In this episode of the ASAP Pathway Podcast, Dr. Stacy sits down with dental sleep medicine expert Crystal May, Vice President of Dental Sleep Medicine at Happy Sleep, for a wide-ranging conversation about why sleep screening needs to become a routine part of healthcare—and why dentistry may be one of the best places to start.

Crystal shares her 20-year journey through dentistry, medical billing, practice ownership, sleep medicine, technology, and implementation. She also shares something much more personal: despite being a young, fit woman who didn’t fit the stereotypical picture of a sleep apnea patient, Crystal was eventually diagnosed with a sleep-related breathing disorder after years of nearly daily headaches. 

For dental professionals, the message is refreshingly simple: you do not need to build an entire dental sleep medicine program to make a difference. Start by screening. Adding just a few questions to the medical history may identify patients who have been suffering silently for years. They also explore sleep quantity versus sleep quality, hormones and metabolism, simple sleep-hygiene strategies, night-to-night variability in testing, oral appliance therapy, and Crystal’s current work to bridge the longstanding divide between medicine and dentistry.
Because better sleep isn't simply about getting through the night. It is about giving the body and brain the opportunity to heal, regulate, recover—and thrive.

Crystal May LinkedIn
Happy Health LinkedIn
Email Crystal May:  [email protected]

CHAPTERS: 📚
00:00 Welcome to ASAP Pathway with Crystal May
02:44 Crystal’s 20-Year Journey Into Dental Sleep Medicine
05:33 The Sleep Course That Changed Everything
06:24 Why Sleep Medicine Is So Difficult to Implement
09:44 The Real Problem: Implementation
10:36 Why Every Dentist Should Be Screening for Sleep
14:16 Sleep Screening Doesn't Have to Be Complicated
18:32 Three Questions Dentists Can Start Asking Monday
20:58 Crystal’s Daily Headaches—and Her Sleep Apnea Diagnosis
23:42 Why “Mild” Sleep Apnea Doesn't Mean Mild Symptoms
29:25 How Oral Appliance Therapy Changed Crystal’s Life
33:21 Sleep Isn't Wasted Time: Why Quality Sleep Matters
37:22 Beyond AHI: RDI, RERAs and Sleep Disorders in Women
45:04 Why an Old Negative Sleep Test May Not Tell Today's Story
47:53 Sleep Hygiene: Simple Ways to Improve Your Sleep
56:25 Bridging Medicine and Dentistry with Happy Sleep
59:48 The Problem With One-Night Sleep Testing
1:04:06 How Physicians, Dentists and Patients Can Get Involved
1:08:04 The Final Call to Action: Just Start Screening
1:10:23 Dawn or Dusk? Three Fun Questions with Crystal

Learnings: 🎓

1. Sleep screening should become a routine part of dentistry. Dentists and hygienists are uniquely positioned to identify potential sleep problems because they see patients regularly, examine the craniofacial and oral structures, and already collect detailed health histories. Screening does not require building an entire dental sleep medicine practice.
2. Start with three simple questions: tiredness, snoring and headaches. Crystal recommends daytime tiredness, snoring and headaches as easy conversation starters. These common symptoms can help dental teams identify patients who may benefit from further sleep evaluation.
3. Stop normalizing exhaustion. Many people assume being tired, relying on caffeine, waking unrefreshed or living with frequent headaches is simply part of being busy. Crystal's own experience demonstrates how symptoms can become someone's “normal” even when an underlying sleep disorder is contributing to them.
4. Sleep apnea doesn't have a “look.” Crystal did not fit the stereotype of the older, overweight male with sleep apnea. The conversation emphasizes that women, younger people, fit individuals and even children can experience sleep-related breathing disorders—which is why screening should not be based on appearance alone.
5. “Mild” sleep apnea doesn't necessarily mean mild symptoms. A diagnostic category doesn't always reflect how significantly disrupted breathing is affecting someone's quality of life. Patients with so-called mild disease may still experience substantial fatigue, headaches, fragmented sleep and other symptoms.
6. AHI may not tell the whole story—especially in women. Crystal explains that her AHI alone would have fallen within normal limits, while her RDI was in the 16s. Looking at RERAs and breathing disturbances that fragment sleep helped identify what AHI alone would have missed. After treatment, her RDI dropped to approximately two and her symptoms dramatically improved.
7. Sleep quantity is not the same as sleep quality. Sleeping eight or even ten hours does not guarantee restorative sleep. If breathing disruptions repeatedly fragment normal sleep architecture, the body may not get the recovery it needs regardless of how much time is spent in bed.
8. Treating sleep can create a positive ripple effect throughout health. Better sleep gave Crystal more energy to exercise, make healthier choices and reduce her dependence on caffeine. The episode also explores sleep's relationship with hormone regulation, appetite, metabolism and overall ability to function during waking hours.
9. Simple habits can support better sleep—but symptomatic patients still need evaluation. Consistent sleep and wake times, a dark sleeping environment, morning sunlight and reducing nighttime screen stimulation are practical strategies discussed in the episode. But good “sleep hygiene” should not substitute for appropriate testing when symptoms suggest an underlying sleep or breathing disorder.
10. The future of sleep medicine requires medicine and dentistry to work together. Neither profession needs to do everything. Sleep specialists can diagnose disease and prescribe treatment while dentists can screen, recognize oral and craniofacial risk factors, evaluate dental candidacy and provide appropriate oral appliance therapy. Breaking down the silos between the professions could allow far more patients to be identified and treated. The overarching message:

We don't have to solve everything at once. Start by screening. It's the least we can do—and it could change the trajectory of someone's life.


