Wednesday, January 02, 2008

Sleep Disorders In Women
http://nsidemd.com/medical/index.php?option=com_content&task=view&id=116&Itemid=103

Written by Dr. Joshua Rotenberg, Neurology & Sleep Specialists, PA Board Certified Sleep Medicine, Neurology (C
Wednesday, 17 October 2007

Heal Your Sleep for Life

Sleep problems in women are as common as they are complex. Medicine is just beginning to uncover the significance of disordered sleep in the health of women.

Who is at risk? According to the National Sleep Foundations’s 2007 Sleep in America Poll, 67% of women frequently experience a sleep problem. 74% of “stay-at-home” mothers; and 72% of working mothers experience insomnia. Overall, 43% of women report that daytime sleepiness interferes with daytime activities. 37% drink more than one caffeinated beverage per day. About 27% drive drowsy at least once per month and 10 % of this group did so with a child passenger!

Monday, September 03, 2007

Academy Diagnostics Sleep Center

With state-of-the-art diagnostics in a home-like atmosphere, Academy Diagnostics is able to offer the highest quality professional and technical services.

We welcome consulations and direct referrals for sleep testing for all ages.

Dr. Rotenberg invites (and even recommends) a tour before testing. Please call our office for information.





Friday, August 10, 2007

Worker fatigue takes its toll
San Antonio Business Journal - July 27, 2007
by Joshua Rotenberg
http://www.bizjournals.com/sanantonio/stories/2007/07/30/focus3.html?t=printable&b=1185768000^1497909

Fatigue is now considered the main reason the 987-foot Exxon Valdez tanker ran aground three hours after leaving the Alyeska oil terminal. Its crew had just spent a grueling 22 hours loading 53 million gallons of crude oil into the ship's cargo tanks. The 11 million gallons that spilled out was enough to fill 125 Olympic-sized swimming pools, firmly planting the spill in first place worldwide in terms of damage to the environment.

What impact is fatigue having on your business? Consider the following:

How many careless mistakes in the workplace can be avoided?
How many accidents that increase liability can be avoided?
How can you improve morale by increasing energy?
How much productivity is lost to obesity, hypertension, heart attack and stroke?

Follow the link above for the full text of the article

Saturday, May 05, 2007

Home Sleep Apnea Test Available

Home Sleep Apnea Test Available

Texas Medical & Sleep Specialists offers a home screening test for sleep apnea.

  • Convenient
  • Low Cost
  • Rapid Results

  • Call for details or an appointment 713-464-4107 or 210-616-9500





Wednesday, January 17, 2007

Specialty Services and Treatment Programs


Individualized Evaluation

Patients referred to Neurology & Sleep Specialists, P.A. undergo a comprehensive visit with a neurologist/sleep specialist enabling the selection of appropriate diagnostic testing.

The clinical history, physical examination and diagnostic findings are then synthesized into an effective treatment plan.

Why suffer? Ask for an expedited evaluation.

State-of--the-Art Diagnostics

  • EEG/Ambulatory EEG/Video EEG
  • MRI/MR Spectroscopy
  • Fetal MRI for prenatal diagnostics
  • Polysomnography with special adaptation for children
  • Maintenace of Wakefulness Testing
  • Multiple Sleep Latency Testing
  • ADHD Testing with Severity Scales
  • Latest Genetic and Neurometabolic Tests
  • Actigraphy - Actigraphy is a useful adjunct for the diagnosis and treatment of insomnia, restless leg syndrome and circadian rhythm disorders. Actigraphy provides objective data on sleep-wake cycles.

Innovative Treatment Programs

The individualized screening process, staff expertise and specialized treatment programs increases our success in treating sleep disorders.

Some of the treatment programs used by Neurology & Sleep Specialists, P.A. are:


Medication Therapy

  • Epilepsy/Seizures
  • Headaches Migraines
  • ADHD/School problems
  • Cerebral Palsy/Spasticity
  • Snoring
  • Excessive daytime sleepiness
  • Sleep Apnea
  • Seizures in Sleep
  • Movement Disorders in Sleep
  • Restless legs syndrome
  • Narcolepsy
  • Periodic limb movements
  • Sleep Walking
  • Insomnia
  • Abnormal dream behavior
  • CPAP/BiPAP Therapy
  • Sleep Apnea (moderate to severe)

Vagal Nerve Stimulator - for refractory epilepsy

Chemodenervation (botulinum toxin injections) for movement disorders, cerebral palsy, hyperhydrosis, siallorhea/drooling.

Intrathecal Baclofen Pump - evaluation and programming


Phototherapy
Circadian rhythm disorders are common and can cause sleepiness or insomnia.
Phototherapy is a non-medicinal treatment for circadian rhythm disorders. The brain’s clock has a natural sensitivity to blue-light. We use a safe light source emitting a specific wavelength of blue light to aid in resetting the hypothalamic diurnal rhythms.

Chronotherapy Chronotherapy is a non-medicinal approach to the treatment for insomnia or sleepiness due to a circadian rhythm disorder.


Oral Appliances
Sleep Apnea (mild to moderate)
Snoring
CPAP failure

Surgical Intervention/Weight Loss Program
Referrals for appropriate treatment are available when needed


Hypnosis/Self Hypnosis

Referrals for appropriate treatment are available when needed

  • Biofeedback
  • Cognitive behavior therapy
  • Insomnia treatment (via referral)
  • Relaxation training
  • Self hypnosis
  • Stress management

Saturday, July 01, 2006

News

Dr. Rotenberg Invited to Deliver Lectures

October 19 - Psychiatric Pharmacotherapy Update - University of Texas at Austin
Sleep and Neurodevelopmental Disorders
Sleep and Neurodevelopmental Disorders – A New Perspective
• Outline sleep comorbidities of ADHD.
• Critically discuss insomnia’s prevalence in Autism and Asperger’s Syndrome and
outline current therapeutics.
• Examine the diagnosis and treatment of circadian rhythm disorders

Septmber 28 UTHSCSA Grand Rounds.
Epilepsy — Considerations for Primary Care

July 25, 2007 San Antonio Area Pediatric Specialists
"About Sleep Disorders: Comobidities in Neurologic Disease".

March 24 at Transition Information Fiesta - NEISD
Transition Information Fiesta:
The Here and Now & the After and How!
Information for Families with Children and/or Adults with Special Needs
Saturday, March 24, 2007
8:30a.m. - 12:30p.m.
MacArthur High School Auditorium & Cafeteria
2923 Bitters RD. 78217

February 17, 2007 Autism Society of Greater SA - Shepherd of the Hills Lutheran Church 6910 Wurzbach, San Antonio
February 6, 2007 - Down Syndrome Association of San Antonio
Nov 2006 - Learning Disorders Association of Texas
22 Oct 06- Narcolepsy in Children. Narcolepsy Network Annual Conference, Dallas TX

Outreach Clinics
Dallas
New Braunfels
Kerrville
Fredricksburg

Appointments 210-249-5020