Airway Answers with Nicole Goldfarb: Expanding Your Breath of Knowledge

In this episode, Nicole interviews the physical therapist Walt Fritz.  This interview explores the topic of 𝐏𝐡𝐲𝐬𝐢𝐜𝐚𝐥 𝐓𝐡𝐞𝐫𝐚𝐩𝐲 𝐚𝐧𝐝 𝐀𝐢𝐫𝐰𝐚𝐲 𝐈𝐧𝐬𝐢𝐠𝐡𝐭𝐬: “𝐁𝐞𝐲𝐨𝐧𝐝 𝐌𝐲𝐨𝐟𝐚𝐬𝐜𝐢𝐚𝐥 𝐑𝐞𝐥𝐞𝐚𝐬𝐞: 𝐀 𝐇𝐨𝐥𝐢𝐬𝐭𝐢𝐜 𝐀𝐩𝐩𝐫𝐨𝐚𝐜𝐡 𝐭𝐨 𝐌𝐚𝐧𝐮𝐚𝐥 𝐓𝐡𝐞𝐫𝐚𝐩𝐲”. 💆💆‍♂️💆‍♀️
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✅ 𝐖𝐚𝐥𝐭 𝐅𝐫𝐢𝐭𝐳, a 𝐩𝐡𝐲𝐬𝐢𝐜𝐚𝐥 𝐭𝐡𝐞𝐫𝐚𝐩𝐢𝐬𝐭 𝐬𝐩𝐞𝐜𝐢𝐚𝐥𝐢𝐳𝐢𝐧𝐠 𝐢𝐧 𝐦𝐚𝐧𝐮𝐚𝐥 𝐭𝐡𝐞𝐫𝐚𝐩𝐲 and a renowned instructor, challenges conventional wisdom in this captivating interview! 🧠
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✅ He discusses the limitations of focusing solely on 𝐦𝐲𝐨𝐟𝐚𝐬𝐜𝐢𝐚𝐥 𝐫𝐞𝐥𝐞𝐚𝐬𝐞, arguing for a more 𝐡𝐨𝐥𝐢𝐬𝐭𝐢𝐜 𝐚𝐩𝐩𝐫𝐨𝐚𝐜𝐡 that considers the entire person. 🤔
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✅ Fritz emphasizes the vital role of 𝐬𝐡𝐚𝐫𝐞𝐝 𝐝𝐞𝐜𝐢𝐬𝐢𝐨𝐧-𝐦𝐚𝐤𝐢𝐧𝐠, advocating for a balance between 𝐞𝐯𝐢𝐝𝐞𝐧𝐜𝐞-𝐛𝐚𝐬𝐞𝐝 𝐩𝐫𝐚𝐜𝐭𝐢𝐜𝐞, 𝐜𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐞𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞, 𝐚𝐧𝐝 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐢𝐧𝐩𝐮𝐭. 🤝
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✅ He highlights the significance of considering the patient's 𝐩𝐬𝐲𝐜𝐡𝐨𝐥𝐨𝐠𝐢𝐜𝐚𝐥 𝐚𝐧𝐝 𝐬𝐨𝐜𝐢𝐚𝐥 𝐜𝐨𝐧𝐭𝐞𝐱𝐭 in treatment, underscoring the importance of asking the simple yet powerful question: "𝐃𝐨𝐞𝐬 𝐭𝐡𝐢𝐬 𝐟𝐞𝐞𝐥 𝐬𝐚𝐟𝐞?" 🥺
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✅ Fritz also touches upon the fascinating intersection of manual therapy and 𝐭𝐨𝐧𝐠𝐮𝐞 𝐭𝐢𝐞, exploring its impact on 𝐟𝐚𝐬𝐜𝐢𝐚, 𝐯𝐨𝐢𝐜𝐞, 𝐚𝐧𝐝 𝐬𝐰𝐚𝐥𝐥𝐨𝐰𝐢𝐧𝐠. 👅