This is the ASAP Pathway Podcast, Airway, Sleep, and Pediatric Pathway, where sleep and airway health take center stage, one breath at a time. VISIT: ASAP Pathway Please subscribe, share, and tune in to future episodes of how we can help children live their best lives, one breath, and restful night's sleep at a time. Don't miss this exciting launch into a world of knowledge and transformation.Because Kids Can't Wait...

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Season Six of the ASAP Pathway Podcast starts with the three ASAP Pathway co-founders together at the table: Drs. Stacy, Tracey, and Michelle—and this one gets personal. What actually happens to women’s sleep when hormones begin changing? Why does obstructive sleep apnea become much more prevalent in women around midlife? Why can women feel exhausted, foggy, anxious, achy, restless and simply say, “I don’t feel like myself anymore”—yet still have a sleep study that doesn’t look particularly alarming? And what do estrogen, progesterone, cortisol, jaw pain, clenching, TMD, airway anatomy and even heart health have to do with one another? The founders dive into the changing conversation around perimenopause and menopause, including why traditional sleep apnea screening may fail to identify many women. They discuss the limitations of relying only on oxygen desaturations and AHI, and explain RERAs—respiratory effort-related arousals—events that may repeatedly fragment sleep without necessarily meeting the traditional definition of apnea.

The conversation also looks forward: new ASAP Pathway education, expanded MARPE training, restorative and clear-aligner planning, mentorship, Immersion, community support and where the founders see the education evolving next. It’s funny, candid, occasionally vulnerable and full of the kind of conversation that happens when three friends, clinicians and founders start connecting the dots.
Because sometimes the symptom isn’t the diagnosis—and sometimes “I just don’t feel right” deserves a much deeper look.

Dr Tracey Nguyen IG
Dr Michelle Weddle IG
Dr Stacy Becker IG

CHAPTERS: 📚

00:00 Season 6 Begins With the ASAP Founders
01:39 Women, Sleep & the Midlife Health Shift
03:38 Why Sleep Apnea Changes for Women After 40
05:09 Hormones, Menopause & Women’s Health
07:54 Are Women Being Treated for Symptoms Instead of Causes?
09:15 Dr. Stacy Shares Her Personal Heart Health Journey
12:41 Why We Have to Read Research Differently
14:38 Hormone Replacement Therapy & the Changing Conversation
16:31 Progesterone, Cortisol & Sleep
17:04 Why Traditional Sleep Apnea Testing Can Miss Women
20:41 What Are RERAs?
23:51 Perimenopause, TMD & Poor Sleep
24:39 Estrogen, Joint Pain & the TMJ
25:40 When Anatomy Becomes a Bigger Risk Factor
28:32 What Does a Constricted Bite Look Like?
31:20 The TMD “Discovery Phase”
32:05 Weaners vs. Phase Two TMD Treatment
33:53 Proper Oral Rest Posture & Clenching
37:45 Why Sleep and Function Still Matter
40:32 Why Hormones Belong in Airway Screening
42:17 What’s Coming Next From ASAP Pathway
43:19 Expanded MARPE Hands-On Training
45:50 Planning the Final Result Before You Start
47:45 How ASAP Pathway Education Is Evolving
49:17 What Is ASAP Immersion?
53:01 Three Random Questions With the Founders
1:02:08 Closing Thoughts

LEARNINGS: 🎓

1. Women may experience sleep-disordered breathing differently than men. Traditional screening tools and scoring systems often emphasize characteristics more commonly associated with male obstructive sleep apnea, including oxygen desaturation and certain demographic risk factors. The founders discuss why that can leave symptomatic women unidentified.
2. Hormonal changes may help explain why sleep problems increase around midlife. The episode discusses the dramatic hormonal transition occurring during the perimenopausal and menopausal years and how those changes may affect sleep, airway stability, mood, pain and overall health.
3. A normal-looking AHI does not necessarily mean someone is sleeping well. Women may experience repeated breathing-related arousals without dramatic oxygen drops. Looking only at the apnea-hypopnea index can miss important sleep fragmentation.
4. RERAs matter. A respiratory effort-related arousal is a breathing-related event that causes the brain to arouse from sleep without necessarily meeting the traditional criteria for apnea or hypopnea. Repeated arousals can severely affect sleep quality even when oxygen levels appear relatively stable.
5. TMD and sleep should often be evaluated together. When a woman presents with jaw pain, clenching, grinding or TMD—particularly during a period of hormonal change—the founders encourage clinicians to ask about sleep rather than treating the jaw as an isolated problem.
6. Hormonal transitions can change how much compensation the body can tolerate. A bite or airway anatomy that caused few noticeable problems earlier in life may become more symptomatic as hormonal protection changes. The anatomy may not suddenly be different—the body's ability to compensate for it may be.
7. Tooth wear can provide clues that the bite and function deserve closer evaluation. Progressive wear of the front teeth, chipping, heavy tooth contact or patients naturally moving their lower jaw forward because it “feels better” may provide clues that their current bite deserves further investigation.
8. A TMD appliance can be part of the diagnosis—not just the treatment. Drs. Tracy and Michelle describe using an appliance as a discovery phase: decompressing the joint, reducing symptoms and finding where the patient functions comfortably before deciding whether orthodontic or restorative changes are actually necessary.
9. Function may ultimately determine whether treatment remains stable. Anatomy matters, but so do nasal breathing, posture, oral rest posture and daytime clenching habits. Proper oral rest posture discussed in the episode includes lips together, tongue at the roof of the mouth, teeth slightly apart, nasal breathing and a relaxed posture.
10. Healthcare increasingly requires the patient to become an informed advocate. One of the strongest themes throughout this founders’ conversation is that symptoms should not simply be dismissed because someone doesn't fit the traditional picture of disease. Ask questions. Look deeper. Understand your hormones, sleep, cardiovascular health and other risk factors—and find clinicians willing to connect the pieces.

