What Does Groundhog Day Have To Do With Helping You Sleep Better?

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What Does Groundhog Day Have To Do With Helping You Sleep Better?

Groundhog Day is derived from the Pennsylvania Dutch superstition that if a groundhog emerging from its burrow on this February 2nd and sees its shadow due to clear weather, it will retreat to its den and winter will persist for six more weeks; but if it does not see its shadow because of cloudiness, spring will arrive early.

 So, What Does Any of This Have to Do With Better Sleep?

Groundhog Day is a holiday about whether we will have more or less winter that year. Many people complain that the winter months make it harder for them to sleep. What Groundhog Day tells us is how much longer we will have to struggle through sleepless nights.

As humans, we can’t sleep the whole winters away (though many may wish they could). Healthy sleep habits can make a big difference in your quality of life.  What can we do to help us get better sleep?

Here are some sleep hacks to promote better sleep:

Like the move Groundhog Day where Bill Murray repeated the same day over and over again. Doing the same thing day after day can actually help you get a better night’s rest. While we don’t recommend you repeat the encounters with Punxsutawney Phil, developing a bedtime routine and sticking to it every day can help people of all ages get better sleep.

Nighttime rituals such as “quiet time” and reading bedtime stories have long proved successful in helping children get to sleep.  Recent studies have proven that those same daily routines can also help adults.

Wear a pair of socks to bed – studies have shown that by just warming up your feet you can actually sleep better in winter. As a result, sleeping with a pair of socks on can help you make like a groundhog too. Hospitals always give their patients free socks for this reason, because nothing naturally heals the body up like better sleep!

Design a cozy Groundhog burrow or for you a cozy comfortable sleep environment. Find the right room temperature for your best sleep. Some recommend between 66 and 68 degrees. Keep your bedroom free from outside noises that can disturb you. Consider using blackout curtains, eye shades, ear plugs, “white noise” machines, humidifiers, fans and other devices.

 Ensure your bedding, mattress and pillows are comfortable and supportive. The one you have been using for years may have exceeded its life expectancy – about 9 or 10 years for most good quality mattresses.

 If you can’t sleep, go into another room and try to do something relaxing until you feel tired. It is best to take work materials, computers, and televisions out of the sleeping environment.

The bottom line is this: sleep is so important that every year we dedicate a whole day to a Punxsutawney Phil, who can tell us how much easier it might get. So, if you are still having trouble sleeping, don’t hesitate to speak with your doctor or see one of our sleep medicine professionals.

SLEEP ISSUES AND CORONAVIRUS

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SLEEP ISSUES AND CORONAVIRUS

As we try to navigate the day to day complexities of the Coronavirus pandemic and our new normal, it’s only natural to worry and this can cause you to have sleep issues.  Many are experiencing uncertainty and a loss of control. People are afraid for themselves, their loved ones and their jobs. Coronavirus and sleep issues seem to be working together to cause even more problems.

The Coronavirus pandemic has created so much uncertainty in our lives, it’s leading to many disruptions and is taking a toll on our sleep. Good, quality sleep is essential.  It is a key to wellness, both physical and mental, helping to beat back stress, depression, and anxiety.

Most adults need 7-8 hours of quality sleep each night. But millions of people suffered from insomnia before the coronavirus, and unfortunately, the pandemic creates a host of new challenges even for people who previously had no sleeping problems.

Whether you’ve had sleeping problems before COVID-19, or if they’ve only come on recently, there are many steps that you can take to help improve your sleep quality during this global pandemic.

Improve Your Sleep Issues:

