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- SLEEP QUESTIONNAIRE
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The following 10 "tid-bits" were taken from the >National Sleep Foundation's 25 Random Facts about Sleep
- 1.Man is the only mammal that willingly delays sleep.
- 2. Six in ten healthcare professionals do not feel that they have enough time to have a discussion with their patients about insomnia during regular office visits.
- 3. Caffeine has been called the most popular drug in the world. All over the world people consume caffeine on a daily basis in coffee, tea, cocoa, chocolate, some soft drinks, and some drugs.
- 4. Sleep is just as important as diet and exercise.
- 5. According to the International Classifications of Sleep Disorders, shift workers are at increased risk for a variety of chronic illnesses such as cardiovascular and gastrointestinal diseases.
- 6. 82% of healthcare professionals believe that it is the responsibility of both the patient and the healthcare professional to bring up symptoms of insomnia during an appointment.
- 7. Snoring is the primary cause of sleep disruption for approximately 90 million Americans; 37 million on a regular basis.
- 8. One of the primary causes of excessive sleepiness among Americans is self-imposed sleep deprivation.
- 9. According to the results of the NSF's 2008 Sleep in America poll, 36% of Americans drive drowsy or fall asleep while driving.
- 10. People who don't get enough sleep are more likely to have bigger appetites due to the fact that their leptin levels (leptin is an appetite-regulating hormone) fall, promoting appetite increase.
Diabetes and Sleep Apnea.
Click here to learn how diabetes and sleep apnea often coexist and how much you could save by treating your sleep apnea.
- Are you always tired?
- Have you been told you snore?
- Do your legs feel restless through the night?
- Do you have trouble falling asleep and/or maintaining sleep?
If you answered yes to any of these questions, you may have a sleep disorder.
How should you proceed? Ask your doctor for a referral to test your sleep disorder. Once it is received, you will be scheduled for an overnight sleep study in one of our labs. Appointments begin after 8:00 pm (day sleep studies are available for shift workers) and last about 8 hours.
During the study, one of our technicians will monitor your sleep. These results will be summarized, and our sleep doctor will prepare a report. This report will be sent to your doctor, who will then determine the next level of care.
Nevada Sleep Diagnostics primarily tests and treats for obstructive sleep apnea. However, other sleep and medical disorders such as: insomnia, restless legs, hypoxemia, and hypersomnia may be identified through overnight testing.
It is important that you read these instructions in their entirety in order to ensure the testing is done accurately.PLEASE CALL
702 - 990 - 7660 In Las Vegas
775 - 851 - 8282 in Reno
with any questions regarding your study. All paperwork needs to be filled out before you arrive to ensure the night runs in a smooth and timely manner.
Sleep apnea is a condition characterized by temporary breathing interruptions during sleep. The pauses in breathing can occur dozens or even hundreds of times a night. Symptoms include loud snoring and a gasping or snorting sound when the sleeping individual starts to breathe again. Although the individual may not be aware of having sleep apnea, the condition can disrupt the quality of sleep and result in daytime fatigue. The most common type, obstructive sleep apnea, occurs when the tongue or other soft tissue blocks the airway. Treatments include breathing devices that helps keep the airway open during sleep, and surgery that reduces the amount of soft tissue near the airway.
A Polysomnogram (PSG) is a diagnostic recording of physical activities that occur while you are sleeping. This recording is done using electrodes and sensors. These devices allow the technician to gather necessary data. The sleep test will measure the amount of sleep and the quality of sleep. The electrodes will be pasted and secured to the body and will remain on for the entire night. You will be able to get up to use the restroom during the study if needed.
- DO bring a caregiver for you if you need special assistance for your study. We are not a skilled nursing facility and our technician’s primary function is to acquire data and do not do extensive patient care. Special needs would include help getting dressed, help getting into bed, help getting out of bed, help to and from the restroom, and help off the commode. Please plan your caregiver to stay the entire night. You may call our facility at (775)851-8282 (Reno), or (702)990-7660 (Las Vegas) to ensure your caregiver has a place to sleep for the night.
- DO bring comfortable sleepwear. Please do not wear satin or silky materials. Youwill have a respiratory belt put on your abdomen to monitor your breathing and they will slip and slide and will not stay in position on these materials. Two – piece pajamas or shorts and a t-shirt are preferred. ALL patents must wear sleep clothes. Patient will not be permitted to just sleep in their undergarments. There will be other patients at the facility and you must stay dress appropriately for the entire stay.
- DO bring all bedtime medications that need to be taken with you. If you have a sleep aid, such as Ambien or Lunesta, or if your doctor asked you to take one, the technician will instruct you as to when it is a good time to take the sleep aid. Many times people are concerned about whether or not they’ll fall asleep. Almost everyone does, but you’re welcome to bring a sleep aid.
- DO shower or bathe on the day of the study. Excess oils on the skin will prevent the adhesive from sticking to the skin. Hairsprays, gels and conditioner will also keep the electrodes from sticking to the scalp. Please make sure that your hair is dry upon arrival to the lab.
DO NOT :
- DO NOT wear make-up, hairspray, gel, mousse, nail polish, or apply lotions to the skin. They will interfere with the study.
