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Sleep Disorder Center

 
Our facility is accredited by the American Academy of sleep medicine. Our center has private “hotel-like” bedrooms; our sophisticated control area utilizes the most state of the art technology to monitor your sleep.  A technologist is always available to assist you, our staff will do everything possible  to make you comfortable during your stay at our Sleep Center  as stay combines comfort
 
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How are we different than other clinics?

•    Personalized mask fitting
•    CPAP desensitization
•    Clinical follow-up by phone for every clinic patient
•    Regular tracking of adherence report and compliance
•    Personalized care for every patient's needs
•    Education
 
 
Directions
 
The Sleep Disorder Center is a two-part facility - one for appointments and one for the sleep study.  For appointments, report to the Cumberland Medical Plaza, 49 Cleveland St., Suite 200, Crossville, TN 38555. To schedule a sleep disorder consultation, call (931) 459-7249.
 
CLICK HERE to veiw location map.
 
 

Common Sleep Disorders
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Insomnia is a common sleep disorder. People who have insomnia have trouble falling asleep, staying asleep, or both. As a result, they may get too little sleep or have poor-quality sleep. They may not feel refreshed when they wake up. can be acute (short-term) or chronic (ongoing). Acute insomnia is common and often is brought on by situations such as stress at work, family pressures, or a traumatic event. Acute insomnia lasts for days or weeks.
 

Narcolepsy is a disorder that causes periods of extreme daytime sleepiness. The disorder also may cause muscle weakness.Most people who have narcolepsy have trouble sleeping at night. Some people who have the disorder fall asleep suddenly, even if they're in the middle of talking, eating, or another activity.
 
 
Obstructive Sleep Apnea: Obstructive sleep apnea , OSA is a sleep related breathing disorder that causes your  body to stop breathing during sleep.   OSA occurs when the tissue in the back of the throat collapses and blocks the airway. This keeps air from getting to the lungs. This is a very common sleep disorder. Blockage of the airway can happen a few times a night or several hundred times per night.
 
 
sdc-3Restless legs syndrome (RLS) is a disorder that causes a strong urge to move your legs. This urge to move often occurs with strange and unpleasant feelings in your legs. Moving your legs relieves the urge and the unpleasant feelings.People who have RLS describe the unpleasant feelings as creeping, crawling, pulling, itching, tingling, burning, aching, or electric shocks. Sometimes, these feelings also occur in the arms.The urge to move and unpleasant feelings happen when you are resting and inactive. Thus, they tend to be worse in the evening and at night.
 
 
Periodic limb movement disorder is described as repetitive limb movements that occur during sleep and cause sleep disruption. The limb movements usually involve the lower extremities, consisting of extension of the big toe and flexion of the ankle, the knee, and the hip. In some patients, the limb movements can occur in the upper extremities as well.
 

Common Procedures
 
PSG Studies (Baseline Diagnostic)
A PSG usually is done while you stay overnight at a sleep center. A PSG records brain activity, eye movements, heart rate, and blood pressure. A PSG also records the amount of oxygen in your blood, how much air is moving through your nose while you breathe, snoring, and chest movements. The chest movements show whether you're making an effort to breathe.
 
 
CPAP Studies (Apnea Treatment)
This is similar to the PSG sleep study in addition to the CPAP/Bi-level therapy this is a study used to set the right level of continuous positive airway pressure for a person who has a type of sleep disorder breathing and will receive therapy.  
 
 
SPLIT Stsdc-2udies (Diagnostic / Treatment)
During the first half of the night your sleep is assessed to determine whether you have sleep apnea and if so, the severity will be determined.  During the second half of the night, you may be asked to use a CPAP machine.  A technician will adjust the settings on the machine so the flow of air therapeutic  for your sleep disorder breathing.
 