This is the ASAP Pathway Podcast, Airway, Sleep, and Pediatric Pathway, where sleep and airway health take center stage, one breath at a time. VISIT: ASAP Pathway Please subscribe, share, and tune in to future episodes of how we can help children live their best lives, one breath, and restful night's sleep at a time. Don't miss this exciting launch into a world of knowledge and transformation.Because Kids Can't Wait...

• CLICK HERE To Find an ASAP Pathway Provider
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• CLICK HERE To See If Your Child Is At Risk!
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What happens when dentistry and physical therapy stop working separately? In this episode of ASAP Pathway: The Podcast, Dr. Stacy Becker welcomes airway-focused physical therapist Dr. Jenny Hobson for an eye-opening discussion about the powerful relationship between posture, breathing, TMJ, craniofacial development, and airway health.
 Dr. Hobson shares her unique journey training under legendary TMJ expert Dr. Mariano Rocabado and explains why successful airway treatment often requires much more than orthodontics, surgery, or oral appliances alone. Together they explore how mouth breathing, forward head posture, dysfunctional swallowing, poor body mechanics, and altered breathing patterns can influence everything from chronic pain and TMJ disorders to sleep quality and long-term health.

Topics include:

• Why dentists and physical therapists need to collaborate
• How posture changes occlusion and jaw function
• Why some patients still can't breathe through their nose after surgery
• The role of breathing retraining and functional rehabilitation
• Mouth breathing, CO₂ tolerance, and Buteyko breathing
• Why tongue posture and negative pressure matter
• Pediatric airway development and parent involvement
• The importance of gait, movement, diaphragm function, and whole-body alignment
• Practical strategies clinicians can immediately apply with patients

If you've ever wondered why some patients continue to struggle despite excellent dental treatment or why airway medicine requires a whole-body approach—this episode is a must-listen.
To get in touch with Dr. Jenny Hobson:

Dr. Jenny Hobson: IG
Dr. Jenny Hobson: FB
Dr. Jenny Hobson: YouTube
Dr. Jenny Hobson: LinkedIn
Dr. Jenny Hobson: Link Tree
Schedule FREE 15 min Consult with Dr. Jenny Hobson
Schedule 25 min Virtual Consult with Dr. Jenny Hobson
Schedule 50 min Virtual Consult with Dr. Jenny Hobson
Dr. Jenny Hobson's Podcast with Mariano Rocabado, PT (The Breathing Lab - Episode #28 | Meet the Pioneers of Craniofacial Therapy)
Dr. Jenny Hobson's Podcast: The Breathing Lab - Episode #10 | My Mentor and TMJ Expert

CHAPTERS: 📖

00:00 Welcome to ASAP Pathway
01:25 Meet Dr. Jenny Hobson
03:30 Training with Dr. Mariano Rocabado
06:20 Why Neck Position Changes Your Bite
08:10 Breaking Down Healthcare Silos 1
0:15 The Whole-Body Connection to Airway Health
12:00 Why Some Patients Can't Breathe After Nasal Surgery
15:15 Retraining the Nose After Surgery
18:15 Buteyko Breathing & Air Hunger Explained
21:35 How PTs Work with Dentists and Orthodontists
25:00 TMJ, Clenching & Airway Compensation
28:30 Why Walking, Posture & Movement Matter
33:45 Forward Head Posture and Airway Development
37:45 The Uplocker, Tongue Posture & Functional Therapy
45:40 Parents Are the Most Important Part of Treatment
50:00 Teaching the Correct Swallow
52:00 Airway Education for Healthcare Professionals
55:30 Three Fun Questions with Dr. Jenny Hobson

Learnings: 💡

1. Airway health requires a team approach. Dentists, physical therapists, ENTs, speech therapists, myofunctional therapists, and physicians all bring unique expertise that improves patient outcomes.
2. Posture directly affects jaw position. Forward head posture changes occlusion, increases joint loading, and can contribute to TMJ dysfunction and chronic pain.
3. Breathing is a learned function. Many patients continue mouth breathing even after surgery because they never relearn how to use their nose effectively.
4. Structure and function are equally important. Opening the airway anatomically is only part of treatment—patients must also retrain breathing, swallowing, and muscle function.
5.  Mouth breathing changes the entire body. Poor breathing mechanics affect posture, neck muscles, diaphragm function, rib position, and overall movement.
6. Physical therapists offer an important missing perspective. Manual therapy, breathing retraining, posture correction, and functional movement complement dental and airway treatment.
7. CO₂ tolerance matters. Learning to tolerate normal carbon dioxide levels through breathing retraining can improve nasal breathing and reduce overbreathing.
8. Tongue posture creates stability. Proper tongue suction and oral posture help support the airway, stabilize the jaw, and improve swallowing function.
9. Children benefit from consistent parent involvement. Long-term success depends on daily habits practiced at home, not just what happens during office visits.
10. Airway treatment extends beyond the mouth. Healthy gait, rib mobility, diaphragm mechanics, and whole-body alignment all influence breathing efficiency.
11. Functional rehabilitation can improve surgical outcomes. Patients who receive breathing retraining and functional therapy after ENT procedures often achieve better long-term nasal breathing. 
12. Great clinicians never stop learning. Dr. Hobson's career illustrates the importance of continually expanding knowledge across disciplines to better serve patients.

