Dra. Paula Barsand
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Areas of expertise

Sleep Medicine

Sleep disorders and nocturnal respiratory health

Sleep Medicine

Good sleep is not just a matter of rest — sleep plays a fundamental role in bodily recovery, hormonal regulation, brain function, and cardiovascular and pulmonary health. When sleep is persistently interrupted or of poor quality, the consequences go far beyond fatigue. Sleep medicine investigates and treats disorders that impair sleep quality and quantity.

Symptoms that deserve attention

  • Frequent or loud snoring
  • Breathing pauses during sleep observed by a partner
  • Excessive daytime sleepiness
  • Feeling tired even after a full night's sleep
  • Difficulty falling or staying asleep (insomnia)
  • Frequent nighttime awakenings
  • Morning headaches
  • Difficulty concentrating and memory problems

Main sleep disorders

Obstructive sleep apnea — repeated breathing pauses during sleep with oxygen drops. The most common disorder with major cardiovascular impact

Insomnia — persistent difficulty initiating or maintaining sleep

Restless legs syndrome — leg discomfort that disrupts sleep

Circadian rhythm disorders — disruption of the biological clock

How diagnosis is made

Detailed clinical evaluation with analysis of sleep habits and history

Polysomnography — a sleep study monitoring breathing, oxygenation, heart rate, brain activity, and body movements

Home sleep monitoring in selected cases

Treatment

CPAP — positive airway pressure device, the treatment of choice for sleep apnea

Sleep hygiene — guidance on habits that improve sleep quality

Treatment of associated conditions — obesity, reflux, respiratory diseases

Medications when indicated for insomnia or other disorders

Untreated sleep disorders are associated with hypertension, cardiovascular disease, diabetes, and increased accident risk. Identifying and treating these conditions broadly improves energy, health, and quality of life.