Dr. Paul Doghramji, MD
Family Practitioner, Pediatrician, General Practitioner
28 years of experience
Video profile
Accepting new patients
555 2nd Ave
Ste C-300
Collegeville, PA 19426
(810) 489-7440
Locations and availability (1)

Education ?

Medical School Score Rankings
Thomas Jefferson University (1982)
  • Currently 3 of 4 apples
Top 50%

Awards & Distinctions ?

Awards  
Patients' Choice Award (2010 - 2013)
Compassionate Doctor Recognition (2010, 2012 - 2013)
Bridges to Excellence Recognition
Bridges to Excellence Medical Home Recognition (2011 - 2013)
NCQA Physician Practice Connections - Patient Centered Medical Home (2013)
Appointments
Ursinus College (1992 - Present)
Medical Director

Affiliations ?

Dr. Doghramji is affiliated with 1 hospitals.

Hospital Affilations

Score

Rankings

  • Pottstown Memorial Medical Center
    1600 E High St, Pottstown, PA 19464
    • Currently 2 of 4 crosses
  • Publications & Research

    Dr. Doghramji has contributed to 8 publications.
    Title Screening & Treating Patients with Sleep/wake Disorders.
    Date May 2010
    Journal Jaapa : Official Journal of the American Academy of Physician Assistants
    Excerpt

    Sleep/wake disorders are common, underdiagnosed, and associated with serious consequences. Patients tend not to mention sleep problems and clinicians often do not ask about them. Using a few simple screening questions and tools can uncover sleep/wake disorders that will respond to treatment. Consider asking about sleep during annual physicals and regular visits for chronic conditions. This is especially relevant when following patients with conditions linked to sleep/wake disorders. Educating patients about normal sleep and good sleep hygiene may improve sleep and prompt mention of unhealthy sleep/wake patterns.The use of CPAP leads to beneficial outcomes in OSA. Psychological and behavioral measures offer the best choice for patients with chronic insomnia. Bright light can help retrain the circadian rhythm in patients with circadian rhythm sleep disorders. Dopamine agonists are approved for treatment of RLS. Through a greater awareness of sleep/wake disorders and taking a proactive approach to patient questioning, diagnosis, education, and management, clinicians can better detect and treat sleep/wake disorders and improve patient outcomes and quality of life.

    Title Insomnia in Primary Care: Panel Discussion.
    Date September 2009
    Journal Postgraduate Medicine
    Title Stay Awake! Understanding, Diagnosing, and Successfully Managing Narcolepsy.
    Date September 2008
    Journal The Journal of Family Practice
    Excerpt

    Sleep is a physiologic state that performs an essential restorative function and facilitates learning and memory consolidation. When sleep is disrupted for more than a short time, normal daily functions decline. Mood, attention, and behavior deteriorate. Sleepiness and disrupted sleep can result from a large number of pathological disorders. Currently, 88 sleep disorders are listed in the International Classification of Sleep Disorders, as established by the American Academy of Sleep Medicine, and sleep disorders adversely affect more than an estimated 70 million Americans. Most of these disorders can be classified as causing insomnia and/or hypersomnia. Insomnia results from disorders that cause difficulty with falling asleep and staying asleep; examples are hyperarousal, circadian dysrhythmia, and homeostatic dysregulation. In contrast, hypersomnia refers to difficulty in staying awake and is characterized by recurrent episodes of excessive daytime sleepiness or prolonged nighttime sleep. Hypersomnia can result from several primary sleep disorders, including narcolepsy, sleep apnea, restless legs syndrome, idiopathic hypersomnia, and periodic limb movement disorder. The effects of some of these sleep disorders and other chronic illnesses on daytime sleepiness are measured using the Epworth Sleepiness Scale. Narcolepsy was found to cause some of the highest measures of excessive sleepiness. This supplement uses a case-based approach to describe the underlying pathology and symptoms of narcolepsy. Differential diagnosis of narcolepsy and current treatment options will be discussed.

    Title Recognition of Obstructive Sleep Apnea and Associated Excessive Sleepiness in Primary Care.
    Date September 2008
    Journal The Journal of Family Practice
    Excerpt

    By being aware of the symptoms, predisposing factors, and comorbidities associated with obstructive sleep apnea (OSA), primary care providers can play a vital role in screening their patients for OSA. The most common symptom of OSA is excessive sleepiness. Medical providers can assess degree of sleepiness very effectively and easily by administering the Epworth Sleepiness Scale (ESS). Currently, polysomnography is required to confirm a diagnosis of OSA. Follow-up in the primary care setting is essential to ensure appropriate continued therapy. ESS is the preferred method to assess degree of residual sleepiness after treatment initiation.

