Podcasts about airway

What if better sleep starts with addressing what's happening inside your body? In this episode of The Healthy Sleep Revolution Podcast, Dr. Meghna Dassani sits down with dentist-turned-peptide coach Dr. Aimee Russo-Mounger to explore peptides, inflammation, cortisol, healing, and their potential role in supporting better sleep and overall wellness. After 28 years in dentistry, Dr. Aimee retired from clinical practice in 2026 and shifted her focus to peptide therapy and coaching for high-achieving women. She shares what led her down this path, how peptides work, and why she believes addressing the underlying causes of inflammation, stress, and poor sleep can be an important part of a broader health strategy. Together, Dr. Meghna and Dr. Aimee discuss: What peptides are and how they communicate with our cells The difference between natural and synthetic peptides How inflammation and cortisol can affect sleep, recovery, and overall health Peptides that may support relaxation, restorative sleep, and inflammation management Why peptides should not replace evidence-based treatment for sleep apnea, such as CPAP or oral appliance therapy The connection between chronic stress, the central nervous system, and restorative sleep Why high-achieving women and busy moms may be particularly vulnerable to chronic stress and burnout How Dr. Aimee approaches peptide therapy through personalized coaching The role of medical oversight when using peptide therapies Why addressing the foundation of health may be more effective than continually adding another "band-aid" Dr. Aimee also shares her own experience with stress, cortisol, weight changes, and the transition from practicing dentistry to helping women reclaim their energy, clarity, and vitality. Disclaimer: This episode is for educational purposes only and does not constitute medical advice. Peptide therapies may not be appropriate for everyone. Always consult an appropriately qualified healthcare professional before starting any new treatment. About Dr. Aimee Russo-Mounger Dr. Aimee Russo-Mounger has spent 28 years in medicine as a Doctor of Dental Surgery — and today she brings that same clinical rigor into an entirely different mission: helping high-achieving women reclaim their energy, clarity, and vitality from the inside out. Certified in Peptide Therapy through The Empowered Academy and an affiliate of MAKE Wellness, Dr. Aimee founded the Powerhouse Peptide Method, a science-backed, faith-rooted approach designed to help women feel like themselves again. As a speaker, coach, and host of The Dr. Aimee Podcast, she brings decades of clinical experience and a deeply personal conviction that true longevity starts with caring for the whole person — body, mind, and soul. Dr. Aimee's first book is set to release in December 2026. Connect with Dr. Aimee Russo-Mounger Website & Socials: https://linktr.ee/Dr.Aimeehealth Take the Free Assessment: https://boards.com/a/XesvKn.OZi0K0 About Meghna Dassani Dr. Meghna Dassani is passionate about promoting healthy sleep through dental practices. In following the ADA's 2017 guideline on sleep apnea screening and treatment, she has helped many children and adults improve their sleep, their breathing, and their lives. Her books and seminars help parents and practitioners understand the essential roles of the tongue, palate, and jaw in promoting healthy sleep.   Connect with Dr. Meghna Dassani Website: https://www.meghnadassani.com Facebook: https://www.facebook.com/healthysleeprevolution Instagram: https://www.instagram.com/healthysleeprevolution/ Youtube: https://www.youtube.com/channel/UC9Lh_n7xmbhQVPGQrSjBIrw Get a copy of Airway is Life: https://www.airwayislife.com

When feeding therapy stalls, it is rarely because a clinician lacks exercises - it is usually because intervention began before the child's foundational systems were fully understood. Trying to fix oral-motor mechanics without addressing postural stability, airway integrity, or sensory overload is like building a house on sand.In this episode, Hallie Bulkin shares a structured, child-centered framework for pediatric feeding therapy that moves clinicians away from reactive "symptom chasing" and toward deep clinical reasoning. She breaks down the critical distinction between preliminary screening and comprehensive assessment, explaining how to connect isolated clinical observations into actionable patterns.Hallie highlights why posture, breathing, and nervous system regulation must be evaluated before asking the mouth to perform. She also discusses how to prioritize barriers based on the whole child, collaborate effectively with medical providers, and implement proactive strategies that build lasting trust with families.Key Topics & TakeawaysFoundation Over Function: Why postural alignment, airway patency, and sensory processing must be stabilized before targeting oral-motor skill development.Pattern Recognition vs. Symptom Chasing: How to connect individual clinical observations into cohesive patterns that reveal the true root cause of feeding difficulties.Screening vs. Comprehensive Assessment: Understanding where screening ends and formal diagnostic assessment begins to avoid premature intervention plans.Proactive vs. Reactive Therapy: Shifting from session-by-session troubleshooting to a clear, milestone-driven roadmap.Interdisciplinary Medical Collaboration: How and when to bring in medical partners (ENTs, GI, bodyworkers, dentists) to address systemic barriers to progress.Soundbites"Feeding does not happen in a silo - it requires the synchronized support of posture, airway, sensory, and nervous system regulation.""Assess the child's foundation before asking the mouth to perform. If the body is fighting for balance or air, feeding will always be secondary.""Symptoms are information, not the starting point. Our job is to trace those symptoms back to the underlying root cause."Timestamps 00:01:43 - The Need for a Structured Clinical Framework00:02:35 - Case Example: Why Feeding Does Not Happen in a Silo00:04:34 - Connecting the Dots in Feeding Evaluations00:05:08 - Assessing the Child's Foundation (Postural, Airway & Regulation)00:06:13 - Functional Feeding Assessment vs. Isolated Screening00:07:36 - Prioritizing Barriers and Building a Clinical Plan00:08:29 - Clinical Decision Examples (Posture, Airway, Trauma & Skill)00:10:12 - Stop Chasing Symptoms: Ask What the Behavior is Showing00:11:20 - Moving From Reactive Care to Proactive Care00:12:02 - Building Pattern Recognition & True Clinical Confidence00:14:42 - Key Takeaways for Feeding Therapists00:15:18 - Feed The Peds Training Announcement & WaitlistLinks & ResourcesFREE TRAINING: Learn how structural airway limits directly affect feeding in our free Screen The Peds to Feed The Peds Training.WORTH A LISTEN: CONTINUE YOUR JOURNEYWhy Some Cases Stay Stuck: The Clinical Thinking That Changes Outcomes.Screening vs. Assessment vs. Treatment: Why Every Clinician Needs to Know the Difference.STAY CONNECTED

Deep sedation often leaves anesthesia providers working in the space between simple oxygen delivery and a fully advanced airway. That gap can mean poor capnography, inefficient oxygen delivery, frequent airway maneuvers, and plenty of improvised solutions. In this episode, the show's first anesthesiologist, Dr. Rene Gonzalez, joins Sharon and Jeremy to discuss the Aeris Airway, the study behind it, and how purpose-built airway tools could help providers take a more proactive approach to patient support. Here's some of what you'll hear in this episode:

Holistic, biological, functional — is there actually a difference, or is it all just marketing?Are root canals really dangerous — or is that just what the algorithm keeps showing your patients?When a patient wants their sound fillings out, do you test, reassure, or drill?And how do you bring sleep, diet and blood tests into a dental appointment without it stopping being dentistry?This episode sits down with Dr James Goolnik (https://uk.linkedin.com/in/james-goolnik)— clinical dentist, founder of the London holistic practice Optimal Dental Health, past President of the British Academy of Cosmetic Dentistry, and one of Jaz's earliest mentors. James openly calls himself a holistic and biological dentist, which makes him the ideal person to separate the thoughtful, evidence-aware end of this world from the online extremism that gives it a bad name. Expect a balanced, honest conversation: some of it you'll adopt tomorrow, some of it you'll want to pressure-test — which is exactly the point.Protrusive Dental Pearl: Dentistry Isn't Just About Fixing TeethThis one isn't a clinical tip — it's a sentiment that frames the whole episode. Dentistry isn't just about fixing teeth; it's about improving health. You don't have to agree with every claim made in biological dentistry — but you will struggle to disagree that a patient's diet, sleep, breathing, stress and inflammation all influence oral health.So the pearl is simple: stay curious, stay open-minded — but stay critical, and never stop asking better questions.What You'll Take From This EpisodeThe holistic–biological spectrum — what each word actually means, and where thoughtful practice tips into online extremism.Test or reassure? — the three-question filter for deciding whether any test earns its place before you order it.Safe amalgam removal — the SMART protocol, and when a worried patient's sound filling should be left well alone.The mouth-body connection — how sleep, glucose control and systemic inflammation affect the mouth, and where to refer.The balanced take on root canals and implants — whether root canals are dangerous, and titanium versus ceramic with metal-allergy testing.Highlights of This Episode00:00     Teaser00:59     Holistic vs Biological Dentistry: What's the Difference?05:49    Why Listening Beats Perfect Margins in Dentistry10:29     Why Patients Started to Doubt Root Canal Treatment12:09     Mercury Fillings: Should You Remove Amalgam?14:09     The SMART Protocol for Safe Amalgam Removal19:59     The Mouth-Body Connection: Sleep, Diabetes & Alzheimer's24:59    How to Build Nutrition Into a Dental Practice26:25     Midroll34:01     Sleep Tests, Glucose Monitors and Blood Tests in Practice38:21     Is Biological Dentistry Dangerous? The Extremist Problem39:21     Are Root Canals Dangerous? A Balanced Take41:51     Titanium vs Zirconia Implants and Metal Allergy Testing46:51     When Removing a Healthy Tooth Becomes Negligent50:56    What Diet Should Dentists Actually Follow?53:41     How to Get Started in Holistic Dentistry56:30    OutroFrom the GuestDr James Goolnik is a clinical dentist and founder of Optimal Dental Health, a holistic practice in London built around integrating nutrition, sleep and whole-health screening into everyday dentistry. He is a past President of the British Academy of Cosmetic Dentistry, a member of the International Academy of Oral Medicine and Toxicology, and the author of “Brush” (profits to Dentaid) and the “Kick Sugar” cookbook (profits to his Rewards Project charity).

