CPAP Therapy Services

If you’ve been diagnosed with Obstructive Sleep Apnea, what’s next?

If your physician suspected you had a sleep disorder, ordered a sleep study and, then confirmed that you had Obstructive Sleep Apnea (OSA), you may be asking yourself four important questions:

1. “What caused my OSA?”
2. “How will OSA affect my life?”
3. “Is there a cure.”
4. “What are my treatment options?”

The National Institutes of Health (NIH) estimates that over 12 million Americans have Sleep Apnea. Sleep Apnea is a life-threatening disorder that causes you to stop breathing several times in your sleep and you may not even realize that you have it. Each time you stop breathing in your sleep your oxygen level lowers and your brain must jolt your body back into a regular breathing pattern. This strains your heart and nervous system, and may lead to high blood pressure and a heart attack.

Sleep Apnea also prevents you from getting the quality sleep you need to fully function in today's busy world. This disorder can cause:

• Anxiety
• Depression
• Memory loss
• Attention Deficit Disorder
• Obesity

(Source: American Sleep Apnea Association)

CPAP (Continuous Positive Airway Pressure) machines are the most effective type of Sleep Apnea treatment. A CPAP machine works by gently blowing pressurized room air through the airway at a pressure high enough to keep the throat open. Many insurance companies require the use of a CPAP machine before Sleep Apnea surgery.


Cause and Affect of OSA
OSA is caused by fatty tissue or abnormalities in or around the nasal/airway passage, a decrease in the tone of the muscles that hold the airway open, and/or the tongue falling back and closing off the airway.

The affect is similar regardless of the cause. Your airflow is restricted when you sleep and often blocked, preventing normal breathing.


Living with OSA
OSA is a disorder in which complete or partial obstruction of the airway during sleep cause loud snoring and frequent awakenings, resulting in unrestful sleep and excessive daytime sleepiness.

Left untreated, OSA may lead to high blood pressure, heart disease/attack, stroke and motor vehicle/work accidents. Additionally, OSA patients often have depression, mood changes, impaired memory function, irritability and poor concentration, which lead to a decreased quality of life.

However, when properly treated for OSA, the quality of your life improves dramatically, as well as your overall health and happiness.

For many, OSA is a manageable condition and you can lead a normal life.


Weight Gain
Causes of OSA can vary. Most have developed OSA due to weight gain that has increased fatty tissue around their airway. Losing weight may reduce the fatty tissue and may eliminate the OSA. However, most OSA patients lack the energy and positive mindset that is needed to begin a rigorous diet and exercise program. For those who ultimately want to lose the weight, they may be interested in an intervention program that enables sleep, restores energy and allows the person to begin a weight management program that includes diet and exercise.


Nasal or Oral Obstructions/Abnormalities
Others may have OSA due to one of several abnormalities, such as:
• Deviated Septum
• Enlarged Tonsils or Adenoids
• Excessive Fatty Tissue in Upper/Back Palette or Surrounding Airway
• Problematic Overbite or Underbite
• Enlarged Tongue

For those with nasal or oral-induced OSA, your physician may recommend surgery or a dental appliance to correct the problem.


Treatment Outcomes with CPAP or Bi-Level Therapy
Air pressure therapy treats OSA by providing a gentle flow of positive air pressure through your airway to keep the airway open during sleep. When the airway is kept open during sleep, your breathing becomes regular, snoring stops, restful sleep is restored, quality of life is improved and the risk for high blood pressure, heart disease, heart attack, stroke and accidents are reduced.


Selecting Your CPAP/Bi-Level Device Provider
There are a number of companies that your doctor can recommend. CPAP requires a doctor’s prescription.


Fast Facts About Obstructive Sleep Apnea




Durable Medical Equipment Companies
The durable medical equipment companies listed below can arrange for CPAP equipment, provided that you and your physician feel that it is the correct treatment. Some of these companies have several locations, and some will deliver supplies to your home. Most insurance companies rent CPAP or similar equipment for you, for several months before purchase. Please discuss charges and your insurance coverage with the home health care company you choose:

In Maryland and Northern Virginia, Greater Washington Sleep Disorders Centers is affiliated with
SleepMed Therapy Services as our DME provider of choice. Through SleepMed Therapy Services CPAP set up is provided quickly at 8 of our locations, often this can be coordinated to be done directly after you have seen one of our sleep specialists in consult as a therapist from SleepMed Therapy Services will usually be available to deliver your CPAP machine, mask, and other supplies at that time.

To learn more about SleepMed Therapy Services follow their link to
Link to http://www.sleepmed.md/page/1903 or call them at 1-800-644-5779.

Coordinated services for patient set up are provided in Frederick, Rockville, Bethesda, Greenbelt, Lanham, Fairfax, Reston and Leesburg at this time.

Your physician or insurance company may have other DME companies that they prefer or participate exclusively with and may recommend accordingly. There is also extensive information available on line that may assist in helping you to make a decision that is right for you.