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With no FDA-approved therapies for Sjögren's disease, how can ENTs and allergists provide effective care and keep up with emerging treatments? On this episode of BackTable ENT & Allergy, Dr. Basil Kahwash interviews Dr. Kara Wada, a Columbus-based allergist, immunologist, and lifestyle medicine physician, about her personal and clinical experience with Sjögren's disease. They discuss the major gaps in current treatment, the evolving role of otolaryngologists and allergists in multidisciplinary care, and the new therapies on the horizon. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:21 - Building A Direct Practice04:24 - Personal Sjogren's Diagnosis08:33 - ENT Presentations11:28 - Biopsy Challenges and Seronegative Disease15:48 - Pulmonary Complications17:55 - Clinical Trial Treatment19:47 - Immunology and Disease Mechanisms25:35 - Lab Workup and Risk Assessment29:32 - Overlooked Symptoms and Nutritional Considerations31:51 - Saliva Stimulants Tradeoffs34:42 - Deciding When to Escalate Systemic Therapy35:51 - Hydroxychloroquine Basics38:26 - Multidisciplinary Dream Team41:45 - Rituximab and IVIG44:35 - Investigating Phase Three Therapies47:23 - Path to Becoming a Sjogrens Expert53:33 - Key Takeaways And Resources --- More about this episode Dr. Wada details her own diagnosis and the complex presentations of Sjögren's across ENT subspecialties, including dry eyes, nasal and throat tissues, chronic sinus issues, laryngitis, reflux, salivary gland swelling, neuropathy, and dizziness. The conversation covers diagnostic workup, the importance of lip biopsy and expert pathology, the challenges of seronegative and pulmonary cases, and the limitations of current medications like hydroxychloroquine and rituximab. They also discuss ongoing clinical trials, dryness management, overlooked symptoms, and the emerging role of agents such as inalumab and dazedalimab in late-phase studies. --- Resources Virtual Sjögren's Summithttps://www.sjogrenssummit.com/ --- 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
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
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
Taking a weekend course can make you see tongue posture, restricted movement, and mouth breathing everywhere you look. But recognizing a pattern is vastly different from truly understanding it.In this solo episode, Hallie Bulkin addresses "The Myo Gap" - the space between noticing an isolated anatomical finding and developing the clinical depth to understand how it fits into a child's connected, multi-system picture. She unpacks why a restricted frenulum or forward resting tongue is merely a data point rather than an automatic diagnosis or treatment plan, and explains how shallow understanding leads clinicians to jump directly to conclusions, quick referrals, or "cookbook" exercises.Hallie breaks down how to conduct a deeper assessment by analyzing real-time compensations, motor coordination, sensory processing, and overall physical development. You'll learn why true clinical competence often leads to making fewer but far more valuable referrals, how to navigate honest parent conversations without false certainty, and why real clinical judgment requires mentored practice over quick information.Key Topics & TakeawaysThe "Sensitization" Trap: How new clinical learning creates pattern-recognition bias where every finding looks like the primary root cause.Observation vs. Diagnosis: Why a restricted frenulum or forward tongue posture is an initial observation point, not an immediate reason to prescribe exercises or surgical releases.Reading the Connected System: How to evaluate tongue function relative to jaw mechanics, lip seals, nasal breathing, overall muscle tone, sensory processing, and motor coordination.Selective, Value-Driven Referrals: Why advanced clinical discernment leads to fewer automatic referrals for releases and results in clearer, function-based communication with ENTs, dentists, and surgeons.Honest Parent Conversations: The shift from presenting false certainty ("Your child has a tie, so they need a release") to leading transparent, nuanced clinical discussions.Soundbites"Recognizing a pattern can feel a lot like understanding it before the depth is actually there. An observation is not a diagnosis, and it's definitely not a treatment plan.""Structure matters, but function matters more. Context determines what the structure actually means.""Confidence isn't giving parents a quick, simple answer—it's being able to separate what you know from what you suspect."Timestamps 001:04 - The Gap Between Knowing and Understanding Myo 02:50 - Clinical Sensitization & Pattern Recognition 04:23 - Case Study: 3-Year-Old with Low Tone 06:23 - What Deeper Assessment Looks Like 07:35 - Assessing a 2-Year-Old for Feeding Concerns09:04 - Myo Does Not Replace the Rest of the Child 10:20 - Structure vs. Function & Better Referrals 12:03 - Assessing Infants & The Feeding Dyad 13:28 - Communicating Honestly with Parents 15:20 - Myo vs. Feeding Therapy & Multi-Disciplinary Care 16:26 - How to Build True Clinical Competence18:21 - The Myo Method & Closing Thoughts Links & ResourcesThe MYO Method: Elevate your clinical reasoning, bridge assessment gaps, and master orofacial patterns at TheMyoMethod.com.Fast Myo Screening Tool: Stop guessing during your intakes and download the checklist at FastMyoScreening.com.WORTH A LISTEN: CONTINUE YOUR JOURNEYEpisode 132: Feeding With A Twist of Myo with Hallie Bulkin, MA, CCC-SLP, COM.Episode 150: Where To Start And End With TOTS?.STAY CONNECTED
A previously unreleased letter from Tolkien was recently made public that, among other things, confirms that there were Ents in the Shire (at Gandalf's request). Our hosts talk about this new letter and how it helps us appreciate Tolkien's characters and stories in new ways.
Being a mom is already a full-time job, acting, business, and everything else into the mix, and you've got Betty Banafe. Kali ni #jomsembang about balancing it all and what life looks like for her.
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)*
Ollie meets some Ents while on an errand
It only took seven hundred episodes to circle back to the Ents. Join The Man of the West for the Elvish side of their names that we never did. Learn more about your ad choices. Visit megaphone.fm/adchoices
Join The Man of the West for the back half of Letter 247, as we learn where the Ents came from: both on the page and from Tolkien's own pen. Learn more about your ad choices. Visit megaphone.fm/adchoices
Hello friends! It's been over a year since we did a dedicated mental health episode, so today I'm doing a big catch-up and running through my 7-point plan for being a more mentally secure me. None of this is professional medical advice (I am most definitely not a doctor or therapist — well, actually, I am in therapy, but that's tip #5), so take what's useful and leave what isn't. Terms and conditions apply. Here's my current mental health toolkit: Drink a ton of water — I try to chug a full Yeti thermos before my morning mint hot cocoa, then keep it going throughout the day. I taper off around dinnertime to minimize, uh, nighttime tinkle stops. Science agrees this does good things for your brain. Brick your phone — I've been using a little Bluetooth device called Brick that hooks into your phone's screen time features so you can block distracting apps on demand or on a schedule. I've got a "Brian Needs Sleepy" timer set for 9 p.m. every night — pretty much everything except the clock app goes dark. Outlook, Gmail, all the socials — gone. It's not revolutionary advice, but it turns out doing what people have been telling you to do for years actually works. Get enough sleep — Directly related to the Brick. Phone goes dark at 9 p.m., I yap with Mrs. 7 or we watch a show, and by 10:30 p.m. my peepers are drooping. I feel more refreshed and less anxiety-ridden during the day. Supplements — I'm not here to hawk some magic elixir with 47 mystery ingredients. What I'm currently trying is Nello Supercalm — a powder you mix into water. It's got magnesium glycinate, L-theanine, vitamin D3, and ashwagandha. I thought it was placebo at first, but kept it up for a week and noticed a legit mood/pep boost. Your mileage may vary, but it's doing something for me. Therapy — I've been in therapy since 2019 when my house burned down (link to those episodes here if you want to get thoroughly bummed out). If I could go back, I'd have started way earlier. The biggest benefit for me isn't some parade of uplifting affirmations — it's having a neutral third party with no stake in my life help me see situations from different angles and cut myself some slack. Take care of the TMJ — A few years back I started getting tinnitus bad. ENTs were basically like "yep, try not to think about it" — super helpful, guys. Eventually a jaw specialist found an irregularity on the left side of my jaw and fitted me with a heavy-duty custom mouth guard. That alone made a monumental difference in the ear ringing. But I also picked up a TMJ Pen on a chiropractor's recommendation — it's a 3D-printed vibrating/heated massager specifically designed for jaw muscles. Looks exactly like a vape (fun times at the airport), but it's been worth every penny of its ~$200 price tag. Between the mouth guard and the TMJ Pen, I wake up feeling way less like I survived a Saving Private Ryan scene. Forced fun — After a full work day plus all the dad/house stuff, my go-to is to be a blob on the couch. Nothing wrong with that sometimes. But I've found that the things that actually recharge me — like singing and playing guitar — require a little push to get started. So tip #7 is basically a note to future tired Brian: go downstairs, plug in the guitar, and start playing. You'll be glad you did. Got mental health tips that work for you? I'd genuinely love to hear them — this is the kind of conversation I want to be two-way. Find me and all things 7MS at 7MinSec.com, our Substack at 7MinSec.club, and our constantly growing pentesting wiki at 7MinSec.wiki.
