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Hi everyone, and welcome back to Airway First, the podcast from the Children's Airway First

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Foundation. I'm your host, Rebecca St. James. Today we'll be jumping into part two of our

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sleep study series with today's guest, Dimitri Spector. Dimitri is the sleep lab operations

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manager at Memorial Hermann Health in Houston, Texas. And in today's episode, he's going to

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give us a behind the scenes tour of the facility and give us a quick introduction to the various

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machines and cables and anything else that would be used during a traditional sleep testing event.

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The goal of this episode is to allow you to become familiar with what a traditional or the average

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sleep facility looks like, what the equipment is like, just so it can kind of take away some of

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the scary unknown that goes along with it will allow you and your child to be more comfortable

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when you go in for your child's sleep test. So let's jump into today's episode with Dimitri

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Spector. Perfect. Thank you so much for joining us in part two of our series, Dimitri. Appreciate

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you being here. Thank you for having me. It's my pleasure. Absolutely. Absolutely. So I know we're

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going to do a lot today. And this series is building on what we did with JT in our first part of the

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series where he outlined what the sleep report looks like and really kind of what, from a high

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level, to expected a sleep study. In part two, you're going to pick up the ball and run with us

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today. And we're going to really prepare parents a little bit better for the experience. And then

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you're also going to give us a tour of the sleep center. I will absolutely do that. So exciting.

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So before we get going, would you mind just telling parents a little bit about you and what you do?

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Sure. Absolutely. I'm my name is Dimitri Spector. I have been in the field of sleep medicine for

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26 years now. I'm currently the sleep lab operations manager for pediatric sleep specialists in Texas.

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And we also have offices in Colorado with three locations in Denver, in Colorado Springs,

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and in Lublin. And you can get more information on the company at pediatricsleepspecialists.com.

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And my previous experience includes working for Memorial Herman here in Houston at the Memorial

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City location. I was the lead sleep technologist there for both the pediatric and adult sleep lab.

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And other previous pediatric experience, I worked at Children's Hospital Los Angeles as well.

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Wow. But that one was busy. It was very busy. It's very busy. It's one of the top cystic fibrosis

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centers in the world, actually. So we sell patients from all over the world. Wow. That's cool.

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That is cool. Okay. So we were talking offline and let's go ahead and set the expectation because

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I was a little surprised by this. And in our world, because of the amazing Kevin Boyd,

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in our world, nine years old and up, our geriatric is kind of how we term them. And we really focus

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on zero to two is really where you want to grab them that first thousand days. But

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fixed by six, so six is kind of not that it's too late, but we want to handle it before them.

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But when it comes to how we approach children in a sleep center, it's not a cutoff, but your line of

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how you work with them is a little different. Correct? As far as billing is one thing, but

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then eventually how they work is different. Correct. So as far as billing is concerned,

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the children six years and up are billed as adult sleep studies. That still blows my mind.

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Yeah. But that being said, really developmentally, from my experience, that change really happens

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around four or five at a time where you can really talk to your kids and really explain

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things and where they can understand what's happening. I feel it's around four or five. So

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what I'm going to focus on today is really kids younger than that. And as well as kids with

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developmental delays, any kind of sensory issues and autism spectrum disorders, that kind of alters

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the age range a little bit because you're going to run into some issues that are not age related.

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Okay. And that totally makes sense. So let's go ahead and just dive in before we take the tour.

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Let's talk about what parents can do, maybe some of the dos and don'ts, and how they can prepare

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their child for an evening at sleep center. Absolutely. So ideally to really ensure a great

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sleep study and the good experience for your child, you want to start preparing really almost as

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soon as you make the appointment. So a couple of weeks out, a month out, start mentioning that

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you're going to go on a trip or you're going to spend some time away from the house. You're going to

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go, you can say doctor's type office, but really start talking about it. There's a million pictures

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on Google that you can find that you just Google pediatric sleep study. I would suggest finding the

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pictures where the kids are laughing, they're smiling, maybe pictures with parents. That'll kind

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of give an idea of what to expect as far as what sensors are put on and how involved it is because

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it's really involved study. There's a lot of wires. There's a lot of sensors. Yeah. The one thing to

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stress is it's a completely painless procedure. Kids that don't like shots, there's no shots,

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there's no needles involved. So it's a completely painless procedure. So just to show a little bit,

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most sensors look like this one here and it's a little cup. Oh, it's so tiny. With a long wire

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and one end will get plugged into a patient interface box and one end will go on the patient.

