Comments for Academy of Clinical Sleep Disorders Disciplines http://acsdd.org Tue, 03 Jan 2012 02:26:12 +0000 hourly 1 http://wordpress.org/?v=3.1.1 Comment on Read more about the ACSDD/BioRESEARCH Relationship by Trevor Baret http://acsdd.org/2011/11/29/p-r-e-s-s-r-e-l-e-a-s-e/#comment-334 Trevor Baret Tue, 03 Jan 2012 02:26:12 +0000 http://acsdd.org/?p=3554#comment-334 Well done guys - The "BioPack" is amazing diagnostic equipment which gives the TMD practitioner irrefutable documentation of the patient's condition. I have found it all extremely helpful in the diagnosis and treatment planning of my TMD and sleep disordered breathing patients. Once you try it, you won't want to live without it... Trevor Well done guys -

The “BioPack” is amazing diagnostic equipment which gives the TMD practitioner irrefutable documentation of the patient’s condition.

I have found it all extremely helpful in the diagnosis and treatment planning of my TMD and sleep disordered breathing patients.

Once you try it, you won’t want to live without it…

Trevor

]]> Comment on Our New Blog by Mark D. Paschen http://acsdd.org/2011/04/01/our-new-blog/#comment-183 Mark D. Paschen Wed, 16 Nov 2011 05:08:08 +0000 http://acsdd.org/?p=2268#comment-183 Thank you, Ron. BMI is normal. I will suggest a CBCT. I'll also try an ambulatory sleep study. If it is primary snoring, I know that oral appliances are not indicated for growing children. Is there anything else I can suggest to quiet him down? Thank you, Ron. BMI is normal. I will suggest a CBCT. I’ll also try an ambulatory sleep study. If it is primary snoring, I know that oral appliances are not indicated for growing children. Is there anything else I can suggest to quiet him down?

]]> Comment on Our New Blog by Ron Dean http://acsdd.org/2011/04/01/our-new-blog/#comment-178 Ron Dean Tue, 15 Nov 2011 16:57:47 +0000 http://acsdd.org/?p=2268#comment-178 Mark, Is this child's BMI within normal limits or elevated? If you have a rhinometer, you could check his nasal patency. A CBCT would give you more information, as a 2D Ceph has limitations. Have it read by a maxillofacial radiologist and refer to ENT if indicated. Based on the patients symptoms, I don't believe a PSG is in order. I would consider an ambulatory sleep study. Most likely, a simple case of primary snoring or UARS. Mark,

Is this child’s BMI within normal limits or elevated? If you have a rhinometer, you could check his nasal patency. A CBCT would give you more information, as a 2D Ceph has limitations. Have it read by a maxillofacial radiologist and refer to ENT if indicated. Based on the patients symptoms, I don’t believe a PSG is in order. I would consider an ambulatory sleep study. Most likely, a simple case of primary snoring or UARS.

]]> Comment on Our New Blog by Mark D. Paschen http://acsdd.org/2011/04/01/our-new-blog/#comment-169 Mark D. Paschen Fri, 11 Nov 2011 03:33:34 +0000 http://acsdd.org/?p=2268#comment-169 Hello Bloggers, I recently examined a healthy 14 year old boy who snores during his sleep. His father said he has observed his snoring and he does it with his mouth closed. I took a cephalometric film and it does not appear his airway is compromised (in 2-D of course), nor are his adenoids enlarged. His tonsils are also not a factor. He does not have any other apparent symptoms of childhood sleep breathing disorders that were discussed at the recent conference (lack of energy, labored breathing, diaphoresis, enuresis , apnea, etc.). The only problem I observed is an anterior tongue thrust. His dental occlusion is normal. My question is this; what course of treatment should I take, if any, for this child's snoring problem? Does this warrant a PSG test? Thank you. Hello Bloggers,
I recently examined a healthy 14 year old boy who snores during his sleep. His father said he has observed his snoring and he does it with his mouth closed. I took a cephalometric film and it does not appear his airway is compromised (in 2-D of course), nor are his adenoids enlarged. His tonsils are also not a factor. He does not have any other apparent symptoms of childhood sleep breathing disorders that were discussed at the recent conference (lack of energy, labored breathing, diaphoresis, enuresis , apnea, etc.). The only problem I observed is an anterior tongue thrust. His dental occlusion is normal.
My question is this; what course of treatment should I take, if any, for this child’s snoring problem? Does this warrant a PSG test? Thank you.

]]> Comment on ACSDD consortium effort by Ron Dean http://acsdd.org/2011/06/27/acsdd-consortium-effort/#comment-141 Ron Dean Thu, 06 Oct 2011 17:53:28 +0000 http://acsdd.org/?p=2949#comment-141 Nice talking to you today Cheryl. Please do not hesitate to contact me again with any additional questions. Nice talking to you today Cheryl. Please do not hesitate to contact me again with any additional questions.

