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Hi everyone and welcome back to Airway First, the podcast from the Children's Airway First

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Foundation.

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I'm your host Rebecca Downey.

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My guest today is Dr. Becky Andrews, a naturopathic doctor, acupuncturist, and herbalist.

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She is a graduate of the University of Kentucky and Bastyr University.

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Dr. Andrews specializes in chronic mystery illnesses, mood and neurotransmitter issues,

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genomics, pain, sports injuries, digestive issues, fatigue, environmental, and mold

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illnesses.

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In Seattle, she had a private practice and served as faculty at Bastyr University.

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Dr. Andrews moved to Austin in late 2011 to work as the educational coordinator for the

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American Botanical Council.

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Following that appointment, she served as adjunct faculty at AOME, School of Integrative Medicine.

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She currently serves as a naturopathic health consultant at People's RX and has a private

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naturopathic and acupuncture practice at C. Shoe Acupuncture Wellness.

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Dr. Andrews also serves on the advisory board of the Children's Airway First Foundation.

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You can find out more about Dr. Becky at DrBecky.net.

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And now, here's my interview with Dr. Becky Andrews.

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Alright, thanks so much for joining us this afternoon, Dr. Becky.

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How are you?

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I'm good.

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Thank you for having me.

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It's so good to see you, Rebecca.

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It's great to see you.

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It's been a while.

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I know, I know.

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It's been too long.

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It's been an uncomfortably busy year, hasn't it?

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It has.

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It has.

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So I appreciate you being here with us.

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And as we dig in, I'd like to start with exactly what a neuropathic doctor is and how

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your approach differs from what most people know of mainstream medicine.

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Okay.

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So first, I'm going to gently correct.

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It's naturopathic, which is a weird word.

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Thank you.

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I think people haven't actually even heard.

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So yeah, it's a great question.

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I have a spiel, in fact, that I give to all my patients here in Texas because it's so

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not well known here.

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So I am going to actually answer the question that you asked.

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But before I answer that, I think the first thing that I need to make clear is that there's

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actually several separate groups of people that kind of use that same title, especially

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in states that don't license naturopathic doctors.

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If there's no licensure for a profession, that means there's no title protection.

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And so in states like Texas where there's no licensure for naturopathic doctors, that

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means anybody can call themselves a naturopath and they do.

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So the other thing I guess that I'm figuring out, it's taken me 10 years to figure this

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out, is that there are a lot of people that hear the word naturopath and they think that

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it is a descriptor like holistic.

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They think that it's just like it's just an adjective or something.

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And it's an actual academic medical degree like osteopath or medical doctor or dentist.

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So it's an actual degree.

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It's a specific thing with parameters and a diploma and things.

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So it's not a descriptor like holistic.

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Or integrative.

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But I think a lot of people think of it as a descriptor and I think that's one of the

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reasons why it's used in so many other contexts and gets tagged on to other kinds of practitioners

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that aren't actually naturopathic doctors.

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So three main groups.

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One of them is the first group is the one I consider myself part of.

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And those are what I would call the medically trained naturopathic physicians.

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Now the Texas Medical Board does not want me to apply the word physician to me myself

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because I'm not licensed in Texas.

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The reality is that I am a licensed physician in Washington state.

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So actually technically I am physician and if one of them went to Seattle I wouldn't

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expect them to say that they weren't a physician.

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So medically trained naturopaths, we learn all the same facts about how the body works.

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We learn all the same science about how the body works in physiology and biochemistry.

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All of that.

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What's different from us between us and medical doctors isn't the information, it's not the

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science or the data or the facts, it's how we apply them.

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So Western medicine has a fundamental assumption that disease can just happen.

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It can just be bad luck or it, you know, like almost like an accident that you got this

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chronic degenerative disease.

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Which in our philosophy is that the body will heal itself if nothing's in the way.

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That our bodies have a natural inclination towards homeostasis.

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And so as naturopathic doctors instead of just trying to cut off and make, get rid of

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the symptom or eliminate the symptom, we look at why is the symptom happening, what is that

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telling us.

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And what we call it, we call it find and treat the cause is one of the words, the phrases

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that we use.

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And another phrase in our philosophy is remove the obstacle to cure.

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And that one's a really big deal.

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And I really, that's a juicy one that I've always really liked.

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And that is what is in the body's way of healing itself.

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Okay, so what's an example of that?

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Fundamental concept that the body will heal itself if it has all the tools and resources

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that it needs, and there's nothing in the way.

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And that premise is completely missing from Western medicine.

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Oh, absolutely.

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Like that's one of the biggest places where we diverge.

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And then I think that the second it's like on that fundamental philosophy, there's a

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divergence there.

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The other way we really are different from conventional doctors is that we don't fragment

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care.

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So in the conventional system, especially now, they pretty much don't have generalists.

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Like really your primary care doctors have been reduced, especially in here in Texas,

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what I've seen is primary care doctors don't actually give care at all, unless it's just

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an antibiotic.

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Right, it's something that's responsible.

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It's a very important thing to do.

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It's something that's very important to somebody, some other specialist.

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And I'm always boggled by that.

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I'm like, you don't need to send somebody to a psychiatrist for a basic antidepressant.

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You don't need to send somebody to an endocrinologist for basic thyroid support or birth control

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for like, that's not what the endocrinologist does.

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Anyway, so that level of fragmentation, I think really utterly destroys any hope of integrity

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of care.

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And so the naturopathic doctors are trained to look at all the systems and most importantly,

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how they connect to each other.

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And so one of my favorite examples of this would be somebody that has, I think I would,

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yeah, I'll just go ahead and give the example now.

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Somebody like, you say you have a patient that has a sinus infection and has like IBS

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and then they also have anxiety and depression.

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Conventional medicine would send them to a gastroenterologist and EENT or an allergist

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and a psychologist or a psychiatrist.

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They would treat them as if those were three completely separate things.

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As a naturopath, I would be like, hmm, that's all the same cause.

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So I would be like, okay, so that IBS and sinus chronic sinus inflammation are both

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being caused by something they're swallowing that's inflaming their mucous membranes and

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causing phlegm.

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Right.

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So it's probably gluten or dairy.

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It might be soy, might be corn, might be two or three things combined, but it's probably

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something they eat every day.

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And if you cause inflammation in the tube as it were, it changes your neurotransmitter

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production both in your gut and in your brain.

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And when we get inflamed gut, we get a mildly, mildly inflamed brain.

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And so if you don't have good neurotransmitter production and you also have mild inflammation

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in the brain, you've got anxiety and depression.

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And so all of this leads me to lots of questions, right?

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This leads me to a lot of questions because I did speak with, and I will slaughter this

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as well, just with my lovely speech impediment, osteopathic provider.

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Thank you.

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Thank you, lastly, thank you.

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And she said something very similar and I really, really want to dig into this because

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I'm starting to hear this pattern.

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We also heard this with Dr. Hall several episodes ago on how everything is connected.

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And it really can come down to food.

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I mean, something as simple, especially in adults and older children, what we're putting

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in is part of what's happening to our bodies, even though we think, oh, I'm eating this

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healthy thing.

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And then you start to unpack and you realize, no, it's processed up, yin, yang.

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That's right.

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And we're doing this to ourselves.

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That's right.

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That's right.

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Yeah.

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And the difference between eating food that like you pull the carrot out of the ground,

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you wipe it off on your overalls and stick it in your mouth.

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The difference between that and, yeah, like a packaged muffin that you get, like just,

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like the difference is so stark biochemically and what's in it.

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And you, you, you, you on the list of questions you asked, you were asking me also about environment.

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And I was like, oh God, how many hours does she have to talk?

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Right.

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Because, yeah, the chemicals that we're exposed to, oh my God, they are having such a huge

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impact on not just our current bodies, but on the gonadal development and then embryonic

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development and then the, I mean, yeah, the cycle is being so, we're now at the third

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generation of children who are born with a body burden.

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Third generation.

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Yeah.

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We're, so the children being born now, their grandmothers were exposed to chemical, enough

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chemicals to change their hormones.

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And those changes.

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And then so the, the female children, those women had those, all right, so grandmother,

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right?

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The female children, those women had formed in the uterus in the context of toxic chemicals

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being present when that body was being formed.

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And so that changed the eggs that were made, that were developed in that, that female embryo.

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And then they are now the mothers of the children that are being born.

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So they were, those mothers, their entire body was formed in the context of toxic chemicals

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being around it.

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So trying to put this in something that I can digest here.

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Yeah.

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So, generation, this next generation that's being born, they are, I mean, we're seeing

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them, their whole hormone systems are different.

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We're talking about this next generation, just, you know, again, to wrap my head around

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the one-hitter teenagers.

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Generation Z.

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Yeah.

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So Gen Z.

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So, okay, got it.

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Millennials Gen Z.

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Yeah.

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Their mothers bodies were formed in the context of chemicals.

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And therefore they're not only are their mothers hormones different and that they passed those

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genes down, but that eggs that are formed in those uteruses, because women are born with

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all the eggs that we're ever going to have.

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So we form all the, our future children are formed when we are embryos.

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And so you dip that in toxic chemicals, it's going to change everything about any future

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children those babies have.

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Wow.

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Yeah.

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It's, it's a, what the level of impact that the chemicals that we've started using in 1945,

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like we're only just now starting to see just how bad that's really the impact of that.

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But that's one of the reasons that we're seeing so much diabetes.

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It's one of the reasons we're seeing, I mean, there's, you know, all of the chronic diseases

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that we have, they're all multi-factors.

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They're not just, right?

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But, but, you know, one of the reasons we're seeing so much obesity, one of the reasons

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we're seeing so much diabetes, one of the reasons we're seeing autism and attention deficit.

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I think part of that is, is the chemical exposure that their mothers had.

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Well, that's fascinating.

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Yeah.

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That was fascinating.

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It's nothing new for our airways, but, you know, right, you said the word environment

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and this is where my brain goes.

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And this is where it goes.

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So, all right.

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So around the environment, I have, I have a couple of different directions that I want

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to go and I want to make sure that, that we cover.

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One of which is really digging into food and, and the environment and how it impacts.

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And the other is specifically around, and it, and it leads to it.

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So I'm going to ask you which way you want to go first.

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The other is, you know, what we know historically, specifically, you know, let's start with

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Western price on just how our, our, our jobs have changed so much.

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And, and again, that it all ties together, right?

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And all ties together with food and the industrial revolution and how we've.

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Yes.

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Yes.

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Changed everything.

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So I don't know which way you want to go with that.

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I think that we should separate because they're both so big and complicated.

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We should separate environmental toxin and mold exposure.

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We should separate that from food.

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Okay.

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And I kind of think of them like food has the impact of structure.

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Like that's like the raw materials we build ourselves out of.

