 09-07-2014 07:02 PM
Last Post: ShelaghDB

Forum Jump:

Who's Online (Complete List)