Katie The Traveling Lactation Consultant

Most parents in America are doing combination infant feeding- some direct breastfeeding, some pumped milk.  Insurance covers breast pumps yet there isn't any consistency between pumps and flanges that come with pumps are grossly oversized for almost all parents.  Listen here as Katie Oshita and Nichelle Clark discuss pumping in America.Podcast Guest: Nichelle Clark is an International Board Certified Lactation Consultant (IBCLC), Infant Feeding Counselor (IFC), Holistic Sleep Coach (HSC), wife, and mom of two residing in Chesapeake, Virginia. She is the owner of a lactation private practice, SonShine & Rainbows Lactation & Sleep, which was inspired by her son and honors her fertility journey with him. Born and raised in Upper Marlboro, MD, Nichelle is a United States Navy Veteran and hold a bachelors degree in Political Science. When she's not spending time with family, she admins multiple online support groups for People of Color, providing breastfeeding support and lactation education to her community. As a prior exclusive pumping mom herself, Nichelle is a champion for breastfeeding parents to write their own rules and breastfeed their way.Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com  

It's amazing how fast time goes.  This podcast started as Katie Oshita began her traveling journey in an RV summer 2021.  Katie traveled to 40 states, 3 Canadian provinces and met with many wonderful providers along the way.  Then in 2023 Katie sold the RV and settled down in western WA.  With this podcast Katie is still able to travel, tho most is virtually now, and meet with skilled providers all over the world.  Listen here as Katie recaps the last 4 years, 100 episodes and podcasts guests.Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com  

Spoiler alert‼️ It's NOT normal to pee when you sneeze, or when you jump or when you exercise!  Not even after having babies.  So many people are told that this is normal and just something they will have to live with.  Thankfully there are knowledgeable PT's out there focusing on exactly this issue and more.  Pelvic floor physical therapy is a specialized field, not something that should be preformed by any physical therapist.  In this episode Katie Oshita and Rachel Doza discuss what pelvic floor PT really is all about, including covering the new diagnosis of Genitourinary Syndrome of Lactation (GSL) and how this effects postpartum parents.Podcast Guest: Dr. Rachel Doza decided to open her own physical therapy practice to provide higher quality care than high patient-volume clinics. Her pelvic floor physical therapy practice is focused on quality over quantity, and the patient results speak for themselves!Rachel has been in the physical therapy field for over a decade and has extensive education beyond her doctorate degree in pelvic health, dry needling, orthopedics, and is a certified Pre & Postpartum Corrective Exercise Specialist.Stemming from her military background, she is a fierce advocate for women's rights and loves helping women regain control over their bodies.Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com  

Historically, having a baby was not a solitary endeavor. The partner was involved of course, but the parent's family, friends and whole community would come together to support not just the gestating parent but the whole family during this transition.  As a midwife and IBCLC in Australia, Kellie Eason sees the consequences of lack of support for families.  In this episode Katie Oshita and Kellie Eason discuss strategies of supporting families and finding ways to decrease isolation for parents.    Podcast Guest: Kellie Eason, IBCLC, brings more than 20 years of dedicated experience to her role as a trusted support for families.  Her background as a nurse, midwife and international Board Certified Lactation Consultant (IBCLC) in Melbourne, Australia, has equipped her with a comprehensive understanding of family needs during the early parenting journey.Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com  

Breastfeeding is universal, however the options for support are not.  In the US an Osteopath has very different training than in Australia, where all Osteopaths are trained in Osteopathic Manual manipulation (OMM) unlike in the US where it's difficult to find an Osteopath with any manual training at all.  In Australia there's also no prescribing from an Osteopath.  Kirsten Hannah is not only an IBCLC but also an Osteopath supporting families in the AU with her immense knowledge.  Listen as Kirsten Hannah and Katie Oshita discuss biological norms, root cause support and tongue tie in the US and AU.Podcast Guest: Kirsten Hannan is an Australian trained and registered Osteopath with 20 years of clinical practice experience, with a particular interest in pregnancy and postpartum care and working with babies and children of all ages. She has experience in treating babies for a variety of issues, including latching and feeding difficulties, birth trauma, neck tension, flat head syndrome and digestive issues. Kirsten uses a variety of osteopathic treatment methods, including cranial osteopathy. Her passion for education and helping children to develop in the best possible way led her to further her knowledge of breastfeeding and she qualified as an International Board Certified Lactation Consultant (IBCLC) in 2017. She enjoys integrating the very best of bodywork and evidence-based lactation care and support to help mums and their babies.Kirsten is a speaker, an author and reviewer for the International Journal of Osteopathic Medicine, a member of Osteopathy Australia and registered with the Australian Health Practitioner Regulation Agency (AHPRA) and International Board of Lactation Consultant Examiners (IBLCE).Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com  

Pregnancy and postpartum nutrition are not just helpful but essential to milk supply.  Thyroid issues, PCOs, insulin resistance, gut microbiome dysfunction all cause problems in milk supply and nutritional status.  Learn how working with an IBCLC RD can help to uncover those issues and get parental health, nutrition and milk supply on the right track.Podcast Guest: Allegra Gast is a functional registered dietitian and international board certified lactation consultant passionate about helping families navigate both their postpartum health and their breastfeeding journeys. Allegra offers virtual nutrition and breastfeeding consults for families all around the world. She started her business, Aloha Nutrition, when she lived in Hawaii but currently resides in Texas with her husband, and 4 children including twins. Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Learning about oral ties and airway dysfunction hasn't only helped Katie's clients and practice.  Along the way Katie and her family have benefited from this knowledge.  Since learning more about lip and buccal ties, Katie and her Kidds all had these released.  Listen for details on why and the results.Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com  

Craniosacral therapy (CST) is something that few people understand.  CST comes from Osteopathy and is a gentle, rhythmic movement to support bones and the cerebrospinal fluid moving within us.  CST is gentle and focuses heavily on the head.  Meaghan Beames is not just a practitioner of CST, but a leader and teacher, who wants to help many more providers learn this gentle bodywork to support babies.  Katie Oshita and Meaghan Beames discuss how this gentle therapy helps with feeding difficulties, tongue tie, mastitis and more.Podcast Guest: Meaghan Beames who is a Registered Massage Therapist, a Craniosacral Therapist and has been treating babies with CST since 2018. She owns a private clinic in downtown Toronto, with a team of 3 other Infant CST practitioners.Meaghan is the founder of Beames CST Training Centre, where she teaches health professionals in the perinatal space to use craniosacral therapy on babies. Her mission is to ensure that there are highly qualified Infant Craniosacral Therapists in every city in North America and beyond, so families can avoid the common struggles that are easily addressable, like colic, reflux and feeding issues. She's a mom, a competitive cheerleader, an indoor rock climber, and she can't decide which is better, tea or coffee. Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com  

