My Blog
By Pacific Sleep Program
August 20, 2018
Category: Health
Tags: Narcolepsy  

Narcolepsy affects up to 200,000 Americans according to the National Institute of Neurological Disorders and Stroke. It is a neurological narcolepsycondition that prevents many people from living normal lives. It’s difficult for patients to conduct daily work, social, or personal activities when they’re prone to falling asleep at inopportune moments. A doctor at Pacific Sleep Program in Astoria and Portland, OR, can assist you with your case of narcolepsy.

What Is Narcolepsy?
Narcolepsy is a chronic sleep disorder that causes patients to fall asleep throughout the day—sometimes without even knowing it. The symptoms often start in childhood and the cause of this neurological problem isn’t clear. It could be related to an issue with the immune system or a brain injury. This may be a challenging and possibly dangerous condition to manage because the patient could fall asleep while working or when driving a car. 

Narcolepsy Symptoms
Besides the obvious symptom of narcolepsy of excessive daytime sleepiness, there are a few other symptoms that may lead to a diagnosis of narcolepsy. Talk to your sleep doctor if you have any of these issues:

- A desire to take frequent naps throughout the day.
- Muscle weakness (cataplexy) with laughter or strong emotion. 
- Sleep paralysis (inability to move or wake up) 

- Seeing visions or hearing sounds as you are falling asleep or waking up (hypnagogic or hypnopompic hallucinations)
- Fragmented or poor quality sleep during the night. 
- Microsleep episodes (performing automatic actions or being on "autopiilot" without being consciously aware).

Treating Patients with Narcolepsy in Astoria and Portland
Narcolepsy can be treated by a sleep specialist at the Pacific Sleep Program and requires specific testing. Talk to your doctor about the appropriate testing for you. 

Possible treatment options include:

- Medication to stimulate the nervous system and make you more alert throughout the day.
- Antidepressants.
- Nighttime sedative.
- Taking scheduled naps throughout the day and committing to going to bed at the same time every night.

Getting Back to Normal
A sleep doctor at Pacific Sleep Program in Astoria and Portland, OR, can help you get back to a normal routine if you struggle with narcolepsy. Call (503) 325-3126 or (503) 228-4414 today to schedule a consultation with Dr. Radhika Breaden, Dr. Jennifer Kim, Debra White NP or Mariah Franclemont, PA. 

By Pacific Sleep Program
June 18, 2018
Category: Health
Tags: snoring  

Have loved ones told you that you snore---loudly and constantly? Snoring is more than a nuisance noise. When it becomes chronic, it snoringimpacts interpersonal relationships and overall health. At Pacific Sleep Program in Portland and Astoria, OR, Dr. Gerald Rich, Dr. Gregory Clark, Dr. Jennifer Kim, and Dr. Radhika Breaden provide sleep medicine solutions for chronic snoring and other sleep disorders such as insomnia and Restless Leg Syndrome. Don't ignore snoring, but let the experts help you control it for better health.

Why people snore

We all do occasionally when we have congested nasal passages because of a cold or allergies. Maybe the bedroom air is too dry, or we fall asleep exhausted after a hard day and just stay in an open-mouth position.

However, persistently loud, all-through-the-night snoring is abnormal, and the National Sleep Foundation links it to problems such as:

  • Daytime sleepiness
  • Irritability and depression
  • Poor focus and memory
  • Weight gain
  • Sexual dysfunction
  • Headaches
  • Systemic diseases such as diabetes and cardiovascular disease

The National Sleep Foundation also reports that 90 million Americans snore. What can be done about this potentially serious health issue?

Diagnosis and treatment

At the Pacific Sleep Program in Portland and Astoria, our team of highly-trained experts uncovers the causes of snoring and other sleep disorders. Using information from a patient's primary care physician and results from state-of-the-art testing performed in-office our doctors craft individualized sleep medicine care plans to help patients achieve rest and optimal health.