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And the toxic chemicals are like poisons that are coming in from the outside and changing

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us.

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So let's start with the foundation of food stuff.

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All right.

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Let's start with that.

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Yeah.

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Let's go there.

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Let's go there.

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If you have a specific place you want me to start or do you want me to just talk, start

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with the Western price stuff, which was.

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Yeah.

241
00:14:57,280 --> 00:14:58,880
So we can start with Western price.

242
00:14:58,880 --> 00:15:03,240
Give it, give everybody just a little bit of a background on Western price, the dentist

243
00:15:03,240 --> 00:15:05,840
and you know, the work he did in the 1920s.

244
00:15:05,840 --> 00:15:06,840
All right.

245
00:15:06,840 --> 00:15:12,120
So I'm going to scroll out a little bit more and put this in some fun social context.

246
00:15:12,120 --> 00:15:13,120
Okay.

247
00:15:13,120 --> 00:15:23,240
So when Candy and I first connected and started talking about forming calf, you know, I was

248
00:15:23,240 --> 00:15:25,160
like, well, I'm not an airway doctor.

249
00:15:25,160 --> 00:15:27,640
I don't know really much about this.

250
00:15:27,640 --> 00:15:28,640
What do I have to offer?

251
00:15:28,640 --> 00:15:30,960
She's like, you're the one that figured this out.

252
00:15:30,960 --> 00:15:37,760
And I made me like think about where would I like where in my training are the pieces

253
00:15:37,760 --> 00:15:42,640
that allowed me to recognize an airway disorder in her daughter.

254
00:15:42,640 --> 00:15:43,640
Right.

255
00:15:43,640 --> 00:15:51,160
And I went then went back to thinking about several of my teachers in medical school teaching

256
00:15:51,160 --> 00:15:56,240
me and again, we didn't talk about airway disorders in any extended way.

257
00:15:56,240 --> 00:15:57,240
Okay.

258
00:15:57,240 --> 00:16:02,400
Well, because it's just not currently a thing in the curriculum, right?

259
00:16:02,400 --> 00:16:08,320
But it was actually mentioned in passing by mentioning the work of this particular dentist

260
00:16:08,320 --> 00:16:10,880
named Western Price in the 1920s.

261
00:16:10,880 --> 00:16:11,880
Okay.

262
00:16:11,880 --> 00:16:21,640
And the context that I was taught in naturopathic medical school was in how profoundly diet

263
00:16:21,640 --> 00:16:29,880
impacts fetal development, like maternal diet affects how the child is formed and then early

264
00:16:29,880 --> 00:16:34,840
childhood diet affects how the child's body grows.

265
00:16:34,840 --> 00:16:41,840
And in particular, they did mention that it changes the shape of the job.

266
00:16:41,840 --> 00:16:45,160
And that was sort of central to this person's work.

267
00:16:45,160 --> 00:16:52,280
And he recorded so much of it that it sort of got trickled down into part of the naturopathic

268
00:16:52,280 --> 00:16:54,720
sort of dogma and ideology.

269
00:16:54,720 --> 00:16:58,840
And so he spent a ton of time talking about it, but I had one of my professors was just

270
00:16:58,840 --> 00:17:02,000
super into the Western Price stuff.

271
00:17:02,000 --> 00:17:07,800
And so, you know, I think that it was when I had just started to teach on faculty and

272
00:17:07,800 --> 00:17:12,320
he and I were having lunch together and we ended up on in a rabbit hole.

273
00:17:12,320 --> 00:17:17,640
And I was really fascinated by this whole idea and it caught my imagination enough that

274
00:17:17,640 --> 00:17:19,320
the memory of it stuck.

275
00:17:19,320 --> 00:17:24,360
So years, what is this like 15, 20 years later, I'm talking to Candy about this and

276
00:17:24,360 --> 00:17:30,800
I'm like, you know, this isn't just about getting surgical or structural intervention

277
00:17:30,800 --> 00:17:33,120
between this age and this age.

278
00:17:33,120 --> 00:17:35,600
This is like, we can prevent this.

279
00:17:35,600 --> 00:17:41,200
Like this isn't a random accidental default thing that happens.

280
00:17:41,200 --> 00:17:42,560
This happens for a reason.

281
00:17:42,560 --> 00:17:48,640
So it's sort of going back to that naturopathic mindset is the, well, why?

282
00:17:48,640 --> 00:17:51,280
And why does this not happen to everybody?

283
00:17:51,280 --> 00:17:53,280
Why is it happening more often?

284
00:17:53,280 --> 00:17:54,600
Right.

285
00:17:54,600 --> 00:17:58,200
And so that and that triggered the memory of Western prices were.

286
00:17:58,200 --> 00:18:01,480
So here is Western prices were.

287
00:18:01,480 --> 00:18:10,000
So basically this guy was a dentist in the early 1900s and in the like 19 teens and 20s.

288
00:18:10,000 --> 00:18:16,440
Unfortunately, it does have the origins in the eugenics movement, which is super yucky

289
00:18:16,440 --> 00:18:22,320
and we wish that it didn't have that affiliation, but he started on this worldwide tour where

290
00:18:22,320 --> 00:18:29,560
he was going to take photographs and measurements of different indigenous people's skulls in

291
00:18:29,560 --> 00:18:34,360
an attempt to prove that white European men were the superior race.

292
00:18:34,360 --> 00:18:39,280
What's fascinating is that over the years that he was doing this, he came to the opposite

293
00:18:39,280 --> 00:18:43,120
conclusion and the eugenics movement.

294
00:18:43,120 --> 00:18:47,040
He decided that it was butchers, which it is.

295
00:18:47,040 --> 00:18:48,040
It is.

296
00:18:48,040 --> 00:18:49,040
Yeah.

297
00:18:49,040 --> 00:18:55,840
And so what he discovered and an irrefutably true was that indigenous people who did not

298
00:18:55,840 --> 00:19:02,600
have a Europeanized diet that did were not eating refined or ground flowers.

299
00:19:02,600 --> 00:19:03,600
We're not eating bread.

300
00:19:03,600 --> 00:19:04,760
We're not eating sugar.

301
00:19:04,760 --> 00:19:11,160
They were instead eating roots and you know, roughage and things that they had to chew

302
00:19:11,160 --> 00:19:13,680
a whole lot.

303
00:19:13,680 --> 00:19:20,440
Those people consistently had these very wide upper palates and wide jaws.

304
00:19:20,440 --> 00:19:22,840
They had perfect teeth.

305
00:19:22,840 --> 00:19:27,880
Now remember he was a dentist, so he was particularly interested in teeth, right?

306
00:19:27,880 --> 00:19:33,760
Took photographs of their smiles and then photographs had them lift their lips away,

307
00:19:33,760 --> 00:19:37,720
photographs of their teeth and photographs of their upper palates.

308
00:19:37,720 --> 00:19:43,920
And so all of them had these big wide palates, big open sinuses, high cheekbones, beautiful

309
00:19:43,920 --> 00:19:44,920
smiles.

310
00:19:44,920 --> 00:19:50,280
He also noticed they didn't have any cavities and that was true throughout the lifetime.

311
00:19:50,280 --> 00:19:54,760
They were born and died with these huge sets of beautiful teeth.

312
00:19:54,760 --> 00:19:56,680
They didn't have to have their wisdom teeth pulled.

313
00:19:56,680 --> 00:19:57,680
They weren't.

314
00:19:57,680 --> 00:19:59,040
There's no crowding.

315
00:19:59,040 --> 00:20:03,840
And he finally came to the conclusion that it was due to that indigenous non-refined

316
00:20:03,840 --> 00:20:04,840
diet.

317
00:20:04,840 --> 00:20:10,160
And he also would find siblings or other members of that cohort and when he was lucky, he'd

318
00:20:10,160 --> 00:20:15,800
find a sibling or a twin that had somehow become separated and one of them had been

319
00:20:15,800 --> 00:20:19,960
fed the European diet and one had been fed the indigenous diet.

320
00:20:19,960 --> 00:20:26,080
And without fail, the child that had been fed the European diet had a, like their face

321
00:20:26,080 --> 00:20:30,040
was very, very narrow, their lower jaw and upper jaw.

322
00:20:30,040 --> 00:20:34,640
They open their mouth and their teeth are completely crowded and turn sideways and crooked and

323
00:20:34,640 --> 00:20:36,160
decaying.

324
00:20:36,160 --> 00:20:38,680
And it was just dramatic.

325
00:20:38,680 --> 00:20:43,880
And I don't, I did not read his work enough to know if he observed that there were already

326
00:20:43,880 --> 00:20:48,600
airway problems in those children, but based on what we know now, it's not possible that

327
00:20:48,600 --> 00:20:49,600
there weren't.

328
00:20:49,600 --> 00:20:50,680
That there weren't, right?

329
00:20:50,680 --> 00:20:51,680
And it's twofold, right?

330
00:20:51,680 --> 00:20:54,200
It's what they ate.

331
00:20:54,200 --> 00:20:59,760
But that what they ate was, if I'm understanding this correctly, it actually caused a workout.

332
00:20:59,760 --> 00:21:05,640
So a carrot is going to work the muscles in your jaw and your, and your oral area versus

333
00:21:05,640 --> 00:21:07,600
if you're eating mushed carrots.

334
00:21:07,600 --> 00:21:08,600
That's right.

335
00:21:08,600 --> 00:21:09,600
That's right.

336
00:21:09,600 --> 00:21:14,760
So, so some, from what I can tell there's been, he sort of started it, but there have

337
00:21:14,760 --> 00:21:20,520
been several other anthropological studies on this kind of idea.

338
00:21:20,520 --> 00:21:26,840
And the rough conclusion that they've come to right now is that the physical structural

339
00:21:26,840 --> 00:21:34,360
part is primarily due to the chewing early on that, that as soon as there's teeth, they're

340
00:21:34,360 --> 00:21:36,440
working those working in it.

341
00:21:36,440 --> 00:21:39,320
And it's, and it's, and it's helping with the formation.

342
00:21:39,320 --> 00:21:46,280
But there's in, in, and so that's separate kind of from the medical research on it.

343
00:21:46,280 --> 00:21:50,000
And it, I noticed the structure of anthropological research is, right.

344
00:21:50,000 --> 00:21:54,920
Then the structure of medical research, they're not looking at placebo control double-blind

345
00:21:54,920 --> 00:21:55,920
studies.

346
00:21:55,920 --> 00:21:59,720
They're looking at themes and trends and it's, it's really interesting.

347
00:21:59,720 --> 00:22:02,800
It's kind of refreshing.

348
00:22:02,800 --> 00:22:07,640
And so I feel like that the, the, the fiber and the chewing is part of it.

