1
00:00:00,000 --> 00:00:20,560
Hi everybody, and welcome back to Airway First, the podcast from the Children's Airway

2
00:00:20,560 --> 00:00:21,560
First Foundation.

3
00:00:21,560 --> 00:00:24,200
I'm your host, Rebecca Downey.

4
00:00:24,200 --> 00:00:26,400
My guest today is Daniel Drew.

5
00:00:26,400 --> 00:00:31,560
Daniel, a native of Dover, Delaware, returned to the area to practice speech therapy after

6
00:00:31,560 --> 00:00:37,360
obtaining his master's degree in speech language pathology from MGH Institute of Health

7
00:00:37,360 --> 00:00:38,360
Profession.

8
00:00:38,360 --> 00:00:43,520
Daniel has versed in a variety of settings, including school-based speech therapy, out

9
00:00:43,520 --> 00:00:50,160
patient pediatrics, inpatient rehabilitation hospitals, and acute care settings.

10
00:00:50,160 --> 00:00:54,760
Daniel treats patients at the Center for Airway and Facial Development and Pain and Sleep

11
00:00:54,760 --> 00:00:57,720
Therapy Center in Newark, Delaware.

12
00:00:57,720 --> 00:01:03,840
He is also a speech language pathologist at Bay Health Medical Center in Dover, Delaware.

13
00:01:03,840 --> 00:01:08,920
During the initial COVID-19 pandemic, Daniel saw many of his clients in the hospital setting

14
00:01:08,920 --> 00:01:13,320
were having difficulty meeting their speech and swallowing goals due to high anxiety,

15
00:01:13,320 --> 00:01:14,560
pain, and stress.

16
00:01:14,560 --> 00:01:19,080
He implemented various breathing exercises into his speech therapy sessions in order to

17
00:01:19,080 --> 00:01:24,480
help his patients better participate in their inpatient rehabilitation programs.

18
00:01:24,480 --> 00:01:27,920
This led him to becoming certified in the Boutaiko breathing method.

19
00:01:27,920 --> 00:01:32,160
Daniel's strong desire to learn and broaden his knowledge brought him back to the pediatric

20
00:01:32,160 --> 00:01:37,380
setting after years of work in inpatient rehabilitation hospitals in order to pursue

21
00:01:37,380 --> 00:01:42,520
myofunctional therapy with both adults and children at the Center for Airway and Facial

22
00:01:42,520 --> 00:01:45,040
Development in Newark, Delaware.

23
00:01:45,040 --> 00:01:49,720
His foundation as a medical speech language pathologist makes him uniquely suited to address

24
00:01:49,720 --> 00:01:54,400
common problems that were associated with myofunctional disorders.

25
00:01:54,400 --> 00:01:59,040
In his spare time, Daniel enjoys reading new research in sleep and breathing science,

26
00:01:59,040 --> 00:02:01,800
long distance running, and weightlifting.

27
00:02:01,800 --> 00:02:09,840
You can find out more about Daniel at afdortho.com and by following him on Instagram at Mr. Underscore

28
00:02:09,840 --> 00:02:12,240
Mayo 302.

29
00:02:12,240 --> 00:02:14,960
And now here's my interview with Daniel Drew.

30
00:02:14,960 --> 00:02:15,960
All right.

31
00:02:15,960 --> 00:02:18,520
Thank you so much for joining us today on the broadcast, Daniel.

32
00:02:18,520 --> 00:02:20,720
I really appreciate it.

33
00:02:20,720 --> 00:02:21,840
Thank you so much for having me.

34
00:02:21,840 --> 00:02:23,320
I'm I'm excited.

35
00:02:23,320 --> 00:02:25,240
Yeah, absolutely.

36
00:02:25,240 --> 00:02:30,320
And just to kind of let parents know, and I'll put links and everything in our show notes,

37
00:02:30,320 --> 00:02:36,280
but if they would like to follow you on Instagram, you are Mr. Underscore Mayo 302.

38
00:02:36,280 --> 00:02:42,080
And that's actually where I ran into you was on Instagram, saw what you were doing and

39
00:02:42,080 --> 00:02:43,560
totally fell in love with you.

40
00:02:43,560 --> 00:02:45,360
So thank you so much for being on the show.

41
00:02:45,360 --> 00:02:49,600
I love what you do on social.

42
00:02:49,600 --> 00:02:51,120
Thank you so much for reaching out.

43
00:02:51,120 --> 00:02:52,120
Yeah.

44
00:02:52,120 --> 00:02:53,520
I was excited to hear from you.

45
00:02:53,520 --> 00:02:56,640
I was excited to get some word out.

46
00:02:56,640 --> 00:02:57,640
Yeah.

47
00:02:57,640 --> 00:03:03,000
And that's part of what I really liked is you take a very different approach to getting

48
00:03:03,000 --> 00:03:08,760
the word out and then talking about myopunctional therapy and reading on social media.

49
00:03:08,760 --> 00:03:15,840
So you tie it in with your daily life and humor, which I think is really great.

50
00:03:15,840 --> 00:03:18,400
And that's part of what popped my eye.

51
00:03:18,400 --> 00:03:24,600
So one of the things that you talk about is exercise-based myofunctional therapy.

52
00:03:24,600 --> 00:03:31,280
So let's just start with what that is and just for our jumping off point.

53
00:03:31,280 --> 00:03:32,280
Sure.

54
00:03:32,280 --> 00:03:40,040
Well, so exercise-based myofunctional therapy, I mean, a lot of people, I mean, when they

55
00:03:40,040 --> 00:03:44,640
first hear about myofunctional therapy, when we have to explain them, we kind of explain

56
00:03:44,640 --> 00:03:51,480
it's physical therapy for the muscles of the jaw, the tongue, the lips.

57
00:03:51,480 --> 00:03:55,840
I've been practicing speech language therapy for a very long time.

58
00:03:55,840 --> 00:04:03,560
And what I found with most of my clients, actually, was that they needed to practice,

59
00:04:03,560 --> 00:04:07,560
they needed to do the exercises two to three times a day.

60
00:04:07,560 --> 00:04:14,560
And when I saw, when I'm working with children and when I saw working with adults is those

61
00:04:14,560 --> 00:04:23,880
persons who worked on those exercises, and I could tell based on how patient and based

62
00:04:23,880 --> 00:04:29,000
on changes in function, I could tell that they were doing these exercises.

63
00:04:29,000 --> 00:04:33,920
And these were the people who I saw were having the most progress.

64
00:04:33,920 --> 00:04:38,040
So I very much stress the exercise component.

65
00:04:38,040 --> 00:04:43,880
It's not just doing exercise, but also stretches, massages.

66
00:04:43,880 --> 00:04:49,080
But so that's kind of how I like to delineate myself a little bit.

67
00:04:49,080 --> 00:04:54,080
Not so much as a myofunctional therapist, but as a speech therapist, I think that myofunctional

68
00:04:54,080 --> 00:05:04,400
therapy is like just a great foundation for good speech therapy, having good range of

69
00:05:04,400 --> 00:05:15,360
motion, good strength, and loosening up tight tissues that are restricting.

70
00:05:15,360 --> 00:05:20,200
And so that's kind of where the exercise based myofunctional therapy comes from.

71
00:05:20,200 --> 00:05:22,480
All right.

72
00:05:22,480 --> 00:05:29,800
And why did you choose on social media to take such a different perspective as far as

73
00:05:29,800 --> 00:05:31,840
getting your message out there?

