Concierge primary care
Same-day access, 45-minute visits, one physician who knows your history
Sleep medicine
Sleep assessed with data, then treated in the order the evidence supports.
Overview
Poor sleep is usually one of three things: obstructive sleep apnoea, chronic insomnia, or a circadian mismatch. They need completely different treatments, and telling them apart takes a history, a diary and often a recording.
Dr. Marcus Oyelaran is board-certified in sleep medicine and pulmonary disease, so both the airway and the behaviour sit with one clinician.
What is included
Structured sleep assessment
Epworth Sleepiness Scale, STOP-BANG, a two-week diary and, where relevant, wearable data.
Home sleep apnoea testing
A type III home study dispatched to you, scored by a physician rather than by software alone.
In-laboratory polysomnography
Arranged at a partner sleep laboratory when a home study is inconclusive or central apnoea is suspected.
PAP therapy and titration
Mask fitting, pressure titration, and adherence review at 2, 6 and 12 weeks.
CBT-I
Six sessions of cognitive behavioural therapy for insomnia, the first-line treatment ahead of sedatives.
Alternatives to PAP
Mandibular advancement devices, positional therapy and surgical referral where appropriate.
How it actually runs
- 01
Consultation
Forty-five minutes on history, schedule, substances, and what your partner has observed.
- 02
Test at home
The recorder arrives by courier, you sleep in your own bed, and it goes back the next morning.
- 03
Scoring and diagnosis
Five to seven business days for a physician-scored report with an apnoea-hypopnoea index.
- 04
Treatment start
Equipment fitted or CBT-I begun within two weeks of the diagnosis.
- 05
Adherence review
Download review at 2, 6 and 12 weeks; most problems are solved by changing the mask.
Who you will see
Dr. Marcus Oyelaran, MD
Sleep medicine and pulmonary
Obstructive sleep apnoea, chronic insomnia, asthma and COPD
Provider credentials shown on this demonstration website are illustrative samples and do not describe real clinicians.
Questions about sleep medicine
Something not covered here? The membership team answers by phone on weekdays.
All questionsFor straightforward obstructive sleep apnoea in an otherwise well adult, yes. Central apnoea, significant heart or lung disease and inconclusive studies still belong in a laboratory.
Most intolerance is a fit problem, not a pressure problem. We refit, try different interfaces, and consider a mandibular advancement device if that fails.
Sedatives treat the symptom and are hard to stop. CBT-I outperforms them over 6 to 12 months and has no dependence risk, so we start there.
No. Consumer wearables estimate stages from movement and heart rate. They are useful for trends, not for diagnosis.
Related programmes
Nutrition coaching
A registered dietitian, a six-visit arc, and changes that survive a travel week
Executive physical
One day, a complete workup, and a results consultation the same afternoon