349
00:22:07,640 --> 00:22:14,560
But the other piece I think is the nutrients themselves that are in present in a whole

350
00:22:14,560 --> 00:22:20,360
food's diet, plant-based diet, where you're going to get a lot of vitamin K because you're

351
00:22:20,360 --> 00:22:22,160
eating a lot of leaves.

352
00:22:22,160 --> 00:22:25,840
You're going to get a lot of vitamin D and you're going to get a lot of vitamin A in

353
00:22:25,840 --> 00:22:28,680
the form of adicarotein.

354
00:22:28,680 --> 00:22:35,400
And it turns out that if you look in the medical literature, they, oh, I forgot the other big

355
00:22:35,400 --> 00:22:37,560
nutrient is folate.

356
00:22:37,560 --> 00:22:43,080
So that we're looking for for the vitamins and nutrients that we're looking for.

357
00:22:43,080 --> 00:22:46,400
And this appears to be prenatal.

358
00:22:46,400 --> 00:22:51,480
So nutrients that the mother would consume before and during pregnancy.

359
00:22:51,480 --> 00:22:57,760
And then nutrients that are essential for the baby, the child when they're first developing.

360
00:22:57,760 --> 00:22:59,680
And those are what the mother eats.

361
00:22:59,680 --> 00:23:05,160
So even though you take the pre, right, you take, you take the prenatal vitamins and all

362
00:23:05,160 --> 00:23:06,560
of that business and whatever.

363
00:23:06,560 --> 00:23:10,040
But what you're saying is it's actually, let's go a step further.

364
00:23:10,040 --> 00:23:12,560
Let's talk about what the mom's eating.

365
00:23:12,560 --> 00:23:13,560
Yeah.

366
00:23:13,560 --> 00:23:14,560
Yeah.

367
00:23:14,560 --> 00:23:19,640
So what they, yeah, what the anthropology stuff says and what Western Price found was

368
00:23:19,640 --> 00:23:25,800
that what the mom ate also affected the palate, width and stuff of the child.

369
00:23:25,800 --> 00:23:31,040
So part of that can step the child once the child is born and starts to develop on their

370
00:23:31,040 --> 00:23:32,040
own.

371
00:23:32,040 --> 00:23:33,040
Yeah.

372
00:23:33,040 --> 00:23:34,040
Yeah.

373
00:23:34,040 --> 00:23:39,320
And I think that it would only be very recently in history where a mother might eat one way

374
00:23:39,320 --> 00:23:43,400
and then the child and then, you know, a few months later might raise their child, learn

375
00:23:43,400 --> 00:23:44,640
totally different food.

376
00:23:44,640 --> 00:23:47,280
Like I think that's a very modern phenomenon.

377
00:23:47,280 --> 00:23:52,080
I think traditionally the kid was going to eat with the family eight because we just

378
00:23:52,080 --> 00:23:54,400
didn't have that kind of variety of choices.

379
00:23:54,400 --> 00:23:59,440
You know, this whole part of, you know, this part of France was eating these five foods

380
00:23:59,440 --> 00:24:00,440
every day.

381
00:24:00,440 --> 00:24:01,440
Right.

382
00:24:01,440 --> 00:24:02,440
Right.

383
00:24:02,440 --> 00:24:05,800
We didn't have the, the choices that we have.

384
00:24:05,800 --> 00:24:06,800
Right.

385
00:24:06,800 --> 00:24:10,520
But anyway, yeah, I think there's the chewing muscle part and then I think there's the nutrient

386
00:24:10,520 --> 00:24:15,200
part and our nutrients are going to be folate and not folic acid.

387
00:24:15,200 --> 00:24:17,320
That's a really important distinction.

388
00:24:17,320 --> 00:24:22,480
Folic acid is synthetic garbage and our body doesn't actually have a really easy, it has

389
00:24:22,480 --> 00:24:27,360
to go through several steps before it can be converted into real folate to be used

390
00:24:27,360 --> 00:24:30,280
and not everybody can do that.

391
00:24:30,280 --> 00:24:37,720
So folate and specifically activated or methylated folate, that is what our bodies really actually

392
00:24:37,720 --> 00:24:38,720
need.

393
00:24:38,720 --> 00:24:39,720
Okay.

394
00:24:39,720 --> 00:24:44,200
That piece, vitamin K, vitamin D and vitamin A.

395
00:24:44,200 --> 00:24:47,920
And folate is going to be found in leafy greens, foliage.

396
00:24:47,920 --> 00:24:48,920
Got it.

397
00:24:48,920 --> 00:24:52,280
The bigger it is, the more folated it's got.

398
00:24:52,280 --> 00:24:53,280
Got it.

399
00:24:53,280 --> 00:25:00,160
And here's another thing that, just a factoid, you can destroy folate with heat.

400
00:25:00,160 --> 00:25:06,240
So if you cook the bejesus out of your kale until it's mush, then the folate's pretty

401
00:25:06,240 --> 00:25:07,240
much gone.

402
00:25:07,240 --> 00:25:08,240
Oh.

403
00:25:08,240 --> 00:25:16,080
So you want to flash saute things, flash, flash, you know, you want to, what is it called

404
00:25:16,080 --> 00:25:19,280
when you dip it in boiling water and dip it out?

405
00:25:19,280 --> 00:25:21,840
Oh, there's a word for it.

406
00:25:21,840 --> 00:25:22,840
There is a word in a blanch.

407
00:25:22,840 --> 00:25:23,840
Blanch.

408
00:25:23,840 --> 00:25:24,840
Thank you, Blanch.

409
00:25:24,840 --> 00:25:25,840
There we go.

410
00:25:25,840 --> 00:25:26,840
Yes.

411
00:25:26,840 --> 00:25:33,680
You can plant your greens or lightly saute them or even like there's ways to make raw

412
00:25:33,680 --> 00:25:41,040
salads out of things without them really feeling raw by like massaging acid and salt into them.

413
00:25:41,040 --> 00:25:46,840
You can break down the cell walls enough to be able to chew them easily and have easier

414
00:25:46,840 --> 00:25:51,240
access to the nutrients in it without actually cooking it with that heat.

415
00:25:51,240 --> 00:25:52,920
So, okay.

416
00:25:52,920 --> 00:25:55,240
So those kinds of ideas.

417
00:25:55,240 --> 00:26:01,080
But yeah, so basically the folate has to do with the development of the midline of the

418
00:26:01,080 --> 00:26:02,080
human being.

419
00:26:02,080 --> 00:26:06,440
So if you don't have enough folate, if you're completely deficient, you can end up with

420
00:26:06,440 --> 00:26:12,680
things like neural tube defects where the spine doesn't seal and part of the central

421
00:26:12,680 --> 00:26:15,840
nervous system sticking out.

422
00:26:15,840 --> 00:26:21,480
When you see that, you will also see the top of the palate not growing together and you

423
00:26:21,480 --> 00:26:27,200
can end up with a cleft palate or even a cleft lip is the most severe form of that.

424
00:26:27,200 --> 00:26:28,200
Okay.

425
00:26:28,200 --> 00:26:34,800
But if you're not that deficient, you could see that if those things could happen that

426
00:26:34,800 --> 00:26:40,760
it's not a far stretch that if you're just a little low in folate, maybe it grows together

427
00:26:40,760 --> 00:26:46,560
but just barely and you end up with this tall skinny thing instead of a wider arch because

428
00:26:46,560 --> 00:26:48,840
it doesn't finish that.

429
00:26:48,840 --> 00:26:50,560
That high arch palate.

430
00:26:50,560 --> 00:26:51,560
Yeah.

431
00:26:51,560 --> 00:26:54,120
And that's something that I think we talked about.

432
00:26:54,120 --> 00:26:55,120
The halfway, yeah.

433
00:26:55,120 --> 00:26:56,120
Okay.

434
00:26:56,120 --> 00:26:57,120
Yeah, exactly.

435
00:26:57,120 --> 00:26:58,120
Right.

436
00:26:58,120 --> 00:27:02,760
And that's something that we've, I think we've talked about in previous podcasts that if

437
00:27:02,760 --> 00:27:08,560
the apcaras changed and we start looking at mouths of infants when they're born can

438
00:27:08,560 --> 00:27:10,560
be adjusted.

439
00:27:10,560 --> 00:27:11,560
Yes.

440
00:27:11,560 --> 00:27:13,600
And caught early, which will help.

441
00:27:13,600 --> 00:27:17,280
But then we're back to, okay, you catch it.

442
00:27:17,280 --> 00:27:22,640
Now as the child starts to develop, we move into what are they going to eat?

443
00:27:22,640 --> 00:27:27,200
How are we going to help strengthen and grow their palate the correct way?

444
00:27:27,200 --> 00:27:28,200
Yeah.

445
00:27:28,200 --> 00:27:29,200
Yeah.

446
00:27:29,200 --> 00:27:36,800
So I think just those interventions alone give the child a much better chance of that

447
00:27:36,800 --> 00:27:38,160
self-correcting.

448
00:27:38,160 --> 00:27:42,080
And then if we add onto it some of these other techniques that some of the other specialists

449
00:27:42,080 --> 00:27:48,080
on the board know about, you know, of like, you know, without surgery, you know, helping

450
00:27:48,080 --> 00:27:52,400
to restructure that from a, like a more physical structural help.

451
00:27:52,400 --> 00:27:54,000
I think you combine that with diet.

452
00:27:54,000 --> 00:27:58,920
I think you're really on to some like real solutions if things don't get caught early

453
00:27:58,920 --> 00:28:01,640
enough and we can't take care of the prenatal piece.

454
00:28:01,640 --> 00:28:02,640
Gotcha.

455
00:28:02,640 --> 00:28:08,080
But what it strikes me is the idea that maybe somebody cares enough about this that we can

456
00:28:08,080 --> 00:28:10,080
start addressing prenatal nutrition.

457
00:28:10,080 --> 00:28:15,160
And now it's not necessarily just in the rich white women that we need to do that.

458
00:28:15,160 --> 00:28:21,480
We really, where we really need that is in the more impoverished parts of, you know,

459
00:28:21,480 --> 00:28:29,720
our population, people that don't necessarily have access to fancier, you know, and unfortunately

460
00:28:29,720 --> 00:28:33,200
raw whole foods are now fancier foods, right?

461
00:28:33,200 --> 00:28:34,200
Right.

462
00:28:34,200 --> 00:28:39,320
What got substights in our culture is refined, refined crap and sugar.

463
00:28:39,320 --> 00:28:43,720
And so if you are on a limited income or you're getting your food from a food bank or you're

464
00:28:43,720 --> 00:28:49,360
getting your food from a discount place, it's going to be tweekies and sugar and refined

465
00:28:49,360 --> 00:28:50,920
stuff and packages.

466
00:28:50,920 --> 00:28:52,960
It's not going to be fresh produce.