Specifically, the doctors test patients with polysomnography, or tailor-made sleep studies which measure heart rate, blood pressure, respiration, muscular movements, sleep/wake cycles, and other factors. These diagnostics help the doctors pinpoint sleep disorders such as:

  • Restless Leg Syndrome (RLS)
  • Insomnia
  • Upper Airway Resistance Syndrome (UARS)
  • Central and Obstructive Sleep Apnea (CSA and OSA)

Chronic snoring can be related to UARS, CSA, and OSA. Upper Airway Resistance Syndrome is the most benign of these three sleep disorders because while the airway constricts breathing during sleep, breathing typically does not stop. Sleep apnea, however, does involve breathing cessation-related to airway obstruction or poor communication between the brain and the respiratory system.

Through a carefully selected and monitored sleep study, your doctor at Pacific Sleep Program can determine if you have one of these sleep problems. Treatment varies and usually includes lifestyle changes such as:

  • Losing weight
  • Avoiding food before bedtime
  • Limiting alcohol
  • Sleeping on one side rather than on the back
  • Having a set bedtime routine
  • Elimination of computers, cell phones, and television from the bedroom environment

Medical intervention for sleep apnea and upper airway resistance may include a PAP machine, a bedside apparatus which delivers a steady stream of air through the airway to keep it open. Serious cases may warrant surgery to modify the soft tissues at the back of the throat.

Do you snore?

Don't ignore this problem. Seek help with the team at Pacific Sleep Program. Phone today for an appointment. In Astoria call (503) 325-3126, or in Portland call (503) 228-4414.

By Pacific Sleep Program
May 01, 2018
Category: Health
Tags: sleep specialist  

Having trouble getting enough sleep? It’s time to turn to a professional.sleep apnea

We can’t always have perfect sleep all the time. Perhaps it was the second glass of wine, or your little one developed a fever in the middle night or your partner was snoring like a freight train. Instances like this happen all the time and can contribute to poor sleep; however, when you are battling with sleeping night after night, it might be time to turn to our Portland and Astoria, Oregon, sleep medicine specialists Dr. Gerald Rich, Dr. Radhika Breaden, and Dr. Gregory Clark for some answers.

If you are dealing with any of these issues then it might be time to turn to our sleep medicine specialists in Portland and Astoria, OR, for help:

  • You feel exhausted throughout the day even though you got enough sleep
  • You toss and turn throughout the night
  • You have difficulty falling asleep
  • You wake up early in the morning and have difficulty falling back to sleep
  • You snore or your partner complains about your loud or persistent snoring
  • You experience restlessness or twitching in your legs at night

If you said yes to one or more of these statements then you could be dealing with a sleep disorder. It’s important that you get an evaluation as soon as possible.

Why should you seek medical attention?

A lot of people find excuses for why they are experiencing bad sleep, but if this is a regular occurrence it’s time to get to the bottom of this, and you’ll need a sleep medicine specialist to help. Even if you don’t think poor sleep is really that big of a deal, conditions that have been linked to untreated sleep disorders include:

  • Heart disease
  • Hypertension (high blood pressure)
  • Obesity
  • Extreme fatigue
  • Excessive daytime sleepiness
  • Diabetes
  • Stroke
  • Heart attack
  • Morning headaches and migraines

It can also take a toll on your mental state, increasing your chances of depression, anxiety, irritability, and the like. You may also find that your work or school performance is suffering because you have trouble concentrating.

Don’t lose another night to bad sleep. Pacific Sleep Program has offices in Portland and Astoria, OR, to provide you with the quality care you need to catch those elusive ZZZ's. Schedule an appointment with us today.

By Pacific Sleep Program
April 11, 2018
Category: Health
Tags: Insomnia  

What your doctors in Portland, Oregon want you to know.insomnia

If you are unable to get to sleep night after night, it could be a sign you have insomnia, which can lead to serious medical issues. Your doctors at Pacific Sleep Program want to help. They have convenient office locations in Portland, and Astoria, Oregon to help you get a good night’s sleep.

