In this episode of The Feeding Pod, Bri and Tovah are joined by Kara Larson, MS, CCC-SLP, CLC to tackle the hot, controversial, and oftentimes confusing, topic of tongue ties! We come at this from an evidence-based angle - and no we aren’t using that as just a buzzword. We tackle the research, our clinical experiences, and considerations for family values and viewpoints to help bridge the gaps on evaluation and treatment of tongue ties for feeding therapists. If tongue ties come up in your practice (and let’s be honest, when do they not anymore), then you do not want to miss out on listening to this episode! We hope you enjoy!

References/Resources (shortened citations due to text limits)

NYT Articles:

Inside the Booming Business of Cutting Babies' Tongues

What Parents Should Know About Tongue-Tie Releases

National Trends

Joseph, K. S., et al. (2016). Temporal trends in ankyloglossia and frenotomy in British Columbia, Canada, 2004-2013: A population-based study. https://doi.org/10.9778/cmajo.20150063

Kapoor, V., et al. (2018). Frenotomy for tongue‐tie in Australian children, 2006–2016: An increasing problem. https://doi.org/10.5694/mja17.00438

Walsh, J., et al. (2017). Ankyloglossia and lingual frenotomy: National trends in inpatient diagnosis and management in the United States, 1997‐2012. https://doi.org/10.1177/0194599817690135

Wei, E. X., et al. (2020). Ankyloglossia: Update on trends in diagnosis and management in the United States, 2012‐2016. https://doi.org/10.1177/0194599820925415

Systematic Reviews

Carnino, J. M., et al. (2023). The effect of frenectomy for tongue-tie, lip-tie, or cheek-tie on breastfeeding outcomes: A systematic review of articles over time and suggestions for management. https://doi.org/10.1016/j.ijporl.2023.111638

Cordray, H., et al. (2023). Severity and prevalence of ankyloglossia‐associated breastfeeding symptoms: A systematic review and meta‐analysis. https://doi.org/10.1111/apa.16609

Hatami, A., et al. (2022). Effectiveness of tongue‐tie assessment tools in diagnosing and fulfilling lingual frenectomy criteria: A systematic review. https://doi.org/10.1111/adj.12921

Hill, R. R., et al. (2021). The prevalence of ankyloglossia in children aged <1 year: A systematic review and meta-analysis. https://doi.org/10.1038/s41390-020-01239-y

O’Shea, J. E., et al. (2017). Frenotomy for tongue-tie in newborn infants. Cochrane Database of Systematic Reviews, 2021(6). https://doi.org/10.1002/14651858.CD011065.pub2

Solis-Pazmino, P., et al. (2020). Major complications after tongue-tie release: A case report and systematic review. https://doi.org/10.1016/j.ijporl.2020.110356

Visconti, A., et al. (2021). A systematic review: The effects of frenotomy on breastfeeding and speech in children with ankyloglossia. https://doi.org/10.1080/17549507.2020.1849399

Webb, A. N., et al. (2013). The effect of tongue-tie division on breastfeeding and speech articulation: A systematic review. https://doi.org/10.1016/j.ijporl.2013.03.008

Clinical/Expert Consensus Reports

LeFort, Y., et al. (2021). Academy of Breastfeeding Medicine Position Statement on ankyloglossia in breastfeeding dyads. https://doi.org/10.1089/bfm.2021.29179.ylf

Messner, A. H., et al. (2020). Clinical consensus statement: Ankyloglossia in children. https://doi.org/10.1177/0194599820915457

Rowan-Legg, A. & Canadian Pediatric Society. (2024). Position statement: Ankyloglossia and breastfeeding. https://cps.ca/documents/position/ankyloglossia-breastfeeding

Silva, M., et al. (2020). Anyloglossia and oral frena consensus statement. https://www.ada.org.au/Ankyloglossia-Statement-Doc.aspx

Thomas, J., et al. (2024). Identification and management of ankyloglossia and its effect on breastfeeding in infants: Clinical report. https://doi.org/10.1542/peds.2024-067605

Other:

Caloway, C., et al. (2019). Association of feeding evaluation with frenotomy rates in infants with breastfeeding difficulties. ⁠https://doi.org/10.1001/jamaoto.2019.1696⁠

In this episode, Bri and Tovah dive into the wild world of internet feeding fads—some helpful, some… not so much. This episode includes kinesio taping and the latest bottles claiming to be “just like the breast" We’re unpacking what’s actually backed by evidence and what’s more hype than help. Join us as we break down the science (or lack thereof), talk clinical implications, and share a few laughs along the way. If you’ve ever scrolled past a reel and thought “Should I be doing that in therapy?”—this one’s for you!

