
Community Memorial Hospital’s Regional Sleep Disorders Center is dedicated to providing high quality, compassionate healthcare to people who suffer from sleep disorders. This is achieved by utilizing state-of-the-art diagnostic equipment and providing comprehensive wellness programs.
Community Memorial Hospital has pulmonologists; neurologists; ear, nose, and throat specialists; psychiatrists, and other specialists who are skilled in the diagnosis and treatment of sleep disorders. The Medical Director, Dr. Arthur Crisostomo, is a certified Sleep Specialist and is a diplomate of the American Board of Sleep Medicine.
The Sleep Center has four comfortable bedrooms and an observation room for a sleep technician. The Center is staffed by specialists in sleep disorders and equipped with advanced technology.
The Regional Sleep Disorders Center features:
Take a moment to learn more about sleep disorders and the Center:
Regional Sleep Disorders Center
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Sleep Evaluation and Management Clinic
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Disorders of Excessive Sleepiness
Sleep Apnea: Apnea is when breathing stops for 10 seconds or more. In sleep apnea syndrome, these episodes may last as long as 90 seconds and occur several hundred times a night, severely disrupting sleep. As a result, the person continues to feel sleepy during the day. Heavy snoring usually precedes these episodes, followed by a loud snort.
Narcolepsy: Narcolepsy is a disorder characterized by excessive sleepiness during the day despite a good night's sleep. The body's system for staying awake can shut down, triggering a "sleep attack." In other words, you could fall into a deep sleep at any time.
Insomnia
Those who suffer from insomnia either have trouble falling asleep or trouble staying asleep. Insomnia can be short-term (lasting less than 2 weeks) or chronic (lasting greater than 2 weeks).
Parasomnias
Rhythmic body movements, or brief muscle contractions that cause arms or legs to jerk, can occur during drowsiness and during sleep. Examples of some abnormal behavior during sleep are sleepwalking, nightmares, sleeptalking, sleep terrors and nocturnal leg cramps. The result is sleep that is restless and unsatisfying.
Night Terrors
These can happen to both adults and children. The patient seems awake after an intense episode of terror and reacts to the episode but does not remember it happening by morning.
Following a consultation, your doctor may refer you to the Regional Sleep Disorders Center for a sleep study, called a "polysom-nography study." The Center features four comfortable, home-like, soundproof bedrooms
While you sleep, a specially trained technician in the observation room monitors your breathing patterns, muscle movement, blood oxygen level, heart rate, eye movement, airflow and brain activity. The test is painless and will be concluded in time for you to begin your day on schedule. Each bedroom has attached shower and bathroom facilities.
A doctor trained in sleep medicine interprets the polysomnography test and may prescribe treatment.
Treatment may include weight loss medication, change in daily living habits or use of treatment devices. In some cases, the doctor may recommend surgery.
Getting a good night’s sleep is something many people take for granted. But for others it is a goal that always seems just out of reach. Consider the following questions ...
If several of these questions apply to you, you may suffer from a sleep disorder.
If you believe you might suffer from a sleep disorder, consult your family doctor for a sleep medicine consultation. You can also call Careconnection at (262) 251-1001 or 1-800-246-8332 for referral to one of our doctors. Community Memorial Hospital has pulmonologists, neurologists, ear/nose/throat specialists, psychiatrists and other specialists who are skilled in the diagnosis and treatment of sleep disorders.
Community Memorial Hospital’s Sleep Evaluation and Management Clinic is designed to assess patients that are diagnosed with obstructive sleep apnea who need assistance with modalities. The Sleep Clinic may utilize different studies, evaluation tools or other assessments as ordered by the physician for the evaluation necessary to improve patient compliance. Patient evaluation could utilize the following functions: mask fitting, overnight oximetry, CPAP/ BIPAP evaluation, AutoPap evaluation or Actigraph study.
Mask Fitting
Mask fitting is indicated for patients currently using CPAP having compliance issue due to:
The sleep technician shall assess the mask site for any redness or breakdown caused by the patient’s current CPAP mask. The technician will discuss with the patient the various CPAP mask options and determine the mask the patient will use. The technician will have the patient trial the mask at the pressure the patient is using at home and assess for comfort and a proper mask fit. The patient will take the mask to use at home and keep to use if they have no problems.
Mask Options:
Auto PAP Titration
The Auto Set machine is a CPAP machine that has the ability to increase or decrease CPAP pressure based on the state of the patient’s upper airway. The patient takes the machine home to use for one week. After that week, the patient brings the machine back to the sleep lab. The information is downloaded into a computer to generate a report showing the physician how much CPAP pressure the patient needs.
Auto Pap is indicated for the patient currently using CPAP with the following symptoms:
Actigraphy
Actigraphy is the use of instruments sensitive to movement that can be worn on the leg. They are worn to assess leg movements during the night. It is used to assist with the treatment of Periodic Leg Movements.
Actigraphy is indicated for patients currently on medication for restless leg or PLMs that are still having symptoms such as:
CPAP / BIPAP Evaluation
The sleep technician will assess the mask the patient is using and check the pressure the CPAP machine is set on.
This evaluation is indicated for patients:
Overnight Pulse Oximetry
Pulse oximetry is the utilization of selected wavelengths of light to determine the oxygen saturation in the blood. The machine is taken home with the patient to use overnight and brought back to the sleep lab the next day. The machine is downloaded into a computer and a report is printed out for the physician to interpret.
Overnight Oximetry is indicated for patients:
To Order the Sleep Evaluation and Management Clinic:
The Regional Sleep Disorders Center will get the Insurance Authorization for the clinic visit from the patient’s insurance company and then schedule the appointment with the patient.