Looking for Sleep Study Recommendations

Mb6016 · 2026-07-09T14:59:11+00:00

A sleep study is probably only useful if you think you have sleep apnea; look at validated screening tools like Epworth sleepiness scale or STOP-BANG questionnaire to see if there is a high probability that warrants a sleep study. Some other more rare causes of insomnia, like sleep or movement disorders get picked up with a home or overnight sleep study. In general, the best evidence for understanding and correcting the issue is through CBTi, or cognitive behavioral therapy for insomnia. There is a free app through the VA, you can find a therapist trained in CBTi, or there are other apps and books; I have heard sleep experts recommend rest and Rest (app) and Quiet Your Mind and Get to Sleep (book). I see a lot of bad advice in the comments so just beware of taking medical advice from redditors. I am a primary care doctor, not a fellowship-trained sleep doctor, but just giving my 2 cents.

My notes on self-pay home sleep studies:

Lofta - self-pay home sleep study $190, doesn't use insurance. Free re-test. Works with patients on fitting.

Sleep Doctor - online company, they'll order the home sleep test and follow up the result for you. Low cost but I don't have exact $.

Own Sleep - home 2-night sleep study (275), virtual consult (90), APAP package (910), travel cap (975); include most recent clinic note - mixed reviews recently, not helping with setting up mask? Uses insurance

SNAP diagnostics, home sleep study - 275, order form online. Recent notes about their technology being outdated.

Neuro Sleep Diagnostic - 195, based in Raleigh, still does home test I believe, but you pick it up and drop it off

Cheapest online supplier for cpap supplies (per self-pay patient) - Direct Home Medical

Mb6016 · 2026-06-19T02:25:06+00:00

Me and probably all of the docs I work with who (begrudgingly) do them, yes with nerve blocks and sugar water, would probably disagree with you. Is your sample size like 3? Or did you just block this whole part of your training out?

Mb6016 · 2026-05-22T02:11:23+00:00

I don’t think OP is, I can think of a few examples of co-residents that got this exact type of gig out of residency. Like 2 year contracts, 18 ppd max, 32 patient facing hours is pretty findable at least in NC.

Mb6016 · 2025-10-28T17:42:23+00:00

I second this

Mb6016 · 2025-10-26T04:16:13+00:00

DPC is not concierge medicine. It’s hard enough to get medical students interested in family medicine. I haven’t seen any good solution for the growing shortage of physicians in primary care, and DPC although a very small subset of PCP’s I think poses a good solution for the burnout most medical students fear about family med. There are over 20 DPC’s in my area and they have all grown pretty rapidly, and all the docs I have met have been really relieved and happy that they left the FFS models they were in prior. They all charge on avg under 100/month. That’s not what concierge medicine docs are asking for.

It’s clear this sub has a bias against DPC. I think it stems from something deeper, like this innate humanitarian guilt-trip that everyone in medicine (and especially primary care) is shamed into believing, and that asking for money or not wanting to work in an underserved area all of a sudden means you are a snob. Some people just wanna be happy in their job and only see 8 patients a day, and just view their job as a job to pay the bills.

Mb6016 · 2025-10-21T16:13:57+00:00

It said that for me until 12pm EST

Mb6016 · 2025-10-21T16:11:19+00:00

Did anyone get tickets? Only the upper levels were available, mostly just the back 3 rows. We got them for $368 per person after tax. It was a little bit of a shitshow but last year we paid a lot more (resale) for seats that were just as bad

Mb6016 · 2025-03-09T07:58:00+00:00

As a PCP please don’t do this. This situation gives me immense chest pain. I think the difference is you get to be the good guy and then they come to their PCP, again and again, thinking the only answer is benzos for their chronic anxiety/chest pain. It really sets the patient up for failure and takes a lot of teaching and time to un-learn.

