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Sleep Disorders
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The Sleep Disorders Center
Virginia Baptist Hospital
3300 Rivermont Avenue
Lynchburg, VA 24503
(434) 200-4628

1084 Thomas Jefferson Road (Rt. 811)
Forest, VA 24551
(Driving directions to Forest Sleep Center)

Lack of sleep has reached epidemic proportions in America, affecting the way we work and spend our leisure time. Approximately 67 percent of adults get fewer than the recommended eight hours of sleep at night, according to the National Sleep Foundation's 2000 Omnibus Sleep in America Poll.

Forty three percent of them are so sleepy during the day that they say it interferes with their daily activities at least several days a month. Drowsiness hinders activities a few days per week for 20 percent of those polled (and 33 percent of those are 18 to 29 years old).

Why aren't people sleeping? Work, the Internet, television, and insomnia are keeping people up at night. But more and more people are beginning to take naps before or after work. People who don't stay up late at night but remain tired are trying to find out why.

All of our outpatient sleep disorder services are located at Virginia Baptist Hospital. Our Sleep Disorders Center has a home-like atmosphere with 8 spacious bedrooms; we provide service in a comfortable and relaxed atmosphere. From our compassionate and highly trained staff to our state-of-the-art polysomnography equipment, we offer comprehensive diagnostic and treatment options to the Central Virginia region.

Sleep Process
Sleep is controlled and influenced by many parts of the brain. The stages of sleep include drowsiness, light sleep, deep sleep and dream sleep. The stage of sleep a person is in can be determined by measuring the different activity of the brain and body.

Sleep Disorders
More than 100 million Americans regularly fail to get a good night's sleep. Sleep Disorders result in a diminished quality of life and personal health. They can lead to problems falling asleep and staying asleep, difficulties staying awake or within a regular sleep wake/cycle, nightmares, sleepwalking, bedwetting and other problems that interfere with sleep.

Sleep Apnea in Adults
Adults with Sleep Apnea may snore very loud (they can be heard rooms away), have a pattern of snoring interrupted by pauses, then gasps (the sleeper's breathing stops and restarts), have trouble concentrating, forgetfulness, depression, loss of interest in sex, headaches or nausea upon awakening, fatigue and frequent nighttime urination. 

Sleep Problems in Children
Children with sleep problems may snore loudly, appear to have difficulty breathing during sleep, sleep restlessly, sweat heavily during sleep, have daytime hyperactivity (sleepy children become fussy and overactive), behavioral problems, be cranky, be difficult to awaken and complain of morning headaches. 

About Polysomnography

Polysomnogram (Sleep Study)
This is a recording that includes measurements used to identify different sleep stages and classify various sleep problems. We offer Diagnostic Testing, Continuous Positive Airway Pressure Titration Testing and Multiple Sleep Latency Testing.

The Testing Process
The technician will attach electrodes (small metal discs) to the head and skin with adhesive. These electrodes monitor activities that go on in the body during sleep (brain waves, muscle movements, heart rate and leg movements). Flexible elastic belts are placed around the chest and abdomen to measure the breathing process. The heart rate and the oxygen level in the blood are measured by a clip on the finger or earlobe. The technical equipment is in another room (control room) separate from the bedroom. A technician will monitor the sleep process through the night from the control room. During the sleep cycle, the various body functions and measurements are recorded and monitored. A sleep specialist will review and interpret the record to help you and your health care professional understand your specific sleep problems.

Diagnostic Testing
This is the first night study when the sleep process is measured. This test will provide the sleep specialist information that is required to recommend treatment and determine the need for additional testing. 

CPAP Titration Polysomnography
This test is performed when first study is positive for Obstructive Sleep Apnea. The study involves fitting for a mask that is adjusted to fit comfortably over the nose. The mask is attached to a positive airway pressure device that treats breathing problems during sleep. This testing measures the sleep process while using Continuous Positive Airway Pressure Therapy. The record will provide the sleep specialist information that is needed for to recommend the appropriate pressure to treat the sleep apnea.

Multiple Sleep Latency Testing (MSLT)
Nap Study, If indicated by the Sleep Study, a daytime study is performed. This testing is done from 8:00 a.m. thru 3:00 p.m. A series of scheduled naps are taken during the day. The sleep patterns are recorded and monitored with the same equipment used with Polysomnography. The amount and type of sleep you get during these naps can help the sleep specialist understand your complaints and make decisions about treatment.

Preparing For Your Study
One week prior to the scheduled date of the test, we will mail the patient a Patient Pamphlet with information about preparation for your test, a Sleep History Questionnaire and a pamphlet about what to expect during their stay at the sleep disorders center.

If Your Sleep Study Is Normal
We'll send a report to the referring physician with the findings of the study, and the sleep physician's interpretation of the polysomnogram.

If Your Sleep Study is Positive for Sleep Apnea
We'll send a report to the referring physician with the findings of the study, and the sleep physician's interpretation of the polysomnogram as well as a recommendation for further testing.

Results of Your CPAP Titration Testing
We'll send a report to the referring physician with the findings of the study, and the sleep physician's interpretation of the polysomnogram as well as a recommendation for the appropriate CPAP Treatment.

Causes of Sleep Apnea
When you sleep, all of your body's muscles relax more than in waking hours. In some people this relaxation lets the airway in the back of the throat become too narrow, this interferes with breathing. Sleep then becomes a time of increased health risk. A smaller than normal jaw, overbite, large tongue, enlarged tonsils or tissue that blocks the airway are contributors to Sleep Apnea. Alcohol, sleeping pills and tranquilizers that are taken at bedtime can reduce muscle tone and contribute to the collapse of the throat. Obesity, intrinsic hypertension, a short thick neck, are all contributing factors to Sleep Apnea.

For More Information about Sleep Disorders, Contact the American Academy of Sleep Medicine or visit their website: www.aasmnet.org

If you are tired much of the time or can't sleep at night, contact the Sleep Disorders Center at (434) 200-4628 or write us to learn how we can help you:

The Sleep Disorders Center
Virginia Baptist Hospital
3300 Rivermont Avenue
Lynchburg, VA 24503
(434) 200-4628

Office Hours:
Monday thru Friday 8:00 a.m. to 4:30 p.m. Diagnostic Testing: Sunday - Thursday 7:00 p.m. to 7:30 a.m. Daytime diagnostic testing Monday - Friday, as needed.