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Division of Sleep Medicine:
The goal of the Division of Sleep Medicine consists of a four part mission, each part unique and equally important to the advancement of care in the emerging field of sleep medicine..
Our approach to treating sleep disorders encompasses both clinical work and research. As a leading teaching hospital, we have the following goals:
The sleep lab is housed within the hospital's neurology department. This arrangement creates numerous benefits for our division and our patients. However, our faculty include physicians trained in other specialties as well, including psychiatry, pulmonology, surgery, and dentistry.*We also have affiliated faculty members in surgery, dentistry, and pediatric – please visit this site for further information.
When his doctor couldn't find a solution to his ongoing sleep issues, Jon, 66, sought help from an expert- Dr. Josna Adusumilli, sleep expert at MGH Neurology. After a sleep study and a consultation with Jon, Dr. Adusumilli was able to connect his medication for Restless Leg Syndrome to contributing to his sleep issues, as well as diagnosing a sleep disorder, sleep apnea. Now off his RLS medication and enjoying sleep again with the help of a CPAP mask, Jon says, "the level of sophistication and comprehensive care I'm getting here at MGH is such a contrast to my former provider. I'm really grateful. Dr. Adusumilli has been fantastic-such a great help. She was the perfect person to see."
Originally lead by Dr. John Stakes, the founding director of the lab, MGH has offered clinical sleep medicine services for over 30 years. Under his leadership, the laboratory was initially based in the main hospital. In 2007 the Division of Sleep Medicine took a major step forward with the opening of our current 8-bed sleep laboratory at the Wyndham Hotel next to MGH. We focus on patient experience to ensure that your night in the lab is both comfortable and informative. Each hotel room in our unit has a large bed and private bathroom. Each patient is cared for by a sleep technologist throughout the night. For FAQ’s click on the link below. http://www.mghsleep.com/faqs.html
The MGH sleep division is headed by Matt Bianchi, MD, PhD. Each member of our group cares for patients over the full spectrum of sleep disorders. It is the mission of our sleep laboratory to provide the highest level of diagnostic and therapeutic services for sleep apnea, insomnia, and other sleep disorders. Our active ambulatory clinic provides consultation and chronic care for patients with a spectrum of sleep disorders. The division also hosts cutting edge clinical research in several areas including: sleep apnea, insomnia, restless leg syndrome, and beyond.Patients seeking our services suffer from a variety of sleep disorders including:
Patients who suspect they might have a sleep disorder should speak with their primary care physician, who might want to order a sleep study (see below) and/or a consultation from our staff of sleep experts.
The Division of Sleep Medicine's sleep laboratory features an eight-bed diagnostic center for testing outpatients. For comfort and convenience, it is located at the Wyndham Hotel, immediately next to Mass General. As we tell our patients, coming to the sleep lab is similar to checking in to a hotel.This state-of-the-art facility allows us to safely and efficiently administer overnight testing in the form of sleep study called a polysomnogram. We also perform daytime testing, including the multiple sleep latency test, or MSLT, as well as mask fitting and desensitization clinic. All of our facilities are wheelchair-accessible. We can accommodate children age 13 and above for overnight testing.
Our division conducts research that produce significant breakthroughs in diagnosing and treating patients. For information about ongoing studies and the ability to participate, visit our website:
Referrals are accepted from primary care physicians and specialists by calling 617-724-7426. We require a completed Sleep Study Requisition form which can be downloaded as a PDF. Please print, complete and fax to 617-724-6513. For referring MDs, we require a typed clinical history note (please note, hand written records are not accepted).Our Staff
Restless legs syndrome (RLS) is a sleep disorder in which a person experiences unpleasant sensations in the legs.
Sleep apnea is a serious breathing disorder that causes brief interruptions of breathing during sleep.
Snoring is the sound that occurs during sleep when flow of air is obstructed in the area where the tongue and upper throat meet the soft palate and uvula.
Prior Authorization for Sleep Lab Testing
Massachusetts General Hospital Sleep Lab Now Offers Prior Authorization Support for Sleep Studies. We are pleased to announce that we are now able to help physicians obtain prior authorization for in-lab clinical sleep studies at the Mass General (Wyndham) sleep laboratory.
How it Works
Participation is simple: just order the polysomnography (PSG) in Epic, and we’ll use your clinic notes to perform the Prior Authorization service. The more information you place in your clinic note, the more likely we are to get the PSG approved without needing you to perform a peer-to-peer call.
What happens after you order the test
Home Sleep Apnea Testing (HSAT) involves limited channel kits applied by the patient, in the home, for one (or sometimes two) nights. The diagnostic role of HSAT devices is to confirm high-suspicion cases of obstructive sleep apnea (OSA). HSAT testing is not offered by Mass General, rather it is outsourced to third party providers.
