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Doctor insights on: Sleep Md Reviews

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PCP sent me to Sleep Specialist for insomnia, tests were inconclusive since didn't fit CPAP profile. Who is best Dr qualfy to fully invest. insomnia?

PCP sent me to Sleep Specialist for insomnia, tests were inconclusive since didn't fit CPAP profile.  Who is best Dr qualfy to fully invest. insomnia?

Sleep specialists: investigate insomnia. Consider related approaches such as lifestyle, nutrition, exercise level, psychologist factors. A doc who works w/alternative medicine can be a good choice. Peace and good health. A health psychologist can teach you some strategies also. ...Read more

Dr. Heidi Fowler
5,063 doctors shared insights

Sleep (Definition)

Sleep is a topic that involves concepts such as how long it takes to fall asleep, how many times one wakes up at night, how many hours one sleeps at night, sleep stages, ...Read more


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Looking for insomnia doc - not apnea doc. Pcp and I have exhausted all methods of search - looking for prof recommendations. (ins co is least help!)?

Looking for insomnia doc - not apnea doc. Pcp and I have exhausted all methods of search - looking for prof recommendations. (ins co is least help!)?

Sleep medicine doc: There are physicians who are board-certified in sleep medicine. As part of that qualification they must be very knowledgeable and insomnia as well as apnea, restless leg, narcolepsy and many many other sleep disorders. Both the American Board of Internal medicine and the American Academy of Sleep Medicine keep a list of physicians. Some psychologist also specialize in insomnia treatment. ...Read more

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I have chronic migraine/fibromyalgia. Sleep study ordered, AHI is 26.1.One sleep specialist this is sleep apnea and I need CPAP, other says its fine?

I have chronic migraine/fibromyalgia. Sleep study ordered, AHI is 26.1.One sleep specialist this is sleep apnea and I need CPAP, other says its fine?

Go to primary doc: the specifics about the sleep study are important. abnormal sleep patterns must be correctly interpreted, as the treatment is usually long term. migraine prevention is not complicated ie beta blockers, midrin, fibromyaogia is treatable , and sleep should be fixed first. ...Read more

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I need a good sleep study clinic in Seattle. Any suggestions?

MD first: You have to be referred for a study and to have the study explained. Start with an evaluation by a board certified sleep MD. ...Read more

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Have ob apnea, use cpap nightly. Fatigue persists! could not nap for mslt. Rem sleep from 6-7am in overnight study. Rem interruption in am = fatigue?

Have ob apnea, use cpap nightly. Fatigue persists! could not nap for mslt. Rem sleep from 6-7am in overnight study. Rem interruption in am = fatigue?

Consider Nuvigil: For patients with ongoing sleepiness in spirited of cpap, Nuvigil is usually the next recorded treatment. It only occasionally raises blood pressure, but you should have it checked if you start on it. Good luck to you. ...Read more

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Can chronic insomnia (20+ yrs) be cured? I've tried meds (otc & rx), cbt, sleep hygiene, meditation, sleep study (ruled out apnea). None seem to help.

Can chronic insomnia (20+ yrs) be cured? I've tried meds (otc & rx), cbt, sleep hygiene, meditation, sleep study (ruled out apnea). None seem to help.

Hopefully: I tend to believe most conditions can be cured with proper treatment. You have tried the conventional therapies so i would consider alternative therapies- herbs and supplements like 5-htp ; glycine, classical homeopathy, chinese medicine etc. Also consider cranial electrical stimulation. I can't not mention that Adderall (dextroamphetamine and racemic amphetamine) might be significantly contributing to your insomnia.Work with a holistic dr. ...Read more

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Fatigue studies (CFS?): For poor concentration & memory, could a neurologist help? Current specialist advisors: sleep, rheumat., endocrin., immun. MDs

Fatigue studies (CFS?): For poor concentration & memory, could a neurologist help? Current specialist advisors: sleep, rheumat., endocrin., immun. MDs

Team: If your team has all of these physicians on the case, adding a neurologist may be superfluous. One physician should be coordinating your care in order to access the expertise of the others. ...Read more

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Of board certified sleep specialists, is it better to see a neurologist, pulmonologist, primary care, etc for narcolepsy?

Of board certified sleep specialists, is it better to see a neurologist, pulmonologist, primary care, etc for narcolepsy?

