1 00:00:00,000 --> 00:00:21,960 Hi everyone and welcome back to another episode of Airway First, the podcast from the Children's 2 00:00:21,960 --> 00:00:23,720 Airway First Foundation. 3 00:00:23,720 --> 00:00:27,160 I'm your host, Rebecca St. James. 4 00:00:27,160 --> 00:00:34,560 My guest today is the one and only Joy Muller, an international leader in myofunctional therapy. 5 00:00:34,560 --> 00:00:40,680 Joy has worked in private practice as a myofunctional therapist since 1980. 6 00:00:40,680 --> 00:00:46,320 She graduated from the Myofunctional Therapy Institute in Coral Gables, Florida and had 7 00:00:46,320 --> 00:00:50,960 an extensive internship in oral facial myology. 8 00:00:50,960 --> 00:00:55,880 Joy's background of dental hygiene led the way for further studies and she has taught 9 00:00:55,880 --> 00:01:02,840 and continues to teach the principles of myofunctional therapy to graduate and postgraduate students 10 00:01:02,840 --> 00:01:09,240 at numerous universities as an adjunct professor and as a guest speaker. 11 00:01:09,240 --> 00:01:14,920 You can find out more about Joy at JoyMuller.com. 12 00:01:14,920 --> 00:01:20,560 And now let's jump into my interview with today's very special guest, Joy Muller. 13 00:01:20,560 --> 00:01:22,560 All right, great. 14 00:01:22,560 --> 00:01:24,320 Thank you so much for being here today, Joy. 15 00:01:24,320 --> 00:01:26,440 I really, really appreciate it. 16 00:01:26,440 --> 00:01:27,680 Okay, good. 17 00:01:27,680 --> 00:01:28,840 My pleasure. 18 00:01:28,840 --> 00:01:33,280 Anytime I can educate anyone about my passion. 19 00:01:33,280 --> 00:01:34,920 I love it. 20 00:01:34,920 --> 00:01:35,920 I love it. 21 00:01:35,920 --> 00:01:39,760 And for those that don't know about you, I'll make sure to include your full bio in the 22 00:01:39,760 --> 00:01:40,760 show notes. 23 00:01:40,760 --> 00:01:44,920 And, you know, I've heard about you for quite some time now and I finally got to hear you 24 00:01:44,920 --> 00:01:50,040 speak a few months ago at an event with your son, Mark. 25 00:01:50,040 --> 00:01:55,120 So for people that don't know about you and your story, I'd like to start there and just 26 00:01:55,120 --> 00:02:00,560 talk a little bit about your journey with your son, Brian, and how that's, you know, 27 00:02:00,560 --> 00:02:05,920 developed into this passion that has now been your career. 28 00:02:05,920 --> 00:02:16,240 Well, started in 1980, actually in 1978, I was a dental hygienist. 29 00:02:16,240 --> 00:02:25,760 I had been teaching at Indiana University and my son, my youngest son, Brian, had all 30 00:02:25,760 --> 00:02:30,480 kinds of airway issues and we didn't know what was wrong with him. 31 00:02:30,480 --> 00:02:39,720 He was born with severe colic and he couldn't sleep for a year more than 20 minutes. 32 00:02:39,720 --> 00:02:42,600 So it was really hard. 33 00:02:42,600 --> 00:02:44,120 And I tried everything. 34 00:02:44,120 --> 00:02:47,320 I knew that there was something going on. 35 00:02:47,320 --> 00:02:49,680 I know it was a very difficult birth. 36 00:02:49,680 --> 00:02:51,440 She was a breach. 37 00:02:51,440 --> 00:03:02,160 She turned in the canal and I tried everything from taking him to every doctor I could think 38 00:03:02,160 --> 00:03:11,000 of, including like male clinic and all different places to try to figure out why he was not 39 00:03:11,000 --> 00:03:12,000 able to sleep. 40 00:03:12,000 --> 00:03:16,160 He had failure to thrive. 41 00:03:16,160 --> 00:03:21,880 They took his tonsils and adenoids out at age three, which they never did back in those 42 00:03:21,880 --> 00:03:26,720 years, but he couldn't breathe, couldn't sleep. 43 00:03:26,720 --> 00:03:28,520 He couldn't eat anything. 44 00:03:28,520 --> 00:03:34,120 He had stomach aches constantly and then it went into headaches. 45 00:03:34,120 --> 00:03:40,760 Constantly, he would wake up with headaches and, you know, I kept taking him to one doctor 46 00:03:40,760 --> 00:03:50,880 after another and then I tried all the traditional and untraditional stuff like acupuncture and 47 00:03:50,880 --> 00:03:53,520 chiropractor. 48 00:03:53,520 --> 00:03:58,440 We tried everything and nothing helped really. 49 00:03:58,440 --> 00:04:07,520 And by the time he was six or seven, he couldn't go to school because his head hurt so bad. 50 00:04:07,520 --> 00:04:14,400 She was real little, whereas the agent, my husband and I were both very tall. 51 00:04:14,400 --> 00:04:17,240 My other son was very tall. 52 00:04:17,240 --> 00:04:23,600 And I just was watching my child die basically. 53 00:04:23,600 --> 00:04:31,640 I took him to nutritionists and psychologists and everyone under the sun I could think of 54 00:04:31,640 --> 00:04:37,640 from physical therapy to everyone. 55 00:04:37,640 --> 00:04:44,400 And finally, he was diagnosed by a neurologist. 56 00:04:44,400 --> 00:04:51,920 They said, perhaps we could do an exploratory brain procedure. 57 00:04:51,920 --> 00:04:57,360 At the time, my husband was transferred to San Diego, California. 58 00:04:57,360 --> 00:05:05,080 I started working in a dental office that did more holistic treatment. 59 00:05:05,080 --> 00:05:11,000 He was a TMJ specialist, a jaw specialist. 60 00:05:11,000 --> 00:05:14,720 And he said, well, before you do that, let me take a look at him. 61 00:05:14,720 --> 00:05:15,720 And I said, sure. 62 00:05:15,720 --> 00:05:21,480 And he said, you know, his tongue is in the wrong place. 63 00:05:21,480 --> 00:05:23,840 And after that, I was like, what? 64 00:05:23,840 --> 00:05:25,720 I never heard of that. 65 00:05:25,720 --> 00:05:31,200 He said, the roof of your mouth is the house for the tongue. 66 00:05:31,200 --> 00:05:33,160 And his tongue is always down. 67 00:05:33,160 --> 00:05:36,880 I said, well, he braced through his mouth all the time. 68 00:05:36,880 --> 00:05:40,200 But I mean, that's all. 69 00:05:40,200 --> 00:05:42,720 I took him to an ENT and allergist. 70 00:05:42,720 --> 00:05:44,400 I took him to a nutritionist. 71 00:05:44,400 --> 00:05:45,520 And no one said anything. 72 00:05:45,520 --> 00:05:46,520 Yeah. 73 00:05:46,520 --> 00:05:50,000 Well, they said, well, cut out dairy. 74 00:05:50,000 --> 00:05:53,280 But nothing helped really. 75 00:05:53,280 --> 00:05:59,040 And they took his tonsils out, but apparently that wasn't enough because he still couldn't 76 00:05:59,040 --> 00:06:02,760 sleep and he still had headaches. 77 00:06:02,760 --> 00:06:08,120 And so he said, I just took a class in myofunctional therapy. 78 00:06:08,120 --> 00:06:15,000 I'm going to give you some exercises to do for his tongue, to get his tongue working. 79 00:06:15,000 --> 00:06:18,280 And I want you to see an osteopathic physician. 80 00:06:18,280 --> 00:06:23,560 And there were only two in the country back in 1980. 81 00:06:23,560 --> 00:06:26,960 And luckily one was in San Diego. 82 00:06:26,960 --> 00:06:30,640 So I took him to an osteopath. 83 00:06:30,640 --> 00:06:33,640 I didn't even know what an osteopath was. 84 00:06:33,640 --> 00:06:39,240 I had a deal with a doctor. 85 00:06:39,240 --> 00:06:44,840 And he said, I'm going to make a little bite, splint to make his mouth a little wider. 86 00:06:44,840 --> 00:06:48,400 Well, I was willing to try anything. 87 00:06:48,400 --> 00:06:50,560 Of course. 88 00:06:50,560 --> 00:06:55,840 Within three weeks, his headache stopped. 89 00:06:55,840 --> 00:06:57,640 And then he started eating. 90 00:06:57,640 --> 00:07:00,200 He would eat two meals at a time. 91 00:07:00,200 --> 00:07:01,200 We'd go to a restaurant. 92 00:07:01,200 --> 00:07:03,960 He'd say, no, I'll eat both meals, mom. 93 00:07:03,960 --> 00:07:06,840 He would just eat like crazy. 94 00:07:06,840 --> 00:07:09,200 And he was sleeping. 95 00:07:09,200 --> 00:07:13,760 And then three or four months later, his teeth started straightening out. 96 00:07:13,760 --> 00:07:19,120 He had this real tiny little mouth with crowding. 97 00:07:19,120 --> 00:07:21,600 I was like, I have to learn this. 98 00:07:21,600 --> 00:07:23,640 I have to learn everything about this. 99 00:07:23,640 --> 00:07:27,800 So I went back to school, studied everything in the field at the time. 100 00:07:27,800 --> 00:07:31,280 There was an institute in Florida. 101 00:07:31,280 --> 00:07:37,560 I went there, then I joined another organization and studied everything. 102 00:07:37,560 --> 00:07:46,480 I started practicing and then I started teaching courses back in the 1980s. 103 00:07:46,480 --> 00:07:52,840 And I've been all over the world going to universities and trying to educate doctors. 104 00:07:52,840 --> 00:07:58,040 But to make a change in our healthcare system is very difficult. 105 00:07:58,040 --> 00:07:59,040 Right. 106 00:07:59,040 --> 00:08:03,280 So I'm happy to be here to share my information. 107 00:08:03,280 --> 00:08:09,080 When I just finished writing a book, it's called, Is Your Tom Killing You? 108 00:08:09,080 --> 00:08:13,160 And that should be ready in about three or four months, hopefully. 109 00:08:13,160 --> 00:08:18,600 I have a lot of co-authors writing it with me. 110 00:08:18,600 --> 00:08:25,160 So let me, without further ado, let me share my screen. 111 00:08:25,160 --> 00:08:26,160 Okay. 112 00:08:26,160 --> 00:08:37,640 And I'll show you some slides that I think people would enjoy seeing here. 113 00:08:37,640 --> 00:08:45,840 So I'm a speaker with Annenberg, which is a nonprofit. 114 00:08:45,840 --> 00:08:49,040 So these are some disclosures. 