Breastfeeding is universal and lactation support is needed everywhere.  Katie Oshita and Kyrie Hickey discuss pumps, providers and paid time off in Australia and how those things differ with what's offered in the US.  Listen here for more.Pocast Guest: Kyrie Hickey is an RN, RM and IBCLC from Brisbane, Australia. She has worked as a pediatric Burns-Surgical Nurse, hospital-based midwife and provided nursing care in a Tongue Tie Clinic.Kyrie now provides Home Visit and Telehealth breastfeeding and bottle feeding support through her private practice, Rainbow Road Lactation. Her passion lies in honoring the uniqueness of each family that she cares for and providing care that is tailored to the values and needs of every family she works with. Her journey into becoming an IBCLC was deeply influenced by her own breastfeeding challenges, including significant nipple damage in the first few weeks due to an unidentified tongue tie in her son. It was through the guidance of an experienced IBCLC/OMT and Osteopath that she found clarity and solutions. Additionally, navigating postnatal depression and anxiety, torticollis, cow's milk and soy protein allergies, enlarged adenoids and speech delay, further deepened her empathy and drive to support families who face challenges in their early parenting journeys. You can learn more about Kyrie and her services here, or on Instagram. Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Frenectomies are much more common now, there are more providers learning and  doing releases.  Rarely though does anyone discuss or offer a guided release, many don't even know what it is or how it's different.  Dr Kundel has been doing guided releases with Dr Geis (Ep 79) for years, they have learned together how to feel and listen to each other to get the most profound result for clients.  Katie and Dr Kundel discuss how guided releases work, anatomy vs function, how to develop good oral function and Serrapeptase.  Listen here for all the details.Podcast Guest: Dr. Lenny Kundel is a proud 1999 graduate of Tufts University School of Dentistry. He also earned a Masters of Science in Specialized Orthodontics Degree from the International Medical College at the University of Duisburg-Essen.Following a year of residency at Montefiore Hospital and several associateships, he has established private practices in Stamford, Connecticut and New York City.  In addition to general gentle dentistry, Dr. Kundel is addressing the problems that have to do with:Breastfeeding difficultiesGrowth and development in childrenSleep-disordered breathing in children and adultsJaw joint related disordersHe has been studying Oral – Systemic connection for over two decades. It has been his passion from day one. His path has taken him from being an orthodontic patient, and, as a result, to a TMJ patient, to a dentist that helps people with jaw pain. The understanding of connection between mouth and body is a foundation for Dr. Kundel's practice.It is this understanding that empowers Dr. Kundel to assist moms and infants with breastfeeding as well as help children with growth and development. Building bridges between medical and dental communities brings results for the patients that were not possible before.  To be of service is a meaningful, gratifying, and fulfilling experience that begins anew every single day. Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

In this episode Katie Oshita and Karen Garcia discuss how bodywork and lactation work together.  As a practitioner of Osteopathic Manual Manipulation (OMM) and lactation, Dr Garcia is in a unique place to combine the two fields to help the dyad thrive.  From breast manipulation for mastitis to helping with body tension on tongue tied babies, Dr Garcia works with the whole dyad to achieve wellness.  Listen here for more details.Podcast Guest: Dr. García is Board Certified in Pediatrics through the American Board of Pediatrics and American Osteopathic Board of Pediatrics. She is also one of the first physicians Board-Certified by the North American Board of Breastfeeding and Lactation Medicine. She maintains her Board-Certification as a Lactation Consultant by the International Board of Lactation Consultant Examiners. She is an ongoing member of the American Academy of Pediatrics, American Osteopathic Association and Academy of Breastfeeding Medicine. She opened García Consulting and Lactation Services in 2023 to provide specialized care for more complex lactation related issues. Dr. García has been practicing pediatrics and newborn care in the Kalamazoo and Calhoun counties since 2012. Dr. García is hoping to support all of our communities that struggle with breastfeeding, and those communities with limited access to breastfeeding resources. Dr. García is collaborating with Milk Like Mine/Bellies Like Mine through our local Baby Café to further reach our Black, Brown and LBGTIA+ communities in Calhoun County. Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Ever wondered what happens at a lactation visit?  What does an IBCLC do with the parent and the baby?  What types of visits are there?  What is different for a returning to work visit or a visit with a tongue tied baby?  In this episode, Katie Oshita addresses these questions and more, going into detail to help you understand some of the many things that can happen in a lactation consult.Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

It's not often you meet someone who has gone from a very allopathic profession to extremely holistic.  Adina Popov lives in Romania and started her career as a Pharmacist.  After having her children she felt passionate about lactation, studied and became an IBCLC.  Still seeing so many dyads struggling with wellness prompted her to study traditional homeopathy.  Listen as Katie Oshita and Adina Popov discuss why and how this radical shift happened for Adina and how she uses her holistic training to support new parents.Podcast Guest: Adina Popov provides comprehensive and individualized in-person and virtual consults from pregnancy until childhood in Romanian or English. She uses integrative care when assisting families with breastfeeding difficulties including oral dysfunction, craniofacial asymmetries and variations, tongue/lip/buccal ties, low supply, regulating supply, reflux, painful latch, latching difficulties, getting babies back-to-breast etc. Adina has specialized training in oral reflexes and primitive reflexes integration. Adina uses Bach Flowers and is studying to become a homeopath at the International Academy of Classical Homeopathy. Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 24 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Breastfeeding is a universal biological right.  It is what humans have been doing from the beginning of time.  While it is biologically normal, that doesn't mean it's easy.  Some places in the world have more support than others.  Indonesia has very few IBCLC's, bodyworkers and release providers.  Listen as Ingrid Siahaan and Katie Oshita discuss the joys and struggles of supporting families navigating feeding issues without the necessary support system. Podcast Guest: Dr. Ingrid Siahaan, IBCLC, has been supporting mothers and infants in their breastfeeding journeys since 2016. Motivated by personal experiences overcoming diverse breastfeeding challenges with her four children, she earned her IBCLC certification in 2018.Her practice emphasizes holistic lactation care, addressing functional breastfeeding, oral dysfunction, and postpartum interventions to optimize breastfeeding outcomes. Based in Medan, she provides in-person and virtual consultations, empowering mothers across Indonesia with evidence-based, compassionate support.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 24 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

