Originally Posted by peterp

Excellent point. Thanks for pointing out this example. Changes can of course be implemented any time if the governing body chooses to, but unlike the 13/13 rule that affects everybody and the behaviors in every race, this was never a burning issue. It only affects a one-time process, for a tiny subset of racers who have OSA. Additionally, the burden for those affected is also very small -- the data is trivially easy to generate, it doesn't disclose meaningful private information, and nobody else has complained about the data requirement (at least they haven't shown up in this thread if they have) even though the rule has been in place for many years. This is the hill you're going to die on with a "I won't race if you don't immediately eliminate the rule" stance????

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.

Originally Posted by Mahler9th

You are now being an even bigger J**k.

I have NOT tried to diagnose you. Not in any way, shape or form.

YOU have tried to diagnose yourself.

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."

There are, in fact parameters that are considered by HCPs in determining diagnoses and or rx recommendations.

As I have stated before, a single AHI number from a single study MAY NOT be sufficient to determine whether CPAP rx is appropriate either initially or a continued basis.

When you incessantly insist otherwise in communications with PCA CR folk that are medical professionals, especially after all that has transpired, you may not be putting your best foot forward.

In fact you may look like a complete (expletive deleted).

.

Originally Posted by LuigiVampa

You know better than me and I couldn't possibly understand by doing my own research. Did you also stay at a Holiday Inn Express?

If you were a doctor you would fit right in with the medical committee. You have the correct amount of hubris in the face of contrary information.

You have no idea of my background beyond what you have inferred and your inference would lead you down a wrong road.

Originally Posted by Coochas

Neck circumference and BMI are two components of risk stratifying OSA. The STOP BANG questionnaire is a commonly used tool for assessing whether a patient may have OSA.

Originally Posted by NaroEscape

Man I love Rennlist. I learn so many things here! Who needs real doctors or lawyers when everyone here is such an expert in everything! Why have an actual doctor when the Rennlist self proclaimed experts who know better can diagnose me and provide medical advice for my health! And if I ever need a lawyer, why bother with a real one when I can get all my legal advice right here!!

What a wonderful time to be a Rennlist member!

Originally Posted by Matt Romanowski

Oh, here we go, Mr Holiday Inn Express last night Dr. Conchas

Originally Posted by Matt Romanowski

Oh, here we go, Mr Holiday Inn Express last night Dr. Conchas

Originally Posted by dgrobs

He's a doctor for mollusks?

Originally Posted by Coochas

No I'm not GYN.

Originally Posted by winders

According to the Mayo Clinic, you are wrong. From their web site:

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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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Originally Posted by multi21

Wasn't for a race license, but because my wife and primary thought it may be a good idea to just get evaluated. Given all that's happened here, I don't see many CR's voluntarily disclosing anything they don't have to.



I thought my post was ultra clear, but if it wasn't, I specifically pointed out the distinction in my prognosis was based on which insurance I had, private vs. government and the HCP laughed and said, "unfortunately." There was no misunderstanding on differences of care.

Originally Posted by Mahler9th

No... sorry Winders. You are mistaken.

We call these things "risk factors."