115 00:08:49,040 --> 00:08:56,760 But actually myofunctional therapy has been around since the 19, early 1900s. 116 00:08:56,760 --> 00:09:06,040 And it's kind of been pushed under the rug because it did not include orthodontics at 117 00:09:06,040 --> 00:09:07,040 that time. 118 00:09:07,040 --> 00:09:11,160 There's a lot of politics involved. 119 00:09:11,160 --> 00:09:17,000 But these are some of the disorders to look for the tension around the mouth when you 120 00:09:17,000 --> 00:09:18,000 swallow. 121 00:09:18,000 --> 00:09:22,040 I'm not actually seeing the presentation just so you know, Joy. 122 00:09:22,040 --> 00:09:24,320 Oh, okay. 123 00:09:24,320 --> 00:09:27,520 Did you share the screen? 124 00:09:27,520 --> 00:09:28,520 You'll need to do it. 125 00:09:28,520 --> 00:09:29,520 It's at the bottom there. 126 00:09:29,520 --> 00:09:31,520 It should say share screen. 127 00:09:31,520 --> 00:09:33,520 Oh, okay. 128 00:09:33,520 --> 00:09:35,520 Let me go back. 129 00:09:35,520 --> 00:09:36,520 Sorry. 130 00:09:36,520 --> 00:09:38,520 Oh, no worries. 131 00:09:38,520 --> 00:09:44,520 Ah, here it is. 132 00:09:44,520 --> 00:10:00,520 Okay, now you can probably see all my scribbles here. 133 00:10:00,520 --> 00:10:05,520 Not that one. 134 00:10:05,520 --> 00:10:07,520 Here we go. 135 00:10:07,520 --> 00:10:08,520 Perfect. 136 00:10:08,520 --> 00:10:09,520 Awesome. 137 00:10:09,520 --> 00:10:17,400 So these are some of the disorders to look for the tension around the mouth when they 138 00:10:17,400 --> 00:10:18,400 swallow. 139 00:10:18,400 --> 00:10:26,640 And that's because Tom is coming forward and in order to stop the food from coming out 140 00:10:26,640 --> 00:10:35,520 of your mouth, it's a learned behavior of tense and the forward head posture, the overdeveloped 141 00:10:35,520 --> 00:10:39,560 chin muscle, these are some of the open bites. 142 00:10:39,560 --> 00:10:44,120 It could be an anterior or posterior open bite. 143 00:10:44,120 --> 00:10:52,920 There's a lot of research now showing that it helps sleep at me on a 50% in adults and 144 00:10:52,920 --> 00:10:59,000 62% in children, which is statistically significant. 145 00:10:59,000 --> 00:11:00,000 Right. 146 00:11:00,000 --> 00:11:01,000 That is huge. 147 00:11:01,000 --> 00:11:10,080 And the tongue is actually not a muscle, the tongue is an organ and it's connected with 148 00:11:10,080 --> 00:11:13,800 basal tissue all the way to your feet. 149 00:11:13,800 --> 00:11:19,080 So it can affect posture and growth and development. 150 00:11:19,080 --> 00:11:22,560 And I will tell you the first time I saw this was when I heard you present. 151 00:11:22,560 --> 00:11:25,720 I did not know that until I heard you speak. 152 00:11:25,720 --> 00:11:26,720 Really? 153 00:11:26,720 --> 00:11:27,720 Really. 154 00:11:27,720 --> 00:11:30,640 And that just, that blows my mind. 155 00:11:30,640 --> 00:11:33,360 So many doctors don't realize it. 156 00:11:33,360 --> 00:11:34,360 No. 157 00:11:34,360 --> 00:11:40,160 Probably the least diagnosed, most important part of your body. 158 00:11:40,160 --> 00:11:43,800 The tongue is actually a respiratory organ. 159 00:11:43,800 --> 00:11:45,480 It's not a muscle. 160 00:11:45,480 --> 00:11:53,400 It has 16 muscles in it and it's related to everything from sleep apnea to orthodontic 161 00:11:53,400 --> 00:12:02,360 relapse, posture problems, all the way up to learning and behavior issues for children. 162 00:12:02,360 --> 00:12:11,680 I know Brian, after his airway was open, he started reading books like crazy. 163 00:12:11,680 --> 00:12:17,120 He was just, was amazing to watch the change. 164 00:12:17,120 --> 00:12:18,120 He could focus. 165 00:12:18,120 --> 00:12:19,120 Yeah. 166 00:12:19,120 --> 00:12:20,920 He could focus. 167 00:12:20,920 --> 00:12:30,960 It also affects nutrition, speech and pain, whether it be headaches or jaw pain. 168 00:12:30,960 --> 00:12:36,800 The muscles of your head and neck are all connected to each other, which it's different 169 00:12:36,800 --> 00:12:38,400 from other muscles. 170 00:12:38,400 --> 00:12:44,200 There's over 58 muscles in your head and neck that are all connected. 171 00:12:44,200 --> 00:12:52,360 And this just shows how, this was a speech pathologist who painted his face so people 172 00:12:52,360 --> 00:12:56,200 can understand how the muscles are all connected. 173 00:12:56,200 --> 00:12:58,200 Oh, wow. 174 00:12:58,200 --> 00:13:00,080 Yeah. 175 00:13:00,080 --> 00:13:03,920 So these are just some of the muscles of the tongue. 176 00:13:03,920 --> 00:13:11,720 I'm not going to go into the anatomy too much, but it's pretty involved. 177 00:13:11,720 --> 00:13:14,400 And what is proper oral rest? 178 00:13:14,400 --> 00:13:20,880 Postures, the entire tongue is resting in the palate. 179 00:13:20,880 --> 00:13:24,680 It's that back part that I think is so wild. 180 00:13:24,680 --> 00:13:26,760 The back is important. 181 00:13:26,760 --> 00:13:33,200 The teeth are slightly apart and the hands are away from your face. 182 00:13:33,200 --> 00:13:38,960 So everybody thinks they have to clench their teeth together for a proper bite, but it's 183 00:13:38,960 --> 00:13:40,160 not that way. 184 00:13:40,160 --> 00:13:51,040 The teeth are apart and the tongue is supporting the jaw and the head and neck. 185 00:13:51,040 --> 00:13:57,920 And there are doctors now that believe this, that the tongue is a respiratory organ. 186 00:13:57,920 --> 00:14:04,280 This is a very famous doctor from Japan. 187 00:14:04,280 --> 00:14:08,720 And you can see how it changes the form and function. 188 00:14:08,720 --> 00:14:17,160 If you swallow at least 500, 2000 times a day with four pounds of pressure, which is 189 00:14:17,160 --> 00:14:25,320 like 55 grams per centimeter, which is a lot of force, change the way people swallow, the 190 00:14:25,320 --> 00:14:27,160 skull will change. 191 00:14:27,160 --> 00:14:32,920 I've seen it over and over again and posture changes. 192 00:14:32,920 --> 00:14:43,720 So and we can help in many ways in prevention as well as detection, help with pain. 193 00:14:43,720 --> 00:14:46,640 This is just a video from the Mayo Clinic showing. 194 00:14:46,640 --> 00:14:53,640 When you read air travels down your throat through your windpipe and into your lungs. 195 00:14:53,640 --> 00:14:58,360 The narrowest part of that pathway is in the back of your throat. 196 00:14:58,360 --> 00:15:03,600 When you're awake, muscles keep that pathway relatively wide open. 197 00:15:03,600 --> 00:15:08,840 But when you sleep, those muscles relax, allowing the opening to narrow. 198 00:15:08,840 --> 00:15:13,960 The air passing through this narrowed opening may cause the throat to vibrate. 199 00:15:13,960 --> 00:15:17,920 That causes snoring, which many people experience. 200 00:15:17,920 --> 00:15:23,760 But in some people, the throat closes so much that enough air can't get through to the lungs. 201 00:15:23,760 --> 00:15:28,320 When this happens, the brain sends an alarm to open the airway. 202 00:15:28,320 --> 00:15:32,440 Most often this is associated with a brief arousal from sleep. 203 00:15:32,440 --> 00:15:36,640 The brain quickly reactivates the muscles that hold the throat open. 204 00:15:36,640 --> 00:15:40,200 Air gets through again and the brain goes back to sleep. 205 00:15:40,200 --> 00:15:44,440 This disorder is called obstructive sleep apnea. 206 00:15:44,440 --> 00:15:45,440 So snoring. 207 00:15:45,440 --> 00:15:56,560 It has been like discounted, like everybody snores and it's really normal. 208 00:15:56,560 --> 00:16:00,960 When your child snores, that's danger. 209 00:16:00,960 --> 00:16:03,280 That's an alarm. 210 00:16:03,280 --> 00:16:05,360 They're not getting enough air. 211 00:16:05,360 --> 00:16:13,840 And it's something that you need to follow and watch because it's very dangerous. 212 00:16:13,840 --> 00:16:19,320 I'm going to go quickly through these. 213 00:16:19,320 --> 00:16:24,000 So the open bites can change. 214 00:16:24,000 --> 00:16:28,400 When the tongue is pushing forward, it can change things. 215 00:16:28,400 --> 00:16:34,280 It's a combination of form and function working together. 216 00:16:34,280 --> 00:16:38,160 And you could see how the tongue may be a natural palate expander. 217 00:16:38,160 --> 00:16:39,720 This is hard work. 218 00:16:39,720 --> 00:16:47,560 I like working collaboratively with a dentist that understands forward and with wise growth 219 00:16:47,560 --> 00:16:49,760 and can help. 220 00:16:49,760 --> 00:16:55,560 But this is possible with just the tongue and a child. 221 00:16:55,560 --> 00:17:00,960 So the atypical swallowing is what we deal with. 222 00:17:00,960 --> 00:17:01,960 And we see. 223 00:17:01,960 --> 00:17:07,520 And when you say it's possible, once they know where to use the tongue, where to place 224 00:17:07,520 --> 00:17:10,880 it, it actually works as a palate expander. 225 00:17:10,880 --> 00:17:14,040 It can push the teeth where they're supposed to go. 226 00:17:14,040 --> 00:17:15,040 Yes. 227 00:17:15,040 --> 00:17:19,680 It's hard work for the patient, for the therapist. 228 00:17:19,680 --> 00:17:32,040 A lot of times, personally, I like to work collaboratively with dentists and physicians. 229 00:17:32,040 --> 00:17:42,200 I have a private practice in Pacific Palisades, California, and I work alone, but I do refer 230 00:17:42,200 --> 00:17:44,680 when it's necessary. 231 00:17:44,680 --> 00:17:47,280 This I did just with exercises. 232 00:17:47,280 --> 00:17:52,600 She had an open bite after braces. 