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Beatriz Elizabeth Carmona Toro, ARNP, FNP-BC, CNRN

 

Despues de terminar su Bachillerato de Enfermeria de UCF (Universityof Central Florida), empezo a trabajar en el campo de enfermeria en la unidad de neurología  en ORMC (Orlando Regional Medical Center). Mientras estudiaba para su Maestria en Practica de Enfermería en UCF obtuvo su certificacion como Enfermera Registrada de Neurociencia en 2009. En 2010 centró aún más su trabajo en neurología trabajando con varios neurólogos haciendo turnos en el hospital. Ella ha hablado localmente en temas de neurología inclullendo la Conferencia Anual del Corazón y Vascular en 2010.

Ella termino sus estudios en el area de Maestria Enfermera de familia en el otoño de 2010. En enero de 2011 se unió a la practica “Neurological Services of Orlando” con una concentración en medicina del sueño, además de neurología general. Con esfuerzos dirigidos a la educación de los demás ha hablado a grupos de pacientes y ha servido como preceptora a varios estudiantes.

 

 

 Leslie

SECRETARIA

 

Leslie ha estado trabajando en “Orlando Sleep Medicine Center” desde Diciembre 2015. Ella tiene varios años de experiencia en oficinas medicas. Ella Saluda a cada paciente cuando llegan a nuestra oficina y se encarga de el frente de la oficina.

 

 

 

 

 

 

Lynnette

 

SECRETARIA

Lynette empozo con nuestro equipo en  2017. Originalmente de New Jersey ella lleva varios años trabajando en oficinas medicas. Ella ayuda a nuestros pacientes nuevos con sus citas y tambien coordina algunos de nuestros estudios de sueño. Con frequencia has a hoir su voz cuando llamas a nuestra oficina.

 

 

 

 

 

 

     Bianca

ASISTENTE MEDICO

 

Bianca esta con nosotros desde Enero 2018. Ella se comunica con las companies de equipo para los pacientes que tienen maquinas de CPAP.

 

 

 

Summary: Positive — You are excessively sleepy by the answers you have given. Caffeine and naps are only a temporary solution, and you health can be negatively affected by low quality or quantity of sleep. See your primary care doctor or sleep medicine specialist about finding reasons for why you are sleepy, and the options you have (medical and non-medical) to help.

[—- PATIENT: print this referral form, complete the top section, and give to your physician.—- ]

Orlando Sleep Medicine Center
Navin Verma, MD Board Certified in Sleep Medicine
849 Oakwater Circle, Orlando FL, 32806
phone: (407) 704- 8537

Patient Name:___________________________________ Patient Date of Birth:_____________________

Parent/Guardian (if under 18):__________________________________ Relationship:____________________

Home Phone:______________________________ Work Phone:______________________________

[—- PROVIDER: complete this section, fax to 407-812-5869 —————————— ]

Services requested:
□ Comprehensive sleep medicine consult. Includes polysomnogram & treatment as necessary.
□ Sleep study only, we will send your office a sleep study report.

Special Instructions/Pertinent Medical History:_____________________________________________

Physician Name (printed):_____________________________________________

Physician Phone:________________________________ Fax:________________________________

Physician Signature (required):_____________________________________________

Summary: Positive — You are excessively sleepy by the answers you have given. Caffeine and naps are only a temporary solution, and you health can be negatively affected by low quality or quantity of sleep. See your primary care doctor or sleep medicine specialist about finding reasons for why you are sleepy, and the options you have (medical and non-medical) to help.

[—- PATIENT: print this referral form, complete the top section, and give to your physician.—- ]

Orlando Sleep Medicine Center
Navin Verma, MD Board Certified in Sleep Medicine
849 Oakwater Circle, Orlando FL, 32806
phone: (407) 704- 8537

Patient Name:___________________________________ Patient Date of Birth:_____________________

Parent/Guardian (if under 18):__________________________________ Relationship:____________________

Home Phone:______________________________ Work Phone:______________________________

[—- PROVIDER: complete this section, fax to 407-812-5869 —————————— ]

Services requested:
□ Comprehensive sleep medicine consult. Includes polysomnogram & treatment as necessary.
□ Sleep study only, we will send your office a sleep study report.

Special Instructions/Pertinent Medical History:_____________________________________________

Physician Name (printed):_____________________________________________

Physician Phone:________________________________ Fax:________________________________

Physician Signature (required):_____________________________________________

Summary: Mild — You do not seem to be excessively sleepy during the day, but this may not mean you do not have a sleep or medical disorder. Pay close attention to your sleep and how awake you feel during the day. If there are any changes, see your primary care doctor or sleep medicine specialist.

[—- PATIENT: print this referral form, complete the top section, and give to your physician.—- ]

Orlando Sleep Medicine Center
Navin Verma, MD Board Certified in Sleep Medicine
849 Oakwater Circle, Orlando FL, 32806
phone: (407) 704- 8537

Patient Name:___________________________________ Patient Date of Birth:_____________________

Parent/Guardian (if under 18):__________________________________ Relationship:____________________

Home Phone:______________________________ Work Phone:______________________________

[—- PROVIDER: complete this section, fax to 407-812-5869 —————————— ]

Services requested:
□ Comprehensive sleep medicine consult. Includes polysomnogram & treatment as necessary.
□ Sleep study only, we will send your office a sleep study report.

Special Instructions/Pertinent Medical History:_____________________________________________

Physician Name (printed):_____________________________________________

Physician Phone:________________________________ Fax:________________________________

Physician Signature (required):_____________________________________________

I authorize Washington Township Center for Sleep Disorders to perform services on the above patient according to clinical protocols approved by the medical director.

Summary: Mild — You do not seem to be excessively sleepy during the day, but this may not mean you do not have a sleep or medical disorder. Pay close attention to your sleep and how awake you feel during the day. If there are any changes, see your primary care doctor or sleep medicine specialist.

