Our Location:
8598 Utica Ave. Suite 100
Rancho Cucamonga, CA 91730
Voice 909-987-3535
Fax 909-987-3536
Hours:
Monday - Friday
9:00 am until 5:00 pm
Sleep Studies:
By Appointment Only
Treatments
What to Expect | Signs & Symptoms | Do I have a Sleep Disorder?
Our facility offers comprehensive testing in a quiet, home-like environment. Each bedroom is set-up with queen-sized beds, night stands, dressers, and 20” LCD televisions with Direct TV Network. Our polysomnographic technologists have extensive training in sleep disorders and are certified in basic cardiac life support. Our technologists monitor patients in a separate control room with state-of-the-art computerized systems and digitized video monitoring.
What to expect at the Sleep Center
You may be asked to spend the night at our sleep center where specially trained polysomnographic technologists will perform an overnight sleep study called polysomnogram. If you require a sleep study, we can basically schedule you any night of the week. Prior to coming to our facility, you will be asked to bring the following: bed-time clothes, your favorite pillow (or two), your toiletries, and change of clothes for the next day. A polysomnographic technologist will greet you upon your arrival and show you to your bedroom where you would change into your bed-time clothes and fill out a bed-time questionnaire. Once you’ve changed and completed this questionnaire, the technologist will measure and mark electrodes on your head. The following leads will be recorded:
- EEG (Electroencephalogram) leads to monitor your brain-waves. These waves are used to monitor your sleep and wake cycles.
- EOG (Electro-oculogram) leads to monitor your eye movements. There will be two leads: one for the right eye and one for the left.
- EMG (Electromygram) leads placed on your chin, legs, and rib-cage. The chin leads will help us determine when you get into Rapid Eye Movement Sleep (also known as REM sleep). The chin leads will also help us identify bruxism or teeth-grinding. The leg leads will help us identify if you have Restless Legs Syndrome or Periodic Limb Movements in Sleep. The intercostal EMG leads will be placed along the side of your rib-cage to monitor for respiratory effort movements.
- ECG (Electrocardiogram) leads will monitor your heart rate.
- Snore microphone will be placed right along side of your trachea to pick up any snoring sounds.
- Nasal/Oral Pressure monitor which looks like an oxygen cannula; will be placed right underneath your nose to record your breathing.
- Chest and Abdominal effort belts will be placed to record your respiratory effort.
- Oxygen saturation. This is a little finger probe that will monitor your pulse and oxygen saturation throughout the night.
All of these leads are connected to a junction box that is connected to our computerized systems in a separate control room. The total hook-up time for placing the above leads will take about 30 minutes. You are expected to arrive at your scheduled time-frame as the technologist may have to hook-up a second patient. Once the hook-up is complete, you are free to read or watch television before the sleep study will commence.
Prior to going to bed, the polysomnographic technologist will connect you to our computerized system and test all of the monitoring devices by having you perform simple patient calibration exercises such as:
- Keeping your eyes open for 30-60 seconds; keeping your eyes closed for 30-60 seconds.
- Looking (with your head perfectly still) to the left and right as well as up and down.
- Slowly and distinctly blinking 5-10 times.
- Gritting your teeth
- Simulating a snore and/or counting up to five
- Flexing and relaxing your left and right foot
- Taking a deep breath and holding for about 10 seconds
- Breathing through your nose only
- Breathing through your mouth only
- Pumping your stomach in and out
These calibrations are necessary to determine that everything is working properly prior to you going to sleep.
Once you are ready for bed, the technologist will turn off your bedroom lights and monitor you in the control room. An infrared camera is placed in your room to monitor your body position, snoring, as well as any unusual activity that may occur during the night (such as Periodic Limb Movements in Sleep, sleep-walking, night terrors, REM Behavior Disorder).
You are welcome to sleep in any position, however, it is important that we monitor some time on your back because this is the position where Obstructive Sleep Apnea is more prominent. The polysomnographic technologist will be keeping a constant vigil all night long so as to ensure that your safety and the quality of the tracing is performed. The testing is performed non-invasively with no pain or shots involved. The sleep study will end anytime between 5:30-6:30 am. When the technician wakes you up (if you’re not already up), s/he will then remove all of the monitoring devices that were placed on you the night before. The unhooking time takes only 10-15 minutes. Once completely unhooked, you can perform your morning rituals and get ready to leave. A continental breakfast will be served to you prior to your departure.
The sleep study is manually scored by a Registered Polysomnographic Technologist and reviewed by our medical director who is board-certified in sleep medicine. He will make the final diagnosis and make recommendations for treatment. The sleep study report is then sent to your referring physician. It is important that you schedule a follow-up appointment with your referring physician in about 5-7 days so that s/he can go over the results of your study and make recommendations for treatment.
Signs and Symptoms of a Sleep Disorder
Any of the following signs and symptoms may indicate a sleep disorder:
- Snoring
- Daytime sleepiness
- High Blood Pressure (Hypertension)
- Depression
- Difficulty in initiating and/or maintaining sleep
- Morning headaches
- Pauses in breathing during sleep
- Frequent awakenings at night
- Legs or arms jerking during sleep
- Waking with gasping, coughing or choking; sometimes with a sour taste in the mouth.
Do I have a Sleep Disorder?
Ask yourself the following questions:
- Do you have trouble falling asleep?
- Do you sleep too much?
- Do you become drowsy at work or while driving?
- Does your snoring keep your or your loved ones awake?
- Do you snore?
- Do you wake choking during sleep?
- Do you hold your breath while sleeping?
- Are you always tired and/or sleepy?
- Are you experiencing mood swings or excessive irritability?
If you answered Yes to any of the above, you are not alone! You are amongst the 30+ million people who suffer from poor sleep. The Sleep Disorders Center may be your solution. Sleep disorders have a far greater impact than just making you feel tired during the day. You may experience impaired concentration, loss of memory and coping skills, resentment from loved ones who are kept awake by your snoring and other sleep-related problems. If you have a sleep disorder, you may frequently fall asleep while driving or operating heavy/dangerous machinery, risking death and injury to yourself and others. Sleep disorders are known to increase the risk of many physical, emotional and social difficulties.
For more information about the Sleep Disorders Clinic, our services, and treatment options, you may contact us at 909-987-3535 or send us an Email.