467
00:28:52,960 --> 00:28:53,960
Right.

468
00:28:53,960 --> 00:28:57,400
Or McDonald's are something along those lines that's easier.

469
00:28:57,400 --> 00:28:58,400
It's cheaper.

470
00:28:58,400 --> 00:28:59,400
It's cheaper.

471
00:28:59,400 --> 00:29:00,400
You can afford it.

472
00:29:00,400 --> 00:29:01,760
And that's what's so important.

473
00:29:01,760 --> 00:29:07,000
So I think that what we really need to do is think about how do we subsidize actual healthy

474
00:29:07,000 --> 00:29:11,280
food and how do we address food deserts in our inner city?

475
00:29:11,280 --> 00:29:12,280
Yes.

476
00:29:12,280 --> 00:29:19,040
You know, like how do we, how do we pay people in the inner city to or in areas where there's

477
00:29:19,040 --> 00:29:20,540
food deserts?

478
00:29:20,540 --> 00:29:24,720
If there's a bunch of unemployed people, can we pay them to grow food in their neighborhood?

479
00:29:24,720 --> 00:29:25,720
Right.

480
00:29:25,720 --> 00:29:27,640
So that it's right there.

481
00:29:27,640 --> 00:29:28,720
That's right there.

482
00:29:28,720 --> 00:29:35,400
Can we subsidize like places like a space for them to can and preserve that food so that

483
00:29:35,400 --> 00:29:36,960
they have it through the winter?

484
00:29:36,960 --> 00:29:42,200
Like let's look at urban homesteading and let's look at, you know, there's so many exciting

485
00:29:42,200 --> 00:29:46,920
and, you know, this all sound far away from airways.

486
00:29:46,920 --> 00:29:51,040
But at the end of the day, no, it's all related now as a naturopathic doctor.

487
00:29:51,040 --> 00:29:52,360
You can see how my brain works.

488
00:29:52,360 --> 00:29:54,520
It goes to like, what's the actual cause?

489
00:29:54,520 --> 00:29:57,000
Well, the actual cause is poverty.

490
00:29:57,000 --> 00:29:58,000
Right.

491
00:29:58,000 --> 00:30:00,920
The actual cause is, you know, refined food.

492
00:30:00,920 --> 00:30:03,440
The actual cause is policy.

493
00:30:03,440 --> 00:30:06,440
You know, the actual cause, I hate to say it is partially capitalism.

494
00:30:06,440 --> 00:30:07,440
Right.

495
00:30:07,440 --> 00:30:13,320
And not that I don't want to live, you know, you know, I understand.

496
00:30:13,320 --> 00:30:22,000
And just kind of as a side note for our listeners, Dr. Dana Johnson will be on the podcast in

497
00:30:22,000 --> 00:30:23,000
a later episode.

498
00:30:23,000 --> 00:30:28,080
And that is one of the things she will be discussing is environment and inner city and

499
00:30:28,080 --> 00:30:30,440
some of the work she's done at LaRie Charter and other places.

500
00:30:30,440 --> 00:30:31,440
Right.

501
00:30:31,440 --> 00:30:32,440
Yes.

502
00:30:32,440 --> 00:30:33,440
Yes.

503
00:30:33,440 --> 00:30:34,440
So that's going to be awesome.

504
00:30:34,440 --> 00:30:37,800
I was feeling excited about a lot of the things she was talking about.

505
00:30:37,800 --> 00:30:38,800
I was like, yes.

506
00:30:38,800 --> 00:30:39,800
Yes.

507
00:30:39,800 --> 00:30:42,320
Which will be so, so exciting.

508
00:30:42,320 --> 00:30:48,680
And I, you know, another thing is, is, is you were talking that I thought about is I,

509
00:30:48,680 --> 00:30:52,200
I, I try to correlate things to you to what I understand.

510
00:30:52,200 --> 00:30:53,200
Right.

511
00:30:53,200 --> 00:30:55,520
So I try to put it in perspective that makes sense to me.

512
00:30:55,520 --> 00:30:57,480
And I figure if I can do that, our listeners can do that.

513
00:30:57,480 --> 00:30:59,800
But I think about when I was pregnant.

514
00:30:59,800 --> 00:31:03,600
I, you know, I got, okay, don't eat the donut.

515
00:31:03,600 --> 00:31:06,040
That's not good for your baby.

516
00:31:06,040 --> 00:31:09,840
Take your prenatal vitamin and drink lots of orange juice.

517
00:31:09,840 --> 00:31:10,840
These are my big takeaways.

518
00:31:10,840 --> 00:31:12,920
And this is somebody with a biology background.

519
00:31:12,920 --> 00:31:13,920
These were my takeaways.

520
00:31:13,920 --> 00:31:16,420
Orange juice.

521
00:31:16,420 --> 00:31:19,240
I don't remember at this point, but there was something in orange juice that was supposed

522
00:31:19,240 --> 00:31:21,840
to be really good for the baby's brain.

523
00:31:21,840 --> 00:31:22,840
And great.

524
00:31:22,840 --> 00:31:23,840
And I was like, all right.

525
00:31:23,840 --> 00:31:24,840
So drink a lot.

526
00:31:24,840 --> 00:31:29,680
And, you know, in, and depending on the cravings, you know, I was fortunate that the both of

527
00:31:29,680 --> 00:31:33,160
my children see in utero seemed to really dig salad.

528
00:31:33,160 --> 00:31:34,280
So that was great.

529
00:31:34,280 --> 00:31:40,520
But you know, even with my background coming into this, taking the traditional classes,

530
00:31:40,520 --> 00:31:42,360
that was my takeaway.

531
00:31:42,360 --> 00:31:43,360
Right.

532
00:31:43,360 --> 00:31:49,560
You know, and nobody said after the fact, Hey, here are the things you can do once your

533
00:31:49,560 --> 00:31:50,560
baby's here.

534
00:31:50,560 --> 00:31:51,560
Yeah.

535
00:31:51,560 --> 00:31:53,960
This is why breastfeeding is so important.

536
00:31:53,960 --> 00:31:56,320
It wasn't, you know, I always heard it was just the breast milk.

537
00:31:56,320 --> 00:31:57,320
I had no idea.

538
00:31:57,320 --> 00:32:04,360
No, we're talking about jaw development and, you know, setting your child up for success

539
00:32:04,360 --> 00:32:06,800
for airway and dental structure.

540
00:32:06,800 --> 00:32:10,800
And you know, that's great that you want to feed them these, these soft baby foods.

541
00:32:10,800 --> 00:32:13,480
But wow, you realize what that's giving up.

542
00:32:13,480 --> 00:32:17,840
Why don't you just make your own pure aid carrots because the nutrients are there and

543
00:32:17,840 --> 00:32:19,680
it doesn't take you that much longer.

544
00:32:19,680 --> 00:32:22,120
You know, these things weren't there.

545
00:32:22,120 --> 00:32:29,680
So I think when we're looking at one educating revamping how we're educating providers, because

546
00:32:29,680 --> 00:32:32,760
that's something that we're all talking about because like you said, airways not taught,

547
00:32:32,760 --> 00:32:35,240
these things aren't taught.

548
00:32:35,240 --> 00:32:38,400
It's also just education across the board.

549
00:32:38,400 --> 00:32:40,400
I mean, you can just don't know.

550
00:32:40,400 --> 00:32:46,960
I mean, there are still a lot of medical doctors and like, I don't know what the statistics

551
00:32:46,960 --> 00:32:49,880
on it are, but I mean, still.

552
00:32:49,880 --> 00:32:56,320
I really last week, one of my patients said, my primary care doctor rolled their eyes and

553
00:32:56,320 --> 00:32:59,640
said, you're what you eat has no impact on your health.

554
00:32:59,640 --> 00:33:02,760
They actually said that out loud.

555
00:33:02,760 --> 00:33:03,760
That's my goal.

556
00:33:03,760 --> 00:33:07,000
I don't understand how somebody can study biochemistry and come to that inclusion.

557
00:33:07,000 --> 00:33:15,720
Like I just, I don't understand.

558
00:33:15,720 --> 00:33:20,640
You are listening to Airway First with today's guest, Dr. Becky Andrews.

559
00:33:20,640 --> 00:33:24,160
You can find out more about the Children's Airway First Foundation and our mission to

560
00:33:24,160 --> 00:33:29,080
ensure that every child has access to screening, evaluation and treatment of all children's

561
00:33:29,080 --> 00:33:35,960
airway disorders before the age of six on our website at childrensairwayfirst.org.

562
00:33:35,960 --> 00:33:40,520
You can also find a ton of great resources for parents on our website, including videos,

563
00:33:40,520 --> 00:33:45,600
blogs, recommended books, comprehensive medical research and more.

564
00:33:45,600 --> 00:33:51,440
As a reminder, this podcast and the opinions expressed here are not a medical diagnosis.

565
00:33:51,440 --> 00:33:55,880
If you suspect your child might have an airway issue, contact your pediatric airway dentist

566
00:33:55,880 --> 00:33:58,040
or pediatrician.

567
00:33:58,040 --> 00:34:01,400
And now back to my interview with Dr. Becky Andrews.

568
00:34:01,400 --> 00:34:17,200
By the way, I'd like to give my doctor a shout out because he does not say these kind of

569
00:34:17,200 --> 00:34:18,200
things.

570
00:34:18,200 --> 00:34:19,200
I think I'm very fortunate.

571
00:34:19,200 --> 00:34:23,320
And I feel like more and more that is going away.

572
00:34:23,320 --> 00:34:27,640
I mean, I think more and more medical schools are starting to incorporate at least a shout

573
00:34:27,640 --> 00:34:33,080
out to nutrition and a shout out to how nutrients impact your health and that they're actually

574
00:34:33,080 --> 00:34:34,080
important.

575
00:34:34,080 --> 00:34:39,120
You know, I think that also a lot of medical doctors have a whole lot less biochemistry

576
00:34:39,120 --> 00:34:41,920
training than we think they do.

577
00:34:41,920 --> 00:34:43,160
Yeah.

578
00:34:43,160 --> 00:34:48,400
Like there are some, so I mean, just going back to that first question about like what

579
00:34:48,400 --> 00:34:52,280
makes you different than a medical doctor, like the amount of education I have is almost

580
00:34:52,280 --> 00:34:54,640
double that of a medical doctor.

581
00:34:54,640 --> 00:34:58,960
So where, you know, they might get 15 or 18 hours of biochemistry training.

582
00:34:58,960 --> 00:35:00,520
I had a full year.

583
00:35:00,520 --> 00:35:01,520
Right.

584
00:35:01,520 --> 00:35:08,040
They might have 18 or 20 hours of gross anatomy where they walked into a lab where the bodies

585
00:35:08,040 --> 00:35:12,360
were already dissected and they went, hmm, yes, I see, I see the structure.