[—- PATIENT: print this referral form, complete the top section, and give to your physician.—- ]

Orlando Sleep Medicine Center
Navin Verma, MD Board Certified in Sleep Medicine
849 Oakwater Circle, Orlando FL, 32806
phone: (407) 704- 8537

Patient Name:___________________________________ Patient Date of Birth:_____________________

Parent/Guardian (if under 18):__________________________________ Relationship:____________________

Home Phone:______________________________ Work Phone:______________________________

[—- PROVIDER: complete this section, fax to 407-812-5869—————————— ]

Services requested:
□ Comprehensive sleep medicine consult. Includes polysomnogram & treatment as necessary.
□ Sleep study only, we will send your office a sleep study report.

Special Instructions/Pertinent Medical History:_____________________________________________

Physician Name (printed):_____________________________________________

Physician Phone:________________________________ Fax:________________________________

Physician Signature (required):_____________________________________________

I authorize ORLANDO SLEEP MEDICINE CENTER to perform services on the above patient according to clinical protocols approved by the medical director.

Sleep Studies

As you think about how you sleep, you may suspect that you have a sleep disorder. A sleep specialist can confirm if you have made the right conclusion. He or she can make a careful and detailed medical evaluation to find the source of your sleep problem. One of the best tools for detecting a sleep disorder is the overnight sleep study. Sensors are used to monitor many physical measurements, including your brain waves, heartbeats and breathing during sleep. Your sleep study provides doctors with the data that will help them find the cause of your sleep problem.

Overnight Sleep Study
This is called a polysomnogram. It is most often used to find out if someone has a sleep related breathing disorder including sleep apnea. It is also used to help detect or rule out a variety of other sleep disorders.

CPAP/BiPAP Study
This study is used to set the right air pressure for PAP(positive airway pressure) therapy in patients with sleep apnea.

Home Sleep Test
A home sleep test can detect obstructive sleep apnea in adults. It involves the use of a portable-monitoring system for you to use at home.

Maintenance of Wakefulness Test (MWT)
This sleep study is used to measure how alert you are during the day. It shows whether or not you are able to stay awake for a defined period of time.

Multiple Sleep Latency Test (MSLT)
This is called a Multiple Sleep Latency Test (MSLT). This is mainly used to in the diagnosis of narcolepsy. It charts how quickly you fall asleep during quiet daytime situations. It also measures how fast you enter the stage of REM sleep.

 http://yoursleep.aasmnet.org/Studies.aspx

Although there are many sleep centers in the area, we work primarily with Total Sleep Management. They offer private rooms, testing throughout the week and have several locations. You may have studies completed in a hospital or an independent diagnostic testing facility.

http://www.sleeptester.com/

Links and Resources

Estudios de Sueño

Al evaluar su sueño, usted puede sospechar que usted tiene un trastorno del sueño. Un especialista del sueño puede confirmar si ha realizado la conclusión correcta. Él o ella puede hacer una evaluación médica cuidadosa y detallada para encontrar la fuente de su problema de sueño. Una de las mejores herramientas para la detección de un trastorno del sueño es el estudio del sueño que ocurre durante la noche. Los sensores se utilizan para vigilar cómo su cuerpo actúa mientras duermes. Los gráficos se hace de muchas medidas físicas, incluyendo sus ondas cerebrales, los latidos del corazón y la respiración. Su estudio del sueño proporciona a los médicos con los datos que les ayuden a encontrar la causa de su problema de sueño.

Estudios de Sueño
Los médicos llaman a este estudio una polisomnografía. Se utiliza para ayudar a detectar una variedad de trastornos del sueño. Con mayor frecuencia se utiliza para determinar si una persona tiene un trastorno del sueño relacionado con la respiración. Este grupo de trastornos incluye la apnea del sueño.

Estudio de CPAP/BiPAP
Este estudio se utiliza para ajustar la presión de aire adecuada para la terapia CPAP en pacientes con apnea del sueño.

Estudio de sueño en casa
Una prueba de sueño en casa puede detectar la apnea obstructiva del sueño en adultos. Esto implica el uso de un sistema portátil de supervisión que es lo suficientemente pequeño para que usted pueda usar en casa.

Mantenimiento de la prueba de vigilia (MWT)
Este estudio del sueño se usa para medir el nivel de atención durante el día. Muestra si eres o no capaz de mantenerse despierto durante un periodo de tiempo definido.

Estudio de Siesta (MSLT)
Los médicos llaman a este estudio una prueba de latencia múltiple del sueño (MSLT). Esto se utiliza principalmente para saber si alguien tiene narcolepsia. Traza la rapidez con que se quedan dormidos durante situaciones tranquilas durante el día. También mide la rapidez con que entran en la etapa de sueño REM.

 http://yoursleep.aasmnet.org/Studies.aspx

Hay varios sitos donde se hacen estos estudios. Nosotros tratamos con Total Sleep Management la majoria de el tiempo. Ellos tienen cuartos privados y estan habiertos los siete dias a la semana.

http://www.sleeptester.com/

Links y Recursos

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Summary: Positive — You are in the highest risk group for obstructive sleep apnea based on your answers. Based on the results of your quiz answers and based on research studies related to this questionnaire, you have a 70{d505be4c556b7ec1c66cb211e58f5c59462cf18006fc380cb71dfa16028c37fb} chance of having obstructive sleep apnea. This condition needs to be addressed as it can cause or worsen many other medical conditions, such as hypertension, diabetes, sexual dysfunction, depression, poor growth, and symptom of ADHD. For a more thorough evaluation, please make an appointment with our office or share this with your primary care physician.

[—- PATIENT: print this referral form, complete the top section, and give to your physician.—- ]

Orlando Sleep Medicine Center
Navin Verma, MD Board Certified in Sleep Medicine
849 Oakwater Circle, Orlando FL, 32806
phone: (407) 704- 8537

Patient Name:___________________________________ Patient Date of Birth:_____________________

Home Phone:______________________________ Work Phone:______________________________

[—- PROVIDER: complete this section, fax to (407) 812-5869—————————— ]

Services requested:
□ Comprehensive sleep medicine consult. Includes polysomnogram & treatment as necessary.
□ Sleep study only, we will send your office a sleep study report.

