Sleep Medicine

The first step in evaluating your sleep disorder is to fill out a sleep questionnaire and a sleep diary.

A board-certified sleep physician, knowledgeable about sleep disorders, reviews your information, interviews you (and your bed partner, if possible) and then performs a brief physical examination. At this point, the physician may have enough information to make a tentative diagnosis and initiate treatment.

The causes of some types of problems may not be clear after the interview and the physician may need a more detailed observation during sleep. In this case, you may be scheduled for a polysomnogram.

A polysomnogram is a comprehensive, all-night testing procedure that takes place at a sleep center. Electrodes and sensors are attached to the patient's head, chest, abdomen and legs to continuously record brain activity, muscle activity, eye movements, breathing patterns, oxygen exchange and occasionally other bodily functions. All studies are performed by a Registered Polysomnographic Technologist (RPSGT).

There should be no pain associated with the test. None of the electrodes or sensors go into or through the skin. All are attached to the surface of the skin or scalp. No hair is cut, no skin is broken and no electricity enters the body. With the exception of feeling the attached sensors, much the same as you notice the clothing you're wearing, no unpleasant sensation will be experienced during the polysomnogram.

Everything possible will be done to insure that your stay is pleasant. We will try to reproduce your usual sleep routine in our laboratory. In most cases, however, it is not necessary to exactly duplicate your sleep at home. And in some cases your normal routine might be disruptive to the testing procedure. Our staff will monitor you throughout the testing procedure and will be immediately available to assist with your needs.

Other laboratory tests may be needed or the physician may recommend that you see other medical specialists. After all tests are completed, the physician will recommend appropriate treatment regimen.

Most sleep disorders can be effectively treated once accurately diagnosed. Some conditions require medication while others may require a change in daily habits or working schedule. Sleep can return to normal for you or a family member.