Evaluation and Treatment of Sleep Disorders
Winthrop’s Center for Sleep Medicine on Long island, NY specializes in Sleep Disorder Evaluation, Testing and Treatment. The sleep disorder evaluation process includes a sleep interview, obtaining a detailed medical history and conducting a comprehensive physical examination. Polysomnography (the sleep study) involves recording sleep stages, breathing during sleep and oxygen level, as well as heart and muscle activity.
At the Winthrop Sleep Disorder Center (SDC) these in-laboratory polysomnographies are always attended by an onsite registered technician. After the team reviews the results of the sleep disorder evaluation, an individualized treatment plan is created, including education, behavioral therapy and, if needed, treatment with medications. The SDC also collaborates with experts trained in behavioral medicine and psychotherapy
The Steps in Sleep Disorder Testing
The Sleep Interview
A careful, detailed patient interview is the mainstay of physician consultation at the Sleep Disorders Center. One of the most important components of the sleep evaluation, the interview is considered a very effective way to begin identifying a patient’s sleep problems.
The Sleep Study
Also known as a polysomnogram, a sleep study is a vital part of sleep disorder testing as it investigates how the patient sleeps and whether sleep is normal or abnormal. Patients are usually studied during their normal sleeping hours. The SDC’s priority is capturing the best picture of a patient’s usual sleep with the least disruption to routine.
A sleep study is not painful. While many sensors are placed for monitoring heart rate, breathing, oxygen levels, brain waves and other functions, they are applied with gentle hypoallergenic adhesives or special bandages. No needles are involved, and most patients can fall asleep normally.
Children under 18 must be accompanied by a legal guardian during sleep study testing. The SDC provides accommodations for the adult to sleep in the Center so that both the child and guardian are comfortable with their surroundings.
Your Personalized Sleep Disorder Treatment Program
At Winthrop, once a patient has completed a sleep study, the acquired data is carefully scrutinized by the registered polysomnographic technologists, who examine the stages of sleep measured and relevant events that occurred during sleep, including breathing abnormalities, limb movements, sleep fragmentation, teeth grinding, heartburn and other findings. After this process, a secondary survey of the results is reviewed by a SDC physician who interprets the technical data, creating a polysomnographic report. Patients consult with the sleep specialist to review their “sleep architecture” (the shape of their sleep) and discuss the findings underscoring the diagnosis. Depending on the diagnosis, a personalized treatment program is designed and therapy begins.