Comment by blackeyeblitzar
Comment by blackeyeblitzar 4 days ago
The problem is that these at home tests aren’t good enough to eliminate the costly and time consuming and inconvenient step of a sleep study in the lab. At least near me, to get a CPAP you first do a take home study with a wrist based (watch like) recorder. Then they make you go into the lab for an overnight sleep study (or multiple of them) anyways, for a study that costs your insurance several thousand dollars per night (and you have some copay potentially) and it is of course a massive hassle and barrier to getting CPAP treatment. They claim it is so they know your air pressure numbers but it is all just regulatory capture, because CPAP machines can auto adjust your pressure and people like to tweak numbers manually to their comfort level anyways.
Can Apple do something about eliminating all these bureaucratic barriers that hurt the health of so many?
> They claim it is so they know your air pressure numbers but it is all just regulatory capture
I disagree. In lab titration is not about regulatory capture. It's the best place to get a good ballpark start. The rest should be up to the patient, but informing the patient of that is where things go wrong, alas.
> CPAP machines can auto adjust your pressure and people like to tweak numbers manually to their comfort level anyways.
They cannot. See my rant about APAP in the comments here, or my previous APAP rants in my history. Current generation APAP is awful and it needs to die. PAP machines are awful at detecting events. This could probably be partially mitigate with better software. But there is a reason why a sleep study is very much the gold standard. 12+ channels of valuable information. Versus 1 channel on the PAP device.