{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Sleep Matters Podcast","title":"Stop Treating Labels & Start Listening to Patients","html":"","width":"100%","height":180,"duration":3047,"description":"Sleep medicine has gotten very good at diagnosing conditions. Dr. Dave McCarty thinks the bigger challenge is remembering that the diagnosis is only part of the story.\nMcCarty started as a primary care internist before finding his way into sleep medicine, eventually training under Dr. Andrew Chesson and becoming deeply involved in the field. But one patient changed the way he thought about care. She had spent years using CPAP because she had been told she had sleep apnea and feared having a stroke. The problem was that her real issue had been missed. She actually had type 1 narcolepsy.\nThat experience eventually led McCarty to develop what he calls the five-finger approach, a framework designed to keep clinicians from getting trapped by the first diagnosis that seems to fit. Instead of caring for the label, he argues that providers need to keep coming back to the patient's story, asking what still isn't working and what else could be going on.\nHe also gets into why sleep care needs better communication between physicians, dentists, primary care providers, and other disciplines. McCarty's work with the Empowered Sleep Apnea Project and Rebis Health is built around creating a common language so those different worlds can stop operating in silos and start solving the patient's actual problem together.\nThe bigger lesson is about agency. The goal shouldn't be getting someone onto a machine or forcing compliance. It's helping people understand their situation, identify their reasons for treatment, see their options, and make an informed decision about what happens next.\nWhat's on the Menu\nHow a primary care internist found his way into sleep medicine\nThe patient story that led to the five-finger approach\nWhy a diagnosis can become a cognitive trap\nThe difference between diagnosis-based and narrative-based care\nWhy \"compliance by coercion\" misses the point\nWhat crows can teach healthcare providers about collaboration\nBringing dentistry, sleep medicine, and primary care...","thumbnail_url":"https://img.transistorcdn.com/52Qaaw05xuFHPCIyraqjh64o9mT1jbe9VlOf6cHLHwE/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS8zMzg4/ZGE2MTI3YzQwNTcw/ZTRjYjBkNjBkZTZl/NTEyOC5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}