Adult Sleep Disorders
Many sleep disorders are similar across the age spectrum, affecting Adults. These include Obstructive Sleep Apnea, Restless Leg Syndrome, and Insomnia.
Unique sleep disorders can occur in adults such as Central Sleep Apnea in patients with Congestive Heart Failure or REM Behavior disorder (dream enactment) seen in certain neurologic disorders. As women age, insomnia can be prominent during and after menopause. Addressing Obstructive Sleep Apnea as a significant contribution to other medical problems such as contributing to atrial fibrillation—an irregular, rapid, heartbeat, or contributing to the risk of hypertension, diabetes, and stroke is very important.
It is equally important to manage sleep disorders as a chronic illness in order to eliminate their detrimental effects on overall health. We can contribute to improved health outcomes and quality of life in patients with Chronic Obstructive Pulmonary Disease (COPD) and neuromuscular disease when managed with non-invasive ventilation as well.
A thorough and detailed history will differentiate between these—and many other adult sleep disorders. Coordination of care and communication with the patient's other treating physicians is important. Management of some disorders may require a blood test and the need for management of ferritin (stored iron) or other therapies to treat Restless Leg Syndrome. Respiratory related disorders will need to be diagnosed with a formal sleep study. Some patients with uncomplicated Sleep Apnea may have ordered a portable sleep study to be performed in their home while more complicated cases may require a formal sleep study conducted in a sleep lab. Management of all respiratory disorders will need close follow-up with the assistance of routine downloads from their positive airway pressure devices that can help with determining effectiveness and adherence.
We are committed to taking the time to help our patients understand all aspects of their care and treatment which will lead to overall better health outcomes. We are convinced that once the patient truly comprehends why a treatment approach improves other aspects of their health or prevents deterioration of their health, they will then become a fully committed partner in their own care.
We want to help you get the most out of your relationship with your doctor. It can sometimes be unclear how and when to advocate for yourself. We are happy to answer questions, help you find a specialist, and know which questions to ask learn more
Home Sleep Studies
Home Sleep testing is often required by insurance companies to screen for obstructive sleep apnea (OSA). We offer two contiguous nights of screening where most hospital-based labs offer only one. We do this to ensure we get adequate data for review. learn more
Normal breathing should never consume any of our attention but when you can’t breathe it's all you think about. In our workup, we try to differentiate all aspects of the pulmonary and cardiac system that can increase the work of breathing and can cause low oxygen levels to determine why you or your loved one might be short of breath learn more