The stupid sleep disorder doctor is only a pediatrician pumenlogist(sp). She has no idea why he doesn't sleep, or why he wakes up so many times. I am going crazy, cause I am barely sleeping ie only a couple hours a night. His seizures has decreased, or at least I haven't noticed them. Anyways all this doctor wants to talk about is sleep hygiene basically a dang routine, and making sure his room is not to hot or cold, no tv, blah, blah blah.. I have been doing this for so dang long it doesn't matter. Why can't they see that something is not right when a 4 year gets up and ants to play a 2am, or that he gets up 3-4 times a night. He is only sleeping about 4-5 hours a night. Naps what the heck is that, He hasn't had a nap since he was 1. During his sleep study he woke up 7 times.He does not have obstructive sleep apnea. He has prolonged onset to REM sleep and diminished amount of REM sleep for his age. There diagnoses was underlying pulmonary or neuromuscular abnormality. For the pulmonary issues he was put on inhaler at bedtime which has helped with his coughing. Sorry to vent, I just don't get it!!!!!! Why wont anyone listen, fixing his sleep hygiene isn't going to help this.