Special Instructions/Pertinent Medical History:_____________________________________________

Physician Name (printed):_____________________________________________

Physician Phone:________________________________ Fax:________________________________

Physician Signature (required):_____________________________________________

I authorize ORLANDO SLEEP MEDICINE CENTER to perform services on the above patient according to clinical protocols approved by the medical director.

Sleep Medicine Referral Form:

Summary: Positive — You are in the highest risk group for obstructive sleep apnea based on your answers. Based on the results of your quiz answers and based on research studies related to this questionnaire, you have a 70{d505be4c556b7ec1c66cb211e58f5c59462cf18006fc380cb71dfa16028c37fb} chance of having obstructive sleep apnea. This condition needs to be addressed as it can cause or worsen many other medical conditions, such as hypertension, diabetes, sexual dysfunction, depression, poor growth, and symptom of ADHD. For a more thorough evaluation, please make an appointment with our office or share this with your primary care physician.

[—- PATIENT: print this referral form, complete the top section, and give to your physician.—- ]

Orlando Sleep Medicine Center
Navin Verma, MD Board Certified in Sleep Medicine
849 Oakwater Circle, Orlando FL, 32806
phone: (407) 704- 8537

Patient Name:___________________________________ Patient Date of Birth:_____________________

Home Phone:______________________________ Work Phone:______________________________

[—- PROVIDER: complete this section, fax to (407) 812-5869—————————— ]

Services requested:
□ Comprehensive sleep medicine consult. Includes polysomnogram & treatment as necessary.
□ Sleep study only, we will send your office a sleep study report.

Special Instructions/Pertinent Medical History:_____________________________________________

Physician Name (printed):_____________________________________________

Physician Phone:________________________________ Fax:________________________________

Physician Signature (required):_____________________________________________

I authorize XXXXXXXXXXXXXXXX to perform services on the above patient according to clinical protocols approved by the medical director.

Summary: Mild — Your answers suggest that there is a low probability of having obstructive sleep apnea (OSA) or sleep disordered breathing. This is a simple questionnaire that cannot and does not substitute for physician directed medical care and does not mean that sleep disorders have been ruled out in your case. For a more thorough evaluation, please see your primary care physician or make an appointment with our office.

[—- PATIENT: print this referral form, complete the top section, and give to your physician.—- ]

Orlando Sleep Medicine Center
Navin Verma, MD Board Certified in Sleep Medicine
849 Oakwater Circle, Orlando FL, 32806
phone: (407) 704- 8537

Patient Name:___________________________________ Patient Date of Birth:_____________________

Parent/Guardian (if under 18):__________________________________ Relationship:____________________

Home Phone:______________________________ Work Phone:______________________________

[—- PROVIDER: complete this section, fax to 407-812-5869 —————————— ]

Services requested:
□ Comprehensive sleep medicine consult. Includes polysomnogram & treatment as necessary.
□ Sleep study only, we will send your office a sleep study report.

Special Instructions/Pertinent Medical History:_____________________________________________

Physician Name (printed):_____________________________________________

Physician Phone:________________________________ Fax:________________________________

Physician Signature (required):_____________________________________________

Summary: Mild — Your answers suggest that there is a low probability of having obstructive sleep apnea (OSA) or sleep disordered breathing. This is a simple questionnaire that cannot and does not substitute for physician directed medical care and does not mean that sleep disorders have been ruled out in your case. For a more thorough evaluation, please see your primary care physician or make an appointment with our office.

[—- PATIENT:print this referral form, complete the top section, and give to your physician.—- ]

Orlando Sleep Medicine Center
Navin Verma, MD Board Certified in Sleep Medicine
849 Oakwater Circle, Orlando FL, 32806
phone: (407) 704- 8537

Patient Name:___________________________________ Patient Date of Birth:_____________________

Parent/Guardian (if under 18):__________________________________ Relationship:____________________

Home Phone:______________________________ Work Phone:______________________________

[—- PROVIDER: complete this section, fax to 407-812-5869 —————————— ]

Services requested:
□ Comprehensive sleep medicine consult. Includes polysomnogram & treatment as necessary.
□ Sleep study only, we will send your office a sleep study report.

Special Instructions/Pertinent Medical History:_____________________________________________

Physician Name (printed):_____________________________________________

Physician Phone:________________________________ Fax:________________________________

Physician Signature (required):_____________________________________________

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Dr. Navin Verma

Dr. Navin Verma graduated from the University of California at Berkeley in 1997 with an undergraduate degree in molecular and cell biology. During his undergraduate training, he was involved in basic science research at the University of California at San Francisco (UCSF) that resulted in publication. He earned his medical degree from Ross University in 2002. He completed his internship in internal medicine and residency at the University of Medicine and Dentistry of New Jersey (UMDNJ). He was selected as Chief Resident in his final year. During his residency, he was involved in clinical research involving the utilization of MRI in community hospitals for the evaluation of stroke and 3D modeling of Multiple Sclerosis plaques. He then completed a fellowship in Sleep Medicine at the Sleep Disorders Institute in New York City.

After working in New Jersey as an Attending Neurologist and Sleep Medicine Specialist, Dr. Verma joined Neurological Services of Orlando in 2008. Dr. Verma is Board Certified in Neurology, Vascular Neurology, and Sleep Medicine. In 2013, he was inducted as a Fellow of the American Academy of Sleep Medicine. He serves as a teacher for medical students, residents, and nursing student at both the Orlando Health system and with the University of Central Florida, School of Medicine where he has served as Assistant Professor of Neurology.

His academic interests include sleep disorders, epilepsy, headaches, and vascular neurology.

His interest include Sleep Apnea,  Restless Leg Syndrome, Insomnia, Narcolepsy, Circadian Rhythm Sleep Disorders, Drowsy Driving, Nightmares & Other Disturbing Parasomnias, Sleep Deprivation, Sleepwalking & Sleep Talking.

