Services and Facilities
Roman Medical Group is equipped with state-of-the-art technology and services to provide you and your family with the highest in quality and care.
Reception and Waiting Area
Roman Medical Group is dedicated to making you and your family feel welcome.
Our staff is here to make you feel comfortable and relaxed.
If you have any questions or concerns we are here to help you with accurate and friendly responses.
Our lobby offers patients comfortable seating, fresh spring water, refreshments, and free WI-FI.
Patients feel completely comfortable in their private exam rooms.
With an on-site x-ray machine, patients and their families can get their results faster than traditional clinics.
On-site ancillary services make your visit more convenient and takes less time than having to send out for test results.
Full Service Lab
Our full service lab offers stat test results available to our providers to faster access your needs. We are the only doctor’s office in town that has one week result turn around on all blood work.
The echocardiogram room provides faster and more comfortable care.
The Dexa Scan gives our patients the upper hand in determining early signs of Osteoporosis.
About Sleep Apnea
What is Sleep Apnea?
Sleep Apnea (from Greek, meaning "without breath") is one of the most common sleep disorders in which breathing stops and then restarts again recurrently during slumber.
Obstructive Sleep Apnea (OSA), occurs when the airway temporarily collapses during sleep, preventing or restricting breathing for up to ten seconds or more. OSA patients will commonly suffer from low oxygen levels in the blood, high blood pressure and an overall decrease in the quality of life due to daytime drowsiness and headaches. Breathing pauses can last from a few seconds to minutes. Such events can occur several hundred times a night severely disrupting sleep.
Typically, normal breathing then starts again, sometimes with a loud snort or choking sound. The term "sleep-disordered breathing" (SDB) includes a spectrum of respiratory disorders ranging in severity from snoring to OSA.
Sleep apnea usually is a chronic (ongoing) condition that disrupts your sleep 3 or more nights each week. You often move out of deep sleep and into light sleep when your breathing pauses or becomes shallow.
This results in poor sleep quality that makes you tired during the day. Sleep apnea is one of the leading causes of excessive daytime sleepiness.
Over 40 million Americans suffer from a sleep disorder, and 20 million suffer from OSA. Despite the high prevalence, 93% of women and 82% of men with moderate to severe OSA remain undiagnosed.
In a community-based study, men were found to be 2 times more likely than women to have OSA. However, men are 8 times more likely to be treated for OSA than women. This suggests that the symptoms of OSA in women are often attributed to other conditions, such as chronic fatigue syndrome, depression, and fibromyalgia.
Untreated OSA can severely affect quality of life, health and mortality. Clinical research shows that it is linked strongly to a range of serious, even life-threatening, chronic diseases such as stroke, heart failure, hypertension, diabetes, obesity and coronary heart disease. 70MM suffer sleep deprivation of which 40MM have a chronic disorder; 20 million OSA patients, only 5% of which have been diagnosed and treated The US OSA market is estimated at $2.5 Billion with an AGR of over 20% Currently, there is a greater than one month patient wait time for sleep lab evaluations. SDB affects around 20% of the adult population¹, making it as widespread as diabetes or asthma. However, awareness is low and we believe that about 90% of people who have OSA remain undiagnosed and untreated. Along with an increasing understanding of the morbidity and mortality caused by SDB, this discrepancy has created one of the fastest growing segments of the respiratory industry. Home Sleep Test
Home Sleep Test
This test is conducted at the home of the patient. This test is specifically designed to assist in the diagnosis of sleep disordered breathing, specifically Sleep Apnea. The test is convenient for the patient and many experts agree that testing the patients sleep in their normal home environment offers many advantages to the laboratory setting that is admittedly uncomfortable for the patient.
The process for this test is to have the primary care physician screen patients for sleep abnormalities during their routine visits. When abnormalities are found, the physician will dispense a take home device that they have available in their office. The patient will take the device home, wear it that evening while they sleep, and return it to the physician's office the next day. Results will be available usually within 24 hours. Based on the results, the physician can a) rule out OSA b) diagnose OSA and prescribe therapy or c) prescribe further testing or titration to be performed in a sleep laboratory using PSG. Prior to the home sleep test, only option 3 was available to primary care physicians at the expense and inconvenience of millions of patients.
Home Sleep Tests (HST) usually monitor anywhere from 4 to 9 channels of data for the physician. This will usually include heart rate, respiration, respiratory effort, snoring, actigraphy (head movement/position), and oximetry (amount of oxygen in the blood). Some HST are sophisticated enough to even include EEG, EOG, and EMG making it clinically comparable to a laboratory PSG.
Information provided by Watermark Medical
Summary of causes of Sleep Apnea
If you have obstructive sleep apnea, your airway can be blocked or narrowed during sleep because:
- Your throat muscles and tongue relax more than normal.
- Your tongue and tonsils (tissue masses in the back of your mouth) are large compared to the opening into your windpipe.
- You are overweight. The extra soft fat tissue can thicken the wall of the windpipe. This causes the inside opening to narrow and makes it harder to keep open.
- The shape of your head and neck (bony structure) may cause a smaller airway size in the mouth and throat area.
- The aging process limits the ability of brain signals to keep your throat muscles stiff during sleep. This makes it more likely that the airway will narrow or collapse.
Most Common Symptoms of Sleep Apnea (OSA)
- Loud snoring, which is usually more prominent in obstructive sleep apnea
- Morning headache
- Observed episodes of breathing cessation during sleep
- Abrupt awakenings accompanied by shortness of breath, which more likely indicates central sleep apnea
- Excessive daytime sleepiness (hypersomnia)
- Awakening with a dry mouth or sore throat
- Difficulty staying asleep (insomnia)
- Frequent trips to the bathroom (Nocturia)