This is the ASAP Pathway Podcast, Airway, Sleep, and Pediatric Pathway, where sleep and airway health take center stage, one breath at a time. VISIT: ASAP Pathway Please subscribe, share, and tune in to future episodes of how we can help children live their best lives, one breath, and restful night's sleep at a time. Don't miss this exciting launch into a world of knowledge and transformation.Because Kids Can't Wait...

• CLICK HERE To Find an ASAP Pathway Provider
• CLICK HERE To Become an ASAP Pathway Provider
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• CLICK HERE To See If Your Child Is At Risk!
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What if Dentists are uniquely positioned to identify chronic disease before symptoms ever appear? In this conversation, Dr. Stacy Becker welcomes fellow ASAP Pathway member, educator and airway pioneer Dr. Kimberly Santiago for a deep dive into the evolving role of dentistry in airway health, craniofacial development, sleep medicine, and whole-body wellness.
From breastfeeding struggles and tongue-tie misconceptions to cranial development, TMJ health, pediatric airway intervention, and the future of diagnostic technology, this episode challenges traditional silos in healthcare and asks an important question: What if dentistry has always been medicine — we just forgot?
Dr. Santiago shares her journey from traditional restorative dentistry to becoming a craniofacial respiratory orthopedist focused on optimizing nasal breathing, jaw development, and sleep quality beginning as early as infancy — and even before birth. Together, Drs. Becker and Santiago discuss:

• Why adult sleep apnea often begins in childhood
• The difference between making room for teeth and making room for breathing
• Why early intervention may protect neurocognitive development
• The relationship between oral health and cardiovascular disease
• How dentists and hygienists can become frontline healthcare screeners
• Why anatomy alone is not enough and function matters just as much
• The emerging technologies helping clinicians better understand nasal physiology and airway function
• Why comprehensive treatment planning requires collaboration across disciplines

This conversation isn't simply about dentistry. It's about changing the trajectory of health before disease ever has the chance to take hold.

Dr. Kimberly Santiago Website
Dr. Santiago IG
Dr. Santiago FB
TIkTok:  @airsyncwellness
Email:  [email protected]

CHAPTERS 📖
00:00 Introduction to Dr. Kimberly Santiago
02:15 Buying a Practice at 25 and Building a Vision
05:10 From General Dentistry to Airway Medicine
08:45 Breastfeeding Challenges That Changed Everything
12:30 Why Personal Experiences Drive Clinical Passion
16:00 Dentistry's Role in Whole Body Health
18:20 Structure, Function, and Behavior: A New Diagnostic Model
21:15 Looking Beyond Teeth: Comprehensive Airway Evaluations
24:00 Anatomy vs Physiology in Airway Treatment
27:00 The Wellness Bus and New Brain Technologies 3
1:00 Neuroplasticity, ADHD, and Brain Health
34:00 Evidence-Based Medicine vs Clinical Experience
37:15 Why Hygienists Are Saving Lives
40:00 Oral Bacteria, Inflammation, and Cardiovascular Disease
43:00 Protecting the Brain Through Craniofacial Growth
45:30 Why Speed of Expansion Matters
50:00 Expansion for Teeth vs Expansion for Breathing
53:00 Why Nasal Breathing Grows the Face
56:00 Looking for Root Causes Instead of Symptoms
58:00 Ozone Therapy, Tonsils, and Preserving Anatomy
01:03:00 Educating Communities and Raising Awareness
01:08:00 Sleep Apnea Is a Disease, Not a Syndrome
01:12:00 The Future of Comprehensive Dentistry
01:17:00 Final Thoughts and Takeaways

KEY LEARNINGS 💡

1. Dentistry is much bigger than teeth. The mouth is connected to cardiovascular health, sleep, inflammation, neurological function, and systemic disease.
2. Adult sleep apnea often begins decades earlier. Many adult airway problems originate during infancy and childhood growth and development.
3. Structure and function must be evaluated together. A beautiful CBCT means very little if physiology and breathing function are poor.
4. Not all expansion is the same. Creating room for teeth and creating room for breathing are not necessarily the same treatment goal.
5. Nasal breathing is a developmental force. The tongue, nasal breathing, and chewing all influence facial growth and craniofacial development.
6. Earlier intervention often requires less intervention. Helping children at ages two and three may reduce the need for more aggressive therapies later.
7. Dentists are frontline healthcare providers. The dental office may identify hypertension, inflammation, sleep disorders, reflux, airway issues, and cardiovascular risk before anyone else does.
8. Hygienists are essential to healthcare screening. A dentist cannot build an oral-systemic program without a hygiene team that understands the mission.
9. Clinical experience matters alongside literature. Today's observations often become tomorrow's research studies.
10. Healthcare cannot continue to operate in silos. Dentists, physicians, ENT physicians, myofunctional therapists, sleep physicians, and orthodontists all play a role in improving outcomes.
11. Technology is rapidly changing airway medicine. Functional measurements, nasal airflow testing, and physiologic data are helping clinicians personalize treatment like never before.
12. Sleep apnea deserves to be treated like the disease it is. Minimizing sleep-disordered breathing delays diagnosis and treatment for millions of patients.
13. The goal is health span, not simply lifespan. Living longer means very little if patients spend decades surviving rather than thriving.
14. The future of medicine will focus on prevention. The greatest healthcare victories may happen years before symptoms ever appear.

This is the ASAP Pathway Podcast, Airway, Sleep, and Pediatric Pathway, where sleep and airway health take center stage, one breath at a time. VISIT: ASAP Pathway Please subscribe, share, and tune in to future episodes of how we can help children live their best lives, one breath, and restful night's sleep at a time. Don't miss this exciting launch into a world of knowledge and transformation.Because Kids Can't Wait...

