PCA medical committee revoked my race license
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Veloce Raptor (08-20-2024)
#1841
I'm a Grand Illusion guy
#1842
Burning Brakes
Joined: Sep 2017
Posts: 1,204
Likes: 634
From: Formerly the DPRK, now seeking political asylum in Oregon
Does make me wonder....
How does anyone here ever get anything done?
As a lawyer, does Luigi bill by the minute?
Holy crap. He must have about $80K invested in this by now!
How does anyone here ever get anything done?
As a lawyer, does Luigi bill by the minute?
Holy crap. He must have about $80K invested in this by now!
#1843
Based on what I have read in your post, I believe my understanding of these matters exceeds yours, and based on my educational, professional and personal background, and what I can assume of yours, that is no surprise.
Parameters like BMI and neck circumference are NOT "contributing factors to OSA."
Parameters like BMI and neck circumference are NOT "contributing factors to OSA."
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Obstructive sleep apnea
Factors that increase the risk of this form of sleep apnea include:- Excess weight. Obesity greatly increases the risk of OSA. Fat deposits around your upper airway can obstruct your breathing.
- Neck circumference. People with thicker necks might have narrower airways.
- A narrowed airway. You might have inherited a narrow throat. Tonsils or adenoids also can enlarge and block the airway, particularly in children.
- Being male. Men are 2 to 3 times more likely to have sleep apnea than are women. However, women increase their risk if they're overweight or if they've gone through menopause.
- Being older. Sleep apnea occurs significantly more often in older adults.
- Family history. Having family members with sleep apnea might increase your risk.
- Use of alcohol, sedatives or tranquilizers. These substances relax the muscles in your throat, which can worsen obstructive sleep apnea.
- Smoking. Smokers are three times more likely to have obstructive sleep apnea than are people who've never smoked. Smoking can increase the amount of inflammation and fluid retention in the upper airway.
- Nasal congestion. If you have trouble breathing through your nose — whether from an anatomical problem or allergies — you're more likely to develop obstructive sleep apnea.
- Medical conditions. Congestive heart failure, high blood pressure and type 2 diabetes are some of the conditions that may increase the risk of obstructive sleep apnea. Polycystic ovary syndrome, hormonal disorders, prior stroke and chronic lung diseases such as asthma also can increase risk.
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LuigiVampa (08-20-2024)
#1844
@Manifold Just pointing out the peterp supports an improvement but states that it can only happen at year end: That is not accurate based on other fixes / changes that have been made during the year.
@peterp there was / is nothing preventing PCA from fixing the issue / making a change during the year as demonstrated with the 13/13 change (which even had a retroactive aspect to the fix / change).
It was never urgent. Although I've supported the right to question it, and have tried to provide feedback to help it be successful, I honestly don't even get the "mission" for such a tiny niche requirement. If the perception among the Club Racing community is that the overall medical process is too elaborate and difficult, it would have made a million times more sense to take a long time to put together a generalized case for simplifying the entire medical process using the other racing clubs as examples. That broader initiative potentially has merit (assuming the medical review is actually a widespread concern) -- but going after a niche requirement, with a very low hurdle, that only affects only a tiny sub-segment of the racer community, one time per year, is not urgent by any stretch of the imagination.
Whichever battle you want to take on (the broader one lobbying for a medical review more on par with peer racing organizations, or the tiny niche one), you don't take that on with a "change it immediately or I'm not racing" stance. Besides that, there have been many, many issues with the approach used, and that continues to be used, which is digging an even a deeper hole. Failing to be bluntly honest about the issues with the approach being used does nobody any favors, least of all the OP.
#1845
Great illustration of the complexities involved...
"Bottomline is that the confirmation or absence of my sleep apnea came down to how I was insured, if I'm on private insurance, I had sleep apnea, if on Medicare, I did not."
Is that your conclusion? Or is that something the HCP stated?
Dx "should" be free of any consideration of reimbursement or coverage, but murkiness can sometimes result from less than ideal communication.
Might be beneficial to understand differences between "standards of care," and things like "first line rx," and "second line rx."
And how those things may differ from coverage/reimbursement.
One of my college classmates runs Anthem, and I am suspect they have a range of coverage/reimbursement criteria for things like CPAP rx.
Lots of variables.
"Bottomline is that the confirmation or absence of my sleep apnea came down to how I was insured, if I'm on private insurance, I had sleep apnea, if on Medicare, I did not."
Is that your conclusion? Or is that something the HCP stated?
Dx "should" be free of any consideration of reimbursement or coverage, but murkiness can sometimes result from less than ideal communication.
Might be beneficial to understand differences between "standards of care," and things like "first line rx," and "second line rx."
And how those things may differ from coverage/reimbursement.
One of my college classmates runs Anthem, and I am suspect they have a range of coverage/reimbursement criteria for things like CPAP rx.
Lots of variables.