233 00:17:52,600 --> 00:17:57,120 And here's a bilateral open bite. 234 00:17:57,120 --> 00:18:03,800 And gum disease, being a dental hygienist, the tongue is pushing against the teeth that 235 00:18:03,800 --> 00:18:06,600 can weaken the bone. 236 00:18:06,600 --> 00:18:15,320 And also, if your mouth breathing, the bacteria is much more virulent and can cause bone loss. 237 00:18:15,320 --> 00:18:20,360 This I like this picture because you can really see this is the house for the tongue. 238 00:18:20,360 --> 00:18:26,160 And if it's not up there, it collapses. 239 00:18:26,160 --> 00:18:29,600 Because of that V-shape. 240 00:18:29,600 --> 00:18:36,160 High narrow palate is definitely one sign of obstructive sleep apnea. 241 00:18:36,160 --> 00:18:41,120 I'm going to show a lot of videos. 242 00:18:41,120 --> 00:18:47,240 But here, I really like this because you can see this is a normal tongue rest position. 243 00:18:47,240 --> 00:18:49,400 This pink part is your tongue. 244 00:18:49,400 --> 00:18:57,360 And you take a bite in the front part of your tongue, pushes against this bone. 245 00:18:57,360 --> 00:18:58,880 It's called a premixilla. 246 00:18:58,880 --> 00:19:01,640 It's a real thick bone. 247 00:19:01,640 --> 00:19:05,560 And then you swallow the food down. 248 00:19:05,560 --> 00:19:11,920 And there's a valve in your throat that says, okay, this is food going down to the stomach. 249 00:19:11,920 --> 00:19:17,280 So it closes the valve into the airway. 250 00:19:17,280 --> 00:19:25,440 But in an abnormal tongue thrust swallow, and that's what myofunctional therapist treat, 251 00:19:25,440 --> 00:19:28,920 the tongue is resting against the teeth. 252 00:19:28,920 --> 00:19:32,840 The tongue collapses and air develops. 253 00:19:32,840 --> 00:19:35,600 Like it gets trapped right here. 254 00:19:35,600 --> 00:19:42,560 Then you take a bite of food and your tongue pushes against the teeth. 255 00:19:42,560 --> 00:19:47,920 And you swallow air that becomes down. 256 00:19:47,920 --> 00:19:59,840 And so you get this condition called aerophasia, where kids swallow air and they feel bloated 257 00:19:59,840 --> 00:20:00,960 after they eat. 258 00:20:00,960 --> 00:20:03,600 They're not hungry. 259 00:20:03,600 --> 00:20:11,120 And this is what we call peristalsis, which is the movement of food going down. 260 00:20:11,120 --> 00:20:13,240 What if it's going down? 261 00:20:13,240 --> 00:20:16,680 It's now confused. 262 00:20:16,680 --> 00:20:24,880 And so there's a backwards movement of the food that causes acid reflex, what we call 263 00:20:24,880 --> 00:20:25,880 GERD. 264 00:20:25,880 --> 00:20:30,920 And it can cause a lot of problems. 265 00:20:30,920 --> 00:20:38,640 Also if a child is mouth breathing, then they can't smell. 266 00:20:38,640 --> 00:20:41,720 They lose their appetite. 267 00:20:41,720 --> 00:20:48,080 And so they become picky eaters when they're not chewing their food. 268 00:20:48,080 --> 00:20:52,920 Because if they're mouth breathing, they're not chewing because their brain thinks their 269 00:20:52,920 --> 00:20:58,160 mouth is their nose. 270 00:20:58,160 --> 00:21:03,400 So they're not chewing their food and they're not getting the digestive enzymes. 271 00:21:03,400 --> 00:21:11,560 The parotid gland has all these enzymes that break food down and they're missing it. 272 00:21:11,560 --> 00:21:18,400 So they have constant belly aches and their sense of smell. 273 00:21:18,400 --> 00:21:23,960 They can't smell the food and they don't want to chew anything. 274 00:21:23,960 --> 00:21:26,960 So they reach for soft food only. 275 00:21:26,960 --> 00:21:34,440 The worst thing you could give your child is the pouches because they're not getting 276 00:21:34,440 --> 00:21:35,440 it. 277 00:21:35,440 --> 00:21:36,440 They're not chewing. 278 00:21:36,440 --> 00:21:37,440 They're not chewing anything. 279 00:21:37,440 --> 00:21:45,960 And the newborn pallidus is soft as a drum and it can be changed by forces of the tongue. 280 00:21:45,960 --> 00:21:49,840 And that's why breastfeeding is so important. 281 00:21:49,840 --> 00:22:00,880 If you're breastfeeding properly, this starts talking about tongue ties. 282 00:22:00,880 --> 00:22:05,480 If you haven't seen this video, it's only a couple of minutes. 283 00:22:05,480 --> 00:22:09,840 Ultrasound of a breastfeeding infant shows just how important the tongue is in obtaining 284 00:22:09,840 --> 00:22:12,280 milk from the nipple. 285 00:22:12,280 --> 00:22:16,360 Although looking at an ultrasound video may be confusing, let's take a closer look at 286 00:22:16,360 --> 00:22:20,960 what is going on with the help of an animation. 287 00:22:20,960 --> 00:22:25,400 Note that the tongue moves not only back and forth but also vertically. 288 00:22:25,400 --> 00:22:30,080 Without both these motions which may be constricted by a tongue tie, breastfeeding may become 289 00:22:30,080 --> 00:22:33,360 difficult and painful. 290 00:22:33,360 --> 00:22:37,440 Antiriotongue tie constricts the tongue motion shown in blue, which is the front part of 291 00:22:37,440 --> 00:22:42,320 the tongue. 292 00:22:42,320 --> 00:22:47,560 The area shown in red is constricted by a posterior tongue tie which limits the tongue's vertical 293 00:22:47,560 --> 00:22:51,600 motion in the back. 294 00:22:51,600 --> 00:22:56,560 When the tongue is effective and painless, breastfeeding occurs. 295 00:22:56,560 --> 00:23:08,760 So I see a lot of children now that are tongue tying and adults. 296 00:23:08,760 --> 00:23:13,640 They're given a sippy cup with a spout, which is the wrong thing. 297 00:23:13,640 --> 00:23:20,800 It's best to just let them drink out of a little cup as soon as they can sit up. 298 00:23:20,800 --> 00:23:27,320 But also you want to avoid pacifiers because that pushes the tongue down. 299 00:23:27,320 --> 00:23:32,560 And soft baby food that teaches the child they don't have to chew anything. 300 00:23:32,560 --> 00:23:42,640 So there's this whole movement called baby led weaning where they chew. 301 00:23:42,640 --> 00:23:52,920 Of course I'm very anti-bottle, very anti-artificial infant milk especially. 302 00:23:52,920 --> 00:23:58,440 What do you recommend for moms that can't be there during the day to feed their children 303 00:23:58,440 --> 00:24:00,800 if they pump? 304 00:24:00,800 --> 00:24:03,840 Are there certain bottles that are okay to use? 305 00:24:03,840 --> 00:24:04,840 I know. 306 00:24:04,840 --> 00:24:05,840 Okay. 307 00:24:05,840 --> 00:24:08,360 It's best for the mom to be there. 308 00:24:08,360 --> 00:24:18,360 But if it's absolutely impossible, I think the mom should have the baby breastfeed before 309 00:24:18,360 --> 00:24:24,560 they leave for work and then if they can come home for lunch, it's ideal. 310 00:24:24,560 --> 00:24:29,520 And then after work to do it or if they can work at home. 311 00:24:29,520 --> 00:24:35,640 I mean, my hat's off to mothers to know what the right thing to do. 312 00:24:35,640 --> 00:24:41,680 The right thing to do is to be a stay-at-home mom until the baby doesn't want to breastfeed 313 00:24:41,680 --> 00:24:42,680 anymore. 314 00:24:42,680 --> 00:24:48,200 But it's hard in the world. 315 00:24:48,200 --> 00:24:49,200 Sure. 316 00:24:49,200 --> 00:24:51,680 And we want them to breastfeed for at least two years, right? 317 00:24:51,680 --> 00:24:53,600 That would be ideal. 318 00:24:53,600 --> 00:24:54,600 No. 319 00:24:54,600 --> 00:25:01,840 And the current thinking is the baby breastfeeds until they don't want it anymore. 320 00:25:01,840 --> 00:25:10,000 It could be as early as nine months and it could be as late as six or seven years if 321 00:25:10,000 --> 00:25:12,400 they have severe allergies. 322 00:25:12,400 --> 00:25:13,600 Okay. 323 00:25:13,600 --> 00:25:15,320 So that's the baby lead we need. 324 00:25:15,320 --> 00:25:19,200 So literally they will guide it based on what they need. 325 00:25:19,200 --> 00:25:23,320 Well, baby lead we need is more on introducing food. 326 00:25:23,320 --> 00:25:24,320 Food. 327 00:25:24,320 --> 00:25:25,320 Okay. 328 00:25:25,320 --> 00:25:35,680 This is breastfeeding information that was given to me by Shelly Marmette who pioneered 329 00:25:35,680 --> 00:25:41,560 and conceptualized the whole field of lactation consulting. 330 00:25:41,560 --> 00:25:48,760 She was the one who first said, we've got to go back to breastfeeding because we're 331 00:25:48,760 --> 00:25:53,360 not doing the right thing by giving her bottles. 332 00:25:53,360 --> 00:26:02,080 It's hard to go back because if you're being bottle fed, the baby has an easy time getting 333 00:26:02,080 --> 00:26:03,360 the milk out. 334 00:26:03,360 --> 00:26:13,320 The baby doesn't have to strain their tongue to go up, but the palate will collapse. 335 00:26:13,320 --> 00:26:18,640 Baby lead we need we talked about is more for eating, introducing solid foods. 336 00:26:18,640 --> 00:26:19,640 Okay. 337 00:26:19,640 --> 00:26:27,160 This is my grandson, you could see he's 10 years old now, but when he was a baby, he 338 00:26:27,160 --> 00:26:29,160 did baby lead weaning. 339 00:26:29,160 --> 00:26:30,160 Oh, wow. 340 00:26:30,160 --> 00:26:34,360 You're double fisting there. 341 00:26:34,360 --> 00:26:35,360 No teeth. 342 00:26:35,360 --> 00:26:36,360 Looking good. 343 00:26:36,360 --> 00:26:37,360 That's what he's doing it. 344 00:26:37,360 --> 00:26:38,960 The mature eating me. 345 00:26:38,960 --> 00:26:43,360 Olive oil straight from Italy. 346 00:26:43,360 --> 00:26:49,160 He still likes lamb chops. 347 00:26:49,160 --> 00:26:50,160 Does he? 348 00:26:50,160 --> 00:26:57,240 I have a feeling you like them because I ate them a lot when you were in my family. 