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Hi everyone, and welcome to another episode of The

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Welcome Back to Airway First, the podcast from the Children's Airway First Foundation.

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I'm your host, Rebecca St. James. My guest today is Dr. Julia Sadov Lopez. Dr. Julia is a biological

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dentist accredited by the International Academy of Oral Medicine and Toxicology. She attended

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dental school in Indiana, where she first began her dental career. She went on to practice dentistry

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for several years at a holistic dental practice in Chicago. There she was able to work closely in

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collaboration with Dr. Kevin Boyd, even serving as a research assistant for his anthropology research

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at the Penn Museum. Dr. Julia practiced general dentistry while still offering services like

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infant or nectomies. Her passion for identifying and referring young patients to seek early

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interception solutions became one of her favorite parts of her profession. She has since created

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her own consulting business, or a wellness, to offer customized one-on-one support for parents

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and the topic surrounding airway dentistry. More recently, Dr. Julia relocated her family to Portugal.

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There she is enjoying learning about how the perspectives and services that are offered in

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Europe vary from the training she received, formerly in the US. You can find out more about

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Dr. Julia at auraswellness.com. And now let's jump into my interview with today's guest,

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Dr. Julia Sadov Lopez. Awesome. All right. Good morning. Thanks for joining us, Julia.

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Thank you for having me, Rebecca. I'm really grateful to the Children's Airway First Foundation

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for offering to be an ally and all of this outreach and support for parents. So...

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Oh, yeah. Thank you so much. And, you know, we feel the same about you. That's why we wanted to have

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you on, because you've got a very unique opportunity for parents. We want to make sure that they hear

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about it. And if it makes sense for them, that they have the chance to reach out and chat with you.

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That's great. Thank you so much.

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Yeah. So let's just go ahead and jump right into it then. So before we really, you know,

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get into what you're doing now and how you got there, let's just take a step back and talk a

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little bit about your own airway journey and how it's... And it is auras, right? Auraswellness.

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Auraswellness. Yeah.

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Auraswellness. The muscle around the lips is the obicularis auras. So that was part of the

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the origin and naming it. Yes. Very cool. I like that. Yeah. So, you know, just a little bit about

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your journey and how Auraswellness came to be. Perfect. Thank you. Yes. So I guess I would say

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a dramatic shift took place in my dental career. I graduated dental school in Indiana and was

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practicing there and what would be viewed as a conventional practice for a few years.

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And then I relocated to Chicago. Once in Chicago, I had the good fortune of interviewing in a

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dental office called Wrigley Valdental. They, on their banner, on their window outside,

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it said holistic dentistry. And at the time, I kind of was like, I don't really know what

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that is, but I'm looking for a job. This is a great neighborhood. I'm going to go in and find

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out a little more. So I went in and I was able to connect with the owner, Bernice Tplitsky,

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who became one of my most influential mentors. And she took me under her wing and really taught

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me a lot about how to view dentistry differently than how I had viewed it in previous years.

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And so one of the things that really happened was she was already well integrated in Chicago

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in kind of working collaboratively with other providers. So I got to meet various professionals

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that she was familiar with. Dr. Kevin Boyd, who I know has been on those podcasts numerous times.

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We love Dr. Boyd. Oh, yeah. Yes, yes, among those professionals. And other kinds of providers,

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I mean, she was very well connected into more integrative health centers that were offering

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just medical health or manual therapies and other kind of allied health solutions for

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patients of our practice. So when I kind of had the good fortune of becoming a part of this amazing

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network that's in Chicago, I initially kind of took it for granted. It was almost so easy to

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refer out to other professionals that could help our patients. And it really wasn't until

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some time later when kind of two things happened. One is that I started to reflect on,

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you know, there were certain parents that I would say your child is exhibiting some symptoms

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of a problem here with how their face is growing or how their teeth are positioned.

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I would make a referral to one of those very well-esteemed providers that we trusted and relied on.

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And six months later, the parent would come back in and they hadn't gone yet. And it was one of those

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things where I didn't really stop to ask myself, what was the resistance? Yeah, what was the

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standpoint? Had I not explained myself correctly? Was there maybe a trust issue with myself or the

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other provider? Were they just not ready? Were there financial limitations or other resources?

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So it was really one of those things that I didn't dive into. It took me a while to realize that

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that was kind of a pattern. And then the other thing that happened for me is that my niece,

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my family lives in Florida, and my niece was starting to exhibit some symptoms. She had crowded

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teeth, she was four years old, thumb-sucking habits, some hyperactivity, some food allergies,

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kind of just some things that made me say, hey, I talked to my brother and my sister-in-law,

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I think we should have her looked at. And all of a sudden I was faced with the fact that I didn't

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have that easy referral community available for her. And I knew exactly what I was looking for.

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I was a dentist. I knew what my brother and sister-in-law were open to trying in terms of,

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you know, there's always different directions that treatment can go. They were open to exploring

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an expander. And so I knew exactly what I was looking for, but it was really hard for me initially

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finding a provider for a four-year-old when I didn't necessarily have these systems in place

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and strategies in place that I now offer for others. So that was kind of a wake-up call for me,

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was that here I am, a dentist that's knowledgeable in these backgrounds on these topics, and it was

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quite a challenge. So for me, I was just thinking, how hard is this for the parent who doesn't

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necessarily have all that connection? I was about to say you were in the position that many of our

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parent listeners are in. They don't know where to go. Yeah, so that was really my wake-up call

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into, it was a slow evolution. I knew that I wanted, I'm very passionate about the education and

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the early prevention approach, you know, I'm all for taking a vitamin if we can treat with the

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vitamin instead of waiting for needing the pill. So it was something that I wanted to make my

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perspective available and gradually over time I created my own business to do so. I wasn't

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necessarily clear at first what kind of help was needed and it was definitely a process for me to

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figure out what role or as wellness would play in supporting parents. But I'm glad that at this

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point I can say I do offer one-on-one consulting for parents and we'll talk more about that.