74
00:05:31,840 --> 00:05:40,800
Well, when it comes to with humor, I guess, you know, people want to, they don't want

75
00:05:40,800 --> 00:05:42,360
to be lectured at.

76
00:05:42,360 --> 00:05:44,160
We know that, right?

77
00:05:44,160 --> 00:05:48,880
Patients during sessions don't want to be lectured at.

78
00:05:48,880 --> 00:05:51,320
They want things to be fun.

79
00:05:51,320 --> 00:05:52,920
They want to learn.

80
00:05:52,920 --> 00:05:55,080
And they want to laugh.

81
00:05:55,080 --> 00:06:00,240
What I'm learning, I mean, I'm 35, not the youngest person, not the oldest.

82
00:06:00,240 --> 00:06:05,080
But what I'm learning is that the attention span is sometimes pretty limited.

83
00:06:05,080 --> 00:06:07,640
So you got to put something out there funny.

84
00:06:07,640 --> 00:06:11,200
And that's how you'll kind of get people's attention.

85
00:06:11,200 --> 00:06:18,000
And so I'm also getting, I would say, a little bit more comfortable with myself in front of

86
00:06:18,000 --> 00:06:25,000
a camera, which is, you know, and the way that I do that is some nervous laughter, probably

87
00:06:25,000 --> 00:06:26,080
to start.

88
00:06:26,080 --> 00:06:30,200
And then a little bit more, you know, let's like really make this fun.

89
00:06:30,200 --> 00:06:38,760
Like talk with a silly voice, you know, post everyday problems that you have in the home

90
00:06:38,760 --> 00:06:45,760
and how you can do breathing exercises while you're doing your household chores or while

91
00:06:45,760 --> 00:06:51,960
you're making your coffee or, you know, things like that.

92
00:06:51,960 --> 00:06:55,200
Working in your basement with your nose strip, for example.

93
00:06:55,200 --> 00:06:56,200
Exactly.

94
00:06:56,200 --> 00:06:57,200
Working in the basement.

95
00:06:57,200 --> 00:06:59,200
Chipping away at point.

96
00:06:59,200 --> 00:07:01,200
That's what I love about.

97
00:07:01,200 --> 00:07:05,960
So clearly, you know, nasal breathing and how that's your passion.

98
00:07:05,960 --> 00:07:11,200
You know, where did this passion, where did it come from?

99
00:07:11,200 --> 00:07:15,520
Oh, wow.

100
00:07:15,520 --> 00:07:16,520
To keep it short.

101
00:07:16,520 --> 00:07:18,320
Man, can't even.

102
00:07:18,320 --> 00:07:19,400
Like about three years ago.

103
00:07:19,400 --> 00:07:20,640
No, just go for it.

104
00:07:20,640 --> 00:07:27,280
So I've been a lifelong, like kind of, exercise or runner, if you will.

105
00:07:27,280 --> 00:07:32,120
So running was always a hobby all the way back to like high school, cross country, track

106
00:07:32,120 --> 00:07:33,120
and field.

107
00:07:33,120 --> 00:07:36,360
I was one of those guys.

108
00:07:36,360 --> 00:07:40,920
And about three years ago, I was really having a hard time.

109
00:07:40,920 --> 00:07:42,520
I was getting short of breath.

110
00:07:42,520 --> 00:07:47,960
I was getting headaches, legs cramping up and wasn't able to run as far as they used to

111
00:07:47,960 --> 00:07:49,520
be able to.

112
00:07:49,520 --> 00:07:53,280
And I was like, what is, what is, what is going on?

113
00:07:53,280 --> 00:07:59,320
And I came across this book by James Nester, not James Nester, Patrick McCown called the

114
00:07:59,320 --> 00:08:01,520
Oxygen Advantage.

115
00:08:01,520 --> 00:08:06,840
And I found out that I was hyperventilating.

116
00:08:06,840 --> 00:08:14,440
So as soon as I was running out the door, I found that I was breathing through my mouth

117
00:08:14,440 --> 00:08:16,200
and I was breathing fast already.

118
00:08:16,200 --> 00:08:19,880
And I, as I read the book, I was like, oh, for what?

119
00:08:19,880 --> 00:08:21,400
I just started running.

120
00:08:21,400 --> 00:08:24,200
I don't need to breathe like that.

121
00:08:24,200 --> 00:08:32,680
And then of course I found that, you know, nasal breathing is most optimal for physical

122
00:08:32,680 --> 00:08:34,840
activity.

123
00:08:34,840 --> 00:08:43,440
And that was just a huge paradigm shift for me because I thought to myself, how come,

124
00:08:43,440 --> 00:08:48,520
how come nobody told me how important is the breathe through my nose?

125
00:08:48,520 --> 00:08:55,840
Like in all my life, in 30, I guess at the time, 32, 33 years, no one ever once told

126
00:08:55,840 --> 00:09:02,600
me doctor, nurse, teacher or coach basketball coach, cross country coach.

127
00:09:02,600 --> 00:09:06,280
Nobody told me about like the importance of nasal breathing.

128
00:09:06,280 --> 00:09:09,240
So I was amazed and I'm like, I'm still amazed.

129
00:09:09,240 --> 00:09:15,240
And I knew that I needed to be that person at that point.

130
00:09:15,240 --> 00:09:23,120
I needed to kind of change my focus and be that person who it stresses the importance

131
00:09:23,120 --> 00:09:27,560
of nasal breathing.

132
00:09:27,560 --> 00:09:31,720
And you know, it's, you make a very interesting and valid statement.

133
00:09:31,720 --> 00:09:38,440
It's something that I have heard a lot on the podcast, but you know, up until recently,

134
00:09:38,440 --> 00:09:40,440
you don't hear about nasal breathing.

135
00:09:40,440 --> 00:09:43,920
I just, you know, just wouldn't talk about it.

136
00:09:43,920 --> 00:09:48,520
So what, where is this coming from all of a sudden all of a sudden it's just like this

137
00:09:48,520 --> 00:09:52,080
light has gone off everywhere and everyone is talking about it.

138
00:09:52,080 --> 00:09:56,120
And it's, you know, we're all pushing, you know, in the same direction to try to get

139
00:09:56,120 --> 00:09:58,960
this message out.

140
00:09:58,960 --> 00:10:03,800
I mean, it's content is just so available now.

141
00:10:03,800 --> 00:10:11,240
And I think that that has something to do with it podcasts, these books.

142
00:10:11,240 --> 00:10:15,560
I mean, when I initially started, I mean, I started with the oxygen advantage and then

143
00:10:15,560 --> 00:10:18,000
I read breath by James Nester.

144
00:10:18,000 --> 00:10:24,400
And then just book after book on breathing.

145
00:10:24,400 --> 00:10:29,240
I think COVID was a really, really big wake up call to a lot of people.

146
00:10:29,240 --> 00:10:37,480
I know that that changed me as I was in the inpatient rehab setting at the time.

147
00:10:37,480 --> 00:10:45,840
And I had a lot of clients who just couldn't really participate in therapy because of like

148
00:10:45,840 --> 00:10:49,080
stress anxiety and like pain.

149
00:10:49,080 --> 00:10:52,320
And so I couldn't really work with them on their speech or they're swallowing because

150
00:10:52,320 --> 00:10:54,920
of all these other issues going on.

