Tuesday, September 27, 2022

Children’s Sleep Disorder Clinic

Keeping Patients And Staff Safe During The C

Sleep Disorders Center – Boys Town National Research Hospital
  • All appointments are screened and patients excluded if at risk of infection or are acutely unwell.

  • If attending in person it is mandatory that you SCAN THE QR CODE on the door before entering. Please show this to the receptionist.

  • All patients MUST fill in the on-line registration form on this website and email it to our Reception BEFORE attending the Clinic. Click on the Make an Appointment button below. A REFERRAL LETTER should be emailed or faxed before the appointment.

  • Telehealth consultations WITH Video imaging such as Zoom or Skype now attract Medicare Rebates and are available on request at the time of making the Appointment. We would never substitute face-to face consultation with a remote consultation and would at the earliest possible time complete the clinical assessment in person when practicable.Consent is assumed if you go ahead with a TeleHealth appointment.

  • Thermo scanners are now available to detect fever.

  • Masks are required to be worn by all aged 12 years and older when in the Clinic. We are a Health Facility

  • Physical distancing is practiced and the waiting room made sparser, with minimised numbers of toys and magazines. Overflow ante rooms are available.

  • Also the doctors tend to run on time and there should not be many in the waiting room if everyone comes on time. Thank you for not coming too early and do not come late!

  • Siblings and other extraneous family members are strongly discouraged to attend.

  • Hand sanitizers are around – please use.

  • A Team Solution For Sleep Problems And Resolutions

    Poor sleep can frustrate the entire family. We work with families to understand whatâs normal and whatâs not, and we individually tailor interventions for each patient.

    No matter how difficult your situation feels, reaching out for support is your first step to your kidâs healthy good sleep. Our highly-trained pediatric physicians, nurses, psychologist, technologists and support staff work with your family to complete a thorough evaluation and develop a custom sleep solution with support that follows you home. Getting better and healthy sleep may come through behavioral adjustments, surgical interventions or medication.

    Can A Parent Sleep With The Child In Bed

    The quality of your childs test is very important. Parental co-sleeping with your child can affect the quality of the sleep study. Your help prior to and during the study is very critical in obtaining the best results from your childs sleep study but we ask that you refrain from sleeping with your child during the sleep study.

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    Specialized Sleep Care For Children

    Find the sleep care diagnosis and treatment your child needs, specially designed for their age and size, from the sleep medicine experts at the Sleep Disorders Center in Oklahoma Childrens Hospital at OU Health in Oklahoma City.

    At Oklahomas only sleep center accredited by the American Academy of Medicine and equipped for the special needs of newborns, babies and children, you and your child work with an OU Health team of experienced, board-certified sleep medicine physicians and credentialed technicians who care for children of all ages, including those with special needs such as autism, cerebral palsy, Down syndrome and muscular dystrophy, as well as children titrating on CPAP.

    In addition, you can stay with your child throughout the sleep study in our inviting, home-like setting, based in Oklahoma Childrens Hospital for maximum safety.

    When Should I Refer Patient To Sleep Expert

    Pediatric Sleep &  Breathing Disorders Center
    • When a suspected sleep disorder is resistant or needs more time or attention than a simple clinic visit allows.
    • When a child with developmental delays or special needs requires a sleep study or when extreme anxiety even to a simple PSG for OSA is predicted.
    • When CPAP/Bi-level PAP is required. Children more than adults need careful mask-fitting, habituation and education.
    • When hypersomnia is a significant complaint. A consult will help assess the need for a next-day MSLT, actigraphy study, or analysis of sleep logs for confounders.
    • When RLS is suspected. A consult can evaluate secondary causes and comorbid periodic limb movement disorder .
    • When parasomnias are severe, frequent or dangerous, or when nocturnal motor activity is suspicious for seizures. An expanded sleep study with full EEG or extra-limb leads may be needed.

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    Our Approach To Sleep Problems

    Our specialists use state-of-the-art computerized sleep study equipment to aid in the diagnosis of your childs sleep disorder. The pediatric sleep laboratory is comfortable, child-friendly, and staffed by seasoned sleep technicians who are expert at tabulating information about your childs sleepcharacteristics. You will be able to stay with your child throughout the study.