349 00:26:57,240 --> 00:27:04,280 So this is, this looks good, but a lot of doctors are people are afraid their child 350 00:27:04,280 --> 00:27:10,120 is going to choke on the food. 351 00:27:10,120 --> 00:27:18,160 And the truth of the matter is they choke less when they're given the opportunity as 352 00:27:18,160 --> 00:27:25,440 soon as they can sit up, as soon as they have that ability to put something into their mouth. 353 00:27:25,440 --> 00:27:31,240 If you start the baby lead weaning then if you wait till their teeth come in when they're 354 00:27:31,240 --> 00:27:39,000 11 or 12 months old, it's too late because they haven't developed the proprioception. 355 00:27:39,000 --> 00:27:41,160 That's when they choke more. 356 00:27:41,160 --> 00:27:42,160 Okay. 357 00:27:42,160 --> 00:27:48,520 So they start out with just something like a piece of cantaloupe or a banana or something 358 00:27:48,520 --> 00:27:58,000 soft and they get used to moving it around and gumming it enough so they know not to 359 00:27:58,000 --> 00:28:02,760 swallow down the wrong hatches, developing proprioception. 360 00:28:02,760 --> 00:28:03,760 Okay. 361 00:28:03,760 --> 00:28:11,920 But these things are dangerous and when they first came out I was livid against them because 362 00:28:11,920 --> 00:28:18,000 it's processed food even if it's organic. 363 00:28:18,000 --> 00:28:29,200 It's teaching a child that they don't have to chew anything and their teeth will suffer. 364 00:28:29,200 --> 00:28:33,280 And is pureed baby food even necessary? 365 00:28:33,280 --> 00:28:41,840 It was developed in the 1930s for the war effort and I know you had Kevin Boyd on here 366 00:28:41,840 --> 00:28:48,120 and it's totally unnecessary to have baby food. 367 00:28:48,120 --> 00:28:53,280 And this is one of those times I've mentioned it before but if a mom is hearing this for 368 00:28:53,280 --> 00:28:56,040 the first time I'll tell them the same thing. 369 00:28:56,040 --> 00:29:00,960 I said when I heard it from Kevin Boyd, don't do the guilt. 370 00:29:00,960 --> 00:29:01,960 You didn't know. 371 00:29:01,960 --> 00:29:03,640 We used to puree and make our own thinking. 372 00:29:03,640 --> 00:29:07,760 We were doing such a great thing and we were making it ourselves so it was healthy. 373 00:29:07,760 --> 00:29:09,760 We didn't know. 374 00:29:09,760 --> 00:29:12,400 You don't know what you don't know. 375 00:29:12,400 --> 00:29:14,600 You don't know what you don't know. 376 00:29:14,600 --> 00:29:21,400 You do the best you can but we didn't have blenders so the baby would just reach over 377 00:29:21,400 --> 00:29:29,160 and grab one or something off our plate in the 1920s before all this. 378 00:29:29,160 --> 00:29:30,320 Right. 379 00:29:30,320 --> 00:29:35,160 And it's just different. 380 00:29:35,160 --> 00:29:42,280 And our skulls as a result of it, we're getting some. 381 00:29:42,280 --> 00:29:44,240 And we're not eating the right foods. 382 00:29:44,240 --> 00:29:46,800 We're eating more processed foods. 383 00:29:46,800 --> 00:29:50,280 Children today like pasta. 384 00:29:50,280 --> 00:29:54,080 I know because I have four grandkids and this is what they want to eat. 385 00:29:54,080 --> 00:29:56,800 We go out to dinner. 386 00:29:56,800 --> 00:30:00,800 Pasta, macaroni and cheese. 387 00:30:00,800 --> 00:30:01,800 Smoothies. 388 00:30:01,800 --> 00:30:02,800 Nuggets. 389 00:30:02,800 --> 00:30:05,800 Chicken nuggets. 390 00:30:05,800 --> 00:30:12,000 Everything has to be melt in your mouth or they won't eat it. 391 00:30:12,000 --> 00:30:18,800 And so we have to go back to eating real food. 392 00:30:18,800 --> 00:30:21,400 Meat, fruits and vegetables. 393 00:30:21,400 --> 00:30:27,640 It's hard because we see a lot of chewing disorders. 394 00:30:27,640 --> 00:30:33,640 So don't chew or chew on one side and their face grows funny. 395 00:30:33,640 --> 00:30:40,680 They miss that stimulation so they're constantly putting things in their mouth. 396 00:30:40,680 --> 00:30:47,080 And their muscles are not working right. 397 00:30:47,080 --> 00:30:49,640 Yeah. 398 00:30:49,640 --> 00:30:54,640 So it can cause. 399 00:30:54,640 --> 00:31:00,640 Problems, talk a little bit about sleep position. 400 00:31:00,640 --> 00:31:02,640 Okay. 401 00:31:02,640 --> 00:31:06,640 Which way is correct to sleep? 402 00:31:06,640 --> 00:31:09,640 It's best to sleep on your back. 403 00:31:09,640 --> 00:31:11,640 Not your sides. 404 00:31:11,640 --> 00:31:16,640 When you sleep on your sides, you smash your nose. 405 00:31:16,640 --> 00:31:21,640 Do you have to look at why are people sleeping on their back? 406 00:31:21,640 --> 00:31:24,640 Or not sleeping on their back. 407 00:31:24,640 --> 00:31:27,640 And most of it is tongue tie. 408 00:31:27,640 --> 00:31:32,640 Because if your tongue is restricted, it's going to fall into your airway. 409 00:31:32,640 --> 00:31:34,640 Your back. 410 00:31:34,640 --> 00:31:42,640 So to get the tongue working will enable the posture to be better. 411 00:31:42,640 --> 00:31:45,640 And so the side is not the right way to sleep. 412 00:31:45,640 --> 00:31:50,640 No, because when you're on your side, you're pushing your lower jaw. 413 00:31:50,640 --> 00:31:53,640 And then you're going to have to move your head. 414 00:31:53,640 --> 00:31:55,640 Off to one side. 415 00:31:55,640 --> 00:31:58,640 Okay. 416 00:31:58,640 --> 00:32:01,640 It's best to sleep on your back. 417 00:32:01,640 --> 00:32:03,640 Okay. 418 00:32:03,640 --> 00:32:07,640 If you can't, you can elevate the headboard the size of the brick. 419 00:32:07,640 --> 00:32:13,640 But also you, you want to get your tongue released. 420 00:32:13,640 --> 00:32:16,640 Because if you have a tongue tie. 421 00:32:16,640 --> 00:32:21,640 If your tongue is restricted, it can't go up. 422 00:32:21,640 --> 00:32:26,640 Especially the back of the tongue with a posterior tongue tie. 423 00:32:26,640 --> 00:32:30,640 What happens is. 424 00:32:30,640 --> 00:32:36,640 You choke on food and, and you're, you'll choke on your tongue. 425 00:32:36,640 --> 00:32:41,640 And that's where the snoring sleep apnea comes in. 426 00:32:41,640 --> 00:32:47,640 And so to release the tongue is, is really. 427 00:32:47,640 --> 00:32:49,640 This just shows. 428 00:32:49,640 --> 00:32:55,640 If it lives open. 429 00:32:55,640 --> 00:32:59,640 And open. 430 00:32:59,640 --> 00:33:02,640 That's a little screen underneath. 431 00:33:02,640 --> 00:33:07,640 But if you see this divot, if you stick your curls up, 432 00:33:07,640 --> 00:33:12,640 you can get your tongue out. 433 00:33:12,640 --> 00:33:15,640 And then you can get your posterior tongue tie. 434 00:33:15,640 --> 00:33:17,640 Okay. 435 00:33:17,640 --> 00:33:19,640 Okay. 436 00:33:19,640 --> 00:33:21,640 Okay. Okay. 437 00:33:21,640 --> 00:33:25,640 Now can you do a tongue pop. 438 00:33:25,640 --> 00:33:27,640 The heart. 439 00:33:27,640 --> 00:33:28,640 See it. 440 00:33:28,640 --> 00:33:30,640 Okay. 441 00:33:30,640 --> 00:33:32,640 Can you put your tongue into your cheek? 442 00:33:32,640 --> 00:33:39,640 See how the lower jaw. 443 00:33:39,640 --> 00:33:41,640 This is one. 444 00:33:41,640 --> 00:33:43,640 Elevate again. 445 00:33:43,640 --> 00:33:45,640 Open the job and open. 446 00:33:45,640 --> 00:33:47,640 Okay. It is just. 447 00:33:47,640 --> 00:33:50,640 Okay. Now relax. 448 00:33:50,640 --> 00:33:51,640 And now pull. 449 00:33:51,640 --> 00:33:58,640 Bring it up. 450 00:33:58,640 --> 00:34:02,640 Okay. 451 00:34:02,640 --> 00:34:06,640 So the big thing is. 452 00:34:06,640 --> 00:34:10,640 We have to look at these problems. 453 00:34:10,640 --> 00:34:16,640 Because if you don't correct it as a baby, as a young child, 454 00:34:16,640 --> 00:34:20,640 you'll have the, the jaw problems and the sleep issues. 455 00:34:20,640 --> 00:34:23,640 This is one of our students who. 456 00:34:23,640 --> 00:34:25,640 Took the course to treat herself. 457 00:34:25,640 --> 00:34:28,640 And she was a little bit more comfortable with her. 458 00:34:28,640 --> 00:34:34,640 You can see how her palate expanded naturally. 459 00:34:34,640 --> 00:34:36,640 And you said four months. 460 00:34:36,640 --> 00:34:38,640 Four months of treatment. 461 00:34:38,640 --> 00:34:40,640 She wasn't done yet, 462 00:34:40,640 --> 00:34:43,640 but you could see how her mandible came forward. 463 00:34:43,640 --> 00:34:45,640 Because her air. 464 00:34:45,640 --> 00:34:47,640 Wow. 465 00:34:47,640 --> 00:34:52,640 Each. 466 00:34:52,640 --> 00:34:55,640 And then you can see how the whole thing is going to be. 467 00:34:55,640 --> 00:35:00,640 And how you can see how a little bit of a lingual of freedom is so 468 00:35:00,640 --> 00:35:01,640 important to treat. 469 00:35:01,640 --> 00:35:02,640 It's. 470 00:35:02,640 --> 00:35:04,640 It's probably the least. 471 00:35:04,640 --> 00:35:05,640 Look that. 472 00:35:05,640 --> 00:35:06,640 Problem. 473 00:35:06,640 --> 00:35:18,640 But it's the most important. 474 00:35:18,640 --> 00:35:25,640 You're listening to airway first with today's guest, Joy Moller. 475 00:35:25,640 --> 00:35:29,640 You can find out more about the Children's Airway first foundation 476 00:35:29,640 --> 00:35:34,640 and our mission to fix before six on our website at Children's Airway 477 00:35:34,640 --> 00:35:36,640 first.org. 478 00:35:36,640 --> 00:35:40,640 The CAF website offers tons of great resources for parents and medical 479 00:35:40,640 --> 00:35:45,640 professionals, including videos, blogs, recommended reading, 480 00:35:45,640 --> 00:35:50,640 a comprehensive medical research library, podcast, and so much more. 481 00:35:50,640 --> 00:35:54,640 We also encourage parents to join the airway huddle, our Facebook 482 00:35:54,640 --> 00:35:58,640 support group, which was created for parents of children with airway 483 00:35:58,640 --> 00:36:00,640 and sleep related issues. 