    Title Insomnia: Zolpidem Extended-release for the Treatment of Sleep Induction and Sleep Maintenance Symptoms.
    Date July 2007
    Journal Medgenmed : Medscape General Medicine
    Excerpt

    Insomnia impairs daytime functioning or causes clinically significant daytime distress. The consequences of insomnia, if left untreated, may contribute to the risks of developing additional serious conditions, such as psychiatric illness, cardiovascular disease, or metabolic issues. Furthermore, some comorbidities associated with insomnia may be bidirectional in their causality because psychiatric and other medical problems can increase the risk for insomnia. Regardless of the serious consequences of inadequately treated insomnia, clinicians often do not inquire into their patients' sleep habits, and patients, in turn, are not forthcoming with details of their sleep difficulties. The continuing education of physicians and patients with regard to insomnia and currently available therapies for the treatment of insomnia is, therefore, essential. Insomnia may present as either a difficulty falling asleep, difficulty maintaining sleep, or waking too early without being able to return to sleep. Furthermore, these symptoms often change over time in an unpredictable manner. Therefore, when considering a sleep medication, one with efficacy for the treatment of multiple insomnia symptoms is recommended. A modified-release formulation of zolpidem, zolpidem extended-release, has been approved for the treatment of insomnia characterized by both difficulty in falling asleep and maintaining sleep. Here, we review studies supporting the use of zolpidem extended-release in the treatment of sleep-onset and sleep maintenance difficulties.

    Title Recognizing Sleep Disorders in a Primary Care Setting.
    Date January 2005
    Journal The Journal of Clinical Psychiatry
    Excerpt

    As many as one third of the general population suffers from some form of sleep disorder. Although sleep disorders are widespread in society, few patients present with overt sleep complaints; they instead present with symptoms of fatigue, excessive sleepiness, and impaired waking function. Untreated sleep disorders, particularly insomnia, can lead to potentially life-threatening automobile crashes and industrial accidents. In addition, poor motor, mental, and cognitive function at home, work, and school can negatively impact a patient's quality of life. Therefore, physicians must maintain a high index of suspicion for sleep disorders whenever they see patients, and they must ask sleep-related questions during office visits for acute conditions, chronic conditions, and annual physical examinations. Today's "24/7" society experiences sleep disorders in ever-increasing numbers, and people who work shifts are at risk for developing circadian rhythm sleep disorder, particularly shift work sleep disorder. Physicians must engage their patients in a discussion of their occupations and sleeping habits in order to detect and treat sleep disorders.

    Title Treatment of Insomnia with Zaleplon, a Novel Sleep Medication.
    Date August 2001
    Journal International Journal of Clinical Practice
    Excerpt

    Insomnia is a highly prevalent sleep problem that often results in poor daily functioning of the affected patient. Unfortunately, sedative hypnotic agents prescribed in the past often resulted in residual sedation, as well as impairment of cognitive and psychomotor performance, throughout the day after use. Newer agents with relatively rapid elimination require administration regularly each night before bedtime if symptoms of insomnia are to be prevented and next-day sedation is to be avoided. The availability of zaleplon challenges these standards of practice. The rapid elimination of zaleplon, combined with its unique receptor binding affinity, permits 10 mg of zaleplon to be taken at bedtime or later in the night with minimal concern for next-day residual effects. Clinical studies of zaleplon also identified the low risk of withdrawal syndrome or rebound insomnia after the discontinuation of nightly use. If used only on the nights when symptoms actually occur, the occurrence of such problems with zaleplon will be minimal.

    Title Detection of Insomnia in Primary Care.
    Date June 2001
    Journal The Journal of Clinical Psychiatry
    Excerpt

    Insomnia is a widespread condition with diverse presentations. Detection and diagnosis of insomnia present a particular challenge to the primary care physician. Patients seldom identify their sleep habits as the source of the complaints for which they are seeking treatment. Insomnia may be the result of many different medical or psychiatric illnesses or the side effects of medications or legal or illegal recreational drugs. Insomnia has a serious impact on daily activities and can cause serious or fatal injuries. With ever-increasing competition with sleep from 24-hour television broadcasts from hundreds of channels and the Internet, as well as more traditional distractions of late-night movies, clubs, and bars, we have become a society that sleeps 25% less than our ancestors did a century ago. We have no evidence, however, that we require less sleep than they did. This article presents strategies for detecting and diagnosing insomnia.

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