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And yeah, happy to have found my own kind of niche. You know, when it's funny, that happens a lot,

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especially around this particular topic because it's just, there's this such a massive void

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in providers and education and just overall parent support. Right. So it's just,

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I think that's awesome what you've done. Thank you. Yeah, for sure. And it is so funny that you were in

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Chicago because you've got Lurie Children's and Dr. Darius and Dr. Kev and, you know, you're an

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amazing network. Dr. Gavillet, Dr. Jenny Hapman, I mean, it was lots of people. And they're all talking

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and sharing and of course you think that's just this magical world everywhere, but it's, there's

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something very unique happening in Chicago. I agree. And I didn't recognize it until I started to look

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outside and see what was going on elsewhere. Yeah, yeah, it's wild. So, and that's part of, you know,

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we're all on the same boat, thankfully pushing in the same direction or growing. No one's pushing

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it like that wouldn't work well, right? I think that there's, there is good momentum generally

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taking place in terms of a broader set of services being offered and a broader awareness and meeting

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the demand that's there to support parents and finding those treatment solutions and finding those

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providers. Yeah, and it's, it is amazing because it is a demand. It's funny because the estimate's

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not funny, but you know, the estimate is 400 million children. And you think, oh, it's such a huge

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number. It's not real blah, blah, blah. More and more parents are becoming aware of it and they're

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looking at their child going, oh, he or she snores. Oh, we have late stage bed, what are you, oh,

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they just told me my child has ADHD. I don't want to give them the medication. Right. Wow,

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could this be airway? People are starting to wake up to this huge number. It's real. And it's right

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here in our backyard. Yeah, it's crazy. So one of the things that you mentioned, and we have spoken

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with another holistic dentist before, but for parents who might not have heard that episode,

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what is the difference between holistic dentistry and traditional dentistry as we know it?

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For sure. That's a great question. I think holistic dentistry is kind of a broader umbrella term

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that promotes treating the whole complex human that's in front of you, right? You don't have

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this limited frame of just looking at the mouth. You really go into it with kind of having taken

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a step back to recognize that this is a lot that we're not expected to know everything. We have to

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work collaboratively with other providers who can provide their own areas of expertise. And I think

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airway dentistry is kind of one offshoot of what holistic dentistry can be, where we're looking

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at sleep and we're looking at allergies and we're looking at school performance. There are other

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avenues that kind of fall into a holistic perspective, but I've really taken an interest in honing in

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on that that airway dentistry portion of it. Yeah. And just to be clear, y'all aren't DOs.

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I mean, you're still dentist. Correct. But you have a different viewpoint. I mean, if I could put it,

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don't mind my own words. You correct me if you need to. But I have heard this over and over.

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Airway, the mouth is the start of everything, everything to do with your body, everything.

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Absolutely. Digestion. So you guys are in front of the train, basically.

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Yeah. A lot starts with the mouth and a lot becomes visibly apparent in the mouth. You can see

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inside the mouth before you can see in other parts of the body. So what you might pick up on

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on a dental x-ray that could be causing problems elsewhere in the body, some of the first

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areas of visibility to the problems, I guess we'll say, can start in the mouth.

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And that is such a paradigm shift, at least for, I can't be the only one. So I suspect it's a lot

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of our listeners because you don't think, oh, this is really critical. You think, okay, twice a year,

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I'm going to get my cleaning, I get my new toothbrush and toothpaste and off we go. You don't

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realize how impactful it is. Yeah. I hope that, you know, I think as Dennis stepped up to the plate to

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present themselves as more than just the tooth mechanic that we're able to make that differentiation.

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And I like the way you put it, tooth mechanic. That's great. Because one of the things that

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I've heard Dr. Moralea, then Moralea say over and over and over, we're not here for the teeth.

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You're here for the jaw. You're here to grow the face. It is that important. And

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even Dennis started studying airway in school. Oh, no, absolutely. It's, I'm happy to say,

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you know, seeing organizations like the airway revolution and their intentions of creating that

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change from within the dental institutions. I think that, again, we're seeing momentum moving

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in the right direction. And I'm optimistic, we'll say that. I'm optimistic that things are moving

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in a good direction. I agree with that. Yeah, airway revolution. I mean, we love what Victor

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and those kinds of doing over there. It really is great. And then you have groups like airway circle

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for sure that are really focusing on myofunctional therapy, airway health solutions. You've got

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Lauren and Ben over there really trying to train all the other clinicians that are involved so that

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you know, we're all on the same page and let's all move. And to me, it feels, it feels like, you

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know, we're actually starting to move because you have groups like the ADA now. Mm hmm.

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That had an actual challenge. Yes. Mm hmm. Yeah. There's actually a symposium coming up

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in Chicago of all places, which will put a link to any of the clinicians that are listening that

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want to join us. It's the end of May. But it's starting to become a conversation that more

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clinicians are having. And that's, to me, that's phenomenal. That's we've got to get there.

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Absolutely. Absolutely. I was lucky enough to be at the beginning of my dental career when the

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the advice of starting orthodontic screenings at age seven came out to that already on its own

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kind of shifting up. Now, how much of that is is acted upon and implemented is still remains to be

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seen. But the fact that that already that was before I discovered airway health or a biologic

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dental perspective, I was like, Oh, that's interesting. You know, I didn't pay attention to

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the fact like, Oh, interesting. Something different. Yeah. And it's funny. I know it takes time,

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but you've got groups, like all the ones we've mentioned, you know, in the APMD, I mean, there's

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there's a big chunk of us. We don't have time. I know the change takes time, but there's 400

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million kids, we don't have time. You need help now. And that's one of the things when I first

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started my dental career, I overlooked a lot of things. There were patients in my practice who,

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of course, the classic clenching or grinding, and I didn't stop to investigate that to the level

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or depth that I should have. Sometimes things like a gag reflex that I didn't properly understand.

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You know, whether for me, it was just making the dental appointment trickier, like, Oh,

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that one hour that they're in the dental chair, it's going to be harder because they had a strong

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gag reflex. But stopping to kind of look at how that was a affecting everything that led up to

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the child or adult in either case, arriving to the dental chair and eating treatment, you know,

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what was going on that caused that gag reflex or that hypersensitivity, and did that contribute to

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the problems we were facing. And then moving forward, how is that going to continue to affect

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them as they carried on into life outside of the dental appointment on the other side?