484 00:36:00,640 --> 00:36:04,640 You can access the airway huddle support group at facebook.com 485 00:36:04,640 --> 00:36:08,640 backslash groups backslash airway huddle. 486 00:36:08,640 --> 00:36:12,640 Are you a medical professional or parent that's interested in being a guest 487 00:36:12,640 --> 00:36:16,640 on our show or do you have an idea for an upcoming episode? 488 00:36:16,640 --> 00:36:20,640 Then shoot us a note via the contacts page on our website or send us an 489 00:36:20,640 --> 00:36:26,640 email directly at info at Children's Airway first.org. 490 00:36:26,640 --> 00:36:30,640 As a reminder, this podcast and the opinions expressed here are not a 491 00:36:30,640 --> 00:36:32,640 medical diagnosis. 492 00:36:32,640 --> 00:36:36,640 If you suspect your child might have an airway issue, contact your pediatric 493 00:36:36,640 --> 00:36:39,640 airway dentist or pediatrician. 494 00:36:39,640 --> 00:36:44,640 And now let's jump back into my interview with today's guest, Joy Moller. 495 00:36:44,640 --> 00:37:02,640 Music 496 00:37:02,640 --> 00:37:07,640 I personally had my tongue released when I was in my 50s. 497 00:37:07,640 --> 00:37:10,640 And immediately I could sleep better. 498 00:37:10,640 --> 00:37:15,640 So just really important. 499 00:37:15,640 --> 00:37:19,640 Why do you think that is something that that it's one of the least looked 500 00:37:19,640 --> 00:37:23,640 at? Why don't we look at it more? 501 00:37:23,640 --> 00:37:28,640 Mostly because doctors and dentists were not taught that in school how to do 502 00:37:28,640 --> 00:37:31,640 it or why to do it. 503 00:37:31,640 --> 00:37:36,640 And so as a result, they're not comfortable. 504 00:37:36,640 --> 00:37:44,640 There's a lot of arteries and all kind of muscles and fibers. 505 00:37:44,640 --> 00:37:48,640 And so they have to take a continuing education course. 506 00:37:48,640 --> 00:37:53,640 Most of the doctors that are doing it have had a child for somebody in their 507 00:37:53,640 --> 00:37:56,640 family that benefited. 508 00:37:56,640 --> 00:38:00,640 But also it can help your posture. 509 00:38:00,640 --> 00:38:05,640 This is four months of myofunctional and a tongue release. 510 00:38:05,640 --> 00:38:09,640 That's amazing. Look at his head. How far back that is now. 511 00:38:09,640 --> 00:38:11,640 Yeah. 512 00:38:11,640 --> 00:38:13,640 That's amazing. 513 00:38:13,640 --> 00:38:15,640 Helps your brain work better. 514 00:38:15,640 --> 00:38:21,640 This is one of my patients who he had an orthodontic relapse. 515 00:38:21,640 --> 00:38:27,640 And when it was finished one year, you could see how his teeth changed 516 00:38:27,640 --> 00:38:30,640 tremendously and his jaw changed. 517 00:38:30,640 --> 00:38:34,640 His ability to do sports was so much better. 518 00:38:34,640 --> 00:38:37,640 He wanted a scholarship for college. 519 00:38:37,640 --> 00:38:40,640 Wow. 520 00:38:40,640 --> 00:38:42,640 Yeah. 521 00:38:42,640 --> 00:38:45,640 Complete scholarship. 522 00:38:45,640 --> 00:38:52,640 So this just shows a little, one of my patients who his father was a 523 00:38:52,640 --> 00:38:55,640 pediatrician. 524 00:38:55,640 --> 00:38:57,640 At UCLA. 525 00:38:57,640 --> 00:39:01,640 And he had been diagnosed with Tourette's. 526 00:39:01,640 --> 00:39:04,640 This is Thomas. 527 00:39:04,640 --> 00:39:09,640 It's just starting myofunctional therapy to be controlled. 528 00:39:09,640 --> 00:39:11,640 2016. 529 00:39:11,640 --> 00:39:15,640 You notice how much time is why you're doing this and what you hope to 530 00:39:15,640 --> 00:39:17,640 accomplish. 531 00:39:17,640 --> 00:39:19,640 I'm doing this to improve. 532 00:39:19,640 --> 00:39:21,640 Got my tics. 533 00:39:21,640 --> 00:39:23,640 And. 534 00:39:23,640 --> 00:39:25,640 Um, improves. 535 00:39:25,640 --> 00:39:28,640 What and reach for my nose. 536 00:39:28,640 --> 00:39:31,640 So when you finish. 537 00:39:31,640 --> 00:39:36,640 So this is Thomas and Thomas is now completely done with myofunctional 538 00:39:36,640 --> 00:39:38,640 therapy. 539 00:39:38,640 --> 00:39:40,640 And can you tell him not doing it. 540 00:39:40,640 --> 00:39:44,640 What does that's are about it? How it's helped you. 541 00:39:44,640 --> 00:39:48,640 When I first started, my head was really forward. 542 00:39:48,640 --> 00:39:52,640 And my eyes were taking almost every three seconds. 543 00:39:52,640 --> 00:39:55,640 And, um, 544 00:39:55,640 --> 00:39:58,640 I was like, Oh, I'm going to be okay. 545 00:39:58,640 --> 00:39:59,640 I'm going to be okay. 546 00:39:59,640 --> 00:40:02,640 So over the, over the time that I've been with joy, 547 00:40:02,640 --> 00:40:04,640 I've really improved. 548 00:40:04,640 --> 00:40:06,640 As you can see right now, I'm. 549 00:40:06,640 --> 00:40:09,640 Blinking with both my eyes, not blinking anymore. 550 00:40:09,640 --> 00:40:11,640 How's your sleep and all this. 551 00:40:11,640 --> 00:40:13,640 Um, so I used to snore. 552 00:40:13,640 --> 00:40:15,640 And, um, 553 00:40:15,640 --> 00:40:17,640 And sleep on my side. 554 00:40:17,640 --> 00:40:19,640 And that affected my sleeping. 555 00:40:19,640 --> 00:40:22,640 Well, sleeping and breathing. 556 00:40:22,640 --> 00:40:25,640 And breathing through nose all the time too. Right. 557 00:40:25,640 --> 00:40:26,640 Yeah. 558 00:40:26,640 --> 00:40:27,640 Can you slowly or chair? 559 00:40:27,640 --> 00:40:30,640 So we can just take a look at your posture. Wow. 560 00:40:30,640 --> 00:40:33,640 He really improved, but. 561 00:40:33,640 --> 00:40:34,640 Older people. 562 00:40:34,640 --> 00:40:37,640 Improve too. You can see this lady. How she. 563 00:40:37,640 --> 00:40:39,640 Always looked sad. 564 00:40:39,640 --> 00:40:40,640 Janet. 565 00:40:40,640 --> 00:40:42,640 And she kept getting. 566 00:40:42,640 --> 00:40:44,640 Looking better. 567 00:40:44,640 --> 00:40:45,640 Wow. 568 00:40:45,640 --> 00:40:46,640 Change the function. 569 00:40:46,640 --> 00:40:47,640 You know, 570 00:40:47,640 --> 00:40:52,640 I'm not sure if I'm looking better. 571 00:40:52,640 --> 00:40:53,640 Wow. 572 00:40:53,640 --> 00:40:55,640 Change the function. Yeah. 573 00:40:55,640 --> 00:40:58,640 So this is one of our exercises. 574 00:40:58,640 --> 00:40:59,640 On your mark. 575 00:40:59,640 --> 00:41:00,640 Get set. 576 00:41:00,640 --> 00:41:04,640 Go. 577 00:41:04,640 --> 00:41:07,640 This is making the lower jaw come down forward and up. 578 00:41:07,640 --> 00:41:09,640 It's working all the face muscles. 579 00:41:09,640 --> 00:41:11,640 Okay. 580 00:41:11,640 --> 00:41:12,640 It's almost there. 581 00:41:12,640 --> 00:41:14,640 Oh, Megan, Dr. B neck and neck. 582 00:41:14,640 --> 00:41:17,640 Oh, my God. 583 00:41:17,640 --> 00:41:20,640 He's a doctor at the university of Pennsylvania. 584 00:41:20,640 --> 00:41:23,640 So these are some of the tools we use. 585 00:41:23,640 --> 00:41:25,640 Myo Munchie, which. 586 00:41:25,640 --> 00:41:29,640 Allows the child to chew. They like it feels good. 587 00:41:29,640 --> 00:41:31,640 And the froggy mouth. 588 00:41:31,640 --> 00:41:35,640 Which is a great product that actually will. 589 00:41:35,640 --> 00:41:37,640 Enable. 590 00:41:37,640 --> 00:41:39,640 The. 591 00:41:39,640 --> 00:41:42,640 Back of the tongue to work. 592 00:41:42,640 --> 00:41:45,640 When it's in there, it's a passive exercise. 593 00:41:45,640 --> 00:41:47,640 It's called froggy. 594 00:41:47,640 --> 00:41:50,640 And can adults use froggy mouth? 595 00:41:50,640 --> 00:41:51,640 Yeah. 596 00:41:51,640 --> 00:41:52,640 Okay. 597 00:41:52,640 --> 00:41:54,640 And then what about the tongue? 598 00:41:54,640 --> 00:41:58,640 Oh yeah. That's, that's a really neat. 599 00:41:58,640 --> 00:42:02,640 Product that is, it helps to stretch. 600 00:42:02,640 --> 00:42:05,640 Cause it goes under the tongue. 601 00:42:05,640 --> 00:42:09,640 And I helped stretch the tongue. 602 00:42:09,640 --> 00:42:11,640 Okay. 603 00:42:11,640 --> 00:42:12,640 So that's a really good thing. 604 00:42:12,640 --> 00:42:14,640 I think it's a good thing to do. 605 00:42:14,640 --> 00:42:16,640 And I think it's a good thing to do. 606 00:42:16,640 --> 00:42:19,640 Those are some tools that you can do, 607 00:42:19,640 --> 00:42:21,640 but the best thing is to, 608 00:42:21,640 --> 00:42:23,640 when you're dealing with, with children. 609 00:42:23,640 --> 00:42:24,640 Okay. 610 00:42:24,640 --> 00:42:26,640 So the best thing is. 611 00:42:26,640 --> 00:42:29,640 To teach the child. 612 00:42:29,640 --> 00:42:31,640 To breathe through their nose. 613 00:42:31,640 --> 00:42:37,640 And. 614 00:42:37,640 --> 00:42:40,640 This breathing, reeducation or retraining is. 615 00:42:40,640 --> 00:42:41,640 It's a good thing. 616 00:42:41,640 --> 00:42:42,640 It's a good thing. 617 00:42:42,640 --> 00:42:44,640 So when you breathe through your nose, 618 00:42:44,640 --> 00:42:46,640 the air is filtered. It's humidified. 619 00:42:46,640 --> 00:42:48,640 It's sterilized. It's. 620 00:42:48,640 --> 00:42:50,640 It's. 621 00:42:50,640 --> 00:42:53,640 You get more oxygen when you breathe through your nose. 622 00:42:53,640 --> 00:42:56,640 And children don't know that what happens is they go to. 623 00:42:56,640 --> 00:42:58,640 Nursery school. 624 00:42:58,640 --> 00:43:02,640 And they're getting hit with all this bacteria. 625 00:43:02,640 --> 00:43:06,640 And then come home with their first cold. 626 00:43:06,640 --> 00:43:09,640 And their mouth breathing. 