What separates a strong nurse anesthesia applicant from someone who simply looks impressive on paper? In this episode of Airway Exchange, Erin and Louisa sit down with Leah Gordon, DNP, APRN, CRNA, program director and assistant professor in the Nurse Anesthesiology Program at St. Mary's University of Minnesota and author of The Provider Mindset: A Complete Guide to Becoming a Competitive Nurse Anesthesiology Applicant. Together, they explore what educators are really looking for during the admissions process and why GPA, ICU experience, shadowing hours, and a polished interview only tell part of the story. Here's some of what you'll hear in this episode:

In this episode, Jackie Sanders and Andrew Johnston sit down with dental hygienist Andrew Lee to discuss the growing role dental hygienists can play in identifying potential airway and sleep concerns. Andrew shares how his more than 20 years in clinical practice led him to look beyond the traditional hygiene appointment and explore how dental professionals can better recognize signs such as bruxism, tooth wear, tongue scalloping, and other indicators that may warrant further airway assessment. The conversation also examines one of the biggest challenges in airway care: what happens after a potential problem is identified. Andrew discusses the gaps that can occur when patients are referred outside the dental practice for sleep testing and how more integrated workflows could better connect dentistry and medicine. He also explains why hygienists are well positioned to champion airway screening in their practices and encourages them to view comprehensive assessment as an extension of the preventive care they already provide. Connect with Andrew Lee Email: andrew@orasom.health

When a child presents with sleep-disordered breathing, chronic mouth breathing, or persistent feeding challenges, evaluating the upper airway becomes a top priority. However, determining when conservative management is sufficient versus when surgical intervention - like a tonsillectomy or adenoidectomy - is required can be complex for both parents and providers.In this episode, Hallie Bulkin sits down with pediatric ENT specialist Dr. Ariel Grobman to break down the clinical nuances of pediatric airway evaluation. Dr. Grobman shares expert insights into physical examination techniques, the practical role of nasoendoscopy, and when sleep studies are truly necessary versus when visual and functional markers dictate action.Together, they explore post-surgical recovery expectations, adenoid regrowth, secondary causes of nasal obstruction like enlarged turbinates, and the critical link between airway dysfunction, ear infections, and feeding difficulties. Dr. Grobman also emphasizes the essential role of interdisciplinary collaboration between ENTs, myofunctional therapists, and airway-focused orthodontists.About the Guest: Ariel Grobman, MDDr. Ariel Grobman is a board-certified Otolaryngologist (Ear, Nose, and Throat surgeon) specializing in pediatric and adult airway management, sinus disorders, and head and neck surgery. Dr. Grobman is dedicated to taking an integrative, patient-centered approach to airway health, helping families navigate complex decisions regarding tonsillectomy, adenoidectomy, and nasal airway procedures. He works closely with multidisciplinary teams of speech pathologists, myofunctional therapists, and dentists to ensure comprehensive, root-cause care.Key Topics & TakeawaysAirway Risk Assessment: Why establishing danger and the severity of airway restriction is the primary step in evaluating pediatric sleep issues.Surgical Indications & Outcomes: Understanding real-world expectations, recovery protocols, and regrowth potential following tonsillectomy and adenoidectomy.Interdisciplinary Collaboration: Why optimal patient outcomes rely on close coordination between ENTs, airway-focused orthodontists, and myofunctional providers.Soundbites"Assessing danger and functional impact is always the most important first step.""A detailed physical exam combined with clinical history can often replace the need for a cumbersome sleep study.""Nasal endoscopy is quick, minimally invasive, and gives us immediate answers about structural obstructions."Timestamps01:03 - Guest Introduction: Dr. Ariel Grobman02:46 - Assessing Tonsils & Adenoids in Pediatric Patients06:51 - Indications for Pediatric Sleep Studies07:11 - Physical Examination & In-Office Nasal Endoscopy15:54 - Adenoidectomy vs. Tonsillectomy: Procedures & Recovery20:40 - Tissue Regrowth & Root Causes of Adenotonsillar Hypertrophy22:13 - Addressing Persistent Mouth Breathing & Role of Myofunctional Therapy36:56 - Managing Complex Pediatric Airway & Feeding Cases40:29 - Indications for Middle Ear Fluid Drainage & PE Tubes44:34 - Airway-Focused Orthodontics & Palatal Expansion49:09 - Where to Find Dr. Ariel Grobman & Closing RemarksLinks & ResourcesConnect with Dr. Ariel Grobman: Learn more about his practice and patient resources at Ariel Grobman MD.Fast Myo Screening Tool: Identify structural airway red flags and breathing compensations at FastMyoScreening.com.WORTH A LISTEN: CONTINUE YOUR JOURNEYDon't Ignore the Snore: The Hidden Link Between Airway, Sleep, and ADHD.Mouth Breathing vs. Nasal Breathing: Changing Lives Through Early Airway Intervention.STAY CONNECTED

In this 341st episode I welcome Drs. Alia El-Mowafy and Rachel Tobis to the show to discuss how to prepare for and handle difficult airways and airway emergencies in the office-based setting. Our Sponsors:* Check out BetterHelp: https://www.betterhelp.com* Check out FIGS: https://wearfigs.com* Check out Factor and use my code factormeals.com/accrac50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/ACCRAC for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

It's been a minute — and we've got a lot to catch you up on.Over the past year and a half, we've been heads-down opening Airway dentist offices, training our teams, and building toward some bigger things behind the scenes. In this episode, we're pulling back the curtain on where we've been and what we've been working on.We're also giving you a first look at our upcoming interview series, where we sit down with Airway dentists from our different locations to hear what it's really like joining the Airway team — the wins, the challenges, and everything in between.

Many nurse anesthesia students enter their programs with an interest in teaching, but that interest can fade without formal guidance or hands-on opportunities. The Minneapolis School of Anesthesia is addressing that gap through a student faculty mentorship track designed to prepare future educators before graduation. In this episode, Nickie and Louisa are joined by faculty members Dr. Travis Laffoon, DNP, CRNA, APRN, Megan Kakela, DNP, CRNA, APRN, Jordan Popp, DNP, CRNA, APRN, and Dr. Grace Bedu, DNP, CRNA, APRN to discuss how the program combines mentorship, clinical release time, exam development, simulation teaching, and exposure to the realities of academic life. Their experience offers a practical model for strengthening the nurse anesthesia faculty pipeline. Here's what you'll hear in this episode:

Can viewing the airway as one connected system change the future of respiratory care and improve patient outcomes? On this episode of the BackTable ENT & Allergy Podcast, Dr. Cedric Jamie Rutland, pulmonary and critical care medicine physician, joins Dr. Basil Kahwash to discuss the unified airway hypothesis and its implications for clinical care. They explore how upper and lower airway inflammation are closely linked, and why multidisciplinary collaboration is essential for treating the whole patient. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction05:06 - Understanding the Unified Airway14:27 - Decoding Asthma Biomarkers20:34 - Endotyping in Clinical Practice26:36 - Addressing Asthma Symptom and “Outgrowing” Asthma32:13 - Strategies for Precision Biologics34:23 - Navigating Insurance and Treatment Indications35:36 - Treating the Whole Patient and Breaking Down Specialty Silos46:07 - Effective Patient Communication51:36 - Asthma Lightning Round57:33 - Biologics and Airway Remodeling1:00:00 - Closing Thoughts --- More about this episode The conversation covers the biology of type II inflammation, the use of biomarkers and biologics for more personalized treatment, and practical strategies for overcoming insurance barriers and specialty silos. Dr. Rutland shares insights on patient communication, the limitations of current diagnostics, and the impact of chronic inflammation on systemic disease. The episode highlights the need for ENT, allergy, and pulmonology teams to work together and embrace a connected view of airway disease to achieve better patient outcomes. --- Resources Dr. Jamie Rutland - https://www.lung.org/media/meet-our-experts/cedric-jamie-rutland-md --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

Are you a mom wondering why orthodontic treatment looks so different today than it did when you were a teenager? Are you being told your 7-year-old needs a palate expander and you're not sure why? In this episode, we sit down with Dr. Amanda Wilson, a mom, orthodontist, and dental consultant, to demystify the world of "airway health" and explain why it's the new frontier in children's dentistry.Dr. Wilson, joining us all the way from Hawaii, shares her unique perspective on how orthodontics has evolved from simply straightening teeth to focusing on the overall growth and health of a child's face. We break down the "ABCs" of airway, breathing, and circulation, and discuss why early intervention matters.About Dr. Amanda Wilson:Website: https://www.straightsmilesolutions.com/YouTube: https://www.youtube.com/@StraightsmilesolutionsInstagram: https://www.instagram.com/straightsmilesolutions/Facebook: https://www.facebook.com/StraightSmileSolutions/LinkedIn: https://www.linkedin.com/in/dramandawilsonAbout the Host:Real Life Momz on Instagram:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/reallifemomz⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Real Life Momz on Facebook:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ https://www.facebook.com/reallifemomzpodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow on YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://youtube.com/@reallifemomzpodcast4048?si=jj5bQ_Afhyl0ZNi7⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠We're excited to share that Real Life Momz now has an ⁠Amazon storefront⁠! Every product featured here has been carefully selected based on recommendations from our expert podcast guests, focusing on development, self-care, and personal growth. Shop with confidence, knowing that each item comes with a genuine endorsement. It's your time to prioritize yourself. Check out our storefront and discover the perfect products to support your journey! ⁠https://www.amazon.com/shop/reallifemomz

