Originally Posted by
shoelu
What happens if you have a BMI of 35 and a 17 inch neck but raise no concerns when questioned by your ME?
Do you snore?---No, never.
Do you sleep soundly throughout the night?---Yes, always.
Do you experience daytime sleepiness?---No, never.
Do you suffer from hypertension?---No.
Do you smoke?---No.
Does the ME simply mark you down as showing no signs of OSA?
If so, won't everyone just learn the correct answers to the diagnostic inquiries?
Yes.
But, and this is my guess and I only play a doctor on the internets, OKC could always come behind them and say no one is required based on BMI and neck size. Actually, I need to go back and read the OPs link, there was a guide for AMEs I believe there.
My other thought is one smart sleep study place will learn that it is lucrative to find few to no pilots have OSA.
But I've never been to one of these places but it seems to me that people that go there want to be found with OSA so they can get the machines? Is that a logical assumption or am I off? Because if it was the case then they'd probably default to positive for OSA now please pay this referral? Or is that just a dentist thing?
FWIW, if the solution was wear a dental implant and out the door you go. I wouldn't lose much more sleep over this and that would be good because I can't stay awake anymore during the day. But I'd rather see simple solutions then surgeries and loss of medical. But my guess is some folks in the FAA don't get kickbacks if the solution is simple.

There I said it.