how to choose sleep doctor-narc ntw-2018.pptx · 2018-12-28 · use scare tactics, or refuse to see...
TRANSCRIPT
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HowtoChooseaSleepDoctor
• QualificationsforSleepPhysician• HowtoFindaSleepPhysician• HowtoAssessaNewSleepPhysician• WhattoExpectduringYourVisit
• HowtoPreparefortheAppointment
• WhattoExpectfromYourPhysician
• WhatCanGoWrong
QualificationsforaPhysician
• Education– Undergraduatebachelordegree– MedicalDegree• MD(DoctorofMedicine)
• DO(DoctorofOsteopathy)
QualificationsforaPhysician
• PostgraduateTraining– Residency(3-4years)• Anesthesiology• FamilyMedicine
• InternalMedicine
• Neurology• Pediatrics• Psychiatry• Otolaryngology
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QualificationsforaPhysician
– Qualificationsdeterminedbystateboards• License• Prescribing
– Prescribingprivilegesdeterminedbyfederalgovernment• FoodandDrugAdministration
QualificationsforaSleepPhysician
• PostgraduateTraining– Fellowship(1-2years)• SleepMedicine
QualificationsforSleepPhysician• BoardCertification– PrimarySpecialty
– SleepMedicine
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ExpertiseinNarcolepsy• Associations– AmericanAcademyofSleepMedicine
– NarcolepsyNetwork• Consumerwebsites
ExpertiseinNarcolepsy
• REMS(RiskEvaluationandMitigationStrategies)program– TheFDAcanrequireaRiskEvaluationandMitigationStrategy(REMS)frommanufacturerstoensurethatthebenefitsofadrugorbiologicalproductoutweighitsrisks.
• XyremREMSprogram– https://www.xyrem.com
HowtoFindaSleepPhysician
• NarcolepsyNetwork– http://narcolepsynetwork.org/about-us/professional-members-list/
• NarcolepsyLink– http://www.narcolepsylink.com/find-a-sleep-specialist/
• FindasleepCenter– http://www.sleepeducation.com/find-a-facility
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HowtoFindaSleepPhysician• NationalSleepFoundation– https://sleepfoundation.org/find-sleep-professional
• Localsupportgroups• Wordofmouth
http://www.narcolepsylink.com/find-a-sleep-specialist/
Glenview,IL60025,UnitedStates
HowtoAssessaNewPhysician• RedFlags– Hasthedoctoreverbeensuedformalpracticeorhaveanyoutstandinglegalissues?(StateMedicalBoardwebsite)
– Whenyoucalltomakeanappointmentforyourfirstvisit,areyoudirectedtoaliveperson,notamachine?
– Isthewaitingroompacked?
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HowtoAssessaNewPhysician• RedFlags– Doesthedoctorwanttoprescribemedicationsbeforeyouevengetoutallyoursymptoms?
– Ifyouchoosenottotakethatdrugthatthedoctorwantstoprescribe,dotheygetupset,usescaretactics,orrefusetoseeyouagain?
– Areyoutoldyoucannotcommunicatedirectlywiththedoctor?
HowtoAssessaNewPhysician• Priortovisit/Scheduling– Easeofmakinganappointment
– Cleardirectionsonwhattobring– Informationaboutinsurancecoverage
– Directionsonlocation/parking
HowtoAssessaNewPhysician
• Arrival– Parking– Easeoffindingoffice– Safety– Easeofcheckingin– Waittime
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HowtoAssessaNewPhysician
• DoestheDoctorintroducehim/herself,greetyoubyname,andbehavepolitely,andinan“unrushed”manner?
• DoestheDoctorwashhis/herhandswhentheyentertheroom?
• Whenyouaredescribingyoursymptoms,isthedoctorengagedinwhatyouaresaying?
• Whenyoumentionanarticlethatyoureadontheinternetormagazine,isthedoctorwillingtoacknowledgetheinformation?
HowtoAssessaNewPhysician
• Ifthereisaneedtoordertests,aretheyexplainedindetailgivingthereasonwhythetestisbeingperformed,anysideeffects,andwhenyoushouldgettheresults?
• Areyoucontactedwithallyourtestresults,whethertheyarenormalornot?
