Insomnia care for people in Da Nang

Why people in Da Nang can still be seen

Da Nang is about 270 km from the clinic. It is also where demand around insomnia is highest in central Vietnam, considerably higher than in the clinic's own province. A video consultation is the only way to stop that distance becoming a barrier.

This is not true of every condition. For insomnia it is, because the whole diagnosis lies in the history and two weeks of sleep diary. International guidelines go further and state that polysomnography is not used to diagnose ordinary insomnia, which means that expensive measurement was never on the standard path anyway.

The picture in Da Nang

• Da Nang has the specialist facilities for the measurements needed when sleep apnoea is suspected.
• Urban pace, shift work and night-time light are the three common maintaining factors for insomnia here, and all three respond to behavioural intervention.
• For people working in tourism, hotels and restaurants, rotating shifts are a problem of their own, and the approach differs from ordinary insomnia.

When you should go to a local facility instead of a video consultation

• Suspected sleep apnoea. A sleep study is needed, and we will say exactly what to have measured.
• Unusual behaviour during sleep: kicking, punching, shouting, acting out dreams.
• Excessive daytime sleepiness with episodes of muscle weakness on strong emotion.
• New neurological symptoms: weakness, slurred speech, double vision.
• An urgent situation. See the warning block below.