Treatment
"Some patients come to me as soon as they realize they have a problem; others are at their wits' end by the time they come in my door. Either way I am here to help." Vivek Dogra, M.D.
Sleep Disorder Treatment
At Somnique Health, we treat all sleep disorders. While snoring is the most common complaint and sleep apnea the most common diagnosis, we offer a full-service medical sleep disorder practice for adults and children that includes our comprehensive Sleep Center for evaluation and diagnosis.
Some people who have lived without sound sleep for so long are not sure whether they have a real sleep disorder. Many people are nervous about participating in a sleep study. Our goal is your good health. Our method is to help you feel comfortable in our setting and confident in our skill.
We offer the full range of sleep medicine services.
Consultation
This is an appointment with a Board-certified sleep doctor during which the physician will take a detailed history of your sleep problems, review your medication, take your family history and perform a brief physical examination to determine what the best treatment option is for you. If the doctor feels an overnight sleep study would help determine the sleep problem, we will work with your schedule to arrange a sleep study at our sleep lab.
Diagnostic Sleep Study
A polysomnogram is a common overnight sleep test that physicians often prescribe to patients with sleep disorders. The polysomnogram measures and records brain activity, eye movements, muscle activity, respiratory airflow, and heart rhythm during sleep, all important information that helps the physician diagnose and treat sleep disorders.
CPAP Titration Sleep Study
If the diagnostic study shows that you have sleep apnea, you may then be scheduled for a CPAP Titration Study. This helps determine the effective pressure required on a CPAP machine to eliminate snoring and sleep apnea. Sometimes this test is done on current CPAP users to ensure they are on adequate pressure and being effectively treated.
PAP Nap Testing
This is ideal for patients who are struggling with their CPAP usage either because they are not tolerating the CPAP or they are taking it off in the middle of the night. The testing is done during the day to troubleshoot pressure and mask-leak issues. Patients who are comfortable with their CPAP are more likely to use it as directed.
Multiple Sleep Latency Test (MSLT)
This is a daytime nap study which determines how sleepy you are by measuring how long it takes you to fall asleep and how soon you start dreaming. The test is performed after an overnight sleep study and is used to rule out narcolepsy.
Maintenance of Wakefulness Test (MWT)
This is a daytime nap study that tests your ability to stay awake and alert during the day. It is used extensively for public transportation drivers, pilots and others with similar issues.
Home Sleep Quiz
Although in-lab sleep study is the gold standard for diagnosing sleep disorders, a home sleep study is sometimes used as a simple screening tool for diagnosing sleep apnea and may be used in certain circumstances. Since brain waves are not monitored in such studies, very limited data is gathered on the actual sleep pattern. An in-office consultation is required to see if you are a candidate for a home sleep study.
Non-Drug Insomnia Therapy
Non-drug therapy using cognitive behavioral therapy, often with relaxation techniques, has been shown to be very effective in long-term treatment of insomnia. If you are interested in non-drug therapy, please schedule a consultation with the sleep physician. He can devise a treatment plan for you to help you sleep better without the use of sleep aids.
Durable Medical Equipment Services
Patients requiring CPAP will be scheduled for an appointment with the technician. There patients learn how to use the machine as well as simple day-to-day maintenance. The tech will also spend time on finding the ideal mask for the patient to ensure maximum comfort and minimal leaks. Patients can also contact us for regular and future supplies. Most insurance covers the periodic supplies, although a copay may apply.
Please contact us at
- 503.668.5536
to schedule an appointment or a tour of our sleep lab.