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Sleep Florida Sleep Solutions, Ocala, Florida

Ocala, Florida Sleep

Ocala, Florida Sleep

Florida Sleep Solutions

Florida Sleep Solutions, located in Ocala, Florida , is a comprehensive clinical facility diagnosing and treating the full spectrum of sleep/wake disorders. Our center for Sleep Disorders Services of Ocala is a state-of-the art facility that is designed to meet our important goal of providing the highest standard of medical care in a comfortable environment for the patients. 

The sleep clinic can provide all necessary diagnosis and medical care for all sleep problems such as insomnia, sleeplessness, snoring, parasomnia, PLMD, restless leg syndrome etc. The Sleep Center is one of the few sleep medicine programs in the Central Florida region accredited by the American Academy of Sleep Medicine. In order to maintain the AASM accreditation, we must continually demonstrate performance that meets or exceeds the highest level of performance standards.

GOT Congestion?

(09/16/2015) One of the most difficult things to deal with when trying to obtain a good nights sleep is nasal congestion. Moreover, if you are a CPAP user, congestion can create a world of troubles. There are many nasal decongestant products on the market, some stimulate you when your trying to relax, others, like nasal sprays, can lead to horrible rebound congestion. I have always been a fan of natural medicines and would prefer a natural remedy, rather than ingesting a synthetically created product, even if our FDA says its safe (because they have never been wrong before...). The only issues with natural products is they sometimes take a little longer than I would like to work. I recently was introduced to a product called Respigard, created by Natures Nurse, using red mangroves. These mangroves have survived some harsh living environments and have developed some neat characteristics. A study conducting with Dr. Carroll (Largest Asthma Institute in US) in Atlanta found that 79% of his participants had most or all of their cold symptoms (including congestion) cleared up within 24-48 hours. That's as fast, if not faster, than most cold medicines. Nevertheless, I carried a bit of skepticism.  I acquired a bottle of Respigard and was pleasantly surprised and amazed that it actually works. I suffer from horrible congestion, and as a CPAP user, have always had to breathe through my mouth. With CPAP therapy, this causes a lot of dryness, which leads to discomfort and eventually, deep rooted dislike for my CPAP therapy. However, since I have been taking this product, it has helped me enormously. I currently give it to my daughter, whose 3, for all those pre-school bugs she likes to bring home. And by the way,....it actually taste good.So consider this an endorsement and I intend on sharing this information with all our patients who have to use CPAP or who suffer from congestion. If you would like more information about this product, visit www.naturesnurse.com. I will currently work to see if we can distribute and you will be able to purchase from this website.

