Podcasts about Pharynx

Pour accéder à l'intégralité de ce podcast et écouter chaque semaine un nouvel épisode du Quart d'Heure Véto, c'est très simple, il vous suffit de vous abonner en cliquant sur ce lien : https://m.audiomeans.fr/s/S-yUNSBZSR Notes et référencesArticle : Scholler D, Wittenberg J, Zablotski Y, May A. Do tight nosebands have an effect on the upper airways of horses? Vet Med Sci. 2024 Jul;10(4):e1478. doi: 10.1002/vms3.1478. PMID: 38885311; PMCID: PMC11182419.Retrouvez toute la synthèse sur la fiche podcast juste ici : https://audmns.com/WltrisgPour nous suivre :1. Abonnez-vous à notre chaine pour profiter de l'intégralité des épisodes : Le Quart d'Heure Véto : décrypte et résume en moins de 15 min un article de biblio véto - Sur abonnement uniquementLe Véto du Mois : Partagez le temps d'une interview l'expérience de vétérinaires emblématiques de notre milieu, des rencontres conviviales, comme si nous étions dans votre salon au coin du feu. Podcasts bonus au fil des inspirations... 2. Le ScopeNous partageons avec vous nos dernières découvertes, inspirations, pistes de réflexion, nouveautés… À découvrir et utiliser dès maintenant, TOUT DE SUITE, dans votre quotidien de vétérinaire, de manager, de vie personnelle, de chef d'entreprise… Et tout cela en moins de 5 minutes top chrono un à 2 mardis par mois ! Je souhaite recevoir mon Scope : https://vetmasterclass.com/lescope/ 3. Contactez-nous, suivez-nous et donnez nous votre avis ! Des sujets que vous souhaiteriez approfondir, des références à partager, ou nous faire part de vos feed-backs :Abonnez-vous à notre chaine, donnez nous des étoiles, un commentaire et partagez autour de vous !Sur notre site : https://vetmasterclass.com/Sur Facebook : https://www.facebook.com/VmHorseSur Instagram : https://www.instagram.com/vetmasterclass/Sur YouTube : https://www.youtube.com/channel/UC18ovcWk9e-mFiTL34OQ03gSur Linkedin : https://www.linkedin.com/company/vetmasterclass-horse/about/Belle journée à tous, Et continuez à vivre votre métier avec Passion !

There is one special place that simultaneously terrifies and has unexplainable pull: 300 ships gone missing, 75 aircrafts never found; you're right, that's all about the Bermuda Triangle. Few people are aware of what the life is like at the bottom of the Bermuda Triangle – are you ready to meet the most shocking and scary creatures ever? Dragonfish live at the staggering depth of 5 to 7 thousand feet. This fish looks quite terrifying, with its black coloring and the light it produces on its own. Unlike other deep-water inhabitants, dragonfish produces light in the infrared range while the blue and green range is what other fish stick to. Vampire Squid has the largest eyes in terms of proportions in the world and is born to live in the depth. These animals are also covered with photophores which distract predators and lure prey. The mouth of the gulper eel is loosely hinged which makes it extremely wide and big. In fact, the length of the jaw of the eel reaches one-fourth of the length of their body. Despite being the owner of an enormous mouth, the gulper eel has tiny teeth, and this means that it isn't supposed to prey on large animals. The Goblin Shark reaches 13 ft in size and is also called the Vampire Shark due to the fact that it avoids light at all cost. Due to this feature, you can see the shark in its natural habitat only if you go as deep as 890 to 4300 ft. Pharynx, a complex feeding apparatus that helps Eunice Aphroditois catch the prey, can turn inside out, not unlike glove fingers. It has strong and extremely sharp mandibles which can easily cut the prey in half due to the strength and speed of the worm's attack. These are just some of the creatures that lurk in the depth of the Bermuda Triangle. Who knows what other unbelievable horror-movie beasts we can meet there? Music: Action Hero - Jingle Punks https://www.youtube.com/audiolibrary/... Animation is created by Bright Side. Goblin Shark (Mitsukurina owstoni) at Natural History Museum in Vienna: By Peter Halasz, CC BY-SA 3.0 https://creativecommons.org/licenses/..., https://commons.wikimedia.org/w/index..., https://commons.wikimedia.org/wiki/Fi... Head of a goblin shark (Mitsukurina owstoni) with jaws extended: By Dianne Bray / Museum Victoria, CC BY 3.0 au https://creativecommons.org/licenses/..., https://commons.wikimedia.org/wiki/Fi... TIMESTAMPS Bermuda Triangle mystery 0:50 Dragonfish 2:53 Vampire Squid 3:41 Gulper Eel 4:28 Goblin Shark 5:45 Eunice Aphroditois 7:03 SUMMARY -The most well-known example of ships disappearing in that area was the USS Cyclops, an American iron-clad steamer with 309 crew members on board. Nobody knows for sure what makes crafts disappear in this area. -Dragonfish looks quite terrifying, with its black coloring and the light it produces on its own in case of danger. -The Vampire Squid has is bright red eyes and crimson cloak that looks like webbing. In case of a threat, these creatures can invert their skin exposing their spines. -The pouch-like structure of the lower jaw allows the eel to deposit its prey there. Even the stomach of the eel can stretch so much that the creature can hold there a huge amount of food. -The Goblin Shark reaches 13 ft in size and is also called the Vampire Shark due to the fact that it avoids light at all cost. As soon as the prey appears in the vicinity, the jaw of the shark will elongate and grab it. -The worm buries itself in the seafloor with just a fraction of its body exposed. It has five antennae it uses to sense the prey. Subscribe to Bright Side : https://goo.gl/rQTJZz ---------------------------------------------------------------------------------------- Our Social Media: Facebook:   / brightside   Instagram:   / brightgram   5-Minute Crafts Youtube: https://www.goo.gl/8JVmuC ---------------------------------------------------------------------------------------- For more videos and articles visit: http://www.brightside.me/ Learn more about your ad choices. Visit megaphone.fm/adchoices

