Dr. Esbenshade is a Diplomate of the American Board of Sleep Medicine (ABSM). He received his Doctorate of Medicine from the University of Florida and completed his internship, residency and pulmonary fellowship at Vanderbilt University in Nashville, TN.
He is the founder of Cumberland Lung & Sleep Specialists located in Hermitage ,TN and actively practices pulmonary, critical care and sleep medicine.
Our staff is comprised of all nationally registered and licensed sleep technologists (RPSGT) with well
over 70 years combined experience in sleep medicine.
We remain committed to the overall advancements in sleep medicine, utilizing the latest in technology and treatment modalities to deliver the highest quality healthcare available today.
Dr. Ramos is a Diplomate of the American Board of Sleep Medicine (ABSM). He received his Doctorate of Medicine from the University of Santo Tomas in Manila, Philippines. He completed his internship and residency at Seton Hall In Newark, NJ and his Pulmonary fellowship at Tulane University in New Orleans, LA.
He is a partner in Cumberland Lung and Sleep Specialists and actively practices pulmonary, critical care and sleep medicine.
With nearly three decades of experience practicing pulmonary and critical care medicine, our physician staff is equipped to handle even the most complex of respiratory problems. The following are just some of the lung diseases we can effectively treat.
Chronic Obstructive Pulmonary
Disease (COPD)
Bronchitis
Pneumonia
Asthma
Emphysema
Pulmonary Nodules
Lung Cancers
Asbestosis
Pulmonary Fibrosis
Our new 6-bed state-of-the-art sleep center is conveniently located under the same roof with our physician offices and designed for maximum comfort & efficiency. All of our private bedrooms feature the "Elite Marriott" hotel bedding by Jamison, plush leather recliners, TV/DVD and a full private bath. Fresh coffee and a continental breakfast are always ready the next morning for those who desire!
Physicians will enjoy not only the ease of direct scheduling for consultations & testing, but the efficient model we have created for follow-up & management of sleep patients, including our on-site DME services.
With the most experienced ABSM board-certified physicians and technical staff around, we understand the vital role healthy sleep plays in the overall quest for good health. That is why we remain committed to treating the many patients in our area who simply seek a good nights sleep for a brighter tomorrow!
In August of 2009 we introduced the newest service to our practice and began providing all CPAP/BiPAP equipment and supplies for our sleep apnea patients.
No longer do patients have to wait for all-important sleep apnea therapy to begin! This latest addition has become a vital part of our ability to now provide consultation, testing and treatment all under one roof, with one fully integrated staff and virtually no delays.
Our new facility simply provides us with the best possible model for convenience and efficiency in the long-term care, follow-up and management of our sleep disorder patients.
Established in 1981 as Hermitage Pulmonary Associates, we have continued to expand our services in the Hermitage and surrounding communities for nearly three decades! Our brand new state-of-the-art facility now includes not only new pulmonary offices, but a beautiful new six-bed sleep center and Durable Medical Equipment (DME) services for all sleep apnea patients utilizing CPAP/BiPAP therapy. All together in a new, conveniently located office building just across from Summit Medical Center in Hermitage, TN.
This concept of bringing our Pulmonary & Sleep Medicine services together under one roof has allowed us the ability to combine our entire team of professionals to create a more streamlined and comprehensive approach to our practice and overall patient care. This new model simply gives us the ability to have maximum efficiency in our services and to take advantage of the latest in technology and cost saving measures.
Cumberland Lung & Sleep Specialists, PC
Hermitage Medical Center Bldg.
3810 Central Pike, Suite 202
Hermitage, TN 37076
(615) 883-9781
(615) 872-9215 fax
Cumberland Center for Sleep
3810 Central Pike, Suite 204
(615) 883-3045
(615) 883-3044 fax
Send us your questions or comments:
Monday - Thursday 8:00am - 5:00pm
Friday - Offices closed.
However, a nurse is available by phone for appointments and prescription refills.
Office Hours:
Monday - Friday 8:30am - 5:00pm
Sleep Testing:
Sunday - Thursday 7:00pm - 6:00am
Note: Hours for sleep testing can vary
depending on schedule and
procedures performed.
Obstructive Sleep Apnea (OSA)
- Obstructive Sleep Apnea, or (OSA), is a sleep-related breathing disorder that causes your body to stop breathing during sleep. OSA occurs when the tissue in the back of the throat collapses and blocks the airway, keeping air from getting into the lungs. Snoring and excessive daytime sleepiness are the primary symptoms found. It is the most common of all sleep disorders and effects over 20 million Americans.
Restless Legs Syndrome (RLS)
- Restless Legs Syndrome is when you have a strong urge to move your legs that is very hard to resist. It often comes with other uneasy feelings deep inside the legs. The sensation can be like burning, prickling, itching or tingling. It can even be more extreme and feel painful. These feelings, along with the urge to move, are made worse during bedtime. Lying or sitting still can be very hard. Temporary relief is found when you walk or move your legs.
