Tuesday, January 28, 2014

Toddler SLeep Study Post

V had seen an Ear, Nose , Throat doctor (Otolaryngologist) because she had very large tonsils. She’s been referred for a sleep study several times. I kind of blew it off like, “she sleeps fine”. Her large tonsils aren’t particularly causing her any problems at this point. Benny has also seen the Otolarynologist because of his frequent ear infections and very large tonsils. Remember when he was choking on and refusing to take solids or mixed texture foods? Although he has not had enough ear infections to qualify for tubes, which I find difficult to believe, we continue to follow up with them in case this may change. The MD kept talking about him getting a sleep study because of his big tonsils. Again, I was doubtful because he is 20 months old! P offered to take him (wow – awesome) and so he did. Attached are some pics from the sleep study. You show up at the unit around 7:30, and basically sleep there, hooked up to all the stuff. It took them 45 minutes to hook him up to the electrodes and wires. They monitor brain activity, oxygen saturation, heart rate, and many other things. He did not like it, oh no he didn’t. He slept there just over eight hours with Paul in the room in a recliner and then they came home the next morning. P had to give him a bath because of the sticky stuff in his hair, but it went fairly well. Except for the 45 minutes of screaming of course.

Well, you know where I am going with this. I saw his results last week and he has Moderate Obstructive Sleep Apnea. His tonsils and adenoids are blocking his air flow significantly. He had something like 57 apneas in 8 hours with 37 lasting longer than 10 seconds. His O2 sats dropped to the low 90’s each time. Poor, poor baby. I read that can be responsible for falling off the weight charts. His body burns so many calories trying to breathe at night.

Now what? I am very, very reluctant to do a tonsillectomy/adenoidectomy on a 21 month child. So are they. He can’t really use CPAP, do they even make them for tots that small? We have the next available consult on Feb 10th and we will see what is going on. Oh, and as a result of this, V is scheduled for a sleep study too. I feel silly for blowing it off. Maybe it would explain some of her behavioral quirks? Is tonsillectomy x 2 in our future? P has no tonsils or adenoids. They used to chop them out of everyone in the 60s and 70s routinely. I still do. My tonsils are big.

1 comment:

strongblonde said...

jen! we are dealing with a little of this, too!! t is kind of stair stepping on the growth chart and has not gained ANY weight since his 4 year well visit. one of the things they talked about was the fact that his tonsils are so big! we need to pow wow!!