The best one to see: is the practitioner who has the best reputation and the relevant experience. If you go to one and you don't like him/her/it, find someone else. ...Read more

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Prescribed lonazep md .5mg for sleep , sizodon drops for mood disorder along with valance od 500mg..Are the medicines helpful ?

Prescribed lonazep md .5mg for sleep , sizodon drops for mood disorder along with valance od 500mg..Are the medicines helpful ?

Ativan/Depakote/Risp: Valance is a mood stabilizer (depakote, valproic acid) & lonazep is an anxiety medication (ativan, lorazepam). Sizodone is an antipsychotic (risperdal, risperidone). This combination, taken as prescribed, is fairly common to stabilize moods & treat thought disorders. ...Read more

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Can idiopathic hypersomnia diagnosis by sleep study respond to anything besides stimulants & sleep hygiene? Anything off label? Foods? Research being done?

Can idiopathic hypersomnia diagnosis by sleep study respond to anything besides stimulants & sleep hygiene?  Anything off label? Foods? Research being done?

Hyersomnia: In case of hypersomnia, the overnight sleep study is not enough alone, another study called mean sleep latency testing is needed to evaluate the severity of hypersomnia and to rule out narcolepsy. If you were told that you have idiopathic hypersomnia, i presumed that you had already mslt and narcolepsy was ruled out, anyhow stimulants, sleep hygiene modulation and regular exercise are the best. ...Read more

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Best dental appliance for sleep apnea and grinding?

Best dental appliance for sleep apnea and grinding?

One for both: Research has shown that a device that positions the lower jaw forward while sleeping as is used for snoring and sleep apnea, also reduces sleep bruxism episodes. This is the only type of oral device that will actually reduce the number of bruxism events. Other dvices for bruxsim will protect the teeth and in some instances, decrease the intensity of the muscle contractions seen in bruxism. ...Read more

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Always tired. Fitbit tracker says low sleep efficiency. Videotape confirmed constant tossing during sleep. Should I do a sleep study? Recommended tx?

Always tired. Fitbit tracker says low sleep efficiency. Videotape confirmed constant tossing during sleep. Should I do a sleep study? Recommended tx?

Consult sleep clinic: Good sleep helps you feel healthy and vital. Sleep apnea (frequent awakenings due to low oxygen levels during sleep) can increase your risk of high blood pressure, heart rhythm problems, and even obesity! so consult a sleep doctor. If necessary, they will recommend a polysomnographic exam where they monitor your vital signs, movements, oxygen levels, and video your sleep in an overnight sleep lab. ...Read more

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Practice good sleep hygiene. Sleep on a schedule, but wake up after 2-3 hours sleep. Any suggestions?

Practice good sleep hygiene.  Sleep on a schedule, but wake up after 2-3 hours sleep.  Any suggestions?

Insomnia: Some quick tips. Look up healthy sleep habits online. Create a consistent wake time and avoid naps. Go to bed only when you are tired. If you can't fall asleep within 20 mins, get out of bed until you're tired again. Avoid substances that impact sleep, like drugs and alcohol. ...Read more

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Dr. who can read lab results and Help Me. VA Dr.'s won't help or follow up. Major medical issues, need DR. Who Cares! Please. US Disabled Veteran.

Dr. who can read lab results and Help Me. VA Dr.'s won't help or follow up. Major medical issues, need DR. Who Cares! Please. US Disabled Veteran.

I care.: I would be happy to interpret your lab results for you, but I need to know why you went to see your doctor. Lab results by themselves will not allow me to successfully diagnose you. I need to ask you questions and take a history regarding your chief complaint first. I would also like to know if you have any chronic medical problems. ...Read more

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Whats the difference between a regular cpap sleep study & a tritration (?) cpap sleep study?

Whats the difference between a regular cpap sleep study & a tritration (?) cpap sleep study?

Initial study and CP: A sleep study is initially done to see if the patient has sleep apnea. If the patient has obstructive sleep apnea the patient is advised to have a study with CPAP to assess the best pressure to treat it with. The pressures are adjusted to eliminate the apneas (stop breathing) and to improve the patient's oyxgen saturation to keep it at or above 88%. ...Read more

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Why don't respiratory doctors deal with obstructive sleep apnea instead neurologists?

Why don't respiratory doctors deal with obstructive sleep apnea instead neurologists?

CPAP: As a psychologist, i've heard from patients that there are many cognitive benefits from cpap. Improved memory and attention are just two. Of course, these might improve because the person is not as tired anymore, but i'm willing to bet empirical evidence will show cognitive enhancements. ...Read more

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