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Brilliant Minds, Better Sleep  
Newsletter of Sleep Medicine Associates of Texas, P.A.
September 1, 2009 Edition VII 

Rate Your Daytime Sleepiness

 
Car accident
When you come to our office, we often ask you to complete a rating of daytime sleepiness.  The simplest scale to use is the Epworth Sleepiness Scale (ESS).  Anything that reduces good sleep will cause you to feel sleepier during the day.  Sometimes medications can increase your sleepiness.  A change in your sleep disorder can also increase sleepiness.  If you have an Epworth sleepiness score of 11 or above, your doctor will want to explore reasons for this.  The following link on our website will take you to the ESS:  http://sleepmed.com/epworth.htm. If your ESS rating is 11 or above, it may be time for you to visit your doctor.
Snoring is a Nuisance
 
 
Car accident
 
 Snoring is the most common complaint we hear.  Assess your bed partner's snoring and we can recommend a solution.   
 
Sleeping Pills 
If chronic insomnia is causing you to turn to over-the-counter sleeping pills, our experts can find an effective long-term treatment.  For more information, 
 
Forward this newsletter
 to someone you care about or
 
 
 Heartburn and Sleep

Call Today! 214.750.7776

Anonymous Doctors 
Don't Snooze When Selecting Sleep Medicine Providers: What You Should Know  
We are often asked to help patients with choices along sleep medicine providers, testing facilities and CPAP equipment vendors.   Several different medical specialties are now involved in sleep medicine.  Many patients wonder "Which one is right for me?"  Sleep testing facilities can now be found in hospitals, in clinics, or as freestanding facilities.  Medical equipment vendors who supply CPAP equipment vary greatly in scope and quality.  They may or may not be associated with a sleep clinic or  testing center.   Often, your insurance plan will influence your choices, but if you're shopping around for accurate information and quality, here are some suggestions we like to make. 
 
 
1.  Select The Right Doctor

To select a quality sleep medicine physician, first ask your primary care physician for a recommendation.  He or she may already be familiar with some sleep medicine physicians who have provided satisfactory care for their patients.  Often, your county medical society will also have a list of physicians by specialty and may have some recommendations regarding sleep medicine specialists.  In general, a good assurance of quality is board certification in Sleep Medicine.  A specialty certification in Sleep Medicine is currently provided by the American Boards of Internal Medicine, Psychiatry and Neurology, Family Medicine, Pediatrics, and Otolaryngology.  Physicians who have passed the certifying examination, identified as Diplomates, have received specialized training and experience in the field.  Choosing which specialty's practitioner is right for you can be done with the help of your primary care physician.  In general, certified sleep specialists from internal medicine, psychiatry and neurology, and family medicine can manage most adult sleep disorders.  This internet link will allow you to select a Board Certified Physician in your area. http://rs6.net/tn.jsp?et=1102692504032&s=730&e=001is9FUxFo9HWcKpdR0JYiKCizXQTN82pmOsGogoiXQ_y8pYK12vrFBle2Hzjnou_YwJKybpIiAV51wFqh57B1IO-JEEckjoO19pXmrnSBddg=.
 
 
2.  Select An Accreditated Sleep Center
 
Because of the wide array of sleep testing facilities in the Metroplex, the selection of a sleep testing center may be a bit more difficult.  Your physician may be closely associated with a testing facility or hospital and may direct you to the sleep testing facility.  Here are some questions to ask.  Is the technologist doing your test registered as a polysomnographic technologist?  Is the facility accredited by the American Academy of Sleep Medicine (AASM)?  Many facilities claim to follow AASM standards, but that is not the same as accreditation.  AASM accredited facilities have received a thorough review, demonstrated quality care, and must follow the highest standards.  We at Sleep Medicine Associates of Texas believe in AASM accreditation as it promotes excellent quality operations, testing, patient safety and appropriate credentialing and continuing education of staff.  This link lists AASM accredited sleep centers. http://rs6.net/tn.jsp?et=1102692504032&s=730&e=001is9FUxFo9HXKLzVVIZ0vGjkNlRMA2EQkX5XIjfH6j_ggQR08DDBdj2-PWoLmszkc_3EdJcUsBdDEtcd_L8RcBKgVhj3RLGMf-WtQnPHfoZs0ZkodKOcXFQ==.
 
  
3.  Select a Quality CPAP Vendor
 
Providers of CPAP equipment vary greatly in quality and degree of specialization.  Some provide nasal CPAP as only a small part of a wide array of other medical equipment and home services.  In general,  you will do best to find a medical equipment company with a focus on respiratory therapy and sleep medicine.   At Sleep Medicine Associates, we see a quality advantage for a CPAP medical equipment program which is integrated with the sleep clinic and testing facility.  For our patients who need CPAP, we find it a great advantage to have a CPAP vending program nearby which can smoothly provide continued care after the testing.  When you select a medical equipment company, find out if it specializes in nasal CPAP equipment.  Does it have technical specialists who have an extensive background in sleep medicine?
 
If you still can't decide or you have more questions, please contact Sleep Medicine Associates of Texas @ 214-750-7776 or email landrews@sleepmed.com.  One of our intake staff people will be very happy to assist you.
Sincerely,
 
 
Duane Day
Practice Administrator 
Sleep Medicine Associates of Texas, P.A.