By Pacific Sleep Program
September 13, 2017
Category: Health
Tags: sleep apnea   snoring  

What your doctors in Astoria and Portland, Oregon, want you to knowsnoring

Snoring is a common problem. In fact, according to the National Sleep Foundation, 37 million people in the United States snore regularly. There are several reasons you might be snoring. Your doctors at Pacific Sleep Program in Portland, Oregon want to share the facts about snoring and what you can do about it. They have offices in Portland, and Astoria, Oregon to help you.

Snoring is caused when your soft palate, tongue, and throat relax completely during deep sleep. The soft tissues begin to vibrate causing snoring. The sounds will become louder as your airway narrows. If your airway is blocked completely, you may have sleep apnea which can be serious. According to the National Sleep Foundation, about half of people who snore regularly have sleep apnea.

There are several risk factors and causes of snoring. You are at greater risk of snoring due to:

  • Oral anatomy; if you have a low soft palate, your airway can become narrow or blocked
  • Structural issues with your nose; if you have narrowed nasal passages due to a deviated septum, it increases your chances of snoring
  • Excess weight; if you are overweight, you may have extra tissue in the back of your throat which can narrow or block your airway
  • Drinking alcohol; alcohol relaxes your throat, which can cause narrowing of your airway
  • Sleeping position; if you sleep on your back, it will relax your throat, narrowing your airway

There are some lifestyle changes you can do to limit snoring. You can try:

  • Maintaining a healthy weight
  • Taking a nasal decongestant before bed
  • Avoiding alcohol consumption before bed
  • Sleeping on your side


For chronic, loud snoring, it’s best to visit your doctors at Pacific Sleep Program. They may suggest a sleep study to determine your sleep patterns, snoring, or if you have sleep apnea. They may suggest several effective treatments including:

  • An oral mandibular advancement appliance, which moves your jaw and tongue forward, keeping your airway open while you sleep
  • A continuous positive airway pressure appliance, which provides a continuous flow of oxygen while you sleep
  • Tissue ablation or laser surgery to remove excess tissue


Snoring can be annoying to you and your family members, but you don’t have to put up with it. Call your doctors at Pacific Sleep Program in Portland, or Astoria, Oregon. They want to help you get a good night’s sleep, so call today!

By Pacific Sleep Program
July 14, 2017
Category: Health
Tags: Narcolepsy  

Are you worried that your sudden bouts of sleepiness could actually be narcolepsy?narcolepsy

Do you or someone you love suddenly fall asleep throughout the day, usually in the midst of your daily routine? Are you worried that these sudden attacks of sleep could be something more serious? Our Portland and Astoria, OR, sleep medicine doctors - Dr. Gerald Rich, Dr. Radhika Breaden and Dr. Gregory Clark - are here to provide a little insight into the signs and symptoms of narcolepsy.

What is narcolepsy?

This neurological condition impairs how your brain regulates sleep and wakefulness. Those who suffer from narcolepsy are prone to extreme bouts of sleepiness and will often fall asleep suddenly throughout the day. This can happen at any time. You may suddenly find yourself asleep at your desk or you may find yourself prone to these attacks while eating or exercising.

What are the symptoms?

One of the telltale signs of narcolepsy is extreme fatigue during the day. This symptom is one of the most common symptoms of narcolepsy. You may feel sleepy without warning. You may fall asleep for only a few seconds or a few minutes throughout the day. You may find it difficult to concentrate or you may feel like you’re in a brain fog right before your narcoleptic attacks.

You may also experience sleep paralysis, in which you are unable to move or talk for a few seconds before falling asleep or when first waking up. Even though your body may still be in REM sleep, you will still know that you are awake but unable to move or speak. This can often be unnerving to some and may cause them to come into our office for help.

Narcoleptics may also have trouble sleeping at night. While they are prone to sudden sleep sessions during the day, this can lead to interrupted sleep at night. As a result, you may suffer from insomnia or find yourself waking up several times a night.

What are my treatment options?

Even though there is no cure for narcolepsy, your symptoms can easily be managed through lifestyle changes and medications. Our Portland and Astoria, OR, sleep specialists may prescribe stimulants or antidepressants. Certain lifestyle modifications include:

  • Staying away from caffeine or alcohol a few hours before bedtime
  • Maintaining the same sleep schedule every night
  • Getting regular physical activity
  • Taking small naps during the day, as needed
  • Finding a support group

Pacific Sleep Program is helping those in Portland and Astoria, OR, get a better night’s sleep. Isn’t it time you got the quality, restorative sleep you’ve been looking for? We are here to help.

By Pacific Sleep Program
June 14, 2017
Category: Services
Tags: sleep problems  

If you're having trouble sleeping, you may be surprised to learn that you're not alone. According to the Center for Disease Control and sleep problemsPrevention, approximately 50-70 million American adults have sleep troubles for various reasons and the CDC has even labeled this a “public health problem.” Explore the various reasons why you may find it hard to fall asleep and how it can be resolved with the help of sleep medicine from the doctors at Pacific Sleep Program in Portland and Astoria, OR.