→ Ora Oganic | Real ingredients, planet-friendly packaging, easy to love. Head to https://ora.organic/pages/drg and use my code HEALTHYSELF30 to enjoy 30% off your first Ora order today. → Puori | Go to https://puori.com/DRG and use the code DRG at checkout to get 32% off your first Puori Creatine+ subscription order. Episode Description: The way that you breathe actually shapes the way that your face grows. And if your child is sleeping with their mouth open, that is not cute. That is a warning sign. Dr. Nora Zaghi is an airway focused biological pediatric dentist and one of the leading practitioners in sleep disordered breathing. This conversation connects dots that most people have never had connected for them. Mouth breathing, tongue ties, crowded jaws, ADHD, anxiety, dark circles under the eyes, restless sleep, and even the way a child walks. It is all coming from the same root. And for adults who have been living with this their entire lives without knowing it, there are still solutions. In this episode, you'll discover:  •   Why where your tongue rests in your mouth determines how your jaw and face develop, and why children who mouth breathe grow downward and backward instead of forward and wide  •   How a tongue tie creates tension through the entire deep front line of the body from the base of the tongue all the way to the toes, and why releasing it has caused patients to cry, stand straighter, speak more confidently, and walk normally for the first time  •   The root cause connection between a restrictive tongue, jaw clenching and grinding, and chronic anxiety, and the simple at home test you can do right now to check your own tongue mobility This episode is for every parent, every adult who was told they had ADHD or anxiety, and everyone who has been mouth breathing their whole life without knowing there was a name for it. Nora Zaghi: Website: hhttps://www.breathekidsdental.com Instagram: https://www.instagram.com/dr.norazaghi/?hl=en Timestamps: 0:00 - Intro 2:05 - What Causes a Child's Tongue to Rest on the Floor of the Mouth Instead of the Roof 4:03 - Why a Sleeping Baby With Their Mouth Open Is Concerning, Not Cute 5:17 - Signs as an Adult That Your Jaw Never Fully Developed (And What You Can Do Now) 7:15 - How to Self-Check at Home Right Now 9:07 - The Connection Between Mouth Breathing and Chronic Fatigue 10:02 - 44% of People With ADHD Also Have a Breathing Problem — Here's Why 12:58 - Can ADHD Be Misdiagnosed When Sleep Apnea Is the Real Issue? 15:53 - How Breastfeeding Is Actually the First Orthodontic Intervention 17:07 - Why You WANT Gaps Between Your Baby's Teeth (And Why "Perfect Alignment" Is a Red Flag) 18:21 - Tongue Ties, Breastfeeding Pain and What Most Hospitals Get Wrong 22:23 - A Root Cause of Anxiety That Can Actually Be Found in Your Mouth 25:36 - How Releasing a Tongue Tie Can Trigger a Full-Body Emotional Release 26:24 - How to Find a Provider and Where to Learn More Learn more about your ad choices. Visit megaphone.fm/adchoices

Let's introduce the anatomy of the airway very briefly by starting at the nose and the mouth and working our way down to the alveoli. 

Dr. Ajay Nayak interviews Dr. Christopher Pascoe about his article, "19(S)-Hydroxyeicosatetraenoic Acid Promotes Airway Smooth Muscle Relaxation and Decreases DNA Synthesis Through the Prostacyclin Receptor."

Chest X-ray interpretation made easy, a systematic approach to reading CXR. See on YouTube for pathology examples! PDFs available here: https://rhesusmedicine.com/products/assessment-or-interpretationConsider subscribing (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 Chest X-Ray Basics0:37 D- Details0:55 R - Radiography and Image Quality2:49 A - Airway & Bronchi3:50 B - Breathing (Lungs & Pleura)6:33 C - Cardiac & Circulation (Heart & Systemic Vessels)8:51 D - Diaphragm and Below9:54 E - External (Bones & Soft Tissues)10:51 F -  Foreign Bodies 11:19 Closing ThoughtsLINK TO MORE MNEMONICS:https://www.youtube.com/watch?v=p-XE7PiwGgE&list=PLGNSE_HvIV4t7a33bbHN1fq-j_tge0GmpLINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/Please remember this podcast and all content from Rhesus Medicine is meant for educational purposes only and should not be used as a guide to diagnose or to treat. Please consult a healthcare professional for medical advice. ReferencesRadiopaedia (2025) Chest radiograph. Radiopaedia.org. Available at: https://radiopaedia.org/articles/chest-radiograph?lang=gbRadiopaedia (2025) Chest X-ray review: ABCDEF. Radiopaedia.org. Available at: https://radiopaedia.org/articles/chest-x-ray-review-abcdef?lang=gbWard, D. and Potter, L. (2024) Chest X-ray interpretation: a methodical approach. Geeky Medics. Available at: https://geekymedics.com/chest-x-ray-interpretation-a-methodical-approach/Cadogan, M. (2023) ABC of CXR interpretation. Life in the Fast Lane (LITFL). Available at: https://litfl.com/abc-of-cxr-interpretation/

How much does the clinical learning environment shape the future of nurse anesthesia? In this episode of Airway Exchange, Greg and Erin welcome Richard Wilson, DNAP, CRNA, FAANA to discuss his groundbreaking research on incivility among CRNA preceptors. Together, they examine groundbreaking research showing that more than three-quarters of nurse anesthesia residents reported experiencing some form of incivility during training, while exploring why these situations occur and what educators, preceptors, and clinical leaders can do to improve the experience for everyone involved. Rather than simply identifying the problem, this conversation focuses on practical solutions.   Here's some of what you'll hear in this episode:

Is nasal obstruction the overlooked culprit behind CPAP intolerance? On this episode of BackTable ENT & Allergy, Dr. Gopi Shah interviews Dr. Atul Malhotra and Dr. Michael Hutz to examine the critical but often underappreciated role of the nose in obstructive sleep apnea management. They discuss how nasal obstruction can undermine CPAP adherence, why relying solely on AHI may miss key issues, and how identifying the true cause of intolerance can lead to more personalized and effective therapy. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Aerin Medicalhttps://vivaer.com/ --- Timestamps 00:00 - Introduction04:05 - OSA Presentation and AHI Limitations08:13 - Understanding CPAP Intolerance and Nasal Obstruction15:24 - Evaluating Nasal Obstruction20:32 - Nasal Anatomy and Workup27:47 - DICE Technique and Assessing Dynamic Nasal Collapse32:51 - Medical and Non-Surgical Management37:29 - Surgical Options and VivAer43:39 - Nasal Procedures and CPAP Success51:57 - Nasal Surgery and Heart Outcomes55:23 - Beyond CPAP: Nasal Breathing, Myofunctional Therapy, and Collaborative Care01:04:51 - Wrap Up --- More about this episode The physicians review practical strategies for evaluating nasal obstruction, from targeted patient questionnaires, physical exams, nasal endoscopy, and selective imaging. The doctors also detail medical and surgical treatment options, from allergy management and nasal sprays to septoplasty, turbinate reduction, functional rhinoplasty, and temperature-controlled radiofrequency (VivAer). Throughout the episode, they highlight how comprehensive nasal evaluation and intervention can significantly improve CPAP comfort and adherence. --- Resources Dr. Atul Malhotra - https://providers.ucsd.edu/details/22362/sleep-medicine-pulmonology-(lung) Dr. Michael Hutz- https://doctors.rush.edu/details/19100 CPAP treatment persistence following nasal procedures in obstructive sleep apnea - https://www.tandfonline.com/doi/pdf/10.1080/13696998.2026.2671550 Design and rationale for treating Obstructive Sleep Apnea using Targeted Hypoglossal Nerve Stimulation trial - https://www.sciencedirect.com/science/article/pii/S1551714422001306 The Impact of Mouth-Taping in Mouth-Breathers with Mild Obstructive Sleep Apnea - https://pmc.ncbi.nlm.nih.gov/articles/PMC9498537/ VATRAC Trial of VivAer - https://aerinmedical.com/company/news-and-media/aerin-medical-announces-positive-two-year-outcomes-from-the-vatrac-trial-of-vivaer/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

Dr. Nilesh Ambhore interviews Dr. Gerard H. Koppelman about his article, "Protocadherin-1 Deficiency Increases Baseline and Allergen-Induced Airway Hyperresponsiveness in Mice."

Dr. Niyati A. Borkar speaks with Dr. Yaping Tu and Dr. Thomas B. Casale about their article, "Pirfenidone and its Derivative: Novel Bronchodilators and Leukocyte Airway Inflammation Inhibitors."