I have sleep apnea. I also had major jaw surgery at 15. Are they connected? If I had a Magic 8 Ball, it would likely say, “All signs point to Yes”. And so would one pioneer in holistic dentistry by the name of Dr. Claire Stagg.  ⁣ Through my personal journey of trauma and jaw surgery, we highlight the limitations of conventional solutions like CPAP and oral appliances, underscoring the need for a comprehensive, whole-body approach. Dr. Stagg shares invaluable insights into the interconnectedness of our body's systems, focusing on non-surgical solutions for TMJ, clenching, grinding, sleep apnea, and airway disorders. ⁣ This is about building your symphony of specialists who focus on the root cause, not just the diagnosis. It's the conversation I wish my parents and I had over 35 years ago when I sat in the dentist's chair. Today, I hope it serves as a guide for anyone struggling to find answers. And for parents, let it offer a new kind of hope for your kids to leave you better informed when it comes to your dental health and overall well-being.⁣ ⁣ KEY MOMENTS⁣ 00:00  Intro⁣ 00:06  Whole Body Approach to TMJ⁣ 03:50  Orthodontic Surgery Complications and Alternatives⁣ 14:31 Identifying and Addressing Airway Issues  ⁣ 18:20  Comprehensive Approach to Airway Disorders⁣ 20:48  Navigating Specialists for Sleep Apnea  ⁣ 25:38 CPAP vs Oral Appliance ⁣ 26:51  Addressing Root Cause of Sleep Apnea⁣ 34:34  Understanding Palatal Expansion and Growth⁣ 42:05  Empowering Dental Health Education and Advocacy⁣ 46:33  Parent's Journey to Healing Child ⁣ 48:49  Rapid Fire Game⁣ 49:49  Dr. Stagg's closing thoughts⁣ 51:29  Hilary's closing thoughts/Wellness Resources and Support Availability⁣ ⁣ Grab a copy of Dr. Stagg's book, “Smile: It's All Connected" ⁣ Hardcover:  https://amzn.to/3XLYm9X (Amazon)⁣ ⁣ Share storytime about proper dental health with her children's book "Captain IFBI" ⁣https://amzn.to/4cipP7l (Amazon)⁣ ⁣ Get the Daily Dental Protocol Checklist.⁣ https://lp.constantcontactpages.com/sl/Y4V5mXB⁣⁣ CONNECT WITH DR STAGG ⁣ https://healthconnectionsdentistry.com/⁣ https://www.instagram.com/SmileProDentist⁣ https://www.facebook.com/SmileProDentist⁣   ⁣ ⁣HEALING IN YOUR HANDS. HAVENING WITH HILARY⁣ https://www.hilaryrusso.com/havening⁣ ⁣ CONNECT WITH HILARY⁣ https://www.hilaryrusso.com/podcast⁣ https://www.instagram.com/hilaryrusso https://www.facebook.com/HIListicallySpeaking/⁣ https://www.facebook.com/groups/hugitoutcollective/⁣ https://x.com/hilaryrusso⁣ https://www.tiktok.com/@hilisticallyspeaking⁣ Music by Lipbone Redding https://lipbone.com/⁣ FULL TRANSCRIPT ALSO ON PODCAST WEBSITE⁣ ⁣ ⁣ 00:06 - Dr. Claire Stagg (Guest)⁣ Think about all the systems that are shut down because you can't breathe right? The oral appliance isn't going to fix it. The CPAP is definitely not going to fix it, because what's going to happen is the body is going to acclimatize or get used to that level of band-aiding and then it's like okay, you know what it is. The little Dutch boy with his finger came to mind with a dam. So you put one finger here and then you put one finger here, and then you put one finger here and you put one finger, and then you're not gonna have enough fingers or toes, and then the dam's gonna break. And it's exactly the same concept. ⁣ ⁣ 00:40 - Hilary Russo (Host)⁣ Okay, my friends, One of the reasons I went into the work that I do is it was an effort to heal my own trauma and, as a result of that, from having TMJ my whole life, from having jaw surgery when I was a teenager and not knowing really how to heal and not getting the right kind of support after that surgery, I wanted to know what I could do to heal later in life, because we really never stop healing, right? You hear me talk about that all the time and it's really how Havening came into my life. It was the first time I was ever Havened was on the trauma from my surgery years later. But what we're learning is that it's all connected. Everything from head to toe. It's all connected. Everything from head to toe, it's all connected. ⁣ ⁣ 01:32⁣ So when I was introduced to Dr Claire Stagg, a holistic dentist who believes in the whole body approach thank you so much I knew that her story and her method would resonate with so many others, because I've had these conversations with so many Dr Stagg about TMJ, jaw issues, clenching, grinding, stress and the problems that happen after the breathing, the sleep apnea, and it's such a common problem. So when you came into my space, when I was introduced to you by a client who you introduced me to, I knew that you were the right person to talk about this, to share the journey, to share possibilities, and I am so grateful that you are here. ⁣ ⁣ 02:12 - Dr. Claire Stagg (Guest)⁣ Well, thank you, thank you, and I think it would be good to, if it's okay with you, to answer your questions and your journey, because I think you went through the whole gamut of from the start out the gate to the journey itself. So the first thing I'd like to add is that surgery is a massive undertaking and, unfortunately, one of the things because you and I have talked before this is that, without stepping on too many toes and being politically correct, it would be wise to figure out why orthognathic surgery is being done. A lot of times people are having their jaws move forward without understanding how the whole concepts work, and a lot of times some things can be done, so a lot and some can be done non-surgically. You just don't know what. You don't know until you know it. So surgery is a end-all, be-all concept and if you have a broken bone, it's a good time to put things together. ⁣ ⁣ 03:20⁣ But the head, the cranium, all these things keep moving all the time. I have a skull here with sutures. I mean this is just the top part, if you will, this is the front. The head you can tell Fred moves a lot too with me. Then this is the part that I work with and this is what I tell everybody, this is what I do right this part and right this part, and then this part. All right, but not as crooked. But what happened is you had your surgery to go ahead and to fix something that might have been fixable without it actually having to have the surgery. So here we go. I'm trying to put it all together for you and showing us us on YouTube. ⁣ ⁣ 04:04 - Hilary Russo (Host)⁣ We are on YouTube in case anybody wants to watch the video rather than just listen. It is on YouTube. ⁣ ⁣ 04:10 - Dr. Claire Stagg (Guest)⁣ Right. So what I'm trying to say basically is that if you approach and saying that you need jaw surgery, please educate yourself more before you go down that rabbit hole, because it makes us a lot harder for us who are coming in behind to work on, to have arch expansion or arch development or airway issues to resolve them, if we're trying to move bone when you have screws tying them in. That's all I'm trying to say. So I interjected very early on. I'm sorry, but that's where I think. If you start off the gate that way and I think, unfortunately your issues, if I may say so, continued and stemmed from the actual surgery. They were trying to do one thing, but you ended up with a lot of other things. So that's where we have to weigh the pros and the cons, right. ⁣ ⁣ 04:59 - Hilary Russo (Host)⁣ Absolutely. ⁣ ⁣ 04:59 - Dr. Claire Stagg (Guest)⁣ Very delicate. ⁣ ⁣ 05:00 - Hilary Russo (Host)⁣ Yeah, and it's something that you know. Back in the 80s, when this surgery was done, I was 15 years old. What was known about it? It was pretty much a younger surgery. The surgery itself was hours, the healing process was eight to 10 weeks with a jaw wired shut, and just you know. If this is triggering to anyone, I just want to preface that we're going to go there, that this surgery was not a minor surgery that you're doing in a dental office. I had a doctor that dealt with the face, I had an orthodontist, I had a dentist. It was like this team. And even after the surgery, a year later, I had follow-up surgery and I told myself. I said this has got to be it Like there can't be more than this because it was very traumatic. And this has got to be it Like this, there can't be more than this, because it was very traumatic. And the years following, because I was still growing, there was movement still happening, obviously, right. ⁣ ⁣ 05:55 - Dr. Claire Stagg (Guest)⁣ So, and at 15, you're not finished growing. And that's the other thing to girls and boys grow differently. Girls can grow, still continue growing, sometimes up to 18, sometimes maybe even 21. Boys start later, but they can continue growing. I have a friend of my former husband who was continuing to grow tall at 29 plus. So everybody's different, but 15 is very young to do that. ⁣ ⁣ 06:19 - Hilary Russo (Host)⁣ It was young. It was a decision I had to make. ⁣ ⁣ 06:21 - Dr. Claire Stagg (Guest)⁣ We could start a column of pros and cons there, Hihillary, of things that could go really really well and things that we might want to wait because they might cause problems later on, right? ⁣ ⁣ 06:32 - Hilary Russo (Host)⁣ But this is also something that you have a lot of younger patients and I know that there are moms and dads out there that listen that this might not be for them, specifically someone who's in my age range, but perhaps their child has breathing issues or they are dealing with. You know, I had the malocclusion, I had a protruded lower jaw and it was causing a lot of lockjaw and pain and discomfort and to go to that extreme after braces. I imagine that's not the approach this day and age, because there's more science, there's been more development, so it's also to give parents an understanding of information that they're getting about holistic dentistry and other possibilities before taking that approach with their children even. ⁣ ⁣ 07:19 - Dr. Claire Stagg (Guest)⁣ All right, so let's go ahead about and talk. Interject also because you had four premolars extracted correct? ⁣ ⁣ 07:27 - Hilary Russo (Host)⁣ Yes, I think you're talking about the wisdom teeth. No, no, no, oh no. ⁣ ⁣ 07:32 - Dr. Claire Stagg (Guest)⁣ The 18 year old molar right. We, in theory, have 32 teeth, all right. Unfortunately, and I'm just so we're. We're going to talk about all the not to do things all right, to put it in quotes for air, quotes for those who are listening there are a lot of things that and I'm not bashing orthodontists, please don't get me wrong, I'm not. I do orthodontics too, so that's not the issue. There's different ways of doing things all right. That's not the issue. There's different ways of doing things All right. One of them and if you, if you read or you know of Western Price, western Price talked about nutrition, about airway, of growing, of growing arches. All right, your head, your neck. So basically we're back to this again All right. ⁣ ⁣ 08:21⁣ And unfortunately, what happens is that when you have the jaw joint like this, all right, this is this is, think of it this way, like this, and then like that, when you translate, okay, what happens? A lot of times? You end up with a jaw disorder or joint disorder if this whole part, this maxilla, this part, is not developed enough and it sounds to me like what you had was an underdeveloped upper arch right. So, unfortunately, a lot of times, people say, oh, this one, they think that this is the normal one. And then this is too far forward, the lower jaw is too far forward, and that's why you end up having all these issues. Let's go ahead and let's take teeth out and bring the jaw back. Well, you've just created a joint problem, a TM joint, temporal mandibular joint problem, because now you shove the joint back, the jaw back. So now you see the cascade of events and this is what I was trying to say the cascade of events, of all the not to do so. First of all, figure out why you need surgery, what has happened, and then all the not to do so. You can't compound a problem with another, causing causative problem that will create another set of problems. ⁣ ⁣ 09:48⁣ So the first thing that you want to do is you want to be able to develop the arches and figure out which one truly is underdeveloped, because nine times out of ten, it's not necessary that the lower jaw is too far forward. Most of the time it's because the upper arch is not developed enough. And so, in order to balance them, conventional orthodontics go ahead and say let's take teeth out to make more room. Well, there's just so much. Think of a garage. This is my favorite analogy that I use. All right, think of a garage and let's say you have a 20 by 20 by 24, four walls that are 20 feet long, right? So it's a square, okay. And you say you're going to make more room and you decide to take four feet off in the length of each side of the garage. Will you have a bigger or a smaller? ⁣ ⁣ 10:45 - Hilary Russo (Host)⁣ garage. You're not going to have a lot of space for those cars, that's for sure, correct. But you have a smaller garage, right, right, and it's exactly the same thing with the mouth, all right. ⁣ ⁣ 10:55 - Dr. Claire Stagg (Guest)⁣ So think too, now that you have on top of that garage, you have another room, all right, which is the nose. The nose, if you will, is a hollow space, all right. But the floor of the nose is the roof of the mouth, which you've just made smaller. What are you doing to the nasal passages? It's the same exact thing. Now you've brought the jaws up and back, you've made the garage or the box smaller. You've made the nasal passages smaller. Now you've brought everything back. What's back here? It's the tube that the airway is. So you start breathing through the nose, and the tube continues from the nose down to the throat. ⁣ ⁣ 11:43 - Hilary Russo (Host)⁣ And again, I just want to mention to folks if folks are actually listening and they want to see what Dr Stagg is talking about, you can go ahead and find this podcast episode on youtubecom slash Hilary Russo. You'll see all the podcast episodes there to watch as well, if you want to do that. ⁣ ⁣ 11:58 - Dr. Claire Stagg (Guest)⁣ So, if you go ahead, when you think about it, this is a person laying down, but this is the best picture that I can have right now to where we need to breathe through our nose. A lot of people breathe through their mouths, but, no matter what, if you lay back and everything closes up, then you have OSA or obstructive sleep apnea. So, basically, what I'm trying to say is the rabbit hole started by, probably, the diagnosis of lack of airway or lack of space, and so that's where it would be important to go ahead and to determine what type of space do you want? Which space are you trying to open up? The nasal passage or the oropharyngeal passageway? An oral mouth? Pharynx is the back, where the throat is. So in your case, it sounds to me like they wanted to go ahead and to move your jaw so that you can have straight teeth, right. ⁣ ⁣ 12:54 - Hilary Russo (Host)⁣ That was part of it, and also I was getting a lot of pain and jaw aches. So they broke it, set it back and I don't know if I truly remember everything because I was a kid. You know you think you're getting braces, retainers, it's all to straighten your teeth. That's it, day is done, perfect teeth and you're happy. But there were more issues I was dealing with and that is where I am now, 35 years later, where the problems have become the obstructive sleep apnea movement and wondering where does one go next when you have years in between and other issues are now coming up. ⁣ ⁣ 13:32 - Dr. Claire Stagg (Guest)⁣ Right. So the rabbit hole you're down at the bottom of the rabbit hole, right? Okay? So we're not going to cry over spilt milk, because it is what it is, it's done. But now you're aware that there are issues that you have to deal with. Okay, so then the goal is to figure out how we can get you out of the rabbit hole by reverse engineering what has occurred. So, basically, now you're going to address your airway, you're going to address your jaw joints, you're going to address your bite and you're going to address your nasal passages both going to address your nasal passages, both upper and lower. That's the airway, all, right. So this is where you mentioned that you were talking with um sleep doctors. Okay, that's one part of the orchestra. If you will, all right, then you're going to talk with dentists. That's the other part of the team, if you will, the orchestra. ⁣ ⁣ 14:22⁣ I like to say that patients are the music. You either have harmony or cac. Say that patients are the music. You either have harmony or cacophony. It's a French term. You either have chaos or you have health, right. So the whole idea now is to figure out who's going to be in charge of trying to figure out what's wrong, what happened where you are now, because we can't reverse engineer everything to. If you have screws in there, per se, all right, but the whole idea is to figure out what can we do to either see what we can ameliorate or make better and or stop from getting worse. So that's the interesting part is that's where you really need to figure out where you are now. ⁣ ⁣ 15:02⁣ If you do have an airway issue, to what intensity is the airway issue an issue? Those of you who do not know anything about sleep apnea we have either a sleep test, a home sleep test, to where you can take a little apparatus. Home Dentists, we're not allowed to diagnose sleep apnea, but we can treat it with oral appliances. So mild to moderate sleep apnea we can treat with an oral appliance. Severe sleep apnea is supposed to be treated. Standard of the gold, standard of care is with a CPAP machine, which stands for continuous positive air pressure. It's like a reverse blow dryer mower back up your nose or your mouth, right. So if you consider that you have an issue, then we need to figure out what your index or your indices are. So, again, a lot of this is on my website, healthconnectionsdentistrycom, where you can read up on the sleep screenings. Again, we cannot diagnose sleep apnea, but we can treat it with an oral appliance. ⁣ ⁣ 16:07⁣ Mild to moderate sleep apnea, usually at normal. Zero to five. Your indices are normal. Five to 15, it's mild sleep apnea, 15 to 30, it's moderate and over 30 is severe. Now, those are