On this episode of Bad Dads Film Review, the team reviews Toscana (2022), Netflix's Danish-Italian comfort drama about a stressed fine-dining chef who inherits his father's restaurant in Tuscany and slowly rediscovers rustic cooking, unresolved family memories, and a wildly inconvenient romance.In this episodeThe tragic walking football update: a playoff final lost on penalties, after Sidey chose love and anniversary plans over footballDan's gardening-inspired Top 5 theme: plants in film and televisionThe Day of the Triffids, Audrey II, Ents, Leon's plant, Martian potatoes, Interstellar corn, Attack of the Killer Tomatoes, Batman's blue flower, Cheech and Chong's marijuana van, Tomacco, Swamp Thing, Groot, and Moriarty's dead plantsReegs' full crop of plant-film puns, including Chive Angry, Kill Dill, Mulch Ado About Nothing, Full Petal Jacket, and music by Sage Against the MachineSidey's essential full English breakfast rules: beans on the plate, fried bread as gold standard, black pudding welcome, hash browns firmly under suspicionToscana's dubbed-language confusion before Sidey realises the film is Danish, Italian and EnglishTheo Dahl's sterile Danish fine-dining kitchen, tweezer food, a lost €9m investor, and a full meltdown at the passCris calling out the fantasy of a top chef personally cleaning the kitchenTheo's inheritance trip to Tuscany, his battle with rustic food, suspect ice cubes, and unexpectedly excellent olive oilSophia, Pino, the wedding catering deal, and the film's very convenient emotional geographyThe €500k/€900k sale gamble and Theo's professional pride kicking inThe romance problem: Sophia is engaged, Pino seems perfectly sound, and Theo spends much of the film behaving like a potatoTheo rediscovering cooking “by feel” rather than by gram-perfect controlThe ending: sale completed, buy-back arranged, Danish chefs shipped to Tuscany, Sophia returns, and everyone apparently embraces rustic restaurant lifeBad Dads consensusScenery: gorgeousRuntime: painless and breezyPlot: extremely predictableFood content: oddly less visible than expectedRomance: not especially believablePino: treated very harshly by the filmTheo: hard to root for, despite the intended redemption arcOverall: watchable but thin — Dan and Cris found it easy to sit through, while Sidey wanted more charisma, chemistry and actual cookingYou can now text us anonymously to leave feedback, suggest future content or simply hurl abuse at us. We'll read out any texts we receive on the show. Click here to try it out!We love to hear from our listeners! By which I mean we tolerate it. If it hasn't been completely destroyed yet you can usually find us on twitter @dads_film, on Facebook Bad Dads Film Review, on email at baddadsjsy@gmail.com or on our website baddadsfilm.com. Until next time, we remain... Bad Dads
Im Zürcher Regierungsrat kommt es zu einer grossen Rochade. Die SP will mit zwei Kandidierenden antreten: mit Nationalrätin Priska Seiler Graf und dem Winterthurer Stadtrat Nicolas Galladé. Ob die SP das Duo definitiv ins Rennen schickt, entscheiden die Delegierten am Parteitag Anfang Juli. Weitere Themen: · Zürcher Photobastei erreicht Crowdfunding-Ziel. · Regierungsrat von Bülach lehnt Stimmrechtsrekurs ab.
Joshua Noel is joined by former host, Nick Polk, to dive into the lush world of Tolkien this Arbor Day, exploring the vital character of Yavanna—the Vala of nature herself. They kick things off by highlighting how Yavanna is not just the face behind the two iconic trees of Valinor, but also the creative force that brought about the Silmarils and the Ents. With a mix of reverence and cheeky banter, they discuss how Yavanna's essence intertwines with the very fabric of Middle-earth, influencing everything from the light of the sun and moon to the fate of the Ents in the battle against Saruman. As they ramble through Tolkien's rich lore, they emphasize the importance of caring for trees in our own world, echoing Yavanna's devotion to nature. So if you're down for a wild ride through Arda, this episode is a must-listen for any Tolkien fan! Yavanna, the Vala of Nature, takes center stage in this rich podcast episode that dives into the intricacies of Tolkien's world. Joshua and Nick kick things off with a casual banter about the significance of Arbor Day, seamlessly transitioning into a deeper exploration of Yavanna's role in the creation of the two Trees of Valinor and the Silmarils. Listeners are treated to an engaging narrative that paints Yavanna not just as a background character, but as a pivotal force in the lore of Middle-earth. The hosts discuss how her nurturing spirit led to the birth of the Ents and the preservation of the natural world, making the case that without Yavanna, Tolkien's universe would lack the lush greenery that defines it. They draw parallels between Yavanna's lament and the creation of new life, showcasing how Tolkien intertwines sorrow and beauty in his storytelling. As the episode unfolds, they delve into the implications of Yavanna's actions on the larger narrative, emphasizing her integral role in the tales of the Silmarillion and the fate of Middle-earth. This summary encapsulates the episode's exploration of Yavanna's character, her relationships with other Valar, and the broader themes of creation and loss within Tolkien's mythos.Takeaways:Yavanna is the Vala responsible for creating the two trees of Valinor, which symbolize hope and beauty in Tolkien's legendarium.Without Yavanna, there would be no Silmarils, the sun and moon, or even the Ents, making her a crucial character in Middle-earth's mythology.The intertwining of sorrow and beauty in Yavanna's story reflects Tolkien's concept of eucatastrophe, where joy arises from tragedy.Nick Polk and Joshua Noel explore how Yavanna's creation of the Ents embodies the theme of nature's resilience against industrial destruction.Tolkien's deep affection for trees is evident, as he uses them to symbolize life, hope, and the consequences of industrialization in Middle-earth.This Arbor Day episode emphasizes the significance of preserving nature, paralleling Yavanna's care for the trees with contemporary environmental concerns..Be sure to check out our merch, find extra content, and become an official member of Systematic Geekology on our website:https://systematic-geekology-shop.fourthwall.com/.Follow Nick on his Substack:https://tolkienpop.substack.com/.Listen to last year's Arbor Day special too:https://systematic-geekology.captivate.fm/episode/the-erdtree-and-its-symbolism-a-celebration-of-arbor-day-in-elden-ring/.Check out other episodes in this ear's theme of "The Faces Behind Us":https://player.captivate.fm/collection/dd903597-98be-49ed-998c-5cdaf73b6af4.Listen to our other Middle Earth episodes:https://player.captivate.fm/collection/cd11887b-5998-452c-aa1f-330423162b51.Check out other episodes with Joshua:https://player.captivate.fm/collection/642da9db-496a-40f5-b212-7013d1e211e0.Check out other episodes with great guests like Nick:https://player.captivate.fm/collection/f4c32709-d8ff-4cef-8dfd-5775275c3c5eMentioned in this episode:Systematic GeekologyOur show focuses around our favorite fandoms that we discuss from a Christian perspective. We do not try to put Jesus into all our favorite stories, but rather we try to ask the questions the IPs are asking, then addressing those questions from our perspective. We are not all ordained, but we are the Priests to the Geeks, in the sense that we try to serve as mediators between the cultures around our favorite fandoms and our faith communities.Join our Facebook group and Discord ServerFind our Facebook group, "Priests to the Geeks", then join our Discord server with this link to continue on the conversation with us!DiscordBecome a member of Systematic Geekology on our Website!Check out the link to become a member of Systematic Geekology! All member get exclusive extras and shout outs on the show! Some of the paid tiers of membership get store discounts, free merch, and more!SG on FourthwallThe Anazao Podcast NetworkBe sure to check out the network website to see other podcasts trying to engage honestly with Scripture, Theology, Pop Culture, Martial Arts, Science, and more!Anazao Podcast NetworkCheck out our Fourthwall site for quite literally everything to do with our show!All SG merch, extra content, our youtube page, SG memberships, tips / donations, etc. can all be found at this one convenient spot!SG on Fourthwall
