The staff of the UT Sleep Disorders Center has the goal of providing the highest quality care for your patients who are experiencing wake – sleep problems. We share your own commitment to the diagnosis and treatment of your patients, leading to the return to a healthy life.
When you refer a patient to the UT Sleep Center, we want to assure you that we will provide the same level of care you provide to your patient. We share your goal of diagnosing and treating your patient so that they can return to living a healthy life. To refer a new patient, fill out a Referral Form and fax with supporting documentation to 865-305-9869. You can contact the Referral Center Monday thru Friday from 8:00AM to 4:30PM.
Call: 865-305-8761, Option 2
Getting a detailed sleep history can be time consuming. The approach can vary significantly from patient to patient. However, there are some ways to streamline this process. Using an Epworth scale can help identify sleepy patients. It may be worthwhile having bed partners fill one out about the patient as patients can underestimate their symptoms.
A Stop-Bang or Berlin questionnaire can help identify patients at risk for OSA (although these are not perfect). Use of a sleep review of systems can be useful in identifying patients with some of the more common sleep disorders (there are over eighty).
A link has also been provided showing a differential diagnosis flow chart for Insomnia, Excessive Sleepiness and Night-time Behaviors. Finally, having a patient fill out a sleep diary can reveal sleep habits and patterns and may provide an obvious diagnosis (such as a circadian rhythm disorder).
When should I refer a patient to the Sleep Disorders Center?
This is not a straight forward question and there is no straight forward answer. Some sleep complaints are easier to address than others and some will require specialized testing (e.g. sleep apnea evaluation). Here are some general guide lines to consider.
- Your patient likely has sleep apnea. (Patients with diabetes, heart disease, and stroke are at increased risk).
- Your patient is having trouble tolerating therapy for sleep apnea.
- Your patient has excessive sleepiness not easily explained by their medications, health problems or sleep habits.
- Your patient is not responding to treatment for their RLS (see link for RLS scale to assess severity) or other sleep disorder.
- Your patient is interested in alternative therapies for sleep problems (particularly for insomnia).
- Your patient has a parasomnia (sleep walking, REM behavior disorder, etc.) where safety is an issue.
- Your patient has chronic insomnia resistant to treatment (especially polypharmacy).
- Because of the complexity of some of these patients, significant time may be needed to evaluate and treat these patients. We have the time and resources to help your patients.