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Right, right. And every episode, I swear, I say this, you didn't know. You don't know what you

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don't know, right? So we have clinicians are carrying guilt and I wish I had known just like

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these parents, we're all looking around going, I wish we knew. For sure. For sure. Right. So

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we're all here now and we're moving from here. Do what we can do. Exactly. Exactly. So to that

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point, let's just kind of segue into talking a little bit about the services that you offer on

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your website. So I want to start with the big one that I saw that I was pink to my interest.

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What is concierge? That's very hard for me to say, consulting and what benefits does that offer parents?

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Yes. So the concierge consulting is just kind of a generalized kind of one-on-one coaching

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consulting offer. So what I have found is that most parents who reach out to me,

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they're feeling stuck. So it's more so been a situation where these parents, they've piecemealed

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their education together. Some of them come in, they know all of the dental vocabulary by now,

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they know about different treatment solutions and paths that exist. They've really done so much

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hard work, but something doesn't feel right to them or they're feeling fear about making that

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decision about is this the best treatment solution for my child. And in other cases, it's strictly,

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I don't know who geographically can help me, can you help me with that? And so I will do offer kind

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of after understanding what kind of difficulties and challenges a parent is facing, I can offer

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advice, I'll do some research and share information about who I think looks qualified to be able to

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help them. Sometimes that is starting with an airway focused dentist, but other times that might be a

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myofunctional therapist or an occupational therapist just kind of depends on what the primary area of

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focus is for that parent seeking care. And that connects back a little bit to what I was talking

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about before when parents hit that resistance. It's one thing to kind of plant that seed and say

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there's a problem here, but the parent has to find the right motivation in order to move through

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kind of the stages of change because when they're first introduced to the idea of there's a problem

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here, so often it comes from a perspective of oh, you're the first dentist who have ever mentioned

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this. And sometimes that's really welcome and parents are like, oh, I've been looking for solutions

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for so long. Thank you for finally seeing me. But other times it can be kind of

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jarring, I guess for lack of a better way to phrase that. And I think that kind of working through

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where parents get stuck meeting them to understand what their specific child situation calls for,

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what their experience has been, and understanding that I don't like when there's a rule that someone

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says oh, every child has to do myofurst or expansion first. I don't think rules like that work very

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well because who is your child? What's their experience been? And beyond that, what's your

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family experience like right now? What kind of time resources, resources so often are money,

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but we have to look at time and compliance and involvement. There's so much that goes into it.

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So for some parents, there's a clearly defined pathway where there's only one

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provider in that area that they may feel like oh, this is the best person, so I'll go to that

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person and it's fine. But for others that are feeling stuck, we have to kind of unpack why are

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you feeling stuck? Right. Are you not finding something that aligns with how you feel your child

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should be treated or what your capabilities are in this moment? And do we know, do you understand

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at least enough to make an informed decision if now is not the right time for treatment?

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And do you know what to look for to prepare yourself for how things might change over time?

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Yeah. Yeah. And then there's so many things that you touched on there. One thing in particular,

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we call them airway mama bears. And again, not to exclude the dads, y'all are awesome.

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But it's normally the moms driving this train. So most airway mama bears. Happy to make airway

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daddy bear shirts. We need to. But the research that they do, so many of them when they have come

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on our podcast just to share their stories, I am blown away with their knowledge. The books they've

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read, some of them have attended some of the conferences and it's just, it's mind blowing to

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me. But you have to. But sometimes you don't have the time to do all that. Or like you mentioned,

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you're just so overwhelmed. And it is scary, especially if you're that parent

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that's sitting there with a child that the school has just told you, hey, you need to go have your

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child tested for ADHD. Let's get him on some medication. You don't know what to do. It's

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overwhelming. You don't want to put your kid on medication. And it's just a lot. It's a lot for

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parents to to try to unpack. And the other thing that is interesting is you pointed out right now

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because the shift with where the beginning of airway centric dentist or airway dental providers.

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They're not everywhere. They're hard to find for sure. And, you know, even with really great

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search tools, which I'll put a link for absolutely that we have on our site that's powered by airway

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health solutions. Even if you can find one, maybe you can't get to Chicago, Dr. Boyd or Alabama,

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Dr. Harold, you can't get to one that's close to you or the closest to you because they're so far

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away. Absolutely. Are you able to connect them or do you have enough resources to connect them

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with people like Dr. Felix Liao, who will coach a dentist in the area? Maybe the child's going to

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get a marky, but they don't know what to do. This particular dentist, do you have those kind of

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resources available? So I do largely start with a lot of the main search tools and that you've

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referenced airway health solutions, AAPMD, you know, some of the main airway circle, a lot of the main

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kind of groups that you talk about that most socks and parents can have access to if they if

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they follow along to a lot of the other information that's out there. But sometimes it's for me,

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it's following a trail. So like I would say, and again, it kind of goes two ways. One is that

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that journey might lead to a certain type of provider. Say a parent's more interested in

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something like an elf or something, you know, where can we some parents come in knowing that

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there's certain philosophies that they want or things they want to avoid. And so kind of working

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through customizing what direction we can take that. So sometimes I'm able to go through some

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of the main registries, but sometimes it's following a trail. So I just had a family that worked with

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me, they're relocating from the US to Germany. So it's not just within the US. She was like,

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my two older children have already gone through this treatment. My younger one's going to need it.