SUMMARYJacob and Evan break down Episode 4 of Rings of Power Season 2, blending humor with sharp critique as they unpack a chain reaction of poor decisions across multiple storylines. From Elrond ignoring obvious warnings about the rings to Galadriel confronting overwhelming threats, the episode is framed as a series of avoidable mistakes that escalate tension across Middle-earth. A major highlight is the Barrow-downs sequence, praised for its dark visuals and faithful depiction of the terrifying Barrow-wights. The hosts also dive into Tom Bombadil's appearance, exploring his mysterious nature, lore significance, and frustrating refusal to intervene despite his apparent power. The discussion also critiques deviations from Tolkien lore, including inconsistencies around “nameless things” and the questionable handling of established lineages. Meanwhile, subplots involving the Harfoots, Stranger, and Ents receive mixed reactions—ranging from mild interest to outright frustration. Overall, the episode is seen as heavy on setup rather than payoff, with strong visuals carrying an otherwise slow progression. Despite criticisms, the hosts remain optimistic, noting that upcoming episodes significantly improve the season. KEYWORDSRings of Power Episode 4 breakdownBarrow-wights scene analysisTom Bombadil Rings of Power explanationElrond Galadriel ring conflictLord of the Rings lore inconsistenciesRings of Power review podcastHarfoots storyline criticismEnts and Entwives Rings of PowerStranger storyline theoryTolkien lore vs adaptationRings of Power Season 2 reviewMiddle-earth deep dive podcastTIMESTAMPS00:00 - Intro chaos and podcast setup00:01 - Episode 4 summary begins00:03 - Barrow-downs and Barrow-wights explained00:05 - Galadriel, the ring, and Elrond's criticism00:05 - Stranger and Tom Bombadil introduction00:06 - Harfoots history and desert storyline00:06 - Arondir, Isildur, and Ent encounter00:10 - Ad break and recap discussion00:12 - Tom Bombadil lore deep dive00:20 - “Nameless things” lore inconsistency debate00:33 - Elrond's skepticism of the rings00:36 - Barrow-wights visual praise00:43 - Harfoot and Stranger subplot critique00:48 - Episode pacing and “setup” discussion00:50 - High points and low points of the episode
What if I told you the smartest way to approach airway isn't to become the hero in the room — it's to become the gatekeeper who knows exactly when, where, and how to refer?In this episode of 5 Minute Friday, I tackle one of the most polarizing conversations in orthodontics: airway and sleep-disordered breathing. There's so much noise, ego, and misinformation around this topic that a lot of orthodontists either jump in too aggressively or back away completely. My take is simple: neither extreme serves patients well. We don't need to diagnose everything ourselves — but we do need to know enough to recognize red flags, evaluate the orthodontic pieces we are responsible for, and collaborate with the right interdisciplinary team.Quotes“We are part of a bigger puzzle. We're just one piece and if we work together with the science and our referral base, we'll be able to treat people really, really well.” — Dr. Glenn Krieger“We need to be gatekeepers and we need to work with ENTs and oral surgeons and myofunctional therapists and pediatric dentists.” — Dr. Glenn KriegerKey TakeawaysIntro (00:00)Why the airway conversation has become so overblown in orthodontics (00:25)Why orthodontists should be gatekeepers — not lone diagnosticians (00:46)The real problem with extreme pro-airway vs. anti-airway positions (02:17)How to use symptoms, occlusion, anatomy, and CBCT responsibly (04:55)When to treat the occlusion and when to refer to the interdisciplinary team (06:11)Why ENTs, oral surgeons, myofunctional therapists, and radiologists matter (06:32)What Dr. Krieger's Scottsdale airway course will teach orthodontists and teams (06:43)Why collaborative care creates better outcomes than ideology ever will (08:24)A real example of how orthodontic-ENT collaboration changed a child's life (10:08)Additional ResourcesI've seen firsthand how airway and sleep-disordered breathing can become one of the most rewarding parts of an orthodontic practice — but only when we stay in our lane, know what we're looking at, and work with the right team. If you want to learn how to evaluate these cases more thoughtfully, collaborate more effectively, and treat patients with greater confidence, keep an eye out for the upcoming airway and sleep-disordered breathing meeting in Scottsdale. And if you want to learn more about Orthopreneurs RD, message me directly.Register for the Make More Money Meeting: https://ortho4m.com/home - For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here: https://www.facebook.com/groups/
Ready to take your health to the next level? Here's how to work with Dr. Carver:Join the 6-Week Gum Disease CourseBook Your Personalized Consultation4 Key TakeawaysYour mouth is a window into your whole body. If you're chronically sick and nobody can find the root cause, the answer may be in your teeth. Root canals, hidden infections, and old dental work can silently fuel systemic inflammation, sinus issues, joint pain, fatigue, and more.Referred pain can fool everyone, including your doctors. Pain you feel in your sinus, jaw, or joints may actually be coming from a tooth on the same meridian (the body's energy pathway). Understanding this connection is why working with a true biological dentist matters so much.Peptides can be powerful allies in healing. BPC-157 and TB-500, amino acid compounds your body naturally produces, may support rapid tissue repair, reduce inflammation, and help regenerate bone and gum tissue after dental procedures. Samantha credits them as a turning point in her recovery.Functional lab testing helps you go deeper than standard bloodwork. The DUTCH test, organic acid testing, GI panels, and food sensitivity testing can reveal hidden hormone imbalances, poor methylation, gut dysfunction, and mold exposure that standard labs routinely miss.What if the source of your chronic illness was hiding in your mouth?In this episode, Dr. Rachaele Carver sits down with Samantha Lander, a functional diagnostic nutritionist and passionate advocate for biological dentistry, who spent years searching for answers to debilitating chronic health issues before finally tracing them back to her teeth.Samantha's story is one a lot of people will recognize: sinus infections that wouldn't quit, fatigue that no one could explain, and practitioner after practitioner who couldn't find the cause. She saw six ENTs. She lived on antibiotics. She tried everything. And it wasn't until she started working with a biological dentist, and eventually had multiple root canal teeth removed, that her body finally began to recover.Samantha Lander, FDN-PWebsite: SeeFitLiving.comInstagram: @SeeFitLiving | Free clarity calls available for those interested in functional lab workPeptides discussed:BPC-157 (Body Protecting Compound): supports tissue repair and gut healingTB-500: promotes tissue regeneration and reduces inflammationThymosin Alpha-1: supports immune system functionKPV: may help calm mast cell and histamine responsesReady to Take the Next Step?Join the 6-Week Gum Disease CourseBook Your Personalized ConsultationDisclaimer: This podcast is for educational purposes only. Information discussed is not intended for diagnosis, curing, or prevention of any disease and is not intended to replace advice given by a licensed healthcare practitioner. Before using any products mentioned or attempting methods discussed, please speak with a licensed healthcare provider. This podcast disclaims responsibility from any possible adverse reactions associated with products or methods discussed. Opinions from guests are their own, and this podcast does not condone or endorse opinions made by guests. We do not provide guarantees about the guests' qualifications or credibility. This podcast and its guests may have direct or indirect financial interests associated with products mentioned.
