Sleep Medicine

Snoring and labored breathing during sleep may be a family joke or an aggravation to your partner, but sleep disorders can be more than just annoying. Some sleep disorders may be symptoms of existing medical conditions. If left untreated, they may lead to more serious health problems. But because these disorders cannot be detected through examinations while the patient is awake, many remain undiagnosed and untreated.

[expand title=”DMA Sleep Center”] The DMA Sleep Center was established in 2009 to assist physicians and their patients in diagnosing and treating sleep problems adversely affecting their life and health. DMA Sleep Center provides polysomnography, the continuous monitoring of sleep throughout the night, as well as daytime studies as needed. All sleep studies are conducted by registered polysomnography technologists and interpreted by Dr. Gibran Naddy.
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[expand title=”Goals of Sleep Medicine Care”]

Providing a comprehensive evaluation of the the sleep/wake complaint.
Educating on the benefits and appropriateness of sleep testing if indicated.
Providing detailed test follow-up and management.
Appropriate coordination of care with the referring primary care physician.

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[expand title=”Symptoms & Disorders Treated”] School-aged children, adolescents and adults (ages 7+)

Sleep-related breathing disorders such as obstructive sleep apnea and central sleep apnea, which are related to obesity, heart disease (heart failure, afib), chronic opiate use and stroke. Treatment and follow up care with positive airway pressure and referral to ENT and sleep dental services as appropriate.
Narcolepsy and other disorders of profound daytime sleepiness.
Parasomnias – unusual behaviors during sleep such as sleep walking, sleep talking, sleep-related movements, dream enactment behaviors, restless legs syndrome.
Circadian rhythm sleep disorders – altered timing and patterns of sleep/wake behaviors.
Insomnia – difficulty initiating or maintaining sleep.
Occupational sleep medicine – sleep specific issues with shift workers, truck drivers, etc.

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[expand title=”Procedures Available”]

Polysomnography
A comprehensive overnight evaluation of sleep neurological and respiratory physiology performed in the sleep disorders center, attended by a technologist. Used in the diagnosis of sleep-related breathing disorders, sleep-related movement disorders, and narcolepsy.

Home Sleep Apnea Testing
A limited, unattended evaluation of sleep respiratory physiology performed in the patient’s home for select patients at high risk of moderate to severe obstructive sleep apnea.

Multiple Sleep Latency Testing
Specialized daytime tests performed for the diagnosis of narcolepsy or to confirm the ability to maintain wakefulness in certain critical occupations.
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