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And these have a little conductive paste in them and they're taped onto the skin. And they feel

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nothing. There's no currents or anything that they feel they'll just have it stuck on. Absolutely not.

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Absolutely not. So our bodies produce electrical impulses when muscles fire,

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brainwaves are all electrical impulse with them. Ultimately, that's what we're looking at when we

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run a sleep study. The other thing you can do is you can ask your sleep lab for some samples.

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For example, we are more than happy to give out a couple wires and the biggest issue we

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normally have is this sensor right here. Oh, yeah. It's like an oxygen cannula. However,

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there's nothing flowing through this. OK. This is what we used to monitor breathing and carbon

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dioxide levels. And this does go in the nose. So I could see why that one they would not like.

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Like I said, you can get samples, ask the sleep lab if they can give you something to practice with.

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The more you can expose your child to what is to come, the better the outcome will be.

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And if for some reason the sleep lab is not willing to give you at least the cannula that goes into

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the nose to practice with, they're very cheap on Amazon. OK. You can find one on Amazon and you

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don't have to worry about whether there's something hanging down over the mouth. Ultimately, the

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biggest problem is the part that goes into the nose. I mean, I'm an adult and I wouldn't be excited

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about that. So I can't just imagine. But it is a little bit easier to explain to you why we're

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doing these things. Right. So ultimately, it's exposure. The more you desensitize the child to

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what's to come, the more comfortable they will be. He can also ask to take a tour of the sleep lab

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prior to your bed. OK. That can be very helpful, especially for children who are apprehensive

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about going to the doctor. That is extremely helpful. The other thing you can do is practice

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putting on band-aids, treating cuts and scrapes. If your child usually doesn't like band-aids put on,

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they're probably not going to be happy with sensors that we put on during the sleep study

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because ultimately a ton of band-aids. So you can practice with that. So again, it all starts

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preparation before the sleep study. Now, for kids who are really young, like zero to one,

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but you're not really going to do a whole lot of preparation because there's not a whole lot you

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can explain. But once you're in, you know, your child starts becoming verbal and they can understand

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certain things, you can start explaining as much as possible. Find that. But usually it's great

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with my own son. We do that all the time before we go to the doctor. Any kind of new specialist,

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whether it's a dentist or an eye doctor, we're always talking about it. There's a ton of tools

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and forms of educational cartoons you can watch also. So going to the doctor. Absolutely. One

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of my favorites is Daniel Tiger. Daniel Tiger. And they have multiple scenarios from potty training

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to going to the doctor and other things you can find. But ultimately, it's whatever you're

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comfortable with and how you want to talk about it. Now, when it gets closer to sleep study time,

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for example, about a week before, you want to try and have as consistent of a sleep schedule as

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possible. Now, you really want to do that always, but especially preparing for a night away from home

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at a sleep center. You want to ensure that there is some sleep for us to record.

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Right. Okay. Ultimately, it sleeps then. So a consistent sleep break schedule really helps

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out a lot. One big misconception that I've seen and is some parents will skip a nap. For kids who

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are still napping, they will skip a nap in preparation for a sleep study so that the kid is more tired.

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That is a big don't. Overtired children will stay up and they will not be happy through the set of

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these sets. Ultimately, you don't want to alter your routine as much as will stay consistent.

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Now, on the day of the sleep study also, you want to make sure a child is bathed before you come in.

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And without any lotions and any hair products, that will make things very difficult to because

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as far as digging through the gel in the hair or trying to get a tape to stick to lotion, virtually

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possible. The other thing is, parents who have had sleep studies and who have been diagnosed with

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sleep apnea, and if you're using a CPAP machine, make sure to bring that to your sleep study with

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your child. You don't want to be snoring all night next to your kid. That makes sense. Big thing I want

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to mention is sleep labs did not disperse any medication. So any kind of medication that your

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child needs to take, you should bring with you. And doubly important for kids with asthma or kids

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with seizures, you really want to make sure you bring the rescue medications to the sleep lab.

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As far as what to bring, what else to bring with and how to address your child, the easiest thing

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for a technician to work with is a two-piece pajama that is loose fit. Pants are better than

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shorts because pants help hide the wires a little bit. So it helps us keep everything contained.

