Our MissionSnoring & Sleep Apnea Specialists

Our mission:  To expertly guide you through the consultation, diagnosis, and treatment process for snoring and other sleep disordered breathing such as sleep apnea, while offering ongoing assistance in cultivating healthy sleep practices for life.

We help. You sleep.

At REMedy Sleep Medicine LLC, we take pride in our ability to guide our patients through every step in the workup and treatment process.  With over 49 combined years in medicine, 20 of which have a primary focus in sleep medicine, we’ve seen first-hand what a big difference proper sleep can have on your overall well-being.  We believe our experience combined with a genuine investment in our patient’s care is what sets us apart.

Please note: The maker of Philips Respironics PAP (Positive Airway Pressure) such as CPAP, BIPAP, ASV has issued a Medical Device Recall of roughly 3.5 million ventilation devices used to treat sleep apnea.

Please visit their website: https://www.philipssrcupdate.expertinquiry.com/

At the above website, you will see information about the reason for the recall and you will have the ability to register your information by entering your demographics and your machine’s serial number.
Rest assured, they are working hard to collect as much information as possible to help navigate this situation as best they can.
We are in the process of asking Philips Respironics to supply us their research data as to the consequences of continued use.
Our office knows the dangers of untreated sleep apnea.
At this point in time, it is unclear as to the long-term danger of continued use of Respironics PAP machines.
Our office supports continued use of your device if the risk of discontinuing PAP outweighs the risk of using the device.

This recall does not pertain to Respironics “DreamStation 2” nor does it pertain to ResMed PAP devices.

If your PAP is 5 years old or older, we do recommend you:
1) contact your insurance company for replacement eligibility,
2) make an appointment with our office to see our physician who will
3) make the necessary arrangements to schedule an updated in-lab titration study.

ALSO NOTE: Philips Respironics is recommending that patients reduce heat & humidity exposure to the device as well as halt use of ozone-related cleaning products.

We hope you’ll have patience with us as we continue to research the potential risks and work towards getting as many answers as we can for our patients.

In the meantime, utilize the link provided above as well as additional resources at Phillips Respironics:  https://www.usa.philips.com/healthcare/e/sleep/communications/src-update

Meet Our StaffWithout them, we're nothing.

Carole Guillaume, MDMedical Director

Carole Guillaume, MD, FAASM, is a graduate of The University of Kansas School of Medicine and has been practicing medicine for 20 years. As a Diplomat, American Board of Sleep Medicine, she has created an exclusive sleep medicine practice with a special focus on Obstructive Sleep Apnea diagnosis and treatment management.

Leah Luckeroth, MDCognitive Behavior Specialist for Insomnia
Leah Luckeroth, MD, is board certified in Internal Medicine and has been practicing for 26 years.  She completed her medical degree and residency in Internal Medicine at The University of Kansas School of Medicine.
Michael GuillaumeRPSGT
Michael has been a Registered Polysomnographic Technologist for 7 years. He was trained in Mesa, Arizona.
Oleg SidorenkovRPSGT
Oleg has been a Registered Polysomnographic Technologist for 15 years. He attended school at the Izhevsk State Medical Academy, Udmurt Republic, Russia.

What Are the Risk Factors for Having Sleep Apnea?

People who smoke or are overweight or who have chronic nasal congestion, a narrowed airway, or a family history of sleep apnea are all risk factors for having sleep apnea. Excessive use of alcohol or sedatives and endocrine and metabolic disorders can also increase the risk factor. There are others who are living with untreated sleep apnea but may not know they have sleep apnea; up to 83% of people with type 2 diabetes have sleep apnea and may not know it.

Additionally, Obstructive Sleep Apnea is considered to be a risk factor for many other diseases, including hypertension, stroke, coronary disease, and heart failure and is often associated with other psychiatric comorbid diseases including anxiety, depression, bipolar disorder, and PTSD.  From SleepFoundation.org

ServicesSee Below, You Might Be Interested!