So, what is insomnia? According to the National Sleep Foundation, insomnia is characterized by difficulty getting to sleep or difficulty staying asleep. Lack of proper sleep can cause you to:

  • Feel fatigued
  • Have low energy
  • Have problems concentrating
  • Have mood swings
  • Have performance issues

There are two types of insomnia, both based on how long the condition lasts:

Acute insomnia which happens only briefly and is usually caused by anxiety from a life event; this type of insomnia often goes away on its own without treatment.

Chronic insomnia which happens at least 3 nights during the week and lasts for at least 3 months; this type of insomnia is more complicated and can arise from various causes including changes in work schedule, environmental changes, medications, and medical disorders.

So, what can you do about insomnia? There are several simple tricks you can try at home to get a good night’s sleep, including:

  • Having the same bedtime and wake time every day
  • Staying active and exercising
  • Avoiding medications that can cause insomnia
  • Avoiding naps, and if you do take a nap, make it short
  • Avoiding smoking and nicotine products
  • Limiting consumption of caffeine and alcohol
  • Not eating large amounts of food before sleep

It’s also important to make your bedroom comfortable, without a television.

If your insomnia doesn’t get better with home remedies, it’s time to see your doctors at Pacific Sleep Program. They may recommend behavioral therapy, medications, and relaxation techniques to help you get to sleep. You don’t need to toss and turn every night when help is a phone call away. It’s time to call your doctors at Pacific Sleep Program, with offices in Portland, and Astoria, Oregon.

By Pacific Sleep Program
December 19, 2017
Category: Health

Could this sleep disorder be causing your restless sleep and daytime exhaustion?UARS

There are many issues and factors that can affect your quality of sleep. We all know how important sleep is and not getting the proper, restful sleep you need can be detrimental. If you find yourself dealing with insomnia, tossing and turning, or if you wake up exhausted then you could be dealing with upper airway resistance syndrome (UARS). Don’t know what UARS is? Don’t worry; our sleep specialists in Portland and Astoria, OR, are here to tell you more.

What is UARS?

This sleep disorder occurs when the airways constrict and affect the quality of your sleep. Those with UARS don’t often know that they have this condition but will often experience persistent bouts of insomnia and extreme daytime exhaustion. Those with UARS are also more likely to snore.

What causes this sleep disorder?

The causes of UARS are actually quite similar to obstructive sleep apnea. Those with UARS may have loose tissue in the back of the throat, which is prone to collapsing and blocking the airways while asleep. In other cases, the tongue rolls back and blocks the throat throughout the night.

How is UARS different from sleep apnea?

UARS and sleep apnea seem rather similar, so one question that our sleep doctor gets often is, “What makes UARS different from sleep apnea?” While sleep apnea causes pauses in breathing throughout the night this doesn’t occur in those with UARS. Those with UARS will only experience a reduction in breathing due to airway constrictions.

While sleep apnea is also more common in men than women, UARS occurs equally in both men and women. Even though most people assume that sleep apnea is more serious, it’s important that UARS symptoms don’t go ignored, as this condition can easily progress into obstructive sleep apnea.

How is UARS treated in Portland and Astoria?

UARS is often treated in the same way as obstructive sleep apnea through a mix of lifestyle modifications and CPAP and/or oral appliance therapy.

Lifestyle modifications: This includes everything from losing weight (if necessary), quitting smoking, avoiding alcohol and following good sleep habits.

Oral appliance: This custom dental appliance is used to either prevent the tissue in the throat from collapsing or the tongue from blocking the airways. It is worn at night and is custom-made to fit your mouth.

CPAP treatment: This is the most common sleep apnea treatment and can also be effective for treating symptoms of UARS. By wearing this mask over your nose and/or mouth at night this pressurized air helps keep the airways clear while you sleep.

Pacific Sleep Program is dedicated to providing comprehensive sleep medicine in both Astoria and Portland, OR. If you are experiencing symptoms of UARS then it’s time you called us today for an evaluation. We make it easier to enjoy a good night’s sleep.





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