References from the episode:

Gholami, Z., Poorjavad, M., & Nouri, R. (2025). A scoping review on the effects of kinesio taping on oropharyngeal function related to swallowing and feeding. Dysphagia, 40(2), 311–326. https://doi.org/10.1007/s00455-024-10739-6

Lin, C.-L., Wu, W.-T., Chang, K.-V., Lin, H.-Y., & Chou, L.-W. (2016). Application of Kinesio Taping method for newborn swallowing difficultly: A case report and literature review. Medicine, 95(31), e4458. https://doi.org/10.1097/MD.0000000000004458

Maxwell, C., Fleming, V., & Porcellato, L. (2023). Why have a bottle when you can have draught? Exploring bottle refusal by breastfed babies. Maternal & Child Nutrition, 19(2). https://doi.org/10.1111/mcn.13481

Mikami, D. L. Y., Furia, C. L. B., & Welker, A. F. (2019). Addition of kinesio taping of the orbicularis oris muscles to speech therapy rapidly improves drooling in children with neurological disorders. Developmental Neurorehabilitation, 22(1), 13–18. https://doi.org/10.1080/17518423.2017.1368729

Shamsoddini, A., Rasti, Z., Kalantari, M., et al., (2016). The impact of Kinesio taping technique on children with cerebral palsy. Iranian Journal o fNeurology. 15(4).

Zimmerman, E., & Thompson, K. (2015). Clarifying nipple confusion. Journal of Perinatology, 35(11), 895–899. https://doi.org/10.1038/jp.2015.83

In this episode of The Feeding Pod, hosts Brianna Miluk and Tovah Feehan sit down with the incredible Dr. Louisa Ferrara-Gonzalez, PhD, CCC-SLP, BCS-S, CNT, CLC, NTMCT, who is practicing at the top of her license and conducting meaningful research that is helping to shape the future of feeding therapy in the NICU and beyond! Join us as Dr. Ferrara-Gonzalez shares insights on challenges in NICU culture, ways to improve clinical skills, and bridging gaps in care as babies transition from the NICU to home. Whether you’re in the NICU or exploring pediatric feeding therapy, this conversation is packed with valuable takeaways you won’t want to miss! We hope you enjoy!

Resources Mentioned:

CNT: https://neonataltherapycertification.com/

Dr. Brown’s Medical: https://www.drbrownsmedical.com/

Catherine Shaker: https://shaker4swallowingandfeeding.com/

NANT: https://neonataltherapists.com/

Dr. Britt Pados article: https://pubmed.ncbi.nlm.nih.gov/33676453/

Caring Essentials: https://www.caringessentials.net/

Caring OutLoud: https://podcasts.apple.com/us/podcast/care-outloud/id1694961557

Dr. Katlyn McGrattan article: https://pubmed.ncbi.nlm.nih.gov/31650190/

Dr. Lisa Newman article: https://pubmed.ncbi.nlm.nih.gov/11731633/

Dr. Lousia’s website: https://infantfeedingspecialists.com/dr-louisa-ferrara-gonzalez?gad_source=1&gclid=Cj0KCQjws-S-BhD2ARIsALssG0b4MzqnQIIPz_G9ML6-YaoGmRKCq4gr9lapCbXYu5-5xeD2BqVQEzkaAvk1EALw_wcB

In this episode ofThe Feeding Pod, host Tovah Feehan dives deep into the topic of laryngeal clefts with two incredible guests, Carolyn Schultz and Caetyn Groner. Carolyn, the founder of the Laryngeal Cleft Network, and Caetyn, a Speech-Language Pathologist serving on the board of the same organization, bring a wealth of knowledge on this condition, both from personal experience and their advocacy efforts. Tune in as they share their insights into the challenges and triumphs of living with and supporting those affected by laryngeal clefts, as well as the importance of education and resources within the community.

Laryngeal Cleft Network

Laryngeal Cleft Network FB Page

Laryngeal Cleft Network IG Account

Care Study

Travel Grant Program

This is the first episode in a new miniseries featured on The Feeding Pod. In these episodes, Bri & Tovah discuss products marketed online that claim to help kids with feeding and swallowing. But, there’s a twist! Neither one is aware of what the other is bringing to share so you get raw, unfiltered reactions from one host and more nuanced, evidence-based discussions from the other regarding marketing tactics, appearance, and whether it’s actually worth the hype. Let’s just say this leads to some entertaining chats. DM us on instagram any products you’d like to see reviewed in future episodes - We hope you enjoy!

In this episode of The Feeding Pod, Brianna (Bri) Miluk and Tovah Feehan are joined by the incredible Dr. Jessica Stokes-Parish, and they are beyond excited to dive into her groundbreaking work. Bri "fangirls" over Dr. Stokes-Parish’s contributions, which have had a significant impact on healthcare providers, as well as anyone who uses social media.

The conversation centers around the CRABS framework—a tool that Dr. Stokes-Parish created to help navigate the challenges of communication and engagement on social media. Whether you're a healthcare professional or simply someone who engages online, this framework provides valuable insights on how to effectively connect, communicate, and maintain professionalism in the digital space.

Tune in as Dr. Stokes-Parish explains the importance of the CRABS framework, offers real-world examples, and shows why this model is a game-changer for both professionals and everyday social media users. Don't miss out on this enlightening conversation that will change the way you approach social media and communication!