586
00:35:12,360 --> 00:35:16,760
Whereas I had a year and I had dissected whole human being by myself.

587
00:35:16,760 --> 00:35:22,440
I mean, the difference in what you learn during those two processes is huge.

588
00:35:22,440 --> 00:35:23,440
It's huge.

589
00:35:23,440 --> 00:35:24,440
It's huge.

590
00:35:24,440 --> 00:35:29,680
Let's pick up on that food part because again, one of the things that people are going to

591
00:35:29,680 --> 00:35:38,360
notice when they come to a naturopathic doctor website versus a traditional Western medicine

592
00:35:38,360 --> 00:35:41,320
doctor website is in the blog.

593
00:35:41,320 --> 00:35:42,840
You talk a lot about food.

594
00:35:42,840 --> 00:35:45,920
I like the kale doctor.

595
00:35:45,920 --> 00:35:49,480
Even like every other post is how to make another form of kale.

596
00:35:49,480 --> 00:35:50,480
Right.

597
00:35:50,480 --> 00:35:51,480
Kale.

598
00:35:51,480 --> 00:35:52,720
We love kale.

599
00:35:52,720 --> 00:36:02,040
So you do talk a lot about that and food and environment, obviously both can impact a child,

600
00:36:02,040 --> 00:36:05,240
but it actually impacts the brain as well.

601
00:36:05,240 --> 00:36:06,240
Oh, yes.

602
00:36:06,240 --> 00:36:07,240
Yes.

603
00:36:07,240 --> 00:36:13,760
I mean, not to be horrifically cliche, but it actually is true that we are what we eat

604
00:36:13,760 --> 00:36:15,920
in a very literal sense.

605
00:36:15,920 --> 00:36:22,920
Every single molecule in our entire body, every bone, every muscle, every cell, every

606
00:36:22,920 --> 00:36:30,320
nerve, every enzyme, it all, 100% of it comes from food.

607
00:36:30,320 --> 00:36:31,320
All of it.

608
00:36:31,320 --> 00:36:32,880
It didn't come from the heart of us.

609
00:36:32,880 --> 00:36:35,360
It is all from food.

610
00:36:35,360 --> 00:36:36,880
Every bit of it is built from that.

611
00:36:36,880 --> 00:36:44,000
So if you don't give yourself the raw materials, you can't build a healthy brain.

612
00:36:44,000 --> 00:36:51,800
So I think a lot of people don't realize our brain is mostly, this is gross, but it's

613
00:36:51,800 --> 00:36:54,280
mostly a bag of fat waiting to go rancid.

614
00:36:54,280 --> 00:36:56,520
So we need antioxidants.

615
00:36:56,520 --> 00:37:02,160
We need a wide variety of healthy, unoxidized fats.

616
00:37:02,160 --> 00:37:07,120
So I've had people's doctors tell them to go on a fat-free diet.

617
00:37:07,120 --> 00:37:10,040
I'm like, what is this, 1975?

618
00:37:10,040 --> 00:37:15,840
That's not a thing anymore.

619
00:37:15,840 --> 00:37:18,320
You can't have a healthy nervous system.

620
00:37:18,320 --> 00:37:25,680
I have a patient that has a brain injury, severe, severe concussion, and she suddenly

621
00:37:25,680 --> 00:37:28,960
developed obesity after her head injury.

622
00:37:28,960 --> 00:37:34,720
This is a known thing because the head injury was close enough to the middle of her brain

623
00:37:34,720 --> 00:37:38,160
that it affected her pituitary gland.

624
00:37:38,160 --> 00:37:44,160
And that regulates, there's, there's, our date regulation resides in that among lots

625
00:37:44,160 --> 00:37:47,360
of other things, right?

626
00:37:47,360 --> 00:37:52,000
Also turns out we just found out that she's living in a moldy house.

627
00:37:52,000 --> 00:37:59,480
So she has a perfect storm of she's, every day she's being poisoned with neuro-toxic

628
00:37:59,480 --> 00:38:06,560
chemicals, chemicals that are literally used by the military as nerve agents.

629
00:38:06,560 --> 00:38:09,640
She's breathing those in every day.

630
00:38:09,640 --> 00:38:12,200
So that's keeping her from healing.

631
00:38:12,200 --> 00:38:15,880
It's affecting her nervous system and her immune system.

632
00:38:15,880 --> 00:38:23,680
But she, and she is struggling to eat healthy food because she has brain fog and fatigue

633
00:38:23,680 --> 00:38:25,720
and body pain, right?

634
00:38:25,720 --> 00:38:28,320
And so she doesn't have the energy to plan her food.

635
00:38:28,320 --> 00:38:30,880
So what she does, she goes and eats out.

636
00:38:30,880 --> 00:38:31,880
She's got to eat, right?

637
00:38:31,880 --> 00:38:36,880
But her doctor told her to go because she gained weight.

638
00:38:36,880 --> 00:38:39,920
She said, you need to go on a fat free diet.

639
00:38:39,920 --> 00:38:44,880
And I was like, she understands you have a neural, like you've got brain damage that

640
00:38:44,880 --> 00:38:45,880
we're trying to heal.

641
00:38:45,880 --> 00:38:49,920
How are we going to heal that with no fat?

642
00:38:49,920 --> 00:38:54,040
I mean, just stagger the level of stupidity was just staggering.

643
00:38:54,040 --> 00:38:56,680
Like, so this goes back to credit.

644
00:38:56,680 --> 00:38:58,880
She was just like, I don't think that's right.

645
00:38:58,880 --> 00:39:01,720
I was like, you're correct, that is not right.

646
00:39:01,720 --> 00:39:10,040
What you do need to do is flood your body with really high quality, healthy fats.

647
00:39:10,040 --> 00:39:11,040
Natural fats.

648
00:39:11,040 --> 00:39:12,040
Yeah.

649
00:39:12,040 --> 00:39:14,200
So fats occur in nature.

650
00:39:14,200 --> 00:39:20,240
Some of them saturated, some of them cholesterol, some of them non-saturated from plants.

651
00:39:20,240 --> 00:39:22,200
So you want to eat some avocados.

652
00:39:22,200 --> 00:39:23,760
You need to eat some olives.

653
00:39:23,760 --> 00:39:25,480
You need to have some olive oil.

654
00:39:25,480 --> 00:39:32,800
You need to have some almonds and some cashews and some, you know, walnuts and, but also greens

655
00:39:32,800 --> 00:39:40,640
and salads and some healthy free range animals that ate their indigenous natural diet of

656
00:39:40,640 --> 00:39:43,800
bugs and grass, not corn.

657
00:39:43,800 --> 00:39:44,800
Right.

658
00:39:44,800 --> 00:39:45,800
Right.

659
00:39:45,800 --> 00:39:46,800
Or anything else that was injected.

660
00:39:46,800 --> 00:39:54,760
And so this kind of goes back to your comment earlier about the body can heal itself.

661
00:39:54,760 --> 00:39:57,560
If we can remove those obstacles.

662
00:39:57,560 --> 00:39:58,560
Bingo.

663
00:39:58,560 --> 00:40:02,240
And many of these obstacles we're putting there ourselves.

664
00:40:02,240 --> 00:40:03,240
Yeah.

665
00:40:03,240 --> 00:40:04,240
Yeah.

666
00:40:04,240 --> 00:40:09,880
And many of them, we're humans as a group are putting them there, but we're not making

667
00:40:09,880 --> 00:40:11,320
those choices as individuals.

668
00:40:11,320 --> 00:40:15,880
And that's where I feel like a lot of the chemical exposure comes in and a lot of like

669
00:40:15,880 --> 00:40:20,080
the exposure to toxic chemicals from water damage buildings.

670
00:40:20,080 --> 00:40:23,200
Like we're not choosing to have our house be water damaged.

671
00:40:23,200 --> 00:40:29,680
We're not choosing to have that chemical company dump their waste in our water.

672
00:40:29,680 --> 00:40:33,960
We just are not necessarily empowered to stop it.

673
00:40:33,960 --> 00:40:37,320
So we can choose what we put in our mouth.

674
00:40:37,320 --> 00:40:38,320
Yes.

675
00:40:38,320 --> 00:40:39,320
Yes.

676
00:40:39,320 --> 00:40:40,320
Which and do that.

677
00:40:40,320 --> 00:40:41,320
Let me ask a question.

678
00:40:41,320 --> 00:40:47,120
If you have money, if you have the money and the resources, you can choose what you put

679
00:40:47,120 --> 00:40:49,120
in your mouth.

680
00:40:49,120 --> 00:40:50,120
Okay.

681
00:40:50,120 --> 00:40:51,720
Fair enough.

682
00:40:51,720 --> 00:40:59,760
So let me ask just off the cuff question about how do you feel about supplements?

683
00:40:59,760 --> 00:41:01,720
Where you stand on that?

684
00:41:01,720 --> 00:41:06,280
That's a really good question.

685
00:41:06,280 --> 00:41:09,760
And that is my stance has actually evolved over the years.

686
00:41:09,760 --> 00:41:12,520
Actually I was about 20 years into practice.

687
00:41:12,520 --> 00:41:19,360
I am having a lighter.

688
00:41:19,360 --> 00:41:20,960
Sometimes I'm having a lighter hand with supplements.

689
00:41:20,960 --> 00:41:25,840
I am less likely now to tell people they should take something every day for the rest of their

690
00:41:25,840 --> 00:41:26,840
life.

691
00:41:26,840 --> 00:41:31,240
Like I'm much more inclined to say, let's try to get you into balance and then they

692
00:41:31,240 --> 00:41:36,440
can supplement as a prepaid phone card that like we might need to just top you up every

693
00:41:36,440 --> 00:41:38,440
now and then.

694
00:41:38,440 --> 00:41:39,440
Okay.

695
00:41:39,440 --> 00:41:40,440
That way.

696
00:41:40,440 --> 00:41:48,200
Now that said, there is no question that because of the commercial farming techniques,

697
00:41:48,200 --> 00:41:53,520
our soils have less nutrients in them and our food has less nutrients in it than it

698
00:41:53,520 --> 00:41:55,040
did in 1950.

699
00:41:55,040 --> 00:41:57,320
And that is trackable and measurable.

700
00:41:57,320 --> 00:42:02,880
We know that organic food is often 50% more nutritious than conventionally grown produce

701
00:42:02,880 --> 00:42:05,640
of the same sort.

702
00:42:05,640 --> 00:42:12,000
So we are getting less nutrients from our food like to just to start with.

703
00:42:12,000 --> 00:42:14,240
And that's before we find it.

704
00:42:14,240 --> 00:42:18,160
And then if you find food diet, not only are we not getting more nutrients, we are getting

705
00:42:18,160 --> 00:42:21,160
some of the nutrients that we needed.