When does a routine corticosteroid prescription become a signal of uncontrolled airway disease? Credit available for this activity expires: 7/14/27 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/advancing-corticosteroid-stewardship-across-airway-diseases-2026a1000mne?ecd=bdc_podcast_libsyn_mscpedu

Here is the MIST study Courtney referenced; ⁠⁠Intranasal Treatments for Children With Sleep-Disordered Breathing: The MIST+ Randomized Clinical Trial | Trials | JAMA Pediatrics | JAMA Network⁠⁠The MIST (Medical vs Interventional Steroid for Sleep-Disordered Breathing) and MIST+ studies, conducted by researchers at the Murdoch Children's Research Institute (MCRI) and Monash University in Australia, investigated simple saline (salt water) nasal sprays as a first-line treatment for children with obstructive sleep-disordered breathing. Key FindingsSurgery-Sparing Solution: The trials found that nearly one in three (29.5%) children aged 3–12 improved with a saline spray alone, with their snoring and breathing symptoms completely resolving. Saline vs Steroids: The MIST studies discovered that a simple 0.9% saline nasal spray was just as effective as an anti-inflammatory steroid nasal spray in reducing symptoms. Reduced Need for Surgery: After 12 weeks of use, symptoms had resolved in half (50%) of the study cohort, potentially halving the number of children needing tonsil or adenoid removal surgery. Safe for Daily Use: Saline sprays and rinses are a safe, low-cost, and non-pharmacological treatment.Water Safety: If you or your child are preparing your own saline rinses at home (using a Neti pot or squeeze bottle), always use distilled, sterile, or previously boiled and cooled tap water to prevent dangerous infections.How They WorkSaline nasal sprays and rinses alleviate nasal congestion by mechanically flushing out allergens, irritants, and excess mucus. They also help to reduce inflammation in the nasal passages and improve the function of the respiratory mucosa. Safety & RecommendationsLink to T&A Natural Solutions Toolkit: ⁠⁠Tonsil & Adenoid Toolkit – Natural Relief & Airway Support⁠⁠Facebook Group for Parents: ⁠⁠https://www.facebook.com/share/g/1LScNKt1V1/⁠⁠Courtney's practice ⁠⁠https://www.functionalfaceomt.com⁠⁠Courtney's Facebook ⁠⁠https://www.facebook.com/functionalface.omt/⁠⁠Courtney's Instagram ⁠⁠https://www.instagram.com/functionalface/⁠⁠Dr Mahony's practice⁠⁠ https://www.fullfaceorthodontics.com.au⁠⁠Dr Mahony's Instagram ⁠⁠https://www.instagram.com/fullfaceorthodontics/⁠⁠Dr Mahony's Book ⁠⁠https://amzn.asia/d/04fBdCQM⁠⁠Dr Mahony's Australian Tour, where he is speaking to patrents, teachers, allied health professionals and doctors, on how to recognise early sign of sleep disorders in children, as well as how and when to intervene ⁠⁠https://www.derekmahony.com/events⁠⁠

Item analysis can sound intimidating, especially for educators who were trained as clinicians first and teachers second. But when used well, it can become one of the most valuable tools for improving assessments, clarifying instruction, and supporting student success. In this episode of Airway Exchange, hosts Erin and Louisa welcome in Valerie Diaz, DNP, CRNA, PMHNP-BC, APRN, CNE, CHSE, FAANA, CAPT (Ret), USN and Pedro Hernandez, DNP, CRNA, APRN to break down the importance of item analysis, a topic they presented at AANA's EDGE event earlier this year. Just as CRNAs constantly refine their clinical practice, educators should continually evaluate, reflect, and improve the tools they use to assess learning. Better assessments lead to better education. Better education ultimately leads to better patient care. Here's some of what you'll hear in this episode:

What if I told you one of the biggest reasons your orthodontic results don't last has nothing to do with braces or aligners?As orthodontists, we're trained to move teeth—but lasting results depend on much more than mechanics. In this episode, I sit down with Autumn Henning, speech-language pathologist, certified orofacial myologist, founder of Chrysalis Orofacial, and one of the leading educators in the myofunctional therapy world, to talk about something every orthodontist should understand: oral function matters.We dive into what myofunctional therapy actually is, why airway treatment requires an interdisciplinary approach, and why no single provider—or appliance—can solve every airway or sleep-related issue. Autumn explains how speech, swallowing, breathing, tongue posture, and orthodontics all work together, and why better diagnosis always leads to better outcomes. If you're treating growing patients—or simply want more stable orthodontic results—this episode will change how you think about collaboration and patient care.*Quotes*"Protocols are probabilities. They work a lot of the time, but they're never going to work 100% of the time." *— Autumn Henning*"I believe there's a reason for everything. I don't accept 'idiopathic' without asking why." *— Autumn Henning**Key Takeaways*Intro (00:00)Autumn's background & oral function trifecta (01:59)How Chrysalis and Touch Training were created (03:51)Why orthodontics can't solve airway problems alone (04:49)What myofunctional therapy actually is (06:21)Hardware vs. software (09:16)Why interdisciplinary care matters (11:31)What happens during a myofunctional evaluation? (22:03)Virtual vs. in-person therapy (25:11)Treatment timeline & investment (27:44)Why school speech therapy often misses these patients (34:05)The future of airway treatment is collaboration (37:11)*

We love airway management on Critical Care Time so we figured it was time to reboot a classic: The Physiologically Difficult Airway. On this episode, Nick and Cyrus discuss planning for those airways that may seem simple on your physical exam, but end up being some of the hardest to safely secure in the setting of hemodynamic instability. Also, we thought this would be a great prequel to a new release that is coming your way next week with Dr. Jarrod Mosier where we tackle advanced concepts in airway management and awake intubation. If you haven't heard this one yet, or if you could use the refresher, give it a listen and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.

When a child exhibits behavioral challenges, facial recession, or struggles with sleep, the root cause is frequently hiding in plain sight: their breathing habits. Unfortunately, these vital signs of compromised airway health are often overlooked by traditional medical models.In this episode, Hallie sits down with Dr. Leslie Pasco, an expert in airway health, pediatric development, and the author of The Great Contraction. Dr. Pasco breaks down the profound impact that mouth breathing, poor jaw development, and tongue-ties have on a child's long-term physical and neurological growth.About the Guest: Dr. Leslie Pasco, DMD, OFM, CBBIDr. Leslie Pasco is the visionary founder and President of MyoWay Centers for Kids. With almost three decades of experience in dentistry, Dr. Pasco has dedicated her career to understanding how airway health and muscle function deeply influence growth, sleep, learning, and overall health in children. Rather than simply addressing surface symptoms, she emphasizes early screening, thorough functional assessments, and close collaboration with other healthcare professionals to ensure her young patients receive truly comprehensive care. Her clear, driving mission is to help children grow right, breathe right, and live better.Key Topics & TakeawaysMouth Breathing as a Danger Signal: Why mouth breathing should never be dismissed as a "phase," and how it actively derails midface growth, jaw position, and dental alignment.The ADHD & Sleep Link: How sleep-disordered breathing frequently mimics or exacerbates symptoms of ADHD, leading to misdiagnoses that could be resolved with airway support.A Call for Holistic Care: Understanding the environmental stressors driving facial recession and contraction, and why true patient healing requires organic, multidisciplinary collaboration.Soundbites"Mouth breathing is a danger signal. It is your body's emergency backup system, not a functional way for a growing child to live and develop.""Breathing therapy can change lives. When you restore nasal breathing and correct sleep architecture, you aren't just changing a habit—you're shifting a child's entire behavioral and developmental trajectory.""Holistic care requires collaboration. No single provider can fix a contracted airway or a system-wide dysfunction completely on their own."Timestamps 00:00 - The Impact of Airway Health on Families01:12 - Introducing Dr. Leslie Pasco02:20 - Shifting from General Dentistry to Airway Care07:23 - The Dangers of Chronic Mouth Breathing12:04 - ADHD Misdiagnosis vs. Sleep Disordered Breathing19:02 - The Connection Between Palatal Expansion and Myofunctional Therapy28:44 - Functional Assessments for Tethered Oral Tissues (Tongue & Lip Ties)30:53 - The Critical Role of Pre-Op and Post-Op Preparation for Releases44:00 - What is the Buteyko Breathing Method? (Form, Function, Fuel)52:39 - Breaking Down Medical Silos: A Holistic Approach54:16 - The Great Contraction Book Overview58:52 - Medical Disclaimer & OutroLinks & ResourcesConnect with Dr. Leslie Pasco: Learn more about her clinical work at https://buteykoclinic.com/pages/instructors/dr-leslie-pasco?srsltid=AfmBOoqEmYjR8y3SzFHFpgr-JpFWFgfyViaOItLvpazcPnDMqwDwd7w0.Facebook : https://www.facebook.com/DrLesliePasco/Linkedin:https://www.linkedin.com/in/dr-leslie-pasco-03a096a1/?isSelfProfile=falseRELATED EPISODES YOU MIGHT LOVEDr. Richard Baxter on How to Know If a Tongue Tie Is Really the ProblemDon't Ignore the Snore: The Hidden Link Between Airway, Sleep, and ADHDSTAY CONNECTED

In this special joint episode of the STS Thinking Thoracic podcast and the American Association for Bronchology and Interventional Pulmonology (AABIP), Dr. Erin Gillaspie is joined by interventional pulmonologist Dr. Sameer Avasarala, of University Hospitals, and head and neck surgeon Dr. Britney Scott, of the CHI Health Clinic, to discuss the multidisciplinary management of malignant airway obstruction. The conversation emphasizes multidisciplinary collaboration among specialists, noting that treatment decisions depend not only on anatomy but also on patient-specific factors such as frailty, pulmonary function, and overall cardiopulmonary status. Using a top-to-bottom anatomic approach, the discussion explores management of tumors involving the upper trachea, mid-trachea, and carina, covering bronchoscopy, tumor debulking, stenting, tracheostomy, and surgical resection. They also discuss preoperative planning, postoperative airway care, and the value of multidisciplinary tumor boards and real-time collaboration.