For many parents, exclusive breastfeeding is difficult and supplementation must happen.  Many do what is referred to as "triple feeding" to breastfeed, bottle feed and then pump. It's exhausting and not sustainable long term.  While many IBCLC's know about at breast supplementation, most are either too intimidated or not knowledgeable enough to teach families how to use it.  Johanna Sargent is not only a huge advocate of at breast supplementation but also teaches IBCLC's about this method.  Making breastfeeding easier and more sustainable is always the goal.  Listen as Katie Oshita and Johanna Sargent discuss this and more.Podcast Guest: Johanna Sargeant is an International Board Certified Lactation Consultant, teacher and writer based in Zurich, Switzerland. She is passionate about utilising her background in education, biological science, psychology and language to empower parents with empathetic support and evidence-based information through her private practice, Milk and Motherhood. Originally from Australia, Johanna provides much-needed English-speaking support to many thousands of parents throughout Switzerland and across Europe, and has recently created the new education modules for the European Society of Paediatric Research and the European Society of Neonatology. She has taught at the University of Zurich, has spoken as a panellist for the WHO's Baby Friendly Hospital Initiative congress in Geneva, has been an expert speaker and facilitator for Google, and has presented at a variety of international conferences. The complexities of her personal feeding experiences fuels her passion for providing knowledgeable, guilt-free infant feeding support globally. Podcast host: Katie Oshita, RN, BSN, IBCLC has over 24 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Most of the time sleep and breastfeeding feel like opposing forces, but they don't have to be.  Joy MacTavish is an IBCLC and a holistic sleep consultant who supports families to balance both wants and needs of their growing family.  Joy also supports many Queer families  and addresses their unique needs.  Listen as Joy MacTavish and Katie Oshita discuss managing all of these in ways to help each family thrive.Podcast Guest: Joy MacTavish, MA, IBCLC, RLC is an International Board Certified Lactation Consultant and certified Holistic Sleep Coach focusing on the intersections of infant feeding, sleep, and family well-being. Through her business, Sound Beginnings, she provides compassionate and evidence-based support to families in the greater Seattle area, and virtually everywhere else. She entered the perinatal field in 2007 as birth and postpartum doula, and childbirth and parenting educator. Joy holds a Master of Arts in Cultural Studies, graduate certificate in Gender, Women and Sexuality Studies, and two Bachelors degrees from the University of Washington. She enjoys combining her academic background, analytical skills, and passion for social justice into her personal and professional endeavors. Joy serves as an Advisory Committee Member and guest speaker for the GOLD Lactation Academy. When not working or learning, she can be found homeschooling, building LEGO with her children, or dreaming up her next big adventure.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 24 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

In this episode, Katie Oshita addresses many of the topics new parents need to know about.  From prenatal lactation to weaning, telehealth, and gut microbiome, lactation is a time of questions and concerns for most families.  Many aren't even sure what to ask or when to seek support.  If you have questions about skilled bodywork, galactagogues, or other new parent questions, this is the episode for you.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 24 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Type 1 diabetes in infancy and toddler years is rare, but when it happens most families are not just encouraged but forced to wean from breastfeeding.  Erin Hayden-Baldauf has personal and professional experience with breastfeeding a T1D baby, and has written a book about the challenges this brings.  All IBCLC's supporting families need to know about these signs, options and resources to support these dyads. Podcast Guest: Erin Hayden-Baldauf is a dedicated educator and creative writer with a passion for crafting engaging, heartwarming stories. With a PhD in Education and a master's degree in Creative Writing, she blends formal training with personal experience to create stories that resonate with her readers.Erin received her IBCLC certification in 2013 and has served numerous families as a childbirth educator and doula. As a mother of four, including a child with Type 1 Diabetes and Celiac disease, Erin infuses her fiction and nonfiction with real-life insights into managing complex medical conditions. In 2024, Erin founded BraveryBooks to bring her writing across genres together, celebrating the everyday acts of strength and bravery that make life special.When she's not writing, Erin enjoys spending time with her family, exploring new recipes, and sharing her love for literature.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 24 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Breastfeeding, chest feeding, body feeding, bottle-feeding.  There are many ways to feed an infant (this list doesn't even include cup feeding, finger feeding and more!).  Gender diverse and queer families need unique support when expecting and as new parents.  Their lactation consultant needs to be knowledgeable about inducing lactation with herbs or medications, alternative feeding methods and many other feeding options to support their needs.  Jacob Engelsman has written a book not only to help queen families, but to help lactation consultants and other providers learn and support these families better.  Listen as Katie Oshita and Jacob Engelsman discuss supporting Queer families in many different ways.Podcast Guest: Jacob Engelsman is an IBCLC specializing in lactation support for gender diverse families. He is the author of Lactation for the Rest of Us: A Guide for Queer and Trans Parents and Helpers as well as many talks and articles on how clinicians can better support LGBTQIA+ families.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 24 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Bottles are actually not an innate skill.  Babies are born knowing how to breastfeed, and with many reflexes to support the process.  However bottle are not like the breast (no matter how much the packaging claims it's "just like the breast") and it is a skill that needs to be taught and learned, by both parents and babies.  Unfortunately most hospitals and Pediatricians hand out a bottle without any thought into the design, flow rate, or teaching the skill.  Susan Howard works with a lot of bottle refusal babies, and has many classes for providers to learn more as well.  Since new bottles are always coming out on the market staying current on new products is essential to supporting dyads with feeding.  Much of the common "strategies" for bottle refusal usually make things worse, such as "wait until baby is very hungry" or "constantly wiggle the bottle to keep baby feeding".  Learn more about bottle skills here.Podcast Guest:  Susan Howard MSN, RN, IBCLC is a Registered Nurse, an International Board Certified Lactation Consultant and a leader in women and infant health. She has been in maternal infant health for 27 years first as a labor and delivery nurse, a childbirth educator and as a breastfeeding educator. Susan took a brief hiatus from maternal child nursing to oversee clinical trials at Georgetown Medical Center and was on faculty at Georgetown School of Nursing. Susan obtained her certification as a lactation consultant in 2011. She owns a private practice in the Washington DC area. Susan has advanced training and a special interest in complex feeding issues, including tongue tie, low milk supply, and bottle-refusing babies. She teaches various feeding and parenting classes, and she hosts a popular feeding and parenting support groups.  Professionally, she lectures on supporting the bottle-refusing baby. You can learn more about her bottle skills workshops for IBCLCs that focus on strategies to support the bottle refusing dyad.  Podcast host: Katie Oshita, RN, BSN, IBCLC has over 24 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 4

