Elly Mackay Blog

Can Sleep Apnea Affect Your Children? 0

Can Sleep Apnea Affect Your Children?

As a dentist who screens her patients for sleep apnea, Dassani tells Click2Houston that most parents are shocked to learn children can suffer from sleep apnea, too.


She advises parents to have their children checked for sleep apnea before putting them on ADHD medication.

“And there’s no such thing as a bad kid. It’s just a kid that’s tired and a kid that hasn’t been able to rest, and we can help them,” Dassani said.

from Sleep Review http://www.sleepreviewmag.com/2019/03/can-sleep-apnea-affect-your-children/…

Does PEMF Reduce Pain And Help You Sleep And Does Exercise Help With Jet Lag? 0

Does PEMF Reduce Pain And Help You Sleep And Does Exercise Help With Jet Lag?

Something pretty exciting happened to me this week, I was named the Best Sleep Doctor in California by Reader’s Digest. If you are like me and grew up reading Reader’s Digest, that’s pretty cool. Thanks for indulging me for a second.

What a week it has been!

I started out flying to NYC on Monday to be on Rachel Ray for her Monday show (she tapes 2 shows a day, so I will get everyone the airdate when it comes up.

Rachael and I talked about sleep issues in your 30’s, lack of a consistent sleep schedule and use of electronic devices at night- Rachel wore my Blue-Light Blocking Glasses (check out which other celebs are wearing them and if you use discount code sleepdr5 – case sensitive, you can enjoy them for 50% off).  We discussed that in your 40’s the challenges are awakening in the middle of the night (we highlighted the benefits of guava leaf tea and your 50’s, Menopause and what foods are phytoestrogens. It was a GREAT segment.

Dr. Michael Breus On Rachel Ray

Next, I took the train down …

A Guide to Sleep Apnea 0

A Guide to Sleep Apnea

The New York Times guide covers diagnosis, toll, understanding, recognition, and treatment for sleep apnea.

Witness Apnea: Some people who have sleep apnea only learn about it from their partners. Doctors call this “witness apnea.” “A common reason people get referred is because their bed partner is frightened – not by the snoring, but by the silence in between it,” Dr. Kryger said. “It’s very scary. It indicates that they’re actually stopping breathing. People see it and think, ‘My God, there is something wrong with this person. They’re not breathing.’”

Get the full story at nytimes.com

from Sleep Review http://www.sleepreviewmag.com/2019/02/guide-sleep-apnea/…

Fellow Spotlight: Raj Bhui, MD 0

Fellow Spotlight: Raj Bhui, MD

For Duke Neurology’s  “Spotlight” interview, Raj Bhui, MD, talks about being a family medicine physician in a sleep medicine fellowship.

As a family medicine physician who wore multiple hats, one of my common roles was to help my patients and community manage their chronic health conditions, including high blood pressure (hypertension), heart failure, abnormal cholesterol (dyslipidemia), obesity, depression, diabetes, and abnormal heart rhythms (dysrhythmias). Many sleep disorders, such as sleep apnea, have systemic effects when undiagnosed or undertreated and may lead to the development or deterioration of other health conditions while making them harder to control.

from Sleep Review http://www.sleepreviewmag.com/2019/02/fellow-spotlight-raj-bhui-md/…

Footprints – Dr. Blum, Making a Difference 0

Footprints – Dr. Blum, Making a Difference

The R-I-F-T Network interviews dentist Damian Blum about obstructive sleep apnea.

Voted one of Americas “Top Dentists” by Independent Consumers’ Research Group, Dr. Blum is a Diplomate of the American Academy of Dental Sleep Medicine, an Accredited Member and Faculty of the American Academy for Facial Aesthetics, along with a multitude of other awards and recognition.

from Sleep Review http://www.sleepreviewmag.com/2019/02/footprints-dr-blum-making-a-difference/…

Value-based Dental Sleep Medicine 0

Value-based Dental Sleep Medicine

An expert explains how to grow an underutilized sleep medicine service.

Oral appliance (OA) therapy can be as effective as CPAP for the treatment of mild to moderate obstructive sleep apnea (OSA) and can even benefit some patients with severe OSA. Although data is limited, adherence to OA therapy appears to exceed adherence to PAP, and compared to PAP, patients prefer oral appliances by a margin of 2:1.1 Yet despite these many strengths, OA therapy is underutilized.