151
00:10:54,920 --> 00:11:01,280
And I found that like, you know, incorporating breathing exercises is was something that was

152
00:11:01,280 --> 00:11:06,200
helping my patients to actually work on their goals.

153
00:11:06,200 --> 00:11:10,840
But I think, I mean, you know, there's a lot of factors that have kind of parents are

154
00:11:10,840 --> 00:11:11,840
asking questions.

155
00:11:11,840 --> 00:11:13,960
Yeah, they're asking questions.

156
00:11:13,960 --> 00:11:23,320
They're not, you know, doctors, speech pathologists, myofunctional therapists, you know, we know

157
00:11:23,320 --> 00:11:24,960
what we know.

158
00:11:24,960 --> 00:11:28,840
Other people know things that we don't.

159
00:11:28,840 --> 00:11:35,920
And people are asking more questions and they're seeking answers from multiple sources and

160
00:11:35,920 --> 00:11:37,840
they're doing their own research.

161
00:11:37,840 --> 00:11:38,840
And it's amazing.

162
00:11:38,840 --> 00:11:39,840
It's great.

163
00:11:39,840 --> 00:11:41,520
I love it when people question.

164
00:11:41,520 --> 00:11:42,520
Yeah.

165
00:11:42,520 --> 00:11:43,520
Yeah.

166
00:11:43,520 --> 00:11:44,520
And asking what's going on.

167
00:11:44,520 --> 00:11:51,040
And are you also starting to see a lot more referrals coming in from pediatricians in

168
00:11:51,040 --> 00:11:52,040
Venice?

169
00:11:52,040 --> 00:11:53,040
Mm hmm.

170
00:11:53,040 --> 00:11:58,720
I mean, that's one of the one of the, I think the biggest things is a myofunctional therapist

171
00:11:58,720 --> 00:12:02,000
is the education aspect.

172
00:12:02,000 --> 00:12:10,720
We're not just educating parents, we're educating kids, we're going to dental practices, we're

173
00:12:10,720 --> 00:12:17,040
educating the dentists, we're educating speech language pathologists.

174
00:12:17,040 --> 00:12:22,320
Because in my experience, you know, in schooling, I didn't really look under the tongue too

175
00:12:22,320 --> 00:12:23,320
much.

176
00:12:23,320 --> 00:12:24,320
Yeah.

177
00:12:24,320 --> 00:12:32,480
And as a, I would, I just, I think that it's a missing part kind of from a lot of speech

178
00:12:32,480 --> 00:12:36,840
language pathology curriculums.

179
00:12:36,840 --> 00:12:43,840
And I just, I find that that's becoming like education is becoming one of the, one of the

180
00:12:43,840 --> 00:12:47,240
things that's helping to garner those referrals.

181
00:12:47,240 --> 00:12:50,600
Pediatricians are looking, looking for help.

182
00:12:50,600 --> 00:12:52,600
People are looking for help.

183
00:12:52,600 --> 00:12:53,600
Yeah.

184
00:12:53,600 --> 00:12:54,600
That's true.

185
00:12:54,600 --> 00:13:01,200
And you work in your practice, you work with children and adults, correct?

186
00:13:01,200 --> 00:13:02,200
That's correct.

187
00:13:02,200 --> 00:13:03,200
Yeah, that's correct.

188
00:13:03,200 --> 00:13:07,200
Also a little bit more about your practice, where are we all located and just a little

189
00:13:07,200 --> 00:13:08,200
bit more?

190
00:13:08,200 --> 00:13:09,520
Sure, sure.

191
00:13:09,520 --> 00:13:12,600
So we're, we're located in Newark, Delaware.

192
00:13:12,600 --> 00:13:16,360
We're called the, the Center for Airway and Facial Development.

193
00:13:16,360 --> 00:13:20,200
And our sister practice is called the Pain and Sleep Therapy Center.

194
00:13:20,200 --> 00:13:27,160
We have a practice in Newark, Delaware, and we also have one near the main line in Philadelphia.

195
00:13:27,160 --> 00:13:36,880
So the Pain and Sleep Therapy Center is more so adult centered clients with TMJ, sleep

196
00:13:36,880 --> 00:13:41,560
apnea and issues of the like.

197
00:13:41,560 --> 00:13:48,240
And then so our new center, the Center for Airway and Facial Development is, is a pediatric

198
00:13:48,240 --> 00:13:57,440
focused center working on intervention through early intervention and through prevention.

199
00:13:57,440 --> 00:14:06,080
And you know, we saw or Dr. Robinson, the, our triple board certified, like TMJ and sleep

200
00:14:06,080 --> 00:14:07,600
dentist.

201
00:14:07,600 --> 00:14:12,920
And he's the individual who does the functional perineal plasty procedures.

202
00:14:12,920 --> 00:14:17,920
He noticed that a lot of his adult patients, I mean, we, we, we, we, we, we, we, we, we

203
00:14:17,920 --> 00:14:20,720
they developed into these issues.

204
00:14:20,720 --> 00:14:26,720
And, you know, when you research like more about pediatric growth and development, we

205
00:14:26,720 --> 00:14:31,760
see that all of these adult issues could have potentially been prevented.

206
00:14:31,760 --> 00:14:36,360
And so then that's what kind of spearheaded him to open the Center for Airway and Facial

207
00:14:36,360 --> 00:14:42,160
Development with our other pediatric dentist, Dr. Joanna Green.

208
00:14:42,160 --> 00:14:57,520
And so that's when we offer early intervention consults for babies, toddlers, up to, up to

209
00:14:57,520 --> 00:14:59,680
like a school age.

210
00:14:59,680 --> 00:15:03,840
We do, or Dr. Green does fixed expanders.

211
00:15:03,840 --> 00:15:07,480
She uses the ALF appliance.

212
00:15:07,480 --> 00:15:15,000
We do myofunctional therapy consultations, obviously, you know, pediatric vernactimes

213
00:15:15,000 --> 00:15:18,520
and functional perineal plasties.

214
00:15:18,520 --> 00:15:23,600
But it's all centered under one, in one place.

215
00:15:23,600 --> 00:15:29,720
I work in collaboration with another myofunctional therapist, Lauren Reinhold.

216
00:15:29,720 --> 00:15:33,440
She has a background in registered dental hygiene.

217
00:15:33,440 --> 00:15:38,640
And my background's in speech language pathologies, medical based primarily.

218
00:15:38,640 --> 00:15:40,760
So we have like a good together.

219
00:15:40,760 --> 00:15:44,240
We have a really good base of knowledge.

220
00:15:44,240 --> 00:15:49,920
Again, we have Dr. Green, who does, she does structural development.

221
00:15:49,920 --> 00:15:54,240
And she's very familiar, obviously, with pediatric growth and development.

222
00:15:54,240 --> 00:16:02,920
And then in the future, we're looking to, I mean, occupational therapy, feeding therapy.

223
00:16:02,920 --> 00:16:08,640
You know, maybe in-house body work, such as craniosacral therapy.

224
00:16:08,640 --> 00:16:09,640
Yeah.

225
00:16:09,640 --> 00:16:10,640
Yeah.

226
00:16:10,640 --> 00:16:12,640
The stars are the limit.

227
00:16:12,640 --> 00:16:13,640
Yeah.

228
00:16:13,640 --> 00:16:14,640
They are.

229
00:16:14,640 --> 00:16:15,640
I love that you're doing all of this together.

