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2014 Washington Street
Newton, MA 02462
617-243-6000
Open 24 hoursLab Hours and Holiday Hours Vary
307 W Central St
Natick, MA 01760
617-243-5345
159 Wells Ave
Newton Centre, MA 02459
617-243-5777
111 Norfolk Street
Walpole, MA 02081maps
978 Worcester Road (rte 9)
Wellesley, Massachusetts 02482
781-235-5200
Open 24 hours
Lab Hours and Holiday Hours Vary
25 Washington Street
Wellesley, Massachusetts 02481
617-219-1520
9 Hope Ave
Waltham, MA 02453
617-243-5590
Monday through Saturday: 9:00 am to 7:00 pm
Sunday: 9:00 am to 2:00 pm
I can’t sing or dance. I was interested in fiction and biology from a young age, and particularly liked some of the writing authored by physicians. By the time I started college at Dartmouth, I had made up my mind to pursue pre-med requirements as well as a major in literature and creative writing. During medical school at Tulane and residency at Rush in Chicago, I felt particularly comfortable taking care of patients in the ICU setting, which set me down the path of pulmonary, sleep and critical care training.
During my pulmonary and critical care fellowship, I was seeing a lot of patients with sleep disordered breathing. Once you start asking about sleep problems, you uncover what seems like an underserved epidemic of disease. Rather than continue with attempts at research at the time, I opted to pursue further clinical training in sleep medicine before finishing my fellowship. In addition to satisfying an obvious demand among patients, sleep medicine provided me with the chance to work with a different, healthier group of patients from those I encounter in the Intensive Care Unit, which provides a nice balance.
Yes. I was born in the old Boston Lying-In Hospital. I grew up in Maine and then we moved to Wayland just before high school. I’m asked this question often in reference to my name, which is a Hebrew name. My parents came to Boston from Israel for graduate school before I was born.
At the Sleep Center we treat the full spectrum of adult sleep disorders, which most commonly involves evaluation of sleepiness from obstructive sleep apnea or insomnia, but also includes restless legs syndrome, narcolepsy, circadian disorders that alter our “biological clock” and other less frequent sleep disturbances.
The best way to diagnose a sleep disorder is through an overnight sleep study. Our sleep specialists and sleep technicians will monitor a patient’s sleep patterns to determine the nature of his or her sleep disorder and recommend the most appropriate treatment options. Our sleep testing takes place at the Boston Marriott Newton and provides patients with a comfortable environment to evaluate their sleep conditions.
Our specialists use specific diagnostic procedures to determine the diagnosis and treatment of each patient. Once the tests are performed, the team reviews the results and creates a specialized treatment plan. The following technology may be used as part of the process: diagnostic sleep studies; lab work; MRI scan; and EKGs.
CPAP (continuous positive airway pressure) machines are the most effective treatment for obstructive sleep apnea. This treatment uses mild air pressure to keep the airways open. CPAP treatment involves a machine that has three main parts: a mask or other device that fits over your nose or your nose and mouth with straps to keep the mask in place while you're wearing it; a tube that connects the mask to the machine’s motor; and a motor that blows air into the tube.
Other treatment options include oral appliances, Provent nasal resistance valves, and for some patients, a surgical approach.
CPAP machines continue to improve the ability to monitor response to treatment. For many patients, I can now wirelessly monitor their response to therapy and adjust their machine remotely. We are also using adaptive servo ventilators, which have the ability to adjust the amount of ventilatory support delivered minute by minute, to help patients with a mix of abnormal breathing during sleep, which results from both upper airway obstruction as well as abnormalities in the central nervous system’s control of breathing.
We’re also seeing new devices for the treatment of sleep apnea. Provent nasal resistance valves are one of the newer examples we’ve been using with patients who have trouble tolerating CPAP.
I was looking for a clinical practice with an opportunity to be involved in teaching, so NWH was a natural choice. Most of my family is in the area, so the location was ideal.
I’m an avid reader and also enjoy cooking. Our kids are old enough to ski now, and we all spent as much time on the slopes this winter as we could.