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Tights, gallons are a little bit harder to work with. So the best thing is just

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a regular old two-piece pajama for the top and the bottom. What about things like a pillow or

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a certain stuffed animal or something like that? I'm glad you mentioned that. We encourage to bring

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as much as possible and whatever will make your child more comfortable, bring it with. As long as

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it's not alive, we can bring it with you. Pillows, favorite blanket, a little comfort object, whether

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it's a blankie or a stuffed animal, anything like that is absolutely fine. If your child has an iPad

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or anything like that to distract them during the procedure, the setup procedure, you can absolutely

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bring that. Sublabs will have TVs in them. We don't because we like to encourage good sleep hygiene.

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So we do not have TVs. But if a screen is what it takes to distract them and to get them there

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through the hookup, that's okay. And usually what time ish do they arrive? So we run sleep studies

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from about our first arrivals at seven. We generally stagger patients about half an hour apart.

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So arrivals anywhere between seven and seven thirty and wake up time in the morning is between

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six and six thirty in the morning. And the reason we ended that early is because the technician is

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at that point working about a 12-hour shift plus. Yeah, they're gonna be tired. Yeah. So there's only

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so much that we can push a person to do. And I think we learned in JT's that there's only a certain

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number of patients per technician as well, right? Because technicians have to monitor

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constantly. Absolutely. So children who are a little bit more complex, we will run those that

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a one to one ratio. So autism spectrum disorder, neuromuscular disease, seizures, anything that

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requires undivided attention from the technician, we will schedule those that a one to one ratio.

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The more general sleep studies, they generally run at a two to one ratio, but never more than two

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patients to what technician. Which makes sense. Yeah, based on just what he showed us, that would be

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two to one which stress me out. But I can see how you could possibly do it if you understood it and

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you had enough experience. But I can see that. And then there are individual rooms, right? This

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isn't like one big giant barn. Everybody gets a cot. I mean, it's no no. Parents can sleep with

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them in their own little kind of habitat, right? Correct. So we have the way we have it set up.

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And again, I'll walk through the lab and I'll show everything. Our setup is we have separate

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bedrooms. There is a patient bed and the bed for parents in the room. We have bathrooms in each

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one of our rooms. Now that is not necessarily standard. It is quite common to have a shared

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bathroom for for all the rooms in a sleep lab. But it's it's generally very close fight to the

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bedroom itself. I would think with tiny people that that's really handy because, you know,

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some of them are a little hesitant of other people. So that would help keep the experience

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calmer. It's also the American Academy of Sleep Medicine standard that all rooms have a bathroom

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within 75 feet of them. Okay. And most are much, much closer to that. 75 feet can see.

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It's a long way. Yeah. Most sleep labs have either bathrooms directly inside the room

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or very close by. Now, some will have showers. Some won't. We do have showers in our lab here

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in Houston, but some labs will not have showers. So be aware of that. I find that most prefer to go

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home and shower out at any way afterwards. Yeah. Just bring your tiny people prepped and ready.

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Right. Right. But things like snacks. And granted, mine are older. I'm thinking back.

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There was always a snack and a water right before bed. Can they bring those kind of things?

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So, yeah, you can bring anything you like. You can whatever they normally do on a regular basis.

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So our goal for the initial sleep study is to see the most typical night sleep that we can.

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Okay. So whatever it takes to get in there. Absolutely. Absolutely. So the goal is to

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establish a baseline. So we don't generally address like even if a technician sees some

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bad habits before you're going to bed, we won't address that. We'll make a note and then

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referring provider or whoever the patient is scheduled to follow up with, they will see that's

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what was happening and they will address those issues at that point. But the goal of the initial

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sleep study is to get that baseline to establish what's happening during the night. How long is

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it taking to fall asleep? How often are they waking up? What is waking them up? What is happening

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before they get into bed? And all rooms have video cameras in them and they are recording.

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And we start that recording from the moment that you walk into the sleep room. So that way we can

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kind of assess the bedtime routine that happens a little bit as well. And that makes sense. That

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makes sense. And then so how does this, before we go into the sleep center, the labs itself,

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how did your approach, this checking them in, setting them up, differ from one child to a child

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that's perhaps on the spectrum? So it's really a very, I want to say kind of informal atmosphere.

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And I'll show you generally, there's some decorations on the wall is a bit of a kid friendly.

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It does not blatantly look like a doctor's office. And the technician greets the child

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at the door. It was ultimately up to the technician to establish that record. Now again,

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I highly encourage a sleep lab visit prior to the sleep study. If you anticipate that your child

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will be anxious about the procedure and about new places in general, come in during the daytime,

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have a walk through. I don't know any sleep labs that would or she was that. And if they do, you

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should probably look elsewhere for a child's sleep study. That always puts them at ease. Yeah.