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I need help finding someone. So in that case, it's it's kind of following different threads and

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getting there. We were able to find two providers within 30 minutes of where she would be living

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that offered the exact type of solution she's looking for. So it's it's sometimes I'm able to

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navigate those specific paths. I do think it's a little more of a challenge when a dentist,

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if someone's looking for the dentist, they can't find the dentist. If it has to start with, there

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are a lot of great organizations that will say, have your dentist reach out to us, we'll get them

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trained, we'll provide a solution, which I think is really amazing and supportive of a lot of these

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organizations. It can be a great tool to get more dentists on board if maybe the dentist had never

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heard of it, that you've got that Airway Mama that's saying, I trust this person, I like this person,

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I don't want to go somewhere else. But then you have to consider the facts that, you know, that

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provider is just going to be kind of starting their journey with that parent. And that's

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still a welcome situation. That's what I had to do in some ways with my niece. I had to find an

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orthodontist who typically she was very well versed in a lot of these tools and different

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solutions, but she never really treated the sub six population. And I was there saying,

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will you try? That's definitely not the normal approach that I would take if I have a parent

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coming to me to ask for help. But in this situation, we were all willing to, yeah, she was,

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she was, we were in the fortunate position that since I was helping at Dr. Boyd's office at that

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time, he offered to directly kind of supervise back here. And yeah, can't say no to an opportunity

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like that. So all's well that ends well, she got some great expansion, things are good.

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But sometimes it's finding a way around the care that's available. So whether that's virtual

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solutions to get started, whether that's looking at, I mean, I think, I don't know, I keep kind of

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mentioning other organizations, but Toothpillow is increasing access to care right now.

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I'll put a link to that because we actually partnered with Toothpillow as well.

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Yeah. Yeah, I'm saying it's so funny. We're all on the same boat all of a sudden. There is not,

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yeah, just to be clear for anyone that's listening because in several podcasts,

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you'll hear us mentioning other foundations, other organizations. This isn't like a, this is our

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thing. This is all we're doing. One thing that I personally have found that is so unique is two

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things about this airway movement that's happening to Polavis is, it is an airway revolution, but

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we really are all united because we all have these different niches and these expertise. And we

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send the parents or, because we focus on parents, but some of the others don't. So we're sending

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adults to each other and provider, we can't train you, but we can send you somewhere that can be

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trained. And it really is one giant airway universe that we're all starting to push together. And I

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think that's why you're feeling this momentum, which to me is so unique. And the other thing is,

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and Dr. Boyd is an amazing example. Nobody stops. It is 24 seven. These providers, these advocates,

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it is a passion that, pardon the pun, we just eat, breathe, sleep. It's just, it's always

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airway because at least for us specifically, it's children. It is that critical. For sure.

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You're listening to the airway first podcast with today's guest, Dr. Julia Sada Lopez.

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You can find out more about the Children's Airway First Foundation and our mission to fix before six

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on our website at Children's Airway First.org. The CAF website offers tons of great resources for

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both parents and medical professionals. Visit our parents portal, clinicians corner, resource center,

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and video library to see for yourself. We also encourage parents to join the airway huddle,

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our Facebook support group, which was created for parents of children with airway and sleep

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related issues. You can access the airway huddle support group at facebook.com backslash groups

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backslash airway huddle. As a reminder, this podcast and the opinions expressed here are not

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a medical diagnosis. If you suspect your child might have an airway issue, contact your pediatric

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airway dentist or pediatrician. And now let's jump back into today's episode.

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And yeah, I had the good opportunity to connect with Christy at your organization not too long ago

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to have that same conversation because I'm always looking for, I realized that my services

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aren't the right thing for everyone. So I need to know, like you said, where to send other parents

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if they're looking for a perspective of a sleep coach, if they're looking for a perspective of

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somebody other than myself. I know I can't possibly be the right person to help all of these parents,

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but I think that there is something so wonderful about the nature of the nature of airway dentistry

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is to work collaboratively. And I think that carries through into all of these providers. And

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that's one of the things that I really encourage parents to do is sometimes if they're having maybe

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there's always skepticism of a dentist. I think anytime, anytime you go into some skepticism

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there, but I think specifically with airway dentistry, like you open this conversation with us

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is asking those providers, how did you get here? What's your story? Because I think that provides

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a very interesting perspective on who they are and why they've chosen to offer the solutions

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they're offering. I think sometimes on the flip side of that, there's a situation where dentists

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are very have very good intentions. They have a tool that they know how to use. Your child has a

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problem that needs fixing. And so sometimes it comes from a really good placement. Parents can

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sometimes feel like they're being pressured into one solution or another. And part of the dentist

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perspective is to use your professional judgment to offer a solution and not overwhelm. You're

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trying to slim down the options, not overwhelm a parent into thinking, whoa, this is too much,

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too fast. And you just take a step back. So sometimes I think just kind of empowering parents to have

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those dialogues with the providers and really either understanding where they're coming from,

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understanding why a certain tool is being recommended, if that's the treatment path that

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they feel is correct, just making sure that we're understanding, oh, this tool is being chosen for

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my child specifically because of this reason. And maybe there hasn't been the proper amount of time

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dedicated to having that conversation because dental offices can sometimes be baffling and

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you don't always get to have that in-depth dialogue that can be so needed. But encouraging parents to

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feel confident asking the right questions and understanding kind of where that dental

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provider is coming from. I think that can move things through in another stage and make taking

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action easier, whether that does feel like the right solution to the parent or not. Sometimes

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they can say, oh, you're telling me this, but you have to listen to that, mama bear instinct.

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And then you kind of take that step back and use that to guide you into the next step. I just don't,

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I don't like that so often parents feel stuck. I understand it. I understand what they're coming

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from. But that's kind of my goal and my mission is to help understand and see your specific situation

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and see if I can guide you in another direction. And it is always different, right? One size doesn't

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fit all. And one thing I particularly have noticed, and it's just, it's a beautiful thing. If I can

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go all woo-woo on it for a moment, it is absolutely beautiful to watch in podcast after podcast and

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meeting these, these luminaries and change makers and things in person at different events around

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the world. They mean this, right? Their hearts are still in this and they're open at no point.

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At no point I've ever heard someone like Kevin Boy say, no, I know it all. No, they're still

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learning. They're still growing. They're still evolving. They're still sharing this collaboration

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between Dennis and myofunctional therapist and occupational therapist and lactation

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results. It's amazing to watch this synergy and this knowledge that they're sharing. The part that

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seems, I guess strange to me is there's this beautiful dance going over here of knowledge and

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sharing and how are we going to save all these kids and we're all going to do this together and

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let's just keep learning and sharing. And I'm going to send this patient to you. Oh, this person

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knows this and there's still a group over here. It seems to be a little hesitant to come on board.

