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South Texas Veterans Health Care System (STVHCS)

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Sleep Laboratory and CPAP Program

About the Program
The Audie L. Murphy VA Sleep Disorders Center provides full service diagnostic sleep testing for veterans. The Sleep Laboratory includes 6 testing beds and performs diagnostic polysomnograms, CPAP, BiPAP, and ASV titration studies, as well as daytime testing such as multiple sleep latency tests (MSLT) and maintenance of wakefulness tests (MWT).
Patients referred to the sleep laboratory for testing have a variety of disorders including sleep disordered breathing, such as obstructive sleep apnea, central apnea, and hypoventilation syndromes. Many other sleep disorders such as a narcolepsy, sleep related movement disorders, parasomnias, and sleep stage disorders are also commonly identified during testing. The Sleep Laboratory follows the accreditation standards of the American Academy of Sleep Medicine and is committed to conducting the highest quality testing possible.
Sleep Medicine is a multidisciplinary specialty and the Audie L. Murphy VA Medical Center is fortunate to have a broad range of clinicians who provide ongoing care to patients with sleep disorders, including Board Certified Sleep Specialists, Pulmonologists, Neurologists, Psychiatrists, Psychologists, Otolaryngologists, and Dentists. For patients with obstructive sleep apnea and other sleep related breathing disorders, ongoing care and treatment with CPAP, BiPAP, or ASV is provided through the Sleep Medicine Department in the CPAP Clinic.

Patient Information for Sleep Studies

 Parking/Sleep Lab information
  • Please park close to the side of the main entrance and enter through the main facility doors.
     Polytrauma Entrance closes at 8 p.m.
  • Rooms are equipped with televisions.
  • Restroom and shower facilities are available in the sleep laboratory.


DO’s
 
• Report at 8PM to the Sleep Medicine Department office on the 7th Floor,  B703 on the night of your sleep study.
 • Eat dinner before you report for your sleep study.
 • Bathe before your sleep study.
 • Shave or trim your beard before the study as this may affect the procedures performed during the study.
 • Remove tight braids or hair weaves before the study as these may affect the procedures performed during the study.
 • Bring your medications. Bring what you take at bedtime and also bring what you will need to take the following morning, especially if you live a long distance away and may not get home
   until later in the day. The sleep lab staff cannot dispense any medication.
 • Bring clothes to sleep in and clothes to wear the following day.
 • Bring your own toiletries.
 • May bring your own pillow, extra blankets, or other items that you use to help you sleep.
 • May bring cell phones or other electronics if necessary. These devices must be turned off for the duration of the study.
 • If you use a wheelchair, have difficulty walking unassisted, or use oxygen, then please inform the staff when you schedule your sleep study. If your study has already been scheduled, then
   please contact the department as soon as possible to inform them.
 • If you need to take insulin while at the sleep laboratory: You must dispose of syringes only in the special containers for “SHARPS” which are located in the sleep laboratory. Please DO NOT
   place insulin syringes in the trash or leave them in the room.
 • If you work nights and prefer to have your sleep study conducted during the day then you must arrange for this in advance. Contact the Sleep Medicine Department (see Contact
    Information section) to make arrangements for this.

DON’T’s
 • Do not drink alcohol 24 hours prior to your sleep study.
 • Do not drink caffeine 8 hours prior to your sleep study.
 • Do not sleep in past 7am or take any naps on the day of your sleep study.
 • Do not use hair products like gel, mouse, oil, or hairspray the day of your study.
 • Do not wear jewelry like earrings and necklaces because they can interfere with the monitoring equipment.  Rings and watches are generally not a problem.
 • Do not bring any valuable personal items from home. The VA is not responsible for any lost or stolen items.
 • You will not be permitted to leave during the sleep study to smoke and smoking is not allowed in the sleep laboratory.
 • It is not permissible for anyone (such as a family member or driver) to stay with you in the sleep lab during your study.  Several hotels are located near the VA.  However, the VA cannot
    provide support or assistance with housing or lodging for any family members, friends, or drivers who come with you.

Commonly Asked Questions

1) Does the VA provide So clean or other PAP therapy device cleaners?
    At this time, the VA does not provide device cleaners.  We recommend that you use the current recommended strategies for cleaning as outlined during your visit

2) Does the VA provide TRAVEL CPAPs?
    No

3) What alternatives  are there to PAP therapy?
    PAP therapy is the Gold-Standard for the treatment of OSA and studies have shown that the below listed therapies are not as successful as PAP Therapy. Our service will first attempt to help you use PAP therapy for your sleep apnea.
    Referrals for alternate therapies will only be submitted if the following eligibility criteria are met: 

TAP device (also known as mandibular repositioning device or dental device)
Must have a certain number of your own teeth
Must have mild or moderate OSA or have a special circumstance
 • To be eligible for the VA to provide the device, you currently must be 100% Service Connected or otherwise eligible for VA Dental care
 Inspire
 • Patient ineligible when BMI is >32 because the device does not work as well when patients are overweight.  There are other indications and contraindications that must be met and should be discussed with your referring provider.
 Surgery – there are potential surgical options if you are unable to use PAP therapy.  ENT asks that all referrals for surgery for Sleep Apnea be referred by the Sleep Medicine Specialist.
    In many cases, patients will continue to need CPAP therapy as well. 

Cancellation Policy
You must call (877) 537-7348 during normal business hours at least 48 hours in advance if you need to cancel or reschedule your sleep study. If you do not keep your scheduled appointment then you will not be rescheduled. You will have to be seen by the sleep physician in clinic before a new study can be ordered for you.

Contact Info

Location

  • ALM Hospital, 7th Floor, Room B703
    7400 Merton Minter Blvd, San Antonio TX 78229

Contact Number(s)

  • 877-537-7348 Ext. Information
  • 877-537-7348 Ext. Cancellations

Hours of Operation

  • 8 a.m. - 4 p.m.