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Hi everybody, and welcome back to another episode of Airway First, a podcast from the

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Children's Airway First Foundation.

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I'm your host, Rebecca Downing.

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My guest today is Dr. Funke Afalabe Brown.

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Dr. Brown is board certified in pediatric pulmonary medicine and pediatric sleep disorders.

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As a double board certified pediatric respiratory sleep medicine physician, Dr. Brown helps

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her patients breathe better and sleep better.

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And by extension, she helps improve the sleep of her patients.

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Dr. Brown is a speaker, an educator, a writer, and the founder of Restful Sleep MD, where

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she helps busy professional women and their children prioritize sleep to not only achieve

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their optimal health, but also thrive and to live to their fullest potential.

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She does this through courses and programs focused on educating and empowering busy professional

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women to make sleep a priority as a critical pillar of their health.

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Dr. Brown is a member of the American Academy of Sleep Medicine, the American Academy of

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Pediatrics, and the American Thoracic Society.

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She has also served on several committees locally, regionally, and nationally.

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Dr. Brown is passionate about mentoring the next generation of physician scholars and

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is particularly vested in the training and development of minority scholars.

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She also works with organizations and small businesses to improve employee health by incorporating

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healthy sleep as part of their wellness journey.

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She does this through seminars, workshops, and round table sessions.

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You can find out more about Dr. Afalabi Brown on her website at restfulsleepmd.com.

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And now here's my interview with Dr. Funke Afalabi Brown.

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Good afternoon, Dr. Afalabi Brown.

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Thank you so much for being on our show.

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Thank you for having me.

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I'm excited to be here.

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Yeah, I'm super excited.

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Lots of questions for you today.

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So let's just go ahead and jump right in.

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Let's talk a little bit about what are pediatric sleep disorders?

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So pediatric sleep disorders are a wide range of sleep difficulties we see in children.

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And so honestly, we see problems right from birth all the way through till adolescence

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and young adulthood.

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And this can comprise of medical sleep disorders, behavioral sleep disorders.

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And then also there are issues that are going on as part of children's lives that can have

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its implications when it comes to sleep.

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So in that category, I would put things like autism, ADHD, anxiety, all those things tend

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to have an impact on how kids sleep.

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So really a broad range of issues can go on with kids sleep.

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Right.

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And you mentioned birth.

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And I think for a lot of people, myself included.

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It's a little surprising to hear the term sleep disorder and birth.

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So you can just come out of the womb with something.

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Yeah.

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Yeah.

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Well, pretty much.

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So we usually will see those things as especially children with genetic syndromes.

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So things like children that are born with maybe trisomy 21 or a condition called Pritawili

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syndrome or neuromuscular disorders, and we'll also see problems that can occur when children

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have sort of facial or cranial facial syndrome.

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So children that may have like a small jaw or sort of a smaller midface.

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And what that does is one, it changes the anatomy of their face.

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And at times it makes that the airway that's already pretty tiny and narrow, even narrower.

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So that's one way. And so most likely you may see them have snoring or difficulties

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breathing or pauses in doing sleep.

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And you can see that pretty quickly in children who have low tone.

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So among those children with maybe neuromuscular diseases or children, like I mentioned with

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Pritawili and some of these other genetic syndromes, what happens in that case is because

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their tone is just overall low, then they may have more of a floppier airway.

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And so because of that, they're more at risk for having sleep apnea.

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And that's usually one of the more common disorders you'll see.

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In some situations, super-duper rare, you can have a condition called central hypoventilation

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syndrome.

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And so what that is, is this children really just have, their brain is not able to sense

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when carbon dioxide is rising in their blood.

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And the way we breathe, right, we're breathing in oxygen, we're breathing out carbon dioxide.

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So our brain sense, okay, now it's time to take a breath.

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So we'll breathe in oxygen, get the carbon dioxide out.

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And so for these children with central hypoventilation syndrome, their bodies just really, their brains

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really don't have that response.

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And we found some gene that's responsible.

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It's called the Fox2V gene mutation.

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So that's going a little bit far.

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And just really letting you know that, yes, sleep problems kind of happen, even in that

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newborn period.

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It's not common, but it's just something parents should be aware of.

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And you mentioned the phrase low tone.

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So for parents, would you explain briefly what that is exactly?

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So your tone, your muscle tone really tends to be, when you're awake, it tends to be,

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you know, just like you and I, we have normal tone when we're awake, we're sitting upright,

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we're able to breathe normally.