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And if I can put you on the spot for just a minute, obviously it's an opinion. No, by all

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means, go for it. And I get it because, you know, the Dennis, everything starts with the mounts,

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so great. They are the head of the train, but there's a whole other part of the train that is

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the ENT, the pediatric specialist. Why is that particular, we'll just continue with the train

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analogy. Why are those particular carts so hard to connect and get on board with the string?

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Where is the resistance coming from? Well, I think we mentioned before, it's the academic

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institutions in part, you know, there's medical school and there's dental school. Right. And they

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don't get airway either, it's my understanding. For most of them, it's what five hours at most,

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four hours or something like that. Yeah, I guess it's going to vary from institution to institution.

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Sure. But at the end of the day, that's a line that was drawn in the sand. And it said, medicine

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is this, and then kind of vision is this and dental is this. But again, when you go in with

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that holistic perspective, and my goodness, I've had my eyes open, you said you didn't want to go

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awoo, but I'm like, bring on the woo because for me, there were things that starting this journey,

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I would have just been like, I don't think that's real. And then you see things and over time you,

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you can't pretend it doesn't exist. You can't pretend. Once you see it, you can't go backwards.

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And I think that's the thing is, like I said, there were times at the beginning of my career

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where I had an adult patient come in asking me about his nitty pot. And I was like, why is this guy

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asking me about his nitty pot? I'm working here. And that is the base. It's just one of those things.

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But until, and I don't know for everyone, it's going to be a different journey to arriving. And

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perhaps it was just early in my career. And I was trying to prove that I knew what I was talking

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about at that point in time. I was trying to prove that I was the professional they could rely on

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just coming out of dental school. So it was harder to say, I don't know.

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And for everyone that's going to look different, that was just my personality and what I think I

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went through. But when I first arrived at the office in Chicago, or at Gleeville, then she just

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asked me, like, do you have an open mind? Because that's really, you know, that's what you have to

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have to be able to move into this space. And I think that goes for both parents and providers,

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because the providers, as you mentioned, you know, that train maybe is moving more slowly than we

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want it to in various professions. But it's because we think this is the box that I'm supposed to fit

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in. And this is where I'm supposed to help people. And until you take a step back and say, but this,

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you know, this body part is connected to that body part. Exactly. We really, there's, there's the

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invisible strings that we can't, there's some we can follow and some that we can't follow. And

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it's just a matter of really, I'm not suggesting that someone needs to try some modality or

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treatment that they're not interested in or believing or, you know, I think it's always a journey for

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each parent to find again, the path that feels aligned for them. So by just how a parent, hey,

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cranial sacral therapy or some other sort of modality, this is going to make your child,

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this is going to make a frenectomy procedure easier on everybody. If your child can go do some sort of

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osteopathic manipulation or otherwise, it's going to prepare their nervous system, it's going to

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reduce tension in the body. And that is something that comes from an open mind. If you would have

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told me that years ago, I would have been like, I've never heard of these other providers, why are

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they going to help a dental procedure? So yeah, and for parents that aren't sure, I'll put a link

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to Dr. Stephen Hall's podcast. I think it was one of the third or fourth ones that we did,

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cranial sacral. And I did the same thing. And granted, I came from the land of Walu, so that

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is how I grew up. But so I was like, oh, this is going to be fun. And by the end of it, I didn't

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want it to stop because I had so many more questions because I was not expecting Dr. Hall to come in

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and go, listen, I can do this. And all of a sudden, this is an alignment or oh, you have TMJ, I'm

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going to do a little boom. You've got some relief. Never occurred to me. But we're back to, you know,

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the DOs are probably listening going, well, yes, we know everything's connected. But the rest of us

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are going, wow, I had no idea. I had no idea before. And so whether that's the provider that's

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now going to refer out for those adjunctive allied services, or whether that's the parent that's

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going to say, okay, now I think that this is going to be best practice to support my child. And one

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of the things I talk to providers about sometimes when I'm just kind of talking to them, there's

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so commonly the hesitation to, I think for professionals who are earlier in this journey

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of finding the collaborative care, there's such a hesitation because you say, well, parents are already

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paying me for the service, and then I'm going to send them to spend money on this other procedure.

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And that's just kind of an insight into the psyche of some of the providers. Believe it or not, parents,

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I know sometimes parents are like, they just want my money. These parents, because the parents who

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00:41:55,080 --> 00:41:59,480
listen to this, you are motivated and looking for solutions. I understand that.

379
00:41:59,480 --> 00:42:04,440
But still, right? But there's still some we've had some single parents come on and say,

380
00:42:05,320 --> 00:42:13,240
what do I do? This is so expensive. Or my insurance wouldn't pay for it because they said that

381
00:42:13,240 --> 00:42:19,400
this is elective. You're just some insane response like that. So that is a concern. There are people

382
00:42:19,400 --> 00:42:25,480
that think that. Dr. Dave McCarty came on and he opened the podcast sharing a story about a patient

383
00:42:25,480 --> 00:42:31,400
that I don't know why I'm here. I was referred to you. You're here just to get money. By the end of

384
00:42:31,400 --> 00:42:40,920
the visit, he's going, oh, oh, wow. Okay. So my heart is good. Oh, I didn't know. So sometimes it is

385
00:42:40,920 --> 00:42:45,640
just back to the let's just be back to that open mind, both parents and providers, parents, when

386
00:42:45,640 --> 00:42:51,640
you're coming in, just have an open mind. Yeah. And again, that doesn't mean for me, there's no rules.

387
00:42:51,640 --> 00:42:58,040
So it's not like if you're doing X, you have to go get Y. Like it's not a set. Every child's different.

