Dr. Ann Augustine

I am currently the chief of the division of Epilepsy, Sleep, and Clinical Neurophysiology. I see epilepsy patients and patients with sleep disorders. The epilepsy patients that I see often have a hard time controlling their seizures or have other epilepsy-related problems. At Duke, we have many options, including clinical trials, advanced medications, and surgical options, that we can offer patients to get them to a better quality of life with fewer or no seizures. In sleep disorders, I see many patients with sleep apnea and have a passion for treating individuals with narcolepsy. My philosophy is that I want patients to be aware of all the different treatment options that they have available this them. Together, we come up with what I, the patient, and the family think is the best approach for the individual. This way, we can individualize the treatment for each person. It is very gratifying for me to see patients doing so much better with the appropriate medications and pursuing the dreams they have and doing the things they really want to do. Dr. Husain is highly rated in 21 conditions, according to our data. His top areas of expertise are Seizures, Excessive Daytime Sleepiness, Generalized Tonic-Clonic Seizure, Microvascular Decompression, and Spinal Fusion.

I have been a faculty member at Duke for 30 years, specializing in the care of patients with epilepsy or sleep disorders. During that time, I have seen tremendous progress in the treatments available in both areas, and I remain excited about being able to provide those advances to my patients. I have also recently gained a personal perspective, having been diagnosed with obstructive sleep apnea, and becoming a dedicated CPAP user myself. Dr. Radtke is highly rated in 22 conditions, according to our data. His top areas of expertise are Seizures, Memory Loss, Obstructive Sleep Apnea, and Epilepsy.

I am passionate about sleep and helping patients achieve good sleep so they can be healthier and feel better during the day. I have particular interests in treating patients with obstructive and central sleep apnea, restless legs syndrome, narcolepsy, and idiopathic hypersomnia. For patients with sleep apnea who haven't done well with treatment in the past, I can often help make positive airway pressure (PAP) therapy more tolerable and effective. My approach to patients is to spend time gathering information from patients and their families. Families can provide very helpful information about patients' sleep that patients might not be aware of themselves. I then work with patients to develop a treatment that is mutually agreeable, as I think it's important for patients to understand and agree with their treatment plans. Whenever possible, I avoid using medications as most sleep problems can be improved without them. Dr. Spector is highly rated in 3 conditions, according to our data. His top areas of expertise are Obstructive Sleep Apnea, Restless Legs Syndrome, Central Sleep Apnea, REM Behavior Disorder, and Septoplasty.