Our goal is to provide world-class patient care utilizing our skills, experience and caring. We treat your entire person. It is our equal understanding of your desired lifestyle and your disorder that we believe will provide the optimum positive results.
In today’s world there are many pressures put on physicians to see high volumes of patients. We take the patient/doctor relationship back to earlier times when emphasizing the importance of preserving an appropriate amount of time for history taking and a detailed physical exam yielded the most accurate diagnosis. This leads to fewer trips to our office and less testing. We continue this extra time and care on each future visit.
Our new, home-like office reflects our caring philosophy as well. It is a place you feel relaxed, appointments are easily made – and timely kept, and a staff that always treats you with a warm and friendly attitude.
If you or someone you know is in need of a neurologist in Stony Brook, Long Island, get in touch with Three Village Neurology today.
D r. James D. Bruno, M.D., D.P.N.-N
Background Dr. Bruno is board certified in Neurology and Sleep Disorders. He completed his Neurology training at George Washington University in Washington, DC in 2003. He then went on to complete a fellowship in both Neurophysiology (Epilepsy/Neuromuscular Disorders) and Sleep Disorders at SUNY Stony Brook in 2004 and 2005 respectively. He is currently in solo practice and is Clinical Associate Professor of Neurology at SUNY Stony Brook. Dr. Bruno is also Associate Clinical Director of The Comprehensive Epilepsy Center of Long Island and offers clinical evaluations at the Sleep Disorders Center, both located at St. Charles Hospital in Port Jefferson, NY.
Highly regarded by his patients, Dr. Bruno was rated at the highest level of satisfaction in a recent independent survey. He has won several merits of distinction, including several Patient’s Choice Awards, Americas Top Doctor Award and Most Compassionate Doctor Recognition. He was also the recipient of the Extraordinary People in Care Award by the Epilepsy Foundation of Long Island.
Specialties Dr. Bruno specializes in both Sleep Apnea and Epilepsy,
as well as general neurology. In his practice, he only uses the most up to date technologies to diagnose and treat these conditions; Polysomnography and Electroencephalography respectively. Both Epilepsy and Sleep Apnea are treatable if properly diagnosed, and in most cases sufferers go on to lead incredibly fulfilling and uninhibited lives. If you are suffering with the symptoms of either of these diseases, contact Dr. Bruno, a neurologist in Stony Brook, Long Island and together you can get the answers you need, create a plan of action, and be on your way to living a healthier life.
Causes Of Sleep Apnea
Are you feeling tired even after a long night’s sleep? Do you receive complaints about loud snoring? If so, then you may be suffering from sleep apnea. Sleep apnea occurs when your breathing stops and starts repeatedly throughout your sleep. This breathing interruption usually lasts for at least ten seconds and can be problematic leading to complications such as daytime fatigue, drowsy driving, high blood pressure, heart problems, and type 2 diabetes. If you think you may be suffering from sleep apnea, our neurologist in Stony Brook, Dr. James Bruno can help you get the sleep you need and deserve.
There are three main types of sleep apnea:
Our neurologist in Stony Brook, Long Island will be able to diagnose and treat each type of sleep apnea.
Obstructive Sleep Apnea: this is the most common form of sleep apnea which happens when your throat muscles relax while you are sleeping creating a narrow airway. When this occurs you may make a snorting, choking, or a gasping sound.
Central Sleep Apnea: this form of sleep apnea occurs when your brain isn’t transmitting the correct signals to the muscles that control your breathing while you sleep.
Complex Sleep Apnea: this form of sleep apnea is defined by having a combination of both central and obstructive sleep apnea.
No matter what type of sleep apnea you may be suffering from, our neurologist in Stony Brook can diagnose and designate a treatment plan. Depending on the nature of your condition, Dr. James Bruno will conduct a variety of tests including Polysomnography. This will monitor your body functions during sleep to not only distinguish the type of sleep apnea you are suffering from but also the severity.
Common treatment options for sleep apnea include:
Lifestyle changes – Excess weight is a common cause of obstructive sleep apnea.