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When we go to sleep, our muscles just relax.

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So these children have super duper, super duper ultra relaxed muscles, muscles, if that helps.

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So essentially your upper airway, that same tone is up, isn't your upper airway?

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So if your upper airway is collapsing on itself, then you are at risk for snoring or having

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a hard time breathing.

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Okay, got it.

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Thank you.

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So let's talk a little bit about teens because anybody that visits your website, which we

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have a link for in the show notes, you're going to see a lot about teens.

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So let's just move over to that if we could.

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One of the things we hear about teen behavior, right, is that it's normal or it's, you know,

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just what teens do.

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But some of these behaviors could actually be related to sleep issues.

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So what are some of the signs that parents should look for when it comes to identifying

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whether or not their teen is getting a restful night's sleep?

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Yeah, that's a great question.

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So when it comes to teens, I always say they're in this perfect storm for sleeping difficulties.

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The first is that, you know, around puberty, there's a shift in the internal clocks.

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And so their bodies naturally drift towards a later bedtime, which is why when your teen

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is say, when you send them upstairs to sleep at 9 p.m. and they say they're not sleepy

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and they're sneaking the phone into the room, they really are not able to generate sleep

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that early.

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So that really shifts things.

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And so in our perfect world where they could choose their bedtime and choose their wake

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up time, it really wouldn't be an issue because they're just sleeping according to their physiology.

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But then we all know that most times we're dealing with early school start times, you

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know, middle school and high schoolers.

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So unfortunately, even though their bodies may want to go to bed at about 11 p.m. and

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sometimes even as late as 12 midnight, they got to get up to catch the bus at the cracker

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dawn or even before then.

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And so they may need to wake up at 5.30.

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Some kids as early as 5, it's really, really unfortunate.

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And so with that, imagine that they're getting really, really decreased sleep.

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And so with decreased sleep over time, even within the first few days of not getting enough

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sleep, you start to see manifestations like, you know, difficulties getting out of bed.

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So you're ringing multiple alarms to try to get them out.

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Right.

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And you try to see them just really exhausted and cranky and moody in the mornings.

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And really, I always tell families that your teen is sometimes they're not just out to

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make everybody miserable in the morning, they themselves are just, you know, they're so

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sleep deprived.

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And so that tends to become a big problem.

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And so during the day, they may start really feeling sleepy.

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We may start to see poor decision making.

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We may start to see impact on their grades.

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We may see, you know, sometimes behavioral issues and things.

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So those are some of the, you know, the symptoms that you might notice that your teen is exhibiting

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or they're falling asleep on car rides and falling asleep in class.

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So that's something that we will see.

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Another thing that I, so the first one is really that shift that's physiologic shift.

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And then the early school start time.

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And then another thing that, of course, naturally our teens do engage in behaviors that do not

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support their sleep.

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So you have your teenager on, you know, in the, in the, in the need for social, you know,

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relations and interactions and things like that, which is a good thing, right?

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They want to be thriving community about this age.

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The only thing is the timing may be off.

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So the, you know, the social media, the technology in their bedroom, drinking caffeine, all those

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things make it even harder for their bodies to really, really get to sleep.

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So those are sort of, there's the physiology part and then there's kind of the behavioral

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part.

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And then the third one I would say, even as a bonus, right, where in a time now where

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anxiety and mental health is really at an all time high.

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So some of our teens may be anxious.

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They may, it may be a situation where they get into bed and their minds are racing.

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They can't shut down and things like that.

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And so that might get in their way of getting enough sleep.

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So those are just a few reasons why.

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And then also just what you might notice in your teen when they're having troubles with

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sleep.

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And that's quite, that's a lot.

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And it's funny, I think, I think back from when I was a teenager and I don't remember

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it being this bad.

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Yeah.

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I mean, is it just, is that just perception?

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Or I mean, are you seeing there definitely has been this change that it really is becoming

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this big of an issue?

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It is.

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It's definitely changed.

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I mean, you know, there's some school districts, honestly, that have implemented early, later

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school start times.

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And we are seeing significant improvements in their grades, in mental health, in their

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mood.

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We're seeing such improvement when you compare it to those who are still, who are not getting

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enough sleep because their school start times are earlier.

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So there's that.

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And then, you know, now, you know, the connectedness, the digital world is taking on a life of its

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own, which was not as much as it was before where kids were outside and kids were really

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physically active and were coming, spending time with family and going to bed.

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So that's also a huge contributor.

