Asthma, Sleep Medicine, Allergy, Pulmonology
  Mukesh C. Saraiya, MD
3200 Colorado Blvd., Suite 200
Denton, Texas 76210
phone: 940.381.0971 • fax: 940.387.2563
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Medical Services

Severe Asthma TreatmentAs one of the most specialized Pulmonary practices in the Denton, we diagnose and treat many conditions.

We offer many specialized Pulmonary procedures and testing situations in our facility.

  • Allergy Testing and Immunotherapy (allergy shots).
  • Pulmonary Function Testing including measurement of lung capacity and DLCO (often needed to monitor side effects of some cardiac medications such as amiodorone).
  • Diagnostic and Interventional Bronchoscopy (bronchial stents and Bronchial- Thermoplasty used in treatment of poorly controlled asthma)
  • Sleep Studies done in-house often more comfortable and far less expensive than hospital based studies.
  • In-house CPAP set up and follow-up to ensure optimal settings and desensitization if needed, run by experienced and dedicated staff who understand the patients needs, greatly improving compliance with the CPAP and achieving vastly improved out comes and quality of life.
  • Pulmonary Rehabilitation for enhancing quality of life for patients with chronic lung conditions by strengthening muscles needed for breathing and activities of daily living
  • Smoking cessation counseling which has been developed over the last 25 years of experience and can be highly successful.


Adult & Pediatric Sleep Disorders
We offer the State of the Art sleep study services in both of our Denton and Gainesville, Texas facilities. Both Sleep Centers are accredited by the American Academy for Sleep Medicine and approved by Medicare and most other insurances. We provide pre-authorization from your insurance and will be able to tell your portion of the cost, which is often simply an office co-pay, and will be expected to be paid on arrival to the Sleep Center for your study.


Sleep DisordersCommon Sleep Disorders Include:

  • Obstructive Sleep Apnea
  • Insomnia
  • Narcolepsy (excessive sleepiness)
  • Restless Leg Syndrome
  • Periodic Limb Movements (arm & leg twitching during sleep)
  • Shift Work (Circadian rhythm disorders)
  • DOT Sleep Evaluations

If you are experiencing any of the following difficulties you may need to have a sleep study:

  • Snoring
  • Unrefreshed sleep
  • Daytime sleepiness/feeling tired
  • Problems initiating or maintaining sleep
  • Sleepwalking
  • Twitching of the feet, arms or legs
  • Morning headaches
  • Memory or learning problems and not being able to concentrate
  • Feeling irritable, depressed, or having mood swings or personality changes
  • Waking up frequently to urinate
  • Dry mouth or sore throat when you wake up.

Instead of a hospital bed, our Sleep Centers are equipped with a bed that is similar in comfort to your bed at home. We will monitor your airflow; breathing, respirations, oxygen and sleep stages while you are asleep. No needles are involved in this painless process, and patients usually adapt to these monitoring devices within minutes, sometimes watching their favorite late night show, and helping them relax before falling asleep. Morning shower and coffee are offered. Most patients are able to go straight to work the next morning. With prior notice arrangements can be made for a family member to sleep in an adjacent room if needed.

We offer the following sleep tests:

  • Polysomnogram (Sleep Study) – Used to diagnose several medical conditions, including sleep apnea and sleep behavior disorders such as sleeping walking, REM related sleep disorder.
  • Titration (Sleep Study) – Used to determine the pressure you will need using the CPAP/Bi-PAP.
  • Multiple sleep latency tests (MSLT) – Measures how long it takes you to fall asleep and also checks the stages of sleep. This test is used to diagnose conditions such as narcolepsy or idiopathic hypersomnia.
  • Maintenance of wakefulness test (MWT) – Measures whether you can stay awake during a time when you are normally awake. This test is used to assess the effectiveness of treatment for hypersomnic conditions.
  • Pediatric Sleep Disorders


Allergy Testing
Allergy & Asthma Conditions Commonly Treated

  • Allergies & AsthmaAcute and Chronic Cough
  • Wheezing
  • Shortness of breath
  • Asthma (Allergic and Non-Allergic)
  • Other Respiratory Disorders
  • Bronchitis (unresolved)
  • Hay Fever
  • Allergic Rhinitis
  • Nasal Congestion
  • Runny Nose
  • Post Nasal Drip
  • Sneezing
  • Itchy & Watery Eyes
  • Conjunctivitis
  • Sinusitis (Chronic and Acute)
  • Recurrent Infections


Bronchial Thermoplasty
If you are taking asthma medications—but still have asthma attacks—Bronchial Thermoplasty (BT) may be right for you. In a clinical study, 79% of severe asthma patients treated with BT reported significant improvements in their asthma-related quality of life, compared with patients who did not receive BT treatment.

Quick facts about the Bronchial Thermoplasty (BT) Procedure

  • BT, delivered by the Alair™ System, is a safe outpatient procedure performed in 3 sessions to ensure safety and optimal results every step of the way. The sessions are typically scheduled 3 weeks apart.
  • The procedure is performed by a specially trained pulmonologist, using a device called the Alair System.
  • Each session is routinely performed under moderate sedation and typically takes less than an hour to complete.
  • No incision is needed, because the procedure is performed with a bronchoscope inserted through the mouth or nose. A bronchoscope is a long, flexible tube with a camera on one end that allows the physician to see inside the airways.
  • The BT device applies mild heat inside the airways to reduce excessive smoothmuscle. The reduction in muscle tissue helps minimize airway constriction.
  • The first session treats the airways in the right lower lobe of the lungs, the second treats the airways in the left lower lobe, and the third procedure treats the airways in both upper lobes of the lungs.
  • Following each procedure, you will be monitored to ensure your breathing, heart rate, blood pressure, level of oxygen in the blood, and lung function tests are near normal levels.
  • After all 3 procedures are performed, the treatment is complete. You will return to your regular doctor to continue managing your asthma.

Bronchial Thermoplasty PatientBenefits of Bronchial Thermoplasty
In a clinical study of patients with severe asthma, 79% of patients treated with Bronchial Thermoplasty (BT), delivered by the Alair™ System, saw a significant improvement in their asthma-related quality of life.

In addition, patients treated with BT experienced:

  • 32% fewer severe asthma attacks
  • 84% fewer asthma-related emergency room visits
  • 66% fewer days lost from work, school, and other activities due to asthma symptoms

Lasting benefits: Improvements in quality of life and number of days lost from activities due to asthma symptoms were followed for one year. Reductions in asthma attacks and emergency room visits were shown to extend through a 2-year follow-up period.


Conditions Treated

• Asthma / Allergic Lung Disease
• COPO / Emphysema
• Lung Cancer
• Occupational Lung Diseases
• Pulmonary Fibrosis
• Pulmonary Infections
• Pulmonary Hypertension
• Pleural Diseases
• Sarcoidosis
• Sleep Apnea
• All Sleep Disorders
• Abnormal Chest X-Rays / CT Scans
• Evaluation of Unexplained: Shortness    of Breath, Chest Pain
• Chronic Cough
• Smoking addiction
• Allergies

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Preparing For A PFT
(Pulmonary Function Test)

• Refrain from smoking several hours
   prior to your test.
• Refrain from using any breathing
   medications for four hours before the
• Avoid eating a heavy meal before
   you come in.
• Wear loose, non-restrictive clothes
   to your appointment.
• Suspend certain medications for a
   period before your test. Your doctor
   will provide more details.
• Avoid strenuous exercise on the day
   of your test.

Pulmonary Function Test



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