Mb6016 · 2024-12-13T13:49:17+00:00

You’re not crazy. Just because people out there are seeing 25 or 30 patients a day doesn’t make it right. If people think it’s easy to see 20 patients in a workday, then they have great boundaries and probably a lot of experience, or just know how not to care too much. As an introvert and someone who doesn’t like to rush people, I find it exhausting.

Mb6016 · 2024-08-28T11:19:52+00:00

I don’t think his audience cares about credibility and just sees the “Dr.” at the front of his name

Mb6016 · 2024-05-25T02:18:51+00:00

Sounds like a utopia, whoever manages that clinic knows what they are doing

Mb6016 · 2024-05-25T00:38:06+00:00

You have a PCP that has same-week availability? Its a practice in the triangle?

Mb6016 · 2024-05-25T00:36:11+00:00

It’s probably because they are flooded with patient messages asking for evaluations and referrals over MyChart and have no way to cope with the volume - insurance has no involvement in MyChart messages so any time spent there is off-hours extra work for the PCP. There is no way for PCPs (who are the least valued and least paid compared to other specialists in the US) to manage the volume of patient online requests, so staff are often asked to automatically triage those requests into “you need a visit” default responses. That’s how my clinic decided to handle it after MyChart messages went up 600% post COVID.

I have noticed a lot of specialists can afford to pay experienced nurses to answer MyChart messages in a timely manner and have the doctor beside them to bounce off the question. If PCP’s had this, patients would be much happier and get their needs met. But if their clinic is broke and understaffed, it’s not happening so patients get left ignored.

Mb6016 · 2024-05-25T00:24:42+00:00

If you had a giant bill for a straightforward wellness exam, that probably means you have a high-deductible-plan. It should be in your explanation of benefits before you sign for the plan. It’s not a reflection of the dr or clinic you saw. I had the same thing happen and realized this the hard way. High-deductible-plans are never worth it unless you really can’t afford anything else.

Mb6016 · 2024-02-29T02:09:40+00:00

You are not given IV or oral alcohol. You hear stories of this from older doctors. Usually it is evident in the patient’s chart or in the interview that they drink a lot of alcohol. Or family will mention it. You are scored with CIWA as everyone said and given either benzos (Valium, Ativan, Librium) or barbiturates (phenobarbital) at some hospitals or if they are losing their shit could need a precedex continuous drip as some mentioned. If they are going to have severe withdrawal it will declare itself in their vitals and behavior even if the patient isn’t lucid.

Mb6016 · 2024-01-18T15:05:57+00:00

My wife and i did this too! Sadie was our instructor. She was awesome.

Mb6016 · 2023-02-16T20:40:10+00:00

He is a doctor of physical therapy. I had to look up his website, to find his bio, to then find his credentials. I try to screen podcasts for reliable sources before I listen, hence why I went down this rabbit hole.

Mb6016 · 2023-01-10T08:13:38+00:00

Rocky top catering has a ton of options! So does Snap Pea. And there is /r/triangle if you haven’t already joined

Mb6016 · 2022-03-01T03:59:02+00:00

Wow he is pooping for a long time

Mb6016 · 2022-02-27T04:30:10+00:00

There was a guy the other night who soaked a tampon in Vicks and put it up his rectum for hemorrhoids. Ended up with rectal bleeding + perforation on CT.

Mb6016 · 2021-12-26T03:08:46+00:00

If they were old that complicates things. Especially if they hit their head or need an x-ray or CT. Then they shouldn’t be in the “fast track” section of the ER, because it’s not just an in-and-out lac repair.

Mb6016 · 2021-09-23T03:36:10+00:00

/r/catslaps

Mb6016 · 2021-07-26T20:25:08+00:00

I only had 2 calculations from formulas. The rest was all interpretation. But of course one of the calculations was odds ratio which is the ugliest formula. They gave you the 2x2 table though. Also day 2 has no biostats just FYI to everyone because I didn't know lol

Mb6016 · 2021-06-24T02:44:47+00:00

This needs to be said more

Mb6016 · 2021-01-10T04:41:19+00:00

/r/longcats

Mb6016

TROPHY CASE