I have a confession to make. My children are not perfect sleepers. My five-year old boy used to always sleep through the night. Then, about the time he started kindergarten, he started waking up at …
Co-Sleeping In Infancy: Bed-Sharing is Not Safe
Co-sleeping is about as controversial as vaccination online. And that is saying something. But I think that is important to review the evidence about the safety of this topic in infancy. Paying …
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Looking Back and Forward: 2012 Highlights And Plans For 2013
I started this blog in March of 2012 with the goal of sharing some of the things that I've learned in my life as a physician and a father. I've really enjoyed the process of writing and sharing these …
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“Evaluation of Sleep Disorders” Presentation Materials
I'm giving a presentation today for primary care doctors at the annual "Primary Care Pediatrics" CMD event sponsored by Massachusetts General Hospital for Children and Harvard Medical School. This is …
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Too Much Homework, Too Little Sleep: Structural Sleep Deprivation in Teens
NOTE: The American Academy of Pediatrics has recommended school start times no earlier than 8:30 for teens. Read more here. A few years ago, I had a sixteen year old come into sleep clinic for …
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A Tech Toolkit for the Pediatric Sleep Lab
Most of my posts are written for parents. This is providing links to a presentation I am giving 9/14/12 at the New England Polysomnographic Society. You can download my syllabus here: A Tech's …
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News Flash: Sleep Training Doesn’t Hurt Your Child
There have been multiple important publications in the past few weeks which are pertinent to my patients. I'm really excited today to share the results of the Kids Sleep Study which was recently …
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The Most Hopeful Job in the World
I care for children with a variety of illnesses. Some of these illnesses, like asthma and obstructive sleep apnea are common, and not usually life threatening. However, they still represent a blow to …
Fascinating Reading on Circadian Problems and “Social Jet Lag”
Maria Popova, whose invaluable site Brain Pickings compiles fascinating and diverse material on books, the arts, and sciences, has written and excellent review of a book entitled Internal Time: …
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ADHD and Sleep in Kids: Unraveling the Connections
Whenever I see a patient with snoring and school difficulties, I get excited. Why? Because I know that if I can diagnosis obstructive sleep apnea or another sleep disorder and treat it, I can make …
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Thinking About Medications: A Guide for Parents
As a specialist, I often prescribe medication to my patients. I take this responsibility very seriously. I spend a lot of time in clinic discussing concerns about medications with patients and their …
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Snoring in the Obese Child
In a prior post I described obstructive sleep apnea (OSA), a common condition associated with snoring where the upper airway (breathing tube) closes intermittently at night leading to sleep …
Muscular Dystrophy in a Child Less Than Ten: Laying the Groundwork for Respiratory Health
I gave a talk last fall at a roundtable organized by the Jett Foundation for parents of boys younger than ten with muscular dystrophy. If you are unfamiliar with this disorder, it is characterized by …
Snooze News: Worthy Reading for the Weekend
There have been some great articles in the past few weeks worth reading on sleep medicine in children. Sleep Guidance for Kids and Teens Is Based on Sound Science Mary Carskadon, Ph.D, and Judy Owens, …
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Sleep training in a coughing child
NOTE: When I publish these question and answer sessions it is with the permission of the families. I am not using cases where I have a doctor patient relationship. Details have been changed to protect …