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Oh, I mean, the unknown is scary, right? Especially when you're tiny, but for all of us,

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it can be scary. Absolutely. And the parent, if you want to bring something to the lab beforehand,

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so that your child finds it there, that can be helpful as well. So really anything that you

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want to do to make your child more comfortable, everything is fair game. We ultimately want

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to do our best to try and get the best recording we have and have it be as the least amount of stress

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for your child as possible.

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You're listening to Airway First with today's guest, Dimitri Specter. You can find out more

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about the Children's Airway First Foundation and our mission to fix before six on our website at

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childrensairwayfirst.org. The CAF website offers tons of great resources for both parents and

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medical professionals. In our parents portal and clinicians corner areas, you can find educational

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and informational content, including videos, blogs, our recommended reading lists, comprehensive

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medical research, podcasts, events, parent support, and several educational opportunities.

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Parents are also encouraged to join the Airway Huddle, our Facebook support group,

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which was created for parents of children with airway and sleep-related issues.

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You can access the Airway Huddle support group at facebook.com. Backslash Groups. Backslash Airway

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Huddle. Are you a medical professional or parent that is interested in being a guest on the show?

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Then shoot us a note via our contact page on our website, or send us an email directly at

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infoatchildrensairwayfirst.org. As a reminder, this podcast and the opinions expressed here

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are not a medical diagnosis. If you suspect your child might have an airway issue,

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contact your pediatric airway dentist or pediatrician. And now, let's jump back into

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my interview with today's guest, Dmitri Speckman.

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And I know this is only going to be to a tiny group of our listeners, but I'm really

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stretching trying to think of scenarios. But you have two tiniest, let's say they're two,

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and they're twins. And they're used to being two-get-there, but only one's getting the sleep

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study. Could the parent bring the other one if it helps calm them down? Or is that okay?

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That could disrupt it. We got to figure something else out. Have you had things like that?

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Absolutely. So those are case-by-case basis approach. We don't rule anything out. Generally,

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the setup is one parent stays with one child. Now, if more than one child in a family is having a

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sleep study done, two parents will need to come and stay. So you need to have one child and one

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parent per room. Now, if the child is used to a sibling being in the room with them, you can

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certainly ask the lab if that would be acceptable. And patient acceptance policies will vary slightly

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from lab to lab. For example, we require a parent to stay with anybody under 18. Some labs may require

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a parent to stay with somebody with anybody under 21. And that strictly facility-based policy.

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Certainly under 18, a parent will always be required to stay unless it's an inpatient study

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and the patient is checked in at the hospital. Okay. Oh, wow. I didn't even think about that.

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So that's true. They could just wheel them down. But there are cases for that.

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Absolutely. So there's two differences in sleep labs. There's something we have here,

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which is a freestanding independent sleep lab. But then there's also hospital-based sleep labs.

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Now, even hospital-based sleep labs, a routine sleep study will be an outpatient procedure.

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So it's not going to vary much from an independent sleep lab, a freestanding one.

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They also cannot administer any medication, even though they're in the hospital.

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So in the hospital, it does not sleep well. Okay. Now, another thing that is sometimes done is

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patients who are inpatients at the hospital will have sleep studies done bedside on the floor.

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At that point, they're checked into the hospital and the parent does not always at bedside,

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which is okay. Okay. Got it. Well, I think we have some good... So we're actually a really great,

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great, great do's and don'ts for parents. They know what to pack. They know how to prep the child.

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If you're ready, let's go into the sleep lab. Let's go. This is our front door. And I'm just

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going to walk in as if I'm coming in for a sleep study. We have a reception area here.

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So you generally will not spend much time in a reception area. In most sleep labs,

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the technician will greet you at the door and show you back to your room right away.

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Okay. If several patients arrive at the same time, may need to wait in the waiting area for

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just a few minutes. This is not a place where you will spend much time.

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So again, not like a doctor's office. No, there's no waiting. That'll help kids. Yep.

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Correct. If there's one technician on duty, you will only be one of two appointments. If there's...

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We have four bedrooms here. So if we're running more than two patients, we'll have two technicians

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on duty. Okay. And then as we walk through, this is a pretty typical setup where this is the

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technician's control room. And this is where we monitor from. Okay. And it is... It usually is

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in close proximity to the reception area. And the patient rooms, there's our little

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jungle animals here on this wall. And patient rooms are generally very short distance from the

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control room just so that we can get to the patient quickly if needed. Okay.

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This is the way our room is set up. So again, we have a restroom right in the room with a shower.

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We have our patient bed. And we do have safety rails for the younger children.