Dr. Navin Verma

Dr. Navin Verma se graduó de la Universidad de California en Berkeley en 1997 con un título universitario en biología molecular y celular. Durante su formación de pregrado, se vio involucrado en la investigación científica básica en la Universidad de California en San Francisco (UCSF), que dio lugar a la publicación. Obtuvo su título de médico en la Universidad de Ross en 2002 Completó su internado en medicina interna y residencia en la Universidad de Medicina y Odontología de Nueva Jersey (UMDNJ). Fue seleccionado como Jefe de Residentes en su último año. Durante su residencia estuvo involucrado en la investigación clínica con la utilización de la resonancia magnética en los hospitales de la comunidad para la evaluación de los accidentes cerebrovasculares y el modelado 3D de placas de esclerosis múltiple. Luego completó una beca en medicina del sueño en el Instituto de Trastornos del Sueño en la Ciudad de Nueva York.

Después de trabajar en Nueva Jersey como un especialista en Neurología y Medicina del Sueño, Dr. Verma se unió a ‘Neurological Services of Orlando’ en 2008. Dr. Verma está certificado en Neurología, Neurología Vascular y Medicina del Sueño. En 2013, fue incluido como miembro de la Academia Americana de Medicina del Sueño. Se desempeña como profesor para estudiantes de medicina, residentes y estudiantes de enfermería, tanto en el sistema de ‘Orlando Health’ y con la Universidad de Florida Central, Facultad de Medicina, donde ha servido como Profesor Adjunto de Neurología.

Sus intereses académicos incluyen trastornos del sueño, epilepsia, dolores de cabeza, y la neurología vascular.

Sus areas de interés incluyen la apnea del sueño, síndrome de piernas inquietas, insomnio, narcolepsia, trastornos del ritmo circadiano del sueño, conducir con sueño, pesadillas y otras parasomnias, falta de Sueño, sonambulismo y el hablar dormido.

DR. NAVIN VERMA


El Dr. Navin Verma se graduó de la Universidad de California en Berkeley en 1997 con una licenciatura en biología molecular y celular. Durante su formación de pregrado, participó en la investigación de ciencias básicas en la Universidad de California en San Francisco (UCSF) que resultó en la publicación. Obtuvo su título de médico de la Universidad de Ross en 2002. Completó su pasantía en medicina interna y residencia en la Universidad de Medicina y Odontología de Nueva Jersey (UMDNJ). Fue seleccionado como Jefe de residentes en su último año. Durante su residencia, estuvo involucrado en la investigación clínica que involucraba la utilización de la resonancia magnética en hospitales comunitarios para la evaluación del accidente cerebrovascular y el modelado 3D de placas de esclerosis múltiple. Luego completó una beca en Medicina del Sueño en el Sleep Disorders Institute en la ciudad de Nueva York. Después de trabajar en Nueva Jersey como Neurólogo Participante y Especialista en Medicina del Sueño, el Dr. Verma se unió a los Servicios Neurológicos de Orlando en 2008. El Dr. Verma está certificado por la Junta en Neurología, Neurología Vascular y Medicina del Sueño. En 2013, fue incluido como miembro de la Academia Estadounidense de Medicina del Sueño. Es profesor de estudiantes de medicina, residentes y estudiantes de enfermería en el sistema de salud de Orlando y en la Facultad de medicina de la Universidad de Florida Central, donde se desempeñó como profesor asistente de neurología. Sus intereses académicos incluyen trastornos del sueño, epilepsia, dolores de cabeza y neurología vascular. Su interés incluye la apnea del sueño, el síndrome de piernas inquietas, insomnio, narcolepsia, trastornos del sueño circadiano, conducción somnolienta, pesadillas y otras parasomnias perturbadoras, privación del sueño, sonambulismo y sueño hablando.

[baslider name=”SleepStudies”]

Dr. Navin Verma

Dr. Navin Verma graduated from the University of California at Berkeley in 1997 with an undergraduate degree in molecular and cell biology. During his undergraduate training, he was involved in basic science research at the University of California at San Francisco (UCSF) that resulted in publication. He earned his medical degree from Ross University in 2002. He completed his internship in internal medicine and residency at the University of Medicine and Dentistry of New Jersey (UMDNJ). He was selected as Chief Resident in his final year. During his residency, he was involved in clinical research involving the utilization of MRI in community hospitals for the evaluation of stroke and 3D modeling of Multiple Sclerosis plaques. He then completed a fellowship in Sleep Medicine at the Sleep Disorders Institute in New York City.

After working in New Jersey as an Attending Neurologist and Sleep Medicine Specialist, Dr. Verma joined Neurological Services of Orlando in 2008. Dr. Verma is Board Certified in Neurology, Vascular Neurology, and Sleep Medicine. In 2013, he was inducted as a Fellow of the American Academy of Sleep Medicine. He serves as a teacher for medical students, residents, and nursing student at both the Orlando Health system and with the University of Central Florida, School of Medicine where he has served as Assistant Professor of Neurology.

His academic interests include sleep disorders, epilepsy, headaches, and vascular neurology.

His interest include Sleep Apnea,  Restless Leg Syndrome, Insomnia, Narcolepsy, Circadian Rhythm Sleep Disorders, Drowsy Driving, Nightmares & Other Disturbing Parasomnias, Sleep Deprivation, Sleepwalking & Sleep Talking.

 

Beatriz Elizabeth Carmona Toro, ARNP
MSN, FNP-C, CNRN

After receiving her Bachelor’s in Nursing from the University of Central Florida she began work in the field of nursing in 2007 on the neuroscience unit at Orlando Regional Medical Center, a stroke certified hospital. While working on her Master’s in Nursing Practice at UCF she obtained her certification as Neuroscience Registered Nurse in 2009. In 2010 she further focused her work on neurology by working with several neurologists as a rounding nurse. She has spoken locally on neurology including at the Annual Heart and Vascular Conference in 2010 .

She became certified as a Family Nurse Practitioner in the fall of 2010. In January of 2011 she joined Neurological Services of Orlando with a practice focusing on sleep medicine in addition to general neurology. With efforts aimed at the education of others she has spoken locally to patient education groups and has served as preceptor to upcoming nurse practitioners.

