Home Sleep Testing – Instead of a Sleep Lab?
MEDICAL DIRECTOR – LEV GRINMAN, M.D.
Board Certified in Sleep Medicine and Neurology
Named as one of the best sleep doctors in the U.S. by Sleep Review magazine in 2012
Has published on the topic of Obstructive Sleep Apnea
Conducted clinical research at Memorial Sloan-Kettering Cancer Center and Rockefeller University
Internal Medicine Internship – Staten Island University Hospital
Neurology Residency – North Shore LIJ Health System (Program of the Albert Einstein College of Medicine)
M.D. – SUNY Upstate Medical University
Undergraduate Degree – Cornell University
Home sleep testing has never been easier!
Do you snore? Are you tired during the Day?
If so, your relief is here.
By Dr. Jacques Doueck , Diplomate Academy Clinical Sleep Disorder Disciplines
Many people that snore and find they are tired during the day never take the next step because they are avoiding sleeping in a hospital or sleep lab. Home Sleep Testing (HST) is a way for patients to be evaluated for sleep apnea, with the latest in sleep diagnostic technology, in the comfort and convenience of their own bed. There’s no need for dozens of wires and electrodes, body straps, elaborate headgear, video cameras, people watching and recording you while you sleep, or awkward situations with lab technicians walking in on you during the night. There are just a couple of sensors that are used and the cost of an HST is significantly lower, typically just a small fraction of what a more traditional procedure would cost in a sleep lab.
Until now, when patients were suspected of having sleep apnea, their medical doctor would refer them to a sleep specialist for evaluation. If the specialist agreed that they may suffer from breathing problems in sleep, the sleep specialist would order a sleep study in a special facility called a sleep lab. The procedure, which is called a polysomnography (PSG), records multiple signals throughout the night after sensors are applied over most of the body — including the face, legs, chest and arms. In addition to being able to tell if you have sleep apnea, a PSG can tell what percentage of time you are spending in each stage of sleep (which is a measure of how efficiently you are sleeping) and whether you have other, less common sleep disorders such as sleep walking or narcolepsy.
An in-lab PSG costs between $1,200 and $3,000 depending on where you live and the billing practices of the lab. In some cases, insurance may cover the full cost. But today, even those Americans who do have health insurance often have high deductibles and must sharing these costs. This usually means the patient is responsible for 20% ($240-$600) to 100% of the cost when deductibles have not been met for the year. Whether you have insurance that covers a portion of the in-lab sleep study or are paying out of pocket, many patients simply can’t afford this.
Besides the cost for most people it is just plain awkward and uncomfortable. The idea of having someone watch you sleep is unsettling for most patients. Some people simply have problems sleeping anywhere but in their own beds.
If you suspect you have sleep apnea but you don’t want to spend a night away from your home with strangers, a home sleep study is a viable choice. According to the June 2012 issue of Journal
of American College of Chest Physicians, Home Sleep Studies are an accepted alternative means of diagnosis for sleep apnea. With Home Sleep Testing, a polysomnography sleep technician scores your test and a board certified sleep physician interprets it and gives recommendations and diagnosis.
The word “apnea” means “without breath” and can lead to serious medical conditions including
death. Snoring can be a sign of sleep apnea, Half of the patients who snore have Obstructive Sleep Apnea (OSA), a serious condition in which the obstruction of the airway during sleep is so complete
that the snorer quits breathing for 5 to 100 times every hour. OSA is caused when we lie down by the tongue falling back into the throat (due to gravity) along with the relaxation of the soft tissues. This
blocks some, if not all, of the oxygen from entering our body. This can occur hundreds of times a night, leading to a potentially deadly condition. Most patients do not realize they have sleep apnea which
is why more than 93% of women and 82% of menwith the condition are believed to be undiagnosed.
If you snore, or you are tired during the day, a compact dental appliance, whose cost is covered by most medical insurance policies, can help. The first step is an overnight sleep study. With HomeSleep LLC, ,you can do this in the comfort of your own bed! If you snore, you owe it to yourself and to your family to find out if you have sleep apnea.
HomeSleep, LLC serves physicians, hospitals and dentists in the increasingly important field of obstructive sleep apnea. As a provider of Home Sleep Testing and Sleep Wellness services with clinically impactful and cost-effective screening, diagnostic and patient management solutions, HomeSleep in 2012 earned The Joint Commission’s Gold Seal of Approval® for accreditation by demonstrating compliance with The Joint Commission’s national standards for health care quality and safety in ambulatory care organizations. The accreditation award recognizes HomeSleep’s dedication to continuous compliance with The Joint Commission’s state-of-the-art standards.
Dr. Lev Grinman MD - sleep specialist