In this episode, I sit down with Kara Pfister, a speech-language pathologist and certified orofacial myofunctional therapist, to unpack one of the most misunderstood—and underutilized—areas in orthodontics: function. We break down what myofunctional therapy actually is, when you should be referring (and when you shouldn't), and why working without a team is one of the biggest mistakes you can make in modern orthodontics.If you've ever wondered why some cases relapse, why certain patients struggle with expansion or open bites, or how to actually build a referral network that improves outcomes—not just checkboxes—this episode will give you practical, real-world insight you can apply immediately. More importantly, it might completely change how you view your role as an orthodontist—not just as a tooth mover, but as a gatekeeper for long-term function and health.Quotes“We're not just fixing speech—we're often preventing bigger problems before they even start.” — Kara Pfister“If they release the tongue without addressing function… it's like doing surgery on a hip and expecting someone to just walk again.” — Kara PfisterKey TakeawaysIntro (00:00)Why orthodontists must act as “gatekeepers” for function (00:30)What a myofunctional therapist actually does (01:17)Why most speech issues aren't being caught early enough (02:46)The real causes: airway, tongue tie, and oral habits (14:35)Why school speech screenings often miss these problems (13:04)How to identify when to refer (31:22)The truth about tongue ties—when they matter (29:53)Why releasing a tongue tie without therapy fails (30:58)Expansion vs. tongue tie timing—what comes first (36:17)How improper function leads to relapse (34:49)Building a referral team that actually works (40:51)Where to find qualified myofunctional therapists (44:11)Additional ResourcesIf you're serious about improving outcomes—not just finishing cases—you need to stop working in isolation.Start by building your team:Find a qualified myofunctional therapist through https://iaom.com (International Association of Orofacial Myology)Connect with specialists (ENTs, oral surgeons, therapists) who share your philosophyAnd if you want to reach Kara directly:
Hey Tinnitus Friends & Family, After working with 700+ people with tinnitus, they all told me the same story: "My ENT said there's nothing we can do. Go home, relax, don't worry about it." And then they were sent home—alone, terrified, with no support. In this episode, I break down: What ENTs get RIGHT: There's no medical cure for most tinnitus (true) They rule out serious medical causes (important) They can help with underlying causes (earwax, TMJ, infections) Here's what I wish ENTs would explain: 1. Tinnitus is a nervous system condition, not just an ear problem The biggest suffering doesn't come from the sound itself—it comes from your nervous system's response. When your nervous system is in fight-or-flight, tinnitus becomes a threat. Your brain amplifies it, monitors it constantly, won't let it fade. ENTs treat ears. They don't treat nervous systems. And we can't hold that against them—but you need to know there ARE tools for this. 2. Loudness ≠ suffering I've seen people with very loud tinnitus who aren't bothered at all. And people with mild tinnitus who are suffering intensely. The difference? Not the decibel level. The nervous system's response. ENTs often give the wrong prognosis based on loudness alone. They assume louder = worse suffering. That's not true. 3. Isolation makes it worse When an ENT says "nothing we can do" and sends you home, you're left alone with a condition your brain perceives as a threat. That isolation activates your nervous system even more. Your brain thinks: "I'm alone with danger. This must be serious." ENTs don't mention that community and co-regulation are part of the treatment. 4. Habituation is possible—and it's teachable ENTs say: "You'll have to learn to live with it." But they don't tell you how. They don't mention: Acceptance and Commitment Therapy (ACT) — the most evidence-based psychological approach for tinnitus Nervous system work — teaching your brain that tinnitus is safe Community support — co-regulation with people who understand They leave you to figure it out alone. My tinnitus is 0% of a problem. Why? Because I didn't wait for it to get quieter. I lived my life despite it. What I wish ENTs would say: Instead of: "There's nothing we can do. Good luck." I wish they'd say: "There's nothing medical we can do to eliminate the sound. But you CAN habituate through nervous system work, ACT, and community support. Here are resources." Where to start: Take the free habituation quiz: www.habituate.online It takes 2 minutes and helps you Let me know in the comments: What did your ENT tell you when you first got tinnitus? — Frieder
I know this episode may ruffle feathers. That's okay. If you've ever felt skeptical about sleep and airway, overwhelmed by the noise online, or frustrated by sensational claims from bad actors — this conversation is for you.In this episode, I sit down with Dr. Anil Rama — neurologist and Stanford-trained sleep medicine physician — to zoom out and look at the bigger picture. Not from an orthodontic silo. Not from a social media debate. But from a multidisciplinary, science-based lens.Quotes“Sleep apnea isn't the disease — it's often the symptom of something bigger.”— Dr. Anil Rama“If orthodontists don't step into this space responsibly, someone else will — and they may not understand craniofacial growth the way we do.”— Dr. Glenn KriegerKey TakeawaysWhy this conversation requires an open mindSleep apnea as a symptom — not just a diagnosis (07:01)The orthodontist's role: quarterback or team member? (09:26)Why expansion alone is never the whole answer (14:19)The danger of practicing in silos (24:35)How a WatchPAT test can transform your diagnostic awareness (41:19)Why many ENTs still miss airway-driven sleep issues (44:51)The brain impact of sleep-disordered breathing (34:03)Why humility — not ego — moves this field forward (59:14)Additional Resources
We beginnen de Bright Podcast deze week met de uitnodiging die Apple ons heeft gestuurd, wat kunnen we verwachten? Verder heeft Google een nieuwe Pixel onthuld, en een nieuwe AI-muziektool. En de flatersvan Odido mogen we ook niet vergeten. Verder vandaag: een opvallende Chinese luchtballon, een real life Terminator, duurdere energie tijdens spitsuren en een langverwachte functie zit eindelijk in iOS. Tips uit deze aflevering: Game: Drop Duchy, een unieke hybride game die de mechanieken van een klassieke tegelpuzzel (zoals Tetris) combineert met strategische deckbuilding en rogue-lite elementen. Spelers bouwen hun eigen hertogdom door blokken met verschillende landschappen en gebouwen op een rooster te plaatsen om grondstoffen te verzamelen en legers te rekruteren. Voor je het weet ben je uren kwijt, nu op Xbox en Windows via Game Pass, Steam en Epic Games. Binnenkort ook voor PS5 en Switch. Luisterboeken: De luisterboeken van The Lord of the Rings voorgelezen door Andy Serkis, zijn geweldig. De acteur achter Gollum geeft ook alle andere personages een overtuigende eigen stem en sleept je de wereld van Tolkien in. Een hele fijne manier om het gigantische verhaal tot je te nemen, en je bent er lang zoet mee, want alle drie de boeken zijn ruim 20 uur lang. Hij leeft zich ook echt in: de hoofdstukken in Fangorn Forest met de Ents duren ook heel lang, omdat de Ents zo langzaam praten. Te luisteren via verschillende audioboek-diensten en onder meer te koop via de Boeken-app van Apple. Serie: Game of Thrones-spinoff Knight of the Seven Kingdoms blijft verbazen. Aflevering 5 (“In the Name of the Mother”) die maandag verscheen heeft een van de hoogste scores (98% op IMdB) van het Game of Thrones universum. Met afleveringen van een half uur en met zes afleveringen in dit eerste seizoen een laagdrempelige manier om Westeros toch weer te betreden.See omnystudio.com/listener for privacy information.