230
00:16:15,640 --> 00:16:16,640
Exactly.

231
00:16:16,640 --> 00:16:25,480
We're seeing a lot more of this kind of cross-functional team work in practices.

232
00:16:25,480 --> 00:16:32,520
Our core values are compassion, innovation, collaboration, which is so important.

233
00:16:32,520 --> 00:16:40,120
I mean, myofunctional disorders, they rarely, rarely exist in isolation.

234
00:16:40,120 --> 00:16:45,680
There's other things going on in the body, potentially like allergies.

235
00:16:45,680 --> 00:16:53,400
And so we need to educate and we need to collaborate with other providers and speak with them and

236
00:16:53,400 --> 00:16:55,520
ask for their help.

237
00:16:55,520 --> 00:16:56,520
Yeah.

238
00:16:56,520 --> 00:16:57,520
Yeah.

239
00:16:57,520 --> 00:17:03,640
And I am hearing a lot of that, this kind of whole body approach is really moving more

240
00:17:03,640 --> 00:17:06,800
to the forefront.

241
00:17:06,800 --> 00:17:14,360
And for our listeners, I'll put a link because a couple of podcasts with Dr. Hall and then

242
00:17:14,360 --> 00:17:24,920
Dr. Tasha to talk about they'll apply a pancranial sacral to make it easier for parents.

243
00:17:24,920 --> 00:17:29,040
I want to get a little bit more specific now if we could on something.

244
00:17:29,040 --> 00:17:30,040
Sure.

245
00:17:30,040 --> 00:17:34,000
And so when you're resting your tongue in your roof of your mouth, we talk about this

246
00:17:34,000 --> 00:17:35,000
a lot.

247
00:17:35,000 --> 00:17:39,600
And I've said another podcast, I always try to do this, which I'm sure parents are doing

248
00:17:39,600 --> 00:17:40,600
when they're listening to it.

249
00:17:40,600 --> 00:17:41,600
We all try to do it.

250
00:17:41,600 --> 00:17:42,600
Yeah.

251
00:17:42,600 --> 00:17:43,600
Exactly.

252
00:17:43,600 --> 00:17:44,600
What does it look like?

253
00:17:44,600 --> 00:17:47,920
So when you're trying it at home, how do you know if you're doing this correctly or

254
00:17:47,920 --> 00:17:50,200
if you have a top tie?

255
00:17:50,200 --> 00:17:52,880
Oh, yeah.

256
00:17:52,880 --> 00:17:59,280
So that would be, well, what I would recommend is you schedule a consult with a myofunctional

257
00:17:59,280 --> 00:18:03,780
therapist.

258
00:18:03,780 --> 00:18:09,200
We would gather some objective information, photographs and just review that with the

259
00:18:09,200 --> 00:18:10,600
client.

260
00:18:10,600 --> 00:18:16,640
Potentially in our office, we do the CBCT scan in order to get like a really good picture

261
00:18:16,640 --> 00:18:23,480
of the whole airway and how the craniofacial development has been progressing.

262
00:18:23,480 --> 00:18:36,840
But yeah, in order to rest your tongue to the roof of the mouth, I would say we, it's

263
00:18:36,840 --> 00:18:43,320
difficult for us to really put, we want the tip of the tongue on the spot or right behind

264
00:18:43,320 --> 00:18:50,080
the two front teeth on that little piece of skin where we typically maybe burn on a piece

265
00:18:50,080 --> 00:18:51,080
of pizza.

266
00:18:51,080 --> 00:18:54,200
And then we want the middle and the back of the tongue fully up.

267
00:18:54,200 --> 00:18:58,120
And this is me all the time in sessions, putting my, my hands up.

268
00:18:58,120 --> 00:19:00,880
This is your tongue.

269
00:19:00,880 --> 00:19:08,680
And if you're able to suction your tongue gently to the roof of your mouth comfortably,

270
00:19:08,680 --> 00:19:09,680
that's kind of an indication.

271
00:19:09,680 --> 00:19:17,920
Maybe you don't have a tongue tie, but if you're, you're doing so and it's effortful

272
00:19:17,920 --> 00:19:25,560
and there's other muscles that you have to engage like in your neck or in your eyes as

273
00:19:25,560 --> 00:19:28,040
you're lifting your tongue up.

274
00:19:28,040 --> 00:19:34,760
Then that's kind of an indication of either like a tongue tie or a tongue restriction.

275
00:19:34,760 --> 00:19:40,000
But it could also be low tone, low tongue tone.

276
00:19:40,000 --> 00:19:44,480
Many of my clients, it's really difficult to determine whether there's a tie until we

277
00:19:44,480 --> 00:19:55,160
do exercises.

278
00:19:55,160 --> 00:19:59,500
You're listening to Airway First with today's guest, Daniel Drew.

279
00:19:59,500 --> 00:20:03,160
You can find out more about the Children's Airway First Foundation and our mission to

280
00:20:03,160 --> 00:20:07,920
ensure that every child has access to screening, evaluation and treatment of all children's

281
00:20:07,920 --> 00:20:14,800
airway disorders before the age of six on our website at childrensairwayfirst.org.

282
00:20:14,800 --> 00:20:20,400
The CAF website offers tons of great resources for parents, including videos, blogs, recommended

283
00:20:20,400 --> 00:20:23,760
books, comprehensive medical research, and so much more.

284
00:20:23,760 --> 00:20:28,160
We also invite parents to join our Facebook support group, the Airway Huddle.

285
00:20:28,160 --> 00:20:32,880
The Airway Huddle is a group for parents of children with airway and sleep related issues.

286
00:20:32,880 --> 00:20:40,000
You can access the Airway Huddle support group at facebook.com backslashgroups backslashairwayhuddle.

287
00:20:40,000 --> 00:20:43,920
Are you interested in becoming a guest on Airway First or do you have an idea for an

288
00:20:43,920 --> 00:20:44,920
upcoming episode?

289
00:20:44,920 --> 00:20:50,020
Then shoot us a note via the contacts page on our website or send us an email directly

290
00:20:50,020 --> 00:20:53,840
at infoatchildrensairwayfirst.org.

291
00:20:53,840 --> 00:20:59,360
As a reminder, this podcast and the opinions expressed here are not a medical diagnosis.

292
00:20:59,360 --> 00:21:03,740
If you suspect your child might have an airway issue, contact your pediatric airway dentist

293
00:21:03,740 --> 00:21:05,520
or pediatrician.

294
00:21:05,520 --> 00:21:10,360
And now let's jump back into today's interview with my guest, Daniel Drew.

295
00:21:10,360 --> 00:21:23,000
Yeah, and you mentioned tongue tone.

296
00:21:23,000 --> 00:21:26,000
So I've read that and some other stuff.

297
00:21:26,000 --> 00:21:27,000
What is that exactly?

298
00:21:27,000 --> 00:21:31,440
I mean, are you literally talking about just like in your arm muscle tone?

299
00:21:31,440 --> 00:21:32,440
It's the same thing?

300
00:21:32,440 --> 00:21:34,720
Yes, it's a similar thing.

301
00:21:34,720 --> 00:21:36,560
The tongue is a muscle.

302
00:21:36,560 --> 00:21:42,280
It's a really important muscle and the tongue ideally should rest against the roof of the

303
00:21:42,280 --> 00:21:43,280
mouth.

