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  • Meerana Lim, M.D.
    Giving P 858 576 1700 Programs Services Community Programs Child Maltreatment Programs International Services Support Groups Services Search All Find a Doctor Patients Visitors Your Child s Hospital Stay Pay Your Bill Financial Assistance Medical Records Health Information Exchanges MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Find a Doctor Meerana Lim M D Meerana Lim M D 8110 Birmingham Way Bldg 28 1st Floor San Diego CA 92123 858 966 5846 Specialty Pulmonology Respiratory Medicine Locations 8110 Birmingham Way Bldg 28 1st Floor San Diego CA 92123 858 966 5846 858 569 9052 3020 Children s Way MC 5070 San Diego CA 92123 Specialty Pulmonology Respiratory Medicine Organization Rady Children s Specialists of San Diego Medical Group IPA Rady Children s Specialists Medical School Howard University College of Medicine Residency Medical College of Virginia Fellowship John Hopkins University School of Medicine Board Certifications Pulmonology Respiratory Medicine Gender F Rady Children s Hospital San Diego 3020 Children s Way San Diego CA 92123 Main

    Original URL path: http://www.rchsd.org/doctors/meerana-lim-md/ (2015-03-26)
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  • Sleep Problems in Teens
    severe that it affects a person s daily functioning In those cases it s called delayed sleep phase syndrome Changes in the body clock aren t the only reason teens lose sleep though Read on to learn about some of the biggest causes of sleep deprivation Insomnia Lots of us have insomnia trouble falling or staying asleep The most common cause of insomnia is stress But all sorts of things can lead to insomnia including physical discomfort the stuffy nose of a cold or the pain of a headache for example emotional troubles like family problems or relationship difficulties and even an uncomfortable sleeping environment a room that s too hot cold or noisy It s common for teenagers to have insomnia from time to time But if insomnia lasts for a month or longer with no relief doctors consider it chronic Chronic insomnia can be caused by a number of different problems including medical conditions mental health problems medication side effects or substance abuse Teens with chronic insomnia can often get help for their condition from a doctor therapist or other counselor For some insomnia can be made worse by worrying about the insomnia itself A brief period of insomnia can build into something longer lasting when someone becomes anxious about not sleeping or worried about feeling tired the next day Doctors call this psychophysiologic insomnia Periodic Limb Movement Disorder and Restless Legs Syndrome Teens with these conditions find their sleep is disrupted by leg or less frequently arm movements leaving them tired or irritable from lack of sleep In the case of periodic limb movement disorder PLMD these movements are involuntary twitches or jerks They re called involuntary because the person isn t consciously controlling them and is often unaware of the movement Teens with restless legs syndrome RLS actually feel physical sensations in their limbs such as tingling itching cramping or burning The only way they can relieve these feelings is by moving their legs or arms to get rid of the discomfort Doctors can treat PLMD and RLS with medications For some teens treating an iron deficiency can make the conditions go away Obstructive Sleep Apnea This sleep disorder causes a person to stop breathing temporarily during sleep One common cause of obstructive sleep apnea is enlarged tonsils or adenoids tissues located in the passage that connects the nose and throat Being overweight or obese also can lead someone to develop obstructive sleep apnea Teens with obstructive sleep apnea might snore have difficulty breathing and even sweat heavily during sleep Because it disrupts sleep someone with sleep apnea may feel extremely sleepy or irritable during the day Treatment is available for teens with sleep apnea Those who show signs of the condition such as loud snoring or excessive daytime sleepiness should be evaluated by a doctor Reflux Gastroesophageal reflux disease GERD is another common culprit of sleep loss With GERD stomach acids move backward up into the esophagus producing the uncomfortable burning sensation known as heartburn

    Original URL path: http://www.rchsd.org/health-articles/sleep-problems-in-teens/ (2015-03-26)
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  • Rady Children’s Hospital-San Diego
    Records Health Information Exchanges MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Special Needs Clinic Rady Children s Hospital San Diego Special Needs Clinic Rady Children s Hospital San Diego Special Needs

    Original URL path: http://www.rchsd.org/programs-services/special-needs-clinic/rady-childrens-hospital-san-diego/ (2015-03-26)
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  • Bretten Pickering, M.D.
    Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Find a Doctor Bretten Pickering M D Bretten Pickering M D 7910 Frost St Ste 350 San Diego CA 92123 858 496 4800 Specialty Pediatrics Locations 7910 Frost St Ste 350 San Diego CA 92123 858 496 4800 858 496 4850 Specialty