 

 

 

   Leslie
MEDICAL SECRETARY

Leslie has been working at the Orlando Sleep Medicine Center since January of 2016. She has several years of experience in the medical field.

In our office she greets each patient with a warm smile and manages our front desk area. She believes in treating all of our patients with compassion and patience . Leslie will assist you with scheduling your appointments, medical records request, medication refills, check you in upon arrival and schedule your next office visit while checking out. She kindly ask patients that you not hesitate to ask her questions or raise concerns as she will do her best to take care of your needs before you leave our office.

 

 

 

             

 

  Lynnette

  SECRETARY

Lynette joined our office in 2017. Originally from New Jersey she has several years of experience working in medical offices. She helps schedule our new patients and coordinates sleep testing. You will often hear her voice if you call our office.

 

 

 

             

 

 

 

 

Bianca

 MEDICAL ASSISTANT

Bianca joined our team in 2018. Originally from New Jersey, she graduated with her associates degree. She has several years of experience in the medical field. As a medical professional she enjoys providing service to patients. At our office you will encounter her at your arrival and during your check in process before seeing the provider. She is also in charge of communicating with the  medical equipment companies and initiates prior authorizations for medications.

 

 

     

     

 

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Sleep apnea is a serious sleep disorder that occurs when a person’s breathing is interrupted during sleep. People with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times.

There are two types of sleep apnea:

  • Obstructive sleep apnea (OSA): The more common of the two forms of apnea, it is caused by a blockage of the airway, usually when the soft tissue in the back of the throat collapses during sleep.
  • Central sleep apnea: Unlike OSA, the airway is not blocked but the brain fails to signal the muscles to breathe due to instability in the respiratory control center.

Sleep apnea can affect anyone at any age, even children. However, risk factors for sleep apnea include:

  • Male gender
  • Being overweight
  • Being over the age of forty
  • Having a large neck size (17 inches or greater in men and 16 inches or greater in women)
  • Having larger tonsils
  • Having a family history of sleep apnea

If left untreated, sleep apnea can result in a growing number of health problems including:

  • Hypertension
  • Stroke
  • Heart failure, irregular heart beats, and heart attacks
  • Elevated glucose

In addition, untreated sleep apnea may be responsible for poor performance in everyday activities, such as at work and school, motor vehicle crashes, as well as academic underachievement in children and adolescents.

Learn more at WebMD: American Academy of Sleep Medicine (AASM) Fact Sheet about Obstructive Sleep Apnea (OSA)

More Iformation

RLSRLS also called Willis-Ekbom Disease (WED) is a condition that involves an urge to move the legs or other parts of the body. Symptoms tend to occur at night and may interfere with sleep. The specific causes of restless legs syndrome (RLS) are not known. It was once thought to be due to disease in the blood vessels of the legs or in the nerves in the legs that control leg movement and sensation, but both of these suggestions have been rejected.

RLS may be related to abnormalities in brain chemicals (neurotransmitters) that help regulate muscle movements, or to abnormalities in the part of the central nervous system that controls automatic movements. Research is still being done in these areas.

RLS can sometimes be caused by an underlying medical condition (secondary RLS); however, most of the time the cause is not clear.

Learn more at WebMD
More Information
More Information

Insomniacs-On-Switch-smallInsomnia is a sleep disorder that is characterized by difficulty falling and/or staying asleep. People with insomnia have one or more of the following symptoms:

  • Difficulty falling asleep
  • Waking up often during the night and having trouble going back to sleep
  • Waking up too early in the morning
  • Feeling tired upon waking

There are two types of insomnia: primary insomnia and secondary insomnia.

  • Primary insomnia: Primary insomnia means that a person is having sleep problems that are not directly associated with any other health condition or problem.
  • Secondary insomnia: Secondary insomnia means that a person is having sleep problems because of something else, such as a health condition (like sleep apnea, asthma, depression, anxiety, arthritis, cancer, or heartburn); pain; medication they are taking; or a substance they are using (like alcohol).

One important aspect of the treatment of insomnia is cognitive behavior therapy.

Cognitive behavioral therapy (CBT) helps you change behaviors or thoughts that impair your ability to sleep well. It helps you develop habits that promote a healthy pattern of sleep. Talking to a sleep specialist or your doctor to determine if one of these methods might improve your sleep is likely to be helpfu. The most common forms of CBT are: Sleep restriction, Relaxation training and Biofeedback, Sleep hygiene training and Stimulus control.

Cognitive behavioral therapy: More Info

Learn more at WebMD

American Academy of Sleep Medicine (AASM) Fact Sheet about Insomnia discusses different forms of insomnia

parasomnia-childAll parasomnias are unwanted physical events that occur after you fall asleep, while you sleep or when you are waking up. These behaviors can be triggered by a drug or substance, or by another medical condition. Parasomnias include sleepwalking and REM sleep behavior disorder.

REM sleep behavior disorder:

REM sleep behavior disorder (RBD) is a parasomnia that occurs when you act out vivid dreams as you sleep. These dreams often involve action, tend to get worse over time and  may even be violent. Early episodes may involve only mild movements.  RBD is often ignored for years.

Because those with this disorder are acting out what they experience in their dreams, injuries are common. Either the person dreaming or the bed partner may be hurt.

Usually it is easy to wake a person with RBD who is acting out a dream. Once awake, they may be able to recall details of the dream. RBD can be confused with other parasomnias.

Actions may include: Flailing, grabbing, shouting, punching and kicking. Health problems that may cause this sleep disorder include Parkinson’s disease, certain forms of dementia and tumors of the brain.

Sleepwalking:

Sleepwalking occurs when someone gets up from bed and walks around even when asleep. It can include actions such as running, walking and talking or shouting while walking around. The eyes of a sleepwalker are usually open but they do not respond others around them properly.

Activities may be routine things that aren’t usually done at night such as eating or complex activities such as driving. Some people may remember part of the dream that lead to their actions while others are completely unaware of what they’ve done.