• CLICK HERE To Find an ASAP Pathway Provider
• CLICK HERE To Become an ASAP Pathway Provider
• CLICK HERE FOR ASAP Pathway IN-PERSON COURSES
• CLICK HERE To See If Your Child Is At Risk!
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What if many of the struggles we see in children—attention issues, behavioral challenges, learning difficulties, emotional regulation problems, and even poor academic performance—are actually symptoms of disrupted sleep and airway dysfunction?

In this fascinating episode, Dr. Stacy Becker sits down with sleep scientist and educator Brooke Quinn, RPSGT, MSc, founder of Quinnspired and creator of the children's book series The Adventures of Watson and Sherlock.Brooke shares her unique journey from sleep technician to interdisciplinary sleep scientist and discusses why so many health conversations happen too late—after years of symptoms have already impacted a child's development.

Together, Dr. Becker and Brooke explore:
• The connection between sleep, airway development, and neurocognitive growth
• Why adult sleep apnea often begins in childhood
• The overlooked role of craniofacial development
• ADHD, learning challenges, and sleep-disordered breathing
• Why schools may be one of the most important places for sleep education
• How dentists can help identify children at risk
• The concept of "body literacy" and empowering children to understand their own health
• The importance of moving healthcare conversations upstreamThis episode is a powerful discussion about prevention, education, and changing the trajectory of children's health before symptoms become lifelong problems.

Brooke Quinn Linktree
Brooke's Substack
Quinnspired Website
Brooke's Instagram
Brooke's LinkedIn
TikTok: @sleepbyquinn

American Dental Association's "Children's Airways" Brochure

Referenced MARPE Expansion Article "RCT" Showing Improvement in Sleep DIsordered Breathing Parameters

CHAPTERS:

00:00 Introduction to Brooke Quinn
01:23 What Is a Registered Polysomnographic Technologist?
03:30 Seeing Sleep Through Physiological Data
06:50 How Brooke Fell in Love with Sleep Medicine
09:05 Why Craniofacial Development Matters
11:15 Adult Sleep Apnea Begins in Childhood
14:45 The Developmental Airway Trajectory
17:05 Why Early Intervention Matters
19:00 The College Student Airway Story
22:00 Taking Sleep Education Into Schools
25:00 The Missing Link Between Sleep and Learning
29:00 Teachers, IEPs, and Sleep-Deprived Children
33:00 Building Sleep Awareness for Families
36:00 ADHD, Executive Function, and Sleep
41:00 The Role of Dentists in Airway Screening
45:00 New Research Supporting Maxillary Expansion
49:00 The Cost of "Watchful Waiting"
53:00 Body Literacy and Children's Health Education
57:00 Mold, Congestion, and Environmental Health
01:02:00 Final Thoughts and Future Vision

KEY LEARNINGS

1. Adult sleep apnea often starts decades before diagnosis.The anatomy and developmental patterns seen in adults frequently begin during childhood.
2. Sleep is not passive.Sleep drives memory consolidation, growth hormone release, neurological development, emotional regulation, and physical recovery.
3. Craniofacial development influences airway health.The structure of the jaws and face can significantly impact breathing and sleep quality throughout life.
4. Children rarely "grow out of" airway problems.Many children simply compensate until symptoms worsen later in life.
5.  Sleep-disordered breathing can mimic ADHD.Poor sleep may contribute to attention issues, impulsivity, emotional dysregulation, and learning challenges.
6. Teachers may be observing sleep problems every day.Classroom behavior often reflects physiological issues that extend beyond academics.
7. Early intervention creates opportunity.Developmental windows exist where change is easier and outcomes can be dramatically improved.
8. Body literacy should start early.Children benefit from understanding how their bodies work and how their choices affect health.
9. Awareness must be followed by action.Education alone isn't enough—families need clear pathways to next steps and appropriate providers.
10. Dentistry has a critical role in screening.Dentists see children regularly and are uniquely positioned to identify developmental risk factors.
11. Airway health is not owned by one specialty.Successful care requires collaboration among dentists, physicians, therapists, educators, and families.
12. Waiting has consequences.Many developmental opportunities are missed when intervention is delayed until symptoms become severe.

This is the ASAP Pathway Podcast, Airway, Sleep, and Pediatric Pathway, where sleep and airway health take center stage, one breath at a time. VISIT: ASAP Pathway Please subscribe, share, and tune in to future episodes of how we can help children live their best lives, one breath, and restful night's sleep at a time. Don't miss this exciting launch into a world of knowledge and transformation.Because Kids Can't Wait...

• CLICK HERE To Find an ASAP Pathway Provider
• CLICK HERE To Become an ASAP Pathway Provider
• CLICK HERE FOR ASAP Pathway IN-PERSON COURSES
• CLICK HERE To See If Your Child Is At Risk!
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What if one of the biggest threats to a child's health, development, and success wasn't a medical condition—but simply not having a bed? In this powerful episode of ASAP Pathway, Dr. Stacy Becker sits down with Luke Mickelson, founder of Sleep in Heavenly Peace (SHP), a nonprofit organization dedicated to ensuring that no child sleeps on the floor in their town.
What began as a single bunk bed built in Luke's garage for a local child has grown into a global movement with more than 400 chapters, nearly 500,000 beds delivered, and a mission that is transforming communities across the United States and beyond. Luke shares the emotional story that launched Sleep in Heavenly Peace, the heartbreaking reality of childhood bedlessness, and why something as simple as a bed can profoundly impact a child's physical health, emotional wellbeing, education, confidence, and future.
 The conversation also explores purpose, service, leadership, entrepreneurship, founder syndrome, and how acting on small moments can lead to extraordinary change. Whether you're a healthcare provider, educator, parent, business leader, or simply someone looking for hope and inspiration, this episode is a powerful reminder that one person truly can make a difference. To learn more or get involved, visit shpbeds.org