✅ Learn about Fritz's unique approach to manual therapy in his courses, which cater to a diverse audience, including 𝐒𝐋𝐏𝐬, 𝐏𝐓𝐬, 𝐦𝐚𝐬𝐬𝐚𝐠𝐞 𝐭𝐡𝐞𝐫𝐚𝐩𝐢𝐬𝐭𝐬, 𝐚𝐧𝐝 𝐦𝐨𝐫𝐞! 📚
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ABOUT THE GUEST:
Walt Fritz is a PT who teaches a unique interpretation of manual therapy to SLPs, voice professionals, and other related communities. His gentle, non-manipulative, and interactive touch-based approach advances views of causation and impact from historical tissue-specific models into a multifactorial narrative, leaning heavily on biopsychosocial influences. His principles apply to a broad spectrum of intervention models using a model of evaluation and intervention that encourages equality between patient and clinician, utilizing shared decision-making rather than the biomedical clinician-as-expert approach. Unlike traditional laryngeal and soft tissue manipulation, Walt offers the clinician and patient a more subtle approach that gives the receiver more time to assess its influence and relevance. This approach is often better tolerated than aggressive forms of treatment and aligns well with newer research findings, allowing the patient to frame the intervention from their preferences and values. His work is equally appropriate for dysphagia, dysphonia, voice performance limitations, oral motor dysfunction, tongue-related concerns, breathing difficulties, and related disorders.  With a proper understanding of how touch acts as another form of communication, a broader range of professionals can harness the potential effectiveness of manual therapy. Walt presents his live, in-person workshops internationally through his Foundations in Manual Therapy Seminars, www.WaltFritz.com. His book "Manual Therapy in Voice and Swallowing: A Person-Centered Approach," is available through Amazon. Walt is a contributing author for The Oxford Handbook of Voice Pedagogy, which will be published by Oxford University Press in 2024 and The Vocal Athlete (Plural Publications). His paper, “The mechanism of action for laryngeal manual therapies: The need for an update,” will be published in an upcoming issue of Current Opinion in Otolaryngology and Head & Neck Surgery.
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ABOUT THE HOST:
Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, International speaker, & author. She lectures on OMT and sleep-disordered breathing. She is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy.

Welcome to the "Airway Answers with Nicole Goldfarb: Expanding your Breath of Knowledge". In this episode, Nicole Goldfarb, M.A. CCC, SLP- COM® interviews Dr. Jerry Hu, DDS, DABDSM, DACSDD, DASBA, MICOI, FICOI, AFAAID, LVIF, FIAPA, FIADFE.  Dr. Hu has been lecturing, doing clinical research, and practicing full time dentistry for over 27 years. He lectures internationally on cosmetic & implant dentistry, as well as on his greatest passion, in the field of dental sleep medicine.

This interview explores different treatment options for all of dental sleep medicine.  Nicole describes Dr. Hu as: The Dental Sleep Detective 🕵️🦷

✅ Dr. Hu passionately advocates for a holistic approach to dental sleep medicine. He sees the mouth as a window to the whole body, emphasizing the connection between sleep 😴, nutrition 🍎, exercise 🏃, and mental health 😌. ✔️

✅ He challenges traditional dental practices that focus solely on fixing teeth, arguing that dentists need to be more aware of the impact of airway issues on overall health. ✔️

✅ Dr. Hu believes in treating patients thoroughly and comprehensively, taking the time to educate them about their sleep study results and empowering them to make informed decisions about their care. 🤝 ✔️

✅ He encourages dentists to consider less invasive treatment options first and highlights the importance of collaborating with other healthcare professionals like myofunctional therapists to provide the best care. ✔️

👀 Why you should watch: Dr. Hu's interview is a must-see for anyone interested in learning about the crucial role of airway health in overall well-being. He provides valuable insights for both patients and practitioners and is sure to leave you feeling inspired to take charge of your health! 💪✨
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ABOUT THE GUEST:
Dr. Jerry Hu has won numerous national awards in cosmetic and full mouth reconstruction dentistry, been published in several peer reviewed world renowned dentistry journals such as JDSM, JCD, Aegis, Dentistry Today, DSP, and his work even landed the cover of the highly regarded peer reviewed Journal of Cosmetic Dentistry (AACD's peer reviewed journal). He also is adjunct faculty at the Medical University of South Carolina teaching the first interdisciplinary sleep medicine curriculum to Medical M4, Dental D4 and fellows/ Residents of the University, and also teaches at several annual national meetings and sleep medicine conventions and several online webinars, Clinical Pearls forum on social media, teaches for several dental Academies/organizations (ACSDD, ASBA, Roundtable, Neirman's ) and had taught for many years for Sleep Group Solutions, Modern, Global/Microdental USA, and also for several other state level dental society's such as Missouri Sleep Society and North Carolina AGD. He was the keynote speaker at the Annual Asian Pacific Dental Sleep Medicine Fellowship in Singapore in 2024. He also has developed 5 IP patents in dental sleep medicine and did a start up, O2&U, in Melbourne, Australia.
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ABOUT THE HOST:
Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, International speaker, author, Ambassador for the Breathe Institute, a Talk Tools educational partner, and has served on the faculty for the Sleep Education Consortium and Airway, Sleep, and Pediatrics Pathway (ASAP) program. She has completed over 50 presentations on OMT as it relates to sleep-disordered breathing.  Nicole is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy. She is a mentor and consultant to patients, professionals, and colleagues nationally and internationally in the field of OMT. Nicole’s life-long quest is to help in the early identification and treatment of sleep-disordered breathing and airway issues. For more on Nicole, visit her practice: ww

