Twenty-eight Clinical Pathways
Sleep disorders rarely arrive alone. Our clinics are organized so that one team can follow you across diagnostic boundaries — without your needing to start over.

Evaluation and treatment of snoring and obstructive sleep apnea, anchored in in-lab polysomnography and tailored multi-modal treatment.
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Indications, options, and outcomes for anatomic surgical interventions — coordinated with our ENT and plastic surgery specialists.
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In-lab titration, mask fitting, adherence coaching, and quarterly review — the evidence-supported long-term therapy.
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Custom mandibular advancement device for mild to moderate cases or for patients who cannot tolerate CPAP.
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For supine-dominant snoring, positional training and devices can significantly reduce events without machine therapy.
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For severe skeletal cases or recurrence after prior surgery — we re-stage from the polysomnogram and consider second-line options.
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Why pediatric sleep is its own discipline — and how our pathway differs from adult sleep medicine.
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Childhood snoring is not a habit — it shapes facial growth, attention, and behavior. Diagnosis and treatment for children.
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Growth hormone is released during deep sleep. Sleep-related growth concerns deserve a sleep-medicine workup.
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A practical screening guide for parents — what to watch for, and when to ask a sleep specialist.
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Attention, memory consolidation, and academic outcomes — sleep is not an afterthought in school-age children.
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Mouth-breathing and chronic snoring during growth years alter facial bone and dentition. Early intervention matters.
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Sensor placement, room setup, parent presence, and overnight protocol — designed for children, not adapted from adults.
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Persistent leg discomfort during rest, often responsive to identification of underlying iron and dopamine status.
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Unexplained headache and dizziness are frequently downstream of fragmented sleep — and resolve when sleep does.
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Excessive daytime sleepiness with sudden sleep attacks. Diagnosis requires polysomnography plus MSLT.
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Bruxism is a sleep disorder, not just a dental condition. We treat the underlying sleep architecture.
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Cognitive Behavioral Therapy for Insomnia is first-line. Pharmacology is reserved for short-term and refractory cases.
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Sleep changes across pregnancy stages and postpartum. Safe, non-pharmacologic-first management.
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Artificial sunlight for shift-work disorder, jet lag, seasonal mood-sleep disruption, and circadian misalignment.
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Untreated sleep apnea independently raises stroke risk. We evaluate sleep before and after cerebrovascular events.
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Hypertension, atrial fibrillation, and heart failure all interact with sleep-disordered breathing.
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Sleep talking and acting out dreams in older adults can be an early marker for neurodegenerative disease.
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Comprehensive same-day workup combining sleep evaluation with broader health screening for executives and adults at risk.
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Less common conditions — REM-sleep paralysis, hypnagogic phenomena, nightmare disorder, and more.
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How we decide whether a patient needs polysomnography, CBT-I, CPAP, or a different pathway.
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Two often-confused drug classes — what each does, when each is appropriate, and where over-the-counter products fit.
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Persistent insomnia is an independent risk factor for suicidality. A serious topic, written for general readers.
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