Sleepwalking rarely begins in adulthood. Those who were sleepwalkers as children are more likely to do the same as adults. Parasomnias including sleepwalking may occur in relation to another sleep disorder, medication use, substance abuse or a medical condition

http://yoursleep.aasmnet.org/Disorder.aspx?id=29 – REM sleep BD.

http://www.aasmnet.org/Resources/FactSheets/SleepwalkingTalking.pdf

http://yoursleep.aasmnet.org/Disorder.aspx?id=14

Excessive Sleepiness

tired driverExcessive Sleepiness is characterized by recurrent episodes of excessive daytime sleepiness or prolonged nighttime sleep. Persons with Excessive Sleepiness are compelled to nap repeatedly during the day, often at inappropriate times such as at work or in conversation. This is different from feeling tired due to interrupted or insufficient sleep.

Daytime naps may or may not provide relief from symptoms. Many people often have difficulty waking from sleep. This may affect someone to the point that it interferes with routine activities such as time with family or work. Other symptoms include hallucinations, increased irritation, decreased energy and memory difficulty.

Excessive Sleepiness can be the result of another sleep disorder (such as narcolepsy or sleep apnea), or drug or alcohol abuse. It may also result from a physical problem, such as head trauma or injury to the central nervous system. Some medications can also cause Excessive Sleepiness. Many medical conditions including depression, obesity, epilepsy, multiple sclerosis or fibromyalgia may exacerbate the condition.

Some people may have a genetic predisposition to Excessive Sleepiness; in many, there is no known cause. Typically, Excessive Sleepiness is first recognized in adolescence or young adulthood.

http://www.ninds.nih.gov/disorders/hypersomnia/hypersomnia.htm

Narcolepsy

Narcolepsy is a neurological disorder that affects the control of sleep and wakefulness. People with narcolepsy experience excessive daytime sleepiness and intermittent, uncontrollable episodes of falling asleep during the daytime. These sudden sleep attacks may occur during any type of activity at any time of the day.

In a typical sleep cycle, we initially enter the early stages of sleep followed by deeper sleep stages and ultimately (after about 90 minutes) rapid eye movement (REM) sleep. For people suffering from narcolepsy, REM sleep occurs almost immediately in the sleep cycle as well as periodically during the waking hours. It is in REM sleep that we can experience dreams and muscle paralysis which explains some of the symptoms of narcolepsy.

Narcolepsy usually begins between the ages of 15 and 25, but it can become apparent at any age. In many cases, narcolepsy is undiagnosed and, therefore, untreated.

Learn more at WebMD

American Academy of Sleep Medicine (AASM) Fact Sheet about Narcolepsy

http://www.ninds.nih.gov/disorders/narcolepsy/narcolepsy.htm

La apnea del sueño es un trastorno del sueño grave que ocurre cuando la respiración de una persona se interrumpe durante el sueño. Personas con apnea del sueño dejan de respirar repetidamente mientras duermen, a veces cientos de veces.

Hay dos tipos de apnea del sueño:

• Apnea obstructiva del sueño (AOS): El más común de los dos tipos de apnea, es causada por una obstrucción de la vía aérea, por lo general cuando el tejido blando en la parte posterior de la garganta colapsa durante el sueño.
• Apnea central del sueño: A diferencia de la AOS, la vía aérea no está bloqueada, pero el cerebro no puede indicar a los músculos respiratorios debido a la inestabilidad en el centro de control respiratorio.

La apnea del sueño puede afectar a cualquier persona a cualquier edad, incluso niños. Sin embargo, los factores de riesgo para la apnea del sueño incluyen:

• El sexo masculino
• El sobrepeso
• Tener más de cuarenta años
• Tener un tamaño grande en el cuello (17 pulgadas o más en los hombres y 16 pulgadas o más en mujeres)
• Tener amígdalas grandes
• tener una historia familiar de apnea del sueño

Si se deja sin tratar apnea, sueño puede resultar en un gran número de problemas de salud, incluyendo:

• Hipertensión
• Carrera
• Insuficiencia cardíaca, latidos irregulares del corazón, y ataques de el corazón
• Glucosa elevada

Además, la apnea del sueño no tratada puede ser responsable de los malos resultados en las actividades diarias, por ejemplo en el trabajo y la escuela, los accidentes de vehículos, así como fracaso académico en niños y adolescentes.

http://espanol.ninds.nih.gov/trastornos/apnea_del_sueno.htm

http://www.aasmnet.org/resources/pdf/spanishbrochures/paptreatmentsleepapnea.pdf

English links

Learn more at WebMD

American Academy of Sleep Medicine (AASM) Fact Sheet about Obstructive Sleep Apnea (OSA)

 

RLS

Las causas específicas del síndrome de piernas inquietas (SPI) no se conocen. Alguna vez se pensó que esto se debe a la enfermedad en los vasos sanguíneos de las piernas o en los nervios de las piernas que controlar el movimiento de las piernas y la sensación, pero ambas propuestas han sido rechazadas.
Este síndrome puede estar relacionado con alteraciones en las sustancias químicas del cerebro (neurotransmisores) que ayudan a regular los movimientos musculares, o anormalidades en la parte del sistema nervioso central que controla los movimientos automáticos. La investigación todavía se está haciendo en estas áreas.
RLS a veces puede ser causada por una condición médica subyacente (RLS secundario), sin embargo, la mayoría de las veces la causa no está clara.

http://yoursleep.aasmnet.org/Disorder.aspx?id=11

http://espanol.ninds.nih.gov/trastornos/piernas_inquietas.htm

http://www.aasmnet.org/resources/pdf/spanishbrochures/restlesslegssyndrome.pdf

English links-

Learn more at WebMD

http://yoursleep.aasmnet.org/Disorder.aspx?id=11

Insomniacs-On-Switch-small

El insomnio es un trastorno del sueño que se caracteriza por dificultad para conciliar y / o mantener el sueño. Las personas con insomnio tienen uno o más de los síntomas siguientes:
• Dificultad para conciliar el sueño
• Despertarse con frecuencia durante la noche y tener dificultad para volver a dormirse
• Despertarse muy temprano por la mañana
• Sentir cansancio al despertar

Hay dos tipos de insomnio: insomnio primario y el insomnio secundario.