706
00:42:21,160 --> 00:42:30,000
But some of those refined like refined sugar or refined flour, it actually uses up nutrients

707
00:42:30,000 --> 00:42:32,640
to process it and get it through our body.

708
00:42:32,640 --> 00:42:38,960
So they only ate like white flour, you would deplete yourself of nutrients and that's

709
00:42:38,960 --> 00:42:41,640
it's not as so rapid and so severe.

710
00:42:41,640 --> 00:42:47,680
That's why they fortify those refined foods with vitamins is that so that people don't

711
00:42:47,680 --> 00:42:51,880
develop nutrient deficiencies so fast that they put that they make the connection and

712
00:42:51,880 --> 00:42:52,880
sue the company.

713
00:42:52,880 --> 00:42:53,880
Oh, wow.

714
00:42:53,880 --> 00:43:02,560
But you can if you had unlike if you did, let's say unrefined or unfortified wheat flour

715
00:43:02,560 --> 00:43:09,720
that is so refined that it's white color, you would develop a couple several different

716
00:43:09,720 --> 00:43:15,760
nutrition nutrient deficiencies bad enough to be obviously trackably sick in under a

717
00:43:15,760 --> 00:43:16,760
month.

718
00:43:16,760 --> 00:43:17,760
Wow.

719
00:43:17,760 --> 00:43:20,560
Yeah, that's kind of terrifying.

720
00:43:20,560 --> 00:43:30,080
So if you're a patient, if you're a patient that hypothetically will call her back and

721
00:43:30,080 --> 00:43:31,080
back up.

722
00:43:31,080 --> 00:43:32,080
Yeah.

723
00:43:32,080 --> 00:43:37,880
Let's just say she the girl loves the carbs and she likes bread.

724
00:43:37,880 --> 00:43:44,120
So yeah, she knows she knows the refined white bread is bad.

725
00:43:44,120 --> 00:43:46,760
And she likes to bake and wants to bake her own stuff.

726
00:43:46,760 --> 00:43:54,400
So for that kind of a patient, I mean, what is how do you in a healthy way, bake bread

727
00:43:54,400 --> 00:43:57,160
with knowing what's out there on the shelves right now.

728
00:43:57,160 --> 00:43:59,760
I will make a deal with that person.

729
00:43:59,760 --> 00:44:00,760
Yeah.

730
00:44:00,760 --> 00:44:08,360
Um, Becca, I think I deal with her that she could if she loves to bake, this is a perfect

731
00:44:08,360 --> 00:44:17,040
opportunity to explore traditional baking techniques with with unrefined whole grains

732
00:44:17,040 --> 00:44:19,800
from different parts of the world.

733
00:44:19,800 --> 00:44:30,800
So you could take, let's say a beautiful muffin out of buckwheat flour, almond flour,

734
00:44:30,800 --> 00:44:35,400
coconut flour.

735
00:44:35,400 --> 00:44:40,400
You know, high fiber, high nutrient and gorgeous.

736
00:44:40,400 --> 00:44:41,920
I mean, that's just gorgeous.

737
00:44:41,920 --> 00:44:45,320
And they're, I mean, they're not going to have that ridiculous fluffiness that you get

738
00:44:45,320 --> 00:44:47,840
from refined flour and all that gluten, right?

739
00:44:47,840 --> 00:44:53,320
But they're still really delicious and tender and, and you throw some blueberries in there

740
00:44:53,320 --> 00:44:57,920
and put some organic grass butter on it.

741
00:44:57,920 --> 00:45:00,160
And oh, so good.

742
00:45:00,160 --> 00:45:03,120
So I get to really stay away from the weeks.

743
00:45:03,120 --> 00:45:04,120
Yeah.

744
00:45:04,120 --> 00:45:07,880
I mean, I do not see a random subset of population.

745
00:45:07,880 --> 00:45:14,080
The people that come to see me have self-selected because they're chronically ill and the Western

746
00:45:14,080 --> 00:45:16,120
medical system didn't work for them.

747
00:45:16,120 --> 00:45:19,960
So by default, I'm getting the people that have fallen through the cracks where there's

748
00:45:19,960 --> 00:45:22,480
something extra going on, right?

749
00:45:22,480 --> 00:45:28,800
So that means that everything that I've seen in my practice is biased, dramatically biased,

750
00:45:28,800 --> 00:45:29,800
right?

751
00:45:29,800 --> 00:45:34,080
Um, but, but, but from that point of bias, I would say that, you know, I'm not going

752
00:45:34,080 --> 00:45:40,120
to say 90% of my patients get 90% better when they take gluten and dairy out of their diet.

753
00:45:40,120 --> 00:45:41,120
Just gluten and dairy.

754
00:45:41,120 --> 00:45:42,120
Just right out of the get go.

755
00:45:42,120 --> 00:45:43,120
Start there.

756
00:45:43,120 --> 00:45:44,120
Yeah.

757
00:45:44,120 --> 00:45:45,120
That's amazing to me.

758
00:45:45,120 --> 00:45:47,520
It's, it has gone to the point where I'm just like, this is standard issue.

759
00:45:47,520 --> 00:45:50,600
You want to work with me, you're going to spend a month gluten and dairy free and you're,

760
00:45:50,600 --> 00:45:51,600
then you're going to come back.

761
00:45:51,600 --> 00:45:56,480
And, and I'm going to give you support for your neurotransmitters because at this point,

762
00:45:56,480 --> 00:45:59,960
everyone is anxious and depressed because we feel like it's the end of the world.

763
00:45:59,960 --> 00:46:03,360
Like on some level, everybody on the planet is in fight or flight right now.

764
00:46:03,360 --> 00:46:05,720
And when you're in fight or flight, nothing else works.

765
00:46:05,720 --> 00:46:06,720
Right.

766
00:46:06,720 --> 00:46:07,720
Right.

767
00:46:07,720 --> 00:46:11,440
Oh, I like everybody is now, let me treat your fight or flight and go gluten and dairy

768
00:46:11,440 --> 00:46:14,480
free for four weeks, come back and tell me what happened.

769
00:46:14,480 --> 00:46:16,040
And you know what?

770
00:46:16,040 --> 00:46:19,000
Everybody comes back and they're like, Oh my gosh, I'm pooping again.

771
00:46:19,000 --> 00:46:20,320
I'm sleeping again.

772
00:46:20,320 --> 00:46:23,440
I'm not consumed with negative thoughts of the apocalypse.

773
00:46:23,440 --> 00:46:29,320
I, you know, like all these things have changed because that inflammation is gone because

774
00:46:29,320 --> 00:46:30,320
of that.

775
00:46:30,320 --> 00:46:34,000
They're brain inflammation is gone, their gut inflammation is gone, their sinus issues

776
00:46:34,000 --> 00:46:38,680
are gone, their ear issues are gone, the gut pain is gone, the reflux is gone, the back

777
00:46:38,680 --> 00:46:41,840
pain is gone, the knee pain is gone because right.

778
00:46:41,840 --> 00:46:45,200
And their depression is gone, their anxiety is gone, they're sleeping and now their brain

779
00:46:45,200 --> 00:46:46,560
fog is gone.

780
00:46:46,560 --> 00:46:51,200
And all of that was just taking away the foods that were causing.

781
00:46:51,200 --> 00:46:52,200
Those two things.

782
00:46:52,200 --> 00:46:53,200
Yeah.

783
00:46:53,200 --> 00:46:55,440
And now I'd obviously for a child with an alley.

784
00:46:55,440 --> 00:46:56,440
We got off track.

785
00:46:56,440 --> 00:46:59,760
We were going to talk about the nutrients in the foods.

786
00:46:59,760 --> 00:47:02,640
We were, but, but nope, you're good.

787
00:47:02,640 --> 00:47:03,840
And we'll circle back to that.

788
00:47:03,840 --> 00:47:07,840
But you know, just kind of talking about what we take out, you know, something as simple

789
00:47:07,840 --> 00:47:12,280
as that, obviously it's not going to your course correct.

790
00:47:12,280 --> 00:47:14,320
There's not a firm, the jaw, that kind of thing.

791
00:47:14,320 --> 00:47:20,000
You know, that's a different treatment course, but for a child with an airway disorder that

792
00:47:20,000 --> 00:47:27,280
doesn't sleep that has ADHD, could something as simple as taking gluten and dairy out just

793
00:47:27,280 --> 00:47:33,080
to start with and working with, you know, a naturopathic doctor such as yourself, help

794
00:47:33,080 --> 00:47:36,520
with the information that might just open up the airway, something, get them at least

795
00:47:36,520 --> 00:47:37,520
some relief.

796
00:47:37,520 --> 00:47:39,880
It's, it is ADHD 101.

797
00:47:39,880 --> 00:47:40,880
Got it.

798
00:47:40,880 --> 00:47:45,680
Gluten free, dairy free, sugar free.

799
00:47:45,680 --> 00:47:47,280
And that's hard for children.

800
00:47:47,280 --> 00:47:52,560
If they've already, if they, if they get sugar developed, introduced really early, their

801
00:47:52,560 --> 00:47:54,640
brain evolves.

802
00:47:54,640 --> 00:48:01,760
I think, I don't actually, I could be wrong about this, but I think that what happens

803
00:48:01,760 --> 00:48:07,480
to the brain is very similar to what would happen to a baby who is exposed to cocaine

804
00:48:07,480 --> 00:48:09,720
or heroin and utero.

805
00:48:09,720 --> 00:48:16,240
Is that you develop, it's probably closer to heroin, but you develop addiction pathways

806
00:48:16,240 --> 00:48:18,320
in the developing brain.

807
00:48:18,320 --> 00:48:21,600
If there's, so there will be withdrawal of some kind.

808
00:48:21,600 --> 00:48:26,760
And it's, it can be really traumatic for children to go off of white sugar once they, once it's

809
00:48:26,760 --> 00:48:28,760
been introduced.

810
00:48:28,760 --> 00:48:29,760
Oh.

811
00:48:29,760 --> 00:48:30,760
Yeah.

812
00:48:30,760 --> 00:48:35,360
So, but that doesn't mean you shouldn't do it while you still have control over what

813
00:48:35,360 --> 00:48:36,360
the children are eating.

814
00:48:36,360 --> 00:48:37,360
Right.

815
00:48:37,360 --> 00:48:38,360
Right.

816
00:48:38,360 --> 00:48:39,360
Because we're talking long term.

817
00:48:39,360 --> 00:48:40,360
We're talking long term.

818
00:48:40,360 --> 00:48:43,960
Is that in the days where your child has turned into a demon and they're screaming at the

819
00:48:43,960 --> 00:48:44,960
top of their lungs?

820
00:48:44,960 --> 00:48:45,960
No.