HowtoAssessaNewPhysicianResources
• Healthcareconsumersites
• Generalconsumersites
• StateMedicalAssociations
• CertifyingBodies• Other
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HowtoAssessaNewPhysician
HowtoAssessaNewPhysician• StateMedicalBoards– https://www.fsmb.org/contact-a-state-medical-board/CertifyingBodies
– AmericanBoardofMedicalSubspecialties• http://www.abms.org
– AmericanBoardofSleepMedicine• http://www.absm.org/listing.aspx
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WhattoExpectduringYourVisit• Evaluation– Questionnaires– History– Examination
WhattoExpectduringYourVisit• Historyofcondition– Comprehensivesleephistory– Questionsregardingotherpotentialsleepproblems
• Othermedicalconditions– Generalmedicalconditions– Operations– Hospitalizations
WhattoExpectfromYourVisit
• Medications– Present– Past
• Allergies• Socialhistory
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WhattoExpectfromYourVisit
• Familyhistory– Medical
– Sleep• Surveyofothersymptoms(Reviewofsystems)
WhattoExpectfromYourVisit
• Examination– Vitalsigns– Generalphysical– Neurological
WhattoExpectfromYourVisit
• Discussionoffindings• Furthertestingifneeded• Therapeuticplan• Followup
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WhattoExpectfromYourVisit
• Possibletesting– Sleepstudies• Overnightsleepstudy(nocturnalpolysomnogram)
• Daytimenapstudy(multiplesleeplatencytest)
– Bloodtests– Urinetesting
WhattoExpectfromYourVisit
• Possibletesting– Brainscans• CTscan• MRI
– Spinaltap
HowtoPreparefortheAppointment
• Trytoprovidepreviousrecords:– Evaluations– Tests– Bettertobringrecords– Ifmailed(orsentelectronically)callpriortotheappointmenttoconfirmtheywerereceived
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HowtoPreparefortheAppointment
• Knowthelengthoftheappointment.
• Haveaclearideaofwhatyouwanttoaccomplish.
• Havequestionspreparedinadvance.
HowtoPreparefortheAppointment
• GathertheRightInformation.
• IdentifyYourSymptoms.
• ResearchYourSymptoms.
• TakeaHealthAssessment.
EpworthSleepinessScaleandSwissNarcolepsyScale.
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WhattoExpectfromYourPhysician
• Professionalism– Knowledge– Skills– Conduct– Judgment
– Respect
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WhattoExpectfromYourPhysician
• Communication
• Confirmationthatyouunderstandandagreewiththeevaluation,testing,andtherapy
• Advocacy• Timelyfollowupvisits
WhattoExpectfromYourPhysician
• Availability– Physician• Telephone• Email
WhattoExpectfromYourPhysician
• Welltrainedstaff– PhysicianAssistants– NursePractitioners– Registerednurses– Medicalassistants
– Secretaries
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WhatifThingsGoWrong• Youdon'tmesh.
• Doctordoesn'trespectyourtime.
• Doctorkeepsyouinthedark.• Doctordoesn'tlisten.
Whatifthingsgowrong
• Theofficestaffisunprofessional• Youdon'tfeelcomfortablewiththeDoctor
• Doctordoesn'tcoordinatewithotherdoctors
• Doctorisunreachable.• Doctorisrudeorcondescending.
Whatifthingsgowrong• Readmoreat:– U.S.News&WorldReport• http://forum.facmedicine.com/threads/9-signs-of-bad-doctor.17224/
– BadDoctorDatabase• http://baddoctordatabase.tumblr.com
– TheSavvySister• https://sisterearthorganics.wordpress.com/2011/04/14/when-good-doctors-go-bad-12-way-to-tell/
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https://www.fsmb.org/contact-a-state-medical-board/
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• Findingasleepphysicianmaybetimeconsuming,butitisworththeeffort• Resourcesareavailabletofindandassesssleepphysicals• Yourphysicianshouldbeprofessional,respectful,available,andshouldcommunicatewell
• https://sleepfoundation.org/narcolepsy/content/finding-narcolepsy-doctor
• https://www.wakeupnarcolepsy.org/wp-content/uploads/WUN-AWAKEN-Survey-Fact-Sheet.pdf
• http://narcolepsynetwork.org/about-us/professional-members-list/
• http://www.narcolepsylink.com/find-a-sleep-specialist/
• http://www.sleepeducation.com/find-a-facility• https://www.sleepfoundation.org• http://forum.facmedicine.com/threads/9-signs-of-
bad-doctor.17224/• https://www.fsmb.org/contact-a-state-medical-
board/http://www.abms.org• http://www.absm.org/listing.aspx• http://baddoctordatabase.tumblr.com• https://sisterearthorganics.wordpress.com/
2011/04/14/when-good-doctors-go-bad-12-way-to-tell/
• https://www.xyrem.com