Welcome to the "Airway Answers with Nicole Goldfarb: Expanding your Breath of Knowledge". In this episode, Nicole Goldfarb, M.A. CCC, SLP- COM® interviews Dr. David McCarty, MD, FAASM.  Dr. McCarty urges to help 🙌 Empower Your Sleep Apnea Journey! 🙌

Dr. McCarty is a sleep medicine specialist and author, and he shares a revolutionary approach to treating sleep apnea in this captivating interview which covers the following topics 🤯:

✅ Dr. McCarty candidly describes his own frustration with traditional sleep apnea treatment, feeling like patients were often left confused and overwhelmed. 😠
✅ His innovative "Empowered Sleep Apnea Project" arose from a desire to create a more patient-centered and collaborative model of care. 🤝
✅ Discover the "Five Finger Approach" - a brilliant framework for assessing sleep issues and uncovering the root cause of problems, rather than simply slapping a CPAP machine on every patient! 🖐️
✅ Learn the "Five Reasons to Treat" sleep apnea, going beyond just AHI scores to consider individual patient needs and motivations. 💯

This approach ensures patients are fully invested in their treatment plan!
💯 Dr. McCarty's Powerful Message:

✅ Sleep apnea treatment should NOT be a one-size-fits-all approach! 🙅‍♀️
✅ Empower patients with knowledge! 🧠 Understanding the nuances of sleep apnea allows for informed decision-making and better treatment adherence.
✅ Complexity is NOT the enemy! Embrace the multifaceted nature of sleep apnea and address the WHOLE patient, not just the symptoms.
✅ Collaboration is essential! Medical professionals, dentists, and therapists must work together to create comprehensive treatment plans. 🤝

🎙️ Listen to this interview and learn how to become an empowered sleep apnea patient or practitioner! 🦸‍♀️🦸 It's time to ditch the fear and embrace a holistic approach to better sleep and overall health!
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ABOUT THE GUEST:
Dr. Dave McCarty is a board-certified specialist in Sleep Medicine, an award-winning educator, and a pioneer in the practice of patient-centered care for those who suffer from sleep disorders. He is a graduate of Duke Medical School and Massachusetts General Hospital residency in Internal Medicine. He was the second Program Director for the Sleep Medicine Fellowship at LSU. In 2015, Dr. McCarty left academics to join the newly founded Colorado Sleep Institute. At CSI, he served as medical director, while also maintaining a full-time patient-centered clinic. In 2021, Dr. McCarty left clinical practice to begin a new journey of public education. In September 2022, the Empowered Sleep Apnea project was launched, an innovative cross-platform educational project combining storytelling, cartooning, scientific rigor, and quite a bit of fun, all in the name of helping individuals (and their providers) navigate the fascinating but complex disorder known as “Sleep Apnea.” A foundational goal of the project is to empower individuals with knowledge that restores confidence and personal agency within the journey of “Sleep Apnea”, helping each patient-provider team navigate the landscape of sleep-related disease and wellness, within an increasingly fragmented healthcare system.  In 2024, the project comprises a website,  a book (Empowered Sleep Apnea: A Handbook for Patients and the People Who Care About Them, (co-authored with Ellen Stothard, PhD), a blog (Dave’s Notes) and a podcast (Empowered Sleep Apnea: THE PODCAST).
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ABOUT THE HOST:
Nicole Goldfarb, M.A. CCC, SLP- COM® is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy. She currently serves as a mentor and consultant to patients, professionals, and colleagues nationally and internationally in the field of OMT.  

Welcome to the "Airway Answers with Nicole Goldfarb: Expanding your Breath of Knowledge". In this episode, Nicole Goldfarb, M.A. CCC, SLP- COM® interviews Robyn Merkel-Walsh, M.A., CCC-SLP, COM ®, who is a renowned licensed Speech Pathologist and Certified Orofacial Myologist®.  In this interview, Robyn talks about the 🗣️ Hidden Connections: Oral Motor, Speech, and Myofunctional Disorders 🗣️.  Robyn reveals important truths about the intertwined world of oral motor skills, speech, and myofunctional disorders in this insightful interview!

🤯 Prepare to be INFORMED:

✅ Robyn shares her inspiring journey into speech pathology.  Her passion for oral placement, oral motor, and myofunctional therapies shines through as she unpacks complex topics with clarity and expertise.