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And are you seeing this in other countries as well, I mean, to this extreme?

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Or, you know, how is it manifesting in other countries?

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Well, in some countries, but not all.

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I mean, I think the issue again, really lies around where really forcing their sleep in

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this really short window.

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And also, you know, in a lot of more of the sort of first world countries where, again,

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there's access to so many privileges.

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There's a lot of competitiveness.

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We're trying to get our things to the best goals.

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And so we load them up with all kinds of activities.

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And, you know, they're in, they're in the playing football and they're playing an instrument.

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And oh, by the way, they're in Boy Scouts.

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And, you know, there's so much more going on that that's also playing a big role in some

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countries, you know, sort of first world countries, you may start to see, you may see

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those issues, but definitely, you know, seeing a lot more of it here in the U.S.

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So even as parents, we're trying to do, again, it's back, we're, we're trying to do what

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we think is best and we're trying to help.

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But perhaps we're also adding to this issue by stretching them to thin, overstimulating

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them.

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They are, they are absolutely over scheduled.

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They are not one of the things I encourage sometimes, you know, even with my sleeping

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team's course, one of the things I say is really check in with your parent and come

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up with a plan, a game plan of maybe I don't need to do all this, like five activities,

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including doing my homework, which may take two hours.

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And I don't get to sit down and start my homework because I have all these other after school

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activities.

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And so then I can't get to sleep.

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And then when I get into bed, I'm wired.

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I'm so wound up that, you know, it's hard to fall asleep.

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So I think really prioritizing the things that matter, getting them involved in activities

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is helpful.

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It's great, but I think we need to strike a balance.

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Yep, I agree.

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And that makes sense.

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And again, you, you're just trying to do what you think is best for them.

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And especially when you're looking at the competitive landscape for colleges right now.

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Yes.

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I mean, I've, I've fallen prey to that as well.

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It's like, what all does my child need to make her application stand out?

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Yeah.

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And that's the thing.

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It's so, it's such a competitive landscape.

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And we're starting this journey younger and younger and younger and think about the anxiety

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that is causing our children as well because of this need to complete, to perform.

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And so they're stretched.

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And so, you know, it's, it's this whole vicious cycle.

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Absolutely.

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Oh, we mean well, we mean, exactly.

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We do.

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We're trying this marriage, right?

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Yes.

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So, you know, when we're talking about anxiety with children, especially the ones that are

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over achievers just naturally and then looking at ways that we can help them.

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Okay.

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So if we can streamline and maybe downsize some of their activities, controlling their

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social media and the electronics in the bedroom.

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What about things like meditation or tapping or other techniques that maybe we could teach

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them to help them, especially at night when they're in bed and they can't fall asleep

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and that anxiety is just building.

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Yeah.

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That's an excellent question.

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And one of the things, one of the core tenets of what I do with a lot of my clients is really

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focusing on having a bedtime routine.

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You know, we have this beautiful elaborate bedtime routine for our little ones where

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they, you know, have their bath and then we read a book and we cut a lot of things.

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You know, we do all that.

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And then they just go from, you know, in fact, they fall asleep in the midst of their schoolwork,

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right?

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They bring everything into the bedroom with them.

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So just like even us parents, we all need to have that routine.

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And what that routine really does is actually pretty powerful.

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It's queuing your body in preparation for sleep.

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And I like to kind of put those different, different elements of the bedtime routine.

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It doesn't have to be something complicated.

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It can be at least two or three activities that head in the direction of the bedroom.

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So I usually will recommend some kind of hygiene, right?

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So whether you're changing into PJs, brushing your teeth or having a bath, whatever that

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looks like.

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And then just really spending time sort of winding down over the course of the day.

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So journaling is a powerful one meditation, breathing, you know, incorporating that as

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part of your routine is so helpful.

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Finding time for meaningful connections with our teenagers where, you know, if they have

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things going on on their minds, they want to talk about, I think that's really helpful

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as well again to help with unwinding.

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And then also, you know, if you have a child that's really anxious, they may need to get

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counseling.

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They may need to see a therapist, you know, you would probably see those issues sort of

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show up during the day as well and not just at bedtime.

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But I think starting off with, you know, some kind of routine that really helps them to

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unplug and to transition from the day to bedtime.

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Another thing I always recommend, I see this a lot is our teens spend a lot of time even

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in their bedrooms when it's not time for sleep, so they may be doing homework in bed, they

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may be having dinner in bed, watching movies, games, talking with friends, and our brains

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make associations, right?