    Our team reviews the results of your child’s study with the aim of designing a treatment plan to improve the quality of your childs sleep. When necessary, we use a multidisciplinary approach to address your childs condition, working with pediatric ENT physicians, obesity experts, bariatric surgeons, developmental specialists, craniofacial surgeons, neurosurgeons, neuromuscular physicians, and gastroenterologists.

    We also have two nurse practitioner/educators on hand to help you and your child accommodate to CPAP/BPAP titration for complex sleep disorders. To help with other issues, we have a social worker on staff as well as access to behavioral therapists.

    Your First Sleep Clinic Visit

    During a your first visit to our sleep clinics, you will meet a team of providers, including physician trainees who will be our nations future sleep specialists. An initial assessment with a detailed history and clinical exam by a sleep provider will be the first step.

    In this evaluation, further studies may be suggested, including sleep studies and possible laboratory and radiological testing. A complete diagnostic approach and therapeutic plan will be provided and communicated to the referring provider.

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    What Is A Sleep Study

    Sleep study refers to group of nighttime studies most common of which is polysomnogram . PSG is objective way to evaluate for various sleep disorder. During a PSG, a patients brainwaves , heart rate, breathing and limb movements are monitored. PSGs are typically one night study attended by a sleep lab technician and take place at a sleep lab, which may be located in a medical facility or a hotel. PSG is most often used to assess sleep related breathing disorders , to titrate CPAP or Bi-level PAP, or to assess periodic limb movements. Please see description of other types of sleep studies below.

    What To Expect During A Sleep Study

    Behavioral Sleep Disorders – Akron Children’s Hospital video

    If you are coming to our laboratory for a sleep study , you and your child are probably wondering what to expect.

    In this step-by-step video walkthrough of a sleep study, your family can follow a patient as he completes a night in the Sleep Lab.

    Most sleep studies are completed at night. They typically start between 7 pm and finish between 5:30 and 6 am. Physicians are not present during the study. During a sleep study, the sleep technologist will place sensors on your childs body to record a number of different body functions. These sensors are not invasive and do not break the skin. They are used to monitor:

    • Brainwaves
    • Breathing patterns, carbon dioxide and oxygen levels
    • Heart rate and rhythm
    • Leg movements

    The sleep technologist will also record your child, using both audio and video, to watch how your child sleeping pattern and assess and hear your childs breathing and snoring during sleep.

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    Pediatric Sleep Disorders: Quality Rest Is What We Do Best

    Parents know good sleep is essential for childrenâs healthy growth and functioning. Parents also know that good sleep can be hard to come by.

    Families seek out the Childrens Sleep Center for our experience in treating rare and common pediatric sleep disorders in infants, children and adolescents. At Childrenâs Minnesota we value health and specialize in identifying and treating the full gamut of sleep challenges, including and ranging from difficulties falling asleep, staying asleep, or with sleep apnea and breathing during sleep, to difficulties waking up and staying awake.

    Itâs sometimes hard to get kids to bed. Kids are not little adults, and neither are their sleep symptoms. All of our sleep physicians are pediatricians that are board-certified in pediatric sleep disorders, and our program is:

    • One of the only pediatric-centered programs in the region
    • One of only a handful that is nationally accredited by the American Academy of Sleep Medicine

    Dealing With Sleep Disorders

    We cater for infants and children aged 0 to 16 years and up to 18 years if they are still schooling. The Clinic deals with the entire spectrum of sleep disorders such as sleep-breathing problems, narcolepsy, sleep-walking, night-terrors, behavioural sleep problems and so on. Patients referred to our practice for a sleep study will first attend a consultation with one of our physicians to assess your child. If a sleep study is required, it will determine how soon this should be performed and an admission arranged to either Sydney Children’s Hospital or St Luke’s Private Hospital to have the sleep study performed.

    You will be required to bring a referral letter to your appointment – without it you will not be able to claim a rebate from Medicare.

    Please note that a surcharge of 1.1% MAY apply to credit card payments. This is to minimise fee increases to our patients and families to meet our rising costs.