    Original URL path: http://www.rchsd.org/doctors/bretten-pickering-md/ (2015-03-26)
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  • Team
    in working with bilingual bicultural populations She has experience working with children with a variety of communication impairments including those with speech and language delays hearing loss cochlear implants cleft lip and palate autism spectrum disorders apraxia of speech traumatic brain injuries and Down syndrome Valerie received her master s degree in speech language pathology from Boston University Prior to working at Rady Children s she worked in the several Massachusetts public schools Massachusetts General Hospital and Spaulding Rehabilitation Hospital Valerie is a Hanen certified speech language pathologist for It Takes Two to Talk She is licensed by the state of California holds a certificate of clinical competence from the American Speech Language Hearing Association ASHA and is a current member of ASHA Ashley Farwick has been working as a speech language pathologist since 2009 and has worked at Rady Children s since 2012 Ashley is trained in SCERTS Social Communication Emotional Regulation Transactional Support and PECS Picture Exchange Communication System She is also certified by the Hanen Program to teach the It Takes Two To Talk course for parents Ashley received her bachelor s degree in speech pathology and audiology from Miami University and her master s degree in communication sciences and disorders at the University of Cincinnati She is licensed by the state of California holds a certificate of clinical competence from the American Speech Language Hearing Association ASHA and is a current member of ASHA Jennifer Foss has worked as a speech language pathologist at Rady Children s since 2006 after receiving her master s degree in speech language and hearing sciences from the University of Colorado Boulder Jennifer has experience working with a variety of children and adults with communication disorder including those with speech and language delays apraxia of speech autism spectrum disorders cleft palate cochlear implants acquired traumatic brain injuries voice and stuttering She is on Rady Children s Cleft Palate team and provides joint nasoendoscopies with the ENT department Previously she worked in various schools outpatient clinics and hospital settings She is Lee Silverman Voice Treatment LSVT LMRVT and LANGUAGE certified and trained in Prompts for Restructuring Oral Muscual Phonetic Targets PROMPT She is licensed by the state of California holds a certificate of clinical competence from the American Speech Language Hearing Association ASHA and is a current member of ASHA Shari Garrett has been a speech language pathologist since 1983 and began working at Rady Children s in 1985 Shari is the manager of the Speech Language Pathology Department She specializes in the areas of voice autism vocal cord dysfunction oral motor and phonology Shari received her master s degree in speech language pathology from the University of Illinois Champaign Urbana She is licensed by the state of California holds a certificate of clinical competence from the American Speech Language Hearing Association ASHA and is a current member of ASHA Eleanor Kalter became a speech language pathologist in 1984 and began working at Rady Children s in 1989 Eleanor specializes in bilingual bicultural therapy and consultation on related issues Her extensive background includes working in Spanish and French as well as with other multicultural populations Eleanor also has expertise in treating children with cleft palate and craniofacial anomalies having served as speech pathologist on the Rady Children s Craniofacial Services team for more than 10 years She has volunteered service to traveling medical cleft palate teams helping children across the border of Mexico Eleanor has supervised graduate students at San Diego State University in speech pathology for many years Aside from providing speech language evaluations and therapy Eleanor has provided parent education and child enrichment classes through Children s Care Connection She received her bachelor s degree from Boston University in apeech pathology and audiology and her master s degree from University of Minnesota Minneapolis in speech pathology She is licensed by the state of California holds a certificate of clinical competence from the American Speech Language Hearing Association ASHA and is a current member of ASHA Amanda Kramer has worked as a speech language pathologist since 2009 and has been at Rady Children s since beginning her career She has expertise in the areas of voice vocal cord dysfunction resonance cleft palate and craniofacial disorders She is trained in using PROMPT Prompts for Restructuring Oral Muscular Phonetic Targets Amanda is a member of the Rady Children s Cleft Palate Team and works in other specialty clinics including craniofacial disorders and nasoendoscopy She also facilitates the First Step Mommy Daddy Me Spanish Little Explorers and Hi ways language programs Amanda received her masters degree in speech language and hearing sciences from San Diego State University as well as a certificate in bilingual speech language pathology She is fluent in Spanish and provides services to bilingual families from around the county She is licensed by the state of California holds a certificate of clinical competence from the American Speech Language Hearing Association ASHA and is a current member of ASHA Debbie Llewellyn became a speech language pathologist in 1981 and has worked at Rady Children s since 1986 Prior to working at Rady Children s she worked at the University of Oklahoma Health Sciences Center where she was a member of the faculty and provided speech language services at Oklahoma Children s Hospital O Donoghue Rehabilitation Hospital and Oklahoma Memorial Hospital She received her bachelor s degree and master s degree in communication disorders in 1980 and 1981 from Our Lady of the Lake University in San Antonio Texas In 2000 she received a second master s degree in counseling psychology from Trinity College in Fullerton Calif Debbie specializes in cleft palate and craniofacial disorders voice disorders diagnostics children with neurological challenges and family relationships She is nationally certified by the American Speech Language Hearing Association and is licensed to practice in California Sarah Magnon has been a speech language pathologist at Rady Children s since 2007 She has had experience in working with a variety of communication disorders in children with autism