• El insomnio primario: El insomnio primario significa que una persona está teniendo problemas para dormir que no están directamente relacionados con cualquier otra condición de salud o problema.
• El insomnio secundario: El insomnio secundario significa que una persona está teniendo problemas para dormir a causa de otra cosa, como un problema de salud (como apnea del sueño, asma, depresión, ansiedad, artritis, cáncer, o ardor de estómago), dolor, medicamentos que está tomando; o una sustancia que estén usando (como el alcohol).

Un aspecto importante del tratamiento del insomnio es la terapia cognitivo-conductual.
La terapia cognitivo conductual (TCC) ayuda a cambiar acciones o pensamientos que perjudican su capacidad de dormir bien. Le ayuda a desarrollar hábitos que promueven un habito saludable de sueño. Hable con su médico o con un especialista del sueño para ver si uno de estos métodos podrían mejorar su sueño. Las formas más comunes de la TCC son: restricción del sueño, técnicas de relajación y biofeedback, entrenamiento higiene del sueño y el control del estímulo.

http://www.aasmnet.org/resources/pdf/spanishbrochures/understandinginsomnia.pdf

English links

Learn more at WebMD

American Academy of Sleep Medicine (AASM) Fact Sheet about Insomnia

parasomnia-child

 PARASOMNIAS

Todas las parasomnias son eventos físicos que no son deseados que se producen después de quedarse dormido, mientras duerme o cuando se esté despertando. Estos comportamientos pueden ser provocados por una droga o sustancia, o por otra condición médica. Las parasomnias incluyen transtorno conductual del sueño REM y el sonambulismo.

 

Transtorno conductual del sueño REM ( REM Behavior Disorder- RBD):

Trastorno conductual del sueño REM (RBD) es una parasomnia que ocurre cuando alguien físicamente se mueve durante sueños intensos. Estos sueños usualmente incluyen acciones, se empeoran con el tiempo e incluso pueden ser violentas. Episodios tempranos pueden incluir sólo los movimientos suaves. RBD generalmente es ignorado por años.

Debido a que las personas con este trastorno están actuando las experiencias de sus sueños, las lesiones son comunes. O la persona que sueña, o el compañero de cama puede ser herido.

Por lo general, es fácil despertar a una persona con RBD que está actuando un sueño. Una vez despierto, pueden ser capaz de recordar detalles del sueño. RBD se puede confundir con otras parasomnias.

Las acciones pueden incluir: Agitando, agarrando, gritos, puñetazos y patadas. Los problemas de salud que pueden causar este trastorno del sueño incluyen la enfermedad de Parkinson, ciertas formas de demencia y los tumores del cerebro.

El sonambulismo:

El sonambulismo ocurre cuando alguien se levanta de la cama y camina por ahí cuando está dormido. Se puede incluir acciones tales como correr, caminar y hablar o gritar mientras camina alrededor. Los ojos de un sonámbulo suelen estar abiertos, pero no responden correctamente a los quienes están alrededor de ellos.

Las actividades pueden ser las cosas de rutina que generalmente no están se hacen en la noche, como las actividades de alimentación o actividades complejas como conducir. Algunas personas pueden recordar parte del sueño que incluye sus acciones, mientras que otros son completamente inconscientes de lo que han hecho.

El sonambulismo rara vez se inicia en la edad adulta, pero está presente es hasta un 17{d505be4c556b7ec1c66cb211e58f5c59462cf18006fc380cb71dfa16028c37fb} de los niños. Los que eran sonámbulos como niños son más propensos a hacer lo mismo como adultos. Las parasomnias incluyendo el sonambulismo pueden ocurrir en relación con otro  rastorno del sueño, uso de medicamentos, abuso de sustancias o otra condición médica.

Sleepwalking rarely begins in adulthood but is present is as much as 17{d505be4c556b7ec1c66cb211e58f5c59462cf18006fc380cb71dfa16028c37fb} of children. Those who were sleepwalkers as children are more likely to do the same as adults. Parasomnias including sleepwalking may occur in relation to another sleep disorder, medication use, substance abuse or a medical condition

 

Articulo discutiendo RBD

http://newsnetwork.mayoclinic.org/discussion/actuar-los-sueos-est-relacionado-al-desarrollo-de-demencia

links en Ingles

http://yoursleep.aasmnet.org/Disorder.aspx?id=29 – REM sleep BD.

http://www.aasmnet.org/Resources/FactSheets/SleepwalkingTalking.pdf

http://yoursleep.aasmnet.org/Disorder.aspx?id=14

Hypersomnia

tired driver

La narcolepsia es un trastorno neurológico que afecta el control del sueño y el nivel de atención. Las personas con narcolepsia experimentan somnolencia durante el día excesiva y episodios intermitentes e incontrolables de conciliar el sueño durante el día. Estos ataques de sueño súbitos pueden ocurrir durante cualquier tipo de actividad en cualquier momento del día.
En un ciclo de sueño típico, inicialmente entrar en las etapas tempranas del sueño seguido de las fases de sueño más profundos y, finalmente, (después de aproximadamente 90 minutos) y sueño de movimientos oculares rápidos (REM). Para las personas que sufren de narcolepsia, el sueño REM se produce casi inmediatamente en el ciclo del sueño, así como periódicamente durante las horas de el día. Es durante el sueño REM que podemos experimentar sueños y parálisis muscular que explica algunos de los síntomas de la narcolepsia.
La narcolepsia generalmente comienza entre las edades de 15 y 25 años, pero puede llegar a ser evidente a cualquier edad. En muchos casos, la narcolepsia es no diagnosticada y, por lo tanto, no tratada.

http://espanol.ninds.nih.gov/trastornos/Narcolepsia.htm

sleep-apnea-blue

SLEEP APNEA

Sleep apnea is a serious sleep disorder that occurs when a person’s breathing is interrupted during sleep. People with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times.

blue-RESTLESS-LEG

RESTLESS LEG SYNDROME

RLS also called Willis-Ekbom Disease (WED) is a condition that involves an urge to move the legs or other parts of the body. Symptoms tend to occur at night and may interfere with sleep. The specific causes of restless legs syndrome (RLS) are not known.