Episode 82 - High Stakes in the Malignant Airway - A Joint AABIP x STS Episode by AABIP

In this episode, I sit down with Dr. Hilary Fritsch, DMD, an airway and biological dentist specializing in jaw development and non-surgical treatment of sleep and breathing disorders. We cover three audiences I care deeply about: parents of children showing signs of airway dysfunction, women in perimenopause who are exhausted and being missed by standard sleep testing, and adults who have been managing symptoms with a CPAP and want to know if there is a better path. Dr. Fritsch explains how mouth breathing, tongue ties, and underdeveloped palates are silently driving ADHD, anxiety, autoimmune disease, and chronic fatigue. She also shares the recent Harvard research on CPAP risks for low-risk patients that genuinely surprised me and why myofunctional therapy alone can cut apnea in half. I share my own journey and my daughter Elle's experience with palate expansion. This episode is packed with actionable information you will not want to miss. What You Will Learn: Why underdeveloped jaws and mouth breathing are a root cause of ADHD, anxiety, and chronic fatigue in children and adults The specific signs of early airway dysfunction in infants and children — and why acting early changes everything Why women are systematically underdiagnosed with sleep apnea and how perimenopause dramatically increases airway collapse risk How non-surgical palate expansion works for adults — no jaw surgery required Why myofunctional therapy is essential for lasting results and can reduce apnea severity by up to 50% What recent Harvard research reveals about CPAP risks for low-risk patients and what to do instead About Dr. Hilary Fritsch Dr. Hilary Fritsch, DMD, is an airway and biological dentist with nearly two decades of clinical experience specializing in jaw development, tongue-tied infants, and the non-surgical treatment of sleep and breathing disorders. She is the founder of Saddle Peak Dental and Western Sleep Solutions in Bozeman, Montana, and she trained extensively under Dr. Kevin Golz, a pioneer in adult palate expansion with over 6,000 cases completed.  Resources and People Mentioned: Vivos Palatal Expansion Candid Clear Aligners Smile Shapers American Academy of Dental Sleep Medicine Why Biological Dentistry & O& Oral Health Hold the Keys to a Healthier You | Dr. Nunnally & Dr. Freeman Connect with Dr. Myers: Website: https://www.dramymyers.com/ Dr. Myers' Inner Circle: https://www.drmyersinnercircle.com/founding-member Newsletter: https://www.amymyersmd.com/pages/newsletter Facebook: https://www.facebook.com/dramymyers Instagram: https://www.instagram.com/dramymyers Connect with Dr. Hilary Fritsch:  Instagram: https://www.instagram.com/hilaryfritchdmd/ Website: https://saddlepeakdunnell.com/ Timestamps: 00:00 Modern Airway Crisis 00:53 Meet Dr Hilary Fitch 03:07 Host Personal Wake Up 05:54 Fitch Origin Story 08:10 Airway Training Maze 10:28 Newborn Jaw Foundations 11:55 Tongue Ties Explained 13:36 Breastfeeding Diet Habits 15:30 Kids Red Flags Checklist 17:57 Adult Symptoms Risks 22:55 Women Menopause UARS 29:16 Four Pillars Fixing Airway 30:15 Nose Palate Remodeling 30:56 Jaw Expansion TMJ Concerns 31:51 Adult Palate Expansion 32:46 Vivos vs Surgical MARPE 33:48 Tongue Space and Myo Therapy 34:22 Kids Expanders and Tooth Pillow 40:05 Compliance and Pain Fears 45:03 Mouth Tape Guidance 46:45 Adult Aligners and Brands 49:22 CPAP Risks and Biomarkers 56:22 Root Cause Wrap Up

Airway Orthodontics Under the Microscope | Orthodontics In Interview | Dr. Claudia Pinter"The goal of orthodontics is not occlusion, but jaw development.""It's our job to develop the jaws, and if we don't do our job, other people need to do it-but they can't do it as well.”"I believe that nasal breathing is the foundation of healthy breathing."Airway management in orthodontics remains one of the most debated topics in modern orthodontics. Can orthodontics improve breathing? What does the current evidence say? Why do practitioners carry out orthodontics to improve the airway? Joining me is Dr. Claudia Pinter from Austria for a discussion on airway management, sleep-disordered breathing, and the potential role orthodontist's may have in improving the disorder.We explore research surrounding pediatric airway management, obstructive sleep apnea (OSA), mouth breathing, maxillary expansion, CBCT imaging, skeletal expansion, bed wetting and the ongoing controversies that continue to divide opinion within the profession. The podcast was recorded in Dusseldorf Germany..

In this episode of Airway Exchange, Erin and Greg sit down with Yasmine Campbell, DNP, CRNA, APRN, CNE, CHSE, FAANA, a clinical associate professor at Florida International University and member of the AANA Education Committee. The episode discusses strategies for writing better exams, the growing role of AI, and creating meaningful professional development opportunities for CRNA faculty. ​Here's some of what you'll hear in this episode:

The cliffhanger is paid off in this highly anticipated follow-up episode! Alan welcomes back Dr. Matt Standridge to finish their deep dive into the American Association of Orthodontists (AAO) controversial white paper on Sleep Disordered Breathing (SDB). Matt pulls back the curtain on the paper's actual citation list, exposing questionable sample sizes, misplaced reference numbers, and instances where the AAO's conclusions directly contradict the very research they cited. From the true diagnostic value of CBCT scans to the data surrounding tongue ties, premolar extractions, and palatal expansion, this episode explores the standard of evidence-based medicine in modern orthodontics and highlights the massive opportunity ahead for practitioners willing to follow the science. Some links from the show: Sleep-disordered Breathing and Orthodontics: An American Association of Orthodontists white paper update Matt Standridge's VERY thorough rebuttal Matt would like to thank some mentors/friends for the inspiration: Drs Mark Deluke, Audrey Yoon, Tracey Nguyen, Jeff Rouse, and Marianna Evans Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, Frank or Lipscomb!  The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! We're proud to be supported by the folks at Net32! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

Episode Summary Do you ever feel like you're practicing on an island, unsure of who to trust for quality CE or where to turn when you hit a wall with a complex case ? In this episode of Dental Digest, host Dr. Melissa Seibert introduces a masterclass in shifting your perspective from single-tooth dentistry to systemic health . Joining the show is Dr. Jeff Rouse, a preeminent authority on airway dentistry, prosthodontist, and Spear Education resident faculty member . Dr. Rouse completely reframes the airway conversation, arguing that most practitioners are getting it wrong by trying to force patients into prefabricated appliance boxes or focusing solely on end-stage sleep apnea . Instead, he explains why airway is fundamentally an anatomical problem . By pushing Frank Spear's facially-generated treatment planning into three dimensions—vertical, transverse, and sagittal—Dr. Rouse demonstrates how a compromised smile design is often a cry for help from an unhealthy upper airway . If you have ever bulked up veneers to camouflage a structural issue that actually required skeletal correction, this conversation will completely change how you treatment plan . Key Takeaways From This Episode Airway vs. Sleep: Why Dr. Rouse deliberately abandoned the word "sleep" in favor of "airway" back in 2008 to focus on early anatomical intervention before long-term neurological damage occurs . The Pitfalls of One-Size-Fits-All Appliances: A critical look at corporately and financially-driven prefabricated appliances in pediatric dentistry that prioritize practice profit over scientific, individualized diagnosis . The 3 Dimensions of Airway Anatomy: How the vertical, transverse, and sagittal boundaries of a traditional denture wax rim mirror the exact dimensions required for healthy nasal breathing . The Numbers Behind the Health: A look at clinical benchmarks, including Eric Doolan's research showing that a bone-to-bone palatal measurement under 30 millimeters guarantees illness, while 34 millimeters or greater promotes health . Recognizing the "Sick" Patient Typologies: The Apnea Patient: Often characterized by snoring, daytime sleepiness, high blood pressure, AFib, and a lack of deep sleep required to clear brain toxins, which is closely linked to dementia and Alzheimer's . Young, Fit Patients: Toned individuals (particularly pre-menopausal women protected by progesterone) who do not exhibit apnea but suffer heavily from functional somatic syndromes like chronic fatigue, IBS, fibromyalgia, migraines, and TMJ disorders . Pediatric Patients: Growing children whose airway deficiencies directly correlate with ADHD and ADD diagnoses, yet are routinely given medications rather than a proper breathing and sleep evaluation . Anatomy Wins the Day: Why normalizing skeletal and dentoalveolar housing should always be the priority, ensuring patients finish treatment not only healthier but with beautiful faces, perfect bites, and stunning smiles . Featured Guest Dr. Jeff Rouse is a prosthodontist in private practice in San Antonio, Texas, and a member of the resident faculty at Spear Education . He previously practiced alongside dental icons Dr. Greg Kinzer and Dr. Frank Spear in Seattle . Dr. Rouse is the co-author of the textbook Global Diagnosis: A New Vision of Dental Diagnosis and Treatment Planning alongside Dr. Bill Robbins, and he lectures internationally on dental aesthetics and airway prosthodontics . Resources & Links Mentioned Elevated GP: Elevate your dental practice by joining Dr. Melissa Seibert's virtual study club. Get twice-monthly CE, access a comprehensive on-demand course library, and connect daily with an elite community of general dentists pushing each other to the next level . Sign up at theelevatedgp.com . Leave a Review, Get a Course: Want free access to Dr. Seibert's short course on class two restorations ? Simply leave a rating and review for Dental Digest, take a screenshot, and email it to doctor.melissacybert@gmail.com.