just the standard of care, the norms and the indices and who cares right. All you really need, as a patient, to know is whether I can breathe or not. Please, let me breathe or not. Let me help me breathe. So if you go ahead and you consider them, that's why you can have a home sleep test and we do home sleep test, because it helps me figure out as a dentist, because I can treat a functional breathing disorder that is in my wheelhouse. But I cannot treat sleep apnea without it being diagnosed by a physician. So if you have officially been diagnosed as you have Hilary with by a physician for sleep apnea, then that's where, too, you need to find yourself a doctor, dentist, who is versed in this type of care. So then you need to figure out where you're going to go from there. ⁣ ⁣ 17:18 - Hilary Russo (Host)⁣ And I think that's the thing, and I've talked to other people and I know folks are tuning into this episode of HIListically Speaking with Dr Claire Stagg. Just to remind you, we will put that information on the website. We will put everything about the healthconnectionscom dentistry. Also her book that we're going to talk about that just came out. That's doing very well. And the questions I've been hearing from some who have been in these forums are are you know if you've been diagnosed with moderate sleep apnea? Like myself, I've also been through this traumatic TMJ surgery. I'm 35 years in. I know there are little plates in my mouth from the initial surgery and I've been given a referral to see an ENT, a referral to see a pulmonologist, a referral to see a speech pathologist. But then there's the airway side and then there's go find a dentist and it can be very overwhelming, like where to go first right. ⁣ ⁣ 18:12⁣ And I think that's the similar question I hear from folks. ⁣ ⁣ 18:15 - Dr. Claire Stagg (Guest)⁣ Where do I go first? Right, and that's where I said the orchestra, all right. So I like to think that a doctor like myself, a dentist, who sees the medical side as well as the oral dental side, we and I liken it to the conductor of the orchestra the orchestra, the parts, the wind, the pipes, the drums, the bass, the, whatever the strings, whatever, all the different parts, if you will are all the different doctors, if you will, who are doctors, if you will, who are going to partake in making music. The patient is the one who is the music, and you either are going to have that harmony where everything just falls into place and that everything works well and you're healthy, all right or you have everybody throw something at the wall and expecting something to stick right. That's putting it pump up politely. So the goal is to get the bullseye the first time if you fail to plan to plan to fail, right, right. And so the goal now is someone like myself and we we talked about this is we got to figure out where you are exactly in this point in time. It didn't really matter so much anymore now, because you've had that surgery and that changes and has changed you forever. But where are you now? What are the building blocks that we can use now to move forward? Interject here for the parents and for those who are asking yeah, but this doesn't pertain to me. Well, we can work with children With the AFT systems. ⁣ ⁣ 19:50⁣ Dr Nordstrom has come up with systems to work with neonates. You can do the tie releases. You can start as from the newborns on. The whole idea is to breathe properly. Once you breathe properly, as in, you have proper tongue position and then you have proper nasal breathing, then you set yourself up for success, right. ⁣ ⁣ 20:10⁣ Unfortunately, with a modern diet and with the way that things are going nowadays, unfortunately things retract a lot and you don't have that room and you end up with disorders and you went through what you went through. Okay, so if we go ahead and we have that conductor I circled back now to the music all right, if you go ahead and you have a team, somebody's got to know what the right hand's doing. Somebody has to know what the left hand's doing, but together we make sure that we're all on board with the same ultimate goal, which would be to get you to breathe again properly. What I heard you say is that you went to see an ENT and they have their own wheelhouse, they have their own tools, they have their own tests, they have their own. We got to do this. This is it, this is my way, or the highway right I? ⁣ ⁣ 21:01 - Hilary Russo (Host)⁣ haven't actually gone to the ENT yet. I have a referral right because I'm like I want to go the right route before somebody starts telling me oh, you need this, this and this. I did consult with one dentist who said you need a CPAP, and I'm like you don't even know what you're talking about. ⁣ ⁣ 21:17 - Dr. Claire Stagg (Guest)⁣ That's the weekend course. ⁣ ⁣ 21:20 - Hilary Russo (Host)⁣ Right, that's the oh, I heard sleep apnea. I'm not a sleep dentist, I don't even deal with this stuff, but I've heard this is the best route to go. I don't want to hear, I've heard. I want to know what is good for me, because it's bio individuality. This is what I've been through. So I'm in this place. Where do I go to the ENT first? Do I go to the pulmonologist first? Do I go to a dentist who deals with, who is specializes in airway and TMJ? You know that's and sleep apnea, which obviously falls under that. ⁣ ⁣ 21:52 - Dr. Claire Stagg (Guest)⁣ So one of the things you need to be aware of is the American Dental Association does not recognize these as specialties, unfortunately. I think that will change my practice. I have an emphasis in treating sleep apnea, tmj disorders, head, neck, facial pain. So that is one thing that you can be aware of. The second thing is a lot of us who do this have had many, many, many, many, many, many, many, many, many, many, many, many hours of extra training. It's just not a weekend course. ⁣ ⁣ 22:26⁣ I mean, I've been doing this for nearly 20 plus years to this intensity and it's a process I keep learning. I mean, I'm still going through a residency for pediatrics right now and it's a lot that I know, but now I'm learning to fine tune and I'm going. I can deep dive a little bit more for certain things that I have been able to do, because it's same old, same old. Plus ça change, plus c'est la même chose, as we say in French. The more it changes, the more it's the same. So there's a lot of different things but, like you said, I like that bio individuality. So everybody's different but everybody's the same. It's just you can't use one cookie cutter technique, but we're all humans and that's where it's all connected. ⁣ ⁣ 23:10⁣ So we're circling back to how it's all connected. And if you have somebody who understands how it's all connected, that's when they could guide the ENT to say hey, you know what? This is what I suspect I use the word very underlined, bold caps suspect. I suspect, for example, she has a nasal valve collapse. I suspect, for example, she has a deviated septum. I suspect she has sinus issues. I suspect that she has pharyngeal obstruction. Could you please verify for me? Could there be upper airway resistance syndrome? I suspect that she may be having obstructive events. You might even have central apneic events, we don't know. So that's where you get somebody who understands as a dentist. All right, cause we're the best ones, and this is what floors me and I'm just going to put something for hooah, hooah for my team, my team, all right, this is what we do all day long. We're in the mouth. We see this stuff day in, day out. ⁣ ⁣ 24:17⁣ What bothers me is that they don't train dentists nowadays to read the signs of obstructive C-papnea and or airway disorders. That's going to change. That's all in the book, by the way. Every single sign you could think of is in the book. But I think that's what needs to be changed. It should be common sense that it's not drill, fill and build, it's actually determine what you see, that it's not normal. ⁣ ⁣ 24:43⁣ So I would hear patients tell me entire lives they've had these tore eyes. They look like little mushrooms at the bottom of their jaws or one on the roof of their mouth, on their palate. Or my dentist told me that was normal. No normal for whom? All right, I digress. So, anyhow, what happens is if you have a team conductor, then the dentist who understands this, who is more versed in this knowledge, can go ahead and say okay, then this ENT, could you please help me accomplish X, y, z. If you have a sleep doctor, all right. You don't want to get lost in the rabbit hole of medicine, right, because that's the other thing too. You can very easily get lost in that rabbit hole, all right. ⁣ ⁣ 25:29⁣ So, you want to stay with those of us, because your mouth, your head, your neck is this, is our wheelhouse. Ent is air, nose and throat. All right, sleep. They're the physicians. They're the ones that are going to. Yes, they prescribe the CPAP. Yes, they're the ones that are going to diagnose it. But at the end of the day it they're the ones they're going to diagnose it, but we're at the end of the day, it's still the dentist that's going to do the appliance for you. ⁣ ⁣ 25:50⁣ one way or the other, it's going to be something in your mouth right right and I prefer to go that route it bugs me that now you have physicians who are doing oral appliances. It's like, okay, you won't let us diagnose something that we deal with, okay, yes, yes, there's the medical, the physical aspect, the insurance part, blah, blah, blah, blah, of sleep apnea. Yes, there's a lot of pathophysiology that needs to be dealt with by a physician. Get that, get that, but don't go make an oral appliance for my patient. You don't know what you're dealing with, you don't know how to make it, you don't know what position to do it and you certainly don't know how to put it into the way they breathe better, and you don't know how to check it and you don't know where you're putting that jaw joint. So, yeah, that that kind of bugs me a lot. ⁣ ⁣ 26:33 - Hilary Russo (Host)⁣ Sorry, I think that's part of the reason why now share. This is an open space. If you want to drop an F bomb, you can. I don't mind. ⁣ ⁣ 26:41 - Dr. Claire Stagg (Guest)⁣ I can say it in French, but I could say it in French. ⁣ ⁣ 26:49 - Hilary Russo (Host)⁣ Yes, right, you can French your way out of this. So I, my thing is and I've thought this, but from talking to you, from talking to others in the field that even though I've been given referrals, I've been holding off on filling those referrals because I'm like I think that's just a doctor telling me this is what's normal and this is how we normally protocol this. My gut tells me that it's somebody who deals with this face all the time and that moves into the next things like how do you find that sleep dentist? How do you find a dentist who is experienced or emphasizes work in that area and know that you're getting someone who's good and isn't just going to say, hey, we're going to, we'll get you fixed up with an orthodontist and now you're going to get a palate expander or now we're going to do the surgery over? Because that's a fear that I've run into as well as one that I have on my own. ⁣ ⁣ 27:43 - Dr. Claire Stagg (Guest)⁣ Right, I wouldn't go there yet if I were you. Okay, just stop Whenever you hear surgery again, just let's think this over, all right. So let me give you some of my feedback too. Right, there was a sleep course, all right, and I thought, okay, cool, I'll go ahead and I'll go, I'll support the symptom. Nobody's talking about causes, and that bugs me to high end. And there was a children's neurologist in a very, very prestigious hospital Boston I think it is who said yes, said yes, I mean it's all fine and good. Because they said, oh, don't worry about it, you know. And then she said no, no, no, I think she has a point. ⁣ ⁣ 28:34⁣ Yes, so the thing that is that, all right, if you go ahead, you think about all the systems that are shut down because you can't breathe. Right, the order appliance isn't going to fix it, the c-pap is definitely not going to fix it, because what's going to happen is the body's going to acclimatize or get used to that level of band-aiding. And then it's like okay, you know what it is, the little dutch boy with his finger came to mind with a dab. So you put one finger here and then you put one finger here, and then you put one finger here and then you put one finger here and you put one finger and then you're not gonna have enough fingers or toes and then the dam's gonna break. And it's exactly the same concept, because if you go ahead and you the the concept of an oral appliance okay to come back again and I'm showing the picture to mount moderate c, pap. Yeah, it's called a mandibular advancement device, or MAD for short, right, okay, well, what does that do? It brings the lower jaw forward. Why? Because the tongue is attached to the front of the lower jaw. So you bring the lower jaw forward. All right, so that's the mandibular advancement device. Well, how far are you going to be able to break the jaw out of socket? Eventually? No, because if you don't address the root cause, you're going to have inflammation. ⁣ ⁣ 29:55⁣ So that airway that's already restricted, be it because of diet, because of environment, because of whatever. You have large tonsils which are supposed to be there as buckets to hold whatever pathogens or whatever bugs that are in the air or that you're eating, or whatever. They're the engines that are holding the foot down, if you will, the soles, whichever. They're the ones that protect you so things don't go to your lungs, but eventually they get overwhelmed, and that's when your airway is so closed up by these massive tonsils. And then again let's take them out. Surgery to remove tonsils. All right, did that too? All right. ⁣ ⁣ 30:34⁣ So I know I'm jumping everywhere right now, but I'm trying to go by the anatomy. If you'll follow, there's a process to my reasoning here. So the dentist will say say okay, let's do a manageable advancement device for mild to moderate sleep apnea, but that's not treating the root cause. All right. The sleep doctor will say you need a CPAP because it's severe sleep apnea. But that's not also treating the root cause. ⁣ ⁣ 31:05⁣ Because somewhere along the line, if you don't have a nasal what we could call a patent nasal passage or passageway to get air through your nose, all right then. And or if you're doing a CPAP to push air down your mouth which you should be breathing in your mouth anyhow then you're still not getting the air, the quality of air you need. As a sidekick, just so you know, when you breathe through your nose, you actually develop nitric oxide. It's a gas, all right that you develop. You create it. As a human, we create nitric oxide in our sinuses. When you don't nose breathe, you're not getting your nitric oxide, which means that your vessels are getting hotter faster, you age faster. All right, none of that's going to happen with a CPAP and none of that's going to happen with the appliance, because three months down the road there's just so much that you could advancement that you can do. There's just so much titration with a level of pressurization with a CPAP that you can do, and eventually you're back to square one. ⁣ ⁣ 32:10⁣ Okay, well then now let's do orthognathic surgery to bring your jaws forward. And then that's when you have another issue, because now you're locked in. So let's tie back that in. With the anatomy, remember I showed you, and for those of you who can't see, the skull is not fixed. There's lots and lots and lots and lots of little sutures. That's why I was saying there's dozens and dozens and dozens of bones, but they're all connected, and the cranium, the housing of the cranium, but there's lots of them underneath, all right, under the skull, all right. So what happens is all these bones actually pulse. That's called the cranial sacral rhythm. All right, that's where cranial sacral therapy would be really good. That's where you unfortunately have issues because you have screws holding your face. Your facial plates are held together, right, so we're trying to go through all the systems and the scenarios here. ⁣ ⁣ 33:08⁣ An ideal person who hasn't had surgery can have all these little bones changed. Because they're not fused together. They are not fused together. They are not fused together. What did you hear me say? They're not fused together, they are not fused together. So if anybody says that you cannot expand your palate because you're over nine run, it's not true. I expanded, I've done an arch expansion on an 83 year old all right. ⁣ ⁣ 33:41 - Hilary Russo (Host)⁣ I actually had a conversation with a dentist who told me that women they're finding and tell me if what your thought is on this the palate of a woman actually is able to expand for much longer than we originally thought years wise like it, and maybe I'm saying this wrong, but she even had a palate expander in the top and she's in her 50s. So I'm curious, I mean, is that an approach to try? So can I guy it's a human period. Anyone can. Anyone. Okay. ⁣ ⁣ 34:11 - Dr. Claire Stagg (Guest)⁣ A human can have. Now I don't know if there's going to be a sex differentiation for the progression of the of the treatment. The treatment I don't know, but any human can have their arches expanded, short of having a disorder of one sort or the other, but in general you can have the arches expanding because the bones are not fused. Right, it's not here, it's here. Let's talk about why you can develop a palatal expansion and growth. All right, this is a totally misunderstood concept. All right, remember we talked about the roof of the mouth is the floor of the nose, and this is magnetic. So bear with me, that's why it was all all catawanka earlier on. So in here you have what we call the nasal passages and you have a thing called turbinates, right? So if you look at it, there's little windmills in here. So you have anterior, middle and posterior nasal passages too, and here you have what we call the sinus, the maxillary sinuses. Here you have the frontal sinuses, all right, okay. ⁣ ⁣ 35:14⁣ So how arch expansion works? And this is