  • Stick to a sleep schedule, roughly the same bedtime and wake up time, even on the weekends. This helps to regulate your body’s clock and could help you fall asleep and stay asleep for the night. This is also important for kids during the pandemic upheaval.
  • Turn off technology before bedtime including the television, tablets, smartphones and other devices. The blue light that is emitted can delay the release of melatonin in the body, increase alertness and can even reset the body’s internal clock to a later schedule, disrupting the natural circadian rhythm. In addition the constant stream of bad news can make falling asleep difficult.
  • Exercise daily. Regular physical activity can greatly improve the quality and duration of your sleep. It can also help control your stress and anxiety. However, exercising immediately before bed can stimulate your body, so be sure to finish your workout several hours before bed.
  • If you can’t sleep, go into another room and do something relaxing until you feel tired. It is best to take work materials, computers and televisions out of the sleeping environment. Use your bed only for sleep to strengthen the association between bed and sleep. If you associate a particular activity or item with anxiety about sleeping, omit it from your bedtime routine
  • Try a calming app. If you’re feeling overwhelmed, stressed or anxious, try utilizing a relaxation app during the day to help with any anxiety, fear or apprehension. Don’t be afraid to incorporate some relaxation techniques into your bedtime ritual.
  • Avoid or limit naps. Frequent napping can affect the quality of nighttime sleep. However, if you do enjoy a nap make sure it’s no longer than 30 minutes.
  • Regulate temperatures. Make sure the temperature in your bedroom or home isn’t too hot. It’s been suggested that the optimal bedroom temperature should be between 66-69 degrees Fahrenheit for ideal sleeping conditions.
  • Make sure your mattress is comfortable and supportive. The one you have been using for years may have exceeded its life expectancy – about 9 or 10 years for most good quality mattresses. Have comfortable pillows and make the room attractive and inviting for sleep but also free of allergens that might affect you. Also, remove any objects that might cause you to slip or fall if you have to get up during the night.
  • No food or drink right before bed. It’s best to avoid alcohol and stimulants like caffeine or nicotine. The effects of these items could last for hours and cause difficulty initiating sleep or even cause frequent awakenings. Also, try not to eat large meals or spicy food before retiring for the night. These could activate your digestive system, causing reflux or heartburn and keep you awake.

Look For the Good News

Despite all the bad news that you may come across, try to find some positive stories, such as how people are supporting one another through the pandemic. You can use technology to stay in touch with friends and family so that you can maintain social connections despite the need for social distancing.

Contact Your Doctor if Necessary

If you’re still having trouble sleeping, don’t hesitate to speak with your doctor or to call one of our sleep medicine specialists here at Comprehensive Sleep Care Center. It could be a more serious sleep disorder like sleep apnea or chronic insomnia. Our doctors are available for virtual telehealth visits as well as in-person appointments.

Doomscrolling it’s Affecting your Sleep Health

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Doomscrolling it’s affecting your Sleep Health

 Doomscrolling is a new term referring to the habit of scrolling through bad news, even though that news is saddening, disheartening, or depressing. Large numbers of people are finding themselves reading continuously bad news. The Covid-19 pandemic has exacerbated this habit with people stranded in their homes increasing  the ever scrolling of Google news, Twitter, Instagram, and Facebook.  The news cycle has gotten more intense and the constant stream of bad news and social media never ends. And so, unfortunately, so does our morbid curiosity or fear of missing out on something important. This self-destructive behavior of Doomscrolling can seriously disrupt your sleep and your overall health.

This constant barrage of bad news can lead to difficulty falling asleep and eventually insomnia. Poor sleep can provoke symptoms of depression in some individuals. Chronic sleep problems can exacerbate depression, leading to a negative cycle between depression and sleep that can be challenging to break.

Doomscrolling can increase levels of cortisol and adrenaline, which are stress hormones. Research has shown that chronic levels of elevated stress hormones are associated with many physical health issues, including heart disease, diabetes, and obesity.

So, what can you do to scroll without so much doom?

It is important to our overall health and wellbeing that we practice self-care and find balance in our lives. One good solution is by logging off. Start by cutting back and creating boundaries for your social media and news scrolling use. Do your best to not scroll the 2 hours before bedtime. It is not only the doom and gloom of the media, but using tablets, smartphones, laptops, or other electronic devices before bed delays your body’s internal clock (circadian rhythm), which suppresses the release of the sleep-inducing hormone melatonin, making it even more difficult to fall asleep.

10 Tips to Better Sleep

Swap out the doom and gloom with happier things

Whether it’s connecting with family or sending funny memes to friends, these are the things we should try and spend more time doing. This will help to build up more positive emotions in our lives. And who couldn’t use more of those?

If you feel you may have a sleep problem. Call our office and make an appointment with one of our sleep medicine professionals. We currently have Tele Medicine Virtual visits as well as in-office appointments. Let us help you to Say Hello to Sleep Again.

Comprehensive Sleep Care Center has 9 locations in Virginia and Maryland (Alexandria, Arlington, Bethesda, Chantilly, Dumfries, Germantown, Lansdowne, Manassas, Woodbridge).

CPAP Cleaning Devices – What You Need to Know

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CPAP Cleaning Devices – What You Need to Know.

If you use a CPAP or PAP therapy device to treat your sleep apnea, you know it can be difficult to keep up a regular cleaning schedule. A dirty CPAP machine can contain germs, viruses and bacteria that can make you sick. So, I can understand how the automated machines advertised on TV that claim to clean and disinfect your CPAP might look like a good option. But there is more you should know.