Being born is quite difficult and traumatic, even in the best of situations.  It's hard- on both the parent and newborn.  Chiropractic care helps get the dyad moving and feeling better, and this means breastfeeding better as well.  Katie Oshita and Dr Rachel Kuperus discuss what skilled bodywork looks like for a newborn (**hint- it's not 5-10 min visits**) and how this helps with tongue tie, torticollis and feeding challenges.  Supporting dyads through skilled bodywork and lactation leads to easier breastfeeding and calmer, happier families.Podcast Guest: Dr. Rachael Kuperus graduated from Palmer College of Chiropractic in 2009 with both a Bachelors of Science and a Doctor of Chiropractic degree.  She is Board certified by the National Board of Chiropractic Examiners and the Kentucky Board of Chiropractic Examiners.  While all Chiropractors learn about pediatrics in Chiropractic school, Dr. Rachael was not satisfied with one class.  She pursued a Board Certification in Pediatrics after chiropractic school.  She spent 3 years studying pediatrics and maternal care while working at a non-profit to provide chiropractic to complicated pediatric and maternal chiropractic cases.  She holds a Diplomate in Clinical Chiropractic Pediatrics (DICCP) through the International Chiropractic Association and Palmer College. Dr Rachael is a published author in the Journal of Clinical Chiropractic Pediatrics, and regularly lectures to other chiropractors on topics of pediatrics and maternal care.In 2012, Dr. Rachael opened Kuperus Family Chiropractic with a mission to provide chiropractic care for all members of the family. She has adjusted babies a few hours old, those in their 90s, pregnant women and everyone in between. She has additional training in Webster and Bagnell techniques for pregnant patients.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 24 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Year 3 for podcasting is done!  This year saw the end of constant traveling and instead a focus on international virtual travel.  The recordings were with 10 IBCLC's, 4 Release providers, 4 Bodyworkers, 6 solo recordings, and 2 other providers.  They spanned 6 countries-  Ireland, Lithuania, Spain, Australia, Germany and Canada.  Discussing and learning with providers across the globe helps to understand better lactation, tongue tie and the needs of families everywhere.   Katie Oshita also discusses the end to the year-long Holistic Lactation Residency by Jennifer Tow.  Watching amazing providers in Connecticut- Dr Sharon Vallone, Dr Lenny Kundel and Dr Michael Geis- work together to support optimal function.  Learning new holistic modalities and how to view health and wellness differently.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 24 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Having a bodyworker with hands on during a release isn't popular, but it has profound results.  Dr Michael Geis, an Osteopath trained in Osteopathic Manual Manipulation and Cranial Techniques and has chosen to specialize in oral ties after dealing with his own ties and those of his kids.  During the residency in CT for the Holistic Lactation course, Katie Oshita was able to watch Dr Geis guide an adult release with Dr Kundel.  In this episdoe Katie and Dr Geis discuss but how a guided release can dramatically improve outcomes and how important buccal ties are. Podcast Guest:  Dr. Geis is a traditional Osteopathic Physician specializing in Neuromuscular Medicine (NMM) and Osteopathic Manipulative Medicine (OMM). He graduated as a member of the Psi Sigma Alpha National Osteopathic Honor Society with honors from New York College of Osteopathic Medicine in 2011. During his time in medical school, Dr. Geis was awarded an academic teaching fellowship with an extra one year focus on Osteopathic Manipulative Medicine and was the recipient of the Stanley Schiowitz Award for Excellence in Osteopathic Medicine. Dr. Geis completed his residency training and was the Chief Resident at one of the top programs in the country for NMM/OMM at St. Barnabas Hospital in the Bronx, NY.  Dr Geis practices at Integrative Family Medicine of CT in Stamford, CT.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 24 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

In this episode Katie Oshita talks about how people aren't healthy anymore- fertility rates are on the decline, pregnant patients are less healthy, children aren't healthy in their childhood anymore.  Airway and  movement dysfunction (snoo, swaddle, containers, then kids and adults sitting and not outside).  There are toxins all around us- mold, Lyme, plastics, chemicals, VOC's.  Our food is less nutritious due to less minerals in soil.  So what can you do about it- go back in time and use things that work- home remedies, homeopathy, nature, holistic modalities such as EFT, red light, movement, acupuncture/pressure and much more.  Listen as Katie discusses not only the state of health in this country but what she sees in her own family and private practice.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 24 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine and holistic practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

OT and Lactation can have a very complementary relationship however, sadly it's frequently a complicated relationship instead.  In this episode Katie Oshita and Nat Udwin discuss how IBCLCs and OTs can not only support each other but support families for better results.  OT is all about skills to "do your job" which can mean work skills for an adult, but for a baby their job is eat, sleep, poop, exist comfortably.  In their OT practice, Nat sees a lot of fussy babies, with sleep, feeding breathing and regulation difficulties.  There can be delayed milestones, impaired reflex expression/integration, and asymmetry.  Nat sees many clients virtually, teaching parents how to use play and movement to help their child thrive.   Working together with an IBCLC and OT isn't always necessary but when there are issues needing more support, the results are astounding.Podcast Guest: Nat (Natalie Udwin) is an infant development, airway and reflexive feeding specialist AKA pediatric OT.  On IG, most people know them as "Nat The Baby OT".  Nat's home base is in Atlanta, GA but they also work virtually with families all over the world.   Nat has a B.A. in Studio Art from Whitman College, an M.S. in OT from Milligan College and has been an OT for 12 years.  They have specialized in infant development for 7 years now.  Nat has a 4 year old son named Ari and enjoys anything in or on water, hiking, traveling, abstract painting and drawing and is definitely happiest outdoors.  Sometime around 2015, Nat's eyes were opened to the world of reflex integration, which completely transformed their practice.  Finally, Nat was seeing skills were sticking and carrying over to other aspects of daily life that just weren't happening before for their patients.  It was the "foundational" approach to therapy that Nat had been trying to figure out for years.  After a couple of years of learning to integrate or inhibit retained reflexes, Nat began to ask WHY.  Why were all of these kids retaining these reflexes from infancy into childhood?  What was happening developmentally to change their trajectory?  Nat needed to know.  So . . . Nat dove headfirst into infant development courses.  They quickly learned about the importance of human connection and emotional regulation in early infancy, as well as the developmental importance of strong breathing and oral motor skills to support a lifetime of healthy growth.  It was now all starting to make sense.  The next step was to start working with infants, and to put all of this new knowledge to the test.  Nat, alongside some incredible mentors and colleagues, has spent the past 7 years mastering their understanding of infant development to not only become an infant development specialist, but to create what is now the foundation of a holistic airway focused practice for children of all ages.  Podcast host: Katie Oshita, RN, BSN, IBCLC has over 24 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Tongue tie is not a US phenomenon.  Tongue ties have been known about and treated for hundreds of years, but in the last decade the field has dramatically expanded.  Part of that is more recognition, part is epigenetic changes causing more tongue ties, more vaulted palates, more narrow jaws than ever before.In this episdoe Katie Oshita and Dr Shereen Lim discuss tongue tie climates both in the US and in Australia where Dr Lim practices in Perth, in Western Australia.   Dr Lim promarily sees infants, though does work with tied humans of all ages.  Both Katie and Dr Lim are passionate aobut educating parents and providers alike for things can can both positively and negatively effect oral development such as pacifiers, solid foods and chewing, and nasal breathing.  Listen here for more about the collaborative team approach across the globe.Podcast Guest: Dr Shereen Lim is a Perth based dentist with a post graduate diploma in dental sleep medicine from the University of Western Australia.  She has been involved in the team management of snoring and obstructive sleep apnoea since 2011.  Dr Lim is dedicated to promoting airway health from infancy as an alternative approach to minimize the development of these problems, and is author of the book “Breathe, Sleep, Thrive: Discover How Airway Health Can Unlock Your Child's Greater Health, Learning and Potential.” Her work in private practice is restricted to tongue tie management from infancy to adulthood, early interceptive orthodontics and myofunctional therapy.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 24 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Most families in the US do some form of combination feeding, using bottles and frequently breast pumps.  The sheer volume of new pumps, bottles, and other feeding supplies is enough to overwhelm most IBCLC's.  To stay current on new equipment means either many hours researching, or taking a course from someone who did all the research and work already.  Jeanette Mesite Frem is known in the world of lactation to be that person.  Jeanette has spent years specializing in all things pumping and bottle feeding, has nearly every breast pump and bottle, and can explain all the pros and cons of each!  Listen as Katie Oshita and Jeanette Mesite Frem discuss Jeanett'es deep dive into pumping, her soon-to-be-released study on flange fitting, and what the FITS acronym means in the lactation world.Podcast guest: Jeanette Mesite Frem, MHS, IBCLC, RLC, CCE is an experienced childbirth educator, IBCLC-lactation consultant and retired birth doula. She started her career working with families while serving as a Peace Corps Volunteer in Côte d'Ivoire, West Africa in the early 90s. She loved that work so much she went on to receive a public health masters degree from Johns Hopkins School of Public Health, focusing her studies on nutrition for maternal and child health. Her two children were breastfed for more than 2 years each and Jeanette has experience pumping at work for both children and has supported thousands of families with feeding and pumping over the last 20 years.Jeanette provides prenatal childbirth and breastfeeding classes at her office in Northborough, Massachusetts, as well as providing virtual and office feeding consultations. She also enjoys leading workshops and speaking at conferences for lactation and perinatal health professionals and mentoring those who work with families. If you have questions, feel free to email jeanette@babiesincommon.com.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Every professional specializes overtime.  Sometimes it's an instant pull and choice, other times it's a slow process where you learn more and more about an area and become an expert about it.  For Amber Ginn, it was much more instantaneous.  As a teen mother, Amber Ginn is acutely aware of the challenges and special needs supporting a teen mother with feeding her baby.  In this episode, Katie and Amber discuss challenging parts of supporting these parents- from insurance/Medicaid hurdles to empowering teen parents to make their own feeding choices instead of being told what to do.  Listen here to learn more about supporting teen and young parents.Podcast Guest:  Amber Ginn, IBCLC, IYCFS. Amber is based in the Triad of N and has been supporting families since 2019. Amber takes a whole-woman view of the mama she works with and supports them in meeting whatever their breastfeeding goals may be. Amber had my first child as a teen, and as such developed a keen interest in all things birth and breastfeeding. After a semester of nursing school out of high school, Amber decided the allopathic medical system was not a place she wanted to be. Amber studied to become a doula and breastfeeding counselor and moved to Puerto Rico for a year. During her time in Puerto Rico, she studied via pathway 3 to become an IBCLC. Amber worked full-time with a nonprofit providing breastfeeding support and worked with hundreds of amazing families. After returning to the states and settling back in the Triad, Amber started my private practice with the focus on holistic and ancestral health. Amber believe all mamas can meet their goals when provided with support and empowered with information. Amber offers in-home visits in the Triad and virtual visits to mamas across the US and accepts insurance as well. For teen mamas, Amber works on a sliding scale to make care as accessible as possible.  Mamas can reach me via my socials @nourishedrootslactation or via my website.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