304
00:21:43,280 --> 00:21:49,920
And if it's not strong enough, that's one thing that can potentially limit it from reaching

305
00:21:49,920 --> 00:21:52,560
the roof of the mouth.

306
00:21:52,560 --> 00:22:00,680
So I mean, signs of low tone can be like lots of when you stick the tongue out, lots of

307
00:22:00,680 --> 00:22:07,280
quivering of the tongue, really just difficulty elevating the tip of the tongue, maybe the

308
00:22:07,280 --> 00:22:10,440
back of the tongue.

309
00:22:10,440 --> 00:22:18,080
But tone or function is one of the first things that we're looking at in our evaluations.

310
00:22:18,080 --> 00:22:19,320
And that's an important thing too.

311
00:22:19,320 --> 00:22:24,720
I mean, if you see a frenem, that's one thing.

312
00:22:24,720 --> 00:22:29,680
I mean, of course, this frenem may be holding the tongue down, but also the tongue might

313
00:22:29,680 --> 00:22:34,760
have become weak because that frenem has been holding the tongue down this whole time and

314
00:22:34,760 --> 00:22:37,640
it hasn't been able to elevate.

315
00:22:37,640 --> 00:22:42,120
And other muscles have been again compensating and trying to help out trying to help the

316
00:22:42,120 --> 00:22:44,120
tongue reach up there.

317
00:22:44,120 --> 00:22:45,120
Got it.

318
00:22:45,120 --> 00:22:46,120
Okay.

319
00:22:46,120 --> 00:22:47,120
That makes sense.

320
00:22:47,120 --> 00:22:53,400
So, and they can't see us, but I just kind of want to divert a little bit because we

321
00:22:53,400 --> 00:22:57,960
were talking before we went live.

322
00:22:57,960 --> 00:23:00,560
Behind you, there are some books.

323
00:23:00,560 --> 00:23:06,400
And we've got several of them on our website, but I just wanted to talk about a little bit

324
00:23:06,400 --> 00:23:11,800
because obviously you've read these and these are things you probably recommend to parents.

325
00:23:11,800 --> 00:23:15,880
So I wanted to, yeah, I wanted to speak to these a little bit, especially the ones that

326
00:23:15,880 --> 00:23:20,800
are there for kids because we don't see a lot of those.

327
00:23:20,800 --> 00:23:24,360
So we have, breathing is my superpower.

328
00:23:24,360 --> 00:23:30,800
That's one of the good ones for, I think that this is a good school age type of book teaches

329
00:23:30,800 --> 00:23:37,920
a lot about, you know, it's an empowering book and it kind of teaches children about

330
00:23:37,920 --> 00:23:44,200
how, you know, we can change our breathing, we can control our breathing.

331
00:23:44,200 --> 00:23:52,000
And when we control our breathing, it can have an effect on our emotions and our behaviors.

332
00:23:52,000 --> 00:24:03,600
And it's a good kid friendly way to kind of, to kind of explain something that is complex,

333
00:24:03,600 --> 00:24:10,520
breathing and often like we're not educated too much at a young age about the importance

334
00:24:10,520 --> 00:24:12,960
of breathing and proper breathing.

335
00:24:12,960 --> 00:24:17,400
So I like that book and then there's a couple of other ones behind it that are for, let's

336
00:24:17,400 --> 00:24:26,680
say toddler age, the one, Lick and Sniff by Matthew Van Fleet.

337
00:24:26,680 --> 00:24:34,000
Those are really good from a sensory motor approach, I think for children.

338
00:24:34,000 --> 00:24:43,120
We definitely recommend those in like early intervention are like one to maybe three or

339
00:24:43,120 --> 00:24:51,240
four ages, getting kids just exploring what they can do with their tongue licking and

340
00:24:51,240 --> 00:24:56,840
like the importance of their nose with this, the sniff book.

341
00:24:56,840 --> 00:24:59,680
Those are definitely recommended.

342
00:24:59,680 --> 00:25:01,960
Really good reads and really good kids love them.

343
00:25:01,960 --> 00:25:05,120
They want to read them every time they come into my office.

344
00:25:05,120 --> 00:25:08,360
They always see the breathing is my superpower.

345
00:25:08,360 --> 00:25:10,120
They always want to read that one together.

346
00:25:10,120 --> 00:25:11,880
I love that.

347
00:25:11,880 --> 00:25:17,600
And I'll definitely put links in the show notes, but part of why, you know, they caught

348
00:25:17,600 --> 00:25:20,720
my eye so quickly trying to explain this to children.

349
00:25:20,720 --> 00:25:24,080
I would imagine this is, you know, as I'm just coming at it from a parent, but, you know,

350
00:25:24,080 --> 00:25:28,640
as a professional, trying to explain to children what these exercises that you're teaching them

351
00:25:28,640 --> 00:25:29,880
are so important.

352
00:25:29,880 --> 00:25:33,720
I would think resources like this are really helpful.

353
00:25:33,720 --> 00:25:35,480
They are, they are.

354
00:25:35,480 --> 00:25:41,520
And we know Patrick McCown is just the best when it comes to putting these this information

355
00:25:41,520 --> 00:25:43,560
out there for children as well.

356
00:25:43,560 --> 00:25:51,280
I mean, the ABC's Always Breathe Correctly is one of my favorite books as well.

357
00:25:51,280 --> 00:25:58,440
And all of his pediatric resources are, you know, available online.

358
00:25:58,440 --> 00:26:02,480
Having kids to understand it, he's great at that too.

359
00:26:02,480 --> 00:26:08,880
I mean, I took his certification course in the Buteco breathing method.

360
00:26:08,880 --> 00:26:13,920
And that's one of the, one of the first things that he mentions is this, how we, how we get

361
00:26:13,920 --> 00:26:17,120
children to understand this.

362
00:26:17,120 --> 00:26:21,680
And how do we get children to care about breathing correctly?

363
00:26:21,680 --> 00:26:22,680
Yeah.

364
00:26:22,680 --> 00:26:30,400
Well, because it's going to help you with sports and athletics, all of my little boy

365
00:26:30,400 --> 00:26:33,440
clients love it.

366
00:26:33,440 --> 00:26:38,480
All of, all of my adult clients like that aspect as well.

367
00:26:38,480 --> 00:26:39,480
Sure.

368
00:26:39,480 --> 00:26:44,840
It's one of the aspects too of, you know, nasal breathing is, makes us look a little bit,

369
00:26:44,840 --> 00:26:48,480
it makes us look more intelligent.

370
00:26:48,480 --> 00:26:53,960
And it helps us to, I mean, regulate our, our behavior better.

371
00:26:53,960 --> 00:26:57,320
It helps us to remain calm.

372
00:26:57,320 --> 00:27:02,760
And so, I mean, Patrick McCown, I can't say enough great things about him and all the

373
00:27:02,760 --> 00:27:09,480
books and the courses that he's, again, my foundation started with the Oxygen Advantage

374
00:27:09,480 --> 00:27:13,000
Program as my, with my background as an athlete.

375
00:27:13,000 --> 00:27:20,080
So now I'm just continuing to absorb the pediatric focus.

376
00:27:20,080 --> 00:27:21,080
Yeah.

377
00:27:21,080 --> 00:27:22,080
Yeah.

378
00:27:22,080 --> 00:27:23,080
Everything that we can.

379
00:27:23,080 --> 00:27:24,080
Right.

380
00:27:24,080 --> 00:27:28,520
And that's something else that I have found a lot with guests on our show, just lifelong

381
00:27:28,520 --> 00:27:29,520
learners.