✅ Discover the ROOTS of the oral motor CONTROVERSY and how a lack of understanding led to the unfair dismissal of valuable therapeutic approaches. 😠

✅ Robyn expertly debunks myths and sheds light on the scientific basis behind these effective techniques. 🧪

✅ Unravel the intricate relationships between airway, feeding, structure, and speech as Robyn breaks down the FOUR KEY DOMAINS of myofunctional disorders. 🤯

✅ Learn why a TEAM APPROACH is essential, involving SLPs, OTs, PTs, dentists, and lactation consultants. 🤝

 Some of Robyn Walsh's GOLDEN NUGGETS:

✅ Oral motor therapy is NOT just for speech sounds! It plays a VITAL role in feeding and swallowing, especially for infants and toddlers. 👶

✅ Oral placement therapy uses tactile cues to help individuals achieve correct speech sound production, considering the interplay of respiration, phonation, jaw stability, and tongue movements. 👅

✅ Myofunctional therapy addresses habits and muscle imbalances that affect oral function and facial development.

✅ Early intervention is PARAMOUNT! Don't wait for problems to worsen. Act early to prevent lifelong challenges. ⏱️

🎙️ Tune in to this interview and gain a DEEPER understanding of the fascinating and often misunderstood field of oral motor, speech, and myofunctional disorders!

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ABOUT THE GUEST:
Robyn Merkel-Walsh, M.A., CCC-SLP, COM ® is a Licensed Speech Pathologist and Certified Orofacial Myologist®. She is a lecturer and author for TalkTools®, is the Board Chair of the Oral Motor Institute, and is the recipient of 4 ASHA ACE Award and the Ridgefield Woman of the Year 2019 in Business. Robyn specializes in oral placement, feeding and orofacial myofunctional disorders. She is Beckman and PROMPT trained. Her private practice focuses on Oral-Placement (OPT), oral motor, orofacial myofunctional (OMT), muscle and motor-based speech sound disorders. Robyn also is known for her work with pre- and post-operative frenectomy patients.

Robyn's publications include MYOSolutions, Art Talk, Handy Handouts, OPT-S Kit, and she co-authored Sensory Stix, A Sensory Motor Approach to Feeding, Functional Assessment and Remediation of TOTs and OPT Goals for Speech Clarity. She has also developed the OPT-S tool in addition to Scentsational bubbles. She has also written articles for the TalkTools®, ASHA Leader and Advance Magazine for Speech Pathologists. She has been published five consecutive years at the and the annual convention of the American Speech-Language and Hearing Association. Recently Robyn has also been published in Clinical Pediatrics, Journal of Oral Rehabilitation and the International Journal of Orofacial Myology and Myofunctional Therapy.
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ABOUT THE HOST: 
Nicole Goldfarb, M.A. CCC, SLP- COM® is an SLP and COM, international speaker, and author. She is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy. She currently serves as a mentor and consultant to patients, professionals, and colleagues nationally and internationally in the field of OMT.

Welcome to the "Airway Answers with Nicole Goldfarb: Expanding your Breath of Knowledge". In this episode, Nicole Goldfarb, M.A. CCC, SLP- COM® interviews Joy Moeller, RDH, BS, AOMT-C, COM®".  Joy is a legend in the field of dental hygiene and orofacial myofunctional therapy (OMT), and she has helped educate patients, practitioners, and new therapists in OMT, and she has also helped to pave the way for OMT to be part of the treatment plan for airway issues.  In this interview, Joy talks about the: 👅 The Tongue: A Powerful, Overlooked Organ! 👅, and she shares groundbreaking insights into the tongue's critical role in overall health and well-being. 🤯

Get ready to learn:
⭐️The shocking story of how Moeller's own son's life was transformed through myofunctional therapy after suffering years of debilitating headaches! 😲
⭐️How the tongue, often overlooked, acts as a respiratory organ, impacting breathing, sleep, and brain function. 🧠
⭐️The epigenetic factors contributing to the rise in myofunctional disorders, including the decline in breastfeeding. 🤱
⭐️The importance of early intervention and prevention, especially for children, to avoid lifelong health challenges.
⭐️Moeller's vision for a future medical specialty dedicated to disorders of the tongue, revolutionizing healthcare. 🩺

Listen as Moeller passionately advocates for:
☑️ Recognizing the tongue's crucial role in the body.
☑️ Integrating myofunctional therapy into medical and dental curriculums.
☑️ Collaborating across disciplines for holistic patient care.
☑️ Empowering patients with knowledge and proactive solutions.