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So our brains really make very rapid associations.

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And so one of the things we want to do is we want to connect our bed with sleep.

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But then if our bed becomes our dining room, our movie theater, if it becomes our office

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space, right, if it becomes our, you know, our gaming room, then when it's time to sleep,

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it's really hard for us to make those connections.

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You were listening to Airway First with today's guest, Dr. Funke Afalabe Brown.

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You can find out more about the Children's Airway First Foundation and our mission to

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fix before six on our website at children'sairwayfirst.org.

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The CAF website offers tons of great resources for parents and medical professionals, including

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videos, blogs, a recommended reading list, comprehensive medical research, podcasts, and

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so much more.

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Parents are encouraged to join the Airway Heddle, our Facebook support group, which was

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

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You can access the Airway Heddle support group at facebook.com backslashgroups backslashairwayheadle.

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Are you a medical professional or parent that is interested in being a guest on our show,

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or do you have an idea for an upcoming episode?

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Then shoot us a note via our contacts page on our website or send us an email directly

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at infoatchildrensairwayfirst.org.

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As a reminder, this podcast and the opinions expressed here are not a medical diagnosis.

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If you suspect your child might have an airway issue, contact your pediatric airway dentist

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or pediatrician.

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And now let's jump back into my interview with today's guest, Dr. Afilave Brown.

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That makes absolute sense.

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So aside from some of these more psychological, physiological, let's talk a little bit more

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about some of the health issues, specifically what could be some of the undiagnosed health

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issues that could be sitting there in your teen.

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And as a parent, you have no idea what kind of issues like that could be contributing

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to sleep.

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Yeah, that's a great question.

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So again, I always come back to that, like the three categories.

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So medical sleep problems can get in our way.

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The habits can get in our way of good sleep routines.

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And then also issues that are going on around the clock, like the anxiety or ADHD and things

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like that, that can get in the way of sleep.

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When we come to the medical, some of the common medical problems that children, teenagers

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might have can be things like sleep apnea.

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But they're also at risk for sleep apnea, especially those that may be overweight, or

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if they have any structural differences with their face that makes their airway a little

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bit narrower or things like that.

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If they have, sometimes they might have what you call restless leg syndrome, which is that

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very unpleasant discomfort that you have in your legs, mostly, that you need this constant

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movement.

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And a lot of women in pregnancy may experience it, but our kids also may have it.

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Typically, it's relieved by motion, but then it does delay sleep onset.

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And it might contribute to waking up at night.

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Other sleep problems that you can think of, not as rare as people think, is things like

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narcolepsy.

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And that's actually diagnosed around the teen years.

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Really?

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And so, yeah, narcolepsy is that it's, you know, it's this just uncontrollable urge to

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sleep.

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Really, even in spite of having a full night of sleep, and you see it associated with other

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things like loss of muscle tone with strong emotion, they may have hallucinations around

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their time.

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They may have, you know, what we call sleep paralysis.

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So it's a combination of different symptoms.

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But the key is they have profound sleepiness, and that's in spite of getting enough sleep.

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So if your child is having those kind of symptoms, or any of the ones I just described, then you

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definitely want to bring it up with your physician so that, you know, they can undergo

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further evaluation.

328
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Okay.

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And for their evaluation, will they take a child into a sleep lab, you know, if they

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deem it?

331
00:23:00,760 --> 00:23:03,400
It's, if that's something, yes, absolutely.

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If that's something that they, if there's concern for an underlying sleep disorder, then many

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times the child might need a sleep study in a sleep lab, and that's to see if they have,

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you know, either sleep apnea or something we call Periodic Limb Movement Disorder, which

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is, you know, sort of in the same family as the restless leg syndrome.

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Or for the narcolepsy as well, you get a sleep study, and then you get a daytime study.

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And what that daytime study is called a multiple sleep latency test or a nap test.

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And so what that test really is showing is what's the likelihood that your child will

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fall asleep, giving the opportunity.

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And so there's certain very specific criteria we use to diagnose that.

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And when they give these tests to children, obviously that it's different than having

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an adult come in and get suited up and stay for the night.

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Obviously they make exceptions, you know, parents are parents close by, the parents

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spend the night as well.

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I mean, how does that work?

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Oh, yeah, absolutely.

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So typically they'll come into the sleep lab and a parent has to be there if the child

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is below 18.

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And so the parent is there and they have either a pullout couch or somewhere where they lay

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next to the child and things like that in the same room.