382
00:27:29,520 --> 00:27:30,680
And you're just grabbing more and learning more.

383
00:27:30,680 --> 00:27:33,720
And I think that goes back to what we talked about earlier.

384
00:27:33,720 --> 00:27:34,880
That's helping to get the message out.

385
00:27:34,880 --> 00:27:38,920
Cause the more we're learning, the more we're sharing.

386
00:27:38,920 --> 00:27:40,200
Exactly.

387
00:27:40,200 --> 00:27:46,000
I was sharing with Dr. Green, our pediatric dentist.

388
00:27:46,000 --> 00:27:50,480
We've been sharing research together recently that we've discovered.

389
00:27:50,480 --> 00:27:56,920
And we're, we're looking at when, when a person comes in for a consultation, we're looking

390
00:27:56,920 --> 00:28:02,680
immediately at the chief concerns that these people are, are having about their children.

391
00:28:02,680 --> 00:28:09,960
And then we're, we're finding research articles that are specific to the symptoms and the diagnosis

392
00:28:09,960 --> 00:28:12,560
that, that these children are coming to us with.

393
00:28:12,560 --> 00:28:20,040
And we're showing these parents that we can with conservative, with conservative measures,

394
00:28:20,040 --> 00:28:22,920
we can, we can treat this.

395
00:28:22,920 --> 00:28:29,240
And asthma is a very good example of what we've been looking at a lot recently is sure

396
00:28:29,240 --> 00:28:33,160
there's, there's a place for, for medications.

397
00:28:33,160 --> 00:28:38,360
There's definitely a place for medications to treat asthma, but the Puteco breathing method,

398
00:28:38,360 --> 00:28:47,520
there's a decade, almost more of research of using breathing exercises to, to lessen

399
00:28:47,520 --> 00:28:51,080
the severity of asthma symptoms.

400
00:28:51,080 --> 00:28:54,160
And in my adult clients, COPD.

401
00:28:54,160 --> 00:28:55,160
Wow.

402
00:28:55,160 --> 00:28:58,560
And so it's, it's pretty amazing.

403
00:28:58,560 --> 00:28:59,560
Yeah.

404
00:28:59,560 --> 00:29:00,560
Oh my gosh.

405
00:29:00,560 --> 00:29:03,040
See, I, I would never have put two and two together for asthma.

406
00:29:03,040 --> 00:29:07,240
I mean, I, I, and it makes sense for some of the things I would expect that you're seeing

407
00:29:07,240 --> 00:29:16,680
like ADHD, you know, but did not see that, that asthma connection come in with that one.

408
00:29:16,680 --> 00:29:20,760
And you know, you're, you're talking about breathing methods and that's something else

409
00:29:20,760 --> 00:29:24,040
that we're hearing a lot of talk around lately.

410
00:29:24,040 --> 00:29:29,160
And it's not always clear, you know, breathwork, everybody keeps using the term breathwork.

411
00:29:29,160 --> 00:29:34,440
So I'd like to talk a little bit about, you know, what, what is that and what are, what

412
00:29:34,440 --> 00:29:37,640
do these exercises look like?

413
00:29:37,640 --> 00:29:39,520
Oh, that's excellent.

414
00:29:39,520 --> 00:29:41,480
So what is breathwork?

415
00:29:41,480 --> 00:29:45,800
Breathwork can encompass a lot of, a lot of different things.

416
00:29:45,800 --> 00:29:53,640
It can encompass regulating the, the rate at which you're breathing, slowing your breathing

417
00:29:53,640 --> 00:29:54,960
down.

418
00:29:54,960 --> 00:30:01,120
It can involve breath holds, doing breath holding.

419
00:30:01,120 --> 00:30:02,960
There's different methods.

420
00:30:02,960 --> 00:30:11,440
You know, the Wim Hof method is one that is one that has been researched pretty, pretty

421
00:30:11,440 --> 00:30:13,640
recently.

422
00:30:13,640 --> 00:30:21,040
There's box breathing, which the Navy SEALs use to help with, you know, when they're putting

423
00:30:21,040 --> 00:30:28,480
their bodies through really, really rigorous physical conditions and mental strain.

424
00:30:28,480 --> 00:30:35,360
We have a lot of research in hospitals about pursed lip breathing, diaphragmatic breathing.

425
00:30:35,360 --> 00:30:43,640
So what it looks like is probably going to be different for each person.

426
00:30:43,640 --> 00:30:48,520
So if you want to be specific to children, which I love, the breathing exercises for

427
00:30:48,520 --> 00:30:52,960
children, a lot of times are games.

428
00:30:52,960 --> 00:31:03,520
Games that involve blowing, practicing, extending your exhale, blowing longer and blowing with

429
00:31:03,520 --> 00:31:11,480
a more controlled rate, inhaling, ideally through the nose.

430
00:31:11,480 --> 00:31:19,000
And lots of exercises to teach children like the sequence, breathe in through your nose,

431
00:31:19,000 --> 00:31:20,000
out through your nose.

432
00:31:20,000 --> 00:31:26,680
Many of the clients that I work with, they have a habit of, especially when they're speaking,

433
00:31:26,680 --> 00:31:30,160
I take a deep breath in through my mouth before I start speaking.

434
00:31:30,160 --> 00:31:36,760
And we want to kind of retrain that habit, get them to breathe in gently through their

435
00:31:36,760 --> 00:31:39,280
nose before they're speaking.

436
00:31:39,280 --> 00:31:43,000
But when we're working with kids, we got to make it fun.

437
00:31:43,000 --> 00:31:52,760
So blowing palm palms across the desk, humming is an example of a great breathing exercise

438
00:31:52,760 --> 00:31:55,000
to help to decongest the nose.

439
00:31:55,000 --> 00:31:57,000
Humming is.

440
00:31:57,000 --> 00:31:58,720
Yeah.

441
00:31:58,720 --> 00:32:00,560
Singing is great.

442
00:32:00,560 --> 00:32:01,560
Is great for kids.

443
00:32:01,560 --> 00:32:03,000
It's great for adults.

444
00:32:03,000 --> 00:32:11,480
It improves bagel tone, improves our mood, lowers our blood pressure.

445
00:32:11,480 --> 00:32:16,080
So breath work can encompass so many different things.

446
00:32:16,080 --> 00:32:20,800
But it's going to be kind of dependent on what the client needs, right?

447
00:32:20,800 --> 00:32:29,320
So if I have a child who comes in with significant nasal congestion, and we do the CBCT and we

448
00:32:29,320 --> 00:32:34,840
just see that there's a lot of inflammation, there's not really any like, you know, significant,

449
00:32:34,840 --> 00:32:38,680
like let's say structural obstructions like the adenoids.

450
00:32:38,680 --> 00:32:46,520
And we would recommend a nasal hygiene regimen and a few breathing exercises that involve

451
00:32:46,520 --> 00:32:52,280
maybe light breath holds and humming, things that they could do in the bathtub, humming

452
00:32:52,280 --> 00:32:58,880
to songs, the happy birthday song, things like that.

453
00:32:58,880 --> 00:33:06,000
And these conservative exercises are very, very helpful in determining if, you know,

454
00:33:06,000 --> 00:33:13,400
if after two, three weeks, maybe longer of consistent practice with these exercises,

455
00:33:13,400 --> 00:33:19,160
if there's no change, if there's no improvement, then we need to look for other help.

