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revi e w ® THE MOSES H. CONE MEMORIAL HOSPITAL GREENSBORO, NORTH CAROLINA Sleep Disorders Center Opens at Moses Cone Hospital Craig Muri, a registered polysomnographic technologist, monitors patients sleep patterns during sleep disorders studies. The Sleep Disorders Center at The Moses H. Cone Memorial Hospital, which opened in May, is helping physicians with the detection, diagnosis and treatment of sleep problems. As many as ten percent of the general adult population, and up to 40 percent of people over age 60, suffer from some form of sleep disorder. Snoring, daytime sleepiness, unexplained fatigue or depression, morning headaches or irregular breathing during sleep may be symptoms of a serious and potentially fatal problem—a sleep disorder. There are an estimated 30 million habitual snorers in the United States. Usually, snoring is no cause for alarm, but when accompanied by excessive daytime sleepiness, headaches or impotence, snoring may indicate a more serious sleep disorder. Insomnia, the inability to sleep, may be caused by a variety of psychological or physiological problems such as anxiety, noise, pain or a reaction to foods. Often confused with insomnia, nocturnal myoclonus—or nighttime movement—can be caused by an underlying medical problem. At times, movement is so pronounced that the patient sleeps only intermittently, often causing extreme daytime fatigue. Snoring, high blood pressure, excessive daytime sleepiness or fatigue may be symptoms of sleep apnea syndrome. Victims of this disorder stop breathing while they sleep—up to several hundred times a night. Thus, major organs are deprived of oxygen and can be seriously damaged over time. Blood pressure can soar between each breath, and the heart may beat irregularly or even stop. A single apnea episode may last up to 90 seconds and is manifested in three ways: (1) obstructive upper airway apnea is characterized by a very loud snoring and is intensified by chronic nasal congestion, enlarged tonsils, obesity or physical problems present at birth; (2) central apnea occurs when the diaphragm and stomach muscles cease to work, oxygen levels drop, causing the sleeper to become short of breath, and consequently, to awaken repeatedly; (3) mixed apnea is a combination of both. Falling asleep suddenly and unexpectedly, cataplectic attacks and weakness upon waking or unexplained fatigue or depression may indicate narcolepsy, a distortion in the sleep/wake cycle. This dangerous disorder affects over 200,000 Americans, often causing them to fall asleep so rapidly they seem to faint. Thomas W. deBeck, M.D., a neurologist who specializes in sleep disorders medicine, and Clinton D. Young, M.D., a pulmonologist, are the medical co-directors at the Moses Cone Hospital Sleep Disorders Center. Dr. deBeck recently came to Greensboro from the Community Hospital of Roanoke Valley, where he has directed the Sleep Disorders Center since 1970. Dr. Young, the medical director of Respiratory Services at Moses Cone Hospital and the current president of the North Carolina Thoracic Society, has done sleep studies at Moses Cone Hospital for the past two years. "With the expanding laboratory, we are now able to do a much more sophisticated form of testing," he said. Dr. deBeck studied at the Sleep Disorders Center at Stanford University, the foremost sleep disorders center in the country. Dr. Young will be attending the physicians' course there in the near future. Craig A. Muri, a registered polysomnographic technologist, is the sleep center coordinator. He trained and became registered in electroencephalography at Western Wisconsin Technical Institute and studied to become a polysomnographic technologist at the Stanford University Sleep Disorders Center. Lonnie Bunn, Associate Director of Support Services, has administrative responsibility for the Sleep Disorders Center. Patients, who are referred for sleep disorders study, sleep overnight in the Sleep Disorders Center. "The patient has a private bedroom with a television set. We encourage them to follow their regular sleep routine, going to bed at the usual time and rising at their normal hour," Muri said. During the time patients are sleeping in the Sleep Disorders Center, Muri stays in an adjoining room where the patient's sleep patterns are constantly monitored. The typical studies performed in The Sleep Disorders Center are the nocturnal polysom- nogram (NPSG) and the daytime multiple sleep latency test (MSLT). The NPSG records the following parameters: EEG, EOG, EKG, Chin EMG, Anterior Tibialis EMG, 02 saturation, nasal/oral airflow and respiratory effort. This test is useful in detecting sleep apnea. The MSLT is a measure of physiological sleepiness. It helps to distinguish patients with narcolepsy from those with sleep apnea. The sleep recordings are evaluated by a sleep disorders physician. Results, diagnosis and recommendations are sent to the referring physician. Treatment varies according to diagnosis, and most treatments are available at The Moses H. Cone Memorial Hospital on request of the referring physician. Treatment of sleep disorders includes medication, Nasal CPAP, surgery, sleep hygiene education and psychological or psychiatric therapy. The center, now located on the fourth floor, will be relocated to new and larger quarters by fall, 1986. If you would like additional information on The Sleep Disorders Center, please call 379-4406. review ® August, 1986 INSIDE: Jean Caudle Award 2 Dial-A-Dietitian 2 Wellness Opportunities 3 Graduations 2 & 4 Purchasing Automated 5 Picnic 6 REVIEW Moses Cone Hospital 1200 North Elm Street Greensboro, North Carolina 27401-1020 Address Correction Requested Non Profit Org. Bulk Rate U.S. Postage PAID Permit No. 195 Greensboro, N.C. MCH Nurse Represents State at Ellis Island Swearing in Ceremony Independence Day celebrations hold significance for all of us who enjoy this special nation. This year, Susan Bell, a nurse on Division 5700, celebrated by taking the oath of citizenship on Ellis Island as the nation also celebrated the unveiling by President Ronald Reagan of the newly restored 100-year-old Statue of Liberty. Bell and her husband, Robert, were selected by Governor James G. Martin to represent the State of North Carolina at the naturalization ceremony on July 3. Two representatives from each of the 50 states and four territories were sworn in by Chief Justice Warren Burger. Special legislation was passed to make this particular ceremony possible. The long and impressive honor guest list included Attorney General Edwin Meese, three senators from New York, Chief Judges Constance Baker Motley and Jack B. Weinstein, five New York Congressmen, immigration officials, 14 U.S. District Court judges and more. A photograph, which appeared in the July 4 issue of the High Point Enterprise, pictured Bell seated, during the ceremony, beside Mikhail Baryshnikov, artistic director of the American Ballet Theatre in New York, although our local celebrity was unidentified by the newspaper. The Bell's son Hamish, 19, became a citizen of the United States in a ceremony held at the Guilford Battleground Park on July 4. Their son Logan, 5, was born in this country and, consequently, was already a citizen. They have a daughter, Kristy, who is married and lives inn Australia. Carolyn Ford, Editor The Bells received letters of congratulations from President Ronald Reagan, Governor James Martin, Congressman Howard Coble and Mayor John Forbis. Susan Hislop Bell was born in New Zealand, she was educated there, graduating third in her class from the Dannevirke School of Nursing. Following graduation, she worked at the Hastings Memorial Hospital in various specialized clinics, including the selective position of an Emergency Nurse Surgeon, a position without counterpart in the U.S.A. A registered nurse in New Zealand, the difference in the programs qualified her as a licensed practical nurse here. Bell has been employed at Moses Cone Hospital for the past five years. She plans to enroll in in the physician assistant program at Bowman Gray School of Medicine, Winston-Salem. See New Citizen, page 6
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Transcript | revi e w ® THE MOSES H. CONE MEMORIAL HOSPITAL GREENSBORO, NORTH CAROLINA Sleep Disorders Center Opens at Moses Cone Hospital Craig Muri, a registered polysomnographic technologist, monitors patients sleep patterns during sleep disorders studies. The Sleep Disorders Center at The Moses H. Cone Memorial Hospital, which opened in May, is helping physicians with the detection, diagnosis and treatment of sleep problems. As many as ten percent of the general adult population, and up to 40 percent of people over age 60, suffer from some form of sleep disorder. Snoring, daytime sleepiness, unexplained fatigue or depression, morning headaches or irregular breathing during sleep may be symptoms of a serious and potentially fatal problem—a sleep disorder. There are an estimated 30 million habitual snorers in the United States. Usually, snoring is no cause for alarm, but when accompanied by excessive daytime sleepiness, headaches or impotence, snoring may indicate a more serious sleep disorder. Insomnia, the inability to sleep, may be caused by a variety of psychological or physiological problems such as anxiety, noise, pain or a reaction to foods. Often confused with insomnia, nocturnal myoclonus—or nighttime movement—can be caused by an underlying medical problem. At times, movement is so pronounced that the patient sleeps only intermittently, often causing extreme daytime fatigue. Snoring, high blood pressure, excessive daytime sleepiness or fatigue may be symptoms of sleep apnea syndrome. Victims of this disorder stop breathing while they sleep—up to several hundred times a night. Thus, major organs are deprived of oxygen and can be seriously damaged over time. Blood pressure can soar between each breath, and the heart may beat irregularly or even stop. A single apnea episode may last up to 90 seconds and is manifested in three ways: (1) obstructive upper airway apnea is characterized by a very loud snoring and is intensified by chronic nasal congestion, enlarged tonsils, obesity or physical problems present at birth; (2) central apnea occurs when the diaphragm and stomach muscles cease to work, oxygen levels drop, causing the sleeper to become short of breath, and consequently, to awaken repeatedly; (3) mixed apnea is a combination of both. Falling asleep suddenly and unexpectedly, cataplectic attacks and weakness upon waking or unexplained fatigue or depression may indicate narcolepsy, a distortion in the sleep/wake cycle. This dangerous disorder affects over 200,000 Americans, often causing them to fall asleep so rapidly they seem to faint. Thomas W. deBeck, M.D., a neurologist who specializes in sleep disorders medicine, and Clinton D. Young, M.D., a pulmonologist, are the