Texas Pediatric Specialties and Family Sleep Center - San Antonio
Neurologists, Sleep Medicine Specialists
Address: 4374 Lockhill Selma Road, Suite 107
| San Antonio, TX
78249
Rating: 4.90
(1 reviews)
Insurances:
Aetna,
Humana,
Medicaid,
Medicare,
Molina Healthcare,
Tricare,
UnitedHealthcare,
Blue Cross Blue Shield (BCBS),
Ages Served:
All ages
Care Settings:
In-clinic,
AboutReviewsServicesInsurancesFAQ
About Texas Pediatric Specialties and Family Sleep Center - San Antonio
Texas Pediatric Specialties and Family Sleep Center is a specialty practice focused on providing outstanding care in the areas of pediatric neurology, pediatric pulmonology, and both pediatric and adult sleep medicine.
Please note that without member information we cannot guarantee that
your specific plan covers these services. We recommend asking the care
provider before beginning services.
Aetna
Humana
Medicaid
Medicare
Molina Healthcare
+ See More
4374 Lockhill Selma Road, Suite 107,TX,78249
Get in Contact
(210) 249-5020
info@txmss.com
Reviews
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Dr.Marsh and the entire team displayed remarkable attentiveness and support. They promptly assessed my daughters situation and swiftly provided necessary follow-up actions. Their assistance and respectfulness were greatly appreciated.
Melinda Vera
26 May 2024
google review
We had a great experience. Dr. Richards was informative and friendly. He put my son at ease which is not an easy thing to do.
Jacqueline Contreras
26 May 2024
google review
Dr. Averil spent time listening to our concerns. She did a limited exam on our child. We felt heard in some respects. She provided us her opinion and when the results turned up negative she provided a pathway to get more information from other specialists though it was out of questioning that we were provided the next steps. It wasnt offered up front and we feel like we are getting mixed results between Dr. Averill and the other physicians we see. Its been a challenging pathway to navigate. Everything weve read and were told was to get an EMG and biopsy but Dr. Averil doesnt believe in this standard. Rather she went down the genetics pathway which were negative. Next steps were forcefully provided.The opportunities lie within the checkin process cumbersome timeliness of seeing the physician despite a 15 min reschedule requirement and any results that come back would be a phone call to provide the results or emailed results rather than in person visits. Having to schedule an appointment to go over test results only was burdensome to myself as a parent and no additional inquiry to the company from the physician or support staff when the test results didnt discuss the two genes that were pathologic on the other test. That feels like due diligence was lacking personally. This visit should have been an email with results and avoidance of unnecessary cost from missed work childcare coordination child came but wasnt examined and travel time during busy morning traffic. The checkin process is cumbersome. Despite checking in days prior and then having to reschedule due to the 15 minutes tardiness rule wreck off of 1604 i was still required to go through the full checkin process which included insuranceemergency contactshealth history.etc. This arduous process to collect information should be done annually and as needed if something changes. Last but not least appointment times mean something. If we schedule an appointment and theres a 15 minute cancelation policy that should then reflect that appointments stay timely. We check in 20 minutes early on most visits except 1 appointment when there was a wreck and we had to reschedule. Every time we experience significant delays to see the physician. 45-50 minutes into our appointment we finally see the physician and then its a 5-10 minute appointment. This last visit truly was upsetting because we got there 20 minutes early as recommended and yet we werent seen until 50 minutes after our scheduled appointment time and then the appointment was test results that were all negative which was again a 5 minute discussion and a hefty copay. Our appointment was early morning too and from my understanding 1 other appointment is before the one I scheduled. Its unfair to the patients that do respect the policies to wait an hour to be seen. This last appointment should have been a phone call or email at best with the negative results. The clinic practices outdated processes for collecting baseline data every visit and providing results in person when other systems have portals with results that cost nothing to review. This practice is unnecessarily paternalistic cost incurring and should be avoided especially when were asked during the laborious checkin process how results can be provided and we provided the emailphone options.
Jackoline Costantino
26 May 2024
google review
Dr. Richard Carter and his team are incredible. Theyre extremely friendly and exceptionally supportive. Dr. Carter excels at explaining conditions clearly and presenting the optimal solutions for my child. I strongly recommend him.
Yusuf Chowdhury
26 March 2024
google review
Great visit with Dr. Averill. She took time to explain and communicate her medical advice. Wasnt in a rush and listened to my concerns and answered all of my questions. Also gave great information and guidance for treatment
TM AR
26 February 2024
google review
We were blessed to have Dr. Richards as Dr. Tomasovics successor. When accepting the reality of my sons conditions having a provider who is straightforward with a wealth of insight is all we could of asked for.Dr. T. once referenced the bigger picture when coming up with a strategy to treat my sons seizures and Dr Richards not only shares the sentiment but he offers the knowledge that helps paint that picture.
Crs Gman
26 February 2024
google review
I dont think physicians should be reviewed in general because many times they have to tell us things we dont want to hear evidence based practice doesnt always match Google medicine etc.But since this is the way of the world...here is my review.Dr Marsh is a very caring physician. Answered all of our questions without making us feel like we were wasting his time. I know he has my sons best interest in mind as we navigate a scary and new diagnosis. I would highly recommend him to anyone.
Monica Miller
26 January 2024
google review
Been bringing my daughter to see Dr. Marsh for a year now and its been great. Dr.Marsh is kind friendly patientand attentive to your needs and concerns. The staff is also kind and friendly and we feel comfortable and secure coming in to see the Doc. Highly recommend.
Perla Berlanga
26 January 2024
google review
The office is managed very poorly I can never get through when calling. My daughter had an MRI scan at the end of October it is now January and I still have not gotten the results from it when they said it would take TWO WEEKS. I have left messages to the nurse of Dr. Richards and still no response. I try calling the office and get hold of music for 15-20 minutes then someone answers and hangs up immediately I am glad some people have had good experiences here but with me it is probably the worst office to deal with.
Yasmine Key
26 January 2024
google review
My daughter has been seeing Dr. Marsh for years and we couldnt be happier with him and his staff. Theyre all very supportive and understanding of my daughters circumstances. They take incredible care of her immediate needs and answer all of our questions. Were all extremely thankful for their attention to detail in her patient care.
Amy Salas
26 November 2023
Frequently Asked Questions
When you visit a neurologist, they’ll assess your child’s needs, run some tests (think imaging or EEG), and diagnose. From there, they’ll create a customized treatment plan. Medication, lifestyle tweaks, or maybe even a referral to another specialist could be on the table.
There unfortunately isn’t one test for all neurodevelopmental conditions. Most likely you will go into a visit to test one or two medical conditions. If you are looking for a comprehensive autism evaluation, developmental pediatricians, psychologists, or neuropsychologists are the preferred specialists who can diagnose autism.
No, neurologists focus mainly on non-surgical interventions. If your child needs surgery, neurologists might point you in the direction of a pediatric neurosurgeon.
More research is needed to understand the link between sleep disturbance and autism, but there are a few possible reasons why autistic children have difficulty sleeping.2
Co-occurring conditions. Coexisting medical conditions like ADHD, anxiety, or sleep apnea (when you stop breathing multiple times throughout the night), environmental allergies, and gastrointestinal upset (like constipation), can negatively impact sleep.
Sensory sensitivities. Sensitivity to lights, sounds, and touch (think textures of blankets and clothing) can disrupt sleep.
Medications. Often autistic children are prescribed medications to address various concerns like hyperactivity, anxiety, or aggression. Many of these medications may contribute to sleep problems. Adderall, Focalin, and Vyvanse are examples of stimulants prescribed to children on the spectrum to treat hyperactivity, impulsivity, and inattention, that can cause insomnia. Abilify and Risperdal (medications commonly prescribed for autistic children who have severe irritability, aggression, and/or self-injurious behaviors) may cause some children to become very sleepy. However, each person responds differently to medications. (Pro tip: Keep channels of communication open with your doctor so that you can find the best medication to help your child that least affects sleep.)
Neurobiological differences. Some research suggests autistic people may not produce the same levels of neurotransmitters (such as serotonin) or hormones (melatonin) important for sleep regulation, and may also experience disruption in circadian rhythms.3 In addition, low muscle tone can contribute to sleep-breathing disorders, such as sleep apnea, which also affects the quality of sleep and can lead to increased inattentive and hyperactive symptoms during the day. These behaviors, in turn, make it more challenging for the child to participate in therapies and activities.
Like anyone else, when children on the spectrum don’t get adequate sleep, they may find it difficult to self-regulate during the day. But there’s another consequence – autistic kids who don’t get enough sleep can experience an increase in stimming, irritability, inattention, difficulty socializing, and keeping up in school.3 They may also face challenges with increased hyperactivity and lack of impulse control. In short, lack of sleep can intensify your child’s existing challenges.
The same goes for parents, too. It’s hard for you to keep your cool and be fully present when you aren’t well-rested.5 As you’ve already found out, good sleep is crucial for everyone in the home.
Speak with your doctor if you have concerns – especially if you notice your child snores or gasps in their sleep, grinds their teeth (bruxism), sleeps with their mouth open/drools, or is very sweaty during sleep, as these are potential signs of sleep apnea. It can be helpful to keep a log of concerns, including when the child falls asleep, how many times they wake up, when they wake for the day, and any unusual behaviors (e.g., an unusual number of sleep terrors, recurrent nightmares, sleepwalking, sleep talking, unusual hand movements, lip-smacking).
Research shows that pediatricians are sometimes unaware of the severity of sleep issues in autistic children, so please continue to advocate for your child if you have concerns.
Get in touch with Texas Pediatric Specialties and Family Sleep Center - San Antonio