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Okay, perfect.

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And I think we touched on this a little bit earlier, but I'd like to dig into a little

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bit more about.

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So you have a child that has this like sleep, specifically a teen.

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I mean, in previous podcasts, we talk a lot about younger children, but let's talk about

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teens, you know, how this manifests and how it presents itself behaviorally.

357
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But also what are some of the health impacts that maybe we haven't talked about?

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Yeah, absolutely.

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And I think that's such a valid piece too.

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So some of the things we see again is all your child has maybe daytime sleepiness or

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mood problems.

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We've seen anxiety and depression really correlate with insufficient sleep in teenagers.

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And unfortunately, even increased suicidality, increased risk taking behaviors, you know,

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such as, you know, drugs gambling, things like that.

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You see that.

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And also we see physical symptoms too.

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So there's been studies that have shown if children have insufficient sleep, they are

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at risk for obesity.

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So really getting that excessive weight in some situations, they may be at risk for hypertension.

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In adults, you may see things like, you know, that type on diabetes and strokes and things

371
00:25:42,440 --> 00:25:43,440
like that.

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We don't have as much robust data in children, but definitely in teens, we've seen that obesity

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is a big one, as well as in some situations, hypertension as well.

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00:25:53,720 --> 00:26:00,800
In addition to all the learning difficulties, mental health problems that are there.

375
00:26:00,800 --> 00:26:01,800
Wow.

376
00:26:01,800 --> 00:26:02,800
Yeah.

377
00:26:02,800 --> 00:26:08,480
Well, so as a parent, if you suspect this because you're seeing these behaviors or your

378
00:26:08,480 --> 00:26:12,760
child's having trouble sleeping, or maybe you've heard them snoring, which we've discussed

379
00:26:12,760 --> 00:26:16,640
is, you know, that's a sign of sleep apnea potentially.

380
00:26:16,640 --> 00:26:22,480
But what point do you, as the parents say, I think there's enough here, you know, to

381
00:26:22,480 --> 00:26:27,440
bring this up to your pediatric provider or your physician?

382
00:26:27,440 --> 00:26:30,720
Yeah, no, I think the sooner the better.

383
00:26:30,720 --> 00:26:35,160
You know, if now if they have snoring, but it's allergy season, right?

384
00:26:35,160 --> 00:26:36,160
So that's right.

385
00:26:36,160 --> 00:26:37,160
Right.

386
00:26:37,160 --> 00:26:38,160
Yeah.

387
00:26:38,160 --> 00:26:41,760
If they have snoring and they have a cold, you know, but if you're noticing there's habitual

388
00:26:41,760 --> 00:26:44,240
snoring, say for instance.

389
00:26:44,240 --> 00:26:48,800
And you are, and usually when we say habitual snoring, we're saying three or more nights

390
00:26:48,800 --> 00:26:50,000
a week.

391
00:26:50,000 --> 00:26:53,400
And then you're noticing either daytime issues as well.

392
00:26:53,400 --> 00:26:55,760
Then you want to bring it up.

393
00:26:55,760 --> 00:27:00,480
You know, I think that's just, it's better safe than sorry, it's better to over call it

394
00:27:00,480 --> 00:27:03,320
than have your child struggle for long.

395
00:27:03,320 --> 00:27:09,400
So you know, if there's things like insomnia, which is also something that we see in our

396
00:27:09,400 --> 00:27:14,440
teenagers where they have difficulties falling asleep, staying asleep, or they're waking

397
00:27:14,440 --> 00:27:20,560
up excessively early and because of that, they're having daytime effects.

398
00:27:20,560 --> 00:27:25,640
Usually people will say insomnia should be going on for about three months when you're

399
00:27:25,640 --> 00:27:28,120
having those symptoms.

400
00:27:28,120 --> 00:27:33,200
I don't, I mean, that's what our, you know, our guide book, which is the International

401
00:27:33,200 --> 00:27:36,480
Classification of Sleep Disorders, that's what it uses.

402
00:27:36,480 --> 00:27:41,360
But you know, if you have a child who's really, really struggling at times just having a quick

403
00:27:41,360 --> 00:27:46,600
check in with your, your physician to say, okay, are we missing anything here?

404
00:27:46,600 --> 00:27:51,240
We don't have to wait three months if the child is already like falling apart and struggling

405
00:27:51,240 --> 00:27:54,400
and things like that during the day.

406
00:27:54,400 --> 00:27:59,320
But the standard definition says the symptoms should have gone on for three months.