    Original URL path: http://www.rchsd.org/programs-services/speech-language-pathology/team/ (2015-03-26)
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  • Signs of Speech Problems
    Pathology Signs of Speech Problems Speech Language Pathology Signs of Speech Problems Speech Language Pathology Team Signs of Speech Problems Evaluation Conditions Treated Services Speech Milestones Patient and Parent Education Frequently Asked Questions Resources Locations Signs of Speech Problems Please contact us if your child has any of the speech language or behavioral problems listed below Under 18 months old Does not coo and babble or use one or more words by one year of age Does not understand a few simple words like mama and a few familiar objects like juice Does not engage in turn taking with facial expression or gaze Does not imitate large motor movements or imitate vocalizations At 18 months old Does not use at least eight 10 words or is not talking at all Does not wave and or say hi and bye bye Does not use words to communicate but continues to rely on gestures pointing and leading an adult to a desired object Does not respond to very simple requests directions and questions such as No Don t Come here or Do you want more Does not follow several simple verbal directions such as Give me the or Show me your nose Does not look at you when talking or playing Does not follow your pointing or desired object with their gaze Does not play in close proximity to other children At 2 years old Does not put words together to form simple phrases more milk Does not follow simple directions involving familiar objects such as Get the ball and put it on the table Cannot look at books for at least a few minutes at a time or does not point to pictures of familiar objects in the book as you name them Is not easily understood at least 50 percent

    Original URL path: http://www.rchsd.org/programs-services/speech-language-pathology/signs-of-speech-problems/ (2015-03-26)
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  • Evaluation
    Patients Visitors Your Child s Hospital Stay Pay Your Bill Financial Assistance Medical Records Health Information Exchanges MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Speech Language Pathology Evaluation Speech Language Pathology Evaluation Speech Language Pathology Team Signs of Speech Problems Evaluation Conditions Treated Services Speech Milestones Patient and Parent Education Frequently Asked Questions Resources Locations Evaluation When a child has a speech language evaluation the caregiver completes a questionnaire that provides information about the child s development from his or her birth Standardized tests parent interviews play based assessment and clinical observation to identify communication and swallowing disorders are used to render a diagnosis prognosis treatment plan and recommendations A typical evaluation takes 60 90 minutes and includes a parent interview and education in English or Spanish Due to the demand evaluations are typically scheduled several weeks in advance After the evaluation our therapists determine the need for intervention and guide families to appropriate resources Recommendations may include referrals to public

    Original URL path: http://www.rchsd.org/programs-services/speech-language-pathology/evaluation/ (2015-03-26)
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  • Conditions Treated
    Services Search All Find a Doctor Patients Visitors Your Child s Hospital Stay Pay Your Bill Financial Assistance Medical Records Health Information Exchanges MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Speech Language Pathology Conditions Treated Speech Language Pathology Conditions Treated Speech Language Pathology Team Signs of Speech Problems Evaluation Conditions Treated Articulation Disorders Dysfluency Stuttering Feeding and Swallowing Disorders Language and Expression Disorders Language Comprehension Auditory Processing Medically based Developmental Diagnoses Pragmatic Disorders Tongue Thrust Voice Disorders Services Speech Milestones Patient and Parent Education Frequently Asked Questions Resources Locations Conditions Treated We provide assessment and intervention for Articulation disorders Language comprehension disorders and auditory processing problems Language disorders and expression Voice disorders Dysfluent speech stuttering Pragmatic disorders inappropriate social interaction Tongue thrust myofunctional disorders Speech or language deficits due to medically based developmental diagnoses such as Down syndrome hearing loss prematurity or due to an accident or medical condition such as head injury or stroke Learn more Feeding and swallowing disorders

    Original URL path: http://www.rchsd.org/programs-services/speech-language-pathology/conditions-treated/ (2015-03-26)
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