- DO NOT wear anything that is made of silk or rayon.
- DO NOT use alcohol or any other controlled substances before your study unless instructed to do so by your technician.
Every patient gets their own room. We provide pillows, blankets, sheets and full size, as well as queen sized, beds for your comfort. You may be more comfortable with your own pillows and sleep materials and we welcome you to do so. You are welcome to bring other personal toiletry items that you may need. We recommend showering after you get home.
ABOUT THE STUDY: electrodes will be pasted on your head. These will monitor your brain waves and tell us what stage of sleep you’re in. There will be an electrode by each eye. These monitor eye movements that occur during REM sleep. There will also be one on your chin. This is to determine if the patient has Bruxism, or teeth grinding, during sleep. There will also be electrodes on your chest. This is to monitor your heart rhythm. There will be an electrode on each leg, which determines if the patient has a disorder called PLM’s, or if awake, Restless Leg disorder. There will be a pulse ox for the index finger to measure the oxygen level in the blood. Finally, for diagnostic studies, a small sensor, called a thermistor, will be placed just under the nose to measure the patient’s actual breathing pattern. For CPAP studies, a mask is used in place of the thermistor. The patient will get to choose from a variety of masks, and will choose the one that they find most comfortable. It will take approximately ½ hour for the hook-up process. It is not necessary for you to arrive earlier than your scheduled time, however the technicians arrive at 8 pm, and you are welcome to come in earlier than your scheduled time if you like.
The study usually ends between 5-6 am the following morning. The sleep study is non-invasive so you may drive your self. If you have excessive daytime sleepiness, we caution you on driving. Your test results will be interpreted by a physician who is board certified in sleep medicine. The results will then be faxed to your referring doctor in three to five business days. Your referring doctor will discuss the results and treatment options with you. You will need to schedule a follow-up appointment with your referring doctor if you do not already have one. Your sleep technician will not be allowed to discuss results of the study in the morning, for the study has not been read by a physician yet.
At this time, you have been scheduled for an overnight sleep study at our facility. A packet will be sent to you. Enclosed you will find information regarding what to expect the night of your study and a map to our locations. Also, enclosed is a 6-page questionnaire, which is important in helping our doctor interpret your sleep study. Please complete this questionnaire and bring it with you on the night of study.
Our office will be calling you the day before your appointment to confirm your appointment. If you confirm your appointment at that time, you will not need to reconfirm. If we do not speak with you,WE MUST RECEIVE A CONFIRMATION CALL BACK FROM YOU SAYING THAT YOU PLAN TO KEEP YOUR APPOINTMENT WITH US NO LATER THAN 3PM THE DAY OF YOUR APPOINTMENT. If we do not receive a call by 9am the day of your study, your appointment will be cancelled, and you will be charged the late cancellation fee of $100.00. If you must cancel your appointment, please provide us with a one –business day notice prior to your appointment. Otherwise you will be charged the late cancellation fee. This fee also applies if you do not show up for your appointment. If you are scheduled on Saturday, Sunday, or Monday you must contact us on the Friday leading up to your appointment at 9am to cancel, or the $100.00 fee will apply. The cancellation and no call/no show fee is not a covered benefit with your insurance.
We confirm your eligibility for this sleep study with your insurance company and obtain applicable deductible, authorization, and co-payment information.
Thank you for giving us the opportunity to be of service to you. Our diagnostic technician will provide you with the highest level of personal, professional, and quality care. We hope your overnight stay at our center will be a comfortable and pleasant one.
Nevada Sleep Diagnostics, Inc.
If you would like to take a Sleep study order to you doctor, please print the presscription form on your area and take it to your physician to fill outand sign to be fax it to our office; Click on The Link Bellow
Physician Order Form Reno Area
Las Vegas Area (Henderson/Summerlin/Pahrump)
Below are links to pdf files that contain the accepted insurance companies by city.
The following ten tips can help you achieve a better sleep and the benefits sleep provides.
These tips are intended for “typical” adults, but not necessarily for children or persons experiencing medical problems.
Finally, if you have trouble falling asleep, maintaining sleep, awaken earlier than you wish, feel unrefreshed after sleep, or suffer from excessive sleepiness during the day when you wish to be alert, you should also consult your physician. Be sure to tell him/her if you have already tried these tips and for how long.
1. Maintain a regular bed and wake time schedule, including weekends.
Our sleep-wake cycle is regulated by a “circadian clock” in our brain and body which need to balance both sleep time and wake time. A regular waking time in the morning strengthens the circadian function and can help with sleep onset at night. That is also why it is important to keep a regular bedtime and wake-time, even on the weekends when there is the temptation to sleep in.
2. Establish a regular and relaxing bedtime routine such as, soaking in a hot bath and then reading a book or listening to soothing music. 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. Those things make it more difficult to fall asleep, get sound and deep sleep, or remain asleep. The bright lights can also signal neurons that help control the sleep-wake cycle that it is time to awaken, instead of falling asleep. Avoid arousing activities before bedtime like working, paying bills, and engaging in competitive games or family problem-solving. Some studies suggest that soaking in hot water (such as a hot tub or bath) before retiring to bed can ease the transition into deeper sleep but should be done early enough that you are no longer sweating or overheated. If you are unable to avoid tension and stress, it may be helpful to learn relaxation therapy from a trained professional. .