🎧 Listen to the full episode now!

Assessing Intentional Resume Deception: Development and Nomological Network of a Resume Fraud Measure

Magic Words

Dr. Stokes-Parish’s website

Dr. Stokes-Parish’s instagram

#TheFeedingPod #CRABSFramework #SocialMediaStrategy #HealthcareCommunication #ProfessionalGrowth #DigitalEngagement #SocialMediaTips #SLPCommunity #HealthcareProfessionals #CommunicationSkills

In this episode, Brianna (Bri) Miluk and Tovah Feehan sit down with Dr. Marry Vuong, a pediatric pharmacist and Chief of Staff at Perfecting Peds, to dive deep into the world of pediatric pharmacy and its intersection with speech-language pathology. From the importance of collaboration between healthcare professionals to how pharmacy impacts pediatric care, Dr. Vuong shares her expertise and passion for optimizing medication management for kids. Whether you're an SLP, pediatrician, or healthcare professional, this conversation sheds light on why understanding pharmacy is crucial for effective interdisciplinary care. Tune in to learn how Perfecting Peds is changing the game and why the world of pharmacy is more connected to your work than you might think!

Join us for an eye-opening discussion on the untapped potential of collaboration in pediatric care.

NASPGHAN Guidelines

⁠Perfecting Peds⁠

Perfecting Peds Podcast⁠

⁠Perfecting Peds Instagram⁠

#TheFeedingPod #PediatricPharmacy #SLP #InterdisciplinaryCare #HealthcareCollaboration #PediatricCare #MedicationManagement #SpeechPathology #PerfectingPeds #SLPCommunity

🎉 Welcome to a brand new season of The Feeding Pod! 🎉

This season brings exciting changes, including a fresh perspective and a new co-host—Tovah Feehan! Together, Tovah and Bri will explore the world of feeding therapy, sharing ideas, experiences, and deep insights into the field.

In the premiere episode, they take a step back to reflect on their journeys as clinicians, discussing how their practices have evolved over time. Expect candid conversations about the uncomfortable moments—how thinking has shifted, challenges faced, and valuable lessons learned. 💡

The big takeaway? Growth is a constant process. The hope is that, ten years from now, today's practices will spark a cringe—a sign of continued learning, adapting, and improving. 🛠️

Tune in to hear more about these journeys, insights gained, and what’s coming in the new season. Let’s continue growing together! 🌱

The Rare Life

#TheFeedingPod #NewSeason #PodcastLaunch #FeedingTherapy #SLP #SpeechPathology #SLPCommunity #ProfessionalGrowth #ClinicianJourney #ContinuousLearning #FeedingTherapists #ChangeAndGrowth #SLPLife

🎙️ Dive into the world of pediatric feeding therapy with Brianna and special guest Karli Negrin! Karli has nearly 20 years of experience in this specialized area of cardiac feeding disorders. 🍼 Follow along from pre-op to post-op, as they unravel the complexities of pediatric cardiac feeding, offering invaluable tips for SLPs and caregivers alike. Get ready for a heartwarming journey filled with compassion and expertise. 💖 #FeedingTherapy #PediatricCHD #PediatricFeeding #HeartHealth #SpeechTherapy #ExpertInsights

Instagram: @chd_slp

Email Karli at: [email protected]

Cardiac newborn neurodevelopmental network

NPCQIC

For the transcript and show notes, visit https://pediatricfeedingslp.com/podcast.

In this thought-provoking podcast episode of The Feeding Pod, Brianna (Bri) Miluk, MS, CCC-SLP, CLC is joined by Maggie Patterson, co-host of the podcast “Duped: The Dark Side of Online Business” as they delve deep into the world of dark marketing and ethical business practices and their relevance to the field of speech-language pathology. With over two decades of experience in marketing, sales, and business, Maggie shares her insights into the complexities of ethics, shedding light on the gray areas that often challenge professionals. As they discuss parallels between ethical dilemmas in various industries and those faced by SLPs, you’ll gain valuable perspectives on topics like ethical businesses in name only and the cultish tactics sometimes found in online business. Plus, can answer questions like “do certifications really matter?” This engaging and informative conversation also touches on shady sales practices and the potential dangers of triggering and traumatic storytelling. Tune in for a captivating exploration of ethical considerations that will empower SLPs to make informed decisions in their careers and beyond.

Dr. Cialdini's 6 Principles of Persuasion

Dr. Steven Hassan - BITE Model

Toxic Positivity Book (Amazon Affiliate Link)

Maggie's IG

Duped Podcast

Ethical Business and Name Only Episode

The Cultish Side of Online Business Episode

The Very Tired Tropes Episode

Certifications: Credibility Booster or Money Making Scheme? Episode

Seriously Shady Sales Practices Episode

The Trouble with Triggering and Traumatic Stories Episode

Netflix How to Be a Cult Leader

BS Free Business Podcast

Maggie's Website