388
00:42:58,040 --> 00:43:04,440
Every child's different. Every family's different. You again, the mom knows or the dad, the mom typically

389
00:43:04,440 --> 00:43:11,560
knows the child better than anyone else. And for some parents, they don't even need to stop and

390
00:43:11,560 --> 00:43:16,360
hesitate. They find a provider, they can go, they say, oh, this is right. This is it. Good. We're

391
00:43:16,360 --> 00:43:21,640
getting this taken care of. And they can confidently move forward. But other times there's that voice

392
00:43:21,640 --> 00:43:27,640
in the back of the head, the hesitation, resistance, whatever it is. I think it's just really helpful

393
00:43:27,640 --> 00:43:33,640
to unpack that and see maybe there are treatment avenues that you didn't think about before that

394
00:43:33,640 --> 00:43:39,000
I can help guide you towards now. Yeah. Yeah. And you may not be living in one of those amazing

395
00:43:39,000 --> 00:43:46,360
centers like Chicago or Houston or LA or New York, maybe or Seattle. Sorry, didn't mean to leave

396
00:43:46,360 --> 00:43:52,280
y'all out. You could be in one of the outliers and it's just, it's an interesting dance. So

397
00:43:53,160 --> 00:43:59,560
along with the parents, one of the things that you do that I think is so great is you're kind of our

398
00:43:59,560 --> 00:44:09,000
own little mama bear because you're taking on awareness within the community itself, talking to

399
00:44:09,000 --> 00:44:16,120
educators and other clinicians and allied providers. What is that like? How did these

400
00:44:16,120 --> 00:44:23,720
outreach programs come in to be? For me, it was really, while I started learning about

401
00:44:23,720 --> 00:44:30,760
all of the topics of airway health and airway dentistry, it was most easy for me to make some

402
00:44:30,760 --> 00:44:37,800
parallels to what I had seen when I was in grade school, thinking about classmates of mine who in

403
00:44:37,800 --> 00:44:44,680
retrospect I was like, oh, that person is acting that way because they probably weren't sleeping and

404
00:44:44,680 --> 00:44:51,880
they probably weren't breathing well. And I don't know, I think that is a quirky, I have a kind of

405
00:44:51,880 --> 00:44:58,600
a lot of memories that I can shuffle back through easily. But for me, that kind of, that the stage

406
00:44:58,600 --> 00:45:07,880
that schools are one of the most important places to be looking for children who are at risk of

407
00:45:08,520 --> 00:45:16,360
improper growth that's affecting their breathing, but it's the cascade of effects. And I've tried to

408
00:45:16,360 --> 00:45:23,640
make several efforts to connect with teachers because I do think that if teachers know what to

409
00:45:23,640 --> 00:45:27,800
look for, they can better understand and maybe they're going to stop before they say your child

410
00:45:27,800 --> 00:45:35,000
needs to go on medication. They might be able to stop and say, we should explore this or we

411
00:45:35,000 --> 00:45:40,040
should look into this further to see what's causing these problems or this behavior. Sometimes it's

412
00:45:40,040 --> 00:45:44,920
behavior, but sometimes it's different kinds of behavior. So just a child who's excessively

413
00:45:44,920 --> 00:45:50,600
drooling or, you know, it's not necessarily psychological behavior. There's other factors

414
00:45:50,600 --> 00:46:00,200
that come into play. They could be sleeping. For sure. And so kind of recognizing, giving teachers

415
00:46:00,200 --> 00:46:05,960
the tools to recognize that these can be problems. I think it's still hard to then bridge that gap,

416
00:46:07,080 --> 00:46:11,960
giving the teacher these tools to let them know what's going on or who they can seek help from

417
00:46:11,960 --> 00:46:17,800
in their immediate environment. So those are things that I'm still navigating, but I've been

418
00:46:17,800 --> 00:46:23,320
fortunate to connect with some speech language pathologists who work in school systems, some

419
00:46:23,320 --> 00:46:28,440
Montessori providers who are really interested in kind of thinking about things differently.

420
00:46:29,960 --> 00:46:41,240
And so some of it is just connecting with those parents. I've made intentions to connect directly

421
00:46:41,240 --> 00:46:47,240
with schools and I've had a lot of doors closed. No response, no thanks, not interested, of course.

422
00:46:48,360 --> 00:46:56,280
But for me, it's really important to offer that as part of this momentum that's going to bring us

423
00:46:56,280 --> 00:47:01,640
forward as if we can bring more teachers on board. I think teachers that can feel comfortable

424
00:47:01,640 --> 00:47:08,120
raising awareness to these problems can be a really important step. I would agree with that. And

425
00:47:08,120 --> 00:47:16,280
and I'll just kind of be a Lorax for a moment here because I come from five generations of teachers.

426
00:47:16,280 --> 00:47:20,600
I'm the only one, we're all cruising through and then I kind of go, nope, and then it goes to my

427
00:47:20,600 --> 00:47:29,320
niece. So they're all around me, teachers, special ed, teachers, reading consultants, principals,

428
00:47:29,320 --> 00:47:39,160
professors. It's just in our blood, right? And I will say, I've had a similar conversation with

429
00:47:39,160 --> 00:47:44,600
colleagues before and why are we putting more on teachers? Well, as I hop on my Lorax stump,

430
00:47:44,600 --> 00:47:52,440
I'm going to tell you, teachers go into that world for a reason. They love children. It's not for

431
00:47:52,440 --> 00:47:58,440
the money, it's not for the prestige, they love children. All the bureaucratic stuff that comes

432
00:47:58,440 --> 00:48:06,600
with it, they love. But if you can empower a teacher with a really easy tool to look at a child that

433
00:48:06,600 --> 00:48:13,960
they love and go, hey, I see this, hey, parent, you might want to consider blah, blah, blah,

434
00:48:13,960 --> 00:48:19,560
because here's what I'm seeing. That teacher is going to go home with a heart full of love

435
00:48:20,360 --> 00:48:24,760
and relief because they did what they're there to do. They're there to grow young minds and to

436
00:48:24,760 --> 00:48:31,640
help children and to give them love. And that's what we're empowering teachers to do. Yeah, I think,

437
00:48:32,680 --> 00:48:42,840
that's my goal is to make sure that teachers can have that conversation, but it's really

438
00:48:43,640 --> 00:48:47,400
powerful to hear your perspective on that coming from the family of educators.

