Sleep Evaluation and Management Clinic

Door County Medical Center Sleep Disorder Facility’s Sleep Evaluation and Management Clinic is designed to assess patients that are diagnosed with sleep disorders who need assistance complying with therapy, utilizing current therapy modalities, or overcoming anxiety often associated with new treatment. We may utilize different studies, evaluation tools or other assessment practices ordered by the physician for the evaluation necessary to improve compliance and acceptance of therapy.

Evaluation Tools:

Home Sleep Testing

A comprehensive sleep evaluation may indicate you are a candidate for a home sleep test. The information obtained from the home sleep test can be used in the diagnosis of Obstructive Sleep Apnea. Resulting treatment will depend on the severity of the outcome.

Re-Titration studies

Re-titration studies are used on those patients who have been on their current Positive Airway Pressure (PAP) therapy for awhile but are no longer seeing the benefits from the therapy and are now complaining of increasing daytime sleepiness or un-refreshing sleep. Evaluation will be done in the sleep facility.

Mask Fitting & Desensitization

Mask fitting and desensitization may be indicated for patients currently using Positive Airway Pressure (PAP) and having compliance issues due to:

  • Mask leaks
  • Mask no longer fitting properly or comfortably
  • Sensation that pressure is too tight or unable to adjust to current pressure settings
PAP-NAP

A 4-hour procedure used to acclimate those patients who manifest obvious resistance to using PAP therapy. This may include patients with insomnia, anxiety, claustrophobia or other issues. The use of mask and pressure desensitization along cognitive behavioral therapy, such as muscle relaxation techniques and using mental imagery skills help in aiding the patient to become acclimated to the equipment and able to reduce the anxiety to the point that Positive Airway Pressure (PAP) testing can occur in the lab.

Actigraphy

Actigraphy is a way to assist in determining sleep patterns in normal, healthy adult populations, and in patients suspected of certain sleep disorders. Actigraphy involves the use of a portable device, worn on the wrist or leg, that records movement over extended periods of time.

Used to assist in the evaluation of:

  • Advanced Sleep Phase Syndrome (ASPS), Delayed Sleep Phase Syndrome (DSPS) and Shift work sleep disorder.
  • Circadian rhythm disorders including jet lag and non-24-hour sleep/wake syndrome.
  • As a method to estimate total sleep time in patients with obstructive sleep apnea syndrome.
  • To assess the severity of obstructive sleep apnea when used in conjunction with a means to monitor respiratory events.
  • To evaluate patients for possible sleep disordered breathing.
  • As a method to characterize circadian rhythm patterns in patients with insomnia.
  • To determine circadian rhythm patters in patients with insomnia.
  • To determine circadian pattern and estimate average daily sleep time in those with hypersomnia.
  • To assess the response to treatment for circadian rhythm disorders and insomnia.
  • To assess leg movements during the night and assist with the treatment of Periodic Limb Movement Disorder.
Overnight Pulse Oximetry

Overnight oximetry may be indicated for patients that require oxygen during their sleep study, or have night-time breathing disorders.

 

Expert Attention by Sleep Specialists


Richard A. Hogan, MD

Director of Ministry Door County Medical Center Sleep Disorder Facility

Board Certified:
American Board of Internal Medicine/Sub-Specialty Sleep Medicine

Special Interests:
Internal Medicine, pulmonary medicine, sleep medicine including: sleep apnea, insomnia, restless legs syndrome, periodic limb movement disorder and excessive daytime sleepiness.



Andrzej P. Kurek, MD

Sleep Specialist at Ministry Door County Medical Center Sleep Disorders Facility

Board Certified:
American Board of Family Medicine/Sub-Specialty Sleep Medicine

Special Interests:
Family Medicine, sleep medicine including: sleep apnea, insomnia, restless legs syndrome, periodic limb movement disorder and excessive daytime sleepiness.

 

Make an Appointment

To schedule an appointment, please call our office at the number listed below. You may also contact your physician and request a consultation for a sleep study to the Ministry Door County Medical Center Sleep Disorder Facility. Email requests are answered by the following business day.

Ministry Door County Medical Center
Sleep Disorder Facility
920-746-3585 or 920-746-3570
dcmhsleeplab@ministryhealth.org

 
 
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