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Do you chronically have trouble getting a good night’s rest? Do you wake up feeling unrefreshed? You may have a sleep disorder. Did you know there are more than 80 different sleep disorders? At the MetroWest Medical Center Sleep Center and Sleep
Disorder Lab, located at the Leonard Morse Hospital in Natick, our sleep specialists have helped thousands of people sleep better.
Do You Have a Sleep Disorder?
Not sure if you have a sleep problem? Here are a few questions to get you thinking:
Do you snore loudly?
Do you stop breathing or gasp for breath during sleep?
Do you feel sleepy or doze off during daily activities, such as driving or reading?
Do you have difficulty sleeping three or more nights a week?
Do you feel an unpleasant tingling or creeping feeling in your legs when trying to sleep?
If you answered yes to any of these questions, you could be suffering from a treatable sleep disorder.
Why Choose MetroWest?
At MetroWest, we offer advanced testing and treatment for a variety of sleep disorders, including:
Private rooms, experienced staff and advanced equipment to make testing simple and comfortable
All-night polysomnograms (sleep studies) and daytime polysomnograms (for shift workers)
To learn more about sleep services at MetroWest Medical Center, please click below.
Insomnia is characterized by difficulty falling asleep and maintaining sleep. Insomnia may be transient, meaning it lasts a few days, or chronic, which can last for weeks or months. This condition is often caused by daily stress, depression, panic, poor sleep hygiene, caffeine, alcohol, chronic pain, asthma, shift work or jet lag.
Narcolepsy is a sleep disorder in which you experience sleepiness attacks, dreaming while awake. You may fall asleep suddenly, even while eating, walking or driving. Narcolepsy can also cause hallucinations.
OBSTRUCTIVE SLEEP APNEA (OSA)
Obstructive sleep apnea (OSA) means that breathing stops during sleep due to the collapse of the upper airway. This repeated airway collapse leads to apneas, arousals and low blood oxygen levels. OSA can cause excessive daytime sleepiness and is associated with increased risk of cardiovascular diseases and driving accidents.
RESTLESS LEG SYNDROME
Restless leg syndrome is characterized by a strong urge to move your legs associated with crawling sensations in the legs. These uncontrolled movements can cause frequent arousals and disruption in your sleep.
SHIFT WORK DISORDER
About 10 percent of people who work outside the traditional 9 a.m. to 5 p.m. workday experience difficulty sleeping when sleep is desired, needed or expected. Symptoms include excessive sleepiness when you need to be awake and insomnia when you need to sleep.
At-home screening from the Sleep Center enables you to perform your sleep test at home. You’ll be given equipment to bring home and shown how to use it at the Sleep Center. Once you have completed your test, return the equipment to the Sleep Center. Your results will then be reviewed by one of our board-certified sleep medicine doctors.
INPATIENT SLEEP STUDY
For those who wish to undergo sleep testing at the Sleep Center, we provide a luxurious room to make your sleep as comfortable as possible. Sensors are placed on your scalp, chest and legs to monitor various aspects of your sleep, including airflow, brain waves and oxygen levels. A board-certified sleep medicine doctor interprets the results of your sleep study.
A BPAP is similar to a CPAP, however, instead of applying constant pressure in your airway, the BPAP builds to a higher pressure when you inhale and lower pressure when you exhale. This treatment can help create steady breathing patterns during sleep.
CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP)
A CPAP gently blows air from a mask on the nose into the back of your throat. This keeps your airway open during sleep. Regular CPAP use has been shown to improve daytime function, reduce driving accidents and improve blood pressure and heart function.
Your doctor may recommend over-the-counter or prescription medications to help you get to sleep or improve the quality of your sleep.
Oral appliances, such as mouth guards, may be useful for some sleep disruption sufferers. These devices are designed to keep your throat open during sleep.
Surgery is generally only used as an option when other treatments have failed to correct your sleep disruption. Surgery for sleep apnea is intended to enlarge the airway either through your nose or throat. For severe, life-threatening sleep apnea, it may be necessary to create a new air passageway through surgery, a procedure called a tracheostomy.
Polysomnogram (Sleep Study): What to Expect
During the study, special sensors record the activity of the heart, lungs and brain; the movements of muscles; airflow from the nose and mouth; and the level of oxygen in the blood. Body movements are videotaped, and snoring, talking, or other noises
made while asleep are recorded. A registered technologist technician monitors the recording all night to observe your sleeping and check for problems. If severe sleep apnea is found during the night, the technologist may employ a device
called CPAP, which keeps your air passages open and treats apnea and usually eliminates snoring.
Multiple Sleep Latency/Maintenance of Wakefulness Testing
A multiple sleep latency test or a maintenance of wakefulness test measure excessive sleepiness. These procedures require that you spend a day in the Sleep Disorders Center. The testing consists of either a series of naps, or trials of staying awake at
different intervals. You should have a normal night’s sleep the night before, or your doctor may order a polysomnogram (sleep study) the night before.
Home Sleep Testing/Sleep Apnea Screener
Sleep apnea tests help diagnose excessive sleepiness, loud snoring and episodes of unusual activity at night. You’ll receive a test and personalized instructions for using the equipment. A home sleep test provides:
A face-to-face visit with a trained technologist appointed by our medical staff to show you how to use the home test
24-hour phone assistance with MetroWest technologists to answer any equipment questions you may have
Written and visual instructions to use once you’re home and ready to use home test
Visit the Sleep Disorders Center
Coming to spend some time with us? Here are a few tips to keep in mind to help ensure a comfortable and smooth process.
Bathe and wash hair, avoiding conditioners, oils and makeup. Clean hair and skin help the sensors stay attached. If you have artificial nails, please remove one for oxygen monitoring.
Stick to your normal routine. If you usually exercise or take medication before bed, ask your sleep doctor whether you should do so the night of your study. Please don’t bring food or drink to the sleep lab. Please refrain from any caffeinated
or alcoholic beverages before your sleep study.
Bring any amenities, two-piece sleepwear and a current list of your medications with dosages, pillow, books or magazines, and anything else that helps you to sleep comfortably. Tell the sleep technician if you’re uncomfortable or need any assistance
during your sleep test.
Overnight sleep tests usually conclude between 6 and 6:15 a.m. Most patients leave by 6;45 a.m and no later than 7 a.m. Smoking isn’t permitted in the hospital.
We’ll pre-register you for your test, so there will be no waiting time. Please bring a photo ID and your insurance card. Please give us 24-hour notice if you should choose to cancel or need to reschedule your appointment.
For More Information
You don’t have to suffer with a sleep disorder. To request an appointment, or if you have any questions, please call the Sleep Disorders Center at (508) 650-7799.
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