To learn more about Luke Mickelson see below ⬇️ 

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CHAPTERS: 📖

00:00 – Introduction to Luke Mickelson & Sleep in Heavenly Peace
01:25 – From Idaho Farm Kid to Global Nonprofit Founder
06:01 – Growing Up with a Single Mother and Learning Service
08:31 – Success, Fulfillment, and a Search for Purpose
10:40 – The Meeting That Changed Everything
12:37 – Discovering Children Sleeping on the Floor
13:29 – Building the First Bunk Bed with Boy Scouts
16:01 – The Tiny Moment That Sparked a Movement
19:44 – Meeting Haley: A Six-Year-Old Who Never Had a Bed
22:22 – Why a Bed Is About More Than Sleep
29:17 – The Shocking Reality of Child Bedlessness in America
33:21 – How One Facebook Post Became 400+ Chapters Worldwide
39:15 – Mission Creep and Staying Focused as a Nonprofit
42:25 – Why Service Improves Mental Health and Perspective
45:14 – Tiny Moments, Purpose, and Finding Your Passion
49:04 – How to Volunteer, Donate, or Start a Chapter
53:04 – Why Educators Should Care About Bedlessness and Sleep
55:28 – Founder Syndrome and Leadership Evolution
01:00:05 – Building Legacy Beyond Yourself
01:02:48 – What 10-Year-Old Luke Would Be Proud Of

Key Learnings 💡

1. Child bedlessness is a widespread but largely invisible problem. Thousands of children across America sleep on floors, couches, air mattresses, or piles of clothing every night.
2. A bed is more than furniture. It impacts sleep quality, emotional wellbeing, self-esteem, school performance, and overall health.
3. Small acts can create extraordinary change. Sleep in Heavenly Peace began with one bunk bed built in a garage. 
4. Service often reveals purpose. Luke's mission emerged not from a strategic plan but from acting on a small prompting to help.
5. Communities are capable of solving local problems. The most sustainable solutions happen when neighbors help neighbors.
6.  Many children experiencing bedlessness are not homeless. They may have housing but still lack a safe and comfortable place to sleep. 
7. Sleep affects every aspect of childhood development. A child who sleeps poorly may struggle academically, emotionally, socially, and physically.
8. Purpose is often discovered through action. People rarely find their passion by thinking about it—they find it by doing. 
9.  Tiny moments matter. Small impressions, nudges, and opportunities can become life-changing missions when acted upon. 
10.  Mission creep can destroy great organizations. Successful nonprofits and businesses must stay focused on their core mission. 
11. Leadership requires evolution. Founders must learn to allow organizations to grow beyond themselves. 
12. Helping others changes the helper. Service doesn't eliminate our problems, but it often gives us a healthier perspective on them.                                                                                                      

This is the ASAP Pathway Podcast, Airway, Sleep, and Pediatric Pathway, where sleep and airway health take center stage, one breath at a time. VISIT: ASAP Pathway Please subscribe, share, and tune in to future episodes of how we can help children live their best lives, one breath, and restful night's sleep at a time. Don't miss this exciting launch into a world of knowledge and transformation.Because Kids Can't Wait...

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What if your sense of smell could predict brain health years before symptoms appear? In this fascinating episode of ASAP Pathway the Podcast, Dr. Stacy Becker sits down with neuroscientist and sensory science expert Dr. Paule Valery Joseph to explore the powerful — and often overlooked — role of smell, taste, and chemesthesis in human health.

From Alzheimer’s and Parkinson’s disease to sleep-disordered breathing, childhood mouth breathing, long COVID, and emotional memory, this conversation uncovers how deeply connected our olfactory system is to neurological health, cognition, metabolism, and quality of life. Dr. Joseph explains why smell loss may be one of the earliest warning signs of neurodegenerative disease, how COVID changed the medical conversation around smell and taste, and why clinicians should begin treating smell as a vital sign.

The discussion also dives into:

• Mouth breathing and nasal disuse in children
• Sleep apnea and olfactory dysfunction
• Smell training and neuroplasticity
• The emotional power of scent and memory
• Why dentists may be key players in early detection
• The hidden consequences of congenital anosmia

This episode is a powerful reminder that the body does not function in silos — and that the nose may hold far more information about our health than we ever realized.


Instagram: @dr_paulejoseph
X/Twitter: @Dr_Paulevj
LinkedIn: https://www.linkedin.com/in/paulevjoseph/
Facebook: @DrPVJoseph
Threads: @dr_paulejoseph
Bluesky: @drpaulejoseph.bsky.social
TikTok: @drpaulevj
YouTube: @drpaulevaleryjoseph
Website: paulejoseph.bio