439
00:48:48,040 --> 00:48:52,600
Yeah, thanks. There's a few things that I get kind of about and that's kind of one of them.

440
00:48:52,600 --> 00:49:00,840
So another thing that you do that is really cool and study clubs are all over, but I would imagine

441
00:49:00,840 --> 00:49:05,560
your study club because of what you're doing is a little bit different than the traditional study

442
00:49:05,560 --> 00:49:15,880
club. So I would say my study club is one of the ways and branches of the AAPMD. And I am,

443
00:49:15,880 --> 00:49:24,840
yes, I'm rounding up professionals still here in Portugal. So my intention is I moved to Portugal

444
00:49:24,840 --> 00:49:28,280
and I was part of probably going to get my introduction there. Sorry, she was in Chicago.

445
00:49:31,480 --> 00:49:35,560
But yeah, I think that that's one of the things that's really rewarding for me is taking

446
00:49:36,440 --> 00:49:42,440
what I've been presented with in terms of working collaboratively and again, seeing that that's a

447
00:49:42,440 --> 00:49:48,680
strong movement in the US and trying to bring that here to Portugal to start creating a little bit

448
00:49:48,680 --> 00:49:53,400
more collaboration here within Portugal. Portugal itself is a country that's the size of the state

449
00:49:53,400 --> 00:49:58,760
of Illinois. So working collaboratively should be fairly easy when you think about it like that.

450
00:49:59,640 --> 00:50:05,000
But it's not necessarily the way that the mindset has been because I'm not sure that they've had,

451
00:50:05,640 --> 00:50:10,680
I'm fortunate to have joined a really great integrative medicine organization here in Portugal

452
00:50:10,680 --> 00:50:17,080
and gotten a network with some providers through that as well. But again, they're still building

453
00:50:17,080 --> 00:50:23,400
in that stage of working collaboratively. So that's something that right now I'm still building

454
00:50:23,400 --> 00:50:28,520
that list of people who are open-minded and interested to learn because I tell them I kind of

455
00:50:28,520 --> 00:50:35,960
explain what the organization does and what the quarterly calls would be. We're hoping to launch

456
00:50:35,960 --> 00:50:41,160
them in the second half of this year to actually start hosting all of them. But when I just meet

457
00:50:41,160 --> 00:50:47,320
with providers and explain it, they're like, but why? There's that thought process that hasn't

458
00:50:47,320 --> 00:50:53,640
necessarily been presented to them before to just kind of work collaboratively. Yeah, and it's

459
00:50:53,640 --> 00:50:59,880
interesting to not just the collaborator, but just the whole airway movement in general. I've had,

460
00:50:59,880 --> 00:51:09,960
I'm not sure he's the right word, but I've had the opportunity to speak with both Dennis and

461
00:51:09,960 --> 00:51:21,320
Allied professionals in Scotland and the UK and Dubai and Australia and then a parent whose podcast

462
00:51:21,320 --> 00:51:28,040
will be coming out shortly who was originally from Denmark and now she's in Houston. I'm kind of

463
00:51:28,040 --> 00:51:37,080
blown away that, oh, this is going to sound horrible, but the US is actually ahead as far as this

464
00:51:37,080 --> 00:51:43,160
movement. It's not what I thought it was going to be. Because traditionally it's the other way

465
00:51:43,160 --> 00:51:48,520
around on a lot of these things. And, you know, granted, you've got Brazil who's ahead of us as

466
00:51:48,520 --> 00:51:54,920
far as new born screenings and things like that, which you, you know. And a lot of that comes over

467
00:51:54,920 --> 00:51:59,320
to Portugal because there's a lot of, because Portuguese is a common language, there's a lot

468
00:51:59,320 --> 00:52:06,680
of really great Brazilian providers who, the professionals here are stellar, but yes, I agree

469
00:52:07,400 --> 00:52:13,080
in terms of creating that collaborative community. It's interesting to me that there's such a

470
00:52:14,760 --> 00:52:22,040
disconnect, not the right word, but just the lag. Is that because of the just the way the

471
00:52:22,040 --> 00:52:26,440
healthcare systems are set up or is it just movement hasn't spread yet?

472
00:52:27,480 --> 00:52:34,680
The great question. Yeah, I wish I had the answer to provide the insight to the why on that.

473
00:52:35,720 --> 00:52:40,120
But that's definitely something I'm working on is gradually getting to know more providers here

474
00:52:40,120 --> 00:52:45,880
and being able to create that network of support. One thing I will say, kind of what you alluded to

475
00:52:45,880 --> 00:52:50,520
is, and maybe just by virtue of having the connection with some of the Brazilian professionals,

476
00:52:50,520 --> 00:52:57,560
but when I talk to people here, there's a little less of that resistance in terms of thinking about

477
00:52:58,280 --> 00:53:03,800
the health that of course chewing and eating processed food versus eating

478
00:53:04,440 --> 00:53:08,280
foods of various textures. But of course, that's going to make a difference on how the child grows

479
00:53:08,280 --> 00:53:14,520
and evolves. It's a lot easier of a conversation to have here. So that's an interesting insight.

480
00:53:14,520 --> 00:53:21,560
And another thing that I've noticed here is that I guess in Europe in general, there are

481
00:53:21,560 --> 00:53:26,200
different treatment solutions that focus almost a little more on the neurological health of the

482
00:53:26,200 --> 00:53:32,600
child, which is an interesting departure from what I've seen. So I think there are pros and cons

483
00:53:32,600 --> 00:53:39,560
to kind of each area. And I'm just excited to be having the experience to get to understand

484
00:53:39,560 --> 00:53:46,520
kind of these nuances and hopefully be able to make my mark and bring people together and create

485
00:53:46,520 --> 00:53:52,840
a positive change. And I love that. And kind of to that, I know you have some more courses coming.

486
00:53:52,840 --> 00:53:57,000
They're not on your website. Could you give us just a sneak preview of what those are?