627 00:43:09,640 --> 00:43:11,640 And they get better. 628 00:43:11,640 --> 00:43:14,640 Because mommy makes them chicken soup and, you know, 629 00:43:14,640 --> 00:43:16,640 all the good things. 630 00:43:16,640 --> 00:43:18,640 But. 631 00:43:18,640 --> 00:43:23,640 They still, they forgot that their nose is for breathing. 632 00:43:23,640 --> 00:43:27,640 And, and that their mouth is for talking and eating. 633 00:43:27,640 --> 00:43:29,640 So what a mile functional therapist. 634 00:43:29,640 --> 00:43:33,640 The easiest thing to do is to look at a child when they're. 635 00:43:33,640 --> 00:43:35,640 Like this. 636 00:43:35,640 --> 00:43:41,640 And say, did you know your nose is for breathing and smelling. 637 00:43:41,640 --> 00:43:45,640 And your mouth is for talking and eating. 638 00:43:45,640 --> 00:43:48,640 And they right away will close their mouth. 639 00:43:48,640 --> 00:43:51,640 I mean, you have to constantly remind them, 640 00:43:51,640 --> 00:43:53,640 but after a while. 641 00:43:53,640 --> 00:43:56,640 They learn and. 642 00:43:56,640 --> 00:43:59,640 It doesn't take that long. 643 00:43:59,640 --> 00:44:02,640 There are a lot of little tricks that we do. 644 00:44:02,640 --> 00:44:06,640 And they're like, you know, I call them the three D's. 645 00:44:06,640 --> 00:44:10,640 You know, a lot of kids are allergic to dust or they're sensitive 646 00:44:10,640 --> 00:44:13,640 to dust. Maybe they've gone to the allergist and they're just 647 00:44:13,640 --> 00:44:15,640 sensitive to dust. 648 00:44:15,640 --> 00:44:19,640 So you have to teach the mom to get the carpeting out of the 649 00:44:19,640 --> 00:44:21,640 bedroom. 650 00:44:21,640 --> 00:44:24,640 It covers for the pillows that are dust proof. 651 00:44:24,640 --> 00:44:26,640 They're 100% cotton. 652 00:44:26,640 --> 00:44:28,640 Okay. 653 00:44:28,640 --> 00:44:33,640 So you know, 654 00:44:33,640 --> 00:44:36,640 the three D's are dust dairy. 655 00:44:36,640 --> 00:44:39,640 Do a, do an experiment for one month. No, no dairy. 656 00:44:39,640 --> 00:44:41,640 Sometimes that's enough to just break it. 657 00:44:41,640 --> 00:44:44,640 All you're talking all dairy or just cow. 658 00:44:44,640 --> 00:44:45,640 Milk. 659 00:44:45,640 --> 00:44:46,640 All dairy. 660 00:44:46,640 --> 00:44:50,640 All dairy for a month. 661 00:44:50,640 --> 00:44:52,640 Just for a month. They can do, you know, 662 00:44:52,640 --> 00:44:55,640 oat milk or one of the other milk center out there. 663 00:44:55,640 --> 00:44:58,640 So they can do that. 664 00:44:58,640 --> 00:45:01,640 There's great coconut, yoga, coconut things. 665 00:45:01,640 --> 00:45:04,640 So just, just for one month. 666 00:45:04,640 --> 00:45:06,640 Try no dairy. 667 00:45:06,640 --> 00:45:12,640 And so I said the three D's dust, dairy, and animals. 668 00:45:12,640 --> 00:45:14,640 So if they have cats. 669 00:45:14,640 --> 00:45:17,640 Dogs, get them out of the bedroom. 670 00:45:17,640 --> 00:45:19,640 Even if they're hyper allergic. 671 00:45:19,640 --> 00:45:21,640 They carry dust mites. 672 00:45:21,640 --> 00:45:26,640 They don't carry it. 673 00:45:26,640 --> 00:45:28,640 So you want to get the animals out of the bedroom. 674 00:45:28,640 --> 00:45:29,640 For a while, you know, 675 00:45:29,640 --> 00:45:32,640 okay. 676 00:45:32,640 --> 00:45:36,640 I tell me, you know, the animals on farm, they live in the barn. 677 00:45:36,640 --> 00:45:37,640 They don't live in your. 678 00:45:37,640 --> 00:45:42,640 You just have to talk to kids on a kid friendly level. 679 00:45:42,640 --> 00:45:45,640 But then you can do little simple exercises for take a breathing 680 00:45:45,640 --> 00:45:49,640 exercises. 681 00:45:49,640 --> 00:45:51,640 And then they can take a lot of rest. 682 00:45:51,640 --> 00:45:52,640 They can take a lot of rest. 683 00:45:52,640 --> 00:45:54,640 They can take a lot of rest. 684 00:45:54,640 --> 00:45:56,640 They can keep their lips together. 685 00:45:56,640 --> 00:46:00,640 With their head and count and see how many numbers they can count 686 00:46:00,640 --> 00:46:02,640 or how many steps they can take. 687 00:46:02,640 --> 00:46:04,640 And then when they have to breathe. 688 00:46:04,640 --> 00:46:06,640 They breathe through their nose. 689 00:46:06,640 --> 00:46:09,640 And then pretty soon the brain gets it. 690 00:46:09,640 --> 00:46:11,640 That you have to breathe through your nose. 691 00:46:11,640 --> 00:46:13,640 So it's a really important. 692 00:46:13,640 --> 00:46:16,640 That they use their diaphragm too. 693 00:46:16,640 --> 00:46:19,640 They use their diaphragm. 694 00:46:19,640 --> 00:46:21,640 And they use their diaphragm. 695 00:46:21,640 --> 00:46:24,640 And then they use their muscle that goes around the waist. 696 00:46:24,640 --> 00:46:27,640 What we just teach them to breathe very small breath. 697 00:46:27,640 --> 00:46:29,640 Very low. 698 00:46:29,640 --> 00:46:33,640 So you see your diaphragm and slow. 699 00:46:33,640 --> 00:46:35,640 Do you teach them to put their hands on it? 700 00:46:35,640 --> 00:46:40,640 So they know where it is. 701 00:46:40,640 --> 00:46:41,640 Yeah. 702 00:46:41,640 --> 00:46:43,640 Mom, mom can put their hand on the stomach and make, 703 00:46:43,640 --> 00:46:44,640 make my hands move. 704 00:46:44,640 --> 00:46:47,640 And then they can lay on the couch and put a book on their belly 705 00:46:47,640 --> 00:46:51,640 and see if they can use that book and go up. 706 00:46:51,640 --> 00:46:54,640 But you can retrain the breathing. 707 00:46:54,640 --> 00:46:56,640 It's really important. 708 00:46:56,640 --> 00:46:59,640 That's me at Mayo Clinic and, you know, 709 00:46:59,640 --> 00:47:04,640 a lot of schools are trying really hard to, you know, 710 00:47:04,640 --> 00:47:08,640 isolate the exercises and make them. 711 00:47:08,640 --> 00:47:14,640 And then they can put their hands on the stomach and go up. 712 00:47:14,640 --> 00:47:16,640 Into, you know, 713 00:47:16,640 --> 00:47:17,640 Proper. 714 00:47:17,640 --> 00:47:20,640 So we work in a team with the patient. 715 00:47:20,640 --> 00:47:25,640 And it works. 716 00:47:25,640 --> 00:47:28,640 It should be considered the treatment of sleep disorder, 717 00:47:28,640 --> 00:47:29,640 breathing malocclusion. 718 00:47:29,640 --> 00:47:31,640 What can a parent do? 719 00:47:31,640 --> 00:47:33,640 So. 720 00:47:33,640 --> 00:47:35,640 A parent. 721 00:47:35,640 --> 00:47:39,640 And the child that is the child. 722 00:47:39,640 --> 00:47:42,640 They're trying to find a way to treat children. 723 00:47:42,640 --> 00:47:44,640 For their child. 724 00:47:44,640 --> 00:47:46,640 That is airway focused. 725 00:47:46,640 --> 00:47:50,640 There are quite a few now that are starting to learn how to treat. 726 00:47:50,640 --> 00:47:51,640 Children early. 727 00:47:51,640 --> 00:47:52,640 Okay. 728 00:47:52,640 --> 00:47:54,640 That's really important. 729 00:47:54,640 --> 00:47:56,640 For children. 730 00:47:56,640 --> 00:47:59,640 For an older child or an adult. 731 00:47:59,640 --> 00:48:04,640 Find a myofunctional therapist. 732 00:48:04,640 --> 00:48:06,640 That's the most important part. 733 00:48:06,640 --> 00:48:09,640 For those who want to learn more about the disease. 734 00:48:09,640 --> 00:48:12,640 What can we do to help them get out of bed and get out of bed. 735 00:48:12,640 --> 00:48:16,640 It's really important to learn more about the profession because the 736 00:48:16,640 --> 00:48:17,640 medical profession today. 737 00:48:17,640 --> 00:48:19,640 Is still in the dark ages. 738 00:48:19,640 --> 00:48:20,640 I just, uh, 739 00:48:20,640 --> 00:48:22,640 listen to. 740 00:48:22,640 --> 00:48:24,640 A sleep, research, meeting. 741 00:48:24,640 --> 00:48:26,640 Powerpoint presentation. 742 00:48:26,640 --> 00:48:28,640 There wasn't anything on retraining. 743 00:48:28,640 --> 00:48:31,640 It was a lot of cognitive behavior, things, 744 00:48:31,640 --> 00:48:33,640 but. 745 00:48:33,640 --> 00:48:36,080 I was like, wait a minute. 746 00:48:36,080 --> 00:48:37,400 Yeah, what is that? 747 00:48:37,400 --> 00:48:41,680 There's a reason why I know with my son, Brian, 748 00:48:41,680 --> 00:48:45,000 when he was little, my friends would say, 749 00:48:45,000 --> 00:48:46,320 what's wrong with him? 750 00:48:46,320 --> 00:48:48,120 You need to give him a spanking. 751 00:48:48,120 --> 00:48:51,220 And I'm like, no, there's something wrong with him. 752 00:48:51,220 --> 00:48:54,560 And I want to find out what it is and fix it. 753 00:48:55,640 --> 00:48:58,360 So he has a chance in the world, you know, 754 00:48:58,360 --> 00:49:01,800 to learn and play and make friends and do. 755 00:49:01,800 --> 00:49:03,320 And drive, yeah. 756 00:49:03,320 --> 00:49:05,520 And that goes back to that advocacy thing 757 00:49:05,520 --> 00:49:06,640 that we talked about. 758 00:49:06,640 --> 00:49:08,680 Can we go back a couple of slides? 759 00:49:08,680 --> 00:49:12,200 Because you mentioned something about this multi, 760 00:49:12,200 --> 00:49:14,840 that one, the multi-disciplinary. 761 00:49:17,080 --> 00:49:18,280 How do we get here? 762 00:49:18,280 --> 00:49:22,800 I mean, this is, I know back so long ago, 763 00:49:22,800 --> 00:49:24,920 we split off in med school and everybody goes 764 00:49:24,920 --> 00:49:26,040 and picks their path. 765 00:49:26,040 --> 00:49:27,880 Well, how do we get back? 766 00:49:27,880 --> 00:49:30,200 I mean, the DOs are a dying breed. 767 00:49:30,200 --> 00:49:33,440 So no one else is looking at it holistically. 