Chapters 📖
00:00 – Introduction to Dr. Polly Valerie Joseph
02:23 – What Is Chemesthesis?
04:24 – How Smell & Taste Affect Metabolic and Brain Health
07:51 – The Story That Revealed Smell as a Warning Sign
09:18 – Why Doctors Rarely Test Cranial Nerve One
12:14 – When Smell Loss Should Concern You
14:13 – Why Smell Should Be Considered a Vital Sign
16:42 – The Connection Between Smell & Neurodegenerative Disease
20:09 – Early Warning Signs of Smell Dysfunction
22:01 – COVID, Mouth Breathing & Loss of Smell
23:43 – Cognitive Effects of Smell Loss
26:15 – The Importance of Cooking, Flavor & Sensory Engagement
27:20 – Post-COVID Smell Recovery Clinics & Smell Training
28:34 – Olfactory Training and Neuroplasticity
32:10 – Why Most People Would Give Up Their Sense of Smell
33:40 – Smell, Memory & Emotional Connection
35:33 – Mouth Breathing, Kids & Long-Term Brain Development
39:50 – Sleep Apnea, CPAP & Olfactory Function
48:10 – Sleep, Smell & Brain Activity
52:21 – Smell Loss as an Early Sign of Neurodegeneration
55:00 – Questions Dentists Should Start Asking Patients
59:56 – The Body as an Interconnected System
01:02:24 – Dr. Joseph’s Upcoming Book “Common Sense”
01:05:29 – The Smell & Taste Association of North America
01:06:13 – Congenital Anosmia Explained
01:08:06 – Ben & Jerry’s and the Science of Flavor Texture
01:11:54 – Final Thoughts & Future Collaboration

Learnings 📚

• Smell is directly connected to the limbic system, linking scent to memory and emotion.
• Loss of smell may appear 10–15 years before obvious signs of neurodegenerative disease.
• Smell dysfunction can affect cognition, nutrition, emotional health, and quality of life.
• COVID highlighted how critical smell and taste are to everyday human functioning.
• Mouth breathing and poor nasal function in children may have broader neurological implications than previously understood.
• Sleep-disordered breathing and intermittent hypoxia may impact olfactory processing and brain health.
• Smell training can help stimulate neuroplasticity and recovery after smell loss.
• Dentists may play an important role in identifying smell dysfunction during routine evaluations.
• Congenital anosmia affects more than flavor perception — it may also influence safety, social connection, and emotional processing.
• The future of healthcare will require more interdisciplinary collaboration between dentistry, neuroscience, sleep medicine, and sensory science.

This is the ASAP Pathway Podcast, Airway, Sleep, and Pediatric Pathway, where sleep and airway health take center stage, one breath at a time. VISIT: ASAP Pathway Please subscribe, share, and tune in to future episodes of how we can help children live their best lives, one breath, and restful night's sleep at a time. Don't miss this exciting launch into a world of knowledge and transformation.Because Kids Can't Wait...

• CLICK HERE To Find an ASAP Pathway Provider
• CLICK HERE To Become an ASAP Pathway Provider
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In this episode of ASAP Pathway, hosts Dr. Stacy and Dr. Tracey sit down with prosthodontist, educator, author, and disruptor Dr. Jeff Rouse for a powerful conversation about where dentistry is headed. Dr. Rouse shares how a prosthodontist became deeply involved in airway, sleep, bruxism, growth, and craniofacial development—not because it was trendy, but because the traditional explanations no longer made sense.

His journey began with questions about bruxism, occlusion, broken restorations, and sleep, and eventually became deeply personal when he recognized the missed signs in his own son, Jake. Together, they discuss why dentistry may need to stop asking permission to develop healthier anatomy, why “airway orthodontics” might not be the best label, and why the real goal may simply be normalizing anatomy: better faces, broader arches, better bites, and better long-term health.

This episode challenges old assumptions around orthodontics, extractions, sleep testing, literature interpretation, and interdisciplinary care. It is also a call for dentists to think more critically, read the science more carefully, and step into their role in shaping the future of airway and whole-health dentistry.

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⏱ Chapters
00:00 — Welcome to ASAP Pathway
00:51 — Introducing Dr. Jeff Rouse
02:42 — What is a prosthodontist?
05:06 — Why a restorative dentist belongs in the airway conversation
08:04 — Questioning traditional occlusion and bruxism teaching
10:17 — What the literature really says about sleep bruxism
11:52 — “Find your Jake”: when airway becomes personal
15:08 — Parenting, airway, and when “enough is enough”
17:41 — Why perfect outcomes are not always possible
19:00 — The danger of overpromising airway results
21:26 — Why changing anatomy still matters
22:31 — UPPP, CPAP, and what anatomy changes teach us
25:56 — Why AHI is not the only marker that matters
27:02 — Inspire, circumferential collapse, and the role of arch width
30:05 — Why anatomy-based treatment affects airway
31:03 — Dr. Tracey on early expansion and serial extractions
33:22 — Should we stop saying “airway orthodontics”?
35:20 — Facial aesthetics, arch form, and healthier development
38:39 — Clear aligners and the future of early orthodontics
42:02 — The general dentist’s role in early intervention
43:18 — Challenging the AAO position on airway
46:09 — Why dentists need better access to literature
48:37 — Making the AAO position less relevant in daily practice
50:50 — Why old foundational literature needs re-examination
55:34 — Teaching dentists how to read the literature
58:13 — Dr. Rouse’s upcoming Global Diagnosis textbook
59:55 — Adding maxillary hypoplasia as a diagnostic question
01:01:19 — Treatment planning airway cases in the new textbook
01:02:43 — Upcoming education with Rouse, Robbins, and Kinzer
01:04:08 — Rapid-fire questions: coffee, thermostat, and dancing
01:10:20 — Final thoughts and ASAP Pathway shoutout