Don't miss this eye-opening interview! It will forever change the way you think about the tongue and its impact on your health. 🎙️
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ABOUT THE GUEST:
Joy Moeller, BS, RDH is a dental hygienist, author and formally an associate professor at Indiana University, who has worked as a myofunctional therapist for many years and currently has a private practice in Pacific Palisades, California.

Joy is founding lecturer with the Academy of Orofacial Myofunctional Therapy (AOMT) and a founding board member with the AAMS. She has taught post-graduate courses in Myofunctional Therapy at universities and hospitals world- wide. Joy wrote a chapter in Sleep Medicine Clinics, a chapter in Sleep-Disorders in Pediatric Dentistry, a chapter in Management of Obstructive Sleep Apnea, a textbook for Oral Surgeons in 2021 and a children’s book on tongue position as well as many published studies and other chapters in textbooks.

Joy has lectured world-wide and was invited to speak at Grand Rounds at the Mayo Clinic in Rochester, Minnesota, to Stanford Sleep Residency program and was the first myofunctional therapist to be on staff at the Pankey Institute. She currently teaches with the Palo Alto school of sleep medicine and taught for 7 years with UCLA dental sleep post-graduate program and the Pedo-Ortho residency. Joy received a Lifetime Achievement Award from the AAPMD (American Academy of Physiologic Medicine and Dentistry) the Louis Pasteur Award from the AAMS (Association of Applied Myofunctional Sciences) in Rome in 2013, and the Richard Barrett Achievement Award in 2023 from the IAOM.

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ABOUT THE HOST:
 
Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, an International speaker, and author.

She is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy. She currently serves as a mentor and consultant to patients, professionals, and colleagues nationally and internationally in the field of OMT. 

Website: www.SanDiegoCenterforSpeechTherapy.com.  

Contact Nicole: [email protected].

Welcome to the "Airway Answers with Nicole Goldfarb: Expanding your Breath of Knowledge". In this episode, Nicole Goldfarb, M.A. CCC, SLP- COM® interviews the pediatric ENT, Dr. David McIntosh, and Dr. McIntosh answers your ENT questions!" 🤧 👂 👄This is Part 4 of a multiple-part ENT series.

Here are some of the questions answered in "Your ENT Questions Answered with Dr. David McIntosh"🎙:

❓Venus Pooling
✅ Can venous pooling be a sign of fatigue, even without allergies?

❓Nasal Steroid Sprays
✅ Should you use a nasal irrigant before applying a nasal steroid spray?
✅ Is there an ideal time of day to use a nasal steroid spray?
✅ Do nasal steroid sprays help with itchy eyes and throat?
✅ How do you know if a patient should use a nasal steroid spray once or twice a day?
✅ Should someone with frequent bloody noses use a nasal steroid spray?
✅ What is the best technique for applying a nasal steroid spray?

❓Deviated Septum
✅ Is it safe to tape a child's mouth shut if they have a deviated septum and are a mouth breather?
✅ At what age can a deviated septum be surgically corrected?

❓ENT Assessments
✅ When does an ENT choose to perform a nasoendoscopy versus an X-ray?
✅ Why is it inadequate to only visualize the tonsils during an ENT assessment?
✅ Can an otoscope be used to visualize the adenoids in children?
✅ Will ENTs acknowledge home sleep studies and recommend treatment based on patient report paired with the results?

❓Lateral Cephalometric X-rays
✅ How do you measure airway size on a lateral cephalometric X-ray?
✅ Can you draw conclusions from an X-ray where the child is not in the proper "flower sniffing" position?

❓Tonsillectomy
✅ When should a tonsillectomy be considered for a child who is not progressing with eating?

❓Inflammatory Foods
✅ Do you recommend cutting out inflammatory foods like dairy and gluten in children with nasal congestion, reflux, enlarged tonsils, or adenoids before recommending surgery?
✅ Does food quality play a role in inflammatory responses to dairy and gluten?

❓Myofunctional Therapy
✅ Should all patients be cleared by an ENT before beginning myofunctional therapy?
✅ What is your recommendation for myofunctional therapists to check for nasal patency?

❓Allergies
✅ If an ENT screen determines inflammation in the nose, is there a protocol to address this initially or is it a recommendation to look at a surgical approach?
✅ In what ways are allergies addressed prior to a surgical approach?

❓Laser Treatment
✅ Why is laser treatment not as readily used by ENTs instead of surgical procedures?

❓Tongue Tie and Jaw Size
✅ Do you look at tongue tie and jaw size when evaluating pediatric patients for sleep-disordered breathing?
✅ What are your thoughts on expansion of the maxilla to increase nasal cavity volume?

❓CPAP
✅ How does CPAP pressure affect the carbon dioxide-oxygen relationship and oxygen transfer from hemoglobin to cells short-term and over years of use?
✅ Can long-term CPAP use impact a person's breathing without the CPAP?