Are You Finding It Difficult to Sleep?
Some people sit up all night unable to nod off at all while others are completely unaware that they're not getting proper sleep. Here are a few signs that you're experiencing a sleep problem:

- You’re tired when you wake up, even after a long stretch of sleeping
- You’re unable to concentrate on your work or school assignments during the day
- You frequently nod off during waking hours
- Loud persistent snoring

Common Sleep Problems and Causes
You need sleep to function normally throughout your day. Many sleep-deprived patients would experience a significant increase in productivity if they addressed the core of the problem. If you are diagnosed with a sleep problem, these are some of the most common causes:

- Sleep apnea (an obstruction of the air passageways when sleeping that causes snoring)
- Narcolepsy (a neurological problem)
- Restless legs syndrome (tingling or itching in the legs that makes it hard to stay still in bed)
- UARS (Upper Airway Resistance Syndrome)
- Too much stress and worrying
- Lifestyle and diet (eating too late at night or consuming too much caffeine)

Sleep Treatments 
Revolutionary treatments are available at Pacific Sleep Program in Portland and Astoria that can help you get the sleep your body needs every night. Here are a few solutions to explore with your doctor:

- Sleep position therapy
- Nasal devices or surgeries
- Dental devices for sleep apnea
- Medication to help you get proper rest at night

Explore Sleep Solutions
If you are having a problem getting a good night’s rest, find out more about sleep medicine at Pacific Sleep Program in Portland and Astoria, OR. Call (503) 325-3126 today to schedule an appointment at the Astoria office or (503) 228-4414 for the Portland office.

By Pacific Sleep Program
June 01, 2017
Category: Health
Tags: cpap  

Learn more about how CPAP works to manage your sleep apnea symptoms and help you sleep better.cpap

Do you suffer from obstructive sleep apnea? Have you been diagnosed by one of our Portland, OR, sleep medicine specialists Dr. Gerald Rich, Dr. Radhika Breaden or Dr. Gregory Clark? If so, then you may be wondering how to manage your condition to reduce symptoms and to get a better night’s sleep. In most cases, CPAP therapy can help.

What is CPAP therapy?

CPAP, which stands for continuous positive airway pressure, is a machine that directs continuous airflow and pressure into the throat to prevent the airways from collapsing. CPAP offers different mask styles and sizes to cater to people’s individual needs. Our Portland, OR, sleep doctor can help you choose the facemask that will provide you with the results you need to sleep better.

How does it work?

Once we have conducted a sleep study to determine that you have obstructive sleep apnea, the next step is to make sure that CPAP is the best treatment option. It does tend to be the most common treatment used for relieving sleep apnea symptoms.

In most cases, patients will need to come back in for a follow-up to ensure that the CPAP machine is providing them with the proper treatment they need. It’s also important for us to calibrate the machine’s air pressure to make sure that your airways are remaining open while you sleep.

Once we have provided you with CPAP equipment, it’s important that you use it every night. Even if you feel great and aren’t experiencing symptoms such as daytime exhaustion this doesn’t mean you should stop using it. There is no cure for sleep apnea, but CPAP can help eliminate loud snoring and prevent obstructions in breathing. Plus, it can reduce your risk of developing other health issues such as heart disease and high blood pressure, which are conditions often linked to those with untreated sleep apnea.

Pacific Sleep Program in Portland, OR, is ready to help you get your sleep apnea under control. Whether you’ve already been diagnosed or you are experiencing symptoms of sleep apnea, give us a call today to schedule an appointment with us and find out how we can help.

By Pacific Sleep Program
March 16, 2017
Category: Health
Tags: sleep apnea  

At Pacific Sleep Program in Portland, OR, our physicians know that a good night's sleep is key to productivity and comfort. That's why Dr. sleep apneaJennifer Kim, Dr. Radhika Breaden and Dr. Gregory Clark as well as our affiliated clinicians Debra White NP and Dori Macdonald PA strive to help their patients discover the root of their sleep issues and help them correct the problem. Many people who visit Pacific Sleep Program suffer from sleep apnea. We discuss the basics of this common sleep disorder here.

What is sleep apnea?

Sleep apnea is a breathing disorder that causes pauses in breathing. Obstructive Sleep Apnea (OSA), in which the muscles at the back of the throat collapse during sleep, is the most common type of sleep apnea and is often linked to weight problems, hypertension, heart problems such as atrial fibrillation and other common problems such as GERD (gastroesophageal reflux disease) and chronic headaches. Failure to diagnose and treat obstructive sleep apnea can lead to problems with weight regulation, high blood pressure, diabetes and complications such as heart attacks and strokes. 

How do I know if I have sleep apnea?

Many patients who visit their Portland sleep specialist with concerns of sleep apnea are first alerted to their condition by their sleeping partner, who either notices the significant lapse in breathing or the loud snoring or gasping that follows the long pause. Otherwise, sleep apnea may go undetected unless the person visits their primary care physician for one or more of its common symptoms: excessive daytime sleepiness, morning headaches or dry mouth.

How is sleep apnea treated?

There are a variety of treatments offered at Pacific Sleep Program in Portland that can help lessen the effects of sleep apnea. For some patients, positional devices which ensure a patient sleeps on the sides rather than on the back, can help. Wearing a mask that creates gentle pressurized air (CPAP) during sleep can be very helpful for many people. Surgery to correct anatomical problems in the nose or throat may also correct the problem. Wearing oral appliances, or mouthpieces, during sleep can be effective as well. 

If you think you might be dealing with sleep apnea, don't hesitate to contact Pacific Sleep Program in Portland, OR. Our physicians want to help you sleep better and live life to the fullest!





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