AUGUST 2014 VOLUME 3 • ISSUE 3
Eastern Iowa Sleep Center –
Take the Quick Test!
Visit eiSleep.com and Take the Quick
Test to get your sleepiness scale.
Symptoms of sleep problems include
excessive daytime sleepiness, snoring,
morning headaches, waking up
choking, restless sleep and if someone
has witnessed that you stop breathing
for periods of time during your sleep. If
you or someone you know experience
any of these, visit your provider to see
if Eastern Iowa Sleep Center (EISC)
can help!
In this issue
Sleep Health: Health Cost & Sleep
Hot Topic: Home Sleep Test
CDC Drowsy Driving Data
What’s Micro Sleep?
Shift Work & Sleep
EISC Core Values
Sleep Health
Health Cost & Sleep
Health care costs are
everyone’s concern.
Undiagnosed moderate to
severe apnea in middle-aged
adults may cause $3.4 billion in
additional cost in the U.S. alone.
Since the passage of the Affordable
Care Act, health care payers, employers,
providers and consumers have shown
an increased commitment to health and
health care quality. Sleep is recognized
by the Centers for Disease Control and
Prevention (CDC) as one of the pillars
of healthy lifestyle, directly impacting
every aspect of health and well-being.
Approximately 76% of congestive heart failures, 65% of
strokes, 48% of type 2 diabetes
sufferers and a wide range of
high blood pressure patients
have Sleep-Disordered Breathing
such as Obstructive Sleep Apnea
(OSA). OSA occurs when the muscles in
the throat relax and the air way collapses
during sleep. Air cannot get to the lungs
and oxygen levels decrease. Take the
Quick Test at eiSleep.com to see if you
or someone you know are at risk. Visit
your provider or visit a Sleep Medicine
Physician below to see if a sleep study is
right for you.
To our patients, their families, and
partners, we are committed to
uphold the following values:
• Service that is unparalleled
• Listening and creating
individualized treatment
• Excellence in quality,
professional care
• Efficient and welcoming, with
easy access
• Patient-centered, innovative
& compassionate care
Eastern Iowa Sleep Center
600 7th St. SE, 2nd floor
Cedar Rapids, IA 52401
hone 319-362-4433
P
877-361-4433
Fax 319-362-4466
Office hours:
8am-4:30pm
A. Peterson, M.D. Fellow, A.A.S.M.
PCI Neurology/Sleep
S. Geisler, M.D.
Diplomate, A.B.P.N.-S.M.
PCI Neurology/Sleep
R. Struthers, M.D.
Diplomate, A.B.P.N.-S.M.
PCI Neurology/Sleep
W. Wongba, M.D.
Diplomate, A.B.I.M.-S.M.
UnityPoint Pulmonology/Sleep
eiSleep.com
SleepSmartz
AUGUST 2014 VOLUME 3 • ISSUE 3
Hot Topic:
Drowsy Driving Data
Home Sleep Test vs. In-Lab PSG
The American Academy of Sleep
Medicine (AASM), which is recognized
by Medicare and other insurances,
recommends Home Sleep Test to be
used ONLY for the diagnosis of Obstructive Sleep Apnea (OSA). A Home Study
Test can be performed on patients that
have no other medical issues such as
2. Terms
Home Sleep Test, Portable Monitoring,
Limited Channel Testing, Out of Center
Testing all mean the same thing.
3. Apnea (Greek)
Term for suspension of external
breathing.
DECISION MAKING GRID
CDC analysis found sleeping for 6 hours or
less and self-reported snoring were related
independently to drowsy driving. AAA
Foundation of Traffic Safety estimates more
than 16% of fatal crashes involve a drowsy
driver. Treating all U.S. drivers suffering from
sleep apnea could save $11.1 billion in
collision costs and save 980 lives annually.
Drowsy driving warning signs:
• Missing your exit
• Difficulty remembering the past few
miles driven
• Drifting from your lane
• Hitting the rumble strip
• Yawning and blinking frequently l
What’s Microsleep?
Microsleep is when extreme drowsiness
causes an episode of light sleep lasting 5
to 30 seconds. Several regions of the brain
go to sleep involuntarily while areas controlling vision remain active. Fixed gaze or
the eyelids start to droop, complete failure
to respond and head nodding are signs
that there is a loss of contact with reality –
microsleep. l
Shift Work & Sleep
Co-Morbid Medical and/or Sleep Disorders which is determined by a Comprehensive Sleep Evaluation.
1. Comprehensive Sleep Evaluation
Recommendations include, but are
not limited to: symptoms of disruptive
snoring, disturbed sleep, excessive
daytime sleepiness evidenced by
Epworth Sleepiness Scale, witnessed
apnea events during sleep, and
choking/gasping during sleep.
Safety, Shift Work combined with Sleep
issues are a concern for many. Operators of
heavy equipment, drivers, fire fighters, police officers, healthcare providers and staff
or other safety sensitive professions should
pay careful attention to signs of sleepiness.
Sleep problems and fatigue affect many
5. Co-Morbid Sleep Disorders
of the nearly 15 million shift workers. The
Recommendations include, but are not risk involved for workers and others around
limited to: Narcolepsy, Parasomnias,
them if dozing off even for a brief moment
Periodic limb movement Disorder (PLMD), (called a microsleep) could be detrimental
Restless Leg Syndrome (RLS), Circadian
in many ways. l
Rhythm Disorder, Central Sleep Apnea.
4. Co-Morbid Medical Disorders
Recommendations include, but are
not limited to: pulmonary disease,
congestive heart failure(CHF), morbid
obesity, neuromuscular diseases such
as Parkinson’s, stroke, epilepsy.
eiSleep.com