At what point does a “routine” sinus or ear infection become a warning sign of immunodeficiency? In this episode of the BackTable ENT Podcast, board-certified allergist-immunologist Dr. Basil Kahwash explores the intersection of immunodeficiency and otolaryngology with Dr. Lauren Gunderman, a pediatric immunologist at Seattle Children's Hospital. Learn why ENTs should remain vigilant for underlying immune disorders, and how to manage suspected immunodeficiency. --- SYNPOSIS The conversation reviews common signs and symptoms of immunodeficiency, key elements of the diagnostic workup, and when ENT physicians should consider referral to immunology. Dr. Kahwash and Dr. Gunderman discuss the role of family history and genetics, as well as current management strategies, including antibiotic use, immunoglobulin replacement therapy, and lifestyle modifications. Throughout the episode, Dr. Gunderman emphasizes the importance of multidisciplinary collaboration between otolaryngologists and immunologists to improve outcomes for patients with recurrent or severe infections. --- TIMESTAMPS 00:00 - Introduction 02:45 - Understanding Immunodeficiency in ENT08:20 - Common Immunodeficiencies and Indicators11:02 - Basic Immunology Refresher22:13 - Initial Diagnostic Workup25:05 - Challenges in Allergy and Immunology Testing27:57 - When to Refer to an Immunologist34:01 - Antibiotic Stewardship in Immunodeficient Patients46:07 - Advances in Diagnosing Immunodeficiency50:31 - Final Thoughts and Takeaways --- RESOURCES Lauren Michelle Gunderman, MDhttps://www.seattlechildrens.org/directory/lauren-michelle-gunderman/
Raul Veede: "Eesti kultuuri ja vaimse iseseisvuse seisukohalt oleks väga oluline anda nimme välja riigi toetusega paberentsüklopeedia. See, mis on entsüklopeedias, on ühe rahva, ühiskonna ja kultuuri autoportree, fotoülesvõte."
Part 2 of our interview with The Lord of the Rings sound designer David Farmer. We discuss the sounds of the Balrog, the Ents, and other various creatures across all three films. David also describes his technical workflow, and speaks with great fondness about the many months he spent in New Zeland with the crew. Learn more about your ad choices. Visit megaphone.fm/adchoices
We are going on an adventure! Love The Lord of the Rings? Why not read along with us as we consider the books from the writer's point of view! Taking it chapter by chapter, novelist Julia Golding will reveal new details that you might not have noticed and techniques that will only go to increase your pleasure in future re-readings of our favourite novel. Julia also brings her expert knowledge of life in Oxford and English culture to explain some points that might have passed you by.(00:05) Setting the Scene(02:19) Maritime Imagery, Storm Metaphors, and Tolkien’s Symbolism(05:01) Hobbits, Food, and the Translation of Time(07:15) Growth, Ent-Draught, and Storytelling Perspective(09:37) Casting Away Treasure(13:51) The Ents’ Assault on Isengard(19:44) Gandalf’s Return, Soundscapes, and Narrative Tempo(27:06) Wormtongue, Aftermath, and Foreshadowing the ShireFor more information on the Oxford Centre for Fantasy, our writing courses, and to check out our awesome social media content visit: Website: https://centre4fantasy.com/website Instagram: https://centre4fantasy.com/Instagram Facebook: https://centre4fantasy.com/Facebook TikTok: https://centre4fantasy.com/tiktok
Alright everyone, grab your Po-Tay-Toes and get ready for the second installment of LOTR: The Two Towers. In this episode, Meghan realizes she and Gimli are one, Jacqueline fully admits to being a horse girl, and they both fangirl over the Ents for a bit. Too bad they don't talk as slowly as they do, it might be easier to listen! Stay tuned for the final chapter! Follow LTP on Social Media
Forth Eorlingas! This week we toss Gimli face first into the forces of the Enemy. It's another four hour tour of Middle Earth, and this time, we brought Ents.Is the middle film of a trilogy ever the best one? In this case, the jury's out, but one thing is for certain: it has the weirdest title of all three.Topics explored this week include: Legolas's whole deal, the groundbreaking creation of Sméagol, Merry and Pippin blazin' it with Treebeard, Helm's Deep, Helm's Deep, and a LOT more Helm's Deep.Next week, we complete the holy trinity with RETURN OF THE KING (2003), and then we promise we'll never talk about Rings again (just kidding, the Ring has corrupted us and there's no turning back now). Join the conversation on our Discord at https://discord.com/invite/RssDc3brsx and get more Eye of the Duck on our Patreon show, After Hours https://www.patreon.com/EyeoftheDuckPodReferences:Special FeaturesWarriors of the Third AgeCameras in Middle EarthFrom Book to Script: Finding the StoryEditorial: Editing the StoryRick Porras as GollumThe Soundscapes of Middle EarthCinefex #92 Production HistoryAnything You Can Imagine: Peter Jackson and the Making of Middle-Earth by Ian NathanPeter Jackson: A Filmmaker's Journey by Brian SibleyUma Thurman Turns Down EowynASC Cinematography BreakdownCredits:Eye of the Duck is created, hosted, and produced by Dom Nero and Adam Volerich.This episode was edited by Michael Gaspari.This episode was researched by Parth Marathe.Our logo was designed by Francesca Volerich. You can purchase her work at francescavolerich.com/shopThe "Adam's Blu-Ray Corner" theme was produced by Chase Sterling.Assistant programming and digital production by Nik Long.Follow us on Twitter, Instagram, and Letterboxd or join the conversation at Eye of the Discord.Learn more at eyeoftheduckpod.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Can adults really expand their maxilla? Is treating sleep apnea with a CPAP or mandibular advancement device only MASKING the problem? How does craniofacial anatomy influence airway health, and what should dentists look for? Dr. Dave Singh joins us to dive into CranioFacial Sleep Medicine. He breaks down how structural issues—like a narrow maxilla, high-arched palate, or limited tongue space—can be root causes of sleep-disordered breathing, rather than just treating symptoms. The episode also touches on controversies in orthodontics and presents evidence supporting interventions once thought impossible in adults. https://youtu.be/WUyeOjKquJU Watch PDP253 on Youtube Protrusive Dental Pearl: Obstructive Sleep Apnea is NOT just a “fat old man disease.” If you're not screening every patient for sleep and airway issues, you're missing a huge piece of their overall health. Snoring, bruxism, and craniofacial anatomy are all connected, and understanding these links can transform the way you approach patient care. Key Takeaways: Mandibular advancement appliances are not a universal solution. While effective for some patients, they often fail to address the underlying causes of airway collapse. Craniofacial sleep medicine focuses on airway etiology, not just symptom control, by identifying why the mandible, tongue, and airway behave as they do during sleep. The cranial base plays a foundational role in facial growth, jaw position, and airway size, directly influencing sleep apnea risk. A retruded mandible is frequently due to developmental and epigenetic factors, rather than being an isolated mandibular issue. Sleep apnea has multiple endotypes—including craniofacial, neurologic, metabolic, and myopathic—requiring individualized treatment planning. Bruxism is not a reliable airway-opening mechanism and may be a primitive physiological response to hypoxia rather than a protective behavior. Tooth wear can be an early indicator of sleep-disordered breathing, and should prompt clinicians to screen beyond