Um, in a wonderful world where professionals do research literature and
come up with the same conclusions as their peers have, that would make
sense. But my med records have stuff on there a 1st year undergrad psych
major should be able to red ink the heck out of.

Moreover, I've never met a doc that at some point or another realized I
knew my research in the area I sought treatment for (or had the
condition of). At this point, they start asking me what to prescribe,
what to dose it at, etc.

I've only met two out of about 2 dozen doctors in the past 12 months
that ever heard of Desoxyn, for instance. Desoxyn was patented by Abbott
Labs in 1944, and is methamphetamine hydrochloride.

So when you realize Dexedrine doesn't help you to even function at the
higher doses you get prescribed, yet you suffer from the more
peripherial side effects that are greater than that seen from Desoxyn,
let me know how your "trust your M.D. because you're not one" plan
works.

In the mean time, I'm going to remind myself that I would have never
been treated for apnea or narcolepsy at all if I didn't get second
opinions or give my docs research docs or sales materials. Or ideas in
general that have helped to change my life.

I'm very creative, and smart, most patients aren't. If I was an M.D., I
wouldn't listen to a lot of my patients, but only because that's
realistic to expect. I'm an exception to this, my docs have told me
this, my psychopharmacologist even asked if I had any interest in
becoming a psychopharmacologist. I'm an English major, and I'm 20. So
lay off, my docs dismiss the points I correct others docs for doing
right along with me.

They know I do my homework, and they don't have time to do theirs.
That's why drug reps exist, because it's the only way the bulk of your
doc's med info would ever come from when it comes to meds. Are sales
reps M.D.'s? No, they're no more than a walking Cliff Notes for docs.
They highlight clinical data, safety concerns, etc. I do this as well,  
I even tell my doc what schedules drugs like Xyrem are in (III) and
explain to him the potential for abuse and such. I doubt you do this,
but it's probably b/c you assume they would know such info.

CPAP is ordering a PSG, writing a cover sheet to the lab doc's report,
ordering a titration study, writing another cover sheet, and prescribing
a calculated amount of a CPAP-esque device.

That doesn't require continious and thorough research, in fact, the only
real research going on is by my doctor and his hospital colleagues to
find various coorelations between sleep apnea and other disorders (e.g.,
ADD pediatric patients were found to have 25% prevalence of ADD) or
other such studies, mainly intended to investigate the nature of the
diagnosis in order to approach other disorders, find relationships, etc.

f.ck med-"doctors" and their so-called science!!

Of course there are exceptions, but a med-degree doesn's say anything
about a persons ability to view scientific litterature and,
especially: ANALYSE + CONCLUDE anything that any other mentally
NON-RETARDED person shouldn't be able to!! all it takes is a couple of
hours from your life to learn the few medical terms required....

Beeing a physicist myself (and thus NEEDING an IQ slightly above that
of a MONKEY to "earn" my PhD) I find it truly depressive to read their
poorly (but extremely expensive!!!) statistically non-significant
conclusions.....

//Ron