Shore Health Systems
Shore Health System

Contact

Regional Sleep Disorders Centers
The Memorial Hospital at Easton
219 S. Washington Street
Easton, MD

Dorchester General Hospital
300 Byrn Street
Cambridge, MD

Shore Medical Pavilion
125 Shoreway Drive
Queenstown, MD

Tel. 410 822-1000, ext. 5338
Fax: 410-763-7051
Email: darousseau@shorehealth.org

Forms

Direct Referral for Sleep Study
Sleep Questionnaire

Additional Information and Resources

Learn more about Sleep Disorders
More information and support on sleep disorders
National Sleep Foundation
American Academy of Sleep Medicine
American Sleep Apnea Association

Regional Sleep Disorders Center

Sleep is essential for good health. Disorders that disrupt sleep prevent your body from restoring itself to a fully functional level. As a result, sleep disorders have a detrimental effect on your quality of life. When we sleep well, we wake up feeling refreshed and alert for our daily activities. Sleep affects how we look, feel and perform on a daily basis, and can have a major impact on our overall quality of life.

Shore Health System's Regional Sleep Disorders Center is the first of its kind on Maryland's Eastern Shore. It offers comprehensive testing and evaluation of sleep disorders on an outpatient basis in a comfortable, home-like setting.

SCHEDULING A SLEEP STUDY

If you are experiencing sleep problems, you should speak with your primary physician. Shore Health has a team of sleep specialists who can meet with you to discuss your sleep issues. These sleep specialists can also schedule a sleep study appointment for you.

Your primary physician must order a sleep study and can do so by completing the Direct Referral for Sleep Study form. Your primary physician can fax the referral form to 410-763-7051. After we receive the form and review it, we will contact you to schedule a sleep study.

Click to download and print a copy of our Direct Referral for your primary physician.

Call us at 410-822-1000, ext. 5338 if you have questions
about scheduling a sleep study.

COMMON SLEEP DISORDERS

Obstructive sleep apnea is a common problem that causes loud snoring and excessive daytime sleepiness. People with this problem stop breathing during sleep. These pauses are called apneas. Early recognition and treatment of sleep apnea is important. Learn more about sleep apnea »

Narcolepsy is a disease that causes people to have excessive and overwhelming daytime sleepiness. People with narcolepsy may have recurrent attacks of this during the day. Learn more about narcolepsy »

Periodic Limb Movements with Arousal and Restless Legs Syndrome (RLS) is a disease in which people repeatedly jerk their legs or arms during sleep. RLS is a disorder in which a person experiences unpleasant sensation in the legs. Learn more about RLS »

Insomnia is the inability to fall asleep or to stay asleep. This can lead to difficulty thinking, concentrating and poor daytime performance. Learn more about insomnia »

TYPES OF SLEEP STUDIES

Polysomnography
A night time polysomnogram (NPSG) is a simple, painless observation of your sleep patterns. The NPSG records your brainwave patterns, muscle tension levels, eye movements, the amount of air you breathe, body movements and your heart rate while you sleep. The study begins at 8pm or 10pm and ends at approximately 6am the following morning. When the technologist wakes you and removes the recording devices, you may dress and leave the Sleep Center.

This study may be required to obtain or renew a commercial driver's license or boat captain's license.

CPAP/Titration
CPAP stands for Continuous Positive Airway Pressure. CPAP consists of a mask placed over the nose or the nose and mouth. The mask in turn connects to tubing, which is attached to a CPAP machine. The machine, which plugs into an electrical outlet, provides a flow of air; in some cases oxygen can also be added. While wearing the CPAP mask, you breathe the air in and out at your own pace. The air acts like a splint, gently opening the breathing passage. There is no pain involved. In the beginning, it may feel strange to breathe through the mask, but after a short while it becomes much easier.

During a CPAP titration study, you wear a CPAP mask and your sleep is monitored. A technician adjusts the CPAP machine settings according to your comfort and the amount of support needed to control your sleep disorder.

CPAP for use at home is frequently prescribed for individuals who test positive for sleep apnea.