In this episode Katie Oshita discusses some of the healing and holistic modalities that she is learning through the Holistic Lactation residency course she is taking.  Comparing and contrasting allopathic/mainstream "normal" interventions such as antibiotics, swaddling, pacifiers, formula,  bottles and prescription medications with natural/holistic options such as homeopathy and cell salts, EFT, home remedies and herbs Katie discusses how these choices effect our wellness.  Stop living just surviving and seek out true wellness, to thrive.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

In this episode, Katie Oshita and Gina Nigro discuss lactation support and tongue tie in both the US and Spain.  In both locations, there are a lot of differences in the care available, and many similarities.  Both parts of the world have many confusing options when trying to find a "breastfeeding expert".  Listen as Katie and Gina discuss ways to support clients, encourage community and educate providers about the importance of expert lactation support.Podcast Guest: Gina Nigro is a bilingual (English/Spanish) lactation consultant (IBCLC) that has been assisting breastfeeding mothers for over 25 years, and now through telehealth all over the world.Like many new mothers, when Gina had her first baby, she was overwhelmed by conflicting information: at the hospital, at the pediatrician, and from well-meaning friends and family.Gina's realization that she would have missed out on experiencing breastfeeding had it not been for the quality support she finally received, led her to want to “pay it forward” and help others. She first trained as a volunteer breastfeeding counselor in Houston, Texas, then as a birth doula in Amsterdam, The Netherlands, and finally sat for the exam to become an IBCLC in Seville, Spain. She is currently living in Oropesa del Mar in Spain.Gina believes that all mothers deserve quality emotional and educational support so they can have a fulfilling experience breastfeeding their babies. It shouldn't be just a matter of good luck. She's dedicated to giving mothers effective guidance and caring support with real results. Her greatest satisfaction is the joy of seeing that look on both mothers' and babies' faces that says: Just what I always wanted.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Katie Oshita sees tongue-tied babies and discusses oral function for infants. But what happens if not treated, or if full oral function is not achieved? Jenae Ciuffreda sees kids and adults with oral ties and other oral function dysfunction. In this episode, Katie and Jenae discuss expansion, nasal breathing, and airway health. If you have questions about kids and adults who weren't released as babies, this is a great episode to hear about some options for them.Podcast Guest: Jenae Ciuffreda BS, RDH, CBBA, CSOM is a Certified Specialist in Orofascial Myology and a Certified Breathing Behavior Analyst/Therapist practicing in North San Diego County.  Jenae sees both children and adults with orofasial myofunctional disorders (tongue thrust, low tongue posture, weak lip seal, open mouth posture, mouth breathing).  Jenae is trained as an Orofacial Myofunctional Therapist and Breathing Behavior Analyst/Therapistunder the Academy of Orofacial Myofunctional Myology (IAOM).  Jenae has attended over 15 certification courses in restorative breathing, orofacial myofunctional therapy, airway and facial growth and development, TMD, sleep, and tethered oral tissues (frenectomy) in order to provide the absolute best solutions and care for her patients.  Jenae develops customized programs for her patients to achieve maximum results.  Jenae is extremely passionate about helping her patients succeed and achieve results that are life changing.Jenae was born and raised in Southern California.  She has her BS and RDH through Loma Linda University.  She graduated with honors and was awarded clinical practitioner of the dental hygiene program by her instructors and the dean of the school of dentistry.  Jenae resides in Escondido, CA with her husband and two children.  They love getting out in sunny San Diego and exploring all that it has to offer.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com   