407
00:27:59,320 --> 00:28:00,320
Wow.

408
00:28:00,320 --> 00:28:01,320
Wow.

409
00:28:01,320 --> 00:28:02,840
A lot can happen in three months too.

410
00:28:02,840 --> 00:28:03,840
So.

411
00:28:03,840 --> 00:28:04,840
Yeah, exactly.

412
00:28:04,840 --> 00:28:08,680
And also, you know, we, that's sort of more of chronic insomnia.

413
00:28:08,680 --> 00:28:12,640
There's also the entity of acute insomnia, which most, many of us experience, right?

414
00:28:12,640 --> 00:28:17,440
You have a, the loss of a loved one, something happens and then, you know, for, you might

415
00:28:17,440 --> 00:28:23,280
have a, you may have a hard time for a few days and then things kind of settle down or

416
00:28:23,280 --> 00:28:25,040
a couple of weeks and then things settle down.

417
00:28:25,040 --> 00:28:30,280
So I think usually they're using those guidelines so that, you know, some of these things just

418
00:28:30,280 --> 00:28:35,480
naturally will improve depending on the season of life the child is going through, such that

419
00:28:35,480 --> 00:28:40,800
if it's persistence by that three month mark, then definitely something else is going on.

420
00:28:40,800 --> 00:28:41,800
Got it.

421
00:28:41,800 --> 00:28:44,080
And that's where those check-ins can come in handy, right?

422
00:28:44,080 --> 00:28:48,520
Because as the parent, you may or may not know what's going on at school from the personal

423
00:28:48,520 --> 00:28:51,800
side that could be impacting it, right?

424
00:28:51,800 --> 00:28:52,800
Yes.

425
00:28:52,800 --> 00:28:58,680
Well, let's chat a little bit about restful sleep MD and some of the courses that you

426
00:28:58,680 --> 00:29:01,680
provide because these courses are for parents, correct?

427
00:29:01,680 --> 00:29:02,680
Yes.

428
00:29:02,680 --> 00:29:08,960
So the, the course, the teens courses is actually for the teens.

429
00:29:08,960 --> 00:29:16,200
It's really, it's a self-paced course that takes the teenager themselves through the

430
00:29:16,200 --> 00:29:17,560
knowledge of sleep, right?

431
00:29:17,560 --> 00:29:23,800
Because if we think about it, maybe at most they hear get, you know, eight to 10 hours

432
00:29:23,800 --> 00:29:28,360
of sleep by sleep is good for you, you know, and nobody really gets that.

433
00:29:28,360 --> 00:29:35,280
And even as a, as a, as a physician myself, I think I had all of maybe one, one hour of

434
00:29:35,280 --> 00:29:36,520
lecture on sleep.

435
00:29:36,520 --> 00:29:42,120
So I had to go ahead and get a full training to become certified to care for patients.

436
00:29:42,120 --> 00:29:48,280
So this, and this, if we think about all these effects and the impacts of insufficient sleep

437
00:29:48,280 --> 00:29:54,360
in our teens, it's not something we want to just live to the luck of the draw.

438
00:29:54,360 --> 00:29:58,480
So I really, and I realized that a lot of parents just struggle.

439
00:29:58,480 --> 00:30:02,040
Like you said, sometimes they don't even know their teens are having sleep issues, you know?

440
00:30:02,040 --> 00:30:03,040
Right.

441
00:30:03,040 --> 00:30:07,320
And sometimes, you know, no matter how much you tell them to, you know, get rid of them

442
00:30:07,320 --> 00:30:12,520
for not bedtime, if they don't understand why and what's going on in their bodies, then

443
00:30:12,520 --> 00:30:14,640
it becomes this uphill battle.

444
00:30:14,640 --> 00:30:20,720
So how about we empower them, giving them that autonomy, they understand this things themselves.

445
00:30:20,720 --> 00:30:26,120
They do so much self-reflection so that they know, okay, this is the reason why I shouldn't

446
00:30:26,120 --> 00:30:28,560
be taking super long naps during the day.

447
00:30:28,560 --> 00:30:30,840
This is what caffeine does to my body.

448
00:30:30,840 --> 00:30:35,560
This is why trying to catch up on all the sleep on the weekend may not completely work.

449
00:30:35,560 --> 00:30:41,640
You know, so they understand it themselves so that then it's easier to have a conversation

450
00:30:41,640 --> 00:30:49,200
because that motivation to, to sleep well becomes more of an intrinsic motivation.