why you do slow. Slow is good what you do. Remember this is magnetic, so it might be a little hard for me to do. You go ahead, you do a little bit. All right, you do a little bit and then you wait, then that goes ahead and creates bone. Then you do a little bit, then it creates bone, you do a little bit and it creates bone and so, slowly but surely, you've created the arch that is wider, because it happens in the middle. All right, if you go too fast, what happens is you end up having extrusion of the teeth, or the flaring of the teeth and or what we call the buckle plate perforations, which is what the orthodontist freaked out about. You're going to flare out the teeth because you're going too fast. ⁣ ⁣ 36:07 - Hilary Russo (Host)⁣ Well, how long does something like that take normally? What is that process? ⁣ ⁣ 36:11 - Dr. Claire Stagg (Guest)⁣ They do what the orthodontist usually do, what they call rapid palatal expansion. Slow is the best thing. Do a little bit grow bone. Do a little bit grow bone. Do a little bit grow bone. Do a little bit grow bone. Guess what happens, unless you have a septal spur which acts like a handcuff to hold that nasal passage, that septum tied up to another bone on the side. If you don't have a septal spur, that deviated septum just lines right down. That's what happened with me and I was in my fifties I was over 55 when I did mine. If you go ahead and you do slowly, you can expand an arch. Now there's a school out there that says let's do it in a month and then we wait six months. I'd say okay. That to me sounds so wrong and this is my humble opinion, for each time I'm giving you anything. These are my humble opinions and what I've learned and what I've read and my interpretation of everything. ⁣ ⁣ 37:13⁣ Okay, of course, but if you're going to go ahead and you're going to go like zip and then wait, go ahead and you're going to go like zip and then wait, all right. The big fallacy with that is you zipped and you waited six months and that space, in theory, is supposed to grow bone. Uh-uh, it fills up with collagen. That is why, when you go too fast and kids or whom on whom, no matter what age, if you go too fast, you end up with a ton of relapse. So, slow, a little bit grow bone, a little bit grow bone, a little bit grow bone, a little bit grow bone. ⁣ ⁣ 37:49 - Hilary Russo (Host)⁣ Now you have success now, this is just one approach. Right, the palette expansion is just one approach okay, that's the transverse approach. ⁣ ⁣ 37:58 - Dr. Claire Stagg (Guest)⁣ So if you're doing this in 3d, you have to think your garage right, because you have width, you have depth and then you have length. Well, it's the same thing. This is the width. The transverse effect is the width. All right, now we have the sagittal aspect, which is from the side, so that's where two to for example, if I'm not mistaken that your issues came from, is that if you look at my profile and they said that this part of you was there, but this part of you was too far forward, so I'm going to exaggerate now, like that, right? ⁣ ⁣ 38:36 - Hilary Russo (Host)⁣ That's exactly what it was like, right. ⁣ ⁣ 38:38 - Dr. Claire Stagg (Guest)⁣ It wasn't that this was too far forward. It can be, but in reality it's that this was underdeveloped. So that's the side view, or the sagittal view. Nine times out of 10, if you have an airway issue, it's because you're overclosed, and then you need height, and that's when we can go ahead and do height. Interestingly enough, oral appliances the same one that they advocate to go ahead and do the mandible advancement devices the same thing. There's two things that they do. When they're doing a sleep appliance, what are they? Protraction vertical, but they're doing the protraction with the lower jaw only and vertical. They're putting the special amount of vertical or the height into the appliances. ⁣ ⁣ 39:27 - Hilary Russo (Host)⁣ Acrylic Now there's a lot of information that we're sharing with folks. I'm taking in a lot of information. I do want to mention real quick that Dr Stack has a new book that just came out, called Smile. It's all connected whole health through balance. I'm going to put a link on there in the podcast notes, rather to grab that book, because this is really something that was written for the everyday person to understand. It's not like reading a medical guide or anything like that. ⁣ ⁣ 39:56⁣ You will be able to go to an upset or an issue that you might be confronted with, learn more about it because, as we were saying before, what gets measured gets managed. But also we have to be our own healthcare advocates and then find the right kind of people to support you, because obviously you can't fix the problem yourself, but you can support yourself in that. And also I know you have a children's book and that's Captain IFBI. I in that. And also I know you have a children's book and that's Captain IFBI. I love that Right encouraging good oral hygiene habits, which, by the way, that ties in with the download that you're offering as well, which is the dental protocol checklist, and I love that. We're going to put all that in the podcast notes so that folks that are tuning in or if they're watching on YouTube because you know you're showing us some fun stuff on visual they'll have the option to either listen to this anywhere we have podcasts and also on YouTube. ⁣ ⁣ 40:46⁣ But, on that note, if you feel that this podcast episode with Dr Claire Staggs inspiring you anyway, touches you anyway, if you know anyone who might be confronted with any of these upsets whether it's sleep apnea, whether it is TMJ or any kind of upset that you might be dealing with, the dental side of your life, or even breathing this is something you can pass along to somebody, share it, let them have the knowledge and make a decision where they want to go next, because we definitely are sharing some really good information here and I really appreciate it. ⁣ ⁣ 41:18⁣ Dr Sags, I know we're talking a lot about my upset, but I know there are other people out there that are dealing with the sleep issues, the sleep apnea, the breathing, the grinding, the bruxing, and wanting to change the holistic approach to dentistry. You're just a normal person, sweetie. I'm just like everybody else. I know I am, and it's one of the reasons why I do this show, because many of the things that I'm facing or have seen with clients is something I want to talk about so that I can make this a vessel for others to get answers or at least find something that they could take away from this and hopefully make a choice that helps them become a happy and healthy grownup, you know. ⁣ ⁣ 42:03 - Dr. Claire Stagg (Guest)⁣ So let's talk about the book. This book was written. It's taken me 10 years to get it out here. All right, this book was written for the average lay person. It's a conversation from one mom to all the other moms who have asked me questions. ⁣ ⁣ 42:21⁣ All these years I've been practicing. I graduated in 1982. So I've been at this for a long time. I came to this country in 87. So I was not of American training per se, so I have had different training. I'm also very outside the box thinker and I like to ask why? So why do you want me to do it this way? Give me a reason why I should do it that way. ⁣ ⁣ 42:47⁣ So the whole idea was to understand that, yes, why are these patients getting better? Why is there cacophony? Why is there not harmony? Why do they have all these issues all the time that they haven't had resolution for and that I have not been able to finger point. That's when I went down my training what's going on? What's going on, what's going on. ⁣ ⁣ 43:10⁣ So the book's goal is to go ahead and to change the demand. Because my what? To educate the demand, if you will, because the more people are educated in this is the more they'll understand what's actually going on. It's for you to be your own advocate in your own choices. Just like Hilary at 15 did not know any better or any know what to do or not not to do, her mom or parents didn't know, because they followed their, the advice of their physicians, which is okay, don't get me wrong. You know, but why don't you find out? If you go ahead and you're playing a game of poker, wouldn't it be nice to know your hand instead of playing blind? You know what I mean. ⁣ ⁣ 43:58⁣ So this, this book, has the entire deck in it. This is what I'm trying to say. It's written with you for everything, everything that Hilary and I have talked about, and I think one if you have the book, you will see anything about airway, you'll see about joints, you'll see about teeth, you'll see about muscles, you'll see about nerves, how it used to be, how it is and what the connections are structural, chemical, mechanical, functional, emotional, spiritual, because we're all one. And then in the future, where I think dentistry should and could be. But I think and I know that if we change the demand, the supply will have to change, because the more the moms and the dads and all of us understand how this is connected. They're going to have to teach doctors how to connect the dots too. So that was the goal of this book is to change the way dentistry is perceived and experienced in the world and then change the world for a healthier, better place people to be healthy so they don't have to suffer like a Hilary. ⁣ ⁣ 45:04 - Hilary Russo (Host)⁣ Yeah, I so needed. I wish my parents had this back in the 80s when I had this surgery, even though it was different back then. We've progressed, we've gotten better, we're more knowledgeable, we have more tools available to us and science and approaches, but it's here now and if my what is the saying? Someday your story can be somebody else's survival guide. I use that one a lot. I know that's Brene Brown. ⁣ ⁣ 45:26 - Dr. Claire Stagg (Guest)⁣ That's a good one, yeah. ⁣ ⁣ 45:27 - Hilary Russo (Host)⁣ Yeah, and I'm hoping that this next stage of my own journey is much less invasive and more productive. It's finding ways. So having conversations with doctors like yourself, people who practice more of a holistic and whole body approach and aren't really running right to surgeries and appliances and everything that might not be the best plan, you know. It's constructing the plan building the house and realizing what size garage is really going to fit and what kind of cars do you have for that garage. ⁣ ⁣ 46:03 - Dr. Claire Stagg (Guest)⁣ Right, because there's different appliances too, so there's different arrows in your quiver, because you want to shoot for the bullseye every time, right, and that's that's where I did all that additional training. It's like, okay, okay, so we have a joint issue. Well, well, let's deal with a joint, but then you can't disconnect the tongue and the space that the tongue holds. And then, okay, so now I do tie releases. So, and not everybody's going to practice the way that I practice this. ⁣ ⁣ 46:33⁣ This is my passion, though, and you talked about your survival journey. My daughter fell and hit her chin when she was three and a half, and that's where she hit her chin, which automatically put her jaw joints up and back, got her disc displaced. So here I am searching for answers back in 2003, 2004. And that's where I ended up. So, yes, I was doing the chemical aspect, where we were mercury free, we were doing all the nutrition, everything. But then it's like, how do I fix my child, how do I get her to not be in pain too? And so that's where it's like, okay, let's do this, let's figure out how we can make this happen. And so that was my journey to go ahead and to put that together for all the other parents who would have these questions. ⁣ ⁣ 47:22 - Hilary Russo (Host)⁣ Yeah, and interestingly enough, here you are, a dentist, being confronted with something that you think, oh, I have the answers because I'm a dentist At least it happened to a dentist's daughter and you're looking for the approaches that are going to help her heal and live her best life the best way possible. ⁣ ⁣ 47:39 - Dr. Claire Stagg (Guest)⁣ So you know, it makes me laugh too. I guess I'm getting very spicy today. I like spicy, dr Staggs Very spicy. So I remember I had this 83,. He's 90-something now, but he was clearly apneic. I mean his lips were blue, all right, his he had no airway, really, really bad. And so I told, I told him you know why don't you do a sleep screening? No, no, no, my doctor blah, blah, blah. So I went ahead and I said okay, ask your doctor to go ahead and send you to lab and have a sleep test. So he goes ahead and he tells his physician that and his physician says what does she know? She's just a dentist, yeah. ⁣ ⁣ 48:29 - Hilary Russo (Host)⁣ Aye, aye, aye, aye, aye. I wish we could all just get along and work together. So anyhow, that's my two cents again. ⁣ ⁣ 48:38 - Dr. Claire Stagg (Guest)⁣ So don't read a book by its cover and look for somebody who understands how it's all connected and there's going to be more of us. There are more of us, it's just you don't know where to find them. ⁣ ⁣ 48:49 - Hilary Russo (Host)⁣ So what I want to do real quick in closing, I usually do a game with all of my guests, and what I've been doing is I pull you're going to have a little fun and what I've been doing is I pull you're going to have a little fun. This is what we do here. Not everything's so serious. I'm going to throw out a word, something you said today, and I want you to come back with the first word that comes to mind. Just a quick word association game. ⁣ ⁣ 49:08⁣ I already want to say happy. Say happy as much as you want. But if I say the word holistic, what's the first word that comes to mind? Body, jaw, oh God, pain, palate, growth, airway, life, dentist, happy. ⁣ ⁣ 49:28 - Dr. Claire Stagg (Guest)⁣ Smile, beautiful Happy. ⁣ ⁣ 49:30 - Hilary Russo (Host)⁣ Beautiful. Love that. I love that you focus on the word happy. Just be your own healthcare advocate. You know we don't, we don't have to throw out a name. There are a number of things out there that are good and there are a number of things out there that are not so good, and you have to be your own healthcare advocate to make that choice. ⁣ ⁣ 49:47 - Dr. Claire Stagg (Guest)⁣ And things can work different strokes for different folks. I mean it could be the best thing, anything could be the best thing for anybody. It's just that sometimes, when you don't know any different, you wish that had you known, had I known. Had I known, had I known I wouldn't have done it this way that's kind of where I am. ⁣ ⁣ 50:06 - Hilary Russo (Host)⁣ I wish I knew at 15. So I'm hoping that what you shared, I know we'll have more conversations because I'm on a route where I'm going to be looking for approaches uh, because unfortunately we're not in the same area, but that doesn't mean I wouldn't hop a flight to come down to Florida, by the way, no, you still can. I can, I can, but I'm gonna. I know you have a tight schedule, a lot of people to talk to, everybody is. You're in high demand, dr Stagg, and for good reason, and I'm just so grateful to have you here. ⁣ ⁣ 50:35 - Dr. Claire Stagg (Guest)⁣ I am eternally grateful to you interviewers, because you have platforms that you can spread the word to the world, because you're the ones, basically, that are going to change. I'm just, I'm just flotsam on the ripple of the of the thing you know. I'm just like, hey, go this way, go this way, go this way. ⁣ ⁣ 50:55 - Hilary Russo (Host)⁣ We're all in it together as you said, it's all connected, we're all connected. So if we can do anything to help others, that's what we're here for and I'm just so grateful for you. Thank you so much. Thank you too. ⁣ ⁣ 51:06 - Dr. Claire Stagg (Guest)⁣ And thank you for having me. And so, on a one little note, I was like this is my last little saying in the book, which has lots of little life lessons. My one is that you're not a drop in the ocean, you're the entire ocean in a drop. So blessings, Hilhillary, I love you. Thank you so much. ⁣ ⁣ 51:24 - Hilary Russo (Host)⁣ I love you too. Thank you for being part of the ripple. ⁣ ⁣ 51:28 - Dr. Claire Stagg (Guest)⁣ Thank you. ⁣ ⁣ 51:29 - Hilary Russo (Host)⁣ I know we unpacked a lot, I know there's a lot going on here with Dr Stagg, but for good reason and we are not done. Next, I want you to grab a copy of Dr Stagg's book Smile it's all connected whole health through balance, plus her children's book that she has Captain IFBI, as well as her checklist to download for daily dental protocol. All of this is in the podcast notes and, if anything resonated with you that we shared here on the show, if you were touched, moved and inspired by our conversation, if you have more questions, dr Stagg is actually holding a Q&A online on Wednesday, july 17th, at 7 pm Eastern time. It's a really great chance to connect with her again, maybe follow up on some of the things we talked about, or if you have your own questions, and get to the root of your dental journey no pun intended with that one and you can get some more knowledge, because knowledge is power. Right, what gets measured gets managed. So be your own healthcare advocate. ⁣ ⁣ 52:30⁣ First, and you know I share a lot about my havening journey, how it has been a big part of my chronic pain. My TMJ and I want to offer you the opportunity to try Havening and see if it works for you. This is a really wonderful way to overcome fears. If you have a fear of going to the dentist or the doctor or even managing chronic pain, or maybe you just wanted to self-soothe, to self-regulate, for daily self-care, it's a wonderful tool to put in your toolbox and I'd be happy to have a conversation with you and see if it's right for you. A link to connect with me is also in the podcast notes. ⁣ ⁣ 53:07⁣ HIListically Speaking is edited by 2MarketMedia with music by Lipo Redding, and I know you tune in week after week because you want answers, you want to find ways to be a happy and healthy grownup, and I'm here for you and I just want you to know that those traumas that you're turning into triumphs, they're happening, they're in motion and I am proud of you. I believe in you, I love you and I will see you soon. Be well. ⁣  