Alan is once again joined by podcast veteran Dr. Matt Standridge to dissect the American Association of Orthodontists' (AAO) controversial 2026 white paper on sleep-disordered breathing (SDB) and orthodontics. Together, they pull back the curtain on the document's surprising omissions—including a shrinking author panel that entirely removed sleep physicians—and critique its heavy, restrictive reliance on full polysomnography (PSG) as a gatekeeper for early pediatric intervention. Dr. Standridge highlights how the paper's narrow scope and questionable citations conflict with both well-established historical data and contemporary European medical guidelines, framing the white paper more as a defensive "CYA" document than a progressive guide for patient care. Some links from the show: Sleep-disordered Breathing and Orthodontics: An American Association of Orthodontists white paper update Matt Standridge's VERY thorough rebuttal Matt would like to thank some mentors/friends for the inspiration: Drs Mark Deluke, Audrey Yoon, Tracey Nguyen, Jeff Rouse, and Marianna Evans Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, Frank or Lipscomb!  The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! We're proud to be supported by the folks at Net32! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

In this episode of the Prolonged Field Care Podcast, Dennis sits down with Jeff to tackle one of the most time-sensitive and under-appreciated threats in tactical and austere medicine: anoxic brain injury. They break down exactly what it is, how fast it can progress from unnoticed hypoxia to devastating outcomes, and why the MARCH algorithm plus aggressive prevention of secondary injury are your most powerful tools when oxygen and resources are limited.Key Takeaways:Anoxic brain injury exists on a spectrum — brief drops in SpO2 can cause real damage, and recovery (when it happens) can take days, weeks, months, or even years of rehab.The landmark Arizona pre-post TBI study showed hypoxia and hypotension each increase mortality 2–3×; combined they increase it 5–6×. Updated analysis reveals harm begins at SpO2

Sleep, Airway and Mouth Breathing: An ENT's Guide for Dentists Could a “normal” sleep study still be missing your patient's airway problem? Why do women and children with real symptoms keep scoring “mild”? Should a mouth-breathing child see a myofunctional therapist — or an ENT first? And which four questions screen a child for sleep problems in under a minute? The roof of the mouth is the floor of the nose — so ENT and dentistry should be in constant dialogue. In practice, they rarely are. In this one, Dr David McIntosh — an Australian ear, nose and throat surgeon with a deep niche in sleep-disordered breathing — makes the case for why that has to change, and gives dentists practical ways to screen and refer. He is direct, analogy-rich and doesn't mince words; expect a few positions that cut against the grain of how sleep apnoea is usually handled. https://youtu.be/QVEc0ocxTCc Watch PDP272 on YouTube Protrusive Dental Pearl: When the Numbers Mislead Dentists love data — the AHI, the cut-offs (over 5 is mild, over 30 is severe). But take those numbers with a pinch of salt: the thresholds are arbitrary, and a single score tells you nothing about why a patient has the problem. They don't account for individual variability — especially in women and children, where a mild score can sit right alongside significant symptoms. Read the number with the anatomy and the phenotype — the clinical signs and the airway assessment — never instead of them. What You'll Take From This Episode This conversation reframes sleep-disordered breathing from a number on a report into something you can localise and refer.  A sleep study tells you IF, not WHY — sleep-disordered breathing is the whole spectrum; a normal study doesn't mean normal breathing. Phenotyping the airway — map the individual anatomical causes instead of trusting a single score. Why women get missed — the gender bias built into standard adult screening tools, and what to ask instead. The four-question filter for children — snore, mouth breathe, stop breathing, wake up tired: any ‘yes' means refer. Treat the cause before the function — why myofunctional therapy comes after the obstruction is cleared, not before, and how expansion and surgery are matched to the anatomy. Highlights of This Episode 00:00  Teaser 01:00  Why ENT and Dentistry Should Be Talking 02:51  Protrusive Dental Pearl: When Sleep Data Misleads You 03:46  Meet the ENT Who Works With Dentists 06:00  Sleep Physician, ENT or Dentist: Who Should Lead? 07:26  Why Children and Adults Are Completely Different 08:58  Sleep-Disordered Breathing Is Not the Same as Sleep Apnoea 09:39  Why a Normal Sleep Study Doesn't Mean Normal Breathing 10:01  Same AHI, Different Cause: A Tale of Two Patients 12:54  Why One Night's Sleep Study Isn't Enough 13:44  Where the AHI Cut-Off Numbers Really Came From 15:27  CPAP Explained: A Bridge, Not a Cure 18:27  When Snoring Hides Something Serious 19:10  What Phenotyping the Airway Actually Means 20:27  Splint, CPAP, or Both? 21:33  Why a CBCT Can Miss a Deviated Septum 25:32  Is STOP-Bang Enough to Screen for Sleep Apnoea? 26:06  Why the Epworth Sleepiness Scale Is a Blunt Tool 26:50  Why STOP-Bang Is Biased Against Women 31:17  Sleep Apnoea in Women: Mild on Paper, Severe in Life 32:05  Midroll 36:56  The Triad: Airway, TMD and Orthodontics 37:12  The Three Most Common Causes of Night-Time Grinding 39:41  The Four Questions That Screen a Child for Sleep Problems 41:03  Tired vs Not Tired: The Sign That Changes Everything 43:36  Should You Refer to Myofunctional Therapy Before an ENT? 45:58  The Hidden Dangers of Forcing Nasal Breathing 52:28  Maxillary Expansion vs Surgery: Which One Fixes It? 54:51  How Dentists Can Assess Adenoids 56:25  Save the Child First: The Drowning Analogy 57:56  Where Dentistry and ENT Go From Here 1:00:05  Outro – New-Look Premium Notes & CPD Outro From the Guest Dr David McIntosh is an ear, nose and throat surgeon (MBBS, FRACS, PhD) with a special interest in sleep-disordered breathing and airway obstruction. A self-described compulsive educator, he is the author of several books on Amazon — including dENTal health, on the connection between ENT and dental disease, and Snored to Death, on the lesser-recognised causes of obstructive sleep apnoea in adults. References & Further Reading Sources discussed in this episode: Chervin RD, Hedger K, Dillon JE, Pituch KJ. Pediatric sleep questionnaire (PSQ): validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems. Sleep Medicine, 2000;1(1):21–32. The 22-item PSQ; a score above 0.33 suggests sleep-disordered breathing. Loved This Episode? Try Next Airway Dentistry with Jeff Rouse – PDP229 Listen, Subscribe, Earn CPD This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes C AGD Subject Code: 730 – Oral Medicine, Oral Diagnosis, Oral Pathology (Sleep medicine) #PDPMainEpisodes #OralSurgeryandOralMedicine Aim & Learning Outcomes Aim: To help dental practitioners recognise sleep-disordered breathing across the whole airway, screen adults and children appropriately, and refer at the right time and to the right clinician. Learning Outcomes — by the end of this episode, dentists will be able to: Differentiate sleep-disordered breathing from obstructive sleep apnoea, and explain why a normal sleep study does not exclude clinically significant breathing problems. Apply a structured screening approach for adults and children, including recognising why standard adult tools under-detect sleep-disordered breathing in women and children. Evaluate when to refer for specialist airway assessment, and articulate why addressing anatomical obstruction should precede functional (myofunctional) therapy.

