Despite ReLACS Health not accepting reimbursement from insurance companies, cutting out a major aspect of interference and bureaucracy in patient care, I have been nevertheless dealing with the limitations and the downstream effects of the insurance industry significantly.

Here are ten things I learned this year at SLEEP 2022:

Tomorrow, I will officially be opening the doors to the first patients of ReLACS Health, a direct specialty care telehealth sleep medicine practice. I will share a few reflections on how I wound up starting a solo practice from scratch. 

Restless legs syndrome (RLS) is the red-headed stepchild of medicine. The phrase is quite fitting. There are several reasons for this, which we will address here.

Today seemed fitting to discuss women’s sleep health during pregnancy, which has its own unique features. Here are 4 essentials to remember for pregnancy:

Here, I will touch on some key examples for how a direct care practice can provide significant advantages to patients beyond a standard fee-for-service sleep clinic. 

Here are five tips that every human who sleeps can adopt to improve their sleep quality.

as revealed in the Agony in the Garden and the ill-timed sleep of the apostles, the Gospel writers use sleep to illustrate the failures of the disciples as followers of Jesus in stark contrast to the passionate anguish of Jesus himself driving his wakefulness

Because sleep is such a natural process, of which evolution has preserved about 7-8 hours per day, there really are no biological disorders that cause insomnia and most disruption of sleep can be reversed by steady, dedicated work on the cognitive and behavioral aspects of sleep, something that the direct specialty care approach will enable in terms of time and flexibility of scheduling.

What happens to RLS patients who are on dopamine agonists? They may do well for the first few months or years, but the symptoms of augmentation start to emerge. The symptoms spread to other areas of the body…

I am excited to launch ReLACS Health, a direct specialty care service. This is a new era to my career and a path that will not compromise my values as a physician under the metrics of efficiency and billing. For those of you who want more help beyond the status quo approach suited to straightforward obstructive sleep apnea, you are welcome to be a part of this practice. I have found a new home outside the fee-for-service system.

The fee-for-service healthcare system is a disaster. Patients, physicians, nurses, and support staff are caught in the crossfire of a financial battle between the two titans of big business: medical centers and the insurance industry. I am eschewing both as best I can. I’m done with this place. 

Two major points here to summarize: set a consistent wake up time for every day of the week and contact your senator or congressperson and tell them that Daylight Saving Time should be put to rest!