768 00:49:33,440 --> 00:49:34,760 I know, you know, Virginia Johnson 769 00:49:34,760 --> 00:49:37,200 doesn't have a whole lot of students with her. 770 00:49:37,200 --> 00:49:41,920 So until we get more DOs, how do we get to this? 771 00:49:42,840 --> 00:49:47,840 Well, it's the pediatricians are the ones 772 00:49:48,040 --> 00:49:53,040 that have to change because parents listen to pediatricians. 773 00:49:53,040 --> 00:49:58,040 The pediatricians of all have to recognize tongue tie early. 774 00:50:00,320 --> 00:50:01,160 Okay. 775 00:50:01,160 --> 00:50:06,160 If you recognize it, when the baby is first born 776 00:50:07,240 --> 00:50:12,240 and you release that tongue and the mother's breastfeeding, 777 00:50:13,880 --> 00:50:17,120 it'll make breastfeeding so much more comfortable 778 00:50:17,120 --> 00:50:18,840 and easy to do. 779 00:50:18,840 --> 00:50:20,320 Productive, right. 780 00:50:20,320 --> 00:50:24,400 Yeah, it takes so long to breastfeed a baby if they're tied 781 00:50:25,520 --> 00:50:28,880 and maybe they'll get you, the mother gets used to it, 782 00:50:28,880 --> 00:50:33,880 you know, but it's not the way mother nature wanted it. 783 00:50:34,200 --> 00:50:37,360 And I get this question asked all the time, 784 00:50:37,360 --> 00:50:39,680 why are there so many tongue ties? 785 00:50:40,720 --> 00:50:42,920 You don't know, we think it's, 786 00:50:42,920 --> 00:50:47,520 the skulls are getting smaller and the tissue is still there. 787 00:50:47,520 --> 00:50:51,440 And I always say when you live in civilization, 788 00:50:51,440 --> 00:50:54,720 you have to use what civilization offers 789 00:50:54,720 --> 00:50:57,880 to stay ahead of the problems. 790 00:50:57,880 --> 00:51:02,640 And getting a tongue release can make a huge difference. 791 00:51:02,640 --> 00:51:05,760 Now, if they're not breastfeeding anymore, 792 00:51:05,760 --> 00:51:08,000 you need to do myofunctional therapy 793 00:51:08,000 --> 00:51:11,760 or wait till the child's at least two and a half to three 794 00:51:12,840 --> 00:51:16,960 where they can do some exercises. 795 00:51:16,960 --> 00:51:17,880 Okay. 796 00:51:17,880 --> 00:51:20,400 If you cut it when they're, 797 00:51:20,400 --> 00:51:22,040 say they're one and a half 798 00:51:22,040 --> 00:51:24,080 and they're not breastfeeding anymore, 799 00:51:25,240 --> 00:51:28,560 you got a big chance that it's gonna scar down, 800 00:51:28,560 --> 00:51:31,520 it's gonna reattach with scar tissue. 801 00:51:33,440 --> 00:51:38,440 And so if you can do it at the first five days, you know, 802 00:51:41,680 --> 00:51:45,000 right, if it's too late for that, 803 00:51:45,000 --> 00:51:47,280 then wait till they're two and a half 804 00:51:47,280 --> 00:51:51,400 until they can start doing some exercises that are fun. 805 00:51:51,400 --> 00:51:55,000 The kids like doing myofunctional therapy exercise. 806 00:51:56,560 --> 00:52:00,480 It's hard to find a good myofunctional therapist. 807 00:52:00,480 --> 00:52:03,560 If you go to AOMT, 808 00:52:03,560 --> 00:52:05,920 we have a real good training 809 00:52:07,280 --> 00:52:12,000 that will enable a speech pathologist 810 00:52:12,000 --> 00:52:14,280 or a hygienist or a physical therapist 811 00:52:14,280 --> 00:52:18,720 or occupational therapist to get good training. 812 00:52:18,720 --> 00:52:22,280 There are some people that teach with the IAOM 813 00:52:22,280 --> 00:52:25,000 that have good programs as well. 814 00:52:25,960 --> 00:52:28,600 But find somebody, if you can, 815 00:52:28,600 --> 00:52:31,080 if you can't find anybody, 816 00:52:32,000 --> 00:52:34,880 you can find people online to do it. 817 00:52:36,920 --> 00:52:40,040 I have my own office 818 00:52:40,040 --> 00:52:42,160 and I prefer people to come in person, 819 00:52:42,160 --> 00:52:46,520 but if they can't come, I'd say with COVID, 820 00:52:46,520 --> 00:52:51,520 I'd say three quarters of my patients were on Zoom. 821 00:52:51,560 --> 00:52:52,560 Oh, wow. 822 00:52:52,560 --> 00:52:53,400 You did good. 823 00:52:53,400 --> 00:52:54,920 We did really well. 824 00:52:54,920 --> 00:52:57,400 I stayed open through the whole thing. 825 00:52:59,000 --> 00:53:04,000 But a lot of them are telepractice now 826 00:53:05,120 --> 00:53:10,120 because patients don't wanna drive 827 00:53:10,120 --> 00:53:12,840 and interact with people anymore. 828 00:53:12,840 --> 00:53:14,960 Well, and it's easier too with kids. 829 00:53:14,960 --> 00:53:15,800 It's just easier. 830 00:53:15,800 --> 00:53:17,320 You bring them home from school, 831 00:53:17,320 --> 00:53:19,400 you could do this and then carry on. 832 00:53:20,760 --> 00:53:23,480 The good therapist will make it fun 833 00:53:23,480 --> 00:53:28,480 and play with the child to make it not feel like a chore, 834 00:53:28,480 --> 00:53:33,480 but they can hold things in their mouth while they watch TV. 835 00:53:34,200 --> 00:53:36,440 We teach proper chewing. 836 00:53:37,640 --> 00:53:39,000 So both sides. 837 00:53:39,000 --> 00:53:40,160 Both sides. 838 00:53:40,160 --> 00:53:41,320 Both sides. 839 00:53:41,320 --> 00:53:44,200 And chew it until it's real soft 840 00:53:44,200 --> 00:53:46,680 and then teach them how to gather the bolus 841 00:53:46,680 --> 00:53:48,320 and swallow correctly. 842 00:53:49,480 --> 00:53:53,800 We also teach them to breathe through their nose 843 00:53:53,800 --> 00:53:56,040 and why it's important. 844 00:53:56,040 --> 00:53:59,440 You know, it depends on the age of the child. 845 00:53:59,440 --> 00:54:01,920 If they're in sports, 846 00:54:01,920 --> 00:54:05,120 this will totally improve their sports performance. 847 00:54:05,120 --> 00:54:08,520 So a lot of kids will do it for that. 848 00:54:08,520 --> 00:54:12,040 A lot of kids are looking at how they look, 849 00:54:12,040 --> 00:54:15,000 especially teenage teenagers. 850 00:54:15,000 --> 00:54:17,720 They want their lower jaw to come forward. 851 00:54:17,720 --> 00:54:20,880 They want definition in their face. 852 00:54:20,880 --> 00:54:22,240 And they want straight teeth. 853 00:54:22,240 --> 00:54:25,400 They want their teeth to be straight or to stay straight. 854 00:54:27,400 --> 00:54:29,960 And they want no pain. 855 00:54:29,960 --> 00:54:31,920 They wanna get rid of their headaches. 856 00:54:31,920 --> 00:54:34,440 They wanna be able to go to sleep at night 857 00:54:34,440 --> 00:54:38,120 without crying for an hour in bed and screaming. 858 00:54:38,120 --> 00:54:40,560 I don't wanna go to sleep, you know, 859 00:54:40,560 --> 00:54:42,760 waking their parents up. 860 00:54:42,760 --> 00:54:43,800 That's heartbreaking. 861 00:54:43,800 --> 00:54:46,360 It's a family disease. 862 00:54:46,360 --> 00:54:47,200 It is. 863 00:54:47,200 --> 00:54:48,280 It is a family disease. 864 00:54:48,280 --> 00:54:50,400 It's not just the child. 865 00:54:50,400 --> 00:54:52,720 The repercussions are with everyone. 866 00:54:52,720 --> 00:54:57,040 With everyone and other siblings, everyone. 867 00:54:57,040 --> 00:54:59,560 That's how my heart got involved 868 00:54:59,560 --> 00:55:00,840 because he saw what happened. 869 00:55:00,840 --> 00:55:01,680 Ah. 870 00:55:03,760 --> 00:55:05,480 That makes total sense. 871 00:55:05,480 --> 00:55:06,800 That makes total sense. 872 00:55:06,800 --> 00:55:08,280 And I will definitely put- 873 00:55:08,280 --> 00:55:10,560 Man, that's Brian had a headache. 874 00:55:10,560 --> 00:55:11,640 Oh. 875 00:55:11,640 --> 00:55:15,400 And I'll put links to the AOMT and the IOMN, 876 00:55:15,400 --> 00:55:17,560 our show notes so people can go and check it out. 877 00:55:17,560 --> 00:55:22,560 And just, you know, quickly, do you recommend 878 00:55:23,280 --> 00:55:24,400 if you have a child, 879 00:55:26,080 --> 00:55:28,240 you know, specifically a tongue tie, 880 00:55:29,200 --> 00:55:30,880 an older child obviously, 881 00:55:30,880 --> 00:55:32,440 an infant's not gonna have this option, 882 00:55:32,440 --> 00:55:37,240 but to do mild functional therapy before and after? 883 00:55:37,240 --> 00:55:38,440 Yeah. 884 00:55:38,440 --> 00:55:40,200 You have to. 885 00:55:40,200 --> 00:55:45,200 Because if you don't do anything before, 886 00:55:45,440 --> 00:55:49,200 and you just cut it, it's gonna reattach. 887 00:55:49,200 --> 00:55:52,800 You're not gonna get as good of treatment. 888 00:55:52,800 --> 00:55:54,960 If you stretch the tongue, 889 00:55:54,960 --> 00:55:58,480 get the tongue stretched to the limit, 890 00:55:58,480 --> 00:56:00,160 and then release it, 891 00:56:00,160 --> 00:56:04,080 then you'll be able to get the better result. 892 00:56:04,880 --> 00:56:06,760 Okay, which makes sense. 893 00:56:06,760 --> 00:56:11,680 And then afterwards, you'll do follow-up exercises. 894 00:56:11,680 --> 00:56:14,000 Okay, just to keep it and make sure- 895 00:56:14,000 --> 00:56:14,840 Yeah, we usually do- 896 00:56:14,840 --> 00:56:15,680 Kind of maintenance. 897 00:56:15,680 --> 00:56:19,400 At least a month of therapy first, 898 00:56:19,400 --> 00:56:24,400 and then we have specialized post-surgery exercises, 899 00:56:24,720 --> 00:56:29,640 and then we go into the regular therapy. 900 00:56:29,640 --> 00:56:31,520 The therapy that I do, 901 00:56:31,520 --> 00:56:35,040 I would see them weekly for about three months, 902 00:56:35,040 --> 00:56:38,280 not that other week for a couple of months, 903 00:56:38,280 --> 00:56:39,560 and then every three weeks, 904 00:56:39,560 --> 00:56:44,000 and we slowly titrate over a period of time 905 00:56:44,000 --> 00:56:47,160 to make sure that it's habituated. 