About Us

REM Sleep Diagnostics Center

Our sleep center is a new and innovative facility. We provide an accurate and prompt diagnosis of various sleep problems including sleep apnea and snoring treatments to help identify the most appropriate treatment for you. Problem snoring and sleep apnea are a more widespread problem than most people think. Often people do not even realize that they are suffering. If you are concerned that you might have a sleep problem, you can arrange to see your private physician for a consultation.

Our Goal

Our goal is to deliver high quality clinical care in a friendly environment. We are very kind to provide an excellent quality of care. After your overnight sleep study you will be kindly asked to fill in a questionnaire following your about your night stay, this will help us to continually improve our quality of care.

Long-Term Care

We provide rapid referral access to specialist in sleep disorders and with medical equipment such as CPAP machines or masks. This is very important as we understand that continuity of treatment is crucial for patients that are suffering from sleep apnea and problem with snoring. We use advanced computing technology to remotely monitor our patients on therapy to reduce the number of clinic visits. A 24 hour support phone number is provided to our patients to help them with any concerns they may have with their sleep disorder treatment therapy.

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Patients

Do I Need A Sleep Study?

There are many symptoms associated with sleep problems. Some symptoms are more obviously indicative of a sleep disorder such as trouble falling or staying asleep, loud snoring, low energy levels or problems with staying awake during the day. If you think you may be suffering of a sleep problems or are experiencing extreme daytime sleepiness, consult your private physician or primary care practitioner and ask for a referral to our sleep center. Once we receive the referral, our office will contact you to schedule an overnight sleep study at your convenience.

Signs of Sleep Apnea

Warning signs to look out for:

  • Loud snoring
  • Breath holding at night (apnea)
  • Daytime fatigue
  • Short term memory loss
  • Multiple trips to urinate through the night
  • Early morning headaches
  • Loss of interest in sex
  • Obesity or difficulty losing weight
  • Unexplained shortness of breath
  • Mood Disorders such as depression, anxiety, panic attacks or stress

If you are suffering from any of the above, ask our Doctor for a referral to our clinic.

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Our service provides accurate and prompt diagnosis of the causes of sleep apnea and identifies the most appropriate treatment for our patients. Everyone is different, and this is something that we will take into account when analyzing your sleep and deciding upon a treatment.


Types of Sleep Tests

Polysomnography (PSG), Multiple Sleep Latency Test (MSLT), CPAP Polysomnography Titration, Split Night Polysomnography and Maintenance of Wakefulness Test (MWT), Unattended Home Sleep Study (HST).

Diagnostic Services

Sleep Disorders

According to the American Sleep Disorders Association, there are over 80 sleep disorders that affect people. The most common are the following (in no particular order):


1. Snoring

Snoring affects 45% of normal adults and can be a signal that something is seriously wrong with one's breathing during sleep.


2. Sleep Apnea

Apnea is a Greek word meaning "without breath." Sleep Apnea is a potentially life-threatening medical condition characterized by repetitive pauses or significant reduction is airflow during sleep. This condition refers to an obstruction caused by the narrowing of the airway in the throat. When the upper airway collapses on an OSA sufferer who is sleeping, the brain detect his or her restricted access to oxygen. When this happens, the brain rouses the patient from a deep sleep to a semi-conscious state that enables the patient to resume breathing so as to obtain the needed oxygen. The sleep arousal interrupts the sleep cycle that is required for rest and so causes excessive daytime sleepiness that can result, because of fatigue, in injury to the sufferer or to others.


There are three types of sleep apnea:


Obstructive Sleep Apnea (OSA)

The most common form of sleep apnea. Usually caused by soft tissue and musculature in the upper airway (throat) blocking the flow of air in and out of your lungs during sleep.


Central Sleep Apnea (CSA)

CSA results from the brain not signaling your respiratory system to breath.


Mixed Sleep Apnea (MSA)

MSA is a combination of OSA and CSA. Also now being referred to can "Complex Sleep Apnea."


3. Narcolepsy

This is a relatively uncommon disorder which involves the body's central nervous system and is characterized by attacks of sleep. Narcolepsy affects about 1 in 2,000 people, both men and women of any age. A person with Narcolepsy is likely to fall asleep at inappropriate times and places. Daytime sleep attacks may occur with or without warning and can occur repeatedly in a single day. Nighttime sleep may be fragmented with frequent arousals.