Looking for more information on this topic? Check out the Inflammatory Disorders of the Pharynx, Larynx, and Trachea brick. If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Twitter: https://twitter.com/mesage_hub Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including over 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology.

Recorded by Academy of American Poets staff for Poem-a-Day, a series produced by the Academy of American Poets. Published on October 7, 2023. www.poets.org

2023.09.20 – 0993 – The Diction-ary of Voice – P - Part 2 Pharynx – the area between the larynx and the nasal cavitiesPhonation – the process of making sounds into words, which articulation turns into recognisable speechPhonemes – the different smaller sounds which when combined form a wordPhrasing – delivering groups of words within a sentence to enhance meaningPickup – when you go back to re-record a small section of content, such as a sentence, because of a slip, trip or mispronunciation. A ‘take' is a longer piece of content. Whereas a Take may be annotated 1, 2, 3 a Pickup will be marked A, B, C, so you may have “Take 21, Pickup C”, which helps the producer keep track of the ‘best bits'.Pickup pattern – the three-dimensional area in which a microphone will best detect soundPitch - the relative highness or lowness of the register of voice, determined by the frequency of the vibration of sound: the faster the vocal folds vibrate, the higher the pitch that they create.Placement – where you put your tongue in your mouth to create certain word-soundsPlayback on smalls – playing back a recording on small sub-optimum speakers to replicate how people will hear the produced version, at home or in the carPlosives - the group of sounds in the English language which cause a small ‘explosion' of air from the mouth, often at the start and end of words (‘stops') such as b, d, g, k, p, t. (Put your hand in front of your mouth as you say these letters and feel that rush of air.) Plosives are sometimes called ‘breath blasts', and travel from a speaker's mouth directly into a microphone's diaphragm, causing a moment of deep distortion Hosted on Acast. See acast.com/privacy for more information.

In this 5-minute soundbite, we will cover the very basics of the tube that connects your nose, mouth and aerodigestive tracts. Location, subparts, composition, function and dysfunction. We will also cover sensory and motor innervation.  Terms covered this week; The pharynx and its subparts. Nasopharynx, oropharynx and laryngopharynx (or hypopharynx). The constrictor muscles and mucosa. The vagus and glossopharyngeal nerves. 

Huberman Lab Podcast Notes Key Takeaways The human brain is shaped differently depending on sounds you are exposed to in utero and throughout the first years of brain developmentIt's probably best to skip the white noise machine to help your babies sleep – our brain is structured to hear environmental noises; constant white noise exposure may lead to delaysWhether you are right-handed or left-handed is strongly genetically determinedThe earlier, more intense, and longer you can have exposure to a second language – the better; human interaction allows for greater specialization of the languageMemory is widely distributed across the brain which is good because even in the event of head injury or illness requiring surgery, memory is generally preservedNew technologies are being studied to give paralyzed and nonverbal patients a chance to communicate again through the use of electrodes connected from the brain to a computer which uses AI to translateRead the full notes @ podcastnotes.orgMy guest is Eddie Chang, MD, a neurosurgeon and professor of neurological surgery at the University of California, San Francisco (UCSF) and the co-director of the Center for Neural Engineering & Prostheses. We discuss the brain mechanisms underlying speech, language learning and comprehension, communicating human emotion with words and hand gestures, bilingualism and language disorders, such as stuttering. Dr. Chang also explains his work developing and applying state-of-the-art technology to decode speech and using that information and artificial intelligence (AI) to successfully restore communication to patients who have suffered paralyzing injuries or “locked in syndrome.” We also discuss his work treating patients with epilepsy. Finally, we consider the future: how modern neuroscience is overturning textbook medical books, the impact of digital technology such as smartphones on language and the future of natural and computer-assisted human communication. Thank you to our sponsors AG1 (Athletic Greens): https://athleticgreens.com/huberman Levels: https://www.levelshealth.com/huberman Eight Sleep: https://www.eightsleep.com/huberman InsideTracker: https://insidetracker.com/huberman Supplements from Momentous https://www.livemomentous.com/huberman Huberman Lab Premium https://hubermanlab.com/premium For the full show notes, visit hubermanlab.com Timestamps (00:00:00) Dr. Eddie Chang, Speech & Language (00:03:00) Levels, Eight Sleep, InsideTracker, Momentous Supplements (00:07:19) Neuroplasticity, Learning of Speech & Environmental Sounds (00:13:10) White Noise Machines, Infant Sleep & Sensitization (00:17:26) Mapping Speech & Language in the Brain (00:24:26) Emotion; Anxiety & Epilepsy (00:30:19) Epilepsy, Medications & Neurosurgery (00:33:01) Ketogenic Diet & Epilepsy (00:34:56) AG1 (Athletic Greens) (00:36:10) Absence Seizures, Nocturnal Seizures & Other Seizure Types (00:41:08) Brain Areas for Speech & Language, Broca's & Wernicke's Areas, New Findings (00:53:23) Lateralization of Speech/Language & Handedness, Strokes (00:59:05) Bilingualism, Shared Language Circuits (01:01:18) Speech vs. Language, Signal Transduction from Ear to Brain (01:12:38) Shaping Breath: Larynx, Vocal Folds & Pharynx; Vocalizations (01:17:37) Mapping Language in the Brain (01:20:26) Plosives & Consonant Clusters; Learning Multiple Languages (01:25:07) Motor Patterns of Speech & Language (01:28:33) Reading & Writing; Dyslexia & Treatments (01:34:47) Evolution of Language (01:37:54) Stroke & Foreign Accent Syndrome (01:40:31) Auditory Memory, Long-Term Motor Memory (01:45:26) Paralysis, ALS, “Locked-In Syndrome” & Brain Computer Interface (BCI) (02:02:14) Neuralink, BCI, Superhuman Skills & Augmentation (02:10:21) Non-Verbal Communication, Facial Expressions, BCI & Avatars (02:17:35) Stutter, Anxiety & Treatment (02:22:55) Tools: Practices for Maintaining Calm Under Extreme Demands (02:31:10) Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous Supplements, Huberman Lab Premium, Neural Network Newsletter, Social Media Title Card Photo Credit: Mike Blabac Disclaimer