Narcolepsy
- A disorder characterized by sudden and uncontrollable, though often brief, sleep attacks, sometimes accompanied by paralysis and/or hallucinations. The primary symptoms are excessive daytime sleepiness (EDS), cataplexy (sudden loss of muscle tone), hallucinations and sleep paralysis. Most often these symptoms will begin to appear in adolescence or young adulthood.
Insomnia
- The inability or difficulty initiating and/or maintaining sleep. Everyone has an occasional night of bad sleep. For most people insomnia lasts only a few days and goes away without treatment. But stress or depression can cause a higher level of insomnia that lasts for several weeks or months. This kind of insomnia may not go away on its own.
There are four basic kinds of insomnia: 1) Difficulty falling asleep 2) Difficulty staying asleep 3) Waking up too early 4) Poor quality sleep
1. More than 70 million people in the U.S. have a sleep disorder; and most are
completely unaware of it!
2. The average person will spend one third of their life sleeping, which equates to about
20-25 years over a 75 year life span.
3. Over 20 million Americans suffer from Obstructive Sleep Apnea (OSA), an often life-
threatening condition, 95% of which go untreated!
4. According to the American Academy of Sleep Medicine (AASM), there are now officially
81 documented sleep disorders.
5. Sleep Apnea is as prevalent as adult diabetes and asthma.
6. OSA sufferers are 3-7 times more likely to be involved in automobile accidents!
7. More than 1 in 2 people with Type II diabetes have sleep apnea!
8. According to research at the University of Chicago, there is now a clear and inverse
relationship between OSA severity and glucose control in patients with Type II diabetes.
9. The research also confirmed that undiagnosed sleep apnea is very common among
patients with Type II diabetes, indicating OSA as a largely unrecognized risk factor for
these patients.
10. The lack of sleep can disrupt hormone levels, making you feel hungry even when your
body doesn't need food.
11. A national survey found that 69% of American adults fail to recognize sleep as a critical
factor in maintaining good health.
12. The U.S. Department of Transportation estimates that at least 200,000 traffic accidents
occur each year because of driver fatigue.
13. The Exxon Valdez oil spill off Alaska, the Challenger space shuttle disaster and the
Chernobyl nuclear accident have all been attributed to human errors in which sleep
deprivation played a vital role!
National Sleep Foundation - www.sleepfoundation.org
Sleep Education - www.sleepeducation.com
Restless Legs Syndrome - www.rls.org
Awake In America - www.awakeinamerica.org
Narcolepsy Network - www.narcolepsynetwork.org
American Sleep Apnea Association - www.sleepapnea.org
American Insomnia Association - www.americaninsomniaassociation.org
Healthy Sleep Education - www.healthysleep.com
Sleep Apnea Information - www.sleepapneainfo.com
American Academy of Sleep Medicine - www.aasmnet.org
How likely are you to doze off or fall asleep in the following situations, in contrast to just feeling tired? Please rate each answer according to how you usually feel on a typical day. Even if you have not done some of these activities recently, try to determine how they would affect you. Use the following scale to choose the most appropriate answer for each situation.
0 = Would never doze
1 = Slight chance of dozing
2 = Moderate chance of dozing
3 = High chance of dozing
SITUATION CHANCE OF DOZING
Sitting and reading 0 1 2 3
Watching TV 0 1 2 3
Sitting, inactive in a public place
(e.g. a theater or a meeting) 0 1 2 3
As a passenger in a car for an hour
without a break 0 1 2 3
Lying down to rest in the afternoon
when circumstances permit 0 1 2 3
Sitting and talking to someone 0 1 2 3
Sitting quietly after a lunch without alcohol 0 1 2 3
In a car, while stopped for a few minutes in traffic 0 1 2 3
Total Score:
1 - 6: Getting enought sleep
4 - 8: Tends to be sleepy, but is average
9 - 15: Very sleepy and should seek medical advice
16 - 24: Dangerously sleepy!
1. Are you a loud, habitual snorer?
2. Have you ever been told you choke, gasp or hold
your breath during sleep?
3. Are you overweight and/or do you have a large neck
(men >17 inches women > 16 inches)?
4. Do you frequently feel tired or groggy upon
awakening?
5. Are you often very sleepy during waking hours and/or
do you fall asleep quickly?
If you or someone you know answers "Yes" to any of these questions, you may need to discuss these symptoms with your physician or a board certified sleep specialist. Please contact our office if we can be of any assistance to you.
Patient Registration Sheet.doc
Referral Form - Sleep.doc
Referral Form - Direct Sleep.doc
Physician Order Form.doc
Patient Instruction Sheet.doc
Pulmonary Questionnaire.doc
Sleep Questionnaire 10-10.doc
Epworth Sleepiness Scale.pdf
CPAP TIP SHEET.doc