No home CPAP cleaning devices that use ozone gas or UV light have been approved or cleared by the FDA. The FDA has not determined whether CPAP cleaning devices are safe. The FDA does not have evidence whether CPAP cleaning devices work to clean or disinfect CPAP equipment of germs or allergens. FDA Feb 27, 2020

What Types of Machines That Claim to Clean CPAPs are Being Sold?

There are two main types of machines that claim to clean CPAPs. One uses ozone gas and the second type uses ultraviolet (UV) light. Ozone gas and UV light machines that claim to clean, disinfect or sanitize continuous positive airway pressure (CPAP) devices or accessories (such as masks, tubing, headgear) do not have FDA clearance or approval. This means that the FDA has not found that these cleaners work to kill germs on CPAPs or that they are safe.

UV Light Machines

The FDA has not received data or evidence from manufacturers that says UV light can clean the inside surface of CPAP hoses, or information to confirm that UV light does not damage CPAP machines. They do not have evidence that machines using UV light protect you from unsafe levels of UV radiation exposure. Direct exposure to UV light may cause injury depending on its wavelength, intensity and exposure time. Additionally, the UV light may not be able to penetrate all components of CPAP devices and accessories, like the plastic tubing, masks and connectors, which could lead to inadequately disinfected components that may be unsafe for people to reuse.

Ozone Gas Machines

Ozone is a gas that can be used to kill harmful bacteria. However, for ozone to be effective in killing harmful bacteria, it must be present at a concentration far greater than what is considered safe for humans. Although products claiming to clean, disinfect or sanitize CPAP devices that use ozone gas claim that they are designed to keep ozone gas inside the machine and its accessories, leaks can occur at tubing connections, filters or through containers used to house CPAP accessories. When leaks occur, ozone gas in the room where the devices are used may temporarily rise to unsafe levels especially if the room is small or not well ventilated.

Additionally, if the newly cleaned CPAP machine or accessories that are used without first allowing fresh air to completely circulate through the entire CPAP system to remove any remaining ozone gas. It could lead to someone inhaling ozone gas, which could cause breathing problems.

Watch This Before Using Ozone Gas or UV Light CPAP Cleaning Devices

Patient Complaints

There have also been complaints from CPAP users of a chemical smell, dizziness, and headaches. Some people have had irritation to breathing passages (nose, throat, and lungs), particularly for those who have respiratory sensitivity such as asthma or allergies. In addition, many CPAP manufactures will void the warranty if a mechanical cleaning device is used due to possible damage to the CPAP units.

Why Does My CPAP Machine Need Cleaning?

Germs from your lungs, throat, or mouth can get into the CPAP mask or hose as you breathe in and out during sleep. Additionally, germs on your skin may get transferred to the CPAP mask or hose. Dust, mold, pet hair or other allergens may also get into the CPAP mask or hose.

All CPAP machines need to be cleaned regularly so that these germs and contaminants do not grow inside of your equipment and make you sick. Dust and dirt can also cause problems with the machine, making it more likely to break or need replacement.  Please visit CSCC website for recommended cleaning instructions.

Alternative Treatment Option

Patients diagnosed with Mild to Moderate OSA can seek CSCC to see if they are eligible and may benefit from Oral Appliance Therapy.  Please visit https://comprehensivesleepcare.com/our-services/cpap-alternative-oral-appliance-therapy-for-sleep-apnea/.

Breast Cancer and Sleep Apnea

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Breast Cancer and Obstructive Sleep Apnea

In a recent study, the incidence of breast cancer among patients with Obstructive Sleep Apnea was significantly higher than that of the control group. In particular, the incidence of breast cancer was higher among patients aged ≥65 years. The result suggests that OSA may be a risk factor for breast cancer in women.

Recent studies have shown that disturbed sleep and low blood oxygen levels during the night, which are common in obstructive sleep apnea, may play an important role in the biology of different types of cancers.

In people with the OSA, the airway closes completely or partially many times during sleep, reducing the levels of oxygen in the blood. Common symptoms are snoring, chocking or gasping for air, disrupted sleep and excessive daytime tiredness.

The study found that people who have more airway closures during sleep and whose blood oxygen saturation levels fall below 90%, are diagnosed with cancer more often than people without sleep apnea.

The researchers also found that cancer was more common among women than men.

The most common type of cancer among women was breast cancer, while prostate cancer was the most prevalent among men. While the study can’t prove that sleep disorders cause cancer, it does show that there’s an association between the two.

Women are under-diagnosed for sleep apnea at a rate of 6-to-1

So why are women so under diagnosed?