3. Create a sleep-conducive environment that is dark, quiet, comfortable and cool. Design your sleep environment to establish the conditions you need for sleep—cool, quiet, dark, comfortable, and free of interruptions. Make your bedroom reflective of the value you place on sleep. Check your room for noise and other distractions, such as light and too dry or hot of an environment. Also check for your partner’s sleep disruptions such as snoring. Consider using blackout curtains, eye shades, ear plugs, “white noise”, humidifiers, fans and other devices.
4. Sleep on a comfortable mattress and pillow. 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).Get comfortable pillows and make the room attractive and inviting for sleep. Check that the room is free of allergens that might affect you and also for objects that might cause you to slip or fall if you have to get up during the night.
5. Use your bedroom for sleep and sex only. It is best to take work materials, computers and televisions out of the sleeping environment. Use your bed only for sleep and sex 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. For example, if looking at a bedroom clock makes you anxious about how much time you have before you must get up; move the clock out of sight. Do not engage in activities that cause you anxiety and prevent you from sleeping.
6. Finish eating at least 2-3 hours before your regular bedtime. Eating or drinking too much may make you less comfortable when settling down for bed. It is best to avoid a heavy meal too close to bedtime. Also, spicy foods may cause heartburn, which leads to both difficulty falling asleep and discomfort during the night. Try to restrict fluids close to bedtime to prevent nighttime awakenings to go to the bathroom. However, some people find milk or herbal, non-caffeinated teas to be soothing and a helpful part of a bedtime routine.
7. Exercise regularly. It is best to complete your workout at least a few hours before bedtime. In general, exercising regularly makes it easier to fall asleep and contributes to sounder sleep. However, exercising sporadically or right before going to bed will make falling asleep more difficult. In addition to making us more alert, our body temperature rises during exercise, and takes as much as 6 hours to begin to drop. A cooler body temperature is associated with sleep onset. Finish your exercise at least 3 hours before bedtime. Late afternoon exercise is the perfect way to help you fall asleep at night.
8. Avoid caffeine (e.g. coffee, tea, soft drinks, chocolate) close to bedtime. It can keep you awake. Caffeine is a stimulant, which means it can produce an alerting effect. Caffeine products, such as coffee, tea, colas and chocolate remain in the body an average of 3-5 hours, but they can affect some people up to 12 hours later. Even if you do not think caffeine affects you, it may be disrupting and changing the quality of your sleep. Avoiding caffeine within 6-8 hours of going to bed can help improve sleep quality.
9. Avoid nicotine (e.g. cigarettes, tobacco products). Used close to bedtime, it can lead to poor sleep. Nicotine is also a stimulant. Smoking before bed makes it more difficult to fall asleep. When smokers go to sleep, they experience withdrawal symptoms from nicotine, which also causes sleep problems. Nicotine can cause difficulty falling asleep, problems waking in the morning, and may also cause nightmares. Difficulty sleeping is just one more reason to quit smoking. And never smoke in bed or when sleepy!
10. Avoid alcohol close to bedtime. Although many people think of alcohol as a sedative, it actually disrupts sleep, causing nighttime awakenings. Consuming alcohol leads to a night of less restful sleep.
BENEFITS OF BETTER SLEEP HEALTH
Studies have linked sleep apnea to lower productivity and more absenves at work. Sleep apnea can cause memory loss, depression, lethargy,fatigue and difficulty staying awake at work.
Reduced Health Care Costs:
Sleep apnea is a contributing factor in chronic diseases such as cardiovascular disease, stroke, diabetes, hyper-tension, depression and obesity. A sleep apnea patient who is untreated will make more visits to the doctor's office and overall increase health-care utilization and spending,including hospitalization and medications.
Fatigue increases risk of work-place related injuries and motor-vehicle accidents. It is important to get a quality night's sleep to be productive and safe at work on the road.
Healthy sleep allows us to function optimally when we are awake. People who sleep well are at a decreased risk for:
heart disease, stroke obesity, diabetes, hypertension motor vehicle accidents depression and more. Daytime symptoms of fatigue, cognitive dysfunction, poor job performance and headaches are minimized with a good night sleep. Snoring and stopped breathing can be treated to make the night more comfortable. Benefits of healthy sleep include improved outcomes related to surgery and diabetic and hypertensive medications, retention of older skilled workers, reduced readmissions, efficient physician efforts, and management of risk in industrial situations.
The flow of air is completely stopped from entering the breating passageway. This causes arousals from sleep and reduction in oxygen levels. Arousals from sleep and low O2 leads to serious medical condtions and loss of daytime function. It is recommened that sleep be tested when unhealthy sleep and poor daytime function are present.
Print out the Sleep Diary and fill it out for 2 consecutive weeks. If there are noticeable areas in which you are not getting enough sleep bring it to your physician for treatment options.
Sleep Diary - Word Document