HSAT is only validated for detection of obstructive sleep apnea (OSA). They are not validated for any other sleep disorder, such as central sleep apnea, obesity-hypoventilation, parasomnia, periodic limb movements, or central causes of hypersomnia (e.g. narcolepsy), etc. These other disorders require in-lab PSG. Risk factors for central apnea include heart failure, stroke and chronic opiate use. Risk factors for periodic limb movements of sleep include RLS, anemia (or ferritin < 50), antidepressant use, and advancing age.
HSAT is performed in the convenience of home, instead of the sleep lab. In addition to this convenience, the cost of the test is a fraction of the cost of in-lab PSG. For straightforward suspected OSA cases, intending on CPAP treatment, this pathway can accelerate the process.
The American Academy of Sleep Medicine published guidelines in 2007, which summarized the evidence-based position on home testing, and this was re-iterated in the more recent 2011 technology review of these devices. The summary of the recommendations are as follows, with regards to who is appropriate for home testing:
With National Sleep Awareness Week quickly approaching April 23-29, Kenneth Sassower, MD, neurologist in the Sleep Disorders Unit, answers the most commonly asked questions about sleep, and shares his most important piece of advice.
The MGH Neurology Department has its very own Wizard of Oz. That wizard’s real name is John Stakes, MD, co-founder of the MGH Sleep Division and the Sleep Lab.
People may underestimate the amount of sleep they need, Dr. Adusumilli says. A study of adults between the ages of 21 and 38 found that getting six hours of sleep a night for two weeks had the same negative effect on brain function as staying awake for 1 to 2 days straight. But even as brain performance worsened, study participants were unaware of the decline.
In honor of National Sleep Awareness Week, Matt Bianchi, MD, PhD, chief of Sleep Medicine at the MGH, provides tips for maintaining good sleep and beating the clock just in time for daylight saving time, which begins March 13.
The Division of Sleep Medicine at Massachusetts General Hospital in Boston recently received program accreditation from the American Academy of Sleep Medicine (AASM).
Better sleep is a resolution that should be on everyone’s list, according to Josna Adusumilli, MD, an MGH neurologist and sleep specialist. But when it comes to sleep, how much is enough and what is the best way to get restful sleep? Adusumilli explains.
About 10 percent of Americans suffer from sleep apnea, a disorder of nighttime breathing that disrupts sleep but often goes undiagnosed. Apnea can lead to daytime drowsiness, which puts people at risk of accidents and injuries. Poor sleep due to apnea or other causes also raises the chances of developing high blood pressure, diabetes, depression, heart disease and stroke.
Neurology residents, program graduates, faculty members, and the education director talk about training at Mass General Hospital and Brigham and Women’s Hospital.
Division of Sleep Medicine, Department of Neurology
Wang Ambulatory Care Center
Adult Overnight Outpatient Testing Unit
Massachusetts General HospitalDivision of Sleep Medicine, Department of NeurologyWyndham Hotel5 Blossom StreetBoston, MA 02114
Patient Frequently Asked Questions
Download FAQ PDFQ: What is your office contact information?A: Phone: 617-724-7426Fax: 617-724-6513Q: Where is the clinic location?A: Our clinics are at the following locations:Wang Building, Floor 8, Suite 835Wang Building, Floor 7, Suite 720Wyndham Hotel 2nd Floor, 5 Blossom St. Boston MA 02114
Q: What is your mailing address?A: Attn: Sleep UnitWang 72055 Fruit StreetBoston, MA 02114
Q: What is required in order to schedule a new patient appointment?A: Most recent office visit note from your referring doctor explaining why the patient needs to be seen and if it is for a consult for Sleep Study. (If for Sleep Study what kind: Diagnostic, Split or Titration Study).We need copies of any prior Sleep StudiesQ: What is my doctor’s NPI number for an insurance referral?A: Dr. Matt Bianchi: 1881715084Dr. John Stakes: 1871570325Dr. Kenneth Sassower: 1619968179Dr. John Winkelman: 1619950045Dr. Josna Adusumilli: 15686633789Dr. Deirdre O’rourke: 1194092858Q: How can I obtain a copy of my medical records from the Sleep Unit? A: You will need to complete the MGH Release of Information form and either fax or mail it back to our office. The release form can be found here.
Q: Where do I have my PCP fax my insurance referral to?A: Referrals Office fax: 781-960-1265Q: How do I know if my insurance will cover my visit? A: Please call your insurance company to verify that your appointment or test will be covered. You can also contact our Financial Access Unit at 617-726-6828.Q: How do I update my demographic and insurance information?A: Please contact our Registration and Referrals Center at 866-211-6588Q: How long will it take for me to receive my test results and how will they be communicated to me?A: For Sleep Study results it will take 2-3 weeks for the results to be ready. Once they are ready they are sent to the patients referring doctor and they will need to contact the patient to review.
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