Do you or someone close to you have a sleep problem?

This website is designed to help you understand sleep problems and how they are evaluated.

Obstructive Sleep Apnea was first identified by doctors in 1965

“Do every act of your life as if it were your last.” – Marcus Aurelius

Genetics, aging and weight are the primary causes of adult Obstructive Sleep Apnea – RGH

They succeed, because they think they can. – Virgil

Obstructive Sleep Apnea is estimated to occur in 25% of adults and 70% of 70 year olds – RGH

Advice is a dangerous gift, even from the wise to the wise, as all courses may run ill. – Gildor Inglorion

Obesity causes 8-10% of Obstructive Sleep Apnea – RGH

You have power over your mind, not outside events. Realize this and you will find strength.
– Aurelius

Obstructive Sleep Apnea is a major cause of hypertension, heart disease and strokes

“The fool doth think he is wise, but the wise man knows himself to be a fool” – William Shakespeare

Apnea is treated to improve symptoms and to decrease cardiovascular complications.

To Sleep, Perchance to dream

Positive airway pressure therapy is the gold standard for treatment of Obstructive Sleep Apnea.

Live as if you were to die tomorrow. Learn as if you were to live forever.”
– Mahatma Gandhi

CPAP mask selection rules are: It should be comfortable and only leak where it is designed to leak.

This time, like all times, is a very good one, if we but know what to do with it.
– Emerson

The Apnea Hypopnea Index (AHI) is the current standard for measuring apnea severity.

Progress begins with work on yourself and your appointed role in life. – Ueshibba

Insomnia is both a symptom and a condition

The words of truth are always paradoxical
– Loa Tzu

The most important time of sleep is the time you get up for your day.

I exist as I am, that is enough.
– Walt Whitman

Karl Ekbom named the condition ‘Restless Legs Syndrome’ in the 1945.

Iron deficiency is one cause of “Restless Legs Syndrome”

Narcolepsy is believed to be secondary to a deficiency of a brain neurotransmitter

Improving Sleep with Knowledge

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First Steps to Consider

Seeking an Evaluation

The traditional approach to evaluation involves a physician assessment, testing if deemed indicated and post test review and recommendations.  If a disorder of sleep were diagnosed, such as Obstructive Sleep Apnea, then long-term follow up would be needed.

Home Sleep Apnea Testing

Home sleep apnea testing is an overnight recording that you will carry out on your own. Home sleep apnea testing became available in 2005. It has been widely used in the field of sleep medicine since the government, through Medicare, accepted it as a diagnostic test for obstructive sleep apnea about six years later.

Selecting a Sleep Center

There is no accepted definition of a sleep center. In general, sleep center is a label applied to a business or a unit of a hospital that at a minimum provides testing for sleep disorders. A full service sleep center will include physicians practicing sleep medicine with patient care, including initial evaluations and long-term care, in addition to testing services.

Sleep Disorders

Difficulties during sleep vary from minor to life threatening. Often knowing basic information about the issues can help one understand how sleep physicians view the problems and decide what should be your next step. These pages are designed to give a basic understanding of sleep disorders. Remember, a little knowledge can be a dangerous thing. Always consult with your physician for proper personalized recommendations and care.


Sleep Movements


Excessive Daytime Sleepiness

Sleep Apnea / Breathing Problems


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‘Dear Winston’ (Sleep Blog)

Hypoglossal Nerve Stimulator

Hypoglossal Nerve Stimulator

Winston Yes, I am aware of the national TV ads for the hypoglossal nerve stimulator for Obstructive Sleep Apnea. Earlier this year I prepared an information sheet on the subject. I will add it to this letter. It is a second line therapy and works for a limited sub...

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What is the AHI (Apnea Hypopnea Index)

What is the AHI (Apnea Hypopnea Index)

Dear Winston It is inspiring to learn of your interest in sleep apnea.  I will be happy to do my best to simplify, clarify and muddy your understanding of the AHI.  AHI stands for Apnea Hypopnea Index. It is the standard for defining the presence...

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Wuhan Virus

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Winston July 3, 2020 Thank you for sharing your friend’s newspaper opinion piece on the current epidemic with me.  Congratulations to her on her writing success. She is very emotional in her response, which is not unexpected for a non-medical...

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A Right to Healthcare – Its not that Simple

A Right to Healthcare – Its not that Simple

Winston  Oct 29, 2022 Yes, I will try to answer your question. I understand your training has led you to believe that healthcare is a right. Why, you ask, did I pause before saying,  “It’s not that simple. But if it were, the answer would have to...

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Open Letter to Winston

Open Letter to Winston

Winston Yes, I received your note.  I apologize for my delay in setting this up.  Your idea to post these so you can keep track of them was a good one.  I will select a few of my past notes and post them here for you.   I found...

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