Sleep, Airway and Mouth Breathing: An ENT's Guide for Dentists Could a “normal” sleep study still be missing your patient's airway problem? Why do women and children with real symptoms keep scoring “mild”? Should a mouth-breathing child see a myofunctional therapist — or an ENT first? And which four questions screen a child for sleep problems in under a minute? The roof of the mouth is the floor of the nose — so ENT and dentistry should be in constant dialogue. In practice, they rarely are. In this one, Dr David McIntosh — an Australian ear, nose and throat surgeon with a deep niche in sleep-disordered breathing — makes the case for why that has to change, and gives dentists practical ways to screen and refer. He is direct, analogy-rich and doesn't mince words; expect a few positions that cut against the grain of how sleep apnoea is usually handled. https://youtu.be/QVEc0ocxTCc Watch PDP272 on YouTube Protrusive Dental Pearl: When the Numbers Mislead Dentists love data — the AHI, the cut-offs (over 5 is mild, over 30 is severe). But take those numbers with a pinch of salt: the thresholds are arbitrary, and a single score tells you nothing about why a patient has the problem. They don't account for individual variability — especially in women and children, where a mild score can sit right alongside significant symptoms. Read the number with the anatomy and the phenotype — the clinical signs and the airway assessment — never instead of them. What You'll Take From This Episode This conversation reframes sleep-disordered breathing from a number on a report into something you can localise and refer.  A sleep study tells you IF, not WHY — sleep-disordered breathing is the whole spectrum; a normal study doesn't mean normal breathing. Phenotyping the airway — map the individual anatomical causes instead of trusting a single score. Why women get missed — the gender bias built into standard adult screening tools, and what to ask instead. The four-question filter for children — snore, mouth breathe, stop breathing, wake up tired: any ‘yes' means refer. Treat the cause before the function — why myofunctional therapy comes after the obstruction is cleared, not before, and how expansion and surgery are matched to the anatomy. Highlights of This Episode 00:00  Teaser 01:00  Why ENT and Dentistry Should Be Talking 02:51  Protrusive Dental Pearl: When Sleep Data Misleads You 03:46  Meet the ENT Who Works With Dentists 06:00  Sleep Physician, ENT or Dentist: Who Should Lead? 07:26  Why Children and Adults Are Completely Different 08:58  Sleep-Disordered Breathing Is Not the Same as Sleep Apnoea 09:39  Why a Normal Sleep Study Doesn't Mean Normal Breathing 10:01  Same AHI, Different Cause: A Tale of Two Patients 12:54  Why One Night's Sleep Study Isn't Enough 13:44  Where the AHI Cut-Off Numbers Really Came From 15:27  CPAP Explained: A Bridge, Not a Cure 18:27  When Snoring Hides Something Serious 19:10  What Phenotyping the Airway Actually Means 20:27  Splint, CPAP, or Both? 21:33  Why a CBCT Can Miss a Deviated Septum 25:32  Is STOP-Bang Enough to Screen for Sleep Apnoea? 26:06  Why the Epworth Sleepiness Scale Is a Blunt Tool 26:50  Why STOP-Bang Is Biased Against Women 31:17  Sleep Apnoea in Women: Mild on Paper, Severe in Life 32:05  Midroll 36:56  The Triad: Airway, TMD and Orthodontics 37:12  The Three Most Common Causes of Night-Time Grinding 39:41  The Four Questions That Screen a Child for Sleep Problems 41:03  Tired vs Not Tired: The Sign That Changes Everything 43:36  Should You Refer to Myofunctional Therapy Before an ENT? 45:58  The Hidden Dangers of Forcing Nasal Breathing 52:28  Maxillary Expansion vs Surgery: Which One Fixes It? 54:51  How Dentists Can Assess Adenoids 56:25  Save the Child First: The Drowning Analogy 57:56  Where Dentistry and ENT Go From Here 1:00:05  Outro – New-Look Premium Notes & CPD Outro From the Guest Dr David McIntosh is an ear, nose and throat surgeon (MBBS, FRACS, PhD) with a special interest in sleep-disordered breathing and airway obstruction. A self-described compulsive educator, he is the author of several books on Amazon — including dENTal health, on the connection between ENT and dental disease, and Snored to Death, on the lesser-recognised causes of obstructive sleep apnoea in adults. References & Further Reading Sources discussed in this episode: Chervin RD, Hedger K, Dillon JE, Pituch KJ. Pediatric sleep questionnaire (PSQ): validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems. Sleep Medicine, 2000;1(1):21–32. The 22-item PSQ; a score above 0.33 suggests sleep-disordered breathing. Loved This Episode? Try Next Airway Dentistry with Jeff Rouse – PDP229 Listen, Subscribe, Earn CPD This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes C AGD Subject Code: 730 – Oral Medicine, Oral Diagnosis, Oral Pathology (Sleep medicine) #PDPMainEpisodes #OralSurgeryandOralMedicine Aim & Learning Outcomes Aim: To help dental practitioners recognise sleep-disordered breathing across the whole airway, screen adults and children appropriately, and refer at the right time and to the right clinician. Learning Outcomes — by the end of this episode, dentists will be able to: Differentiate sleep-disordered breathing from obstructive sleep apnoea, and explain why a normal sleep study does not exclude clinically significant breathing problems. Apply a structured screening approach for adults and children, including recognising why standard adult tools under-detect sleep-disordered breathing in women and children. Evaluate when to refer for specialist airway assessment, and articulate why addressing anatomical obstruction should precede functional (myofunctional) therapy.

Send us Fan Mail summaryIn this episode of the Tracheostomy Education Podcast, Nicole DePalma continues the two-part discussion on decannulation with Dr. Jerry Gentile. This episode focuses on what happens after a patient is tolerating capping, how long to monitor before trach removal, the role of FEES in evaluating secretion management and aspiration risk, and what clinicians should know about failed or accidental decannulation. Nicole and Jerry discuss the importance of assessing whether the original reason for the tracheostomy has resolved, whether the patient can manage secretions, and whether there is adequate upper airway patency. Nicole explains how Flexible Endoscopic Evaluation of Swallowing, or FEES, can help evaluate secretion management, aspiration, cough strength, sensation, swallowing safety, and airway patency when determining whether a patient is ready for decannulation from a SLP perspective. The conversation also covers the transition from capping to trach removal, including monitoring patients for 24 to 72 hours, watching for increased work of breathing, changes in CO₂, oxygen saturation, respiratory rate, coughing ability, and aspiration concerns. Jerry explains what happens after the trach is removed, how the stoma is covered, and why patients may need continued monitoring after decannulation. Nicole and Jerry also review failed decannulation, signs that a patient may need recannulation, and the risks associated with accidental decannulation. They discuss when clinicians should call respiratory therapy, why reinserting a trach can be dangerous if not done correctly, and complications such as false tracking and subcutaneous emphysema. Topics covered in this episode include: The role of FEES in decannulation readiness  Secretion management and aspiration risk  Airway patency and when to involve ENT  Capping trials and 24–72 hour monitoring  Oxygen delivery during speaking valve use, capping, and after decannulation  Stoma care after trach removal  Failed decannulation and signs of respiratory decline  Accidental decannulation and when to call respiratory therapy  Risks of false tracking and subcutaneous emphysema  Pediatric considerations for decannulationSupport the showhttps://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

CRNA education has never been more demanding. As nurse anesthesia programs have evolved into rigorous 36-month doctoral programs, educators are seeing increasing levels of stress, anxiety, burnout, and mental health challenges among students. So how can faculty better support students while maintaining the high standards required of the profession? In this episode of Airway Exchange, hosts Nickie and Erin welcome Gerard Hogan, DNSc., APRN-BC, CRNA, FAANA, LtCol, USAF (ret.), psychiatric mental health nurse practitioner, educator, and researcher, for an important conversation about resilience in nurse anesthesia education. Dr. Hogan discusses his research on resilience among nurse anesthesia residents and explains why resilience is a skill that can be taught, strengthened, and developed over time. Here's some of what you'll hear in this episode:

Twenty-two steps to reach an airway is not a quirky workflow problem, it's a patient safety problem. We're turning our attention to a neuro-interventional radiology (Neuro IR) suite where cables, monitors, and a poorly positioned anesthesia machine created a cramped, high-friction non-operating room anesthesia (NORA) environment. Joined by John Edwards, CRNA, we unpack how a real-world quality improvement project at the University of Kentucky Medical Center turned staff frustration into an evidence-based anesthesia workspace redesign.We start with what triggered the change: frontline clinicians describing barriers to optimal patient care, unsafe ergonomics, and a layout that made simple tasks unnecessarily hard. From there, we connect the dots to broader NORA safety expectations, including the American Society of Anesthesiologists guidance on having sufficient space, equipment access, and the ability to reach the patient quickly. Them, the team brings anesthesia staff, interventional radiology personnel, and facilities managers together to redesign the room with minimal disruption.You'll hear the practical interventions that made the difference, like cable management using existing ceiling infrastructure, switching to a more compact anesthesia machine, and repositioning equipment to restore clear access to the patient. The results are striking: smoother movement, less clutter, improved morale, and a dramatic reduction in the distance to the airway. If you work in any NORA location, this is a blueprint for safer anesthesia workflows.Subscribe for more NORA safety and patient safety insights, share this with a colleague who works off-site, and leave a review to help more clinicians find the show.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/311-from-cable-chaos-to-one-step-airway-access/© 2026, The Anesthesia Patient Safety Foundation

What if I told you disagreeing with another orthodontist doesn't mean you have to dislike them?In this Five Minute Friday, I'm talking about something that shows up way too often in our profession: disagreement turning into division. Whether it's OSOs, airway, clinical philosophy, politics, or anything else, too many people assume that if we don't see things the same way, we can't respect each other — and I think that's a huge mistake.I'm not pro-OSO, anti-OSO, pro-airway, or anti-airway. I'm pro-education. My goal has always been to help orthodontists get the right information, talk to the right people, and make decisions that fit their practice, their patients, and their lives. In this episode, I share why opinions should never define someone's character, why education beats absolutism, and why we all need more good people in our lives — even when we disagree.