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    How Do I Schedule A Consultation With A Sleep Doctor

    Please have your referring physician or pediatrician contact our new patient referral line at . Or have your referring physician fax the following items to our sleep center :

    • Current History & Physical
    • Copy of any previous sleep study or MSLT
    • Demographics sheet
    • Copy of your insurance card
    • If HMO, an authorization for CPT 99244 or 99205 must be sent with referral packet

    The Lurie Children’s Difference

    Pediatric Sleep Disorder Treatment

    The Sleep Medicine Center at Lurie Childrens Hospital was first accredited by the American Academy of Sleep Medicine in 1996 and since has been re-accredited every 5 years. The last re-accreditation occurred in 2019. Accreditation by the AASM indicates its highest standard of care, excellent facility management and the highest staff credentials. In addition to providing top-quality care, we also place a strong emphasis on training future pediatric sleep medicine specialists, pediatric sleep and research. The Sleep Medicine Center is the training site for pediatric sleep medicine for the ACGME accredited fellowship training program of Northwestern University Feinberg School of Medicine. Our centers current research studies include investigation into measuring excessive sleepiness in children, evaluating the effects of lack of sleep during childhood, and studying infants breathing pattern.

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    What If I Have Hmo Insurance

    We require an authorization for each study. The authorization should be assigned to Childrens Hospital Los Angeles. Codes are:

    • Nap study 95807
    • Overnight sleep study 95810
    • Overnight sleep study 95782
    • PAP titration 95811
    • PAP titration 95783
    • Multiple Sleep Latency Test 95805 must be scheduled in conjunction with overnight sleep study

    If you have any questions regarding the necessary CPT codes required please call our office at and ask to speak with one of our financial counselors.

    Management And Monitoring Of Positive Airway Pressure

    An effective therapy to treat obstructive sleep apneas and sleep-disordered breathing in children and adolescents is with non-invasive positive airway pressure . PAP therapy involves the delivery of room air by way of a bedside machine that delivers a stream of air to the childs airway using an oral or nasal mask. This stream of air prevents airway collapse.

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    How Much Is Parking At Children’s Health Specialty Center 1 Plano

    Free parking is available at Specialty Center 1 Plano for both valet and self-parking.

    Valet parking

    Complimentary valet parking is available in front of the main hospital entrance.

    Valet hours

    • Monday – Friday: 6:00 am – 6:00 pm
    • Weekends: Valet not available

    After hours, contact security for keys at .

    Self-parking

    Self-parking is free at Childrens Health Specialty Center 1 Plano.

    Why Choose Mary Bridge For Sleep Disorder Treatment

    Sleep Study at Gillette Children’s Sleep Health Clinic

    Parents come to us with children who have sleeping problems because we offer:

    • Expert diagnosis: We have one of the only pediatric neurologists in the nation who is also a sleep specialist interpreting our studies.
    • Leading-edge technology: We use advanced technology not widely available at other facilities, including actigraphy that measures the quantity of sleep.
    • Personalized support: Our personal health partner program gives you concierge-level care from nurse navigators and social workers, so you never have to ask what to do next.

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    What Type Of Sleep Disorders Are Managed By A Pediatric Sleep Expert

    Obstructive and central sleep apnea, insomnia, circadian rhythm disorders, restless leg syndrome , narcolepsy, other types hypersomnia, and parasomnias such as sleep terrors, sleep walking, rhythmic movements in sleep such as body rocking, head banging, sleep problems in other medical conditions including but not limited to Attention Deficit Hyperactivity Disorder, Autism Spectrum Disorder, children with developmental delays, genetic syndromes, and neurological conditions.

    Sleep Disorders Clinic For Primary/physiological Sleep Disorders

    In our Sleep Disorders Clinic, we treat sleep disorders caused by physical health conditions, such as sleep apnea from a blocked airway. Your child will work with pediatric pulmonologists who are specially trained in pediatric sleep medicine.

    Some of the conditions we treat at the Sleep Disorders Clinic include:

    • Central Sleep Apnea

      If your childs breathing stops and starts over and over during sleep, they may have central sleep apnea. In infants, these pauses in breathing can last up to 20 seconds.

      Unlike obstructive sleep apnea, which is caused by a blocked airway, central sleep apnea occurs when the brain doesnt tell your childs muscles to breathe.

