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Sleep Disorders

Sleep plays a vital role in promoting a person’s health and well being. Getting the sleep that you need is likely to enhance your overall quality of life. Yet there can be many potential barriers that can disrupt and disturb your sleep. Overcoming these challenges can help you enjoy the daily benefits of feeling alert and well rested.

Mount Sinai Medical Center’s Sleep Disorders Center has been providing specialized sleep testing to the community since 1977. The Center is fully accredited by the Joint Commission and has board certified medical and technical staff. The physicians at the Center specialize in helping people who are unable to sleep well and who struggle to stay awake during the day. These physicians detect and treat both common and rare sleep disorders.

The Center offers include diagnostic and therapeutic polysomnography in the investigation of the following possible disorders:

  • Obstructive, central and mixed sleep apnea
  • Snoring
  • Cheyne-Stokes Respiration
  • Obesity Hypoventilation Syndrome
  • Narcolepsy
  • Periodic Limb Movements of Sleep
  • Parasomnias (e.g. sleep walking and REM behavior disorder)
  • Non-Invasive Positive Pressure Ventilation (NCPAP and BiPAP)

The Sleep Disorders Laboratory utilizes 21st century technology to evaluate sleep to confirm the presence of disease or abnormality, identify the nature of the sleep disturbance, determine the extent of the abnormality and help define the course of therapy. These evaluations are performed at our sleep laboratory located in Miami Beach, or at home through our Home Sleep Testing Program.

To determine if a sleep specialist can help you, please take our screening sleep questionnaire. For those individuals that are having trouble sleeping, read helpful tips on maintaining good sleep hygiene. For more information about our Sleep Disorders Laboratory, please call (305) 674-2936.

Belen Esparis, MD, FAASM
Medical Director, Sleep Disorders Center

Falling Asleep

If you can’t get to sleep, rather than trying harder and harder to fall asleep, try getting out of bed and doing something else. Preferably, move to another room and return to bed only when sleepy.

If you have trouble getting to sleep, establish a routine for an hour or so each night before bedtime, such as reading, taking a warm shower or bath, light exercise, or resting quietly.

Avoid too much mental stimulation during the hour or so prior to bedtime. Read a “light novel or watch a relaxing TV program; do not finish office work or discuss family finances with your spouse, for example.

Stress

Almost everyone experiences an occasional night of lost or disturbed sleep. It is a natural, perhaps adaptive, response to acute stress.

Naps

If you are having trouble falling asleep at night avoid naps in the early afternoon or early evening.

Getting Up

No matter how poorly you have slept the night before, always set your alarm to arise at the same time each morning.

Exercise

Regular exercise can be an effective aid to sleep. It releases energy and mental tensions. It is better not to exercise strenuously just before bedtime.

Noises

Occasional loud noises from aircraft, streets, or highways disturb sleep even in people who do not awaken and who cannot remember the noise in the morning. These sleep disturbances can reduce restful sleep. People who sleep near excessive noise should try heavy curtains in their bedrooms or ear plugs to protect the amount of restful sleep they get.

Hunger

Hunger may disturb sleep. A light snack, especially warm milk, seems to help people get to sleep.

Food

Various foods stimulate the body and disturb sleep. Avoid coffee, tea, and cola drinks near bedtime. Avoid late heavy meals.

Sleep Patterns

Everyone has a unique sleeping pattern. Some adults need 10 hours a night. Other adults need only 5 hours a night. Many people function best with approximately 8 hours of sleep. Your requirement for sleep is unique. What is effective for your husband, your wife, or your friends is not what may be helpful to you. If you need only 5 hours of sleep a night, do not worry about it, or try to force longer sleeping hours. Instead, learn to use your extra waking hours for something you would like to do or get done.

Quantity and Quality

Everyone’s sleep needs change. The amount and quality of sleep varies in the course of each person’s life. The infant may require 16 hours of sleep each day, an elderly person may sleep 3 to 4 hours at night with frequent naps during the day. Changes in the length and depth of sleep are a normal part of life. The quality of our sleep is more important than quantity.

Symptom of a Medical Problem

Sleeping problems may signal a medical condition such as anxiety, depression, and other disorders. It is important to get a proper diagnosis and treatment of the underlying cause of a chronic sleep disturbance.

Pregnancy

Excessive sleepiness the first 3 months of pregnancy is normal don’t worry about it. Pregnant women also tend to sleep about two more hours at night.

Medications/Alcohol

An occasional sleeping pill may be of some benefit, but chronic (nightly) use of sleeping pills may actually hinder good sleep. Natural sleep is the best sleep.

Sleeping medications should be used with caution and only upon the advice of a physician. If your doctor prescribes a sleep medication, ask for clear directions and information about the particular drug you are to take. Some sleeping pills have a prolonged effect, and can impair your coordination and driving skill the following day.

Sleep medications should be used only for the short term management of a sleep complaint. Do not self-medicate or increase the dosage yourself. If you feel that your medication is losing its effect, report this to your doctor.

Although alcohol may help to induce sleep, the chronic use of larger quantities of alcohol causes disturbed sleep and dependency.

Our Physicians

Luis Echarte, MD

  • Pulmonary
  • Critical Care
  • Sleep Medicine
  • Sleep Disorders
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