Dr. Barry Krakow has not received any gifts yet
by BENEDICT CAREY from the New York Times
Brief respiratory problems during sleep may play a larger role in causing insomnia than the usual suspects, a small study suggests.
|Nov 27th ’12 6:00 pm||Dr. Barry Krakow talks with Dr. Steven Park about PTSD (post-traumatic stress disorder), insomnia, and obstructive sleep apnea.
Listen to the interview here:
Compliance is the Holy Grail of sleep-disorder breathing therapy. Technologies such as continuous positive airway pressure (CPAP) devices only work if patients use them, and yet industry statistics suggest compliance rates hovering around 50 percent, to the detriment of both patient well-being and DME/HME providers’ bottom line.
Compliance is critical to successful treatment of sleep-disorder breathing and also to the success of DME/HME providers. It’s clearly in everyone’s interests to boost compliance, but how?
Devoting time and resources to ensure compliance is particularly challenging for DME providers in the age of competitive bidding, says Mitchell Yoel, executive vice president of business development and government affairs at Drive Medical Design and Manufacturing. “Current pressures on providers are coming from multiple fronts,” he says. “Providers must both facilitate and confirm compliance with PAP therapy to ensure clinical outcomes and reimbursement, and must also manage the operational costs associated with the amount of time clinical staff spends on PAP patients to get the appropriate fit and comfort.”
Barry Krakow, MD is a board certified internist and sleep disorders specialist, who has spent 25 years in medicine in the fields of internal medicine, emergency medicine, addiction medicine, and sleep medicine. Currently, he is medical director of two sleep facilities in Albuquerque, NM:
Dr. Krakow's research group is one of the most published on the evaluation and treatment of sleep disorders in mental health patients, including more than 30 peer-reviewed papers and abstracts in this field. In addition, he has authored or co-authored four books on this topic as well.
Dr. Krakow's research teams have consistently shown that insomnia and mental health patients frequently suffer from undiagnosed physical sleep disorders, which prevent them from resolving their sleep complaints, and which therefore often prevent them from improving their mental health.
With the publication of Dr. Krakow's new book, Sound Sleep, Sound Mind, he aims to spread the word that an enormously large number of insomnia patients and mental health patients can benefit a great deal by completing a full sleep evaluation and receiving evidence-based sleep treatments. In his view, sleep medicine needs to be thoroughly integrated into the fields of psychiatry and psychology in order to provide mental health patients the opportunity to rapidly recover their sleep health. We believe that aggressive treatment of sleep disorders in these patients will markedly improve their chances to improve their mental health.