456
00:33:19,160 --> 00:33:24,120
We need to look at other things that could be causing this inflammation.

457
00:33:24,120 --> 00:33:29,120
Maybe there's something in the diet, something in the environment.

458
00:33:29,120 --> 00:33:32,160
Maybe we do need a referral to an ENT.

459
00:33:32,160 --> 00:33:40,200
Maybe the nasal hygiene regimen that we offered, we need to step it up and send again, send

460
00:33:40,200 --> 00:33:46,560
a child to an ENT to have like an expert really determine what that requires.

461
00:33:46,560 --> 00:33:48,760
What could possibly be going on?

462
00:33:48,760 --> 00:33:49,760
Yeah.

463
00:33:49,760 --> 00:33:57,560
And you mentioned the CBCT and we're seeing this come up more and more, especially with

464
00:33:57,560 --> 00:33:59,920
Airway Dennis specifically.

465
00:33:59,920 --> 00:34:04,880
So for our parents listening, can you just kind of at a high level explain what that

466
00:34:04,880 --> 00:34:09,680
is and how that helps you as a myofunctional therapist?

467
00:34:09,680 --> 00:34:18,760
This CBCT is really imperative for getting some objective information about how a child

468
00:34:18,760 --> 00:34:25,520
is growing and developing when it comes to the craniofacial complex.

469
00:34:25,520 --> 00:34:28,360
We can see the position of the jaw joint.

470
00:34:28,360 --> 00:34:33,600
We can see the adenoids, the tonsils.

471
00:34:33,600 --> 00:34:36,360
We can see the turbinates within the nose.

472
00:34:36,360 --> 00:34:42,800
All of these things are important in order to determine if there's barriers for potentially

473
00:34:42,800 --> 00:34:45,720
making progress in therapy.

474
00:34:45,720 --> 00:34:53,480
They point to potentially like a root cause, what's causing issues with these children.

475
00:34:53,480 --> 00:34:57,200
The CBCT can also show us tongue posture.

476
00:34:57,200 --> 00:35:02,160
It shows us where the teeth are coming in and if the teeth are coming in correctly.

477
00:35:02,160 --> 00:35:09,960
And this is the importance of early intervention because if we're not keeping an eye on the

478
00:35:09,960 --> 00:35:17,320
baby teeth coming in, then we're not really keeping an eye on the bone growth that's occurring

479
00:35:17,320 --> 00:35:22,880
in our child's craniofacial complex.

480
00:35:22,880 --> 00:35:32,400
My personal story involves, so I grew up in Dover, Delaware and my parents took me to

481
00:35:32,400 --> 00:35:37,040
the dentist as often as they were supposed to probably.

482
00:35:37,040 --> 00:35:44,000
And by the time I was about 10 years old, I had really, really bad crowding.

483
00:35:44,000 --> 00:35:48,720
I had my canines were way impacted.

484
00:35:48,720 --> 00:35:56,480
And at that point I was 10 and my orthodontist at the time, my parents at the time, they

485
00:35:56,480 --> 00:36:00,080
didn't really know what we know kind of now.

486
00:36:00,080 --> 00:36:10,040
And so I had the four premolar extraction and I had braces and my smile is okay, most

487
00:36:10,040 --> 00:36:12,440
people would say.

488
00:36:12,440 --> 00:36:22,080
But we didn't know what we didn't know and we need to keep an eye on these things because

489
00:36:22,080 --> 00:36:25,400
they can affect us into adulthood.

490
00:36:25,400 --> 00:36:35,000
And now I see with my smallish airway and the root cause of all of it was I had a tongue

491
00:36:35,000 --> 00:36:36,000
tie.

492
00:36:36,000 --> 00:36:43,240
My tongue was restricted and I didn't have any speech issues as a kid.

493
00:36:43,240 --> 00:36:45,520
I didn't really have any feeding issues.

494
00:36:45,520 --> 00:36:50,760
I was on a processed food diet, I would say, as a child.

495
00:36:50,760 --> 00:36:54,760
So that probably is what led to, yeah.

496
00:36:54,760 --> 00:37:01,840
So that's probably what led to inadequate bone growth.

497
00:37:01,840 --> 00:37:11,280
And so early intervention is really key and this is kind of another, it's my story just,

498
00:37:11,280 --> 00:37:13,320
it all brings me back to here.

499
00:37:13,320 --> 00:37:16,440
It's like this is why I need to be doing what I'm doing now.

500
00:37:16,440 --> 00:37:21,200
So the clients that I work with now, the kids that I work with now, we don't want to take

501
00:37:21,200 --> 00:37:22,360
your teeth out.

502
00:37:22,360 --> 00:37:24,000
We don't want that at all for you.

503
00:37:24,000 --> 00:37:26,280
We want to make more room for your teeth.

504
00:37:26,280 --> 00:37:28,440
Right, exactly.

505
00:37:28,440 --> 00:37:33,000
And I think that parents love that.

506
00:37:33,000 --> 00:37:39,680
They love hearing that, especially the parents who also have had many teeth extracted and

507
00:37:39,680 --> 00:37:46,840
are learning, hey, maybe that's not the best idea to take out, you know, an adult tooth.

508
00:37:46,840 --> 00:37:50,840
That's doing okay and it's healthy.

509
00:37:50,840 --> 00:37:52,840
We need that.

510
00:37:52,840 --> 00:37:54,840
Yeah, absolutely.

511
00:37:54,840 --> 00:37:56,040
I love that.

512
00:37:56,040 --> 00:38:04,040
And it's so interesting to me how many people, you know, we come across now, children there,

513
00:38:04,040 --> 00:38:11,240
that as adults, here we are sitting here with the repercussions of what, you know, our parents

514
00:38:11,240 --> 00:38:13,960
thought, they were doing the right thing.

515
00:38:13,960 --> 00:38:14,960
Exactly.

516
00:38:14,960 --> 00:38:18,440
And I feel so bad talking about this with my mother.

517
00:38:18,440 --> 00:38:25,320
I really do because I want her to know how appreciative I am of like, I mean, I'm an

518
00:38:25,320 --> 00:38:26,320
only child too.

519
00:38:26,320 --> 00:38:30,440
So, you know, I'm her only son and I love her to death.

520
00:38:30,440 --> 00:38:32,400
I love my smile.

521
00:38:32,400 --> 00:38:35,080
I love everything about it.

522
00:38:35,080 --> 00:38:39,880
I just, you know, I want her to know that, hey, like, this is my mission now.

523
00:38:39,880 --> 00:38:47,120
You know, I'm trying to help people so that they don't have the issues that I'm going

524
00:38:47,120 --> 00:38:54,640
to end up developing, probably, unless I somehow reverse it and, you know, get expansion, which

525
00:38:54,640 --> 00:39:02,000
I will do in the future, or get implants, which I am not too sure about.

526
00:39:02,000 --> 00:39:07,320
But then also, you know, I worry about my mom because she snored my whole life.

527
00:39:07,320 --> 00:39:09,200
She snored my whole life.

528
00:39:09,200 --> 00:39:10,200
Right.

529
00:39:10,200 --> 00:39:15,320
You know, when I look at her now after, I mean, when I look at her mouth now, after

530
00:39:15,320 --> 00:39:19,440
knowing what I know, I'm like, oh, this is, this is why.

531
00:39:19,440 --> 00:39:20,440
There it is.