🧠 Key Learnings

1. Airway is not just for “sleep dentists.”
   Every area of dentistry can reveal airway-related clues, including prosthodontics, periodontics, orthodontics, pediatric dentistry, and restorative care.
2. Bruxism is more complex than traditional occlusion teaching suggests.
   Dr. Rouse explains that sleep bruxism is not simply about massive nighttime forces or constant grinding.
3. Personal experience can change clinical perspective.
   Recognizing missed airway signs in his son, Jake, deeply shaped Dr. Rouse’s airway journey.
4. Early intervention can improve the future, even if it does not create perfection.
   The goal is not always to “fix everything,” but to remove obstacles and create a better biological starting point.
5. Overpromising airway outcomes hurts credibility.
   Dentistry must avoid claiming that one device or one intervention will eliminate every issue.
6. Changing anatomy matters.
   Better anatomy can support better breathing, better function, better facial development, and better long-term health.
7. AHI should not be the only measure of success.
   Quality of life, anatomy, breathing, and overall health markers matter too.
8. The phrase “airway orthodontics” may create unnecessary resistance.
   Dr. Rouse suggests reframing the goal as normalizing anatomy or anatomy-based orthodontics.
9. Serial extractions and delayed orthodontic intervention deserve re-evaluation.
   Dr. Tracey emphasizes that crowded primary dentition often will not self-correct.
10. Facial aesthetics and airway are deeply connected.
    Broader arches, fuller smiles, and better facial development often align with better functional outcomes.
11. General dentists may need to play a larger role.
    If specialists are unwilling or unavailable, properly trained general dentists can help move the field forward.
12. Dentists need to learn how to read the literature critically.
    Dr. Rouse stresses that clinicians must understand the science themselves instead of relying only on position papers or speaker claims.

This is the ASAP Pathway Podcast, Airway, Sleep, and Pediatric Pathway, where sleep and airway health take center stage, one breath at a time. VISIT: ASAP Pathway Please subscribe, share, and tune in to future episodes of how we can help children live their best lives, one breath, and restful night's sleep at a time. Don't miss this exciting launch into a world of knowledge and transformation.Because Kids Can't Wait...

• CLICK HERE To Find an ASAP Pathway Provider
• CLICK HERE To Become an ASAP Pathway Provider
• CLICK HERE FOR ASAP Pathway IN-PERSON COURSES
• CLICK HERE To See If Your Child Is At Risk!
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In this powerful and eye-opening episode of ASAP Pathway the Podcast, hosts Drs. Stacy and Tracey sit down with renowned sleep expert Dr. Rafael Pelayo from Stanford University. What starts as a chance meeting turns into a deeply impactful conversation about sleep, policy, airway health, and the biology we can’t ignore. Dr. Pelayo shares his journey—from early sleep research to helping change legislation that delayed school start times in California, improving mental health, academic performance, and even reducing teen car accidents. Together, they dive into:

• Why sleep is a bipartisan issue
• The truth about daylight savings vs. natural rhythms
• How adolescent biology is being ignored
• The critical connection between airway, facial development, and sleep
• And why this conversation shouldn’t be controversial—but still is

This episode bridges medicine, dentistry, and public health in a way that will challenge how you think about sleep forever.And don’t miss the unforgettable story behind Dr. Christian Guilleminault’s final words:
👉 “Open the wine.”

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⏱️  CHAPTERS
00:00 – Welcome to ASAP Pathway
00:45 – How a Chance Meeting Turned Into This Conversation
02:00 – Meet Dr. Rafael Pelayo (Stanford Sleep Expert)
03:00 – Behind the Scenes: Advocacy in Washington D.C.
09:40 – The Truth About Daylight Savings Time
12:30 – Why Teen Sleep Is a Public Health Crisis
16:30 – Delayed Sleep Phase & Teen Depression
19:00 – The Fight to Change School Start Times
23:00 – Why Schools Start So Early (And Why It’s Wrong)
25:00 – The Biology of Adolescence & Sleep
27:30 – What Happens When Kids Actually Get More Sleep
30:00 – Why This Is So Hard to Change (Politics + Systems)
34:00 – Sleep, Crime & Real-World Outcomes
36:30 – Airway, Brain Health & Growth Development
38:30 – Why Airway Shouldn’t Be Controversial
44:30 – What Medicine Is Learning From Dentistry
47:00 – CPAP, Oral Appliances & Patient Choice
50:00 – The Legacy of Dr. Guilleminault
52:30 – “Open the Wine” – A Powerful Final Message
54:20 – Fun Rapid-Fire Questions


🧠 LEARNINGS 

1. Sleep is a biological necessity, not a lifestyle choice.
2. Teenagers are naturally wired to fall asleep later and wake later.
3. Early school start times create chronic sleep deprivation in adolescents.
4. More sleep leads to better grades, mood, and reduced risky behavior.
5. Delaying school start times can reduce teen car accidents and crime.
6. Daylight savings disrupts natural circadian rhythms and should be reconsidered.
7. The body is designed to wake with light and sleep with darkness.
8. Airway and facial development are directly connected to sleep health.
9. Sleep apnea is not just about obesity—it’s often anatomy and genetics.
10. Dentistry plays a critical role in identifying and treating airway issues.
11. CPAP and oral appliances are complementary—not competing—treatments.
12. Advocacy and small actions can create massive public health change.

This is the ASAP Pathway Podcast, Airway, Sleep, and Pediatric Pathway, where sleep and airway health take center stage, one breath at a time. VISIT: ASAP Pathway Please subscribe, share, and tune in to future episodes of how we can help children live their best lives, one breath, and restful night's sleep at a time. Don't miss this exciting launch into a world of knowledge and transformation.Because Kids Can't Wait...

• CLICK HERE To Find an ASAP Pathway Provider
• CLICK HERE To Become an ASAP Pathway Provider
• CLICK HERE FOR ASAP Pathway IN-PERSON COURSES
• CLICK HERE To See If Your Child Is At Risk!
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