medical co-directors at the Moses Cone Hospital Sleep Disorders Center. Dr. deBeck recently came to Greensboro from the Community Hospital of Roanoke Valley, where he has directed the Sleep Disorders Center since 1970. Dr. Young, the medical director of Respiratory Services at Moses Cone Hospital and the current president of the North Carolina Thoracic Society, has done sleep studies at Moses Cone Hospital for the past two years. "With the expanding laboratory, we are now able to do a much more sophisticated form of testing," he said. Dr. deBeck studied at the Sleep Disorders Center at Stanford University, the foremost sleep disorders center in the country. Dr. Young will be attending the physicians' course there in the near future. Craig A. Muri, a registered polysomnographic technologist, is the sleep center coordinator. He trained and became registered in electroencephalography at Western Wisconsin Technical Institute and studied to become a polysomnographic technologist at the Stanford University Sleep Disorders Center. Lonnie Bunn, Associate Director of Support Services, has administrative responsibility for the Sleep Disorders Center. Patients, who are referred for sleep disorders study, sleep overnight in the Sleep Disorders Center. "The patient has a private bedroom with a television set. We encourage them to follow their regular sleep routine, going to bed at the usual time and rising at their normal hour," Muri said. During the time patients are sleeping in the Sleep Disorders Center, Muri stays in an adjoining room where the patient's sleep patterns are constantly monitored. The typical studies performed in The Sleep Disorders Center are the nocturnal polysom- nogram (NPSG) and the daytime multiple sleep latency test (MSLT). The NPSG records the following parameters: EEG, EOG, EKG, Chin EMG, Anterior Tibialis EMG, 02 saturation, nasal/oral airflow and respiratory effort. This test is useful in detecting sleep apnea. The MSLT is a measure of physiological sleepiness. It helps to distinguish patients with narcolepsy from those with sleep apnea. The sleep recordings are evaluated by a sleep disorders physician. Results, diagnosis and recommendations are sent to the referring physician. Treatment varies according to diagnosis, and most treatments are available at The Moses H. Cone Memorial Hospital on request of the referring physician. Treatment of sleep disorders includes medication, Nasal CPAP, surgery, sleep hygiene education and psychological or psychiatric therapy. The center, now located on the fourth floor, will be relocated to new and larger quarters by fall, 1986. If you would like additional information on The Sleep Disorders Center, please call 379-4406. review ® August, 1986 INSIDE: Jean Caudle Award 2 Dial-A-Dietitian 2 Wellness Opportunities 3 Graduations 2 & 4 Purchasing Automated 5 Picnic 6 REVIEW Moses Cone Hospital 1200 North Elm Street Greensboro, North Carolina 27401-1020 Address Correction Requested Non Profit Org. Bulk Rate U.S. Postage PAID Permit No. 195 Greensboro, N.C. MCH Nurse Represents State at Ellis Island Swearing in Ceremony Independence Day celebrations hold significance for all of us who enjoy this special nation. This year, Susan Bell, a nurse on Division 5700, celebrated by taking the oath of citizenship on Ellis Island as the nation also celebrated the unveiling by President Ronald Reagan of the newly restored 100-year-old Statue of Liberty. Bell and her husband, Robert, were selected by Governor James G. Martin to represent the State of North Carolina at the naturalization ceremony on July 3. Two representatives from each of the 50 states and four territories were sworn in by Chief Justice Warren Burger. Special legislation was passed to make this particular ceremony possible. The long and impressive honor guest list included Attorney General Edwin Meese, three senators from New York, Chief Judges Constance Baker Motley and Jack B. Weinstein, five New York Congressmen, immigration officials, 14 U.S. District Court judges and more. A photograph, which appeared in the July 4 issue of the High Point Enterprise, pictured Bell seated, during the ceremony, beside Mikhail Baryshnikov, artistic director of the American Ballet Theatre in New York, although our local celebrity was unidentified by the newspaper. The Bell's son Hamish, 19, became a citizen of the United States in a ceremony held at the Guilford Battleground Park on July 4. Their son Logan, 5, was born in this country and, consequently, was already a citizen. They have a daughter, Kristy, who is married and lives inn Australia. Carolyn Ford, Editor The Bells received letters of congratulations from President Ronald Reagan, Governor James Martin, Congressman Howard Coble and Mayor John Forbis. Susan Hislop Bell was born in New Zealand, she was educated there, graduating third in her class from the Dannevirke School of Nursing. Following graduation, she worked at the Hastings Memorial Hospital in various specialized clinics, including the selective position of an Emergency Nurse Surgeon, a position without counterpart in the U.S.A. A registered nurse in New Zealand, the difference in the programs qualified her as a licensed practical nurse here. Bell has been employed at Moses Cone Hospital for the past five years. She plans to enroll in in the physician assistant program at Bowman Gray School of Medicine, Winston-Salem. See New Citizen, page 6 |
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