Initial Consultation
At your first appointment, a thorough review of your sleep habits, symptoms, family history, bed partner observations, and medications will help us determine the best course of action on your road to diagnosis and treatment.
Home Sleep Test
The home sleep test (HST) is a small device worn for a 1 to 3 night period in your own home. This device is used in the initial diagnosis process for Obstructive Sleep Apnea and Central Sleep Apnea.
Learn More
In-Lab Studies
We offer the convenience of diagnostic and therapeutic overnight studies right here in our convenient facility. This provides a level of comfort that is not seen in hospital-style atmospheres.
Learn More

 

Continuing Care
Once treatment has begun, we closely monitor your progress through a series of follow-up office visit and data downloads directly from your treatment device.
Learn More

 

As part of our full-service approach, we are able to guide our patients through each step of the consultation, diagnosis, and treatment process. Once your initial consultation is completed, we offer the convenience of home sleep tests and overnight sleep studies in our own office. Patients have found that our relaxed atmosphere makes them feel far more comfortable versus the more common, hospital-type sleep labs.

Brochure for Men Brochure for Women

What Are the Risk Factors for Having Sleep Apnea?

Around 34% of men and 17% of women  live with obstructive sleep apnea (OSA), the most common form of sleep apnea. Researchers estimate that over 80% of cases of moderate to severe OSA are undiagnosed. From SleepFoundation.org

There are several different types of sleep apnea, each a little different. Obstructive Sleep Apnea, or OSA, occurs when your throat muscles relax during sleep, causing airway closures and a reduced blood oxygen level. Snoring, loud snoring, restless sleep or pauses in your snoring / breathing can be the first signs of a problem. Central Sleep Apnea is a disorder caused by the inability of your brain to send signals to the muscles that control breathing. Either type will negatively affect your ability to get a good night’s sleep and be refreshed for the coming day.

Do you snore or do you have snoring loud enough to disturb your bed partner? Have you been told that you have pauses in your breathing for periods during sleep? Do you have restless or fitful sleep? Are you excessively tired during the day even after a full night in bed? During the day, have you noticed poor memory or difficulty concentrating? Do you or others notice you have increased irritability or less energy? These are only a few of the many symptoms that OSA can present.

If it has crossed your mind that your quality of sleep is lacking because of an uncomfortable bed or the stresses of everyday life, you might be surprised to know that sleep apnea can often be the underlying culprit in many of these issues. At your initial consultation we will begin the process of pinpointing the reasons for your poor sleep and get your evaluation started right away.

The repeated awakenings caused by OSA can make restorative sleep impossible. General fatigue, irritability, or difficulty concentrating can add unnecessary strain to your everyday life. In addition, for patients with possible underlying heart disease, diabetes or other chronic medical conditions, OSA can worsen the prognosis and risk of obesity, high blood pressure, heart attack, stroke, or memory deficits.

The first, and best, stop on your road to treatment begins with an initial consultation with your sleep medicine doctor. At this visit, you will discuss your sleep habits, what you or your bed partner have observed, and any negative symptoms keeping you from getting the most restorative sleep. After consultation, a home sleep test or in-lab overnight study may be ordered to determine your diagnosis.

We are in-network with most insurances and will begin the prior authorization process for any sleep studies at the time of your initial consultation. Here are just a few examples: we are a Medicare provider and are in network with Blue Cross Blue Shield and Coventry. For our patients who would prefer to go the self-pay route, we offer competitive pricing and payment options. Please call our office to discuss.

Home sleep tests are far more advanced than ever, but at this time they are limited to the diagnosis stage only. An in-lab titration study is still the safest, best and most accurate way to get started on the correct treatment for your specific needs.

In-lab studies allow us to measure many things that a home sleep test simply cannot. Our technicians closely monitor variables such as: heart rate, oxygen level, muscle activity, brain wave patterns and more. During your in-lab study, our technician will also fit you for the mask geared to provide you with the most successful treatment. A properly fitting mask is one of the most important aspects in your treatment.

Treatment masks and technology continue to improve and your ability to successfully receive treatment is better than ever. You can be assured that we stay up to date on the latest technology and practices. We will be glad to assist you in addressing any complaints you’ve had with your prior treatment and help you re-start therapy again.

It’s never too late to start treatment! Sleep apnea often worsens as you get older and if you’re tired of being tired, contacting us now can be your next big step in getting the treatment you know you need!

When to See a Doctor

Given the significant health consequences of untreated sleep apnea, it’s important to know when it’s time to reach out to a doctor. Common signs and symptoms of sleep apnea include:

  • Frequent, loud snoring or gasping during sleep
  • Reduced breathing or pauses in breathing during sleep
  • Daytime sleepiness and fatigue
  • Difficulty maintaining attention and concentration
  • Dry mouth or headaches when waking
  • Sexual dysfunction or decreased libido
  • Waking up often at night to urinate

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