 
MSLT Studies (Night / Day Diagnostic)
This daytime sleep study measures how sleepy you are. It's typically done the day after a PSG. The MSLT records whether you fall asleep during the test and what types and stages of sleep you're having. Sleep has two basic types: rapid eye movement (REM) and non-REM. Non-REM sleep has three distinct stages. REM sleep and the three stages of non-REM sleep occur in regular cycles throughout the night.  The types and stages of sleep you have during the day can help your doctor diagnose sleep disorders such as narcolepsy and idiopathic hypersomnia   .An MSLT is repeated four or five times throughout the day.  This is because your ability to fall asleep also changes throughout the day.
 
 
MWT Studies (Night / Day Diagnostic)
The Maintenance of Wakefulness Test (MWT) measures a person’s ability to stay awake in a quiet, dark and nonstimulating room for a period of time.  This test is usually given to a person receiving therapy for conditions causing daytime sleepiness which have been diagnosed i.e. sleep apnea.
 
 
 
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Highly Trained Staff

 
Dr. Lana Jeradeh Boursoulian, board certified in Psychiatry, Neurology, Clinical Physiology and Sleep Medicine, will provide the best necessary care for all your sleep needs. The center also has nationally credentialed registered sleep technologist.
 
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Form Download

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 - Physician Order/Referral Form
 
 

Frequently Asked Questions

 
1. I think I need a sleep study. What should I do?  

Visit your primary care doctor to discuss your sleep patterns and daytime alertness.  He or she can arrange a referral by calling (931) 459-7249. This will ensures that the proper testing will be done and all your questions will be answered before the sleep study. Our fax number is (931) 484-6235.
 

2. Will my insurance cover this?   

You may call us at  (931)459-7249 with questions. We can't answer specific questions about the amount of insurance coverage for your sleep testing. Contact your insurance company for questions about specific coverage amounts. Our fax number is (931-(484)-6235.
 

3. What time should I plan to arrive at the center for my study?

Patients are scheduled to arrive at 7 p.m. and leave around 6 a.m. the following day.  Please give us a call if you expect to be late.  
 

4. I need to cancel my scheduled study. How would I do that?

Your sleep testing slot has been specifically reserved for you. For the courtesy of all patients, if you must cancel, please call 48 hours before your appointment so we can offer your slot to another patient.  
 

5. Should I take my usual medicines before and during my sleep study?

Yes, unless your doctor tells you differently. Please bring any nighttime medicine you currently take. We can't supply medicine.
 
 
6. How should I prepare for my sleep study?

Please avoid caffeine after noon on the day of your study. Adults should not nap on the day of the study; Because we will be placing several sensors on your body, please ensure your hair is freshly washed and free of hair care products. If you wear makeup, you will be asked to remove it.  
 

7. Should I plan to eat dinner at the sleep lab?    

Please arrange to eat dinner before arriving at the sleep lab. We don't provide dinner. Breakfast and lunch are provided for day study patients. You may bring food and non-alcoholic beverages with you to the center.    
 
 
8. What should I bring to the sleep center?  

Please bring something comfortable for sleeping, such as a shirt and shorts, pajamas or a nightgown. Please bring a list of medicines you take. Bring anything you would need for an overnight stay:
 
• Toothbrush
• Cell phone
• Medicines
• Change of clothes
 
 
9. What is the testing procedure like?  

The purpose of a sleep study is to gather measurements during sleep (brain activity, EKG, breathing). To take these measurements, we use:
 
• Electrodes attached to the scalp (at the forehead, behind the ears, around the eyes and below the chin).  The wires are used to record sleep activity in the brain, eye movement and muscle tone.  The wires are attached using an adhesive paste and cotton.

• Electrodes attached to the chest and abdomen  record heart rate

• Electrodes attached to the legs just below the knees record leg and body movement

• Elastic bands around the chest and belly monitor respiration

• Nasal tubing, similar to oxygen tubing, is used to monitor nasal breathing


• A soft finger wrap is used to continually measure oxygen level.
 
 
10. What if I need help during the night?
 
The room is monitored for sound if you need assistance during the night. All you have to do is speak and the technologist can hear you.