Some of the reason’s women aren’t diagnosed with sleep apnea may be:

  • Many women talk with their general practitioners about their sleep problems rather than a sleep specialist. Some these doctors have preconceived notions about what a typical sleep apnea patient looks like and may overlook the reported symptoms by women when they don’t fit the common portrait.
  • Women maybe be embarrassed and less likely to report loud, chronic snoring.
  • Women usually report different symptoms than men which may lead to a misdiagnosis.
  • Common symptoms of OSA seen in women-
  • Women are more likely to be prescribed prescription medications (such as anti-depressants) rather than be sent for a sleep study.
  • Men may be less likely to be observant to their bed-partner’s sleep disturbances than women are. Many men who seek treatment for OSA only do so because of concern by their bedpartner.

Getting a quality night’s sleep is more important than you may have realized. The American Academy of Sleep Medicine recommends 7 or more hours of quality sleep a night. If you or your bedpartner are having any issues with sleeping or daytime sleepiness, make an appointment with our sleep medicine professions to get evaluated today. We are offering Televisits for new and returning patients. Give us a call and Say Hello to Sleep Again.

 

Tips for Your Child’s Sleep Study

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Tips for Your Child’s Sleep Study

By Amanda Jones RPSGT- A Sleep Technician Mommy

An in-lab sleep study can be stressful for the adult patient. But bringing your child in for a sleep study can be nerve-wracking for the both of you. Our Sleep Technician Manager (and mommy of 2) is here to help give you some tips for your child’s sleep study and what to expect.

Pediatric Sleep Study Tips

  • To best prepare your child, keep napping to a minimum on the day of the study. Keeping your child from napping may help them fall asleep easier in the lab. Of course, it may be difficult to prevent your child from falling asleep, but do your best to minimize napping the day of the study.
  • You and your child will be greeted by a friendly, experienced licensed sleep technologist. You both will be shown to your private room for the night. Our rooms have a queen size bed, TV, and an overstuffed recliner for your comfort.
  • The sleep technologist will go over any questions you may have prior to starting the study. Your child will be asked to sit in a computer chair while the wires are applied. The hook up can take up to 30 minutes, so if your child has an iPad, book, or toy they like, feel free to bring it!
  • During the hook up, the sleep tech will politely explain why the wires are being applied. This, in turn, will make your child feel more comfortable. As an example: For some younger children, some techs will say the wires will test for superpowers! This set-up includes the following equipment:
    • A bandage-like sensor that measures your child’s oxygen will be placed on the toe or finger
    • Small plastic prongs at the nose will measure your child’s exhaled air
    • Elastic or cloth belts will be placed on your child’s chest and stomach, usually over their pajamas
    • Stick-on electrodes will be placed on your child’s face and chest to measure eye movements, heart rate, and muscle tone during sleep.
      • A few additional electrodes are applied with a washable paste on your child’s scalp to measure stages of sleep
  • We do recommend and ask that the parent sleep in the recliner and not in the bed with the child. This is so we get a clear recording of your child’s movements and sleep patterns. If the parent were to sleep in the bed with a child and simply just change positions, it could cause the child to wake up or make it look like the child was moving their leg.
    • We understand that this can be stressful and at times scary for your little one, and they may need your comfort while laying in bed. This is OK. We only ask that once the child is asleep, you exit the bed quietly and move to the recliner to sleep.
  • If your child has any comfort items (blanket, stuffed animal, etc.), we recommend and welcome them to come to the sleep over as well!
  • If your child likes to have a bedtime snack or a specific nighttime drink (ex: milk), make sure to bring those as well. The lab does have a refrigerator, a water cooler with hot and cold water and a microwave, if needed.
  • No need to worry if your child is a restless sleeper. The sleep technologist will be monitoring your child and the leads throughout the night. They might have to come into the room a few times to adjust or reattach wires that come loose.
  • If your child has a hard time tolerating the study, don’t worry. The sleep technologist is experienced working with children and will work hard to get the proper data for the doctors. The doctors are great and are equipped to read the data collected, even if its not perfect.
  • If your child has bed-wetting accidents at night, that is not a problem! Kindly let the tech know so they can lay down extra protection.
  • The wires are pain-free to attach, as well as remove. We have adhesive remover on hand for an easy removal in the morning with little irritation! There will be some paste residue on the face and head once the wires are removed. This residue is water soluble and will wash out with warm water. Using conditioner can help make the paste removal easier, as well as micellar water or rubbing alcohol.