]]> Comment on ACSDD consortium effort by Cheryl Freeman http://acsdd.org/2011/06/27/acsdd-consortium-effort/#comment-137 Cheryl Freeman Mon, 03 Oct 2011 17:19:54 +0000 http://acsdd.org/?p=2949#comment-137 Speaking of taking on insurance reimbursement -- I am new to OSA's and sleep apnea treatment (and to the Academy!). Our insurance reimbursement on our first oral appliance came back at a whopping $120! This is partly because of a high deductible, but also because they said we did not have a Medicare Rate Source in our area, thus they reduced the allowable amount by 50%. This was United Healthcare in NC -- is this common? And what does it mean? Thanks for any help you can offer! Speaking of taking on insurance reimbursement — I am new to OSA’s and sleep apnea treatment (and to the Academy!). Our insurance reimbursement on our first oral appliance came back at a whopping $120! This is partly because of a high deductible, but also because they said we did not have a Medicare Rate Source in our area, thus they reduced the allowable amount by 50%. This was United Healthcare in NC — is this common? And what does it mean? Thanks for any help you can offer!

]]> Comment on Our New Blog by William P. (Bill) Smith, Jr. http://acsdd.org/2011/04/01/our-new-blog/#comment-113 William P. (Bill) Smith, Jr. Wed, 14 Sep 2011 06:36:24 +0000 http://acsdd.org/?p=2268#comment-113 I am looking for articles dealing with treatment for autism patients that have comorbid conditions of sleep disorders, significant SIBs (self-injurious behavior), and a distally displaced mandible. I am treating such a patient. He is in his late twenties, has many various sleep problems, hits the side of his head near the TMJs, has bleeding scabs about 2-3 inches in diameter on each side of his head, enlarged ears, has nose bleeds frequently from blows (sometimes several per day), and other issues. Caregivers have their hands full. We have made a sleep appliance, a TMJ semi-immobilizing day time splint, and a TMJ eating splint. Now, several months later the caregivers report near normal sleeping, facial scabs are gone on one side, and almost gone on the other side, quality of life has improved, no more nose bleeds to clean up. Caregivers are happier. Has anyone had experience treating sleep disorders for patients with autism? Know of research in this area? Experience treating patients with autism and SIBs? I have not been able to find any articles in this area. I am looking for articles dealing with treatment for autism patients that have comorbid conditions of sleep disorders, significant SIBs (self-injurious behavior), and a distally displaced mandible. I am treating such a patient. He is in his late twenties, has many various sleep problems, hits the side of his head near the TMJs, has bleeding scabs about 2-3 inches in diameter on each side of his head, enlarged ears, has nose bleeds frequently from blows (sometimes several per day), and other issues. Caregivers have their hands full. We have made a sleep appliance, a TMJ semi-immobilizing day time splint, and a TMJ eating splint. Now, several months later the caregivers report near normal sleeping, facial scabs are gone on one side, and almost gone on the other side, quality of life has improved, no more nose bleeds to clean up. Caregivers are happier.

Has anyone had experience treating sleep disorders for patients with autism? Know of research in this area? Experience treating patients with autism and SIBs? I have not been able to find any articles in this area.

]]> Comment on Our New Blog by Chirag Pandya http://acsdd.org/2011/04/01/our-new-blog/#comment-96 Chirag Pandya Tue, 16 Aug 2011 06:12:20 +0000 http://acsdd.org/?p=2268#comment-96 It is so nice to read all the comments on this blog from all the members of the Academy! Thank you Michael and Dr. Shrivastava for including me. I am looking forward to meeting everyone in October during the Pediatric OSA conference! It is so nice to read all the comments on this blog from all the members of the Academy! Thank you Michael and Dr. Shrivastava for including me. I am looking forward to meeting everyone in October during the Pediatric OSA conference!

]]> Comment on Medical Insurance and Medicare by Mark D. Paschen http://acsdd.org/2011/04/25/medical-insurance-and-medicare/#comment-81 Mark D. Paschen Tue, 19 Jul 2011 01:55:09 +0000 http://acsdd.org/?p=2577#comment-81 Hello, Natalie. I just got to this blog and read your question with interest. Am I to believe that we cannot get Medical Insurance reimbursement or Medicare reimbursement unless we show the effectiveness of the appliance? If we use the objective measurements suggested by Ron Dean, then all of our patients would basically have to go through another overnight study (either at home or in the hospital) and who is going to pay for that? I find that unbelievable. I cannot think of another facet of medicine where the provider does not get paid until the effectiveness of treatment is demonstrated. Wouldn't that put an interesting spin on national healthcare? Hello, Natalie. I just got to this blog and read your question with interest. Am I to believe that we cannot get Medical Insurance reimbursement or Medicare reimbursement unless we show the effectiveness of the appliance? If we use the objective measurements suggested by Ron Dean, then all of our patients would basically have to go through another overnight study (either at home or in the hospital) and who is going to pay for that? I find that unbelievable. I cannot think of another facet of medicine where the provider does not get paid until the effectiveness of treatment is demonstrated. Wouldn’t that put an interesting spin on national healthcare?

]]> Comment on Successful Launch of Online Diplomate Training by Michael "Ol Griz" Krahe http://acsdd.org/2011/05/29/successful-launch-of-online-diplomate-training/#comment-78 Michael "Ol Griz" Krahe Sun, 17 Jul 2011 16:07:17 +0000 http://acsdd.org/?p=2628#comment-78 Cathy: WOW what an endorsement! We very much appreciate your feedback and support. The on-line learning process is both powerful and convenient. Our thanks for the classes participation in this ground-breaking process. Everyone was fantastic. My personal thanks to all and see everyone in October. Cathy: WOW what an endorsement! We very much appreciate your feedback and support. The on-line learning process is both powerful and convenient. Our thanks for the classes participation in this ground-breaking process. Everyone was fantastic. My personal thanks to all and see everyone in October.

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