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Screening Truckers for Sleep Apnea Cuts Health Insurance Costs

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WEDNESDAY, Nov. 6, 2019 (HealthDay News) — Requiring drivers to get treatment for obstructive sleep apnea (OSA) saved a trucking company a large amount in insurance costs for other health conditions, a new study shows.

People with apnea repeatedly stop breathing and wake partially during the night, resulting in poor sleep that can worsen other medical conditions.

Researchers noted that even though OSA has been linked with higher rates of serious preventable truck crashes, the U.S. Department of Transportation does not require commercial vehicle operators to be screened for it. One reason for that is trucking industry concerns about cost.

This study looked at a trucking firm that required drivers with OSA to get treated for it.

They compared 100 drivers who were diagnosed and treated with a control group of 100 drivers who were identified in screening as likely to have OSA but who had not yet been diagnosed.

Screening, diagnosing and treating drivers for OSA saved the company $441 per driver per month in medical insurance costs, with a total savings of $153,000 over 18 months.

Driver turnover reduced the total somewhat, but treated drivers stayed with the company longer, and the total savings offset much of the cost of the mandatory OSA program, according to the study published recently in the journal Sleep.

“The individual saving of $441 per-driver per-month due to the effective treatment of this disease is very substantial, and deserves attention from everyone who is concerned about high medical insurance costs,” said study author Steve Burks, a professor of economics and management at the University of Minnesota Morris.

“The aggregate savings for 100 drivers, along with higher retention of treated drivers, were sufficient to offset much of the cost to the study firm of operating an OSA program,” he added in a university news release.

Burks said the findings should ease trucking industry concerns about the cost of mandatory OSA screening for truck drivers.

— Robert Preidt

MedicalNews
Copyright © 2019 HealthDay. All rights reserved.




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SOURCE: University of Minnesota Morris, news release, Oct. 25, 2019





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This year has just whizzed right by! Isn’t it crazy that we only have less than …

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This year has just whizzed right by! Isn’t it crazy that we only have less than two months until the “year of flying cars” approaches us? I have been sorting through my photos from this recent trip and just reflecting on everything I had the opportunity to experience. Which led me to think about the entire year. All the incredible people I met along the way, as well as all the people who are still in my life as good friends. My family, my pets, my home, and other trips I had experienced this year. I feel like as weird as it sounds, I can actually thank Instagram for the majority of those opportunities, experiences and friendships. Never did I think my account would be this big, or that so many people want to learn from me, or just admire my photos, or allow me to stay at their properties in countries I was going to visit anyway. Insane. Anyway, just feeling grateful for everything 🙏

Also how weird is it that I’m wearing a skirt, twirling in tropical weather, but there are Red holiday bobbles behind me 😂 Couldn’t wrap my head around it when I was in Singapore and everything was decorated for the holiday, but I was sweating so hard.

Wearing @warriorsofthedivine silk Mermaid Dreams skirt and twirling at @stayoasia Novena Hotel ❤️

#stayoasia #oasianovena #singapore #warriorsofthedivine #heygirl



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Do You Need Expert Advice on Being a Grandparent?

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The first grandparent to arrive, Rohna Paskow, had taken the train from suburban Philadelphia. She saved seats for her daughter-in-law’s parents, Charles and Michele Buchbauer, who were driving 50 miles from rural New Jersey to join her.

Their grandson’s birth was still two months away. But Ms. Paskow’s daughter-in-law had asked everyone to sign up for this workshop, called “Now That You’re a Grandparent … Navigating Your Relationship With Your Adult Children,” at the 92nd Street Y in Manhattan.

So here they all were. “Anything for him,” Ms. Paskow said. “Already.”

Sally Tannen, the early childhood educator who directs the Y’s parenting programs, began offering these 90-minute sessions two years ago. Ten people — four solos, three couples — had registered for the one Ms. Paskow was attending, in October.

Ms. Tannen also leads support groups for young parents, mostly mothers, where for years she has heard them fretting about the way their expanding families can strain connections with their own parents and in-laws.

“They’re feeling so vulnerable as new parents that they hear everything through the lens of criticism, no matter what we say,” she told the group gathered around the table. “And they push us away. They want to be the bosses of their own lives and their own kids.”

Moreover, she cautioned, “grandparents can act wildly inappropriately in the beginning when they’re getting used to their new roles.”

How wildly? At the Y, they’re still talking about a grandfather at a previous workshop. Thrilled when his daughter in California became pregnant, he planned to hop on a plane — with his second wife — as soon as the baby arrived, paying the brand-new family a surprise visit.

Ms. Tannen, herself a grandmother of three, didn’t have to tell the man that this seemed a dubious idea; an oh-noooo chorus around the table did the trick.

“Ask your children what they need. ‘How can I help you?’ is probably the best gift you can give them,” Ms. Tannen counseled. “It will go very far toward allowing relationships to flourish if they feel supported in their role as parents.”

I can understand the grandpa’s impulse, though. In the excitement over a new grandbaby — which we all figure we’ll know how to handle because, after all, we’ve already done this at least once — it can take a while to recognize that nope, grandparenting is a whole different gig.

True, much of it feels familiar. We’re not likely to forget how to support a new baby’s fragile neck when we pick her up, or why you don’t burp her without a cloth on your shoulder.

When I became Bubbe to my now 3-year-old granddaughter, Bartola (a family nickname, a nod to the former Mets pitcher Bartolo Colon), I was startled by how much came flooding back: songs, diapering techniques, silly stuff that makes babies chortle.

And the new parts, like how to manage those insanely complicated car seats and how you never ever put a baby to sleep on its stomach any more, aren’t hard to learn.

In fact, grandparenting classes have popped up across the country to instruct us on safety and support during an infant’s first few months. You can sign up for them at hospitals in, among other places, Seattle, Palo Alto, Chicago and Plano, Texas, and at parenting centers in Houston and Santa Monica.

You’re negotiating not only with your kid but often with your kid-in-law, as well as with another set of grandparents, perhaps several. You may also be contending with distance. It’s easy to screw up.

None of these workshop participants — several veteran grandparents, most new to the role— wanted to be wildly inappropriate.

So the questions flew.

How do you handle who goes where on holidays? At Thanksgiving, “there’s this longing to be all together,” confessed Ellen Birnbaum, grandmother to four boys, who plans dinner with her daughter’s family but misses her son’s because they travel to his wife’s relatives in Florida. Ms. Birnbaum contents herself with more inclusive gatherings on the Jewish holidays.

Eric and Ilise Lange practice “time shifting,” assuring their children that celebrating Thanksgiving on Friday or Saturday will be just fine. Michele Buchbauer has a friend whose family get-together occurs in late October when airfares to California are low.

What about social media? The Langes and Joan and Marty Abramowitz, seated across the table, all lamented that their kids (who are married to one another) have forbidden them to post anything about their shared new grandson on Facebook.

It’s a pain to have to text dozens of friends instead, but “none of us have violated it,” Mr. Lange said of the restrictive policy. “We’d be killed.”

“Has anyone run into trouble with gifts and how much to spend?” Ms. Buchbauer (whose grandson, remember, has yet to arrive) asked the group. “I think there’s going to be a lot of limits.”



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NASTY NATE WORKOUTS (CHEST + TRI)

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60 min chest and tri workout that alone has time for! long sessions don’t always equal the most progress.

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