Do you or someone close to you have a sleep problem?

This website is designed to help you understand sleep problems and how they are evaluated.

Obstructive Sleep Apnea was first identified by doctors in 1965

“Do every act of your life as if it were your last.” – Marcus Aurelius

Genetics, aging and weight are the primary causes of adult Obstructive Sleep Apnea – RGH

They succeed, because they think they can. – Virgil

Obstructive Sleep Apnea is estimated to occur in 25% of adults and 70% of 70 year olds – RGH

Advice is a dangerous gift, even from the wise to the wise, as all courses may run ill. – Gildor Inglorion

Obesity causes 8-10% of Obstructive Sleep Apnea – RGH

You have power over your mind, not outside events. Realize this and you will find strength.
– Aurelius

Obstructive Sleep Apnea is a major cause of hypertension, heart disease and strokes

“The fool doth think he is wise, but the wise man knows himself to be a fool” – William Shakespeare

Apnea is treated to improve symptoms and to decrease cardiovascular complications.

To Sleep, Perchance to dream

Positive airway pressure therapy is the gold standard for treatment of Obstructive Sleep Apnea.

Live as if you were to die tomorrow. Learn as if you were to live forever.”
– Mahatma Gandhi

CPAP mask selection rules are: It should be comfortable and only leak where it is designed to leak.

This time, like all times, is a very good one, if we but know what to do with it.
– Emerson

The Apnea Hypopnea Index (AHI) is the current standard for measuring apnea severity.

Progress begins with work on yourself and your appointed role in life. – Ueshibba

Insomnia is both a symptom and a condition

The words of truth are always paradoxical
– Loa Tzu

The most important time of sleep is the time you get up for your day.

I exist as I am, that is enough.
– Walt Whitman

Karl Ekbom named the condition ‘Restless Legs Syndrome’ in the 1945.

Iron deficiency is one cause of “Restless Legs Syndrome”

Narcolepsy is believed to be secondary to a deficiency of a brain neurotransmitter

Improving Sleep with Knowledge

Meditations on Medicine & Things Featured Blog

Frequented Pages

First Steps to Consider

Seeking an Evaluation

The traditional approach to evaluation involves a physician assessment, testing if deemed indicated and post test review and recommendations.  If a disorder of sleep were diagnosed, such as Obstructive Sleep Apnea, then long-term follow up would be needed.

Home Sleep Apnea Testing

Home sleep apnea testing is an overnight recording that you will carry out on your own. Home sleep apnea testing became available in 2005. It has been widely used in the field of sleep medicine since the government, through Medicare, accepted it as a diagnostic test for obstructive sleep apnea about six years later.

Selecting a Sleep Center

There is no accepted definition of a sleep center. In general, sleep center is a label applied to a business or a unit of a hospital that at a minimum provides testing for sleep disorders. A full service sleep center will include physicians practicing sleep medicine with patient care, including initial evaluations and long-term care, in addition to testing services.

Sleep Disorders

Difficulties during sleep vary from minor to life threatening. Often knowing basic information about the issues can help one understand how sleep physicians view the problems and decide what should be your next step. These pages are designed to give a basic understanding of sleep disorders. Remember, a little knowledge can be a dangerous thing. Always consult with your physician for proper personalized recommendations and care.

Insomnia

Sleep Movements

Snoring

Excessive Daytime Sleepiness

Sleep Apnea / Breathing Problems

Medications & Other

‘Dear Winston’ (Sleep Blog)

LOOKING GOOD on PAPER – Medical Reports II

LOOKING GOOD on PAPER – Medical Reports II

I am sorry to go on like this Winston, but let’s face it; we are all concerned with our image. It is a basic human trait. Doctors are not immune. When I last wrote, my feelings were running high regarding the reports all doctors are responsible for completing. I...

read more
Writing Medical Reports 

Writing Medical Reports 

Yes Winston, I am very opinionated about writing medical reports. Any document in medicine has a purpose for being created. Those purposes have evolved as well as the manner in which the information is generated. The types of reports have multiplied. My obsession with...

read more
Hypoglossal Nerve Stimulator

Hypoglossal Nerve Stimulator

Winston Yes, I am aware of the national TV ads for the hypoglossal nerve stimulator for Obstructive Sleep Apnea. Earlier this year I prepared an information sheet on the subject. I will add it to this letter. It is a second line therapy and works for a limited sub...

read more