Sleep Center in Miles City, MT
Having trouble falling asleep, staying asleep or staying awake?
Having trouble falling asleep, staying asleep or staying awake? Our on-site sleep center is accredited by the American Academy of Sleep Medicine. We offer sleep testing in our sleep center or at home, depending on your condition.
Not getting enough rest or disturbing the cycle and stages of restorative sleep can have significant consequences, impacting your lifestyle, relationships, job performance and general health. High blood pressure, chest pain and even heart failure can result.
Better sleep results in better overall health, less moodiness and increased memory, learning and reasoning.
The four most commonly treated sleep disorders are:
If you notice symptoms of the above disorders lasting for more than a month you should ask your doctor for a referral to the Sleep Disorders Center at Billings Clinic.
What to expect during your initial appointment
The process for diagnosis of sleep disorders can be quite lengthy and require numerous appointments and at least some time and effort on the part of the patient in order to be successful.
This initial appointment includes:
- A review of your lifestyle and environment
- Medical and sleep history as well as your physical condition
- Recommendations that may be simple steps you can implement without further assistance.
If your situation is more complex, it may require a monitored sleep study which will indicate if treatment is necessary.
Once you and your care provider have determined a sleep study is right for you
Please complete this form and return to Billings Clinic Miles City prior to your sleep study.
Our staff will contact your insurance provider to inquire whether or not a sleep study is a covered service for your specific plan. If It Is not a covered service, please notify our staff immediately.
Our staff will begin processing a sleep study packet on your behalf. The findings of your Initial evaluation will be reviewed by a sleep specialist and any questions and concerns will be addressed before the study can be scheduled. We may also contact your Insurance company for a prior-authorization, if needed. This process may take several weeks. Our staff will call to schedule your study when the process Is complete. If you have not heard from us after 3 weeks, please call back so that we can follow-up.
On the night of your study
Please follow all directions (noted below) and make sure to bring the sleep aid (if prescribed) with you. The technologist will prepare you for the study and answer any questions you may have.
- Check in at the south door of the clinic, across from Red Rock Sporting Goods. You can park directly across from the door. Knock on the door, the Sleep Lab Technician will meet you and escort you to the Sleep Lab.
- You will be scheduled for an 8:45 pm testing time. Please arrive no earlier than 10 minutes prior to your scheduled appointment.
Follow these tips when coming in for a sleep study
- Follow your normal routine. DO NOT take a nap the day of your study.
- Avoid beverages or food containing caffeine 12 hours prior to coming in for your procedure.
- Take all medications as prescribed by your physician. If you take any medication that is used to help you sleep, bring the medication with you and your sleep technician will evaluate whether to use it prior to testing.
- If you feel you need a sleep aide, talk to your provider about ordering one for you. It is your responsibility to bring the sleep aide with you. No sleep aide is available at the clinic.
- Please wash your hair the day of the test and avoid hairspray or hair products as they may interfere with electrode signal quality.
- Bring toiletry items and your normal sleepwear. There is a restroom and shower available. You may shower in the morning; towels will be available.
- You may bring your own pillow or other items that may help you sleep.
- If you currently use a CPAP, please bring in your mask. Please leave the other parts at home.
- Your test will end at 5:30 am.
- If you are unable to come for you test, please call and cancel as soon as possible. You may be charged a cancellation fee if less than 24-hour notice is given.
- Sometimes a split-night study may be needed.
- This means that a short period of time is spent at the beginning of the study looking for a diagnosis (Obstructive Sleep Apnea) and then the rest of the night is spent doing treatment (CPAP). Not all the studies can be split (Not enough sleep time, Not enough events during the first part of the study). You will then see the doctor in a follow up appointment after each study. You will receive your prescription for that treatment (CPAP machine) at the follow up appointment if it is needed. Ask questions if you have them.
Once your study is complete
- Your results will be sent to the Billings Clinic Sleep Disorders Center to be scored and interpreted by a sleep specialist. This process usually takes about 2 weeks, but may take up to 4 weeks. In some cases, a second study may be required to determine the optimum pressure needed for effective treatment. In this case, you will be notified and scheduled for the second study (usually called a titration) and, if prescribed, a second sleep aid will be ordered.
- You will be scheduled for a follow-up appointment with your provider 2 to 4 weeks from the night of your study to go over results. If you are diagnosed with a sleep disorder, your provider will discuss treatment with you at the follow-up visit and prescribe treatment. In most cases, this will be a continuous positive airway pressure machine, known as a CPAP.
- You will need to choose a durable medical equipment (DME) provider In the area to get your CPAP machine, tubing and supplies. There are 2 companies In the Miles City area - Lincare and Rotech. Your provider will give you a written prescription that you can take to one of these companies to get your equipment.
- Once you have received your equipment you will need to wear it a minimum of 4 hours per night, at least 80% of nights. Your machine will keep track of your usage.
- You will have another appointment with your provider after you have had your equipment for no less than 30 days, and no more than 90 days. At this appointment, your provider will evaluate your compliance (how much you are using your equipment) by reviewing the compliance report from your machine. This report should be printed by your equipment provider and brought to the appointment. Your provider will ask you questions about how the CPAP machine affects your life, for Instance whether It has improved your sleep, energy level, etc.
- Your provider will need to see you every year and document compliance In order for you to continue with your treatment. This will require an annual appointment and a review of the compliance report from your machine that you will need to bring with you each year.
If you have any questions please give us a call at 406-233-7052.