906 00:56:47,160 --> 00:56:48,000 There's- 907 00:56:48,000 --> 00:56:48,840 Okay. 908 00:56:48,840 --> 00:56:52,640 First, we isolate and activate all the muscles of the tongue, 909 00:56:52,640 --> 00:56:56,160 and we go into proper chewing and swallowing, 910 00:56:56,160 --> 00:56:59,520 even in your sleep, how you're swallowing. 911 00:56:59,520 --> 00:57:04,040 And then work on posture, reeducation. 912 00:57:04,040 --> 00:57:05,880 Once the tongue is free, 913 00:57:05,880 --> 00:57:08,000 you can change the first three vertebrae. 914 00:57:08,000 --> 00:57:11,320 Everything, which is amazing to me. 915 00:57:11,320 --> 00:57:12,160 And then- 916 00:57:12,160 --> 00:57:13,640 And once it's done, it's done though. 917 00:57:13,640 --> 00:57:15,000 You don't have to- 918 00:57:15,000 --> 00:57:16,480 These aren't exercises they have to do 919 00:57:16,480 --> 00:57:18,160 for the rest of their lives. 920 00:57:18,160 --> 00:57:20,880 No, no, because it changed the function. 921 00:57:20,880 --> 00:57:23,520 Right, it's just kind of innate at that point. 922 00:57:25,560 --> 00:57:26,960 So just good. 923 00:57:26,960 --> 00:57:31,000 And I know this is a, it's really an opinion, 924 00:57:31,000 --> 00:57:35,200 but we're starting to see, it feels like, 925 00:57:35,200 --> 00:57:36,880 I mean, I know this has been a slow motion. 926 00:57:36,880 --> 00:57:38,800 You know, this started 10 years ago, 927 00:57:38,800 --> 00:57:42,960 but suddenly it feels like this conversation 928 00:57:42,960 --> 00:57:45,760 is being moved to the forefront. 929 00:57:45,760 --> 00:57:48,440 And we're having more conversations about breathing 930 00:57:48,440 --> 00:57:49,880 and airway and sleep, 931 00:57:49,880 --> 00:57:51,680 especially when it comes to children. 932 00:57:52,800 --> 00:57:56,720 Where do you think we're gonna be as far as medicine, 933 00:57:56,720 --> 00:57:58,680 the next five to 10 years? 934 00:57:58,680 --> 00:58:01,480 Well, we have the science now, 935 00:58:01,480 --> 00:58:04,560 and we're getting more and more and more science. 936 00:58:04,560 --> 00:58:08,680 The problem is it takes a doctor 10 years 937 00:58:08,680 --> 00:58:12,520 to accept anything new coming along. 938 00:58:12,520 --> 00:58:14,120 Very good. 939 00:58:14,120 --> 00:58:15,880 They have to hear it again and again. 940 00:58:15,880 --> 00:58:18,080 They have to see it at their conventions. 941 00:58:18,080 --> 00:58:20,920 They have to read it in their journals. 942 00:58:20,920 --> 00:58:25,920 They have to have a child that has that problem themselves. 943 00:58:25,920 --> 00:58:27,800 And then they start owning it. 944 00:58:27,800 --> 00:58:32,800 You know, one doctor at a time is gonna, 945 00:58:32,800 --> 00:58:34,640 but I see eventually, 946 00:58:34,640 --> 00:58:38,640 myofunctional therapy will be its own program. 947 00:58:38,640 --> 00:58:40,720 Right now it's postgraduate training 948 00:58:40,720 --> 00:58:44,320 for speech pathologists, dental hygienists, 949 00:58:45,680 --> 00:58:49,280 physical therapists, occupational therapists, doctors, 950 00:58:49,280 --> 00:58:51,840 dentists, you know, chiropractors. 951 00:58:51,840 --> 00:58:54,840 But it needs to be its own program 952 00:58:54,840 --> 00:58:58,640 and it needs to encompass everything, you know, 953 00:58:58,640 --> 00:59:03,640 the pulmonology, the dentistry, 954 00:59:03,880 --> 00:59:07,200 and it needs to be involved in everything. 955 00:59:07,200 --> 00:59:09,760 And it is kind of on that deotrack 956 00:59:09,760 --> 00:59:11,600 to where it needs to be. 957 00:59:11,600 --> 00:59:13,240 It's its own profession, 958 00:59:13,240 --> 00:59:18,040 and maybe a master's program. 959 00:59:18,040 --> 00:59:20,880 But that takes time. 960 00:59:20,880 --> 00:59:24,640 It takes time to develop a new type of therapy 961 00:59:24,640 --> 00:59:27,640 because we're dealing with the insurance companies, 962 00:59:27,640 --> 00:59:31,400 we're dealing with a lot of resistance 963 00:59:31,400 --> 00:59:34,600 because people are making a lot of money with pharmaceuticals 964 00:59:34,600 --> 00:59:36,800 and making a lot of money with surgeries 965 00:59:36,800 --> 00:59:38,240 and making a lot of money. 966 00:59:38,240 --> 00:59:39,680 Attractive braces. 967 00:59:39,680 --> 00:59:41,000 Yup. 968 00:59:42,240 --> 00:59:44,840 Not that braces are bad, 969 00:59:44,840 --> 00:59:48,040 but you want to get the function and the structure 970 00:59:48,040 --> 00:59:50,840 of working together at the same time. 971 00:59:50,840 --> 00:59:52,840 Before you put on retractive braces 972 00:59:52,840 --> 00:59:56,400 and we pull it all back and just compound the issue. 973 00:59:56,400 --> 00:59:59,800 Yeah, you don't want to extract permanent teeth. 974 00:59:59,800 --> 01:00:03,400 The ideal is to have all 32 of your teeth, 975 01:00:03,400 --> 01:00:07,400 even the wisdom teeth, to have an artist develop. 976 01:00:08,400 --> 01:00:11,800 And eventually they're going to find ways to do that. 977 01:00:11,800 --> 01:00:13,800 For everyone. 978 01:00:13,800 --> 01:00:18,040 We're going to be in a flux, a big change 979 01:00:18,040 --> 01:00:20,040 because of sleep disorders. 980 01:00:20,040 --> 01:00:23,800 Sleep disorders affect so many people. 981 01:00:23,800 --> 01:00:27,800 You know, car accidents and all of that. 982 01:00:27,800 --> 01:00:32,800 So we need to really up the ante here. 983 01:00:32,800 --> 01:00:34,800 Agreed. 984 01:00:34,800 --> 01:00:35,800 Agreed. 985 01:00:35,800 --> 01:00:37,800 So at the end of every episode, 986 01:00:37,800 --> 01:00:39,800 I am in the habit of, 987 01:00:39,800 --> 01:00:42,800 I mean, I know we just did this amazing presentation, 988 01:00:42,800 --> 01:00:45,800 but just to hand it back so that you have the last word 989 01:00:45,800 --> 01:00:47,800 to leave with parents. 990 01:00:47,800 --> 01:00:49,800 Maybe whatever we haven't covered 991 01:00:49,800 --> 01:00:53,800 or just what you think is just the critical important 992 01:00:53,800 --> 01:00:55,800 piece to leave them with. 993 01:00:55,800 --> 01:00:59,800 That the old fashioned way was the best, 994 01:00:59,800 --> 01:01:02,800 you know, as far as breastfeeding 995 01:01:02,800 --> 01:01:05,800 and letting a baby eat off your plate. 996 01:01:05,800 --> 01:01:09,800 And it's changed. 997 01:01:09,800 --> 01:01:13,800 Even if your child is 17 years old, 998 01:01:13,800 --> 01:01:18,800 there's still hope because it's worse now than it ever was. 999 01:01:18,800 --> 01:01:23,800 And I think a lot of it is you're adding computers 1000 01:01:23,800 --> 01:01:28,800 and cell phones and texting and heavy backpacks 1001 01:01:28,800 --> 01:01:30,800 at waist 60 pounds. 1002 01:01:30,800 --> 01:01:31,800 And you know, 1003 01:01:31,800 --> 01:01:36,800 heavy backpacks at waist 60 pounds on their back 1004 01:01:36,800 --> 01:01:39,800 and then, and they're texting while they walk. 1005 01:01:39,800 --> 01:01:40,800 You know, 1006 01:01:40,800 --> 01:01:45,800 but the assaults are different now when processed foods 1007 01:01:45,800 --> 01:01:49,800 and chemicals and artificial meat and, you know, 1008 01:01:49,800 --> 01:01:53,800 to eat real food is best. 1009 01:01:53,800 --> 01:01:59,800 And to value sleep and try to support sleep habits 1010 01:01:59,800 --> 01:02:02,800 that are good. 1011 01:02:02,800 --> 01:02:05,800 Breathing is key. 1012 01:02:05,800 --> 01:02:07,800 Key to everything. 1013 01:02:07,800 --> 01:02:09,800 Eating. 1014 01:02:09,800 --> 01:02:12,800 Eating real food. 1015 01:02:12,800 --> 01:02:14,800 Of course, breastfeeding. 1016 01:02:14,800 --> 01:02:18,800 When you have baby as long as possible. 1017 01:02:18,800 --> 01:02:21,800 If you have a problem with breastfeeding, 1018 01:02:21,800 --> 01:02:23,800 it's generally a tongue tie. 1019 01:02:23,800 --> 01:02:27,800 And there are help with lactation consultants out there 1020 01:02:27,800 --> 01:02:32,800 and people that are doing baby, Maya. 1021 01:02:32,800 --> 01:02:36,800 All of them to help prevent problem. 1022 01:02:36,800 --> 01:02:37,800 Prevention is the key. 1023 01:02:37,800 --> 01:02:38,800 Really. 1024 01:02:38,800 --> 01:02:39,800 It's key. 1025 01:02:39,800 --> 01:02:40,800 Prevention is key. 1026 01:02:40,800 --> 01:02:41,800 It is. 1027 01:02:41,800 --> 01:02:45,800 If we can early prevent it. 1028 01:02:45,800 --> 01:02:46,800 And then, you know, 1029 01:02:46,800 --> 01:02:51,800 support other people, other mothers to get the right treatment 1030 01:02:51,800 --> 01:02:54,800 for their children as well. 1031 01:02:54,800 --> 01:02:56,800 That's huge. 1032 01:02:56,800 --> 01:02:59,800 I cannot thank you enough for coming on and sharing. 1033 01:02:59,800 --> 01:03:01,800 I mean, at least I would, 1034 01:03:01,800 --> 01:03:03,800 I would imagine other parents will think the same thing, 1035 01:03:03,800 --> 01:03:06,800 but it was like just this little mini master class and my, 1036 01:03:06,800 --> 01:03:09,800 oh, and I appreciate it. Thank you so much, Joy. 1037 01:03:09,800 --> 01:03:14,800 My, um, my website, you know, 1038 01:03:14,800 --> 01:03:17,800 and joy molar.com. 1039 01:03:17,800 --> 01:03:18,800 Okay. 1040 01:03:18,800 --> 01:03:21,800 I'd be happy to answer any questions for you. 1041 01:03:21,800 --> 01:03:22,800 Absolutely. 1042 01:03:22,800 --> 01:03:23,800 I will put that on there. 1043 01:03:23,800 --> 01:03:24,800 Thank you. 1044 01:03:24,800 --> 01:03:26,800 Thank you. 1045 01:03:54,800 --> 01:03:56,800 Thank you. 1046 01:04:24,800 --> 01:04:26,800 I think it's a little bit better. 1047 01:04:26,800 --> 01:04:27,800 Take care. 1048 01:04:27,800 --> 01:04:56,800 And happy breathing, everyone. 1049 01:04:57,800 --> 01:04:59,800 Thank you.