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 Home | Publications | HealthViews Magazine | Archives & Downloads | May/Jun 2008 | Getting a Good Night's Sleep

Getting a Good Night's Sleep
Approximately 40 million Americans suffer from chronic sleep problems. Left untreated, sleep disorders can endanger your physical and mental health.

In early 2007, Jack Mullins, 53, a retired police officer from Middletown, traveled to St. Martin with his family for what he thought would be a relaxing vacation. While on vacation, he continuously awoke during the night and was unable to get a comfortable sleep. At first he thought nothing about it, but when he returned home the sleepless nights continued and he started having difficulty breathing.

Jack thought something must be wrong with his heart, so he scheduled an appointment with the cardiologist who had performed his bypass surgery in 2005. After his doctor determined that his heart was healthy, Jack was referred to Jeffrey Miskoff, D.O., board certified in Sleep Medicine and Pulmonology, at Ocean Medical Center. Dr. Miskoff suggested that Jack undergo a sleep study at the SleepCare Center at Ocean Medical Center.

The SleepCare Center Can Pinpoint the Problem
The SleepCare Center offers sleep studies that provide a comprehensive record of sleep patterns, leg movements, blood oxygen levels, heart rhythm, breathing, and snoring. The test is a record of what you go through every night while you sleep. The rooms are outfitted with carpeting, televisions, and full-sized beds in a warm, comfortable setting.

When Jack arrived at the SleepCare Center for his sleep study, he was hooked up to monitoring equipment and then attempted to go to sleep. "After the first two hours of the study, I would fall asleep for a brief amount of time, but then wake up," says Jack. "It was just like every other night's sleep." At this point, the nurse came in and set Jack up with the continuous positive airway pressure (CPAP) machine.

A CPAP machine pumps oxygen into the lungs through a mask. The machine prevents the airway from constricting or becoming obstructed, because pressurized air flows continuously from the machine.

After the CPAP machine was set up, Jack went back to sleep. The next thing he remembers was being awakened by the technician four hours later. "It was the best sleep that I had had in two years," he says. "I actually had dreams and felt completely refreshed." Based on the sleep study, Dr. Miskoff determined that Jack suffered from obstructive sleep apnea.

What Is Sleep Apnea?
Sleep apnea occurs when a person stops breathing for short periods of time while asleep. Once the brain registers the lack of oxygen, it will force the person to wake up in order to reopen the airway and restore airflow. People who have sleep apnea can stop breathing for 10 to 30 seconds at a time. These breathing interruptions can happen up to 400 times a night. "If left untreated, sleep disorders can jeopardize your health," says Dr. Miskoff. "Your mood, memory, and ability to concentrate may also suffer.

"Sleep apnea can strike anyone at any age, even children," says Dr. Miskoff. "Because of the lack of awareness about this disorder, the vast majority of those who have it remain undiagnosed and therefore untreated — despite the fact that it is 100 percent treatable."

Jack now uses the CPAP machine every night and acknowledges that it has improved his quality of life. "I do not fall asleep during the day anymore, and when it is time for bed I can fall asleep right away," Jack says. "Thanks to Dr. Miskoff and the entire team at the SleepCare Center, I now have restful sleep."

Robert Cavanaugh– Robert Cavanaugh

Don't Skimp on Sleep

Fifty years ago, most Americans got eight to nine hours of sleep a night. Now we average seven hours — and many people get by on just five or six. But recent studies show that skimping on sleep can be harmful to your health.

Researchers at Columbia University found that adults who sleep for less than six hours a night are twice as likely to have hypertension — high blood pressure — as people who get more sleep. Too little sleep also contributes to weight problems by disrupting the hormones that regulate appetite. And less than one week of chronic sleep loss leads to changes in how the body handles glucose and insulin — changes that increase the risk for insulin resistance and diabetes.

Dr. Miskoff recommends between seven and eight hours of sleep every night to get the rest you need. If you have trouble falling asleep, try these tips:

  • Go to bed and get up at the same time every day, even on weekends.
  • Keep your bedroom quiet and dark. Wear a sleep mask and earplugs, if needed.
  • Limit caffeine and alcohol, especially close to bedtime.
  • Get regular exercise, but not in the hours before bedtime.

About The Doctor
Picture Available Miskoff, Jeffrey A., D.O.
Board certified in Internal Medicine
Ocean, NJ  07712
(732) 775-9075

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