My guest is Eddie Chang, MD, a neurosurgeon and professor of neurological surgery at the University of California, San Francisco (UCSF) and the co-director of the Center for Neural Engineering & Prostheses. We discuss the brain mechanisms underlying speech, language learning and comprehension, communicating human emotion with words and hand gestures, bilingualism and language disorders, such as stuttering. Dr. Chang also explains his work developing and applying state-of-the-art technology to decode speech and using that information and artificial intelligence (AI) to successfully restore communication to patients who have suffered paralyzing injuries or “locked in syndrome.” We also discuss his work treating patients with epilepsy. Finally, we consider the future: how modern neuroscience is overturning textbook medical books, the impact of digital technology such as smartphones on language and the future of natural and computer-assisted human communication. Thank you to our sponsors AG1 (Athletic Greens): https://athleticgreens.com/huberman Levels: https://www.levelshealth.com/huberman Eight Sleep: https://www.eightsleep.com/huberman InsideTracker: https://insidetracker.com/huberman Supplements from Momentous https://www.livemomentous.com/huberman Huberman Lab Premium https://hubermanlab.com/premium For the full show notes, visit hubermanlab.com Timestamps (00:00:00) Dr. Eddie Chang, Speech & Language (00:03:00) Levels, Eight Sleep, InsideTracker, Momentous Supplements (00:07:19) Neuroplasticity, Learning of Speech & Environmental Sounds (00:13:10) White Noise Machines, Infant Sleep & Sensitization (00:17:26) Mapping Speech & Language in the Brain (00:24:26) Emotion; Anxiety & Epilepsy (00:30:19) Epilepsy, Medications & Neurosurgery (00:33:01) Ketogenic Diet & Epilepsy (00:34:56) AG1 (Athletic Greens) (00:36:10) Absence Seizures, Nocturnal Seizures & Other Seizure Types (00:41:08) Brain Areas for Speech & Language, Broca's & Wernicke's Areas, New Findings (00:53:23) Lateralization of Speech/Language & Handedness, Strokes (00:59:05) Bilingualism, Shared Language Circuits (01:01:18) Speech vs. Language, Signal Transduction from Ear to Brain (01:12:38) Shaping Breath: Larynx, Vocal Folds & Pharynx; Vocalizations (01:17:37) Mapping Language in the Brain (01:20:26) Plosives & Consonant Clusters; Learning Multiple Languages (01:25:07) Motor Patterns of Speech & Language (01:28:33) Reading & Writing; Dyslexia & Treatments (01:34:47) Evolution of Language (01:37:54) Stroke & Foreign Accent Syndrome (01:40:31) Auditory Memory, Long-Term Motor Memory (01:45:26) Paralysis, ALS, “Locked-In Syndrome” & Brain Computer Interface (BCI) (02:02:14) Neuralink, BCI, Superhuman Skills & Augmentation (02:10:21) Non-Verbal Communication, Facial Expressions, BCI & Avatars (02:17:35) Stutter, Anxiety & Treatment (02:22:55) Tools: Practices for Maintaining Calm Under Extreme Demands (02:31:10) Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous Supplements, Huberman Lab Premium, Neural Network Newsletter, Social Media Title Card Photo Credit: Mike Blabac Disclaimer

The hollow tube inside the neck that starts behind the nose and ends at the top of the trachea (windpipe) and esophagus (the tube that goes to the stomach). The pharynx is about 5 inches long, depending on body size.The pharynx, more commonly known as the throat, is a five cm long tube extending behind the nasal and oral cavities until the voice box (larynx) and the esophagus. Essentially, it forms a continuous muscular passage for air, food, and liquids to travel down from your nose and mouth to your lungs and stomach.Most sensory innervation of the pharynx is derived from the glossopharyngeal nerve, specifically the pharyngeal and tonsillar branches (cranial nerve IX), except for the anterior part of the nasopharynx, which is innervated by a branch of the maxillary nerve (cranial nerve V2) called the pharyngeal nerve.The pharynx is composed of mucous membrane, submucosal connective tissue, glands, lymphoid tissue, muscle and an outermost adventitial coating. The mucous membrane does not possess a muscular layer.The oropharynx and pharynx proper are lined by largely non-keratinizing stratified squamous epithelium. The nasopharynx is mainly lined by ciliated columnar epithelium but stratified squamous epithelium occurs at its lower end where it joins the oropharynx.

Join Jo and Stu for this overdue musing on their current happenings.Much gratitude to the sponsors of Yoga Heart Mind!ww.solemechanics.com.au 15% off with promo code WATKINS6162 https://www.themilkcleanse.comPromo code STUARTWATKINS for 10% offhttps://sacredtaste.comPromo code STUARTWATKINS for 10% offhttps://blessitbee.com.au/r?id=af1ac8Promo code STUART for 10% offMuch love!Support the show (https://stuartwatkins.org/podcast/)

Tara delves into some basic definitions and terms that make up parts of the vocal tract and the sound. She breaks down each part to give singers more confidence in exploring their own voice and the physical parts of their body that make up their vocal tone.   My vocal course is NOW OPEN! Click here for access: https://tarab.vipmembervault.com/products/courses/view/12   The vocal tract is a resonator tube that includes the throat, mouth and nose.   Johann Sundberg “The Acoustics of the Singing Voice” (Scientific American): “The vocal tract is a resonator whose shape, which determines vowel sounds, is modified by changes in the position of the articulators.”   “The vocal tract can change shape.”   Pharynx—throat. Anything from where the vocal folds are housed on up to your neck. Oral pharynx—mouth. The space in your mouth and includes your your articulators, your hard palate, your soft palate (velum) and your uvula. Nasal pharynx—nose. Your nasal cavity and the area that goes down to your throat.     All three of these parts can change shape and thus can make the sound of your vocal tract different depending on each of the shapes of these parts.   The articulators are: lips, tongue, jaw   The hyoid bone is connected to the back of the tongue but it also sits right above the larynx so it can affect the voice box itself.     “As the parts of the vocal tract work together, combined with great breath support and going through those vocal folds themselves, that's what is producing our glorious unique sounds that each of us possess.”   You can follow THE ENGAGING VOICE on the platform you listen on and you can share the episode on social media.  (Stitcher, Google Podcasts, Spotify, iHeart radio, Apple Podcasts, Amazon Music Audible and PlayerFM too!! ) If you would take a moment, please go to Apple Podcasts or Amazon Audible to rate/review this podcast: Amazon Audible: https://www.audible.com/pd/The-Engaging-Voice-Podcast/B08K5661QR Apple Podcasts: https://podcasts.apple.com/us/podcast/the-engaging-voice/id1448497465 

Dr. Santos completes the lecture on the mouth & pharynx.

Hello everyone and welcome to the SSS, today we will be talking about the pharynx, so stay tuned for more.

CLICK TO SUBSCRIBE ON YOUR FAVORITE PODCATCHER. What happens when you mix Thorax, his grumpy non-transformed brother, and resident Pony Disaster Duo Starlight and Trixie in an episode? Apparently a bunch of hijinks and hilarity. This episode doesn’t really involve any of the Mane Six, and yet it’s low key one of the funniest and most entertaining episodes we’ve seen this season. I mean, Pharynx is just so adorable in how much he hates all the new vibes in the hive. Not to mention that they’re very vulnerable to Maulwurf attacks. It’s up to Starlight and Trixie to figure out how to solve this friendship problem. Preferably without throwing one another under the bus in the process. We’re watching “To Change a Changeling” this week on Macintosh & Maud! Please subscribe and rate us on iTunes, Podchaser, or your favorite podcast app and use your best pony puns! It's the best way to help us get more listeners and build our community. You can email us with feedback at macintoshandmaud@gmail.com, or you can connect with us on Instagram, Twitter and Facebook. Intro and outro music is "Madgapuff March (rmx) by JS Bach" by Lee Rosevere. Licensed under a CCO 1.0 Universal License. For the song and information about the artist, visit the song page at the Free Music Archive.

Follow us on the social medias! Instagram:@Skye_The_Pirate@perspectivezpod Twitter:@RBartholomew094@katrina_mck_ ‏@Perspective_Z_ Join our Facebook group! facebook.com/groups/perspectivez Questions? Comments? Concerns? Suggestions?Shoot us an email!perspectiveofz@gmail.com Spotify Playlisthttps://open.spotify.com/playlist/0MZhG7TzekIlJEf3GTpEV6?si=ni80SLBFTu6L8rrV1n1LQg   Artwork by Graphite - Instagram: https://www.instagram.com/graphite.vmb/   PATREON?? www.patreon.com/perspective_z  Our sponsors: Charlotte Howcroft, Geek_Teach, Rachael Fox, Tori Wood, Tyler Duebie Buzzfeed Quiz of the Week: https://www.buzzfeed.com/mrdude1906/pick-some-puppy-pictures-and-we-will-tell-you-whic-cqvfrxclor  Favorite Songs:Katrina - blame game - mxmtoonRachel - Pretty Heart by Parker McCollum Favorite ThingsKatrina - club penguinRachel - reading a not textbook

In the next two episodes we journey down the conduction zone and explore how air moves into the alveoli for gas exchange, starting off with the nasal cavity, pharynx and larynx. Intro Song: Riot - Dance With The Dead Background Music: gfbeats - Talking Nonsense Sound Effects: zapsplat.com

In this last episode of The Swallowing Physiology Series, hosts Alicia Vose and Ianessa Humbert tackle both the pharynx and the upper esophageal sphincter (UES). This includes Down the Hatch Podcast (swallowing podcast)covers structure, function, and relevance to aspiration and residue for the pharynx and UES. We also discuss whether traditional exercises can really impact these structures as well as just plain old swallowing can... begging the questions: 1. Is swallowing the best treatment for swallowing? 2. What role do SLPs play in ensuring that patients get to practice swallowing with a wide range of bolus types?

