Your first visit

Your First Visit with Silenso Clinic in San Diego

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Reaching out for help with a breathing or sleep ailment you are experiencing is an empowering, life-changing decision.

Once you decide you need medical intervention, you can begin healing and restoring your sleep, breathing, and quality of life. This all starts with your first visit with Dr. Paul Schalch Lepe

At Silenso Clinic, we take the time to meet with each patient, discuss their concerns in a friendly, non-pressuring environment, and use the best available technology and methods to make the correct assessment and ultimately achieve the best results. 

When you choose Silenso, we go out of our way to provide:

  • An office-based approach
  • Cutting-edge treatments
  • Minimal-downtime recovery
  • Care under one roof 
  • A friendly and welcoming atmosphere

I love interacting with people, discussing their problems and symptoms, and then finding the right solution for them. Nothing is as fulfilling as a great outcome and a patient that experiences improvement in their quality of life.

Your In-Office Visit

The goal of your first visit with Dr. Schalch Lepe is to familiarize yourself with Silenso clinic, meet Dr. Schalch Lepe and the team, and for Dr. Schalch Lepe to get a first-hand understanding of your condition. 


Silenso Clinic in San Diego

After an in-person consultation with Dr. Schalch Lepe, during which you discuss your condition, your lifestyle, your circumstances, and your goals, Dr. Schalch Lepe will perform:

  • A comprehensive head and neck examination
  • Endoscopic imaging and assessment of the airways 
  • Imaging review
  • Setting up an at-home sleep diagnostic test (if necessary)

Dr. Schalch Lepe is always conscious of the importance of his patient’s time, so he and his team strive for efficiency while ensuring thoroughness and comprehensive service.

At-Home Sleep Testing

In some cases, mainly where sleep conditions, snoring, or suspected sleep apnea is concerned, Dr. Schalch Lepe might recommend an at-home sleep test

This test is done using a WatchPATOne device. The device attaches to three different points on your body while you sleep and measures:

  • Heart rate
  • Oxygen levels
  • Body position
  • Snoring
  • Sleep stages and true sleep time
  • Presence of central sleep apnea

Then, during your follow-up consultation, Dr. Schalch Lepe downloads your sleep diagnostic test results from the WatchPAT device, and you’ll examine your sleeping habits and patterns together. 

The readouts from this test will reveal what type of sleeping ailment you’re suffering from and will inform the following steps to take. 

Dr. Paul Schalch Lepe

A board-certified otolaryngologist and sleep medicine specialist, Dr. Paul Schalch Lepe has dedicated his practice and training to help patients improve their quality of life. Due to his extensive training both in the United States and abroad, many domestic and international patients, including many Mexican expatriates living throughout San Diego County, seek out Dr. Schalch Lepe’s renowned services. 

Silenso Clinic is located in the Carmel Valley area of San Diego. We proudly serve patients from North San Diego County, La Jolla, Carlsbad, Encinitas, Del Mar, Coronado, Eastlake, Chula Vista, Rancho Santa Fe, and other nearby areas. You can learn more about Dr. Schalch Lepe by visiting his bio page.

Contact Dr. Paul Schalch Lepe today to schedule your first visit!

Dr. Schalch Lepe, MD, FACS at Silenso Clinic in San Diego

Better Breathing Starts Today

Specializing in the treatment of a variety of conditions (deviated septum, nasal obstruction, snoring, obstructive sleep apnea, etc.),  Dr. Schalch Lepe is highly qualified and motivated to provide his patients with the best possible treatment results. Dr. Schalch Lepe takes an in-depth, personalized approach with each patient to ensure they receive the best possible treatment for their situation.

Originally from Mexico City, Mexico, Dr. Schalch Lepe has the unique perspective of having trained in multiple countries. This experience has led him to be sought out by domestic and international patients, many of whom are Mexican ex-pats living throughout San Diego County and Southern California. 

Meet Dr. Schalch Lepe (English)

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