Periodic Limb Movement Disorder

(08/15/2015) What is periodic limb movement disorder (PLMD)?Periodic limb movement disorder (PLMD) is a condition that was formerly called sleep myoclonus or nocturnal myoclonus. It 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.The limb movements occur most frequently in light non-REM sleep. The repetitive movements are separated by fairly regular intervals of 5 to 90 seconds. There can be significant night-to-night variability to the frequency of limb movements.What causes PLMD?The exact cause of PLMD is unknown. However, several medications are known to make PLMD worse. These medications include some antidepressants, antihistamines, and some antipsychotics.Many individuals have periodic limb movements in sleep (PLMS). This is observed in about 80 percent of patients with restless legs syndrome (RLS). PLMS can occur in over 30 percent of people aged 65 and older and can be asymptomatic. PLMS are very common in patients with narcolepsy and REM behavior disorder, and may be seen in patients with obstructive sleep apnea and during PAP therapy initiation..True PLMD -- the diagnosis of which requires periodic limb movements in sleep that disrupt sleep and are not accounted for by another primary sleep disorder including RLS -- is uncommon.What are some of the symptoms of PLMD?Most patients are actually not aware of the involuntary limb movements. The limb jerks are more often reported by bed partners. Patients experience frequent awakenings from sleep, non-restorative sleep, daytime fatigue, and/or daytime sleepiness.How do I know if I have PLMD?The diagnosis is based on the clinical history as well as an overnight polysomnogram (PSG). This is a test that records sleep and the bioelectrical signals coming from the body during sleep. A thorough neurological examination should be performed. Respiratory monitoring during the PSG allows one to rule out the presence of sleep disordered breathing as a cause for the disrupted sleep and excessive muscle activity. Occasionally, additional sleep laboratory testing is useful. Blood work may be ordered to check on iron, folic acid, vitamin B12, thyroid function, and magnesium levels.Who gets PLMD?PLMD has been less extensively studied than RLS. The exact prevalence is unknown. It can occur at any age; however, the prevalence does increase with increasing age. Unlike RLS, PLMD does not appear to be related to gender.As with RLS, some medical conditions are associated with PLMD. These include uremia, diabetes, iron deficiency, OSA, and spinal cord injury.How is PLMD treated?First, certain products and medications should be avoided. Caffeine often intensifies PLMD symptoms. Caffeine-containing products such as chocolate, coffee, tea, and soft drinks should be avoided. Also, many antidepressants can cause a worsening of PLMD in many patients and should be reviewed, discussed and replaced by your doctor.Generally, there are several classes of drugs that are used to treat PLMD. These include dopamine agonist, anticonvulsant medications, benzodiazepines, and narcotics. Current treatment recommendations consider the dopamine agonist as a first line of defense. Medical treatment of PLMD often significantly reduces or eliminates the symptoms of these disorders. There is no cure for PLMD and medical treatment must be continued to provide relief.ReferencesAmerican Sleep Association. Periodic Leg Movements During Sleep: PLMS/PLMD. www.sleepassociation.org. Accessed 11/13/2012. National Heart Lung and Blood Institute. National Center on Sleep Disorders Research. Section 5: Sleep Disorders: Restless Legs Syndrome/Periodic Limb Movement Disorder. www.nhlbi.nih.gov. Accessed 11/13/2012. Clark CP, Moore PJ, Gillin JC. Chapter 27. Sleep Disorders. In: Ebert MH, Loosen PT, Nurcombe B, Leckman JF, eds. CURRENT Diagnosis & Treatment: Psychiatry. 2nd ed. New York: McGraw-Hill; 2008. www.accessmedicine.com. Accessed 11/13/2012.

Athletes and Sleep Apnea Article

(07/30/2015) Athletes and Apnea: Finding the Common Link By Gina Roberts-Grey Obstructive sleep apnea affects as many as 22 million American men, women and kids, according to the American Sleep Apnea Association. And while certain risk factors such as smoking or having a family history of the disorder can increase the odds, a 2003 study published in The New England Journal of Medicine links being an athlete with sleep apnea. According to the study, pro football players in the United States are five times more likely to develop sleep apnea than their non-athletic counterparts. Those at the highest risk were linebackers and defensive players charged with stopping quarterbacks and rushers alike—34 percent of these athletes experience sleep apnea, the study noted. Not only can sleep apnea—which can leave sufferers feeling fatigued or sleep-deprived—impact sleeping quality, the study noted it also can wreak havoc on the gridiron. Players with sleep apnea had lower reaction time of as much as 11 percent, according to the study. A separate study conducted at the Douai Memorial Hospital in Tokyo, says many Sumo wrestlers also suffer from sleep apnea. So what’s the link between sleep apnea and typically healthy athletes? Athletes may be in peak physical condition, but having a “thick” neck—something that comes with excessive weightlifting as well as carrying the extra pounds needed to push people around the football field—is one of the risk factors for sleep apnea, according to the National Heart, Lung, and Blood Institute. That’s because the National Institutes of Health says all the extra tissue (muscle or fat) on the neck can thicken the wall of the windpipe, making it harder for the airway to stay open when the body is relaxed. Like football players, wrestlers and other muscular athletes who carry extra weight are at risk for health concerns related to sleep apnea, including high blood pressure, stroke and other life-threatening issues. Many athletes are affected—Upon his retirement from the NBA, basketball great Shaquille O’Neal announced via a YouTube video that he had been diagnosed with sleep apnea. Death can be a consequence–Sleep apnea was listed as a contributing cause of the 2004 death of Reggie White, a former NFL defensive end. His widow has since founded the Reggie White Sleep Disorders Foundation to educate the public about sleep apnea and other sleep disorders. A sleep expert can diagnose and develop a plan to treat obstructive sleep apnea, increasing the odds an affected athlete can get a good night’s sleep and stay healthy off the field.

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