More world traveling for lactation learning.  In this episode, Katie Oshita and Bobbi Daly  discuss lactation, oral ties, and living in a small country that produces 10% of the world's formula.  In Ireland most families see a GP for infant care, not a Pediatrician and breastfeeding rates are incredibly low.  The massive amount of formula made in a country with only 5 million people has made Ireland very much a bottle and formula country, causing lactation care to be rare and undervalued.  Listen as Bobbi discusses how these obstacles effect her practice and how Katie can relate to parts of these issues.Podcast Guest: Bobbi Daly is an international board-certified lactation consultant in private practice for many years in Kerry and Galway. She has a wealth of experience, having been a hospital nurse, GP practice nurse, midwife, and neonatal nurse, as well as a mother of four. Bobbi has developed a holistic view of lactation care from many sides but particularly in the community. She has been involved in setting up informal and formal breastfeeding support groups. She liaises with other primary care professionals including GPs, public health nurses and osteopaths.  Find Bobbi at Nourish Boob in Galway, Ireland.Bobbi is a strong believer in continuing education and using evidence-based knowledge in advancing her standard of professional care for women. She has cared for women antenatally and postnatally, dealing with a wide variety of issues. She has a special interest in managing complex cases and in oral dysfunction but is interested in all aspects of community lactation support and education.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com   

Continuing on the world tour of breastfeeding support and oral ties, Katie Oshita meets with Diana Marcinkevičienė to discuss lactation, access to care, and oral tethers in both the US (PNW is Katie's location) and Lithuania where Diana practices.  Life is very different for parents and providers when comparing- from the long two-year maternity leave to the number of IBCLC's.  Both Katie and Diana reflect on similarities in their practices as well, as lactation and need for support is universal.  Listen here for more about breastfeeding in Lithuania.Podcast Guest: Diana Marcinkevičienė is a mum of four children (three boys and one girl, aged from 10 to one year old). Since the first time she heard about IBCLC (back in 2012) - it was her dream to become one. In 2021 Diana passed the exam and now I work in a private practice (named Noriu žindyti, with the meaning of - I want to breastfeed).  Diana loves helping families with their breastfeeding struggles in Lithuania.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

In this episode, Katie Oshita reviews her Top 5- most popular episodes, locations- countries and cities with most listeners, things she has learned and things she hears from both clients and other practitioners.  With 67 previous episodes and thousands of miles to meet and record with practitioners, Katie Oshita has a lot of information to share.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

Breastfeeding is universal, something that all humans, all mammals have done since the beginning of time.   Lactation as a profession is new and has different norms throughout the world.   Rosa Sorribas is an IBCLC in Barcelona, Spain who focuses not just on supporting new parents with lactation and infant feeding support.  Rosa focuses on training new IBCLC's, encouraging more students to learn about lactation to support more and more families.  In this episode Katie Oshita and Rosa Sorribas discuss teaching, lactation, tongue tie and world views on this and more.Podcast Guest: Rosa Sorribas is an IBCLC in private practice in Barcelona since 2008. She is a Computer Engineer working on Internet and databases since 1986. In 2002, after her first daughter was born, she and her husband created CrianzaNatural.com, a Spanish portal and forum with information for an attachment parenting style of life. Since then, she's been involved in breastfeeding groups, such as La Leche League and Areola, which she still collaborates with. She offers breastfeeding and babywearing education in Spain, Portugal, Poland, and online. She's been working as doula in home and hospital births. Her website has been the source of dozens of support groups, many breastfeeding conselours and IBCLCs, and has helped hundreds of thousands of families around the world to get their maternity goals. For the last few years she's been very focused in nutrition after a cancer treatment left some issues on her health. She is now running a weekly podcast and video interview to relevant people addressing topics from conception to teens. In February she will launch a training course to become IBCLC, with the help of several new and experienced IBCLCs that she's been mentoring, in a site called ecrianza.com. She lives near the beach of Castelldefels with her two daughters who were homeschooled for 6 years, her lovely husband and her dog Timi.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

For both Katie Oshita and Rachelle Markham, being a neurodivergent business owner is part of life.  Learning about sensory banks, tools, timers, apps and how to make life easier for themselves has been a learning process.  Listen as they discuss some of what has, and what has not, helped them be more productive, and more regulated so that balance and success is part of their lives.Podcast Guest: Rachelle Markham, owns and operates Wellness Lactation, in San Diego, CA where she helps new parents and families navigate their infant feeding journey. Rachelle has been working with families for over 27 years. Twenty of those years have been as an IBCLC. She has a passion for learning and keeping up to date with all things human lactation.  This desire to “know-all-the-things” means she can frequently be found traveling to trainings or enrolled in multiple online classes. Last year she finished up a year long intensive program on Holistic Lactation, which allows her to help so many more families achieve their feeding goals. When she doesn't have a client in front of her you'll almost always find Rachelle with a giant iced black tea in hand, wearing something black, tending to her chickens and large garden, or planning her next adventure!Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

Katie Oshita and Allison Alexander discuss private practice in the US, support for new families, tongue tie timing and more.  Allison Alexander sees families struggling with complex feeding issues, develops customized care plans and supports families throughout the feeding journey.  Understanding the dyad is what makes lactation universally different than any other specialty who sees mom or baby individually.  Listen here for more about private practice in the US.Podcast Guest:  Allison Alexander is an IBCLC with a background in pediatric nursing.  After struggling to breastfeed a neurodivergent baby, she pursued the IBCLC credential  in order to help families in a pediatric setting.  As passing boards, she studied holistic and comprehensive clinical lactation care strategies to support families who are having more complex feeding challenges.  She now co-owns a thriving private practice in Metro Detroit with virtual care offered worldwide.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

Breastfeeding struggles are not a uniquely US issue, nor is tongue tie.  In this episode, Katie Oshita talks with Eva Fieback, an SLP/IBCLC in Berlin, Germany about the differences and similarities between support in the two countries.  Eva discusses how as an SLP it is in her scope of practice in Germany to teach oral exercises, however IBCLC's are not allowed to in Germany.  Government insurance also doesn't cover any visits with an IBCLC, yet SLP visits are covered.  Tongue tie assessment and treatment is just a difficult in Germany as it is in the US.  Listen here as Katie and Eva discuss the dynamics of private practices supporting new fmailies across the globe from each other.Podcast Guest: Eva Fieback is a Logopädin, which means SLP since 2005. Eva specialized in the treatment of patients with dysphagia and neurological disorders, augmentative communication, working at a school for neurodiverse children, many of them with eating or swallowing disorders. Eva has been in a private practice for many years, and became an IBCLC in 2018.  For the last 6 -7 years I ve been working with hundreds of families with breastfeeding problems.Eva visited the masterclass in Seattle 2020 (last in person pre-Covid) , took Zaghis course as an Tbi ambassador, Dan Hansons Course, a course with the AOMT in London and many many more to learn, how treatment of tongue tie and breastfeeding difficulties is done in other parts of the world.Eva Fieback is a teacher for the EISL, European Institute for breastfeeding and lactation, for oral anatomy, swallowing disorders in children, tongue tie treatment and other issues.Eva Fieback is a 56 year old, mother of four children, 2 of them are going to universities, two of them are still at home and lives in Berlin, Germany.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com 