Pediatric Sleep Disorders

Up to 50% of children will experience a sleep problem. Early identification of sleep problems may prevent negative consequences, such as daytime sleepiness, irritability, behavioral problems, learning difficulties, motor vehicle crashes in teenagers, and poor academic performance.

Our goal at Comprehensive Sleep Care Center is to make you and your child’s experience as comfortable and beneficial as possible.

Kids, Sleep and COVID-19

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Kids, Sleep and COVID-19
Boost your child’s immune system during COVID-19 Pandemic with quality sleep

Research shows that quality sleep is essential when it comes to health for both children and adults. Ensuring that your child gets an adequate amount of quality sleep can help boost their immune system and keep families healthy. This is a high priority during COVID-19, but also vital for health year-round.

Many kids today are struggling because of schooling issues, not being able to see their friends or play sports. They are not expending the same levels of energy as before COVID-19. Everyone’s routine has changed. Children may feel our stress or be anxious from listening to the news. All this can lead to poor sleep resulting in more meltdowns and unwanted behaviors.

A child’s poor sleep can be due to many issues like:

  • Lack of stimulation (physically and mentally)
  • Increased screen time with TV, computers, video games
  • Increased feelings of stress and anxiety

If your child is consistently not getting enough sleep,
they are three times more likely to get sick.

Sleep helps your body (adults and kids) produce immune-boosting cells to protect us.

That’s why, when we get sick, we also get tired. Your body is telling you that you need sleep to heal.
While more sleep won’t necessarily prevent you from getting sick, skimping on it could adversely affect your child’s immune system, leaving them more susceptible.

The National Sleep Foundation has these recommendations for children:

Under 1 year of age: 12 to 16 hours a day
1 to 2 years: 11 to 14 hours a day
3 to 5 years: 10 to 13 hours a day
6 to 12 years: 9 to 12 hours a day
13 to 18 years: 8 to 10 hours a day

5 TIPS TO PROTECT YOUR CHILD’S SLEEP

  1. Make a schedule for sleep and daily activities (for both you and your children) – and do your best to keep consistent.
  2. Stop screen time 60 minutes before bedtime- Intense, close-up light exposure in the evening will delay sleep by not allowing the body to produce melatonin, the good sleep hormone. This is especially important since our kids are using more screen time during the day.
  3. Get sunlight- Try and get outside. Open up your blinds, take a walk, or play outside. The sun controls our internal 24-hour clock that tells our body when to be awake and when to be asleep. If your child’s body doesn’t get enough sunlight, it will mix up their days and nights.
  4. Your child needs physical activity – Kids days have likely gone from active to sedentary. The harder they play, the more their body will need to recover, and the better they’ll sleep.
  5. Create a calming routine – This routine should be at least 30 minutes before bedtime. Things like a warm bath, a good book, (no screen time), do a puzzle or something quiet. The best sleep results come from a routine that’s calm and technology-free.

Of course, there’s more to boosting your immunity and guarding against illness than just getting ample sleep. It’s also important to practice stay-healthy strategies too.

Steps to Keep Children and Others Healthy

  1. Clean hands often using soap and water or alcohol-based hand sanitizer.
  2. Avoid people who are sick (coughing and sneezing).
  3. Put distance between your children and other people outside of your home. Keep children at least 6 feet from other people.Consider postponing visits or trips to see older family members and grandparents. Connect virtually or by writing letters.
  4. Children 2 years and older should wear a cloth face covering over their nose and mouth when in public settings where it’s difficult to practice social distancing. This is an additional public health measure people should take to reduce the spread of COVID-19 in addition to (not instead of) the other everyday preventive actions listed above.
  5. Clean and disinfect high-touch surfaces daily in household common areas (like tables, doorknobs, light switches, remotes, desks, toilets, and sinks).
  6. Launder items including washable plush toys, as needed. Follow the manufacturer’s instructions. If possible, launder items using the warmest appropriate water setting and dry items completely.
    Make sure your children are up to date on well-child visits and immunizations.

Following guidelines to prevent the spread of the COVID-19 virus can be particularly difficult for children. Stay patient. Be a good role model and your child will be more likely to follow your lead. And remember, you children will be able to bounce back faster if they get sick if their body is well rested.

If your child continues to have sleep issues, or if you are concerned that your child may have a sleep disorder, the pediatric sleep medicine physicians at Comprehensive Sleep Care Center are here to help. Give us a call today. We are offering in-office as well as virtual office visits.

10 Tips to Better Sleep

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10 Tips to Better Sleep

Healthy sleep habits can make a big difference in your quality of life. Better Sleep helps to strengthen your immune system. But sleep can be elusive, especially during COVID-19 (Coronasomnia).

