The core of CSI is our physician clinic. A thorough initial evaluation by a sleep specialist is critical to understanding your sleep problems. CSI’s fellowship-trained, board-certified sleep physicians and physician assistants have the highest level of training available to evaluate, diagnose, and treat all 60 internationally classified sleep disorders such as obstructive sleep apnea, insomnia, restless legs syndrome, parasomnias, narcolepsy, and circadian rhythm disorders.
Unlike the common scenario in which a sleep test is interpreted by a physician who does not know you, our providers will evaluate you prior to sleep testing and will meet with you thereafter to review your study results in detail.
All of our providers have devoted their practices exclusively to sleep disorders and will provide ongoing management of your sleep issues as needed.
During the physician clinic appointments you will receive:
- Thorough evaluation of your symptoms
- Personalized explanation of your test results
- Ongoing management of your sleep disorder as needed
- Education about sleep disorders
- Your questions answered
(See also CPAP | BiLevel | ASV Therapy)
Unlike equipment suppliers which do not provide medical oversight of sleep apnea, CSI manages a full-time CPAP Clinic staffed with experienced, registered sleep technologists who personally meet with you to address any problems you may have with CPAP therapy.
They perform hands-on, sleep-simulated mask-fitting sessions at the prescribed pressure, resulting in optimal mask fit and comfort. Our sleep physicians and technologists function as a cohesive team to provide support as you acclimate to therapy.
CSI uses a state-of-the art wireless home PAP monitoring system which provides automatic alerts to our staff about any issues such as elevated mask leak and emergence of central apneas on treatment (an important potential complication of PAP treatment at altitude). If alerted, our staff will contact you immediately and begin troubleshooting. For problems that cannot be resolved over the phone an appointment may be scheduled with the appropriate provider.
If you are having difficulty tolerating CPAP, this program is for you. Our team approach reaps considerable benefits: the adherence rate of PAP patients at CSI is historically >80%, which is roughly twice the national average.
During these appointments you will receive:
- CPAP device and mask education
- Sleep-simulated mask fitting
- Analysis of your CPAP adherence and efficacy data
- Progress reports routinely faxed to your physician
Oral Appliance Clinic
(See also oral appliances)
The clinical use of oral appliances (OAs) for the treatment of snoring and obstructive sleep apnea (OSA) has markedly increased along with scientific research showing its effectiveness. Unfortunately, most dentists providing this therapy are not properly trained in sleep medicine nor are they associated with a comprehensive sleep center. Our dental sleep medicine facility is the only AADSM-accredited (American Academy of Dental Sleep Medicine) oral appliance program in the state of Colorado. We are fortunate to have on our team, Dr. Lindsey Deol, Boulder County’s only Diplomate of the American Board of Dental Sleep Medicine.
To eliminate the disconnect between physician and dentist, CSI has incorporated the oral appliance clinic on site within our comprehensive sleep center, where dentist and sleep physician can work seamlessly as a team. During the dental clinic appointments you will receive:
- Oral Appliance device education & consultation
- Oral examination
- Panoramic x-ray (as necessary)
- Oral Appliance impression
- Oral Appliance customization & delivery
After you have received your oral appliance, the appropriate sleep study will be used to adjust the device for maximum effectiveness. Often, positional therapy will need to be used with the oral appliance for best results.
Insomnia affects more than 70 million Americans, but experienced professionals capable of treating insomnia without sleeping medications are sparse. Cognitive Behavioral Therapy for Insomnia (CBT-I) is not the same old “do’s and don’ts” of good sleep hygiene. Scientific research has proven that CBT-I programs can be more effective than medications for insomnia.
Our Cognitive Behavioral Therapy for Insomnia (CBT-I) program usually consists of 4 to 6 sessions with a trained insomnia specialist each lasting about an hour. We strongly recommend all patients who wish to participate in the CBT-I program to first have an evaluation with our sleep specialists to rule out other sleep disorders.