451
00:30:49,200 --> 00:30:51,320
And they're, yeah, yeah.

452
00:30:51,320 --> 00:30:52,920
And like you said, they're empowered, right?

453
00:30:52,920 --> 00:30:57,400
So they're, they're, they're taking part in this decision.

454
00:30:57,400 --> 00:30:59,960
It's not the parent going, go do this, go do this.

455
00:30:59,960 --> 00:31:00,960
Here's why.

456
00:31:00,960 --> 00:31:01,960
Yeah.

457
00:31:01,960 --> 00:31:06,160
And what kind of outcomes are you seeing for the teens that have taken this course?

458
00:31:06,160 --> 00:31:11,840
Those that are taking it have really enjoyed it because some of them had no idea.

459
00:31:11,840 --> 00:31:17,000
And you know, I had one for instance who just had, you know, I used to see with dinner and

460
00:31:17,000 --> 00:31:21,480
didn't know that was an issue and just couldn't sleep.

461
00:31:21,480 --> 00:31:24,360
You know, so sometimes it becomes to things like that.

462
00:31:24,360 --> 00:31:30,360
And so, you know, by himself caught back on caffeine and, you know, so I think it really

463
00:31:30,360 --> 00:31:36,160
does make a difference when they understand it and it's broken down to their level without

464
00:31:36,160 --> 00:31:38,120
too much fluff.

465
00:31:38,120 --> 00:31:43,800
And then they can make choices because these sleep habits, it's not like an overnight thing,

466
00:31:43,800 --> 00:31:44,800
right?

467
00:31:44,800 --> 00:31:49,480
And that's when it starts to build healthy sleep habits that are sustainable versus,

468
00:31:49,480 --> 00:31:54,360
oh, just the whole list of rules for them to follow.

469
00:31:54,360 --> 00:32:03,120
And this knowledge that you're empowering them with not only helps them now, we're arming

470
00:32:03,120 --> 00:32:08,160
them, I guess, for, for their health, for their health span, you know, preparing them

471
00:32:08,160 --> 00:32:12,160
to have healthier lives as you were talking about earlier, maybe reducing some of these

472
00:32:12,160 --> 00:32:14,040
other physical impacts.

473
00:32:14,040 --> 00:32:15,040
Absolutely.

474
00:32:15,040 --> 00:32:21,400
And honestly, the content is absolutely helpful even for the parents, right?

475
00:32:21,400 --> 00:32:24,800
We as parents also need to be good role models.

476
00:32:24,800 --> 00:32:25,800
Yeah.

477
00:32:25,800 --> 00:32:27,760
These are very fundamental.

478
00:32:27,760 --> 00:32:31,760
That impacts your own health as an adult, right?

479
00:32:31,760 --> 00:32:37,520
You know, because our kids learn most from what we do rather than what we're saying.

480
00:32:37,520 --> 00:32:38,520
Right.

481
00:32:38,520 --> 00:32:39,520
Right.

482
00:32:39,520 --> 00:32:43,920
So you, and also sometimes, of course, getting your child to be even motivated to sit and

483
00:32:43,920 --> 00:32:46,520
the videos are really short as well, right?

484
00:32:46,520 --> 00:32:50,680
So we had my, their attention span in mind, especially when they're not sleeping well,

485
00:32:50,680 --> 00:32:52,560
their attention is also short, right?

486
00:32:52,560 --> 00:32:53,560
So, right.

487
00:32:53,560 --> 00:32:54,680
Really bite-sized videos.

488
00:32:54,680 --> 00:32:59,120
So the parent, you can watch it together, talk about it, come up with action items to

489
00:32:59,120 --> 00:33:01,280
take and then, you know, you move on from there.

490
00:33:01,280 --> 00:33:07,800
So I definitely agree with establishing a great sleep foundation, not just for the short

491
00:33:07,800 --> 00:33:09,840
term, but for the long haul.

492
00:33:09,840 --> 00:33:12,240
I think that's great.

493
00:33:12,240 --> 00:33:20,320
At the end of every episode, I always like to turn the floor over to our guests and just

494
00:33:20,320 --> 00:33:25,960
any final thoughts that you want to leave with parents or anything that maybe we didn't

495
00:33:25,960 --> 00:33:31,080
cover that you want to make sure, you know, parents and medical professionals hear from

496
00:33:31,080 --> 00:33:32,080
you.

497
00:33:32,080 --> 00:33:33,080
Yeah.