487
00:53:57,720 --> 00:54:04,040
Yeah. So my one-on-one consulting I found has been more helpful of a tool for the parents who

488
00:54:04,040 --> 00:54:09,080
already have been going through this journey for a bit and they've gotten to a point where they need

489
00:54:09,080 --> 00:54:14,680
that help or support to get them over the hump. But I do have an online course that's coming up

490
00:54:14,680 --> 00:54:19,960
that is meant more for kind of the setting the foundation for parents. The parent is

491
00:54:20,680 --> 00:54:26,200
maybe new to understand these problems or maybe they're kind of earlier in their journey to

492
00:54:26,200 --> 00:54:32,440
considering what can be done, what different treatment solutions are out there. And this

493
00:54:32,440 --> 00:54:39,240
online course is kind of more of a DIY approach to creating your own action plan. So there's kind

494
00:54:39,240 --> 00:54:44,040
of an educational component that will empower you to know what questions to ask yourself,

495
00:54:44,040 --> 00:54:49,000
what questions then you might want to carry into meeting with providers, but also just kind of

496
00:54:49,640 --> 00:54:56,760
setting the stage so that you feel more confidence as a parent knowing that there are different

497
00:54:56,760 --> 00:55:01,320
treatment directions. And so you're not sitting there with a blank stare in front of the first

498
00:55:01,320 --> 00:55:06,360
provider that you talk to thinking, I have to go home and think about that. You know, you're a

499
00:55:06,360 --> 00:55:12,280
little bit of a kid going into that. So it's condensed, it's not meant to take up too much

500
00:55:12,280 --> 00:55:17,640
time because I know that parents are busy finding a chunk of time to do an online course is not easy,

501
00:55:17,640 --> 00:55:23,000
but most commonly what's happening is you are an active parent, you're spending hours in the

502
00:55:23,000 --> 00:55:28,840
Facebook group looking for answers or whatever pathway you're on. And this is meant to kind of

503
00:55:28,840 --> 00:55:36,600
create a more consolidated program to just give you more confidence in creating an action plan

504
00:55:36,600 --> 00:55:41,640
and knowing where to go. That is awesome. And I will put the link to your website in the show

505
00:55:41,640 --> 00:55:47,560
notes. Perfect. If it's out by the time the podcast comes out, we'll swap it out and put that.

506
00:55:47,560 --> 00:55:52,120
Yes, I just actually- Otherwise they'll show up in our resources area. Great, great. That would

507
00:55:52,120 --> 00:55:56,840
be wonderful. Thank you. Yeah, yeah. And for parents that are actually watching this and not

508
00:55:56,840 --> 00:56:04,520
listening, over here, give me a love shoulder. See how good I am? That was good. Some of the

509
00:56:04,520 --> 00:56:07,960
books that we recommend were right out of the gate. I mean, one's easy to see because it's big

510
00:56:07,960 --> 00:56:14,280
and yellow. It's James Nester's book. If you haven't read Breathman, that's a great place to start.

511
00:56:14,280 --> 00:56:22,120
Absolutely. Then Sleep, what is it? Breathe, sleep, drive, sharing when? Yeah, I've got four

512
00:56:22,120 --> 00:56:28,120
books that I put on my website as starting points. I think there are obviously numerous resources

513
00:56:28,120 --> 00:56:32,600
out there and they're just interested in one topic versus another. There's certainly different

514
00:56:32,600 --> 00:56:36,200
directions and different books that are out there. But those are some of my names. Those are some of the

515
00:56:36,200 --> 00:56:42,600
great places to start, right? To start, to get the over-due. Get your feelings. Yeah, yeah. Absolutely.

516
00:56:42,600 --> 00:56:48,680
And then come take your course and then they'll know what to do. Yeah, absolutely. So at the end

517
00:56:48,680 --> 00:56:53,560
of every episode, I always hand it back to the guests because whether you're a provider or a

518
00:56:53,560 --> 00:56:58,840
parent, you're the professional. You're the one everyone's here to listen to. So I'd like to give

519
00:56:58,840 --> 00:57:06,760
you the floor for final thoughts. Yeah, I think just my overall, I guess, mantra when it comes to

520
00:57:06,760 --> 00:57:13,720
this space is just making sure that parents know that no two paths are going to look exactly the

521
00:57:13,720 --> 00:57:21,560
same and that make sure that you can find a treatment pathway for you that feels well aligned for your

522
00:57:21,560 --> 00:57:28,600
individual situation, your unique child, what your family's facing. And if for any reason you're

523
00:57:28,600 --> 00:57:33,160
having a hard time navigating that, I'm here to support you. That's right. Can you hear that,

524
00:57:33,160 --> 00:57:39,640
Mama Bears? Follow the link. Thank you so much. Thank you, Julia. Really appreciate it connecting

525
00:57:39,640 --> 00:57:48,520
with you. Absolutely. Take care. Thanks again to today's guests, Dr. Julia Sadev Lopez for joining

526
00:57:48,520 --> 00:57:55,880
us and to each of you for listening to today's episode. You can stay connected with the Children's

527
00:57:55,880 --> 00:58:02,040
Airway First Foundation by following us on Instagram, Facebook, X, LinkedIn, and YouTube.

528
00:58:03,320 --> 00:58:08,440
Don't forget to subscribe to the Airway First podcast on your favorite podcasting platform so

529
00:58:08,440 --> 00:58:15,160
you won't miss an upcoming episode. If you'd like to be a guest or have an idea for an upcoming show,

530
00:58:15,160 --> 00:58:21,320
shoot us a note via the contact page on our website or send us an email directly at infoat

531
00:58:21,320 --> 00:58:27,960
childrensairwayfirst.org. Today's episode was written and directed by Rebecca St. James,

532
00:58:27,960 --> 00:58:33,880
video editing and promotion by Ryan Draughan and guest outreach by Christy Bojikin.

533
00:58:33,880 --> 00:58:40,120
And finally, thanks to all the parents and medical professionals out there that are working hard to

534
00:58:40,120 --> 00:58:46,200
help make the lives of kids around the globe just a little bit better. Take care, stay safe, and happy

535
00:58:46,200 --> 00:59:10,680
breathing everyone.