821
00:48:45,960 --> 00:48:47,800
It's going to be horrible.

822
00:48:47,800 --> 00:48:49,680
But do not get in.

823
00:48:49,680 --> 00:48:50,680
Right.

824
00:48:50,680 --> 00:48:51,680
The earplugs.

825
00:48:51,680 --> 00:48:56,160
Make some zucchini bread and yeah.

826
00:48:56,160 --> 00:48:59,920
Or do it slowly, you know, like wean it slowly.

827
00:48:59,920 --> 00:49:04,080
There's, there's a lot of different approaches.

828
00:49:04,080 --> 00:49:08,600
But yeah, like I said, there's, there's, there's multiple factors going on here.

829
00:49:08,600 --> 00:49:13,080
There's the inflammation from things in gluten and dairy that aren't particularly compatible

830
00:49:13,080 --> 00:49:15,040
to most human bodies.

831
00:49:15,040 --> 00:49:19,480
There's the lack of nutrients and refined wheat.

832
00:49:19,480 --> 00:49:21,840
There's the lack of fiber for chewing.

833
00:49:21,840 --> 00:49:26,080
So we like all of those are hitting airway in different ways.

834
00:49:26,080 --> 00:49:27,080
So dairy.

835
00:49:27,080 --> 00:49:28,560
It's a perfect storm.

836
00:49:28,560 --> 00:49:29,560
Yeah.

837
00:49:29,560 --> 00:49:34,920
Dairy very often and I would say maybe gluten a quarter of the time, but dairy almost 100%

838
00:49:34,920 --> 00:49:38,560
of the time makes all these membranes puppy, all the membranes.

839
00:49:38,560 --> 00:49:40,440
I'm pointing because I keep thinking.

840
00:49:40,440 --> 00:49:41,440
Right.

841
00:49:41,440 --> 00:49:42,760
She's pointing up to her jaw and everything.

842
00:49:42,760 --> 00:49:43,760
Yeah.

843
00:49:43,760 --> 00:49:48,720
That makes the nose and the sinus and the throat and the tongue and the mouth and the

844
00:49:48,720 --> 00:49:49,720
lungs.

845
00:49:49,720 --> 00:49:52,600
It makes all of that a little bit puffy.

846
00:49:52,600 --> 00:49:56,440
Dairy does that reliably and it produces more mucus.

847
00:49:56,440 --> 00:50:01,720
And I would say in a quarter to maybe half of people gluten does something similar.

848
00:50:01,720 --> 00:50:07,880
And so yes, you're taking an already narrow airway and then you're adding a millimeter,

849
00:50:07,880 --> 00:50:09,280
you know, maybe two millimeters.

850
00:50:09,280 --> 00:50:14,440
If it swells by a quarter of a millimeter all the way around, I mean, quarter of a millimeter

851
00:50:14,440 --> 00:50:16,000
is not very much, right?

852
00:50:16,000 --> 00:50:20,520
But if you do that all the way around this circumference of stuff, you've now lost more

853
00:50:20,520 --> 00:50:23,360
than a millimeter in diameter.

854
00:50:23,360 --> 00:50:27,240
And if it swells a whole millimeter, that too is closed.

855
00:50:27,240 --> 00:50:28,240
Right.

856
00:50:28,240 --> 00:50:33,140
So here, so just for me inflammatory standpoint, right?

857
00:50:33,140 --> 00:50:36,440
And then there's the development pieces and all the other bits.

858
00:50:36,440 --> 00:50:41,120
And then when it comes to ADHD, not only like you've got the oxygen deprivation piece from

859
00:50:41,120 --> 00:50:47,280
the airway problem, but you also have the inflammation in the brain from the gluten

860
00:50:47,280 --> 00:50:50,280
and the irritating molecules in gluten and dairy.

861
00:50:50,280 --> 00:50:51,280
Right.

862
00:50:51,280 --> 00:50:52,680
So you've got both of those pieces.

863
00:50:52,680 --> 00:50:56,880
And then if you've also got sugar, you've got blood sugar going like this and they're

864
00:50:56,880 --> 00:51:01,360
going to like, they're getting high and then withdrawing and high and withdrawing over

865
00:51:01,360 --> 00:51:03,000
and over and over again.

866
00:51:03,000 --> 00:51:08,920
And so how could we possibly expect a child in that situation to focus?

867
00:51:08,920 --> 00:51:09,920
Right.

868
00:51:09,920 --> 00:51:13,680
I don't know about any other parents listening, but I can tell you as a mom, I want to go

869
00:51:13,680 --> 00:51:16,080
through my kitchen right now and just pull everything.

870
00:51:16,080 --> 00:51:17,080
Yeah.

871
00:51:17,080 --> 00:51:18,080
So, yeah.

872
00:51:18,080 --> 00:51:26,480
I just want to tell people like, imagine that you are now living in a bamboo hut in the

873
00:51:26,480 --> 00:51:30,680
middle of the jungle and you've got to go out and forage your food.

874
00:51:30,680 --> 00:51:31,680
Right.

875
00:51:31,680 --> 00:51:35,200
Think like we think you're focusing on.

876
00:51:35,200 --> 00:51:36,200
Yeah.

877
00:51:36,200 --> 00:51:42,120
Or take yourself back in time to the 1950s when everybody was still growing their victory

878
00:51:42,120 --> 00:51:49,760
gardens and every household in the suburbs in America had a vegetable garden in the yard.

879
00:51:49,760 --> 00:51:55,320
So for people that can't do that, what do you think about frozen vegetables?

880
00:51:55,320 --> 00:51:56,320
That's still going to be in that process?

881
00:51:56,320 --> 00:51:57,720
Oh, no, those are good.

882
00:51:57,720 --> 00:51:58,720
Yeah.

883
00:51:58,720 --> 00:51:59,720
Yeah.

884
00:51:59,720 --> 00:52:01,640
I mean, it does break down.

885
00:52:01,640 --> 00:52:08,000
They'll get a little mushier, but frozen is a great option because they're often barely

886
00:52:08,000 --> 00:52:10,320
cooked if they're cooked in a...

887
00:52:10,320 --> 00:52:11,320
Okay.

888
00:52:11,320 --> 00:52:12,320
Yeah.

889
00:52:12,320 --> 00:52:14,680
And if it's frozen or nothing, frozen's great.

890
00:52:14,680 --> 00:52:16,800
It's better than the other.

891
00:52:16,800 --> 00:52:21,080
I myself am living in a tiny little cave of an apartment right now and I haven't gotten

892
00:52:21,080 --> 00:52:23,280
to garden in years and I really miss it.

893
00:52:23,280 --> 00:52:29,600
And I actually find that I feel I have a level of anxiety that I don't...

894
00:52:29,600 --> 00:52:35,240
Now that I don't have when I've got enough space to have a little bit of a garden and

895
00:52:35,240 --> 00:52:38,440
you can do a lot of gardening in a very small...

896
00:52:38,440 --> 00:52:39,440
In a small space.

897
00:52:39,440 --> 00:52:40,440
Yes, you can.

898
00:52:40,440 --> 00:52:41,440
Yeah.

899
00:52:41,440 --> 00:52:44,240
You can grow a lot of food in a really small space.

900
00:52:44,240 --> 00:52:46,280
Just talk to all my people in Great Britain.

901
00:52:46,280 --> 00:52:53,200
I mean, they have mastered, you know, lots of foods in these tiny little gardens.

902
00:52:53,200 --> 00:52:59,960
So going back to... I mean, we touched on... Obviously, you're seeing more patients with

903
00:52:59,960 --> 00:53:07,760
airway issues and this is that third generation coming through, which I think I understand

904
00:53:07,760 --> 00:53:12,560
that.

905
00:53:12,560 --> 00:53:15,720
I tend to be more optimistic and that's part of why CAF is here.

906
00:53:15,720 --> 00:53:16,880
We don't think it's too late, right?

907
00:53:16,880 --> 00:53:17,880
Right.

908
00:53:17,880 --> 00:53:18,880
Children's Airway First Things.

909
00:53:18,880 --> 00:53:23,800
There is still an opportunity to turn this ship around and fix this.

910
00:53:23,800 --> 00:53:30,720
And I think one of the things that we advocate for is this whole cross-functional approach.

911
00:53:30,720 --> 00:53:32,800
Yes.

912
00:53:32,800 --> 00:53:36,520
So from your perspective, how can we benefit from that?

913
00:53:36,520 --> 00:53:39,000
And then how do we even get this structured?

914
00:53:39,000 --> 00:53:40,080
Thanks.

915
00:53:40,080 --> 00:53:46,920
I honestly don't know how we shift such a deeply seated paradigm as our broken medical

916
00:53:46,920 --> 00:53:47,920
system.

917
00:53:47,920 --> 00:53:54,080
But what I can say is that it's broken in different ways and different amounts in different

918
00:53:54,080 --> 00:53:55,080
states.

919
00:53:55,080 --> 00:53:59,720
So I mean, one of the upsides of the bizarre situation of the United States essentially

920
00:53:59,720 --> 00:54:05,920
being 50 separate countries is that you actually have quite different medical systems in different

921
00:54:05,920 --> 00:54:07,280
states.

922
00:54:07,280 --> 00:54:12,880
And so, you know, one of the things I think we could do is start by looking at the states

923
00:54:12,880 --> 00:54:15,200
that have more integrative models.

924
00:54:15,200 --> 00:54:19,760
And surprise, surprise, those are the states that have been licensing naturopathic doctors

925
00:54:19,760 --> 00:54:21,320
since the 1920s.

926
00:54:21,320 --> 00:54:23,600
Like Washington, for example.

927
00:54:23,600 --> 00:54:24,600
Like Washington.

928
00:54:24,600 --> 00:54:25,600
Or again.

929
00:54:25,600 --> 00:54:26,600
Yeah.

930
00:54:26,600 --> 00:54:29,760
They've been licensed since 1919 and 1935.

931
00:54:29,760 --> 00:54:32,760
And Vermont was really close after that.

932
00:54:32,760 --> 00:54:35,400
So, you know, people think naturopathic doctors are new.

933
00:54:35,400 --> 00:54:36,400
We're not.

934
00:54:36,400 --> 00:54:38,440
We actually predate medical doctors.

935
00:54:38,440 --> 00:54:41,000
We are the original doctors in the United States.

936
00:54:41,000 --> 00:54:46,280
We got almost wiped out in the 1920s.

937
00:54:46,280 --> 00:54:53,560
Whole other story, but in the states where naturopathic doctors have always been part

938
00:54:53,560 --> 00:55:03,040
of the system and the whole medical system evolved with holistic integrative doctors

939
00:55:03,040 --> 00:55:09,080
with a holistic integrative approach as part of they were always part of the medical system.