In this episode Katie Oshita discusses the Holistic Lactation residency course she is taking, and our framework.  Acknowledging and understanding our framework is an essential first step to education and practice.  If we don't examine what we think of as normal, common, or basic for everyone, then we are ignoring what is part of our bias.  Our framework is created through our experiences and education, and it forms the lens we see the world through.  This episode challenges listeners to first look at their own frames, and then to really consider if those frames are correct, allowing them to see the whole picture and how those frames are effecting their practice.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

In this episode, Katie Oshita discusses manual therapy and tongue tie babies with Dr Ashley Rich.  Understanding oral ties and the impact on the fascial system is important for all practitioners working with families struggling with feeding issues.  Understanding how a different therapist sees things allows us to learn from each other, for the benefit of the families we all support.   Dr Ashley has more understanding than most Pediatric chiropractors after taking the IBCLC Master Class- Manual Therapy track and discusses this course and how it changed her practice in this episode.Podcast Guest: Dr. Ashley Rich is a Metro Detroit native and currently practices in suburban Detroit. She is certified in chiropractic pediatrics from the Academy of Family Practice and is passionate about aiding breastfeeding issues through a decade-long study, striving to enhance infant wellness and support parental journeys. Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

On the road again, well just for the day.  Listen as Katie Oshita meets with Dr Jimmy Chan in Vancouver BC to discuss his journey into tongue tie, ICAP and all things lactation and oral tethers.   When to release a tie is just as important as if to release the tie.  Tongue ties aren't just a problem in the US, but worldwide ankyloglossia is a growing issue and field.  Hear more with Katie Oshita and Dr Jimmy Chan.Podcast Guest: Dr. Jimmy Chan is a graduate of the University of British Columbia Faculty of Dentistry.  Dr. Chan has an keen interest in the high-tech aspects of dentistry to improve and enhance the well-being of his patients. Dr. Chan holds Fellowship status in both the Academy of Laser Dentistry and the Institute of Advanced Laser Dentistry.Dr. Chan is a co-founder and current board member of ICAP (International Consortiumof Oral Ankylofrenula Professionals) and a past board member of IATP (InternationalAffiliation of Tongue Tie Professionals). He is an active member of the Academy ofBreastfeeding Medicine, American Academy of Periodontology, Academy of LaserDentistry, Chinese Canadian Dental Society of British Columbia and Canadian Dental Association.Dr. Chan has cared for patients in his family dental practice in Lynn Valley, North Vancouver for over 25 years. He collaborates extensively with lactation consultants, midwifes and manual therapists in his community to improve the lives of breastfeeding dyads. He gives back to his alma mater by volunteering annually for the UBC Alumni Association.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

Pelvic floor issues post-pregnancy and birth are all too common.  Whether it's related to more sedentary lifestyles, assisted births, or epigentics is not known, but it does not have to be accepted.  Jenn Lormand EP and Christina Walsh PT all about stopping the acceptance that a little leaking is normal, and empowering women to take control of their own bodies.  No weird devices, meds or surgery needed, they created a home PT program, proven to be effective by a 3 year study at the University of New Orleans.  In this recording Christina talks with Katie Oshita about what is normal (hint- ever leaking pee is NOT), how to prevent problems and how to advocate for yourself.  Listen in to hear more about how women can take control of their bodies and stop painful or embarrassing issues.  ***Coupon code KTLC50 for $50 off the home program- share with anyone in need of support***Podcast Guest: A New Orleans mama of two living with pelvic floor issues, Christina is a Physical Therapist specializing in Integrative Manual Therapy and the co-creator of Tighten Your Tinkler. Christina and her cofounder Jenn Lormand have a combined 36 years of experience supporting postpartum women holistically through prolapse, diastasis recti, and more. Their proprietary protocol helps women solve pelvic floor problems WITHOUT kegels or internal vaginal devices from the comfort of their own homes. Christina's mission is to free more mamas from embarrassing pee leaks, chronic back/hip pain, and painful sex and, in doing so, help them to restore their dignity, functional strength, and trust in their own bodies.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

Tongue tie is much more than anatomy, it's about function first.  Even more it's about the dyad- a mom and baby pair for the first year- and how this functional loss is affecting them.   The frenectomy, or release, itself isn't going to get good results without adequate pre and post frenectomy support.  Listen as Katie Oshita and Dr Thomas discuss Dr Thomas' path to becoming a frenecotmy provider, how he supports families with referralsfor other providers in the area and what's ahead for health:latch.   The clinic, health:latch, is an infant focused tongue tie clinic in Bellevue Washington started by Dr James Thomas.  Podcast Guest: Originally from the Midwest, Dr. Thomas completed his dental studies and Master's in pediatric dentistry from the University of Michigan School of Dentistry. After residency, he and his family moved to the Pacific Northwest where he started a practice in Downtown Bellevue in 2007. Nine years and 7500 patients later, Dr. Thomas was called in a different direction: to help babies thrive. In 2017, Dr. Thomas started health:latch, a specialty clinic focused on educating, diagnosing, and releasing infant oral tethers so that babies and their families can enjoy a healthy, full life. He is excited to make a return to pediatric dentistry where he can bring a holistic approach to a child's full development from ages 0 - 18. Dr. Thomas enjoys spending time in the great PNW outdoors, going on trips with his wife to visit their college kids, and most of all, spending time with his best four-legged friend, Sherman.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

In this episode Katie Oshita, RN, BSN, IBCLC addresses some very common questions about breastfeeding and more.  Everything from "should breastfeeding hurt" and "how long should a feed take" to general education about the Snoo, starting solids, pumping, safe sleep and more.  If you have wondered about basic breastfeeding and how to answer some questions, or when to know that something isn't normal and refer (spoiler alert- common does not equal normal), this is a great episode for you.