Continuous positive airway pressure device (CPAP) – this a mask that fits over your nose and or mouth and gently blows air into the airway to help keep your airways open.
Expiratory positive airway pressure (EPAP) – this is a small device that is placed in each nostril. It acts as a valve which allows air to go in and when you exhale the air goes through the small holes in the valve. This increases the pressure in your airways to keep it open.
Surgery – This option is used as a last resort if other treatment options are not successful.
How We Can Help
Our neurologist in Stony Brook offers polysomnography to help study and diagnose your sleep disorder. We will examine your brain waves, oxygen levels, heart rate, and breathing while also monitoring eye and leg movements in order to determine the right treatment plan. If you are already being treated for sleep apnea but are not seeing any improvements, our study can help modify your current treatment plan to identify a plan that is right for you. Contact us today to make an appointment so you can get the sleep you deserve.
Dr. James Bruno, a neurologist in Stony Brook, Long Island, is committed to serving his patients with the highest quality. Visit our website to learn more about how we can help you.
Recent Blog Posts: Seasonal Affective Disorder
If you or someone you know suffers from Seasonal Affective Disorder (SAD) and requires the assistance of a neurologist near Stony Brook, Dr. James Bruno at Three Village Neurology is here to provide quality neurological care. Please visit our contact us page if you’re interested in scheduling an appointment.
What is Seasonal Affective Disorder?
The seasonal affective disorder is a form of depression that strikes people during the changes of the seasons, just as the name would indicate. Typically, the condition is experienced from the fall into the late weeks of winter. Although in some more rare cases, exceptions can be made for the spring and summertime as well. This can have strong effects on an individual’s work and social life because they will tend to be moodier and socially withdrawn. Dr. James Bruno, a certified neurologist near Stony Brook, is highly trained and experienced when it comes to treating depressive disorders such as SAD.
Patients who experience this kind of depression shouldn’t make the choice to simply endure without the assistance of others. That being said, there are treatments available that can help alleviate the symptoms of this disorder. If you are looking for help with managing your seasonal affective disorder, then Three Village Neurology can assist. Our neurologist near Stony Brook can help diagnose and treat your seasonal disorder and get you back to enjoying your everyday life! Before undergoing an evaluation, you should consider and evaluate your symptoms.
Symptoms Of Seasonal Affective Disorder:
Feeling depressed most of or all of the day.
Loss of interest in things you once enjoyed.
Low energy levels.
Issues with sleeping.
Changes in appetite or weight.
Feelings of hopelessness, guilt.
Thoughts of death or suicide.
Season Specific Symptoms:
Winter and Fall SAD:
Overeating or cravings for foods high in carbohydrates.
Circadian Rhythm – The reduced levels of sun exposure in the winter and fall may throw off your internal clock and cause a feeling of depression.
Serotonin Levels –Reduced levels of the neurotransmitter serotonin which is responsible for making you feel good and happy will affect your moods greatly. A drop in serotonin could be due to the lack of sunlight in the colder months.
Melatonin Levels – The weather changes can also affect your levels of melatonin which helps your body relax and fall asleep.
Treatments For SAD:
Light Therapy – This involves sitting close to lightboxes and exposing yourself to light for the first few hours of your day. This can help increase levels of serotonin and melatonin which may potentially relieve feelings of depression.
Medications – As for most psychological disorders, SAD can be treated with the use of anti-anxiety and antidepressant medications. This is used more for those who experience SAD at extreme levels, including depressive episodes.
Psychotherapy – Also known as talk therapy, psychotherapy is usually effective at helping those who experience SAD move past their feelings of sadness.
Differentiating Between Neurological Sleep Disorders and SAD
Some individuals that believe they are suffering from seasonal affective disorder may actually be experiencing a neurological sleep disorder instead. A common symptom of SAD usually involves difficulty sleeping at night. If you are someone who happens to experience this symptom during the winter and fall seasons, you may be misdiagnosing yourself. It is important to distinguish between the two so that you fully understand your complication.