940
00:55:09,080 --> 00:55:11,640
Those systems are a little bit different.

941
00:55:11,640 --> 00:55:12,840
They look different.

942
00:55:12,840 --> 00:55:13,960
They work differently.

943
00:55:13,960 --> 00:55:19,400
So, you know, in Vermont, a naturopathic doctor, an acupuncturist and such, they're

944
00:55:19,400 --> 00:55:22,920
all covered by Medicare and Medicaid.

945
00:55:22,920 --> 00:55:31,240
And like you're in Washington and Oregon and Vermont, most, not most, but it is completely

946
00:55:31,240 --> 00:55:37,680
normal to have a naturopathic doctor as your primary care doctor.

947
00:55:37,680 --> 00:55:40,800
And like in Washington state, they piloted a program.

948
00:55:40,800 --> 00:55:46,240
It was probably close to 10 or 15 years ago called the Blue Ribbon Commission was, and

949
00:55:46,240 --> 00:55:50,640
I wish I knew more of the details of it, but it was called the Blue Ribbon Commission.

950
00:55:50,640 --> 00:55:57,160
And one of the things they were looking at as naturopathic care as a medical home and

951
00:55:57,160 --> 00:56:00,840
the medical home model versus primary care model.

952
00:56:00,840 --> 00:56:06,800
And medical care is, I think what primary care was originally supposed to be, but evolved

953
00:56:06,800 --> 00:56:13,120
out of medical home is that you have one practitioner that truly quarterbacks and coordinates all

954
00:56:13,120 --> 00:56:14,120
of your care.

955
00:56:14,120 --> 00:56:19,280
So, you have one practitioner who you have a long-term relationship with and they mostly

956
00:56:19,280 --> 00:56:25,080
take care of everything for you and only refer you out for the things that they can't do.

957
00:56:25,080 --> 00:56:27,880
But even when they refer you out, it's still coordinating.

958
00:56:27,880 --> 00:56:30,880
They're all together working together sharing information.

959
00:56:30,880 --> 00:56:34,800
They're talking to that practitioner and sharing information.

960
00:56:34,800 --> 00:56:40,120
And so, they really tried a lot in Washington to make a system like that.

961
00:56:40,120 --> 00:56:45,160
I think that the digital infrastructure became a problem.

962
00:56:45,160 --> 00:56:50,920
And you and I have talked about my secret desire to participate in fixing the digital

963
00:56:50,920 --> 00:56:54,080
infrastructure of medicine so that it's not as broken.

964
00:56:54,080 --> 00:57:00,840
But, yeah, I think that there are models close to where we might need to be, but I think

965
00:57:00,840 --> 00:57:10,960
a lot of it means letting go of the fragmentation in medicine and having changing the funding

966
00:57:10,960 --> 00:57:13,320
and reimbursement in medicine.

967
00:57:13,320 --> 00:57:17,600
I hate to keep coming back down to money, but it drives everything in our company.

968
00:57:17,600 --> 00:57:18,600
It does.

969
00:57:18,600 --> 00:57:19,600
Yeah.

970
00:57:19,600 --> 00:57:20,760
So, the way insurance is set up is...

971
00:57:20,760 --> 00:57:24,920
The way insurance is set up is the primary care doctor gets paid very, very little.

972
00:57:24,920 --> 00:57:29,480
And so, in order to survive, they have to do very little.

973
00:57:29,480 --> 00:57:36,040
But if instead the primary care doctors get paid the most per visit, and then they can

974
00:57:36,040 --> 00:57:41,320
spend a lot more time with their patient, and they can also...

975
00:57:41,320 --> 00:57:46,560
Their clinic or their staff get reimbursed for the time it takes to do all that coordination

976
00:57:46,560 --> 00:57:51,040
of care, which let me tell you takes a lot of time.

977
00:57:51,040 --> 00:57:54,760
It's getting on the phone and waiting on hold and connecting with another office.

978
00:57:54,760 --> 00:57:58,960
I mean, it is labor-intensive to coordinate.

979
00:57:58,960 --> 00:58:04,600
And it's labor-intensive for all the practitioners in a coordinated care team.

980
00:58:04,600 --> 00:58:06,160
They have to have...

981
00:58:06,160 --> 00:58:12,720
The time has to be created for them to actually sit down and review notes and stuff like that

982
00:58:12,720 --> 00:58:16,400
and get themselves up to the peak.

983
00:58:16,400 --> 00:58:19,640
That takes time that currently does not exist.

984
00:58:19,640 --> 00:58:21,320
It's not that they're not being paid for it.

985
00:58:21,320 --> 00:58:23,440
The time's literally not there.

986
00:58:23,440 --> 00:58:26,520
I mean, they're already working 100 hours a week.

987
00:58:26,520 --> 00:58:29,240
They can't cram in another extra 50.

988
00:58:29,240 --> 00:58:31,040
It's not possible.

989
00:58:31,040 --> 00:58:38,000
So the whole reimbursement structure needs to be changed so that those pieces, all those

990
00:58:38,000 --> 00:58:43,480
administrative pieces that have to happen for good coordinated care to happen, it has to

991
00:58:43,480 --> 00:58:44,480
get reimbursed.

992
00:58:44,480 --> 00:58:45,480
Yeah.

993
00:58:45,480 --> 00:58:52,800
So at the end of every segment, I always ask our guests the same question.

994
00:58:52,800 --> 00:58:57,720
And I'd like to open this up to you at this point.

995
00:58:57,720 --> 00:59:08,200
So what would you like to tell parents of children who have a diagnosed or an undiagnosed

996
00:59:08,200 --> 00:59:10,200
airway dysfunction?

997
00:59:10,200 --> 00:59:16,000
I don't know because I don't work with children.

998
00:59:16,000 --> 00:59:17,000
I guess.

999
00:59:17,000 --> 00:59:21,400
I mean, the first thing I would probably do is send them to the CAF's website because

1000
00:59:21,400 --> 00:59:27,320
we are starting to accumulate probably the only, not just the best, but the only hub

1001
00:59:27,320 --> 00:59:28,920
or resources.

1002
00:59:28,920 --> 00:59:34,520
So I would want to educate them on if they're under six years old, there are things that

1003
00:59:34,520 --> 00:59:40,040
can be done quickly and rapidly, and we can actually change the physical structure of

1004
00:59:40,040 --> 00:59:46,520
the airway and improve it before it has to require really expensive, extensive surgery

1005
00:59:46,520 --> 00:59:47,720
and stuff like that.

1006
00:59:47,720 --> 00:59:56,120
So I would really want them to find out who those specialists are and do whatever it takes

1007
00:59:56,120 --> 00:59:57,840
to get that kind of care.

1008
00:59:57,840 --> 01:00:03,440
Because I do really, as much as we talked about the nutrients and stuff like that, I'm

1009
01:00:03,440 --> 01:00:09,000
a big believer in the integrity of fixing structure.

1010
01:00:09,000 --> 01:00:12,720
When structure is not correct, it impacts a lot of things.

1011
01:00:12,720 --> 01:00:13,720
And airways.

1012
01:00:13,720 --> 01:00:19,400
So I'm a big fan of structural correction when it can happen, especially if it can happen

1013
01:00:19,400 --> 01:00:22,160
as something's being molded and formed.

1014
01:00:22,160 --> 01:00:23,960
Which is before the age of six.

1015
01:00:23,960 --> 01:00:24,960
Exactly.

1016
01:00:24,960 --> 01:00:30,640
So I think I would definitely just be like, you need to go talk to these people, get lined

1017
01:00:30,640 --> 01:00:33,880
up, do whatever it takes to get to one of these experts.

1018
01:00:33,880 --> 01:00:38,840
Probably almost none of them are local, but it is worth it for the rest of your child's

1019
01:00:38,840 --> 01:00:42,840
well-being for the rest of their life to get this done before age six.

1020
01:00:42,840 --> 01:00:46,280
And then I would also talk to them about all the diet and nutrient things.

1021
01:00:46,280 --> 01:00:51,200
Make sure the kids getting these nutrients, do whatever it takes to get kale and broccoli

1022
01:00:51,200 --> 01:00:53,880
into your kid.

1023
01:00:53,880 --> 01:00:58,560
And if they won't chew those, find something else for them that they can chew.

1024
01:00:58,560 --> 01:01:02,880
If you have to puree their vegetables into a smoothie, fine.

1025
01:01:02,880 --> 01:01:04,360
But they also need to chew.

1026
01:01:04,360 --> 01:01:06,960
To build the muscle structure.

1027
01:01:06,960 --> 01:01:08,240
To build the muscle structure.

1028
01:01:08,240 --> 01:01:13,520
So I would talk to them about all of those things, about the nutrients and when possible

1029
01:01:13,520 --> 01:01:17,160
avoiding refined foods, getting them off of sugar.

1030
01:01:17,160 --> 01:01:21,560
Sugar and refined flour are basically what we learned from Western Price are the big

1031
01:01:21,560 --> 01:01:27,120
culprits in that palate getting narrower as the kid develops.

1032
01:01:27,120 --> 01:01:32,440
So it can start as wide and become narrow from those foods.

1033
01:01:32,440 --> 01:01:37,840
So just get off that refined garbage as much as possible.

1034
01:01:37,840 --> 01:01:41,280
So I think that's what I'd probably say.

1035
01:01:41,280 --> 01:01:42,280
That's awesome.

1036
01:01:42,280 --> 01:01:44,400
Thank you so much for being here Dr. Andrews.

1037
01:01:44,400 --> 01:01:45,920
I appreciate it.

1038
01:01:45,920 --> 01:01:48,120
You're welcome.

1039
01:01:48,120 --> 01:01:53,320
Thanks again to today's guest Dr. Becky Andrews for sharing her medical insight and to each

1040
01:01:53,320 --> 01:01:56,440
of you for listening to today's episode.

1041
01:01:56,440 --> 01:01:59,640
If you're new to our podcast, please don't forget to subscribe.

1042
01:01:59,640 --> 01:02:03,720
And if you enjoyed today's episode, please remember to leave us a review or comment about

1043
01:02:03,720 --> 01:02:06,320
what you enjoyed most.

1044
01:02:06,320 --> 01:02:10,440
We can stay connected with the Children's Airway First Foundation by following us on

1045
01:02:10,440 --> 01:02:15,280
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1046
01:02:15,280 --> 01:02:19,200
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1047
01:02:19,200 --> 01:02:26,680
on our website or send us an email directly at info at childrensairwayfirst.org.

1048
01:02:26,680 --> 01:02:31,160
And finally, thanks to all the parents and medical professionals out there that are working

1049
01:02:31,160 --> 01:02:35,280
to help make the lives of kids around the globe just a little bit better.

1050
01:02:35,280 --> 01:02:38,120
Take care, stay safe, and happy breathing everyone.