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Trucking and the real truth about Obstructive Sleep Apnea

Mar
18,
2015
3
Obstructive Sleep Apnea- Myths and Facts

Obstructive Sleep Apnea- Myths and Facts

 

On Saturday March 21st at 6PM ET AskTheTrucker “Live’ will have one of the most informational shows for one of the most controversial and concerning topics within the trucking industry. Sleep Apnea.

Our guests will include certified DOT medical examiner Dr Randolph Rosarion and Elaine Papp, former Division Chief of the Office of Medical Programs at the Federal Motor Carrier Safety Administration (FMCSA)

Both Dr Rosarion and Elaine Papp are members of the Advisory Council for the North American Trucking Alerts.

 

 

Dr. Randolph Rosarion, MD is a certified medical examiner listed in the US DOT FMCSA National Registry of Certified Medical Examiners and received his medical degree from Stony Brook University School of Medicine. His medical practice, USDOT Medical Examiner is located in College Point, Queens, New York and specializes in Physical Medicine/Rehabilitation and Occupational Medicine. As a recognized leader in the field, he received the Best of Queens Award 2013 for Department of Transportation Commercial Driver License Medical Examinations.

Dr. Randolph Rosarion – certified medical examiner listed in the US DOT FMCSA National Registry of Certified Medical Examiners

ALL your questions answered:
OSA – Obstructive Sleep Apnea

1. Sleep science background

2. Review of sleep disorders including  Obstructive Sleep Apnea (OSA )( prevalence, diagnosis and treatment)

3. Review of AASM practice guidelines and FMCSA MRB/MEP recommendations (polymyography, vs portable monitors) , CPAP, surgery, dental appliances

 

4. BMI. neck size and Co-morbidities , how they factor in evaluation

5. FMCSA guidance over the years to current position

6. The mechanics of sleep apnea and why weight plays a role

7. Why people who aren’t overweight have OSA

9.  Costs for Sleep Apnea-  Testing and Equipment

Elaine Papp spent 7 years as the Division Chief of the Office of Medical Programs at the Federal Motor Carrier Safety Administration (FMCSA), contributing to the relationship between medical conditions, their impact on safe operation of commercial motor vehicles (CMV) and FMCSA regulations/guidance.
Ms. Papp has a broad range of occupational safety and health experience, from private industry to international organizations.
Previously, Elaine worked for the Occupational Safety and Health Administration (OSHA) in several capacities: analyzing legislation and writing Congressional testimony, crafting regulations and compliance assistance materials, participating in on-site enforcement inspections, and conducting presentations on behalf of the Agency.

Elaine Papp- FormerDivision Chief of the Office of Medical Programs at the Federal Motor Carrier Safety Administration (FMCSA)

Elaine Papp- FormerDivision Chief of the Office of Medical Programs at the Federal Motor Carrier Safety Administration (FMCSA)

 

WHAT ARE YOUR DEEPEST Concerns regarding Sleep Apnea?

 Please comment to this post.  We will be taking callers the night of the show, however, we expect lines to be full and we want to ensure that ALL questions are answered.

Obstructive Sleep Apnea – Trucking’s Myths and Facts

Saturday March 21, 2015
6PM ET
Call in to listen, comment or ask questions 347-826-9170
OR Listen from your computer

Check Out Health Podcasts at Blog Talk Radio with Aubrey Allen Smith on BlogTalkRadio

 

Call in to listen, comment or ask questions  347-826-9170
OR
Listen from your computer

 COMMENT  with your questions, thoughts, and concerns to this post

 

© 2015, Allen Smith. All rights reserved.

