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^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

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)
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