Dr. Sonja Molfenter took an ASHA convention break to discuss her new study titled Volumetric Changes to the Pharynx in Healthy Aging: Consequence for Pharyngeal Swallow Mechanics and Function. She used MBS in combination with a pharyngometry (special throat sonar) to learn about what’s normal when it comes to pharynx size and swallow function. Plus, Dr. Molfenter discusses some of her prior work on normal variability, and what it means for you, the clinician. (Hint: Don’t stop your MBS after one trial, or one instance of aspiration. Protocols are power.) Show notes can be downloaded below.To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or TwitterTo help out the show:- Leave a review on iTunes. Your comments help me immensely and I just might read it on the show!- Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com Download Ep. 069 Show Notes! This Month’s Featured Affiliates: If you like our work, support us on Patreon for as little as a dollar a month! Previous Next Previous Next

Each year more than 480,000 people in the United States die from illnesses related to tobacco use. This means each year smoking causes about 1 out of 5 deaths in the US. Smoking cigarettes kills more Americans than alcohol, car accidents, HIV, guns, and illegal drugs combined. Not only does smoking increase the risk for lung cancer, it’s also a risk factor for cancers of the: • Mouth • Larynx (voice box) • Pharynx (throat) • Esophagus (swallowing tube) • Kidney • Cervix • Liver • Bladder • Pancreas • Stomach • Colon/rectum • Myeloid leukemia Medicare can help you quit smoking. Medicare Part B covers up to 8 face-to-face visits with a healthcare professional for Smoking and Tobacco use Cessation counseling in a 12-month period. A qualified doctor or other Medicare practitioner must provide these visits. All people with Part B who use tobacco are covered and you pay nothing for the counseling sessions if your doctor or other health care provider accepts Medicare assignment.

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Recorded on January/21/2017==========On this weeks episode reviews, Norman Sanzo, Silver Quill, James Corck and Sapphire Heart Song review the 7th Season of My Little Pony Friendship is Magic Episode 17 To Change a Changeling.In this episode, Starlight Glimmer and Trixie try to get Thorax's brother Pharynx to accept the changelings' new way of sharing love.- Episode: Episode 17 To Change a Changeling- Original Air Date: September 2, 2017- Writer: Kevin Lappin==========CreditsIntro & Outro Song- Title: The MBS Show Theme Song- Artist: Andy "MandoPony" Stein

Holding back a sneeze by pinching your nose while keeping your mouth closed may cause physical injury. In one such documented case, an otherwise healthy 34-year-old man in the U.K. suffered a tear in the back of his throat after sneezing while stifling it, by sealing both airways. He explained his neck had become swollen after he tried to contain a forceful sneeze while keeping both nostrils and mouth closed. Doctors who examined him heard popping and crackling sounds, which extended from his neck all the way down to his ribcage. Jeff and Anthony debate sneezing etiquette. GET BONUS EPISODES, VIDEO HANGOUTS AND MORE. VISIT: http://patreon.com/wehaveconcerns Get all your sweet We Have Concerns merch by swinging by http://wehaveconcerns.com/shop Hey! If you’re enjoying the show, please take a moment to rate/review it on whatever service you use to listen. Here’s the iTunes link: http://bit.ly/wehaveconcerns And here’s the Stitcher link: http://bit.ly/stitcherwhconcerns Or, you can send us mail! Our address: We Have Concerns c/o WORLD CRIME LEAGUE 1920 Hillhurst Ave #425 Los Angeles, CA 90027-2706 Jeff on Twitter: http://twitter.com/jeffcannata Anthony on Twitter: http://twitter.com/acarboni Today’s story was sent in by Katherine Tuck: http://www.cbc.ca/news/health/nostrils-blocked-sneeze-dangers-rupture-back-of-throat-1.4487971 If you’ve seen a story you think belongs on the show, send it to wehaveconcernsshow@gmail.com, post in on our Facebook Group https://www.facebook.com/groups/WeHaveConcerns/ or leave it on the subreddit: http://reddit.com/r/wehaveconcerns

Ye Olde Showe Notees Oh! Hello there! I didn’t see you come in. This is the first episode of E.E. Phone Poem (as indicated by the fact that there are no previous episodes). This initial episode is a little rough, but I do hope you’ll bear with us as we iron out all the little bumps and bleeps in our newborn symphoniad* of podcastreation*. I’m not quite sure what else to say by means of an introduction, so I’ll just provide you all with some actually useful supplementary material for the episode. The text of the poem is, as far as I’ve been able to gather, in the public domain, so I’ve reproduced it here for reference in both it’s revised 1931 version and the 1921 original: The text of the poem is, as far as I can tell, in the public domain, so I've reproduced it here for reference in both it's revised 1931 version and the 1921 original: The Man Whose Pharynx was Bad By Wallace Stevens This is the revised 1931 version: The time of year has grown indifferent. Mildew of summer and the deepening snow Are both alike in the routine I know: I am too dumbly in my being pent. The wind attendant on the solstices Blows on the shutters of the metropoles, Stirring no poet in his sleep, and tolls The grand ideas of the villages. The malady of the quotidian ... Perhaps, if winter once could penetrate Through all its purples to the final slate, Persisting bleakly in an icy haze; One might in turn become less diffident, Out of such mildew plucking neater mould And spouting new orations of the cold. One might. One might. But time will not relent. and this is the original from 1921 (removed lines bolded): The time of year has grown indifferent. Mildew of summer and the deepening snow Are both alike in the routine I know: I am too dumbly in my being pent. The wind attendant on the solstices Blows on the shutters of the metropoles, Stirring no poet in his sleep, and tolls The grand ideas of the villages. The malady of the quotidian ... Perhaps if summer ever came to rest And lengthened, deepened, comforted, caressed Through days like oceans in obsidian Horizons, full of night's midsummer blaze; Perhaps, if winter once could penetrate Through all its purples to the final slate, Persisting bleakly in an icy haze; One might in turn become less diffident, Out of such mildew plucking neater mould And spouting new orations of the cold. One might. One might. But time will not relent. Other Notes and Ephemera Here is a picture of Noah Webster (not pictured, The Devil):

The Puru may have finally met his match. Jibril is an extraordinary five year-old living in the Bronx who just happens to be obsessed with digestion. In this episode of SHHH, Jibril schools Shawn on why poop should resemble bananas instead of asteroids, explains the genesis of the pyloric sphincter, and meditates on the difference between half-digested food and poop. Joined by his mother Fatima and a league of lego models, Jibril will refresh your knowledge of basic biology and redefine cuteness while saying words like "penis," "gallbladder," and "hepatopancreatic duct" in all innocent earnestness.   Mentioned in podcast: Shawn Shafner, early childhood, poop, digestion, sphincters, reproduction, vagina, ureter, bolus, chyme, pancreas, duodenum, pharynx, larynx, teeth, tongue, saliva, stomach, large and small intestine, rectum, anus, Bronx Museum of Art, Boogie on the Boulevard, NYC, YouTube, Magic Schoolbus, taboo.  

Play Episode 52 Here 2nd in a group of mini-episodes that are supposed to be limited to 5 minutes. Go figure, this one on the basics of the anatomy associated to the Ventral Vagal Complex broke the rules and comes in at 12 minutes. So it goes. Show Notes Page with with additional commentary. Many of us think of the Polyvagal theory as challenging. Understandably so, it's kinda complex. That's necessary and appropriate for what it is, namely: a parsimonious theory that explains a multidude of phenomena with a simpler, more elegant explanation than what science had found before. 3 cheers for Stephen Porges for having changed history and opened up an entirely new understanding of ourselves and the general goings on in evolution. Unfortunately to pull that off requires some pretty big words and that can confuse us. Here's my prediction. Soon enough it'll be completely commonplace in our lexicon and we'll rattle off phrases like Nucleus Ambiguous or Ventral Vagal Complex as though we always knew them. Soon enough. In the meantime let's name the major physical attributes about this newest branch of the Autonomic Nervous System (both in our understanding and in terms of phylogenetic or evolutionary origin). The VVC or Ventral Vagal Complex is a collection of associated neurological and anatomical structures in our body.  It so happens that all of the muscular and visceral components that allow us to socially engage; breath, eat and speak at the same time; and keep calm while in close proximity to others we find trustworthy (a new mammalian capacity that didn't exist before 60 million years ago) are connected by nerves that make them all work together. . While the a study of all of this can go very deep with gradually more complex levels of distinction, a great place to start is by simply naming the anatomy that is included in this system and think about what these structures do for us. It's also helpful to recognize that these anatomical structures are all tied together in a "complex", joined by specific kinds of nerves that are all very fast in their transmission of information and ultimately connect through the central "hub" of the VVC, the Nucleus Ambiguous -NA (ambiguous by name and by dent that it is difficult for scientist to isolate and clarify the boards of these nerve nuclei, not because the system doesn't know what it's doing). Innervated by these super fast nerves (fast due to their myelinated sheath that helps their signal run faster along the path) is all the stuff in us that allows us to be social, like:  Muscles of the Face. - For expressing emotion and signaling our experience to others.Muscles of the middle ear. - For tuning the ear to the frequency of the human voice so as to hear one another instead off all the other noise in the environment.Muscles of the eyes and eye lids. - For emotional communication, seeing and orienting.Muscles of mastication. - Basically for eating but think of our eating as a social species as a basically a social act where we often eat and speak together at the same time.Muscles of the neck. - Most commonly referenced for this is the sterno-cliado-mastoid muscle that turns our heads left and right for orienting to new sounds and shadows, but head bobbing is also included in this. Additionally the VVC has major influence over the supra-diagphramatic organs like: The heart or more specifically the sino-atrial node that acts as the pacemaker of the heart. - Active VVC influence on the "vagal break" brings the heart into a dynamic rhythm and frequency and relationship with the breath and aids to the feeling of well-being and sense of safety (i.e. A calm heart).The lungs. - VVC influence here helps us maintain oxygenation while doing complex tasks like talking and swallowing (i.e. Easy to breath).The Larynx and Pharynx. - These help with vocalization as we expel air in good coordination with the lungs when they are innervated by the VVC (i.e.

Amy Jordan discusses a seminar about sleep apnoea.

