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| About
Our Services |
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Will
my insurance cover a sleep study? Most
insurance plans cover a sleep study. Our professional staff
will verify all insurance benefits and relay any out of
pocket costs to you.
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Do I need a physician’s referral?
Yes,
we require a physician’s referral. However, we have
sleep specialists on our staff that can see you in consultation
and recommend any sleep studies that may be required.
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What nights are you open?
We
are open 7 nights a week. Our Customer Service staff will
ensure that you have your sleep study on the night most
convenient for you.
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| About
My Sleep Study |
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Will
I have my own room? Yes,
you will have your own private room.
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What are the rooms like? Our
patient rooms are furnished with soft lighting, carpet,
and decorating touches that create a relaxed and comfortable
environment. Each room has cable TV equipped with a DVD/VHS
player.
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What do I bring to my sleep study? You
may bring the following:
• 2-piece button-down pajamas or shorts and a T-shirt
and slippers.
• A favorite blanket or pillow (optional).
• A change of clothes for the next day.
• A toothbrush, hairbrush, and all necessary toiletries.
• Snacks (required if you are a diabetic or scheduled
for daytime testing)
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Can
someone accompany me for my sleep study?
If
it is necessary to bring someone due to your medical condition
or for any other purpose, please contact our office so that
we can determine how to best accommodate your needs.
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Do you provide sleep medications at the sleep lab?
No.
The sleep lab does not provide any medications. Please make
sure you have discussed all of your medication needs with
your physician prior to your sleep study.
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Am I allowed to take my regularly prescribed medications?
You
should take all of your usual medications on the day and
night of your sleep study unless your physician has advised
you otherwise.
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What
do I need to know before my sleep study?
It is recommended that the following
instructions are followed:
• Avoid caffeinated beverages/foods 8-12 hours prior
to your study
(ie. Coffee, tea, soda and chocolate).
• Avoid alcoholic beverages
24 hours prior to testing.
• Avoid body oils, gels and lotions.
• Please eat a good meal prior to your arrival to
the sleep lab.
• Try not to nap the day of your study.
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What happens during my sleep study?
Upon
arrival, a technician will lead you to your room. Surface
electrodes will be applied painlessly to your scalp, chin,
legs, chest, and near your eyes with conductive paste. This
will enable us to evaluate your stages of sleep and pertinent
information regarding your sleep pattern and behavior. A
sensor will be placed under your nose and belts will be
placed around your chest to monitor your breathing. The
setup process will take about 45 minutes. A technician will
monitor your sleep from a room in close proximity to you
where your sleep data is collected and stored on our sleep
diagnostic computerized system. If apnea is detected you
will be contacted to be scheduled for a CPAP titration trial
or the technician will initiate CPAP trial only if ordered
by your physician on the night of your study.
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What
is the process once my sleep study is completed?
There
is a large amount of data that is collected during your
overnight sleep study. Our sleep specialist physician will
interpret the data and a formal report with recommendations
will be sent to your doctor.
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What
time do I need to arrive for my sleep study?
Typical
arrival time is between 8:30 - 9:00 PM.
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At
what time will my sleep study be over?
Typical
departure time is between 5:30-6:00 AM.
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When
will the results of my sleep study be available?
Within
7-10 business days.
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Will I be scheduled for more testing the next day?
It
is possible that you will be having more testing the morning
after your overnight sleep study, depending on what your
physician has requested or ordered. Our Customer Service
Representatives will notify you if this test has been requested.
This daytime testing normally ends no later than 5 p.m.
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| About
Sleep Disorders |
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What
is obstructive sleep apnea? Obstructive
sleep apnea or OSA is the result of skeletal muscle tissue
losing its tone and collapsing into the airway during sleep.
When a person falls asleep, the central nervous system is
more relaxed causing the electrical activity to the skeletal
muscle to decrease. When the muscle loses its tone, gravity
pulls it into the airway causing the person to stop breathing
for ten seconds or more. The brain senses a decrease in
oxygen and causes an arousal and the person wakes up and
takes a breath. When the person falls asleep again, this
process can repeat itself up to hundreds of times during
the night. The diagnostic instruments at REM Sleep Labs
can pick up OSA so that a doctor can diagnose it and treat
it, helping to improve the quality of life.
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What happens if OSA is not properly treated?
People
with Obstructive Sleep Apnea (OSA) or even those who are
not properly treated are at great risks of developing a
domino effect of health problems. Abnormal breathing during
sleep and frequent reductions in the oxygen level in the
blood can lead to permanent problems with your heart or
blood vessels. Unusual heartbeats and swollen ankles may
also occur. Hypertension and depression are among the most
common complications of untreated or not properly treated
sleep apnea. When you don’t breathe for even a short
period of time, it causes your body to produce a burst of
adrenaline, which in turn causes sudden spikes in blood
pressure. This can damage the heart and other organs, triggering
strokes and heart attacks and greatly worsening congestive
heart failure whether you are obese or not.
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What are the signs and symptoms of OSA?
The
signs and symptoms that are suggestive of OSA include obesity,
loud snoring, excessive daytime sleepiness, erectile dysfunction
(impotence), morning headaches, personality changes (depression),
high blood pressure and frequent nocturnal urination. A
large neck girth in both males and females who snore is
also a good predictor of OSA. In general, men with a neck
circumference of 17 inches or greater and women with a neck
circumference of 16 inches or greater are at a higher risk
for sleep apnea. Patients with OSA often say that their
bed partner complains about their snoring. A large number
of people who snore are believed to have OSA. Many times,
a sleep partner will witness gasping or choking episodes
during sleep.
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What
are the issues with sleep apnea and driving?
OSA,
left untreated, will have a negative affect on you over
time. OSA causes disruptive sleep and the chances that you
may doze off while driving increases considerably. The chances
of falling asleep and possibly getting into an accident
have increased exponentially, when sleep apnea goes untreated.
Driving requires attention to the road. OSA deprives your
body of rest, making you feel tired, less alert, and can
thus become a hazard.
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What
should I do if I suspect that I might have OSA?
| Steps: |
| 1. |
If you routinely wake up feeling non-refreshed,
if you fall asleep during the day, feel a decline
in mental sharpness or have feelings of depression,
consider talking to your doctor about having a sleep
study. Waking up several times during the night and
maybe more frequently towards the end of your sleep
cycle is when sleep apnea is at its worst. If you
sometimes do not remember covering the last few miles
while driving, or even doze off when you are the passenger
in a car traveling any distance, you also should consider
seeing a Sleep Specialist. These are all signs of
non-restorative sleep, and OSA is a major cause of
non-restorative sleep. |
| 2. |
Asking your bed partner
if they have ever heard you snoring or have even
witnessed you not breathing at any point during
the night can be useful information for your physician.
Loud snoring can be a predictive indicator that
you may have underlying Obstructive Sleep Apnea,
which can be easily treated. |
| 3. |
If your doctor feels that
you might have Obstructive Sleep Apnea, he will recommend
that you undergo an overnight sleep study. At your
sleep study visit, electrodes will be used to monitor
your brain waves, your breathing, and blood oxygen
levels during the night. |
| 4. |
If your overnight sleep
study reveals OSA, your doctor will discuss the treatment
options with you. The most common treatment, CPAP
(Continuous Positive Airway Pressure) a machine that
blows room filtered air into your airway to keep your
airway from collapsing at night. Other treatments
include surgical procedures and behavioral treatment
modalities that can also be discussed with your physician. |
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