Here are 10 tips for getting a better night’s sleep.

Try to keep the following sleep practices on a consistent basis:

  1. Stick to a sleep schedule of the same bedtime and wake up time, even on the weekends.This helps to regulate your body’s clock and could help you fall asleep and stay asleep for the night. This is also important for kids during the pandemic upheaval.
  2. Practice a relaxing bedtime ritual. A relaxing, routine activity right before bedtime conducted away from bright lights helps separate your sleep time from activities that can cause excitement, stress or anxiety which can make it more difficult to fall asleep, get sound and deep sleep or remain asleep.
  3. If you have trouble sleeping, avoid naps, especially in the afternoon. Power napping may help you get through the day, but if you find that you can’t fall asleep at bedtime, eliminating even short catnaps may help.
  4. Exercise daily. Vigorous exercise is best, but even light exercise is better than no activity. Exercise at any time of day, but not at the expense of your sleep.
  5. Evaluate your room. Design your sleep environment to establish the conditions you need for sleep. Your bedroom should be cool – between 66 and 69 degrees. Your bedroom should also be free from any noise that can disturb your sleep. Finally, your bedroom should be free from any light. Check your room for noises or other distractions. This includes a bed partner’s sleep disruptions such as snoring. Consider using blackout curtains, eye shades, ear plugs, “white noise” machines, humidifiers, fans and other devices.
  6. Sleep on a comfortable mattress and  Make sure your mattress is comfortable and supportive. The one you have been using for years may have exceeded its life expectancy – about 9 or 10 years for most good quality mattresses. Have comfortable pillows and make the room attractive and inviting for sleep but also free of allergens that might affect you and objects that might cause you to slip or fall if you have to get up during the night.
  7. Avoid alcohol, cigarettes, and heavy meals in the evening. Alcohol, cigarettes and caffeine can disrupt sleep. Eating big or spicy meals can cause discomfort from indigestion that can make it hard to sleep. If you can, avoid eating large meals for two to three hours before bedtime. Try a light snack 45 minutes before bed if you’re still hungry.
  8. Wind down. Your body needs time to shift into sleep mode, so spend the last hour before bed doing a calming activity such as reading. For some people, using an electronic device such as a laptop can make it hard to fall asleep, because the particular type of light emanating from the screens of these devices is activating to the brain. If you have trouble sleeping, avoid electronics before bed or in the middle of the night.
  9. If you can’t sleep, go into another room and do something relaxing until you feel tired. It is best to take work materials, computers and televisions out of the sleeping environment. Use your bed only for sleep to strengthen the association between bed and sleep. If you associate a particular activity or item with anxiety about sleeping, omit it from your bedtime routine.
  10. If you’re still having trouble sleeping,  you may benefit from recording your sleep in a Sleep Diary to help you better evaluate common patterns or issues you may see with your sleep or sleeping habits.

If you’re still having trouble sleeping, don’t hesitate to speak with your doctor or to call one of our sleep medicine specialists here at Comprehensive Sleep Care Center. It could be a more serious sleep disorder like sleep apnea or chronic insomnia.

 

 

 

 

Safer Sleep Apnea Treatment During COVID-19

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A Safer Sleep Apnea Treatment During COVID-19

CPAP Alternative – Oral Appliance Therapy

 

CPAP Alternative

Over the years, we have heard it time and time again: I hate my CPAP, I’ve tried, but I really can’t tolerate it. I feel claustrophobic with the mask… isn’t there a CPAP alternative? Yes, there is! You can say Bye Bye CPAP and treat your sleep apnea and snoring without a mask with Oral Appliance Therapy (OAT). Oral Appliance is also a safe and CPAP alternative treatment option during these times of COVID 19

Position Statement

The American Academy of Sleep Medicine (AASM) recommends oral appliance therapy as a first-line treatment for mild to moderate obstructive sleep apnea, or in cases where patients are unable to tolerate CPAP therapy. In addition, the American Academy of Dental Sleep Medicine (AADSM) states that oral appliance therapy (OAT) should be prescribed as a first-line therapy for the treatment of obstructive sleep apnea (OSA) during the COVID-19 pandemic.

CPAP Non-Compliance

It is estimated that 30-50 percent of CPAP users don’t like their treatment; another survey discovered that about half of patients stop using CPAP within 1-3 weeks. Luckily, there is a better way to treat sleep apnea without a bulky CPAP or surgery.