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And we have a cot for the parent to sleep on. I like how close it is though. That's got to be

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comforting to the child. Absolutely. It's going to be across the room. That's awesome. So most rooms

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are fairly cozy with not a whole lot of room to spread out. This is actually a pretty standard

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sized room for a sleep study. But yeah, the parent is right next to the child. Now we can... We do

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have cribs as well. We can roll a crib in if for the younger kids who are still in cribs, we will

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generally swap out the cot for a crib and then the parent can sleep in the bigger bed. Okay.

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Now next to the bed, generally you will have some equipment. Okay. And this is the recording

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equipment. So we have our recording equipment here. All the sensors plug into a box that looks

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similar to this. We use the Phillips Alice diagnostic system. But ultimately the setup

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is very similar with whatever system to use. And then there's a CPAP machine

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usually as well. And that is for treatment of sleep apnea. Okay. Now we have also an exam table

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in this bedroom. And this is so that we can see patients during the daytime and clinic.

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Okay. Now some sleep labs will have these. Some sleep labs will have

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mercy beds that convert to exam tables. So there will be slight variations. But this kind of gives

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you a general idea of the setup of the room. Now I did mention that there's a camera which

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will record all night long. It does record video and audio. Oh, okay. Okay. So the technician can

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generally hear you. We'll hear you all night long. So you can, if there's anything you need during

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the night, you can always call the technician and they will come in and help you out. Okay. And

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there's also intercom systems to where the technician can talk to you as well. And that is

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basically it for the tour. It's very simple. It is very simple. But I mean, you could tell,

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especially if the lights were dimmer, I could see how, okay, it's not quite as scary as a doctor's

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office. No, and getting to be right there. I'm sure that's got to be very reassuring.

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Absolutely. And we are able to dim the lights. We do have a dimmer switch to where if somebody's

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light sensitive, we can turn it down and work in a little darker environment.

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Yeah. That's what I think, especially for kids on the spectrum or something like that.

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Light sensitivity. Do you come in, you get checked in, and then how long does it take

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typically to wire up a child? So it will depend on the child. Of course. For somebody who's

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cooperative, it can take anywhere from half an hour, 45 minutes. For somebody who's a little

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less cooperative, it can go to an hour plus. Just also super curious kids that ask a lot of questions.

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Well, it will take a little bit longer. Because the last thing I want to do is rush a child during

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the setup. If they're asking questions and they're involved, that's always a good thing.

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They're always going to do much better if they're involved. And personally, if I'm running a sleep

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study, I try to get the kids as involved as possible in what I'm doing. Whether it's helping me put

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the little stickers on them, the sensors to plugging them into the box, to letting them put,

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especially the cannula, I always like to let them try and put it on themselves. It'll tickle their

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nose a little bit, but they're in control at that point. So for kids, control is a huge thing.

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Yeah. So the more control you can or more perception of control that you can give the

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child the better the outcomes are. I agree with that. That's kind of the goal of life, right?

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That's parenting. Absolutely. And then so if you would walk us through the morning, so

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6, 6, 30, you go in, we wake him up. Okay. So in the morning, the technician will determine

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the best type two and the study. So usually it's not set in stone. So it'll depend on how well

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the child is slept through the night, how well they're sleeping towards the end of the night.

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If it's 5, 5, 30, and I see that the child is really struggling, they're not sleeping,

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they keep waking up. And if we have enough data, I will go in and I will say, hey,

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they've been awake for a while, we have enough data, why don't you go home and get some rest.

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Now, if there was a really long wake period in the middle of the night,

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and then they're sleeping well towards the morning, we will try to let it run as long as possible,

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just so that we can get the most data that we can from the sleep studies. So again,

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6 to 6, 30 is really just a rough estimate. I have run studies to 7, 7, 30 before,

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and I've ended studies at 4, 35 o'clock before as well. It can fluctuate a little bit. But general

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rule of thumb is about 7, 7, 30 check in, sometimes even a little earlier, sometimes even 6, 30.

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That's just so that you can get to the lab and so that we try to keep things as not rushed as possible.