In this episode, the we welcome back guest host, Dr. Neelou Weeker, and ED nurse, Leigh Clary, to discuss the critical intersection of language barriers, patient equity, and emergency care. Through two powerful clinical scenarios, the team explores the “gold standards” of medical translation, the challenges of resource-limited community settings, and how TeamSTEPPS tools—specifically closed-loop communication and situational monitoring—can be leveraged to ensure true informed consent and patient safety. The Gold Standard vs. Clinical Reality Providing equitable care means ensuring every patient, regardless of language or culture, fully understands their medical team. While academic centers are often highly resourced, executing communication seamlessly remains a universal challenge. 1. Translation Tools and Hierarchy The Gold Standard: Video- or audio-based professional interpretation tablets allow face-to-face or direct vocal translation. The Secondary Backup: In-house dual-handset “blue phones” connect directly to professional phone lines when tablets experience connectivity issues. The Tertiary Backup: Multilingual staff members can help act as a bridge. Many institutions feature language fluencies on staff ID badges. Note: Staff members should only be used to establish initial rapport or identify the required dialect, not as official medical interpreters. The Danger of Family Interpreters: While family members bring invaluable cultural context and an understanding of the patient’s baseline, studies show they only correctly interpret medical dialogue 19% of the time. The Bottom Line: Always utilize the official route first. When technology fails, do your absolute best—never settle for “good enough” when better communication is possible. 2. Academic vs. Community and Rural Settings Emergency medicine requires extreme adaptability. In resource-limited community or rural hospitals, finding an interpreter for less commonly spoken languages can take upwards of 30 minutes. Physicians must sometimes physically carry translation phones from room to room while managing other patients just to maintain an open line with a rare-dialect interpreter. Applying TeamSTEPPS to Patient Communication We routinely use TeamSTEPPS tools to communicate with our fellow clinicians, but we must remember that the patient is the most important member of the healthcare team. 1. Closed-Loop Communication & The Teach-Back Method To confirm true patient understanding, avoid simple “yes or no” questions, nods, or smiles. Instead, utilize the Teach-Back Method, requiring the patient to repeat the instructions or choices back to you in their own words. How to Phrase It (Taking Responsibility): “I want to make sure that I have been clear in what I’ve said to you. To help me feel reassured that I communicated everything correctly, could you tell me what you understand is going on?” Clinical Value: This is particularly vital for high-stakes decisions and ED discharge instructions. Multimodal Approach: In high-stakes moments, combine professional translation, family context, and teach-back to minimize errors. 2. Situational Monitoring Resuscitative environments are chaotic, and the primary physician trying to run a cod or secure an airway has immense cognitive load. The Team Safety Net: Other team members (nurses, techs, scribes) can help monitor the situation and catch critical communication errors. Reconciling Clinical Urgency with Informed Consent How do you balance the immediate need to save a life with the time-consuming process of formal translation? The ABC Priority: First and foremost, secure Airway, Breathing, and Circulation. If a patient presents to the ED in extremis and cannot communicate, clinicians must operate under the assumption that the patient wants life-saving measures performed. Task Delegation: While the medical team manages the immediate ABCs, immediately task support staff (such as social workers) with finding an official interpreter, locating family members, and gathering background information. Next Steps: Once the ABCs are stable, the team has the time and space to pause, establish formal translation, and dive deeper into informed consent for further procedures. Key Takeaways Acknowledge the Bias of Urgency: Time pressure can tempt us to bypass official translation channels. Guard against this by maintaining an equity-first mindset. Close the Loop with Patients: Ensure they can paraphrase their care plan or consent choices. Protect the Team via Shared Roles: Trust your teammates to monitor the big picture and catch subtle communication gaps during high-stress resuscitations. Do you use TeamSTEPPS or a similar model in your ED? We'd love to hear what has been successful for your team. Hit us up on social media @empulsepodcast or connect with us on ucdavisem.com Host: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Guest Host: Dr. Neelou Tabatabai, Assistant Professor of Emergency Medicine at UC Davis Guest: Leigh Clary, RN, BSN, RN, CEN, ADCES, MICN , ED Nurse and TeamSTEPPS Project Lead at UC Davis Resources: TeamSTEPPS Player of the Month Program, Presentation by Leigh Clary and Jose Metica TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety Heidi B. King, MS, CHE, James Battles, PhD, David P. Baker, PhD, Alexander Alonso, PhD, Eduardo Salas, PhD, John Webster, MD, MBA, Lauren Toomey, RN, BSBA, MIS, and Mary Salisbury, RN, MSN. TeamSTEPPS Pocket Guide – Agency for Healthcare Research and Quality EM Pulse: TeamSTEPPS, September 17, 2021  *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services. Disclaimer: The opinions expressed on this podcast are those of the hosts or guests and do not necessarily reflect the views of UC Davis Department of Emergency Medicine, UC Davis Health, or their parent organizations.  

When a child struggles with feeding, it's easy to get laser-focused on oral-motor exercises or sensory strategies. But what if the root cause isn't a lack of coordination, but a struggle to breathe?In this solo episode, Hallie Bulkin dives deep into a critical, yet frequently missed, component of pediatric feeding therapy: airway screening. Airway issues often hide in plain sight, quietly undermining feeding progress and leaving clinicians wondering why their traditional treatment plans have stalled.Hallie breaks down the undeniable connection between airway health, posture, and feeding mechanics. She highlights the specific signs of airway obstruction every therapist should look out for, outlines clear referral pathways, and explains why screening the airway is fully within your scope of practice. If you want to elevate your clinical outcomes and treat the whole child with true clarity and intention, this episode is a must-listen.Key Topics & TakeawaysAirway in Scope: Why airway screening is not a luxury or a sub-specialty—it is a foundational part of your clinical scope as a feeding therapist.Signs of Airway Obstruction: Recognizing the red flags of compromised breathing, from subtle mouth breathing and poor daytime posture to severe nighttime sleep disturbances.Feeding Mechanics & Tongue Position: How an unsupported airway forces compensatory tongue resting positions, instantly disrupting the mechanics required for safe and efficient chewing and swallowing.The Posture Connection: Why children with airway issues alter their head and neck alignment just to breathe, and how this compromised posture stalls feeding progress.Navigating the Referral Pathway: Knowing exactly when to step back and coordinate care with an ENT or airway-focused specialist before proceeding with direct feeding intervention.Soundbites"Airway screening is not outside your lane - it is a vital part of your scope as a feeding therapist.""If a child is struggling to breathe, their nervous system will always prioritize oxygen over eating. Tongue position impacts feeding mechanics, but airway dictates tongue position.""We cannot out-therapy an airway obstruction. Sleep disturbances and daytime breathing struggles will always affect feeding outcomes."Timestamps01:15 Why Airway Screening Matters03:00 The Biggest Mistake Feeding Therapists Make06:01 Why Airway Is Often Missed in Training09:00 What Airway Dysfunction Looks Like12:00 The Medical System's Blind Spot15:02 Airway Screening: What to Look For18:00 Real-World Case Results & Outcomes21:00 How to Start Screening for Airway Issues24:00 Final Thoughts & Resources Download the Packet here: https://www.feedthepeds.com/f-a-s-t-myo-screening-packet-3WORTH A LISTEN: CONTINUE YOUR JOURNEYEpisode 371: When You Screen a Child and Think 'Now What?'Episode 369: The 4 Layers of Feeding: How to Finally Know Where to StartSTAY CONNECTED & GROW YOUR PRACTICEJoin the conversation: Get behind-the-scenes insights, clinical pearls, and real conversations over on Substack. Hosted on Acast. See acast.com/privacy for more information.

What if CRNA school interviews have been measuring the wrong things all along? In this episode of Airway Exchange, Vicente Gonzalez, DNP, CRNA and Ann Miller, DNP, CRNA, faculty from Florida International University, break down their groundbreaking new admissions interview process designed to assess what traditional interviews often miss: resilience, adaptability, teamwork, critical thinking, and emotional regulation. Here's some of what you'll hear in this episode:

In this episode, Lauren Schnabel, DVM, PhD, DACVS, DACVSMR, joined us to discuss cellulitis and lymphangitis in horses. She explained how she differentiates the two conditions, her diagnostic approach in the field and clinic, her preferred treatment strategies and adjunctive therapies, and more.This episode of Disease Du Jour is brought to you by Equithrive.GUESTS AND LINKS - EPISODE 182:Host: Carly Sisson (Digital Content Manager) of EquiManagement | Email Carly (CSisson@equinenetwork.com)Guest: Dr. Lauren Schnabel, DVM, PhD, DACVS, DACVSMRPodcast Website: Disease Du JourThis episode of Disease Du Jour podcast is brought to you by Equithrive.Connect with the Host: Carly Sisson (Digital Content Manager) of EquiManagement | Email Carly (CSisson@equinenetwork.com)

Dr. Robert Convissar - pioneer in laser dentistry, author of the world's number one selling laser dentistry textbook, and Director of Laser Dentistry at New York Hospital Queens joins Lester De Alwis on why lasers are an underused doorway to insurance-free revenue. Why most dentists buy the wrong laser and end up with a $50,000 coat rack. Why airway dentistry will reshape orthodontics over the next 5 - 10 years. And the low-friction entry points, dry socket prevention and oral cancer screening, that let any practice add cash-pay procedures one at a time. Book a complimentary Practice Growth Audit with Ekwa, Most dental practices are losing patients online without knowing it. You walk away with a full online analysis report specific to your practice, your market, and your competition. Claim Your Complimentary Practice Growth Audit If you want to improve how your team presents treatment and communicates value to patients, book a complimentary Practice Breakthrough Session with Gary Takacs, one conversation, a personalized action plan. One conversation with Gary has helped practices recover thousands in unscheduled treatment. Book Your Complimentary Practice Breakthrough Session  

What if I told you your marketing budget isn't the problem — your tracking is?In this Five Minute Friday, I'm breaking down the three things every orthodontic practice needs to make marketing actually work: a plan, a reliable way to track where patients came from, and a clear understanding of ROI. Too many practices are throwing money at PTAs, community events, online ads, referral gifts, and sponsorships without knowing what's truly producing starts.I'll show you the exact question I ask every new patient, why your TC needs to hear the answer, and how a simple spreadsheet can help you stop guessing and start investing smarter. When you know where your growth is coming from, you can double down on what works, fix what doesn't, and grow your practice with far more confidence.Quotes“You need to have a marketing plan. You need to write things down about how you're going to market.” — Dr. Glenn Krieger“You will not be guessing where you should be spending your money. You will be spending it smartly, and your practice will grow as a result.” — Dr. Glenn Krieger

What does the future of CRNA education actually look like? In this episode of Airway Exchange, hosts Nickie and Greg sit down with Hallie Evans, DNP, CRNA, APRN, CNE, FAANA, to explore some of the biggest challenges and opportunities facing CRNA education today, including faculty shortages, mentorship, innovative teaching methods, competency-based learning, and the growing role of AI in healthcare education. Here's some of what you'll hear in this episode: