Obstructive Sleep Apnea (OSA) is a very common sleep disorder with major clinical and social consequences, often neglected, under diagnosed and under treated.

OSA Questions to ask a bed partner or tape record:

1. Is there snoring, loudly or quietly, frequently or infrequently, and lying on the back or side?
2. Is there excessive daytime sleepiness?
3. Are there episodes during sleep when breathing stops?
4. Is there "dry" mouth upon waking?
5. Is there excessive urination at night?
6. Is there hypertension?
7. Is obesity a factor?
8. Is alcohol abuse a factor?

Facts:

· 80 to 90% of patients with OSA are undiagnosed
· When patients are diagnosed with OSA they have, on average, had OSA for 7 years, having seen a family practice physician 17 times, & a specialist 9 times.
· The gold standard for accurate diagnosis of OSA is a polysomnography exam.
· Patient prognosis improves when OSA is managed for stroke 70%, CAD 40% and hypertension 30%.

Clinical Findings related to OSA:

· Obesity
· Snoring
· Cardiovascular complications
· Renal Damage
· Cognitive dysfunction,
· Headaches
· Impotence
· Non-dipping blood pressure levels during sleep
· Increased blood pressure variability
· Diabetes

Treatment of OSA:

· Nonsurgical
· Weight Loss
· Continuous Positive Airway Pressure (CPAP) during sleep
· Position Therapy (avoiding the spine position) when sleeping
· Oral devices (while sleeping) keep mandible & tongue forward
· Surgical
· Surgical or laser excision or uvolopalatopharyngoplasty, or part of the soft palate above the tongue
· Surgical relief of nasal obstruction, tonsillectomy, adenoidectomy, mandibular-maxillary surgery and somnoplasty.

Financing:

· Most insurance covers OSA management
· Contact us in regards to your coverage

DIRECTIONS

San Jose (view map)
2520 Samaritan Drive #210 San Jose, CA 94624 Phone: 408-356-8900 FAX: 408-356-0974	From San Francisco: Take the S-101 S toward San Jose Merge onto CA-85 S via exit 398B to Cupertino/Santa Cruz Take the Bascom Ave exit to Los Gatos Blvd Turn right at S Bascom Ave/Los Gatos Blvd Turn left at Samaritan Dr From Fremont: Take the ramp onto I-880 S toward San Jose Continue on CA-17 S Take the CA-85 exit to Mountain View/Gilroy Take the left fork to CA-85 S/Gilroy and merge onto CA-85 S Take the Samaritan Dr exit to Union Ave Turn right at Samaritan Dr
Gilroy (view map)
9640 No Name Uno #220 Gilroy, CA 95020 Phone: 408-356-8900 FAX: 408-356-0974	From San Francisco: Take the US-101 S toward San Jose Take the Masten Ave exit Sharp left at Masten Ave Turn right at No Name Uno Turn left at Samaritan Dr From Fremont: Take the ramp onto I-880 S toward San Jose Merge onto US-101 S via exit 4B to Los Angeles Take the Masten Ave exit Sharp left at Masten Ave Turn right at No Name Uno

Therapeutic and Diagnostic Report

Example of a therapeutic and diagnostic report