MSLT
MSLT or Multiple Sleep Latency Test is a test used in the detection of narcolepsy or to accurately determine how sleepy you are during the day. This test is typically performed at the end of the overnight sleep study. The test consists of a series of four or five brief naps, usually about 20 minutes each. Between each nap, you must remain awake for two hours. For this test, you will wear comfortable daytime clothing (e.g., warm up pants, loose fitting jeans, a comfortable jersey or t-shirt, comfortable fitting shoes.) There will be fewer electrodes attached to you than what you wore during the overnight sleep test. You can expect the test to finish between 4:00pm and 5:00pm.

TREATMENTS FOR SLEEP DISORDERS

After sleep studies are evaluated, our sleep specialists, in conjunction with your physician, will determine the best treatment plan. The type of treatment used to correct a sleep disorder depends on the type of problem. Most disorders are treated successfully. Treatment for insomnia may include medication, psychological consultations, relaxation routines or biofeedback therapy. CPAP treatment (Continuous Positive Airway Pressure) may be prescribed for sleep apnea.

PREPARING FOR YOUR STUDY

Before you come to one of our Sleep Centers, we recommend you prepare yourself by following these suggestions so that you can sleep during the study.

On the day of your study: Please complete all of your daily activities prior to your arrival. We do not allow visitors once you arrive at the Sleep Center. You can make emergency phone calls only.

  • Eat your customary evening meal.
  • Shave any facial hair stubble. Full beards and mustaches are okay.
  • Wash your hair before coming to the lab. Hair should be free of hairspray, mousse, gels and other products.
  • NO hair extensions, braids, weaves, or attached hair pieces.
  • Do not wear creams or lotions.
  • Avoid drinking alcohol, unless it is an every night pattern for you.
  • Avoid napping, if possible.
  • Avoid caffeine (e.g., coffee, tea, cola, chocolate)
  • Avoid drinking fluids after 6:00pm. If this is difficult, drink as little as possible.

What to bring with you:

  • Clothes to sleep in such as pajamas, nightgown, sweatpants, shorts or large t-shirt
  • A change of clothes for the morning
  • Your medication(s). PLEASE NOTE: The sleep physician may give you specific instructions to stop taking or to begin taking a particular medicine. If you take medicine to help you sleep, bring it with you, but DO NOT take it until instructed to do so at the Sleep Center.
  • A list of your medications, including vitamins
  • Toiletries (e.g., toothbrush, toothpaste)
  • A favorite pillow, blanket and/or book
  • A snack or non-caffeinated, non-alcoholic beverage, especially if you are diabetic
  • Identification and insurance information or referrals needed for registration

Please fill out our Sleep Questionnaire and bring it with you to your study.

Click here to download and print the Sleep Questionnaire.

WHAT TO EXPECT DURING A SLEEP STUDY

The same sleep you experience at home will also occur in the Sleep Center, except it will be observed and measured. Rarely are any medications required to induce or improve your sleep.

When you are dressed for sleep, the polysomnographer will apply approximately 20 electrodes to your scalp and skin. You may feel a slight tingling sensation where the skin is cleaned. Some gauze may be wrapped around your head to help hold the electrodes in place.

You may change positions relatively freely and use the adjacent private bathroom as needed while you are at the Sleep Center. An intercom is provided near the bed so you can be heard at any time.

The sleep lab environment is safe and conducive to sleep. It is dark, quiet and pleasant, similar to a hotel room, with controlled, comfortable temperature.

If you are scheduled for the day-time nap test, the technologist may leave some of the recording devices on you. They are painless and will not interfere with your waking activity.

Please, no social calls during the night-time study. In case of an emergency, your family or friends may call the Sleep Center.

After the study
Your overnight study will conclude between 6:00am-6:30am. If you are having the day-time nap study, you may use the telephone during your wake-time breaks.

OUR TEAM

The Regional Sleep Disorders Center is accredited from the American Academy of Sleep Medicine. Our staff is trained to assist your primary physician in determining the cause and nature of your sleep disorder.

After you are referred to the Sleep Center, you will be interviewed and examined by a physician with specialized training in sleep disorders.

A registered polysomnographic technologist will conduct your sleep study. A board certified physician will evaluate and interpret your sleep studies and an individual management plan will be developed to treat any problems which are identified.