INSOMNIA

INSOMNIA

Insomnia is a sleep disorder that is characterized by difficulty falling and/or staying asleep. People with insomnia have one or more of the following symptoms: Difficulty falling asleep, Waking up often during the night and having trouble…

Hypersomnia

Excessive Sleepiness

Excessive Sleepiness is characterized by recurrent episodes of excessive daytime sleepiness or prolonged nighttime sleep. Persons with Excessive Sleepiness are compelled to nap repeatedly during the day, often at inappropriate times such as at work…

WHO WE ARE

About Us

Orlando Sleep Medicine Center is part of Neurological Services of Orlando. Although our focus is on sleep there are other providers in the office with a stronger focus on other neurological issues. Conditions treated include Parkinson’s disease, Multiple Sclerosis, headaches, epilepsy and cognitive issues such as Alzheimer’s disease.

For more information on Neurological Services of Orlando please follow this link.

http://www.orlandoneurological.com

Dr. Navin Verma

Dr. Navin Verma graduated from the University of California at Berkeley in 1997 with an undergraduate degree in molecular and cell biology. During his undergraduate training, he was involved in basic science research at the University of California at San Francisco (UCSF) that resulted in publication. He earned his medical degree from Ross University in 2002. He completed his internship in internal medicine and residency at the University of Medicine and Dentistry of New Jersey (UMDNJ).

He was selected as Chief Resident in his final year. During his residency, he was involved in clinical research involving the utilization of MRI in community hospitals for the evaluation of stroke …

Team

  • Beatriz Elizabeth Carmona Toro
    Beatriz Elizabeth Carmona ToroMSN, FNP-C, CNRN

    After receiving her Bachelor’s in Nursing from the University of Central Florida she began work in the field of nursing in 2007 on the neuroscience unit at Orlando Regional Medical Center…Read More

    sleep-apnea-blue

    APNEA DEL SUEÑO

    La apnea del sueño es un trastorno del sueño grave que ocurre cuando la respiración de una persona se interrumpe durante el sueño. Personas con apnea del sueño dejan de respirar repetidamente mientras duermen…

    blue-RESTLESS-LEG

    Síndrome de piernas inquietas

    Las causas específicas del síndrome de piernas inquietas (SPI) no se conocen. Alguna vez se pensó que esto se debe a la enfermedad en los vasos sanguíneos de las piernas o en los nervios de las piernas que controlar el movimiento…

    INSOMNIA

    INSOMNIA

    El insomnio es un trastorno del sueño que se caracteriza por dificultad para conciliar y / o mantener el sueño. Las personas con insomnio tienen uno o más de los síntomas siguientes: Dificultad para conciliar el sueño…

    Hypersomnia

    NARCOLEPSIA

    La narcolepsia es un trastorno neurológico que afecta el control del sueño y el nivel de atención. Las personas con narcolepsia experimentan somnolencia durante el día excesiva y episodios intermitentes e incontrolables…

    NOSOTROS

    Quienes Somos

    Orlando Sleep Medicine Center es parte de Neurological Services of Orlando. Nuestro enfoque es el sueño pero hay otros proveedores quienes tienen concentraciones en otras condiciones neurologicas. Condiciones tratadas incluyen la enfermedad de Parkinsons, Sclerosis Multiple, Epilepsia, Dolores de cabeza y problemas de memoria como la enfermedad de Alzheimer’s.

    Para mas informacion de Neurological Services of Orlando por favor siga este link.

    http://www.orlandoneurological.com

    Dr. Navin Verma

    doctor-vermanDr. Navin Verma se graduó de la Universidad de California en Berkeley en 1997 con un título universitario en biología molecular y celular. Durante su formación de pregrado, se vio involucrado en la investigación científica básica en la Universidad de California en San Francisco (UCSF), que dio lugar a la publicación. Obtuvo su título de médico en la Universidad de Ross en 2002 Completó su internado en medicina interna y residencia en la Universidad de Medicina y Odontología de Nueva Jersey (UMDNJ). Fue seleccionado como Jefe de Residentes en su último año. Durante su residencia estuvo involucrado en la investigación clínica con la utilización de la resonancia magnética en los hospitales de la comunidad para la evaluación de los accidentes cerebrovasculares y el modelado 3D de placas de esclerosis múltiple. Luego completó una beca en medicina del sueño en el Instituto de Trastornos del Sueño en la Ciudad de Nueva York.

     Después de trabajar en Nueva Jersey como un especialista en Neurología y Medicina del Sueño, Dr. Verma se unió a ‘Neurological Services of Orlando’ en 2008. Dr. Verma está certificado en Neurología, Neurología Vascular y Medicina del Sueño. En 2013, fue incluido como miembro de la Academia Americana de Medicina del Sueño. Se desempeña como profesor para estudiantes de medicina, residentes y estudiantes de enfermería, tanto en el sistema de ‘Orlando Health’ y con la Universidad de Florida Central, Facultad de Medicina, donde ha servido como Profesor Adjunto de Neurología.

    Sus intereses académicos incluyen trastornos del sueño, epilepsia, dolores de cabeza, y la neurología vascular.

    Sus areas de interés incluyen la apnea del sueño, síndrome de piernas inquietas, insomnio, narcolepsia, trastornos del ritmo circadiano del sueño, conducir con sueño, pesadillas y otras parasomnias, falta de Sueño, sonambulismo y el hablar dormido.

    Equipo

    • Beatriz Elizabeth Carmona Toro
      Beatriz Elizabeth Carmona ToroMSN, FNP-C, CNRN

      Despues de terminar su Bachillerato de Enfermeria de UCF (Universityof Central Florida), empezo a trabajar en el campo de enfermeria en la unidad de neurología  en ORMC (Orlando Regional Medical Center)….Read More

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