restorative concerns. Upper Airway Resistance Syndrome (UARS) can occur even when the apnea-hypopnea index (AHI) is low, particularly in non-obese patients with fatigue, pain, and poor sleep quality. Palatal expansion should be understood as a 3D craniofacial intervention, aimed at improving nasal airflow and airway function—not merely widening the dental arch. Effective care depends on an integrated, multidisciplinary approach, involving dentists, orthodontists, sleep physicians, ENTs, and myofunctional therapists. Youtube Highlights: 00:00 Teaser 01:01 Introduction 02:56 Pearl: Debunking Myths About Sleep Apnea 04:27 Interview with Professor Dave Singh: Journey and Insights 13:23 Craniofacial Development 18:53 Epigenetics and Orthodontic Controversies 25:52 Diagnosis and Treatment of Sleep Apnea 32:49 Understanding Upper Airway Resistance Syndrome 34:17 Midroll 37:38 Understanding Upper Airway Resistance Syndrome 39:45 Diagnosing Sleep Disorders and Treatment Modalities 43:58 Exploring Bruxism and Its Hypotheses 45:19 CPAP and Alternative Treatments for Sleep Apnea 48:12 Managing Upper Airway Resistance Syndrome 55:11 Integrative Approach to Sleep Disorder Management 57:17 Diagnostic Protocols and Imaging Techniques 01:02:25 The Importance of Proper Device Fit and Function 01:07:16 Upcoming Events and Further Learning Opportunities 01:09:56 Outro ✨ Don't Miss Out: Practical, anatomy-based approaches to sleep and airway management for dentists and specialists
Can adults really expand their maxilla? Is treating sleep apnea with a CPAP or mandibular advancement device only MASKING the problem? How does craniofacial anatomy influence airway health, and what should dentists look for? Dr. Dave Singh joins us to dive into CranioFacial Sleep Medicine. He breaks down how structural issues—like a narrow maxilla, high-arched palate, or limited tongue space—can be root causes of sleep-disordered breathing, rather than just treating symptoms. The episode also touches on controversies in orthodontics and presents evidence supporting interventions once thought impossible in adults. https://youtu.be/WUyeOjKquJU Watch PDP253 on Youtube Protrusive Dental Pearl: Obstructive Sleep Apnea is NOT just a “fat old man disease.” If you're not screening every patient for sleep and airway issues, you're missing a huge piece of their overall health. Snoring, bruxism, and craniofacial anatomy are all connected, and understanding these links can transform the way you approach patient care. Key Takeaways: Mandibular advancement appliances are not a universal solution. While effective for some patients, they often fail to address the underlying causes of airway collapse. Craniofacial sleep medicine focuses on airway etiology, not just symptom control, by identifying why the mandible, tongue, and airway behave as they do during sleep. The cranial base plays a foundational role in facial growth, jaw position, and airway size, directly influencing sleep apnea risk. A retruded mandible is frequently due to developmental and epigenetic factors, rather than being an isolated mandibular issue. Sleep apnea has multiple endotypes—including craniofacial, neurologic, metabolic, and myopathic—requiring individualized treatment planning. Bruxism is not a reliable airway-opening mechanism and may be a primitive physiological response to hypoxia rather than a protective behavior. Tooth wear can be an early indicator of sleep-disordered breathing, and should prompt clinicians to screen beyond restorative concerns. Upper Airway Resistance Syndrome (UARS) can occur even when the apnea-hypopnea index (AHI) is low, particularly in non-obese patients with fatigue, pain, and poor sleep quality. Palatal expansion should be understood as a 3D craniofacial intervention, aimed at improving nasal airflow and airway function—not merely widening the dental arch. Effective care depends on an integrated, multidisciplinary approach, involving dentists, orthodontists, sleep physicians, ENTs, and myofunctional therapists. Youtube Highlights: 00:00 Teaser 01:01 Introduction 02:56 Pearl: Debunking Myths About Sleep Apnea 04:27 Interview with Professor Dave Singh: Journey and Insights 13:23 Craniofacial Development 18:53 Epigenetics and Orthodontic Controversies 25:52 Diagnosis and Treatment of Sleep Apnea 32:49 Understanding Upper Airway Resistance Syndrome 34:17 Midroll 37:38 Understanding Upper Airway Resistance Syndrome 39:45 Diagnosing Sleep Disorders and Treatment Modalities 43:58 Exploring Bruxism and Its Hypotheses 45:19 CPAP and Alternative Treatments for Sleep Apnea 48:12 Managing Upper Airway Resistance Syndrome 55:11 Integrative Approach to Sleep Disorder Management 57:17 Diagnostic Protocols and Imaging Techniques 01:02:25 The Importance of Proper Device Fit and Function 01:07:16 Upcoming Events and Further Learning Opportunities 01:09:56 Outro ✨ Don't Miss Out: Practical, anatomy-based approaches to sleep and airway management for dentists and specialists
How can your clinical experience translate into industry leadership? In this episode of the BackTable ENT Podcast, otolaryngologist Dr. Karen Hoffmann at Piedmont ENT in Atlanta joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss the many opportunities for industry involvement within otolaryngology. --- SYNPOSIS Dr. Hoffmann shares her extensive experience in otology and rhinology, highlighting her involvement in clinical trials, public speaking, and industry collaborations. The discussion focuses on the vast opportunities available for ENTs in industry, addressing how clinical experience can translate into meaningful contributions beyond traditional practice. Dr. Hoffmann offers insights on balancing clinical practice with industry work, the importance of gender diversity in advancing medical tools and practices, and the potential for future innovations in ENT driven by women in the field. --- TIMESTAMPS 00:00 - Introduction02:31 - Opportunities for ENTs in Industry08:43 - Balancing Career and Family16:39 - Navigating Industry Partnerships21:39 - Addressing Criticism in Medicine25:09 - Getting Started with Clinical Trials in Private Practice28:57 - The Role of Mentorship and Networking36:13 - The Importance of Women in Medicine42:10 - Future Opportunities for Women in ENT --- RESOURCES Dr. Karen Hoffmannhttps://www.piedent.com/about-us/providers/karen-hoffmann
On this week's Mean Age Daydream, leftist pigs of Hollywood totally Orwell the Orwell by rewriting "Animal Farm" as anti-capitalism. Andy Serkis is a hack. Also: Trump ramps up actions in Venezuela, Facebook finds out anti-white racism is the big problem on social media, and Trump might just reschedule weed. Buy my new card game: WOKE WORD WARS - https://www.amazon.com/dp/B0FLF8Y16S Help support what we do and grow our show! / lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/... Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS.... First Episode Pod on Rumble: https://rumble.com/c/c-567943 Learn more about your ad choices. Visit megaphone.fm/adchoices
On this week's Mean Age Daydream, leftist pigs of Hollywood totally Orwell the Orwell by rewriting "Animal Farm" as anti-capitalism. Andy Serkis is a hack. Also: Trump ramps up actions in Venezuela, Facebook finds out anti-white racism is the big problem on social media, and Trump might just reschedule weed. Buy my new card game: WOKE WORD WARS - https://www.amazon.com/dp/B0FLF8Y16S Help support what we do and grow our show! / lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/... Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS.... First Episode Pod on Rumble: https://rumble.com/c/c-567943 Learn more about your ad choices. Visit megaphone.fm/adchoices