498
00:33:33,080 --> 00:33:35,640
So I think, and thank you so much for this.

499
00:33:35,640 --> 00:33:37,040
Thank you for having me.

500
00:33:37,040 --> 00:33:38,040
Oh, absolutely.

501
00:33:38,040 --> 00:33:46,920
I think one of the reasons why this has been my mission to help, you know, high achieving

502
00:33:46,920 --> 00:33:53,160
professionals and their children with sleep is because we are a sleep-deprived generation,

503
00:33:53,160 --> 00:33:54,160
right?

504
00:33:54,160 --> 00:34:01,080
We are the CDC has declared that insufficient sleep is a global pandemic, you know?

505
00:34:01,080 --> 00:34:04,560
So this is an issue that we're seeing across the board.

506
00:34:04,560 --> 00:34:05,560
We're seeing it at work.

507
00:34:05,560 --> 00:34:07,800
We're seeing it in our kids.

508
00:34:07,800 --> 00:34:14,520
We're seeing kids diagnosed with ADHD and impulsivity and inattentiveness at a number

509
00:34:14,520 --> 00:34:17,840
that's just ridiculously high.

510
00:34:17,840 --> 00:34:23,280
Kids are being prescribed medications and it may be that they do need it, but sometimes

511
00:34:23,280 --> 00:34:28,600
really drawing, coming down to is there anything else going on?

512
00:34:28,600 --> 00:34:30,800
And you know, that may be sleep.

513
00:34:30,800 --> 00:34:36,680
And so it could be that you start with increasing sleep, even just by 15 to 30 minutes, it will

514
00:34:36,680 --> 00:34:38,920
make a world of difference.

515
00:34:38,920 --> 00:34:43,880
It could be that you're becoming more intentional to pay attention to saying, okay, you know

516
00:34:43,880 --> 00:34:46,720
what, we're going to have healthy sleep habits.

517
00:34:46,720 --> 00:34:47,720
That's transformational.

518
00:34:47,720 --> 00:34:51,920
And so we can start from that and then we can build from there.

519
00:34:51,920 --> 00:34:53,040
So yeah.

520
00:34:53,040 --> 00:34:54,040
Great.

521
00:34:54,040 --> 00:34:56,680
Thank you again so much for being on the show today.

522
00:34:56,680 --> 00:34:58,160
I really appreciate it.

523
00:34:58,160 --> 00:34:59,160
You're welcome.

524
00:34:59,160 --> 00:35:05,160
Thank you so much for having me, Rebecca.

525
00:35:05,160 --> 00:35:10,400
Thanks again to today's guests, Dr. Funke Afalabe Brown for sharing her medical insight

526
00:35:10,400 --> 00:35:13,920
and to each of you for listening to today's episode.

527
00:35:13,920 --> 00:35:16,920
If you're new to our podcast, please don't forget to subscribe.

528
00:35:16,920 --> 00:35:20,920
And if you enjoyed today's episode, please leave us a review or a comment telling us

529
00:35:20,920 --> 00:35:23,760
about what you enjoyed most.

530
00:35:23,760 --> 00:35:27,760
You can stay connected with the Children's Airway First Foundation by following us on

531
00:35:27,760 --> 00:35:32,440
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532
00:35:32,440 --> 00:35:38,080
Parents can also join us via our Facebook Parent Support Group, AirwayHuddle, at facebook.com

533
00:35:38,080 --> 00:35:42,640
backslash groups backslash airway huddle.

534
00:35:42,640 --> 00:35:44,120
Looking for more from Kath?

535
00:35:44,120 --> 00:35:46,280
Then check out our new YouTube channel.

536
00:35:46,280 --> 00:35:51,880
You can find a variety of informative original video content pieces, as well as video recordings

537
00:35:51,880 --> 00:35:57,440
and excerpts from selected Airway First podcast episodes.

538
00:35:57,440 --> 00:36:02,040
If you'd like to be a guest or have an idea for an upcoming episode, shoot us a note via

539
00:36:02,040 --> 00:36:11,360
the contacts page on our website or send us an email directly at info at childrensairwayfirst.org.

540
00:36:11,360 --> 00:36:15,400
And finally, thanks to all the parents and medical professionals out there that are working

541
00:36:15,400 --> 00:36:20,200
hard to help make the lives of kids around the globe just a little bit better.

542
00:36:20,200 --> 00:36:49,480
Take care, stay safe, and happy breathing everyone.