4. Insomnia

This is the inability to fall asleep or stay asleep. It may be related to anxiety, depression, medical/psychiatric problems or substance abuse. Insomnia is a symptom of a larger problem and in order to treat it the physician must find the cause. Most insomnia sufferers sleep better after the appropriate evaluation and treatment.


5. Periodic Limb Movement Disorder (PLMD)

Refers to the involuntary movements of the legs and / or arms during sleep. These movements cause arousals and sleep fragmentation. PLMD is observed mostly in people over 50 years of age.

Physicians

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Diagnostic Services


Polysomnography (PSG) CPT Code 95810

This is the initial in lab sleep study to confirm sleep disorders diagnosis.

CPAP (CPAP Polysomnography Titration) CPT Code 95811

This is the titration sleep study to fit the patient to the pressure of the CPAP/BiPaP machine. During the titration, the patient wears a mask and CPAP pressures are trialed up and down during the sleep to find a single best pressure delivery and setting to control apnea events.

Split Night Polysomnography (PSG) CPT Code 95811

This sleep study is a Polysomnography (PSG) and CPAP Titration study done in one night. The CPAP titration study can only be started if certain conditions are met during the Polysomnography so we cannot guarantee that both can be done on the same night.

Multiple Sleep Latency Test (MSLT) CPT Code 95805

This is a nap sleep study done the morning after the Baseline Polysomnography (PSG) (This goes right along with the baseline study). This is to rule out other diagnoses and help patients who complain of excessive daytime sleepiness. The test measures the time elapsed from the start of a daytime nap period to the first signs of sleep, called sleep latency. The test is based on the idea that the sleepier people are, the faster they will fall asleep. The Multiple Sleep Latency Test (MSLT) is used extensively to test for narcolepsy.

Maintenance of Wakefulness Test (MWT) CPT Code 95810

This is a sleep study done the morning after the Baseline Polysomnography (PSG) (This goes right along with the baseline study). It measures your ability to stay awake and alert during the day.

Unattended Home Sleep Study (HST)(Portable Diagnostic Polysomnography (PSG) CPT Code 95806 or G0399

This is a home sleep study test tool that is used for the diagnosis of obstructive sleep apnea. Most home sleep study test (HST) devices are portable and are also call “Unattended Sleep Study”.

The Difference between Home Sleep Test (HST) and Lab Sleep Test (PSG) Home Sleep Studies (HST)

The home sleep test (HST) is administered by the patient in the comfort of their home. It is used to test patients with obstructive sleep apnea, and it is not recommended for patients with other sleep disorders or who have certain medical conditions such as congestive heart failure (CHF), chronic obstructive pulmonary diseases (COPD) or neuromuscular diseases.

What It Measures (HST)

The home sleep test (HST) measures oxygen saturation, heart rate, airflow, movement in chest and abdomen, snoring and sleep position. A sleep test done in a lab measures all the things mentioned above, as well as br/ain waves, sleep stages waves (Stages 1,2,3, and REM (Rapid Eye Movement), sleep time, and leg movements (an indicator of restless leg syndrome (RLS) and br/eath waves (Abdomen, Diaphragm and chest).

Lab Sleep Test (PSG)

The lab sleep test Overnight Polysomnography (PSG) it is a diagnostic procedure in a sleep lab facility full attended by sleep technicians that are observing an analyzing the sleep study procedure during the night while the patient is asleep such as br/ain activity (Electroencephalography (EEG)), respiratory function (Airflow through mouth and nose), muscle function (Electromyography (EMG)), heart rate (Electrocardiography (ECG)), Snore and a variety of other variables that are essential for the diagnosis of the more complex sleep disorders. Polysomnography (PSG) is particularly useful for the diagnosis of Obstructive Sleep Apnea (OSA) and Sleep Disordered br/eathing, Narcolepsy, Parasomnias, Restless Leg Syndrome (RLS) and Neurological Disorders such as Epilepsy.

Polysomnography (PSG) and Multiple Sleep Latency Testing (MSLT)

This is the sleep study test procedure recognized and generally accepted for diagnosis of Narcolepsy.

Pediatric Sleep Studies

Sleep test studies are provided to children when referred by a primary doctor, pediatrician or ENT (Otolaryngologist) specialist.

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We are looking forward to hearing from you!