A Better Treatment Option

Over 300,000 patients world-wide have found successful treatment with Oral Appliance Therapy (OAT), a custom-made oral device for the treatment of mild to moderate obstructive sleep apnea (OSA). Oral Appliance Therapy has been shown to be highly effective in treating sleep apnea and snoring. In fact, 91% of patients reported improvement in sleep quality while wearing it.

CPAP Alternative for Sleep Apnea

What is Oral Appliance Therapy?

Oral Appliance Therapy (OAT) is a no-mask CPAP alternative treatment for mild to moderate obstructive sleep apnea and snoring. It is similar in appearance to a retainer. The Oral appliance is custom fit by a qualified dentist. It works by holding the jaw slightly forward. This keeps the tongue and soft tissues from collapsing and blocking your airflow/breathing during sleep.

Obstructive Sleep Apnea

Millions suffer from the effects of snoring and obstructive sleep apnea (OSA), yet few are aware of the potential health hazards.

The warning signs of OSA include

  • Frequent and loud snoring
  • Daytime sleepiness
  • Waking during the night gasping for breath
  • Morning Headaches
  • Grinding Teeth

Obstructive sleep apnea can lead to the following health issues:

  • High blood pressure
  • Heart disease – including sudden cardiac death
  • Stroke
  • Type-2 Diabetes
  • Weight Gain
  • Greater risk of car accidents due to drowsiness
  • Depression/anxiety
  • Decreased Sex Drive

Pretty serious stuff if left untreated.

Treating snoring or obstructive sleep apnea with oral appliance therapy can help you feel like a new person. You will find that your symptoms, and your quality of life, can improve dramatically when you remain committed to your treatment and use it nightly.

Benefits of Oral Appliance Therapy

  • No mask or machine needed
  • Comfortable & easy to wear
  • Easy to disinfect and clean
  • Discreet & silent
  • Portable and easy for travel
  • No electricity needed
  • Allows for talking and drinking
  • Less issues for claustrophobic patients
  • Most patients see improvement in the first few nights
  • Better compliance rates compared to CPAP
  • Less cumbersome & more attractive compared to a CPAP
  • Significantly improves sleep apnea symptoms, i.e. oxygen saturation and daytime sleepiness

 OAT may be the perfect CPAP alternative solution for ending snoring, treating Sleep Apnea, and improving your sleep quality. It is an ideal treatment for patients who have been diagnosed with mild to moderate obstructive sleep apnea or for those who have severe OSA yet are unable or unwilling to tolerate CPAP therapy and/or surgery.

Comprehensive Sleep Care Center

We have the area’s top sleep medicine specialists with 9 convenient locations in Alexandria, Arlington, Bethesda, Chantilly, Dumfries, Germantown, Lansdowne, Manassas, and Woodbridge.

We are the only sleep center in the Washington, DC Metro area to provide on-site oral appliance therapy with our own team of dentists experienced in treating sleep apnea. Because OSA is a medical condition, the claim is filed through your medical insurance provider. Most medical insurances cover the cost (after your deductible or co-insurance is met). We offer no-interest flexible payment plans for patients with higher deductibles.

If you are interested in learning more about Oral Appliance Therapy, visit our website today. You can also email our Patient Care Coordinator, Marvin, at [email protected]. Call today to find a better and safer CPAP alternative treatment!

Sleep Study FAQ

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SLEEP STUDY FAQ (ANSWERED BY A REGISTERED POLYSOMNOGRAPHIC TECHNOLOGIST)

By Amanda Jones RPSGT

If you have questions about undergoing a sleep study, you’re not alone. Here are some FAQ that I get asked while working at Comprehensive Sleep Care Center as a Sleep Technologist. They may be able to help you understand the process and put you more at ease.

A sleep study, known as a polysomnogram, is an overnight test done in a sleep lab. Prior to the study, a sleep technologist will place sensors on your scalp, face, chest and legs. These sensors will record brainwave activity (to assess sleep stage), eye movements, muscle activity, heart rhythm, body movements, nasal/oral airflow, respiratory effort and oxygenation. In addition, your body position will be observed on video camera. All this information will better assist your sleep physician in determining the cause of any sleep related problems.

Sleep Study FAQ

Q: WHY DO I NEED A SLEEP STUDY?

A: Sleep studies help doctors diagnose sleep disorders such as sleep apnea, periodic limb movement disorder, narcolepsy, restless legs syndrome, insomnia, and nighttime behaviors like sleepwalking and REM sleep behavior disorder.

Q: CAN MY SPOUSE OR SIGNIFICANT OTHER STAY WITH ME ON THE NIGHT OF MY STUDY?