On this week's Mean Age Daydream, Brian debates what to do about the danger of AI, and how we are trapped in a damned-if-you-do / damned-if-you-don't paradox. Also, Thomas Massie intros a bill to leave NATO, and Randi Weingarten is a horrible person. Buy my new card game: WOKE WORD WARS - https://www.amazon.com/dp/B0FLF8Y16S Help support what we do and grow our show! / lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/... Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS.... First Episode Pod on Rumble: https://rumble.com/c/c-567943 Learn more about your ad choices. Visit megaphone.fm/adchoices
On this week's Mean Age Daydream, Brian debates what to do about the danger of AI, and how we are trapped in a damned-if-you-do / damned-if-you-don't paradox. Also, Thomas Massie intros a bill to leave NATO, and Randi Weingarten is a horrible person. Buy my new card game: WOKE WORD WARS - https://www.amazon.com/dp/B0FLF8Y16S Help support what we do and grow our show! / lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/... Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS.... First Episode Pod on Rumble: https://rumble.com/c/c-567943 Learn more about your ad choices. Visit megaphone.fm/adchoices
On this week's Mean Age Daydream, almost 40% of undergrads at top universities identify as "disabled" and are on assistance. Also: Trump closes Venezuelan airspace and is bombing boats in foreign waters: are these war crimes? Buy my new card game: WOKE WORD WARS - https://www.amazon.com/dp/B0FLF8Y16S Help support what we do and grow our show! http://patreon.com/lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/ Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS.... First Episode Pod on Rumble: https://rumble.com/c/c-567943 Learn more about your ad choices. Visit megaphone.fm/adchoices
On this week's Mean Age Daydream, almost 40% of undergrads at top universities identify as "disabled" and are on assistance. Also: Trump closes Venezuelan airspace and is bombing boats in foreign waters: are these war crimes? Buy my new card game: WOKE WORD WARS - https://www.amazon.com/dp/B0FLF8Y16S Help support what we do and grow our show! http://patreon.com/lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/ Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS.... First Episode Pod on Rumble: https://rumble.com/c/c-567943 Learn more about your ad choices. Visit megaphone.fm/adchoices
On this week's Mean Age Daydream, PA passes the dumbest legislation ever with the CROWN Act, UBI fails again, Canada has an indigenous faker problem (paging Elizabeth Warren) and Thanksgiving should remind us of the importance of community over government. Buy my new card game: WOKE WORD WARS - https://www.amazon.com/dp/B0FLF8Y16S Help support what we do and grow our show! http://patreon.com/lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/ Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS.... First Episode Pod on Rumble: https://rumble.com/c/c-567943 Learn more about your ad choices. Visit megaphone.fm/adchoices
On this week's Mean Age Daydream, Brian looks at the security precautions and marches by Islamic immigrants in Western nations that is a true war on Christmas before turning to the sure to be redacted Epstein files. Buy my new card game: WOKE WORD WARS - https://www.amazon.com/dp/B0FLF8Y16SHelp support what we do and grow our show! http://patreon.com/lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/ Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS.... First Episode Pod on Rumble: https://rumble.com/c/c-567943 Learn more about your ad choices. Visit megaphone.fm/adchoices
On this week's Mean Age Daydream, Brian looks at the irony of Zohran Mamdani becoming Mayor of New York City, and if there is any chance he can fulfill his socialist promises. Also: California's voters are once again exposed as the most easily manipulated in the nation on Prop 50, and Teen Vogue slashes its woke staff. We have a new show on Lions of Liberty! The Politicks Podcast! Be sure to subscribe to the standalone Politicks Podcast feed. This is the absolute best way to support the show! Listen and subscribe on Apple Podcasts and Spotify. And remember, they're all Blood Suckers! Help support what we do and grow our show! http://patreon.com/lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/ Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS.... First Episode Pod on Rumble: https://rumble.com/c/c-567943 Learn more about your ad choices. Visit megaphone.fm/adchoices
This incredible Halloween throwback episode from the crypt will make you cackle and cream your pumpkins. Featuring impressions galore and more laughs than you'll get watching Zoran Mamdani's NYC fail! MADD will feature a Thanksgiving version of this, coming in less than a month!! We have a new show on Lions of Liberty! The Politicks Podcast! Be sure to subscribe to the standalone Politicks Podcast feed. This is the absolute best way to support the show! Listen and subscribe on Apple Podcasts and Spotify. And remember, they're all Blood Suckers! Help support what we do and grow our show! http://patreon.com/lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/ Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS.... First Episode Pod on Rumble: https://rumble.com/c/c-567943 Learn more about your ad choices. Visit megaphone.fm/adchoices
On this week's Mean Age Daydream: Socialist Chicago Mayor proposes social media sin tax, the No Kings rallies depend on Depends, and British Universities tell students they must accept that Orcs in Tolkien are supposed to be black people. We have a new show on Lions of Liberty! The Politicks Podcast! Be sure to subscribe to the standalone Politicks Podcast feed. This is the absolute best way to support the show! Listen and subscribe on Apple Podcasts and Spotify. And remember, they're all Blood Suckers! Help support what we do and grow our show! http://patreon.com/lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/ Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS.... First Episode Pod on Rumble: https://rumble.com/c/c-5679432 Learn more about your ad choices. Visit megaphone.fm/adchoices
On this week's Mean Age Daydream, Brian can't believe the forthcoming "Star Trek: Academy" is so behind the times that it has a Klingon warrior in a skirt. Also: SCOTUS looks to strike down race based redistricting, and Home Depot launches a free trade training program. Care about your liberty and future? Don't miss the Expat Money Online Summit, October 10–12, hosted by Mikkel Thorup of the Expat Money Show. It's free to attend and features top experts on protecting wealth, securing second residencies, lowering taxes, and owning property abroad. Upgrade for lifetime replay access and VIP panels with promo code LIONS for 20% off at https://2025.expatmoneysummit.com/ We have a new show on Lions of Liberty! The Politicks Podcast! Be sure to subscribe to the standalone Politicks Podcast feed. This is the absolute best way to support the show! Listen and subscribe on Apple Podcasts and Spotify. And remember, they're all Blood Suckers! Help support what we do and grow our show! http://patreon.com/lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/ Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS.... First Episode Pod on Rumble: https://rumble.com/c/c-5679432 Learn more about your ad choices. Visit megaphone.fm/adchoices
