My Blog
By Pacific Sleep Program
November 30, 2018
Category: Sleep Apnea
Tags: sleep apnea   Lack of Sleep  

Do you need help from your Portland and Astoria, OR, doctor when it comes to sleep medicine?

Sleep ApneaSleep apnea is a sleep-related breathing disorder that affects a person's respiratory airflow. The airflow is interrupted when soft tissue, like the tongue, collapse in the back of your throat while you're asleep, causing a partially closed windpipe. The soft tissue vibrates resulting in snoring.

More About Sleep Apnea

Some interesting facts about sleep apnea are that 12.5 percent of people suffer from a sleep disorder. Sleep apnea may also lead to erectile dysfunction and increase risks of heart attacks, high blood pressure and strokes.

Not getting the sleep you need can be linked to many diseases, which is why it's important to contact your Portland and Astoria sleep medicine physicians.

Obstructive Sleep Apnea occurs when the upper airway is blocked and significant airflow disruption occurs, complete blockage of airflow may result as well.

Someone suffering from sleep apnea may wake up several times a night. These awakenings are called micro-arousals and prevent deep and restful sleep.

Lack of Sleep

There are many diseases that are linked to a lack of sleep, so make sure you ask your Portland and Astoria doctor about how he can help you cope with or treat certain your sleep apnea. The leading sleep apnea treatment is a CPAP (continuous positive airway pressure) machine which blows a gentle stream of air into the airway to keep it open. Your doctor also provides an oral appliance that you wear while you sleep. This helps reposition the jaw and tongue so that there is no obstruction of the airway while you sleep and decreases the effects of sleep apnea.

If you have any questions or concerns regarding your health and would like to know if you are suffering from sleep apnea, then it's a good idea to contact your Portland and Astoria, OR, sleep medicine specialists Dr. Gerald Rich, Dr. Radhika Breaden and Dr. Gregory Clark today!

By Pacific Sleep Program
November 16, 2018
Category: Sleep Apnea
Tags: sleep apnea  

According to the National Heart, Lung, and Blood Institute, sleep apnea is a fairly common sleep disorder that affects millions of adults and children in the United States. Because the condition often goes diagnosed, many people are unaware that they are having problems with their breathing while they sleep. There are three types of sleep apnea: obstructive, central, and complex (a combination of obstructive and central). If left untreated, sleep apnea can disrupt quality of life and increase the risk of potentially serious health problems. The sleep medicine doctors at Pacific Sleep Program in Astoria and Portland, OR, offer testing and treatment plans a number of sleep disorders.

Sleep Medicine Programs in Astoria and Portland, OR

Sleep apnea causes momentary pauses in breathing throughout the night while a person sleeps. Many people with sleep apnea are unaware that their breathing is being interrupted until someone witnesses it. The main symptoms are loud and chronic snoring, but the lack of oxygen caused by irregular breathing causes a number of additional symptoms and potential health problems such as:

  • Daytime exhaustion and fatigue, even after a "full" night's sleep
  • Difficulty concentrating and focusing
  • Memory problems
  • Irritability
  • Dry mouth
  • Headaches

Possible complications include:

  • Cognitive problems/decreased motor skills
  • High blood pressure
  • Cardiovascular problems
  • Complications during pregnancy

Anyone can develop sleep apnea, but there are a few factors that can potentially increase the risk such as obesity, large tonsils, endocrine issues, neuromuscular problems, and lifestyle issues like smoking or alcohol consumption.

Obstructive sleep apnea is the most common type and occurs when the muscles in the throat relax during sleep and block the airway. Central sleep apnea is much less common and results when the brain's signals to the muscles that control breathing malfunction. There are a number of different treatment options including lifestyle modifications and breathing devices that help keep the airway open during sleep.

Find a Sleep Medicine Doctor in Astoria and Portland, OR

For more information about the symptoms and treatment options for sleep apnea and other sleep disorders, contact the Pacific Sleep Program to schedule an appointment with one of our sleep medicine doctors and specialists by calling 503-325-4933 in Astoria or 503-228-4414 in Portland.

By Pacific Sleep Program
November 16, 2018
Category: Health

Find out why your feet feel so restless at night and what you can do about it.

Restless leg syndrome (RLS) is a condition that causes sensations within the legs that make you feel the urge to move. These symptoms most often appear in the afternoon and evening hours when you are sitting down or lying in bed. Unfortunately, a lot of people with RLS find that they can’t get the proper sleep that they need because these unpleasant sensations in their legs are keeping them up or causing them to toss and turn. If this sounds like you, our Portland and Astoria, OR, sleep medicine specialists Dr. Gerald Rich, Dr. Radhika Breaden and Dr. Gregory Clark are here to help.

What are the symptoms of restless leg syndrome?

As we mentioned above, there are sensations within the legs that make it difficult to sit still. These sensations can range from a creeping, crawling feeling to a feeling of “pins and needles”. Lying down will usually exacerbate these symptoms and it may cause sleep disturbances throughout the night.

What causes restless leg syndrome?

While restless leg syndrome can affect anyone, it’s more common in women than men. While there is still a lot that we do not know about this condition it is believed that genetics plays a role in who develops restless leg syndrome. After all, the majority of those with RLS have a family member who also has this same condition.

Of course, there are certain factors that can make RLS symptoms worse such as:

  • Chronic health problems (e.g. diabetes; peripheral neuropathy)
  • Certain medications (e.g. antidepressants; anti-nausea medication)
  • Pregnancy

Alcohol and lack of sleep are other factors that can also aggravate your RLS symptoms.

What are my treatment options if I have restless leg syndrome?

Since there isn’t a treatment available to get rid of restless leg syndrome, our goal as your Portland, OR, sleep doctor is to determine the best ways to reduce the severity and frequency of your symptoms. This can often be managed through:

Medication: Anti-seizure medications are becoming the most common medication prescribed to those with RLS and it can be effective for handling moderate-to-severe cases.

Lifestyle changes: You may find some relief from your symptoms once you avoid or limit the use of nicotine, caffeine or alcohol. It’s also important to get regular exercise to boost blood flow to the legs. You may also massage your legs everyday or take a warm bath to ease symptoms.

Here at Pacific Sleep Program in Portland and Astoria, OR, we are dedicated to making sure that you get the quality sleep you deserve. No matter whether you have been diagnosed with restless leg syndrome or you think you might have this condition, it’s the perfect time to turn to our sleep doctors for the answers you’re looking for.

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.





This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.