Sleep Medicine Makes A Difference for Pulmonary & Critical Care Medicine Patients

      

Drs. Helena Schotland (left) and Hillary Loomis-King (right) are our Division’s Sleep specialists in Internal Medicine.  As a team, they care for patients with a broad range of sleep disorders including obstructive sleep apnea, central sleep apnea, nocturnal hypoventilation, narcolepsy, restless leg syndrome, periodic limb movements of sleep, circadian rhythm disorders, parasomnias, and insomnia. This team is particularly interested in the overlap of sleep and pulmonary disorders.          
Both start with a general assessment including history and physical exam. Sleep testing (polysomnography) is performed in one of three sleep labs (Med Inn, Dominos Farms and the KMS Building on State Street). Home sleep testing is also available.  After polysomnography, the physicians are able to interpret this data in conjunjunction with the patient's clinical presentation to guide diagnosis and management of the patient's sleep disorder. The physicians are posed in front of a wall of CPAP, BiPAP, and ASV machines that are frequently ordered for their patients to alleviate symptoms of sleep apnea.  These machines are equipped with data cards which allow the physicians to assess the patient's compliance with therapy and efficacy of therapy.              

  • Dr. Schotland is the medical director of the Michigan CPAP Bank, a recycling program that provides CPAP, BiPAP and ASV machines to patients in need. This program has been in place for one and half years and has distributed machines to 33 patients over this period of time.            

Drs. Schotland and Loomis-King evaluate sleep disorders in 2 clinics:

  • Pulmonary & Critical Care Medicine Clinic, Rec. C, 3rd Floor Taubman Center, Appts:  734-647-9342; Fax: 734-763-4585  
  • Sleep Disorders Center 7th Floor Med Inn Bldg., Appts:  734-936-9068; Fax:  734-936-5377
 

Patients with coexisting pulmonary disorders are best served in the Taubman Center location.              

  • Both physicians are deeply committed to teaching sleep in inpatient/outpatient arenas: Pulmonary Consults, 8D, and General Medicine services, as well as in our Pulmonary Fellowship Program. A new multidisciplinary Sleep Consult service will be in place by the end of the year for UMHS inpatients. You may find background and contact information for this dynamic duo on our Pulmonary and Critical Care Medicine website’s URL: http://medicine.umich.edu/dept/pulmonary-critical-care-medicine/faculty/health-providers/421