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The Sleep Disorders Center offers a full range of services used
in the evaluation, diagnosis and management of sleep-related disorders
in adults and children. We are the region’s most experienced
sleep disorders center and the first center in Monmouth and Ocean
counties to be fully accredited by the American Academy of Sleep
Medicine.
Our Center is equipped with the latest in monitoring equipment,
providing the opportunity for full overnight sleep studies, as
well as daytime testing. Your physician has referred you to the
center so that our staff of specialists can identify your sleep
disorder and find ways to effectively manage your condition.
For more information on The Sleep Disorders Center at Monmouth,
call , Monday through Friday.
Our Center operates under the direction of a physician who is fellowship-trained
in sleep disorders medicine and board-certified by the American
Board of Sleep Medicine (ABSM). Our licensed and registered sleep
technicians provide assistance in performing the overnight studies.
Consultation with specialists in pulmonary medicine, neurology,
otolaryngology (ENT), and psychiatry/psychology also can be arranged.
 The
area’s first board certified sleep specialist, Dr. Kosinski
leads the Sleep Disorders Center at Monmouth Medical Center and
has served as medical director since its opening in 1994. A diplomate
of the American Board of Sleep Medicine, Dr. Kosinski trained
in internal medicine at Monmouth Medical Center, and he completed
fellowship training in pulmonary and critical care medicine at
Hahnemann University, Philadelphia, and sleep disorders medicine
at the Medical College of Pennsylvania.
His professional affiliations include Fellowship in the American
Academy of Sleep Medicine, the American College of Chest Physicians
and the American College of Physicians. He is a former president
of the New Jersey Sleep Society.
 Dr.
Livornese has been a member of the professional staff of the
Sleep Disorders Center at Monmouth Medical Center since joining
the hospital in 1997. He is board certified and a diplomate of
the American Board of Sleep Medicine. He trained in pulmonary
diseases, sleep disorders and critical care medicine at the Medical
College of Pennsylvania Hospital/Hahnemann University in Philadelphia.
Dr. Livornese also is board certified in internal medicine, pulmonary
diseases and critical care medicine.
Among the professional organizations he holds membership in are
the American Academy of Sleep Medicine, the American College of
Chest Physicians, the American Thoracic Society, the American college
of Physicians and the Society of Critical Care Medicine. Dr. Livornese
is a fellow of the American Academy of Sleep Medicine, the American
College of Chest Physicians and the American College of Physicians.
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We work with each patient to identify the disorder. If requested
by your physician, you may be evaluated by one of our sleep specialists
to complete a comprehensive sleep history and examination. Then
specific testing can be performed, using our state-of-the-art
computerized monitoring system that is capable of providing the
following:
This involves spending a night in our sleep lab. As part of the
procedure, monitors are placed to record brain waves, muscle
activity, respiration and heart rhythms while you sleep. Because
it is a non-invasive procedure, no needles or catheters are
used during the study.
This test usually follows an overnight sleep study. It involves
a series of nap tests during the day to assess the degree of
daytime sleepiness and is useful for diagnosing narcolepsy.
During an overnight sleep study, if you are found to have significant
sleep apnea you may be asked to attempt a trial with continuous
positive airway pressure (CPAP), a device used in the treatment
of obstructive sleep apnea. This consists of a small mask that
is placed over the nose and is connected to a pressure device
that acts as an air-pressure split to prevent your airways
from collapsing during sleep. If the device is found to be
effective, it may be prescribed as part of the treatment.
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The sleep lab offers a relaxing atmosphere that is conducive to
sleeping. The monitoring and testing procedures are painfree and
the devices themselves will not restrict you from moving around.
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Among the sleep disorders we treat are:
Sleep apnea occurs when an individual repeatedly stops breathing
during sleep. The most common form of the disorder, obstructive
sleep apnea, is caused by a blockage of the airways that prevents
the flow of air in and out of the lungs. Loud snoring is often
a sign of underlying sleep apnea. Because people with sleep
apnea do not breathe properly when they're sleeping, they don't
get enough oxygen and have poor sleep quality, resulting in
daytime sleepiness.
This disorder is characterized by sudden and excessive episodes
of daytime sleepiness, as well as the brief loss of muscle
control during the day, a symptom that also can occur when
waking up or falling asleep. Vivid dreamlike experiences that
are difficult to distinguish from reality also may be experienced.
This condition occurs when a person is unable to fall asleep
or stay asleep. It may be triggered by a number of factors,
including stress, anxiety, depression, lifestyle habits and
physical conditions, such as arthritis or other sleep disorders.
Sleep disturbances also can be caused by a number of other conditions,
including chronic heart and lung disease and movement disorders
during sleep.
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We provide detailed reporting of test results in order to help
identify and treat your disorder. Our specialists work with you
and your physician to develop a care plan on how your disorder
can be effectively managed. Common recommendations may include:
- Weight loss
- Behavioral therapy
- Medication
- Surgery
- Use of the CPAP device during sleep
- Use of an oral/dental appliance
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Please arrive at Monmouth Medical Center's Admitting Office/Outpatient
Registration area 20 minutes before your scheduled appointment.
You will be directed to the sixth floor of the Borden Wing.
In order for your appointment to proceed smoothly, it is important
that you follow the guidelines below:
- Bring comfortable cotton sleepwear.
- Shower and shampoo your hair before coming to the hospital.
- Do not apply any hair spray or body lotion on the day of your
study.
- Do not drink coffee, alcohol or caffeinated drinks during the
afternoon that you are scheduled for your test.
- You may bring your own pillow to sleep on during the study.
- You may bring reading material.
- You will need to bring any medication that you usually take
at night or first thing in the morning.
- Should you develop an acute illness or upper respiratory infection
just prior to your scheduled appointment, please call to see
if your study should be rescheduled.
If you have any questions, call the center at (732) 923-7660.
If you need to reschedule your test, please give 48-hours notice.
Please check with your insurance carrier for details regarding
your specific insurance coverage so that you have that information
at the time of your visit.
Patients who need special assistance, including wheelchairs, should
let us know when they make their appointments, so that such arrangements
can be made.
Remember, all patients need a written referral from their physician
in order to schedule an appointment at The Sleep Disorders Center.
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