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By: Allen Smith

Allen Smith is a 37 year veteran who started at an early age in a household goods family moving business. He began driving straight trucks in 1977 and moved to the big rigs in 1982. His experience within the industry includes; owner operator, company driver, operations manager, and owner of a long distance HHG moving business, taking many of the long haul moves himself when needed. Allen Smith, a truck driver advocate who is driven by the desire to help others succeed within an industry where injustice, unrewarded sacrifice, and lack of respect and recognition exists. Allen and his wife Donna are hosts of Truth About Trucking ”Live” on Blog Talk Radio. Other websites include AskTheTrucker, TruckingSocialMedia, NorthAmericanTruckingALerts, TruthAboutTrucking, and many Social Media websites. In 2011 Allen and Donna hosted the first Truck Driver Social Media Convention, designed to create unity and solutions for the trucking industry. This is now being extended through the North American Trucking Alerts network as those within the industry join forces for the betterment of the industry. Allen strongly supports other industry advocates who are also stepping up to the plate to help those who share honesty, guidance and direction. He believes that all those involved in trucking need to be accountable for their part within the industry, including drivers, carriers, brokers, shippers, receivers, etc… The list of supporters and likeminded people grow daily, networking together and sharing thoughts and ideas for the betterment of trucking. He has coined the popular phrase "Raising the standards of the trucking industry"

View all posts by Allen Smith →

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3 Responses to Trucking and the real truth about Obstructive Sleep Apnea. - Post a Comment

  1. Daniel F. Jeffers

    If a driver has completed a sleep study showing he/she does not have OSA but does fit the parameters of overweight, BMI of 40 and a neck of 18 is it reasonable for this driver’s employer to require a sleep study every 2 years even though the BMI, neck size and weight have not changed in those two years?

    If this is reasonable, should the employer pay for the sleep study after the first one?

    The sleep study is quite expensive and 2k+ every two years is hard on the wallet.

    • Allen Smith

      The employer can request whatever they want, especially if it’s part of their policy.

      The test however shouldn’t cost 2K $.
      Here’s a website that can suggest sleep tests that do not cost near that much.
      http://truckersforacause.com/

  2. George Meredith MD

    Simple, Effective, Non Moribund Correction of OSA

    So much confusion exists in the world of obstructive sleep apnea because ENTs have gone off course in the surgical treatment of OSA. And the 5 year continuance rate for the cumbersome CPAP apparatus is but 55% in the very worse cases.

    Kerry Olsen MD at the Mayo had it pegged way back in 1980….forget about the painful, counterproductive UPPP and adult tonsillectomy. Instead concentrate on the side wall structures in the nose (inferior turbinates) and partially resect same. No electrocautery, lasers, radiofrequency reduction, please!

    And evaluate the width of the upper dental arch and correct same non surgically (up to age 30)…see G Meredith, D Timms and l Gray about this.

    OSA doctors almost always fail to CAT scan the nasal vault/upper dental arch, fail to measure the width of the upper dental arch with a simple aluminum ruler, place way too much emphasis on soft palate operative procedures. And often just throw their hands up in frustration….all because they failed to critically review the literature re: the above mentioned.

    And the health insurance companies compound this OSA doctor poorly researched UPPP/orthognathic surgery approach. Paying handsomely for more for complex, painful, counterproductive UPPP and the sometimes dangerous orthognathic surgical approaches to OSA. And by, instead, paying just peanuts for PRIT (partial resection of the intranasal sidewall structures/inferior turbinates) and RME (non surgical expansion of the upper dental arch/nasal vault). What a shame!

    To learn more go to George Meredith MD on Amazon “Your Childs Airway and Dentofacial Development” a $9.99 Kindle read. And wait for my soon to be published eBook…”On Improving Obstructive Sleep Apnea Surgery”. $9.

    Included is an important section on revision of failed UPPP operations. Analysis and simple non moribund corrections.

    George Meredith MD
    1604 Dendron Drive
    Virginia Beach, VA 23451

    To learn more go to George Meredith MD on Amazon “Your Childs Airway and Dentofacial Development” a $9.99 Kindle read. And wait for my soon to be published eBook…”On Improving Obstructive Sleep Apnea Surgery”. $9.

    Included is an important section on revision of failed UPPP operations. Analysis and simple non moribund corrections.

    George Meredith MD
    1604 Dendron Drive
    Virginia Beach, VA 23451

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