A: Significant others may have helpful insight during the evaluation stage, but they are not usually permitted to stay with you on the night of your study. IF there is a reason they need to stay, please discuss it with your doctor during your consult.

Q: WHAT IF I CAN’T SLEEP?

A: Don’t stress, we don’t expect you to sleep as well as you would at home, and we take that into account. Nearly everyone can fall asleep during an in-lab study. In most cases, you do not need a full 6 hours of sleep for the doctor to make a diagnosis. There are several things you can do to help you sleep the night of your study. First consider waking a little earlier than usual on the day of your study. Do not take naps during the day. Avoid the consumption of all caffeine—skipping coffee, tea, soda pop, chocolate, energy drinks, and other caffeinated products.

Q: CAN I BRING MY OWN PILLOW?

A: Of course! We want you to be as comfortable as possible so you can sleep. Our sleep labs use My Pillows on each bed (one soft and one firm).  However, most people prefer their own pillow. In fact, if you have a special blanket or throw you sleep with, bring that as well! The more comfortable you feel the better you will sleep.

Q: WHAT ABOUT ALL THE WIRES? WILL THEY STAY ON ALL NIGHT?

A: After you arrive at the sleep center a technician will apply small sensors to your head and body with adhesive. The wires connecting the sensors to a headbox are usually gathered to the side with plenty of slack so you can move around during sleep. Elastic belts will be wrapped around your chest and abdomen to measure breathing. A clip will be placed on your finger or (in some cases your earlobe) to monitor oxygen levels in your bloodstream. Most people get used to it all very quickly. Everything is attached using medical tape and/or paste. The wires are attached to stay on all night. If anything does come loose the tech will enter the room to re-attach them during the night. We attempt to do this without waking the patient if possible. The sensors are attached to your body in a manner like electrocardiogram (EKG) electrodes and are not painful. In rare instances, some people with sensitive skin develop local irritation at the electrode sites. If you have experienced skin irritation due to EKG testing in the past, or have an adhesive allergy please notify the Sleep Center and the technologist prior to the study.

 Q: CAN I SLEEP ON MY SIDE? WHAT IF I MOVE AROUND IN MY SLEEP?

A: We want you to sleep in your natural position. Many people roll over and change positions multiple times during the night. While sleep apnea is more prevalent when sleeping on your back, the Technician may ask you to try sleeping on your back for a portion of the test. This allows us to check your breathing in multiple positions. IF you’re unable to, don’t worry! It may be very difficult to sleep on your stomach so the technician may ask you to use a pillow to keep you from rolling all the way onto your stomach.

Q: DURING MY SLEEP STUDY, WHAT IF I HAVE TO USE THE RESTROOM?

A: If you need to get up during your sleep study just notify your sleep technologist (by calling out or sitting up in the bed) and let them know that you need to use the restroom. They will unhook one or two central connections, which will enable you to get up and walk to the bathroom. The headbox even has a strap you can carry over your shoulder or around your neck. (The headbox is the device that all your wires connect into)

Q: MAY I SLEEP NAKED?

A: No. As a courtesy to our sleep techs we request that you sleep in pajamas or a t-shirt and shorts.

Q: HOW LONG IS THE SLEEP STUDY? WHAT IF I WAKE UP EARLY? CAN I SLEEP IN?

A: The wake-up time is 5 am, and unfortunately, we cannot allow patients to sleep in. Insurance requires a minimum of 6 hours of recording, and as long as we have reached that, you are free to leave before 5 am (some restrictions may apply depending on if the patient took a sleeping medication). Many people ask why they must get up so early. Our Sleep Technicians need to ensure all patients are up and checked out so they can upload all the data to be read and get home so they too can get some sleep.

Q: HOW HARD IS THE PASTE TO GET OUT OF MY HAIR?

A: The paste is water soluble! You can use a hairbrush, but some paste will remain. The best thing to do is wash your hair with very warm water. We recommend using conditioner first to loosen up the paste and then washing your hair. Rubbing alcohol is also an effective, quick way to remove paste but can be rough on the scalp. Also, Micellar water can be effective and less harsh.

Q: CAN THEY TELL ME THE RESULTS OF MY SLEEP STUDY IN THE MORNING?

A: Unfortunately, no. The sleep technologist is collecting data that will be interpreted by your sleep medicine physician. You will receive your results at your follow-up visit.

Whether you were a little nervous about your upcoming sleep study, or just curious about the process, we hope this cleared up a few questions and put your mind at ease! Remember, your Comprehensive Sleep Care Center sleep technologist is not only there to gather information, but they are there to make the process as comfortable as possible! We look forward to seeing you soon!