      Treating central sleep apnea may involve:

    • Nasal cannula
    • Nasal continuous positive airway pressure
    • Nasal bilevel positive airway pressure
  • Craniofacial Anomalies

    Children with craniofacial anomalies abnormally shaped head or facial features sometimes have more difficulty breathing during sleep. Treatment may include wearing continuous positive airway pressure device during sleep, which can keep the airway open.

  • Narcolepsy

    If your child has narcolepsy, their brain has trouble controlling the sleep-wake cycle. This can make them feel tired all the time. Narcolepsy is caused by a lack of sleep hormone-producing cells in your childs central nervous system. Because it is a lifelong condition, narcolepsy is typically treated using a combination of medication and lifestyle modifications, such as regularly scheduled naps.

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    Why Choose Pediatric Sleep Disorders Program At Vanderbilt

    • Recognized care

      Vanderbilt’s Pulmonary Medicine Program has been accredited by the American Academy of Sleep Medicine. U.S. News & World Report consistently ranks our program as one of the top pediatric pulmonary programs in the nation.

    • Expert care

      Our sleep program is one of few in the region with board-certified sleep specialists who are also pediatricians as well as expertise in treating children and teen-agers airway-related sleep problems.

    • Family-centered care

      You know your child best. So we work with you to create a specialized healthcare plan based on what is best for your childs health. At Childrens Hospital, you are always a key member of your childs care team.

    Pediatric Sleep Disorders Center

    Sleep Disorders

    Stony Brook’s accredited pediatric sleep center evaluates and diagnoses pediatric sleep disorders including obstructive sleep apnea, respiratory disorders, insomnia, parasomnias such as night terrors and sleepwalking, and behavioral problems relating to sleep. As a university-based center, it provides clinical care and research, as well as offers a sleep fellowship program to train other physicians. This means that the community has access to the very latest protocols. Stony Brook’s Pediatric Sleep Disorders Center is run by two physicians board-certified in both Pulmonology and sleep medicine, Dr. Mathew Ednick and Dr. Catherine Kier, who was trained at CHOP at the University of Pennsylvania, home of the country’s first sleep division.

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    What Is The Role Of Sleep Behavioral/psychology Provider

    Behavioral sleep providers can evaluate and treat many cognitive and behavioral component of various sleep disorders, including insomnia and circadian rhythm disorders. For example, sleep onset associations, bedtime resistance, limit setting problems, anxiety, bedtime fears etc. They may also assist with Positive Airway Pressure therapy acclimation.

    What Are The Indications For Sleep Study

    Indications for sleep study include snoring and sleep related breathing disorders, and excessive daytime sleepiness. PSGs are particularly useful in assessing for sleep related breathing disorders in the child with obesity, developmental or neuromuscular disorder, craniofacial abnormality, school failure or behavioral problems. The overall prevalence of sleep apnea is 1 to 3 percent among otherwise normal children, 15-63% in obese children, 20 to 30 percent in children with ADHD, and 50 to 75 percent in Down syndrome.

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    Types Of Sleep Disorders

    The most common are:

    Sleep apnea: Up to 4% of children, typically ages 2 to 8, have sleep apnea. The two types are:

    • Obstructive sleep apnea: The most common type occurs when soft tissue at the back of the throat blocks the upper airway. This cuts off oxygen for a few seconds until the child wakes up and breathes normally.
    • Central sleep apnea: This happens when the brain stops signaling a child to breathe, sometimes for a minute or longer. Its usually linked to other conditions that involve the central nervous system .

    Insomnia: Your child has trouble falling asleep or staying asleep, or wakes too early. Causes can be poor sleeping habits, stress or anxiety. In the U.S., 45% of adolescents dont get enough sleep, and some may suffer from insomnia, according to National Sleep Foundation.

    Delayed phase sleep syndrome: This chronic disorder, common among teens, occurs when they go to bed two or more hours later than normal. This makes it hard to wake up the next morning.

    Excessive sleepiness: This is unexplained sleepiness, with no other sleep disorder or related medical issue.

    Periodic limb movement disorder: An urge to move or kick the legs repeatedly wakes the child. Scientists have linked this disorder to iron deficiency.

    Parasomnia: This set of conditions is marked by abnormal movements during sleep. Doctors sometimes call it things that go bump in the night. Common types include:

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