On this week's Mean Age Daydream, Virginia AG candidate Jay Jones wishes death on his political rivals and their children. This is not an outlier. Also: "One Thing After Another" is doing well at the box office. Will it give leftists in Hollywood the wrong message for project development slates? Care about your liberty and future? Don't miss the Expat Money Online Summit, October 10–12, hosted by Mikkel Thorup of the Expat Money Show. It's free to attend and features top experts on protecting wealth, securing second residencies, lowering taxes, and owning property abroad. Upgrade for lifetime replay access and VIP panels with promo code LIONS for 20% off at https://2025.expatmoneysummit.com/ We have a new show on Lions of Liberty! The Politicks Podcast! Be sure to subscribe to the standalone Politicks Podcast feed. This is the absolute best way to support the show! Listen and subscribe on Apple Podcasts and Spotify. And remember, they're all Blood Suckers! Help support what we do and grow our show! http://patreon.com/lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/ Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS.... First Episode Pod on Rumble: https://rumble.com/c/c-5679432 Learn more about your ad choices. Visit megaphone.fm/adchoices
On this week's Mean Age Daydream, Saudi Arabia's national investment arm teams wit Jared Kushner to eat major US gaming publisher Electronic Arts - is that good, bad, or both? Also: Government shuts down, and Wikipedia and the ADL get exposed. Care about your liberty and future? Don't miss the Expat Money Online Summit, October 10–12, hosted by Mikkel Thorup of the Expat Money Show. It's free to attend and features top experts on protecting wealth, securing second residencies, lowering taxes, and owning property abroad. Upgrade for lifetime replay access and VIP panels with promo code LIONS for 20% off at https://2025.expatmoneysummit.com/ We have a new show on Lions of Liberty! The Politicks Podcast! Be sure to subscribe to the standalone Politicks Podcast feed. This is the absolute best way to support the show! Listen and subscribe on Apple Podcasts and Spotify. And remember, they're all Blood Suckers! Help support what we do and grow our show! http://patreon.com/lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/ Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS.... First Episode Pod on Rumble: https://rumble.com/c/c-5679432 Learn more about your ad choices. Visit megaphone.fm/adchoices
On this week's Mean Age Daydream, Brian can't believe how the left has reached a "Westboro Baptist Church" level of disgusting intolerance in protesting Charlie Kirk memorials. Also: The HHS announced a connection between acetaminophen and autism, so insane pregnant DNCs are eating it like candy and potentially risking their children's development. Care about your liberty and future? Don't miss the Expat Money Online Summit, October 10–12, hosted by Mikkel Thorup of the Expat Money Show. It's free to attend and features top experts on protecting wealth, securing second residencies, lowering taxes, and owning property abroad. Upgrade for lifetime replay access and VIP panels with promo code LIONS for 20% off at https://2025.expatmoneysummit.com/ We have a new show on Lions of Liberty! The Politicks Podcast! Be sure to subscribe to the standalone Politicks Podcast feed. This is the absolute best way to support the show! Listen and subscribe on Apple Podcasts and Spotify. And remember, they're all Blood Suckers! Help support what we do and grow our show! https://patreon.com/lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/ Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS... First Episode Pod on Rumble: https://rumble.com/c/c-5679432 Learn more about your ad choices. Visit megaphone.fm/adchoices
On this week's Mean Age Daydream, Brian looks at the slippery slope of "hate speech" being favored by AG Pam Bondi as a reason to "go after" enemies of the State. Also: Trump goes to the UK - will it be a wake up, or a tactical inspiration? And Hawaii's favorite low-IQ Senator admits men and women are different in a hilarious exchange with Kash Patel. On this week's Mean Age Daydream, the stabbing of Iryna Zarutska by a psychotic racist on public transport has laid bare the left's own racism, and selective emphasis on optics over safety. Also: Banksy gets censored in the UK and self-hating blue cities and states change their crests because "colonialism." Care about your liberty and future? Don't miss the Expat Money Online Summit, October 10–12, hosted by Mikkel Thorup of the Expat Money Show. It's free to attend and features top experts on protecting wealth, securing second residencies, lowering taxes, and owning property abroad. Upgrade for lifetime replay access and VIP panels with promo code LIONS for 20% off at https://2025.expatmoneysummit.com/ We have a new show on Lions of Liberty! The Politicks Podcast! Be sure to subscribe to the standalone Politicks Podcast feed. This is the absolute best way to support the show! Listen and subscribe on Apple Podcasts and Spotify. And remember, they're all Blood Suckers! Help support what we do and grow our show! https://patreon.com/lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/ Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS... First Episode Pod on Rumble: https://rumble.com/c/c-5679432 Learn more about your ad choices. Visit megaphone.fm/adchoices
The Politicks squad reacts to the assassination of Charlie Kirk, the reactions from media and pundits, and those on the left who have proven themselves to be the true monsters among us. Care about your liberty and future? Don't miss the Expat Money Online Summit, October 10–12, hosted by Mikkel Thorup of the Expat Money Show. It's free to attend and features top experts on protecting wealth, securing second residencies, lowering taxes, and owning property abroad. Upgrade for lifetime replay access and VIP panels with promo code LIONS for 20% off at https://2025.expatmoneysummit.com/ We have a new show on Lions of Liberty! The Politicks Podcast! Be sure to subscribe to the standalone Politicks Podcast feed. This is the absolute best way to support the show! Listen and subscribe on Apple Podcasts and Spotify. And remember, they're all Blood Suckers! Help support what we do and grow our show! https://patreon.com/lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/ Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS... First Episode Pod on Rumble: https://rumble.com/c/c-5679432 Learn more about your ad choices. Visit megaphone.fm/adchoices
On this week's Mean Age Daydream, the stabbing of Iryna Zarutska by a psychotic racist on public transport has laid bare the left's own racism, and selective emphasis on optics over safety. Also: Banksy gets censored in the UK and self-hating blue cities and states change their crests because "colonialism." Care about your liberty and future? Don't miss the Expat Money Online Summit, October 10–12, hosted by Mikkel Thorup of the Expat Money Show. It's free to attend and features top experts on protecting wealth, securing second residencies, lowering taxes, and owning property abroad. Upgrade for lifetime replay access and VIP panels with promo code LIONS for 20% off at https://2025.expatmoneysummit.com/ We have a new show on Lions of Liberty! The Politicks Podcast! Be sure to subscribe to the standalone Politicks Podcast feed. This is the absolute best way to support the show! Listen and subscribe on Apple Podcasts and Spotify. And remember, they're all Blood Suckers! Help support what we do and grow our show! https://patreon.com/lionsofliberty OR support us on Locals! https://lionsofliberty.locals.com/ Subscribe to the all new FIRST EPISODE PODCAST! https://cms.megaphone.fm/channel/ENTS... First Episode Pod on Rumble: https://rumble.com/c/c-5679432 Learn more about your ad choices. Visit megaphone.fm/adchoices