❓AirPods as Hearing Aids
✅ Are you aware of the new Apple AirPods that can function as hearing aids?
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ABOUT THE GUEST:
Dr. David McIntosh is a Pediatric ENT Specialist with a particular interest in airway obstruction, facial and dental development and its relationship to ENT airway problems, and middle ear disease.
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ABOUT THE HOST: 
Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, an International speaker, and author.
She is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy. She currently serves as a mentor an

Welcome to the "Airway Answers with Nicole Goldfarb: Expanding your Breath of Knowledge". In this episode, Nicole Goldfarb, M.A. CCC, SLP- COM® interviews the pediatric ENT, Dr. David McIntosh, and they talk all about "ASD, ADHD, Sensory Processing, SDB, & ENT Issues ” and the impact of these issues on the airway and sleep.  Dr. McIntosh sheds light on the crucial connection between ENT health, sleep-disordered breathing, and neurodevelopmental conditions like Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD).

The conversation explores the complex interplay between ear, nose, and throat health and neurodevelopmental disorders, emphasizing the importance of early intervention and a holistic approach to diagnosis and treatment.

🤧 👂 👄This is Part 3 of a multiple-part ENT series. Don’t forget to watch Part 1, which was “ALL ABOUT ALLERGIES”, and Part 2 “ASTHMA, REFLUX, TONSILS/ADENOIDS, EAR INFECTIONS". 👀As a practitioner, patient, or parent, this ENT series is a must watch! 👀

🔑Key takeaways from this interview include 🔑:

✅ Strong Link Between ENT Issues, Sleep, and Neurodevelopment: There's a significant connection between ear, nose, and throat health, sleep-disordered breathing (especially OSA), and neurodevelopmental disorders like ADHD and ASD. 👂👃🧠😴

✅Sleep-Disordered Breathing Mimics and Worsens Symptoms: Untreated sleep-disordered breathing can mimic ADHD, leading to misdiagnosis, and can exacerbate symptoms in both ADHD and ASD. Addressing OSA can significantly improve or resolve ADHD-like symptoms in many children. 😴🤧🥴

✅Sensory Processing Vulnerability: Children with ASD and ADHD are particularly vulnerable to the negative effects of poor sleep and unresolved ENT issues due to differences in sensory processing. This can lead to hypersensitivity (being easily overwhelmed) or hyposensitivity (under-responsiveness) to sensory input. 🎧😖😫

✅Early Intervention Is Crucial: Early detection and treatment of sleep-disordered breathing and ENT problems are critical. Even short periods of sleep disruption in early childhood can have a lasting impact on brain development and function. ⏰🏃‍♀️🏃

✅Holistic Approach to Care: A team approach involving parents, pediatricians, ENTs, sleep specialists, and other healthcare providers is essential to provide comprehensive and individualized care for children with ADHD, ASD, and related challenges. 👨‍⚕️🤝👩‍⚕️

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ABOUT THE GUEST: Dr. David McIntosh is a Pediatric ENT Specialist with a particular interest in airway obstruction, facial and dental development and its relationship to ENT airway problems, and middle ear disease.  Dr. McIntosh has undertaken advanced surgical training in ENT and Head and Neck Surgery and Paediatric training at Starship Children’s Hospital in Auckland, New Zealand.
His books include: * Don’t Ignore the Snore (2020)* Snored to Death (Are You Dying in Your Sleep) (2020)* Sleep-Disordered Breathing: A Parent Guide (2023)* A Parent's Guide to ENT (2024)* The ABC of ENT, ASD, and ADHD (2024)

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ABOUT THE HOST: Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, an International speaker, and author.
She is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy. She currently serves as a mentor and consultant to patients, professionals, and colleagues nationally and internationally in the field of OMT. For more on Nicole, visit her practice: www.sandiegocenterforspeechtherapy.com. 

Welcome to the "Airway Answers with Nicole Goldfarb: Expanding your Breath of Knowledge". In this episode, Nicole Goldfarb, M.A. CCC, SLP- COM® interviews the well-known ENT, Dr. David McIntosh, and they talk “ALL ABOUT ASTHMA, REFLUX, TONSILS, ADENOIDS, & EAR INFECTIONS” and the impact of allergies on the airway and sleep.  This is Part 2 of a multiple-part ENT series.  Don’t forget to watch Part 1, which was “ALL ABOUT ALLERGIES”, and the nest episode in Part 3 you will learn "ALL ABOUT ADHD, ASD (autism spectrum disorder), & THE RELATIONSHIP TO ENT, AIRWAY, & SLEEP-RELATED ISSUES". As a practitioner, patient, or parent, this ENT series is a must watch!

Topics in today's interview include:
✅ What is asthma and how it is treated? 
✅ The relationship between asthma and allergies
✅ The relationship between asthma and sleep-disordered breathing 
✅ Breathing retraining programs and asthma or asthma-like symptoms (anxiety / panic)
✅ Airway causes and consequences of reflux
✅ Why the tonsils and adenoids enlarge?
✅ Why do sometimes the tonsils enlarge and not the adenoids or vice versa? 
✅ Does mouth breathing cause the tonsils to enlarge?
✅ Tonsillectomy versus tonsillectomy
✅ How often do the adenoids grow back and why?
✅ The relationship between adenoid and tonsil hypertrophy and sleep disordered breathing
✅ The best ways to view the tonsils and the adenoids
✅ Ear infections, allergies, adenoids, and more…
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ABOUT THE GUEST:
Dr. David McIntosh is a Pediatric ENT Specialist with a particular interest in airway obstruction, facial and dental development and its relationship to ENT airway problems, and middle ear disease.  He also specializes in sinus disease and provides opinions on the benefit of revision of previous sinus operations. He is also passionate about Indigenous Health.  Dr. McIntosh has undertaken advanced surgical training in ENT and Head and Neck Surgery and Paediatric training at Starship Children’s Hospital in Auckland, New Zealand. 

His books include: 
* Don’t Ignore the Snore (2020)
* Snored to Death (Are You Dying in Your Sleep) (2020)
* Sleep-Disordered Breathing: A Parent Guide (2023)
* A Parent's Guide to ENT (2024)
* The ABC of ENT, ASD, and ADHD (2024)
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ABOUT THE HOST: 
Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, an International speaker, author, Ambassador for the Breathe Institute, a Talk Tools educational partner, and has served on the faculty for the Sleep Education Consortium and Airway, Sleep, and Pediatrics Pathway (ASAP) program.  She is the author of multiple articles and book chapters as well as a children’s book series on airway.

She is on the Child Airway Initiative Task Force (CAST), which is a national team of doctors, dentists, and orthodontists developing a universal screening tool for all dentists to use to screen patients for sleep-disordered breathing.

Nicole is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy. She currently serves as a mentor and consultant to patients, professionals, and colleagues nationally and internationally in the field of OMT.  She has a special passion and interest in sleep-disordered breathing and diagnosing restricted frenums as they relate to myofunctional disorders. Nicole’s life-long quest is to help in the early identification and treatment of sleep-disordered breathing and airway issues. 

For more on Nicole, visit her practice: www.sandiegocenterforspeechtherapy.com. 
Follow her Facebook: San Diego Center for Speech Therapy

Welcome to the "Airway Answers with Nicole Goldfarb: Expanding your Breath of Knowledge". In this episode, Nicole Goldfarb, M.A. CCC, SLP- COM® interviews the well-known ENT, Dr. David McIntosh, and they talk ALL ABOUT ALLERGIES and the impact of allergies on the airway and sleep.  This is Part 1 of a multiple-part ENT series. 

Topics include:
✅ Why not all ENTs understand the airway and SDB
✅ What is the "allergic march"
✅ Allergic rhinitis versus non-allergic rhinitis
✅ Why what appears to be allergies may not show up on allergy testing
✅ The "Big 4" allergens
✅ Why there are more allergies occurring these day, with onset at a younger age, and more severe occurrences
✅ Treatments for allergies
✅ Nasal steroid sprays, nasal irrigation sprays, and systemic allergy medications 
✅ Why Nitric Oxide is not always good
✅ Nasal turbinates
✅ Nasal cycle
✅ Venous pooling
✅ How to detect allergies in our patients
✅ Why it is not good to sleep on our backs (different than what you thought!)
✅ and much more....
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ABOUT THE GUEST:

Dr. David McIntosh is a Pediatric ENT Specialist with a particular interest in airway obstruction, facial and dental development and its relationship to ENT airway problems, and middle ear disease.  He also specializes in sinus disease and provides opinions on the benefit of revision of previous sinus operations. He is also passionate about Indigenous Health.  Dr. McIntosh has undertaken advanced surgical training in ENT and Head and Neck Surgery and Paediatric training at Starship Children’s Hospital in Auckland, New Zealand. 

His books include: 
* Don’t Ignore the Snore (2020)
* Snored to Death (Are You Dying in Your Sleep) (2020)
* Sleep-Disordered Breathing: A Parent Guide (2023)
* A Parent's Guide to ENT (2024)
* The ABC of ENT, ASD, and ADHD (2024)
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ABOUT THE HOST: 

Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, an International speaker, author, Ambassador for the Breathe Institute, a Talk Tools educational partner, and has served on the faculty for the Sleep Education Consortium and Airway, Sleep, and Pediatrics Pathway (ASAP) program. She has completed over 50 presentations on orofacial myofunctional therapy as it relates to sleep-disordered breathing in both children and adults.  Nicole is the author of various articles and of a two-part chapter on OMT in a medical textbook “Growing Into Breathing Problems: The Collaborative Quest For Lifetime Solutions”. She has written a children’s book series “The Adventures of Captain Airway and Mr. Mighty Mouth”. She is on the Child Airway Initiative Task Force (CAST), developing a universal screening tool for all dentists to use to screen patients for sleep-disordered breathing.

Nicole is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy. She currently serves as a mentor and consultant to patients, professionals, and colleagues nationally and internationally in the field of orofacial myofunctional therapy. Nicole combines her background and skills in Psychology, Orofacial Myofunctional Therapy, and Speech-Language Pathology to provide effective and result-based evaluations, therapy, consultations, and mentorship for children and adults of all ages. She has a special passion and interest in sleep-disordered breathing and diagnosing restricted frenums as they relate to myofunctional disorders. Nicole’s life-long quest is to help in the early identification and treatment of sleep-disordered breathing and airway issues. 

For more on Nicole, visit her practice: www.sandiegocenterforspeechtherapy.com. 

Follow her Facebook: San Diego Center for Speech Therapy

Welcome to the "Airway Answers: Expanding your Breath of Knowledge" with Nicole Goldfarb, M.A. CCC, SLP- COM®. In this episode, Nicole interviews a Multidisciplinary Airway Team consisting of DDS, RDH, SLP, PT, OT, NP/IBCLC.  Learn the importance of a team effort in treating airway patients, and also learn about their upcoming STAR course in San Diego 10/25/24-10/26/24 which will help educate attendees on the role of each of these professionals in helping with early intervention, and remediating oral, facial, and airway issues to assist in preventing a lifetime of health problems.  You will come out of this course with increased understanding, confidence, and excitement in working with a variety of professionals to better serve your patients. 
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ABOUT OUR GUESTS:
Dr. Najmeh Hannanvash is a pediatric dentist in San Diego. She is known for her commitment and work on treating newborns, infants, toddlers, children, and adults of all ages with oral restrictions with the use of advanced laser surgery (CO2 laser). She is also very passionate about the pediatric airway and functional growth modification to improve a child’s ability to breath, sleep, thrive, grow, and develop. She is one of a few providers nationwide who does early childhood expansion and intervention with various appliances and intervention methods. She is an expert in her field and a leading provider in California.

Dr Hope Reyes PT, DPT, CBS is a licensed Doctor of Physical therapy and founder of Moving Munchkins. She is a pediatric physical therapist and certified breastfeeding specialist. Dr. Hope services patients birth-5 years of age.

Karyn Johnson-Fernandez is an OT, Certified Breastfeeding Specialist, and the owner of Food is Fun, Let's Eat.  She has taken many courses to further expand her education in learning about sensory and oral motor difficulties, tethered oral tissues (TOTs), breast and bottle feeding in infants as a Certified Breastfeeding Specialist-CBS, food progression, and overall pediatric feeding difficulties

Tamara Thomas is a registered dental hygienist and a certified orofacial myofunctional therapist with a passion for improving oral and systemic health. As the owner of Facial Physique Orofacial Myofunctional Therapy, she provides specialized care aimed at enhancing breathing and craniofacial development for both children and adults.

Selina is a Certified Specialist in Orofacial Myology (CSOM), Breathe Institute ambassador, Myomentor, MyoMastermind and a MyoCircle graduate. Throughout her studies she has developed a passion for educating families and is eager to continue to provide services that guide growth and development for children. Selina also specialized in oral habits cessation programs. 

Jennifer Gathman is a Board Certified Nurse Practitioner and International Board Certified Lactation Consultant with over 15 years of maternal-infant experience.  She began her career as a Labor & Delivery nurse and transitioned into lactation and postpartum work when she realized there was a need for better care and support for postpartum families. 
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ABOUT THE HOST:
Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, an International speaker, author, Ambassador for the Breathe Institute, a Talk Tools educational partner, and has served on the faculty for the Sleep Education Consortium and Airway, Sleep, and Pediatrics Pathway (ASAP) program.  She is the author of an article in Dental Sleep Practice Magazine and Sleep World Magazine and is the author of a two-part chapter on OMT in a medical textbook. Nicole currently serves as a mentor and consultant in the field of OMT.