The 3 most common neurological sleep disorders are the following:
Narcolepsy – This disorder is described as falling asleep at random times while in the middle of performing daily tasks.
Sleep Apnea – This involves the inability to breathe adequately while sleeping.
Insomnia – This is characterized as being unable to fall asleep and/or stay asleep. Thus resulting in insufficient rest.
These neurological sleep disorders can be diagnosed and treated by a neurologist near Stony Brook through the following tests:
Polysomnography – A study that evaluates the factors that may disrupt sleep such as oxygen levels and body movements.
Electroencephalogram – This study looks closely at brain waves and activity during sleep.
Genetic Blood Testing – A test that helps to diagnose any potential sleep disorders such as narcolepsy and others.
A neurologist may treat these disorders through various methods including prescribing sleep medications or melatonin supplements. We may also suggest different lifestyle changes as well depending on your exact ailment and its severity. Nonetheless, Dr. James Bruno is here to help you through whatever neurological issues you may be facing and is committed to finding a solution for you.
Our Neurologist Near Stony Brook Can Help With Your SAD or Sleep Disorder
If you or a loved one experiences Seasonal Affective Disorder, then you already understand the difficulty and frustration that can come with trying to manage these feelings. However, you do not have to try and tough this out on your own. Dr. James Bruno at Three Village Neurology is here to help you with your neurological issues. We can help diagnose and treat your disorders and help you get back to enjoying your life. Our neurologist near Stony Brook treats each patient as individuals, doing all that we can for the patient themselves. If you would like to schedule an appointment with one of our doctors, you can call our office at 1-631-751-0790 or you can contact us online!
Treatment for Epilepsy & Seizures
If you or someone you know is searching for a neurologist in Stony Brook, Long Island, Three Village Neurology is here to help you.
Epilepsy is a chronic disorder that can affect people of all ages for a variety of reasons. Unfortunately, in many cases, the cause of epilepsy or seizures is unknown. At Three Village Neurology, Dr. James D. Bruno, a neurologist for Epilepsy in Suffolk County seeks to understand your condition and develop a plan to maximize your quality of life and reduce recurrence and damage caused by seizures.
What is Epilepsy?
Epilepsy is a condition that is known primarily for one of its symptoms, unpredictable seizures. Epilepsy is unique to the individual, and how a person is affected by epilepsy can vary greatly. Epilepsy is a spectrum disorder that encompasses many symptoms, rather than a specific diagnosis.
What is a Seizure?
There are many different types of seizures, but they are generally separated into two categories of focal and generalized seizures. Seizures can vary significantly between individuals, but the general mechanisms of how a seizure begins in the brain are similar.
Your brain is continually sending chemical and electrical messages between different parts of your system, both ‘exciting’ or ‘inhibiting’ brain cells.
A seizure occurs when parts of the brain experience an imbalance in the excitement and inhibition of brain cell activity, causing an electrical surge.
This surge is, in essence, what triggers a seizure.
While individual prognosis differs, if you experience two seizures, you are 80% more likely to have more in the future, so it is essential to seek medical attention.
Treatment for Epilepsy
Though treatment plans will differ significantly, the goals for treatment of epilepsy are similar which are to reduce or eliminate seizures and side effects. The mainstay of most epilepsy treatments includes seizure medications. However, our neurologist for epilepsy in Suffolk County will be able to provide a comprehensive treatment plan, monitoring, and instructions for how to handle seizures when they do occur. Also, they may be able to offer alternative treatment recommendations depending on the circumstances of the patient’s condition.
It is vital when selecting a neurologist for epilepsy in Suffolk County that you choose a team that offers a comprehensive and individualized approach for your specific needs. Contact us today at Three Village Neurology to gain more knowledge on treatment plans and how our team can help you.
Our experienced neurologist in Stony Brook, Long Island is here to help you through your epilepsy, by diagnosing and treating it. Get in touch with us, or visit our website today for more information.