Sleep medicine consultation is a critical part of our services. We are committed to providing comprehensive evaluation, diagnosis and treatment to patients with obstructive sleep apnea (OSA), insomnia, narcolepsy, circadian rhythm disorders, restless leg syndrome (RLS) and other sleep disorders. We also welcome pediatric consultation on sleep disorders. For your convenience, we have a Patient Referral Form which can be downloaded or obtained from our office.
We provide a variety of diagnostic sleep test services, including PSG, PAP titration study, nap studies, and home sleep study. Read More
We provide treatments for all kinds of sleep disorders, including sleep apnea, insomnia, narcolepsy, restless leg syndrome, and other sleep-related disorders. Read More
Importance of Sleep
Lack of restful sleep can have negative effects on all aspects of life, such as increased rates of accidents, decreased quality of life, difficulty concentrating, and increased rates of depression. Sleep problems can also increase the risk of heart disease, stroke, hypertension, and death.
What is a Home Sleep Test?
A home sleep test involves the use of a portable monitoring device that is worn while sleeping. New guidelines by The American Academy of Sleep Medicine states that home sleep tests can help detect obstructive sleep apnea (OSA) in selected adults.
For Your Sleep Study
- Please arrive on time to your appointment, since it can take up to 30 minutes for the equipment to be hooked-up.
- Wear a shirt that you plan to sleep in: t-shirt or tank top.
- We suggest you bring either a button down or zippered top to put on after you have been hooked-up.
- Must make an appointment for the next morning to un-hook the equipment. Must be prior to 1 pm.
- There is a $10 per hour charge for all un-hook appointments scheduled after 1 pm.
- There is a $100 refundable deposit fee for the equipment. Please bring either a check or credit card to your appointment. The fee will only be taken in the case of broken or lost equipment.
Please download, print and sign the Sleep Study Cancellation Agreement below.
Patient Ed Link
The following link takes you to physician-monitored patient education provided by healthcommunities.com
Sleep supports growth and development in children, and as adults, sleep is vital for optimal physical and mental health. It’s a time for healing and repairing heart and blood vessels, forming neural pathways in the brain, and regulating the hormones that affect metabolism and mood. Your immune system also relies on sleep to help ward off illnesses.
Almost everyone will experience sleep problems at some time in their life. But when it is chronic or ongoing, it becomes a health issue that must be addressed. Insomnia, narcolepsy, and obstructive sleep apnea are serious sleep disorders that will negatively affect your overall well-being. The consequences can be instantaneous, such as having a car crash or long term, as with chronic health problems. Fortunately, sleep centers such as Integrated Neurology Services can provide diagnosis and treatment of these disorders. It’s important to tell your doctor if you are experiencing the symptoms of a sleep disorder.
Insomnia is the term used for overall sleeplessness. This includes trouble falling asleep, waking in the middle of the night, and waking too early. If these are occasional struggles, your doctor will likely diagnose them as a general form of insomnia. However, if your insomnia is because of something specific, you will need a certain treatment.
The stress of a major life event can cause acute or short-term insomnia. Sometimes called adjustment insomnia, it often follows situations like relationship breakups or the death of a loved one. Medication and/or cognitive behavior therapy to work through stress is advised.
Idiopathic insomnia is more serious and is generally caused by an underactive sleep trigger or overactive awakening system. It has nothing to do with stress and requires specific treatments. Psychophysiological insomnia isn’t as complicated as it sounds. Basically, it’s a vicious cycle in which you can’t sleep because of worrying about not being able to sleep. Treatment for anxiety and depression along with cognitive behavior therapy can help.
Pain from a significant health problem can impact sleep dramatically. At the same time, pain medication can interfere with sleep. Caffeine, alcohol, and indigestion from spicy foods may interfere with your ability to fall asleep. You must work to determine these causes yourself, but support from medical professionals can help.
Insomnia isn’t limited to adults. Children who suffer from insomnia are usually treated by conversation rather than medication. Talking to the child often reveals an irregular bedtime routine or stress.
You can use the acronym CHESS to outline five major symptoms of narcolepsy: cataplexy, hallucinations, excessive daytime sleepiness, sleep paralysis and sleep disruption. You may not suffer from all five, but excessive daytime sleepiness will affect everyone.
The most specific symptom is cataplexy or a loss of muscle control for two minutes or less. These episodes can be triggered by strong emotions such as surprise or anger. Laughter can turn to complete collapse. More commonly, the knees buckle, the head sags, and the facial muscles and jaw drop. Eyelids will droop and speech becomes slurred. Some patients have learned to avoid emotional situations to discourage attacks. Doctor interviews often require talking to a close friend or family member. An instrument called the Swiss Narcolepsy Scale (SNS) can screen for this disorder.
Vivid dream-like experiences while falling asleep are called hypnagogic hallucinations, and hypnopompic hallucinations if they happen upon awakening. You may have sleep paralysis with both. They should not be associated with schizophrenia since other characteristics define the latter from narcolepsy. These hallucinations can cause fear and anxiety about going to bed.
Excessive daytime sleepiness is a classic symptom of narcolepsy. It results in trouble staying awake and alert during the day. You can enter the REM stage of sleep quickly and dream while napping. Some patients even fall asleep during active situations and display automatic behaviors. This is the most troubling and dangerous aspect of narcolepsy. Assessment begins with a clinical interview. The Epworth Sleepiness Scale (ESS) is administered to obtain a subjective measure.
Sleep paralysis, often accompanied by hallucinations, is the temporary inability to move or speak while waking. You may even become unable to breathe normally for up to 10 minutes or until someone touches you.
Sleep disruption means frequent waking resulting in poor sleep quality. It’s a common symptom since narcolepsy is a sleep-wake state instability disorder. Of course, these sleep disruptions will exacerbate excessive daytime sleepiness. Sleep specialists will distinguish sleep disruptions in narcolepsy from other sleep disorders.
Obstructive Sleep Apnea
Obstructive sleep apnea (OSA) is a condition that causes shallow or halted breathing while sleeping. The condition is caused by a blockage from the relaxation of your throat muscles. It can occur dozens of times a night without you even being aware of it. The condition is felt during the day with excessive daytime sleepiness. You won’t lapse into a sleep episode as with narcolepsy. You’ll feel tired and irritable instead. Noticeable symptoms include loud snoring, gasping and choking that awakens you. You may have a dry mouth or sore throat when you get up in the morning.
Sleep apnea can occur at any age, but it’s much more prevalent in the elderly and the obese. If you’re overweight, fat deposits surrounding the upper airway can obstruct breathing. Thin people can also have the condition by inheriting naturally narrow airways. OSA can also be caused by enlarged tonsils or adenoids. Other risk factors include high blood pressure, diabetes, chronic nasal congestion, asthma, and smoking.
The complications of OSA are serious. Abrupt awakenings make getting good quality sleep impossible. This leads to excessive daytime sleepiness and other health issues such as high blood pressure (due to lowered oxygen) and cardiovascular diseases. Some research has linked OSA to glaucoma. Finally, loud snoring can disrupt the sleep of others, especially your spouse.
Tell your doctor if you suspect you may have OSA. You’ll be referred to a sleep specialist for further diagnosis. You will undergo either a full night or split-night sleep study called polysomnography. In some cases, you may receive a home version of the study. Treatments range from lifestyle changes for mild cases to devices such as CPAC to deliver positive airway pressure.