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Right. When you come in here, I want to let you settle into your room. I want to let you get

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comfortable. I want to let the kid explore a little bit, climb all over the bed, get comfortable,

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wash face, brush teeth, or whatever you do to get ready for nighttime. Get all of that out of the

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way and just get comfortable and start to wind down. Which makes sense. And that's why earlier

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arrival time. Now, there's some paperwork to fill out. You may be asked to come in a little bit

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earlier. The way we do it is we like to do most things through the patient portal. So we send

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everything out beforehand. And even if the paperwork's not filled in prior to the visit,

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it's very easy for the parent to access the portal once they come in from a phone or from a tablet,

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whatever it may be. If there's physical paperwork to fill out and it's given when you arrive at the

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lab, you may be asked to come in a little bit earlier. I have to say, I think I'm spoiled

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because of my Astrame in hospitals and doctor's offices so often. Anytime I have to go somewhere

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new and they hand me paper, I just kind of like, I don't know what to do with this. Do you have a

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portal? Do you have something I can type on? Because it's just so much easier. Absolutely.

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It's not going to lie. It's just so much easier. I think we're all going the route of embracing

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technology as much as possible. It's even AI involved in sleep study analysis now.

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Oh, wow. Oh, that's wild. I can't wait to do a follow-up on that.

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Absolutely. JT is a great person to talk to about that. He knows.

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Oh, yeah. He's got his finger on the pulse. He's always at the forefront of technology.

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He is. And for those who are in the area, it's actually JT's podcast comes out next week.

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And it will be too late for you. But there is a conference next week and JT will be at that

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speaking. Correct. Yes. He's speaking at the Texas Society of Sleep Professional annual meeting.

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I unfortunately cannot attend that one. But I'm hoping that his talk will be recorded so I can

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catch it afterwards. Yeah, I've heard him speak. It's great. He's such a good speaker. And obviously,

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everybody listening to this now knows as well because they got introduced to him in episode one

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of this series at the end of every episode. Usually, I hand it back to you, our guests,

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because you are the experts and let you leave with final words. Do you have some final words that you

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could leave with our parents? Prepare, prepare, prepare. That's all I can say.

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I figured that's what it would be. Yeah. Yes. You cannot prepare too much. It's as,

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it can be a very simple procedure, but it can also be a very tough one because there's about

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20 of these plus that go on as well as a couple belts. There's a pulse oximeter to look at pulse

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and oxygen levels on the finger for the younger kids will put it on the toe. So when we say wired

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up from head to toe, we literally mean you made it. Yeah. So the more you can expose your children to

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really have it be familiar to them, the less anxiety, less apprehension they'll have when

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they come in. And especially the kids that are old enough to understand. Show them pictures,

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get some wire samples and just start gradually introducing it a month before, a couple weeks

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before, a week before, a couple days before remind them that, hey, you remember we're going to go on

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this trip. We're going to spend the night out, make it fun for them, make it like vacation.

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Yeah. Oh, I like that. And it's funny. I was just had it popped in my head too.

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I'm sure other parents have done this, but you talked about put band-aids on them, right? So

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they're used to having that. If you've got some yarn, why not have a little yarn stick out so they

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can get used to something like the wire dangling. That is amazing. That's got to be uncomfortable,

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especially for a child with sensory. That's got to be a hard thing to get used to.

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Absolutely. Absolutely. Kids that have trouble when you touch their head, the more you can

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prepare that, the better, because the majority of the sensors do go on the head and on the face.

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Oh, that's good to know. Okay. Well, there you go. Now you know where to put the band-aids.

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Absolutely. Yes. Yes.

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Thank you so much for answering these questions, giving us great info and for the tour.

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For so many of us, we've never seen the inside, so it's really, really

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helpful as a parent to know what you're walking into.

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My pleasure. Thank you so much for having me. And I hope that this really relieves some stress for

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parents preparing for a sleep study. And hopefully what I said resonates. And it'll make it easier

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for the technicians who will be running the studies as well.

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My thanks, though. Yep. Thank you. Thank you, Rebecca.

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Thanks again to today's guest, Dimitri Spector, for the amazing behind-the-scenes tour of the Sleep

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Lab and to each of you for listening to today's episode. You can stay connected with Children's

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Airway First Foundation by following us on Instagram, Facebook, X, LinkedIn, and YouTube.

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Don't forget to subscribe to the Airway First podcast from your favorite podcasting platform,

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so you won't miss an upcoming episode. If you'd like to be a guest or have an idea for an upcoming

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show, shoot us a note via the contact page on our website, or send us an email directly at

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info at childrensairwayfirst.org. Today's episode was written and directed by Rebecca St. James,

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video editing and promotion by Ryan Drone, and guest outreach by Kristie Bojipin.

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And finally, thanks to all the parents and medical professionals out there that are working hard to

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help make the lives of kids around the globe just a little bit better. Take care, stay safe,

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and happy breathing, everyone.