The Regional Sleep Center Team:

  • Peter L. Whitesell, MD, FCCP, Medical Director, Regional Sleep Disorders Center
  • 505A Dutchman's Lane, Easton MD 21601
  • Phone: 410-822-8930
  • Fax: 410-822-9040
  • Board Certified:
  • American Board of Sleep Medicine
  • American Board of Internal Medicine in Pulmonary Medicine and Internal Medicine
  • Medical Education: Medical College of Virginia
  • Residency: Mayo Graduate School of Medicine, Rochester, Minnesota
  • Fellowship: Pulmonary Medicine - Mayo Graduate School of Medicine
  • M. Walid Kamsheh, MD
  • Shore Neurology and Sleep Medicine
  • 404 Byrn Street, Cambridge MD 21613
  • Phone: 410-221-0448
  • Fax: 410-770-5251
  • 522 Cynwood Drive, Suite 300, Easton MD 21601
  • Phone: 410-770-5250
  • Fax: 410-770-5251
  • Board Certified:
  • American Board of Psychiatry and Neurology in Neurology and Sleep Medicine
  • Medical Education: Damascus University
  • Residency: Medical College of Virginia
  • Fellowship: Neurology - Hunter Holmes VA Medical Center, Richmond Virginia
  • Peyman Otmishi, MD, FCCP
  • Midshore Pulmonary Associates
  • 503 Cynwood Drive, Easton MD 21601
  • Phone: 410-822-0110
  • Fax: 410-822-4785
  • Board Certified:
  • American Board of Internal Medicine in Sleep Medicine, Internal Medicine, Pulmonary Medicine and Critical Care Medicine
  • Medical Education: St. George's University Medical School
  • Internship: John F. Kennedy Medical Center
  • Residency:University of Louisville School of Medicine
  • Fellowship:Pulmonary and Critical Care Medicine - University of Louisville School of Medicine
  • Bilal Saulat, MD, MPH
  • Shore Neurology and Sleep Medicine
  • 404 Byrn Street, Cambridge MD 21613
  • Phone: 410-221-0448
  • Fax: 410-770-5251
  • 522 Cynwood Drive, Suite 300, Easton MD 21601
  • Phone: 410-770-5250
  • Fax: 410-770-5251
  • Board Certified:
  • American Board of Psychiatry and Neurology in Neurology and Sleep Medicine
  • Medical Education: King Edward Medical College, Lahore, Pakistan
  • Internship: John H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois
  • Residency: University of South Alabama Medical Center, Mobile Alabama
  • Fellowship: Neuromuscular Medicine - UMDNJ University Hospital, Newark New Jersey, Sleep Medicine - Albert Einstein Montefiore Medical Center, Bronx, New York
  • Master's in Public Health:University of Minnesota

FAQ

Is this an overnight study? Yes. Appointment times start at either 8pm or 10pm on the date of your test. Your appointment will begin by having a technician prepare you for overnight monitoring. When your set up is complete, you get into bed to fall asleep leisurely as you normally would. One of our staff will wake you up around 6am the following morning, when you are free to leave. Patients can request an earlier wake up call, if necessary, for personal and work-related situations.

Are there needles involved? No. An overnight sleep study is entirely non-invasive and sedation free. You will not be given any medication to help you sleep. A washable paste will be used to attach electrodes or wires to your face and scalp. These wires are used simply to monitor changes as you sleep, such as your heart rate, blood pressure and oxygen levels.

What do I need to bring? You will need to bring comfortable clothes to sleep in and your medications you normally take before going to bed. Please bring a list of all other medications you take to give to your technician. You are welcome to bring your own pillow or blanket and toiletries. Diabetic patients should bring their insulin and a snack, if necessary.

Patients who currently use a CPAP/BiPAP machine should bring ONLY their mask. Your machine and tubing will not be needed.

Can I have someone stay the night with me? Under certain circumstances, you can have someone stay overnight in your room. Guests, however, cannot sleep in the bed with you. There is a recliner in the room for the guest to sleep in, and in some cases, a cot can be brought in.

For patients who need additional assistance, such as getting in and out of bed and help going to the bathroom or getting dressed, it will be required for a guest to stay overnight.


Regional Sleep Disorders Center
The Memorial Hospital at Easton
219 S. Washington Street
Easton, MD

Dorchester General Hospital
300 Byrn Street
Cambridge, MD

Shore Medical Pavilion
125 Shoreway Drive
Queenstown, MD

Tel. 410 822-1000, ext. 5338
Fax: 410-763-7051
Email: darousseau@shorehealth.org