Episode 6 sees Eric and Phil dissecting the final pair of stop/plosive sounds in English: /k/ and /ɡ/. As always, we work our way around the task of describing the sounds, their history, and usage in the course of about an hour and 10 minutes.Show Notes:Correction: Phil referred to "Findlay" as derived from Finn's Lea, but it turns out that it's from Gaelic, and that means Fionnlagh – "fair warrior." Bradley would have been a much better example: Brad=broad and Lea=meadow.voiceless/voiced velar plosive: co-articulation, double action of closing the mouth with the back of the tongue at the soft palate, and closing off the nasal passage by lifting the soft palate at the velo-pharyngeal port.Let’s take a tour of the anatomy. This will help us to deal with the idea that /t/ is apico alveolar but /k/ is dorsovelarThe Roof of the MouthTectal: an adjective derived from the anatomical term "tectum," a roof-like structure. Labia/labial: the lips; bilabial with both lips, labio-dental with lower lip and upper teeth, as in /f/ and /v/. (For people with an extreme overbite, one might make a dento-labial sound (upper lip and lower teeth.)Dental: the teeth (as heard in the “th” sounds, /θ/ & /ð/ )Alveolar ridge/alveolar: the gum ridge, behind the upper front teethPalate/palatal: the hard palate, rising up behind the alveolar ridge. Phil describes a small hole in his palate; Eric, in searching the net for information on this, could only find stuff about "Jacobsen's Organ" aka Vomeronasal organ http://en.wikipedia.org/wiki/Vomeronasal_organ, an auxiliary olfactory sense organ; it's thoroughly debatable whether it exists in humans at all. Who knows what Phil has? (apparently, he hasn't had any of this since college days...)Velum/velar: the soft palate, behind the hard palateUvula/uvular: the "small grape"-like structure that hangs down from the arch of the soft palatePharynx/pharyngeal: the column or space behind the tongue, the "chimney" that goes from the larynx up to the noseEpiglottis/epiglottal: the flap-like value that protects the larynx during swallowingGlottis/glottal: the vocal folds (technically the SPACE between the vocal folds, which disappears every time the vocal folds vibrateAri-Epiglottal/ False Vocal Folds: [there was some debate between Phil and Eric how Dudley Do-Right sounded, and whether it was ari-epiglottal tension or velar tension...The Parts of the TongueTip or Apex/apical: front edge of the tongue, the 'rim' of the tongueBlade or Lamina/laminal: the front part of the tongue, the top surfaceBack or Dorsum/dorsal: the back of the tongue, which is subdivided into: Front, Middle, Back, or, Front and Back —antero-dorsal or postero-dorsalRoot or Radix/radical: the root of the tongue/k/ and /ɡ/ are different from other plosives because it is made on the back of the tongue, which works in a more gross mannercan be made further forward /ki/ or further back /kɑ/. Challenge of learning /k/ and /ɡ/ for children because they are made further back in the mouthThe McGurk Effect Experiment: Can you identify Phil's 3 sounds? World Atlas of Language Structures: http://wals.info/ WALS shows 2,650 languages and notes 32 missing / ɡ /Languages that are missing /ɡ/ but not /k/From Wikipedia [http://en.wikipedia.org/wiki/Voiced_velar_plosive ] "Of the six plosives that would be expected from the most common pattern world-wide—that is, three places of articulation plus voicing ([p b, t d, k ɡ])—[p] and [ɡ] are the most frequently missing, being absent in about 10% of languages that otherwise have this pattern.[...] It seems that [ɡ] is somewhat more difficult to articulate than the other basic plosives. "Ian Maddieson speculates that this may be due to a physical difficulty in voicing velars: Voicing requires that air flow into the mouth cavity, and the relatively small space allowed by the position of velar consonants means that it will fill up with air quickly, making voicing difficult to maintain in [ɡ] for as long as it is in [d] or [b]."HISTORY OF THE LETTERS:In Greek the symbol of the K (Kappa) turned the "right way" (the way it is in our writing), prior to this it was facing the other direction. Gamma was brought into Latin to represent the C. C had a line added to it to indicate the voiced version, G.SPELLINGS:k “key, keep, koala, kangaroo” “mask, make, pink, walk”c “cat, cost, cut” (contrast “cease, ace, ,macerate ”) Hard/softcc “accuse, stucco” ck “pick, stock”ch “charisma, Christ, choir, ache”Shakespeare's "Petruchio" probably should be [pəʼtɹu.tʃo] not [pəʼtɹu.ki.oʊ]g “game, gate, bag, agony” (contrast “gem, badge,magical ”) Hard/softgg “egg, dagger”gh “ghost, ghetto” (contrast “night, ought”)gu “guide, guest, guerrilla” foreign originckg blackguardx “examine, exhaust”Note that "x" can be /ks/ or /gz/ depending on the word, e.g. /ks/ "excellent" , /gz/ "exist".Soft G is the affricate /dʒ/, while Soft C is /s/.PHONETIC NOTATION: represented by lower case k and ɡIPA symbol for /ɡ/ is the "single-story" version of the g lowercase with an open tail, rather than a looptail. VARIATIONS:Not a lot of variations: mostly to do with voice onset timeVariation: final /k/ becoming fricative in Liverpool week [wiç], like [laiç], back [bax], dock [dɒχ]John Maidment, commenting on JC Wells' blog post on "VOT is more":"One might also like to add that VOT is sensitive to place of articulation. Other things being equal, the VOT of posterior articulations, velar and uvular, are considerably longer, at least for native English speakers, than articulations further forward in the vocal tract. A typical VOT for stressed syllable initial [k] in English is in the region of 120ms, while that for an equivalent [p]is only 60-70ms. I am pretty sure that this difference is an important secondary cue for the perception of place in voiceless plosives and one which, as far as I know, has not been properly investigated."Non-English Stop plosivesPalatalized stops (often heard in Russian, [tʲ] [dʲ] vs. Palatal stop [c] or [ɟ]Uvular stop, as in Arabic pronunciation of Qatar or Iraq [q].Though it's unlikely that a character will do a sound substitution on stop-plosives, however, characters might speak foreign language work, or say words within the text, such as place names or character names.Original Pronunciation: David Crystal is the leading proponent of this type of pronunciation, especially at the Globe Shakespeare Company in London. http://www.davidcrystal.com/DC_articles/Shakespeare11.pdf

The purpose of this study was: (1) to assess the cephalometric variables of the nasopharynx, oropharynx and laryngopharynx including soft palate among male and female subjects with different anteroposterior jaw relationships, orthognathic and retrognathic, treated with a rapid maxillary expander, a Hyrax-Type expansion appliance, in two dimensions; (2) to assess the cephalometric variables of the pharyngeal area in the control group; (3) to compare the variables of both groups in order to investigate the pharyngeal area. Seventy-one maxillary constriction subjects, 39 females and 32 males, were selected from the records section of the Department of Orthodontics of the Ludwig Maximilian University, Munich, on the basis of the following criteria: (1) patient with skeletal maxillary constriction; (2) no observable craniofacial abnormalities; (3) no previous orthodontic treatment; (4) first permanent molars, primary molars or premolars were in occlusion; and (5) each lateral cephalometric radiograph was taken with teeth in centric occlusion. The RME group was compared with a control group comprising 47 samples with normal transversal maxilla. The average age of the control group at the first observation was 9.94 + 2.11 years and RME group before treatment was 10.15 + 2.22 years. In 71 patients, orthodontic treatment was started with RME, followed by conventional orthodontic treatment, not combined with any other form of orthodontic device. Twelve linear measurements, including pharyngeal airway and soft palate dimensions were determined. The lateral cephalometric radiographs were taken at the first examination for pretreatment and annual follow up for post-treatment was undertaken. All cephalometric radiographs were hand-traced by one investigator using 0.35 mm lead 2H pencil on 0.003 mm matte acetate tracing paper in a darkened room with extraneous light from the viewing box. All tracings were measured with a digital caliper. The differences between the RME and the control group were compared. The pharyngeal area and soft palate changed following RME treatment in the RME group and with growth in the control group. In the RME treatment group, there were statistically significant differences between the facial type of males and sex-related differences in orthognathic patients. No statistically significant differences were found between subgroups of the control patients and between the RME and control groups with the Mann Whitney U-test (P < 0.05). The results suggest that airway dimension and soft palate underwent noticeable changes after treatment with RME whereas the control group changed after growth factor event and changing environment. These changes are usually produced and may be compensated in time by natural growth. Thus RME has been shown to be capable of assisting nature in the natural process of growth. Finally, all patients considered for RME should be examined for nasal obstruction and if obstruction is found, prior to commencing orthodontic treatment, they should be referred to an otolaryngologist for examination and treatment of the problem.

Das Ziel dieser Arbeit war, die Rolle der während der Geburt kontaminierten mütterlichen Geburtswege als potentielle Infektionsquelle des Neugeborenen darzustellen. Hierzu sollten im Rahmen einer Literaturrecherche folgende Keime berücksichtigt werden: HSV Typ 1 und 2, Zytomegalieviren, Chlamydien, Candida albicans, Humane Papillomaviren, Streptokokken der Gruppe B und Gonokokken. Alle angeführten Erreger können während der Geburt von der Mutter auf den Säugling übertragen werden. Die in den diversen Arbeiten teilweise sehr stark differierenden subpartalen Übertragungsraten sind überwiegend auf epidemiologische Unterschiede und methodische Schwächen in den einzelnen Untersuchungen zurückzuführen. Das Neugeborene wird durch direkten Haut zu Haut-Kontakt, durch Aspiration von kontaminiertem Blut, Fruchtwasser, oder Vaginalsekret infiziert. Das größte Risiko für das Kind sind dabei primäre oder zum Geburtszeitpunkt floride mütterliche Infektionen. Transplazentar auf den Säugling übertragene mütterliche Immunglobuline bieten einen gewissen Nestschutz. Das klinische Spektrum der einzelnen neonatalen Erkrankungen reicht von lokalen Infektionen von Haut und Schleimhaut im Anogenitalbereich, Mund, Pharynx, Larynx, den Konjunktiven bis hin zu Pneumonie, Meningitis und Sepsis mit immer noch hohen Letalitätsraten. Bezüglich geeigneter Therapie- und Präventionskonzepte fehlt derzeit noch die breite wissenschaftliche Basis. Diesbezüglich sollte der Schwerpunkt zukünftiger Arbeiten liegen.

Eine genaue Identifizierung der Obstruktionsorte bei Patienten, welche unter einem OSAS bzw. Schnarchen leiden ist im Hinblick auf operative therapeutische Massnahmen wünschenswert. In dieser Arbeit wurde der Frage nachgegangen, inwieweit die ösophagopharyngeale Druckmessung dazu geeignet ist. Überdies sollte die Schlafqualität bei einer solchen Messung untersucht, und der Einfluss der Schlafstadien auf die Atemanstrengung dargestellt werden. Dazu wurden 34 Patienten (Alter: 48 ±10 Jahre, BMI: 29±5), welche sich mit Verdacht auf ein OSAS im Schlaflabor vorstellten, prospektiv untersucht. An 2 konsekutiven Nächten wurde eine Standard-Polysomnographie durchgeführt, in der zweiten Nacht erfolgte zusätzlich eine ösophagopharyngeale Druckmessung mittels einer Sonde. Es ergab sich insgesamt eine Toleranzquote von mindestens 80,9 %. Die subjektive Schlafqualität der zweiten Nacht wurde von den Patienten in einem Fragebogen nicht schlechter bewertet als die Nacht bei ausschliesslicher PSG. Ein Vergleich der Schlafarchitektur beider Nächte ergab keine signifikanten Unterschiede in der prozentualen Verteilung der Schlafstadien. Bei der Analyse der Atemanstrengung vom Wachzustand bis in den REM-Schlaf wurden bei diesem Patientenkollektiv auch unter Normalatmung erhöhte Werte gemessen. Weiterhin konnte eine positive Korrelation zwischen dem mittleren ösophagopharyngealem Druck (als Mass des respiratory effort) und dem AHI gefunden werden. Topodiagnostisch liessen sich sowohl Schnarchen als auch obstruktive Atemereignisse eindeutig in den Druckkurven identifizieren und definierten Orten des Pharynx zuordnen. Dabei wurde mit insgesamt 6 DA eine höhere Ortsauflösung als in bisherigen Studien erreicht. Ferner konnte ein pathogenetisches Kontinuum zwischen Schnarchen und dem OSAS aufgedeckt werden, denn Obstruktionen entwickelten sich angrenzend zu demjenigen Ort, an welchen auch die Schnarchvibrationen die grösste Amplitude hatten. Auch war es erstmals durch das neuentwickelte Analyseprogramm OED möglich, den Druckabfall am Obstruktionsort quantitativ zu erfassen. Hier wurde ein mittlerer Druckabfall von 10,5 mmHg ermittelt.