Many factors impact the uptake of OA therapy, including scope of practice boundaries, a gross shortage of trained dental sleep providers, and a less mature evidence base relative to PAP. And to be clear, OA therapy should not and will not replace PAP. Even so, in my view, the single greatest barrier to more widespread adoption is a lack of perceived value from sleep medicine stakeholders.

I have coined the term “value-based sleep” to highlight the need for greater emphasis on health economic outcomes in our field and to increase focus on those that

Choosing A Snoring Treatment: What Are Your Options? 0

Choosing A Snoring Treatment: What Are Your Options?

There’s nothing funny about snoring. Even if your initial tendency is to laugh at someone who snores, there’s really nothing hilarious about it. Try sleeping with someone who snores all the time. You’re not going to be too happy about that, are you?

Normal or occasional snoring doesn’t usually disrupt the quality of sleep. It’s annoying but that’s about it. It’s a different thing with habitual snoring. There is no quality of sleep to speak of at all.

Mild snoring may have little effect on the quality of your sleep. However, as the airway becomes more obstructed the effort to breathe likewise increases. If breathing is compromised, the oxygen levels in the blood will drop. This may lead to temporary arousals and sleep may thus become disrupted.

(Via: https://www.verywellhealth.com/what-is-snoring-3014803)

So, if you think that a habitual snorer gets a good night’s sleep, think again. Since sleep is disrupted, a habitual snorer is bound to wake up tired. That’s not good at all. Lack of sleep can eventually lead to some serious health problems.

In the short term, a

Growth, ADHD, and Sleep Apnea: A Case Review 0

Growth, ADHD, and Sleep Apnea: A Case Review

Neurology Consultant publishes a case review of a young girl being evaluated for ADD/ADHD who had a history suggestive of sleep disturbance.

The girl had been a long-time snorer (albeit not loudly) since toddlerhood, was restless when she slept, and had difficulties with arousing, taking longer than 30 minutes. The girl slept in extension rather than the typical curled-up position, and she rarely slept in the same position throughout the night. She was rarely well rested when she awoke and often fell asleep during class in the late afternoon.

from Sleep Review http://www.sleepreviewmag.com/2019/02/growth-adhd-sleep-apnea/…

Up to 15% of Children Have Sleep Apnea, But 90% Go Undiagnosed 0

Up to 15% of Children Have Sleep Apnea, But 90% Go Undiagnosed

Children are grossly underdiagnosed for sleep-disordered breathing (SDB), which includes obstructive sleep apnea (OSA), and the symptoms may be wrongly attributed to behavior issues, according to research in the Journal of the American Osteopathic Association.

Up to 15% of children have some form of sleep-disordered breathing. However, 90% go undiagnosed, often because symptoms are misattributed to psychological or emotional issues.

“Children who have behavior problems or are suspected to have ADHD might actually be suffering from a chronic lack of restorative sleep,” says John White, DDS, study coauthor, in a release.

Neurocognitive development, cellular regeneration, and tissue and bone growth all occur during the deep sleep stage. However, when breathing is obstructed in the upper airway, the brain switches back from deep to light sleep in order to resume normal breathing—barring the mind and body from critical restorative processes.

Symptoms of SDB and OSA in children include snoring, restless sleep, excessive sleepiness, teeth grinding and jaw clenching, migraines, bedwetting, and irritability. If SDB is suspected, White says a referral to a multidisciplinary team is ideal. He suggests this includes

Adenoids and Tonsils Do Not Shrink Over Time, Finds Longitudinal Study 0

Adenoids and Tonsils Do Not Shrink Over Time, Finds Longitudinal Study

A longitudinal study performed to date looked at X-ray images of children at 5 developmental stages between the ages of 8 and 19 to measure their adenoids and tonsils. The study found that the adenoids and tonsils do not shrink significantly during the teenage years which—may reshape the guidelines for when an adenotonsillectomy should be performed to treat respiratory complications such as obstructive sleep apnea (OSA). The adenoids and tonsils are small regions of tissue at the back of the throat that help the body’s immune system fight ingested and inhaled pathogens. While the removal of inflamed adenoids and tonsils are often seen as a hazard of childhood, most people who have a tonsillectomy today do so to treat OSA. Patients with OSA often have trouble sleeping due to these enlarged tissues, and usually have the adenoids and tonsils surgically removed at the same time (adenotonsillectomy).


Abbreviations: Aa, anterior medial point of the atlas; AAL, anterior atlas line (line perpendicular to the palatal line registered on the anterior medial point of the atlas); ANS, anterior nasal spine; Ba, basion; C2,