Sleep Center

Sleep Center

Diagnostic Sleep Center

1311 N. Mildred Road, Cortez, CO

Welcome to the first step in getting better sleep. The Southwest health System Diagnostic Sleep Center offers a full line of adult services to diagnose and treat more than 150 different sleep disorders.

Problems such as snoring, insomnia and daytime sleepiness may mean that you, like 20 million other Americans, have a sleep disorder. Until recently, sleep problems were either considered psychological in origin or were ignored. The medical community has begun to put a great deal of emphasis on sleep quality due to the direct link between sleep disorders and health problems such as heart disease, adult onset diabetes, stroke, ADD in children, and depression.

If sleep problems are causing you to have health problems, making you irritable or depressed, or have affected your concentration, see your doctor to determine if sleep testing can provide answers and solutions.

Sleep studies at our lab monitor all activities that occur during the night in a relaxing, homelike environment. A sleep technologist attaches small metal discs called electrodes to the head and skin with an adhesive, plus other simple probes to measure breathing, heart rate and the blood’s oxygen level. The technical equipment and technologist are in a nearby room monitoring all activities.

If therapy is prescribed, Continuous Positive Airway Pressure (CPAP) is a highly effective treatment for sleep apnea. Using a mask worn over the nose during sleep, the patient receives gentle pressure from an air compressor that forces air through nasal passages and into the airway. This holds the airway open and allows the person to sleep and breathe normally. Another option is surgery which may correct physical abnormalities that compromise breathing during sleep or an oral dental appliance may be fitted for mild to moderate sleep apnea.

Frequently Asked Questions

How would I know if I have a sleep problem?

Significant sleep disorders presently affect approximately 25 percent of the general population. Adults should feel refreshed and ready to face the day after 7.5 to 8 hours of uninterrupted sleep. If you often feel unable to perform throughout the day, this is an indicator of a possible night time problem.

How are sleep disorders diagnosed?

The starting point is a good sleep history obtained by talking with your physician. Doctors in the Montezuma County area are familiar with sleep disorders and can order a study for you if necessary. The most common sleep disorders are diagnosed by having a sleep study done in a controlled environment which is a bedroom-like setting at the hospital. Patients are monitored throughout their normal sleep period, whether that is at night or even during the day for individuals who perhaps routinely work a night shift.

Will my insurance cover a sleep study?

Most insurance companies cover sleep studies and consider them and a valuable diagnostic tool to aid in managing overall health. The majority of insurance companies do not require prior authorization, however, to be sure we will verify your coverage if you need to have a sleep study at our center.

How can I schedule a sleep study?

Your primary care physician can order a study for you. Speak with your doctor if you feel you need this service and all of the arrangements will be taken care of, or call the Sleep Center directly at 970-564-2678 for more information.


Do you have a sleep disorder? Click here to take the sleepiness quiz.

Download a 2-week Sleep Diary

Sleep Facts
  • Individuals with hypertension (high blood pressure) have greater than a 30% chance of having a well-known sleep disorder called sleep apnea.
  • More than 100,000 motor vehicle accidents are attributed to drowsy driving each year.
  • Sleep deprivation in children can cause symptoms of hyperactivity and aggressive behavior.
  • Most adults dream every 90 minutes throughout their sleep time.


Categories of Sleep Disorders




Risk factors for Obstructive Sleep Apnea (OSA)

Excess weight

People who are obese have 4x the risk of sleep apnea than people who are a normal weight. Fat deposits around your upper airway may obstruct your breathing. But not everyone who has sleep apnea is overweight.

Neck circumference

Men >17 inches (43 centimeters) Women >15 inches (38 centimeters)

A narrowed airway

You may have inherited a naturally narrow throat.

Tonsils or adenoids may become enlarged and block the airway

Being male

Men are twice as likely to have sleep apnea


Family history

Use of alcohol, sedatives or tranquilizers

These substances relax the muscles in your throat.


Smokers are three times more likely to have obstructive sleep apnea than are people who’ve never smoked. Smoking may increase the amount of inflammation and fluid retention in the upper airway.

Nasal congestion

If you have difficulty breathing through your nose — whether it’s from an anatomical problem or allergies — you’re more likely to develop obstructive sleep apnea.



CPAP Titration Study

This type of sleep study is used to calibrate your CPAP device. If you are diagnosed with obstructive sleep apnea you will need a CPAP study before you can begin treatment.

Continuous positive airway pressure is the frontline treatment for obstructive sleep apnea. CPAP keeps your airway open by providing a gentle stream of air through a mask you wear while you sleep.

Oral appliance therapy

This treatment for snoring and sleep apnea involves wearing a removable oral appliance in your mouth as you sleep. This is ideal for patients who cannot tolerate CPAP.


The board certified sleep specialist may recommend surgery for patients who cannot tolerate CPAP or an oral appliance. Surgery is not as effective as either sleep apnea treatment.


Melatonin is a hormone that is frequently used as a supplement for sleep. These are widely available in most drugstores and nutrition retailers the form of a pill. Melatonin is most effective in treating circadian rhythm disorders.

Cognitive Behavioral Therapy

Cognitive behavioral therapy is a type of treatment that addresses the underlying thoughts and behaviors that prevent you from sleeping well. This treatment is clinically shown to be the most effective way to treat insomnia in the long-term.

Sleep Medications

Medications such as sleeping pills are used to reduce or temporarily treat sleep-related problems such as insomnia by targeting a specific part of the brain. These medications are safe when used in the short-term under the supervision of a board certified sleep physician.

Bright Light Therapy

Bright light therapy uses artificial light to reset circadian rhythms and treat problems such as jet lag, shift work disorder or seasonal affect disorder.



Dr. Ed Razma

Southwest Medical Group,
Sleep Medicine & Pulmonology

Dr. P. Edmund Razma
Board Certified in Sleep Medicine and Pulmonary Medicine


Southwest Medical Group Sleep and Pulmonary Medicine

20 South Market Street, Suite 4
Cortez, CO

Southwest Medical Group, Mancos Valley (Monday) 970-2480