In this episode Katie Oshita, RN, BSN, IBCLC discusses the current status of birth in this country.  In the United States there is a vast disparity in healthcare between races, leading to an alarmingly high maternal morbidity and mortality rate for black women.  This will not change until it is talked about, until we all demand equal and safe healthcare for all.  Katie also discusses SIDS, safe sleep, and parental leave and the direct correlation with breastfeeding rates in the US and worldwide.   Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

Dr Jack Newman has been working with breastfeeding mothers for over 4 decades! His knowledge of breastfeeding medicine is expansive, and his passion for helping breastfeeding mothers never wavers.  In this episode Katie Oshita and Dr Newman discuss inducting lactation, at breast versus bottle supplementation and much more.  If you want to learn about lactation from one of the leaders in Breastfeeding Medicine ins the world, listen to this episode now.Podcast Guest: Dr. Jack Newman graduated from the University of Toronto medical school in 1970 and completed his residency at Vancouver General Hospital. Following this, he trained in pediatrics in Quebec City and then at the Hospital for Sick Children in Toronto from 1977-1981. In 1981, Dr. Newman became a Fellow of the Royal College of Physicians of Canada, as well as Board Certified by the American Academy of PediatricsDr. Newman was a staff paediatrician at the Hospital for Sick Children emergency department from 1983 to 1992, and acted as Chief of Emergency Services for a short period. During his time at the Hospital for Sick Children, he founded the first hospital-based breastfeeding clinic in Canada in 1984. He has been a consultant for UNICEF for the Baby Friendly Hospital Initiative, where he evaluated the first candidate hospitals in Gabon, the Ivory Coast, and Canada. In 2013, Dr. Newman was awarded the Queen's Jubilee Medal for service to the community.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

Bodywork is defined as a manual therapy, healing touch used holistically to increase wellness in a person.  There are many wonderful kinds of bodywork- craniosacral therapy, chiropractic, osteopathic, myofascial and more.  Judy Rosevear-Pusey has been practicing myofascial release therapy for over 30 years and teaches throughout the country.  Katie and Judy discuss how bodywork helps newborns through adulthood, and how it helps with feeding.  Podcast Guest: Judy Rosevar-Pusey has been an Occupational Therapist for 50 years and has treated all ages and diagnoses.  In 1989, she took her 1st Myofascial Release course from John F. Barnes, PT, learning more about the fascial system.  Judy has since taken many Myofascial courses and teaches the Pediatric Myofascial course all over the country.  In January 2017 Judy's clinic began using a Balance Tutor as the first clinic in America with one.  It has been highly successful in improving physical skills in individuals diagnosed with stroke, Parkinson's Multiple Sclerosis, Alzheimer's, Autistic Spectrum Disorder, and Sensory Processing Difficulties.  The balance Tutor helps improve balance and proprioceptive awareness of where our body is in space.  It also helps improve reaction time, reducing the possibility of serious injury when if we fall. Judy was born in Indiana, has 4 grown children, 4 grandchildren and a great granddaughter and they are an integral part of her life.  When not working you can find Judy enjoy time with her family and hiking, camping, biking and traveling.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

Listen in as Katie Oshita and Dr Niki Boloorchi discuss tongue tie, training, timing, teams and all the things in this fields.  Dr Niki is one of the rare providers who actually practices what she preaches, and understands timing of release, encouraging parents to work with lactation and bodywork before and after a release.  Dr Niki doesn't even offer a release day of consultation unless referred by a preferred provider and prearranged!  Listen as they discuss why this is important and how it effects the outcome of release.Podcast Guest: Dr. Niki Boloorchi is a dentist and dental anesthesiologist who also has advanced training in treating tethered oral tissues (functionalDr. Boloorchi holds a BA in International Development and earned her Doctorsre of dental surgery with honors from USC. She further specialized at the Loma Linda Dental Anesthesiology Residency Program and received special airway training in laser dentistry under Dr Zaghi (The Breathe Institute) and Dr. Richard Baxter.  Currently, she proudly is an affiliate of the Breathe Institute in Northern California. She is the owner of Tooth + Tongue in Walnut Creek , Ca.  Her practice focuses on dentistry under sedation, airway, and tongue/lip tie releases with a comprehensive team approach.  Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

Katie Oshita and Rachelle Markham discuss lactation and how it is now, plus how it should be.  Rachelle has taken the year long holistic residency program from Jennifer Tow, and discusses how this has transformed her practice, but also how understanding our body processes and how dysfunction happens has added whole new toolboxes for her practice.  Rachelle states this course has given her answers to questions she didn't even know to ask.  Listen here to learn more about Rachelle and wellness lactation.Podcast Guest: Rachelle Markham, owns and operates Wellness Lactation, in San Diego, CA where she helps new parents and families navigate their infant feeding journey. Rachelle has been working with families for over 27 years. Twenty of those years have been as an IBCLC. She has a passion for learning and keeping up to date with all things human lactation.  This desire to “know-all-the-things” means she can frequently be found traveling to trainings or enrolled in multiple online classes. Last year she finished up a year long intensive program on Holistic Lactation, which allows her to help so many more families achieve their feeding goals. When she doesn't have a client in front of her you'll almost always find Rachelle with a giant iced black tea in hand, wearing something black, tending to her chickens and large garden, or planning her next adventure!Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

Another year of podcasting!  Another year on the road with THOUSANDS of miles, meeting with providers and recording to share this information.  In this year Katie Oshita met with 10 release providers, 3 chiropractors, 1 Myofascial release therapist, 7 IBCLC's, 1 SLP and had 5 episodes herself.In this episode, Katie discusses some of the things she has learned as well as what she has noticed watching releases, providers co-treating, and different attempts at tongue tie teams.  Listen to hear more about how to achieve competency not compensations for breastfeeding families.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

In this episode Katie Oshita, RN, BSN, IBCLC and Mark Persaud, DDS discuss tongue tie both from a parent's and provider's perspective and how all of this led to Dr Persaud and his wife Amelia Persaud to create a multi-therapy office.  The strategy here was to allow parents one location, one place to centralize care.  More than that, this central design facilities provider communication and true learning from each other.  Listen for more details about this groundbreaking tongue tie center of Atlanta.Podcast Guest: Mark Persaud, DDS and his wife, Amelia OTR/L, IBCLC built their own specialty practice from the ground up almost three years ago, where they focus on tethered oral tissues (TOTs) and therapy under one roof.  The focus and passion behind his practice is to educate parents and walk them through the TOTs release process in a way that he felt was lacking when he went through these issues as a parent himself. Both of his children exhibited multiple signs and symptoms of TOTs as infants, and despite exhausting consultations with different medical professionals, he felt that there was a missing piece of the puzzle in improving their issues.  This sent him and his wife down the rabbit hole of airway focused dentistry and therapy.  Through several continuing education courses and a practice that focuses only on TOTs and therapy, Dr. Persaud has a unique exposure that allows him to look beyond the lens of just performing frenectomies, but also understanding holistically, the importance of pre and post therapy rehabilitation and wound management, which he feels truly makes all the difference in providing patients with consistent and predictable results.  Dr. Persaud is from Queens, NY. He graduated from Meharry Medical College in 2017, and completed an AEGD through NYU-Lutheran in Atlanta, Georgia, where he and his family settled. Although he still loves New York (to visit), the hustle and traffic congestion of the big city life drives him bonkers. He is a homebody that enjoys time with his two kiddos and awesome wife.  Aside from being an airway focused dentist, he finds himself becoming more into health and wellness, and would love to grow his airway focused practice into adding functional medicine in the upcoming years. Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com