532
00:39:20,440 --> 00:39:21,440
Yeah.

533
00:39:21,440 --> 00:39:22,440
Yeah.

534
00:39:22,440 --> 00:39:23,440
This is why I had a tongue tie.

535
00:39:23,440 --> 00:39:31,080
Both of my parents had, had pretty thick fascia under their tongues and, you know, to my mom,

536
00:39:31,080 --> 00:39:37,880
she's a, again, lover to death, but I will say mentally inflexible slightly.

537
00:39:37,880 --> 00:39:43,520
So trying to explain to her that a tongue tie can cause all of these, these changes

538
00:39:43,520 --> 00:39:49,200
to a person's breathing and, and swallowing and things is she's not really buying it yet.

539
00:39:49,200 --> 00:39:52,800
But, you know, you got to plant the seed.

540
00:39:52,800 --> 00:39:54,680
That's what I'm doing to start.

541
00:39:54,680 --> 00:39:55,680
Right.

542
00:39:55,680 --> 00:39:56,680
Exactly.

543
00:39:56,680 --> 00:40:01,600
Well, I think there's a lot of parents that are, you know, like us, they're kind of in

544
00:40:01,600 --> 00:40:04,400
this position now and it's like, okay, now what can we do?

545
00:40:04,400 --> 00:40:09,320
But that are even, you know, I have, my children are seven years apart.

546
00:40:09,320 --> 00:40:13,560
So I look at things in my oldest child that I just totally missed.

547
00:40:13,560 --> 00:40:14,560
I had no idea.

548
00:40:14,560 --> 00:40:18,760
And so, you know, here I am trying rapidly to course correct with our sibling.

549
00:40:18,760 --> 00:40:21,080
Just, no, you will not have that.

550
00:40:21,080 --> 00:40:24,480
You're not pulling your teeth.

551
00:40:24,480 --> 00:40:30,040
I mean, five years from now, we're going to be looking back at maybe even this conversation

552
00:40:30,040 --> 00:40:35,720
and changing our minds about some of our, the, the, what we think is fact and what we

553
00:40:35,720 --> 00:40:38,400
think is, is best practice.

554
00:40:38,400 --> 00:40:43,680
And you know, as a parent, you know, you're constantly evolving in your parenting techniques

555
00:40:43,680 --> 00:40:50,960
and, you know, how you can accept all parents are doing the best that they can for their

556
00:40:50,960 --> 00:40:51,960
children.

557
00:40:51,960 --> 00:40:58,320
And, you know, you can, you can only do like you only know what you know.

558
00:40:58,320 --> 00:40:59,320
Right.

559
00:40:59,320 --> 00:41:00,320
Right.

560
00:41:00,320 --> 00:41:01,320
Exactly.

561
00:41:01,320 --> 00:41:02,320
Exactly.

562
00:41:02,320 --> 00:41:07,920
So at the end of every episode, I always just like to turn the floor over to our guest

563
00:41:07,920 --> 00:41:14,120
for final thoughts or, you know, anything that you would like to say to parents or any

564
00:41:14,120 --> 00:41:16,880
message you want to leave us with.

565
00:41:16,880 --> 00:41:18,880
Oh man.

566
00:41:18,880 --> 00:41:26,560
Well, I would, I would obviously want to thank you for, for inviting me on your podcast.

567
00:41:26,560 --> 00:41:32,880
And I want to plug, you know, the Center for Aerial and Facial Development in Newark.

568
00:41:32,880 --> 00:41:42,320
Any parent who has concerns about their child's, their sleeping, their breathing, their feeding,

569
00:41:42,320 --> 00:41:48,360
their speech, I would really encourage you to reach out, you know, ask questions and

570
00:41:48,360 --> 00:41:50,080
go with your gut.

571
00:41:50,080 --> 00:41:56,240
How many times I need to tell that to parents, parents know so much what is, what is normal

572
00:41:56,240 --> 00:41:59,480
for their kid and what is not normal.

573
00:41:59,480 --> 00:42:06,880
And, and the parents, they have their, their, their child's, their child's well-being, the

574
00:42:06,880 --> 00:42:09,040
best well-being in mind.

575
00:42:09,040 --> 00:42:13,560
And so I, I like to say go with your gut.

576
00:42:13,560 --> 00:42:24,560
And if you have questions, ask them, look for research, get opinions, get second opinions.

577
00:42:24,560 --> 00:42:29,080
And work with a network of providers.

578
00:42:29,080 --> 00:42:35,280
A myofunctional therapist is relative, is, is somebody who's very rare to come by these

579
00:42:35,280 --> 00:42:36,960
days so far.

580
00:42:36,960 --> 00:42:39,080
But we're hoping that that changes.

581
00:42:39,080 --> 00:42:42,680
But talk to your speech, your speech language pathologist.

582
00:42:42,680 --> 00:42:46,480
Talk to the occupational therapist.

583
00:42:46,480 --> 00:42:53,640
Talk to the teachers in the school about what you're observing with behavior and talk to

584
00:42:53,640 --> 00:42:55,760
your pediatrician.

585
00:42:55,760 --> 00:43:07,960
But ask questions and going with the gut about your feelings is, is just imperative.

586
00:43:07,960 --> 00:43:12,920
Probably at the Center for Airway and Facial Development too, we're just, our mission statement

587
00:43:12,920 --> 00:43:19,880
is to advocate for the overall health and well-being of your child.

588
00:43:19,880 --> 00:43:26,200
We use like a comprehensive and collaborative approach to work on optimal growth and development

589
00:43:26,200 --> 00:43:29,440
through early intervention.

590
00:43:29,440 --> 00:43:34,320
We often call this like our growth guidance program.

591
00:43:34,320 --> 00:43:40,880
So we want to check on during that initial consult how, how the person is, how the child

592
00:43:40,880 --> 00:43:49,800
is coming in and we want to track and we want to help assist and like really promote optimal

593
00:43:49,800 --> 00:43:51,000
growth and development.

594
00:43:51,000 --> 00:43:57,400
So we don't, we don't need to see you at the Pain and Sleep Therapy Center.

595
00:43:57,400 --> 00:44:02,960
Dr. Robinson said his, his goal in his, in his lifetime is to put his own business out

596
00:44:02,960 --> 00:44:03,960
of practice.

597
00:44:03,960 --> 00:44:11,520
If, if he, yeah, to, to early intervention, you know, to fix a lot of these problems that

598
00:44:11,520 --> 00:44:16,520
way he might not have any adults with TMJ or sleep apnea to fix.

599
00:44:16,520 --> 00:44:21,520
I think we're a long way from there, but, but I think that that's an awesome, awesome

600
00:44:21,520 --> 00:44:25,760
goal and it starts with one person.

601
00:44:25,760 --> 00:44:29,080
It starts with one person.

602
00:44:29,080 --> 00:44:30,080
I agree.

603
00:44:30,080 --> 00:44:31,080
I agree.

604
00:44:31,080 --> 00:44:32,580
Thank you so much for being on the podcast today.

605
00:44:32,580 --> 00:44:34,800
I really appreciate it.

606
00:44:34,800 --> 00:44:39,920
I'm, I'm so thankful for, for having this conversation as well.

607
00:44:39,920 --> 00:44:42,000
Thank you for having me.

608
00:44:42,000 --> 00:44:44,120
Look forward to conversations in the future.

609
00:44:44,120 --> 00:44:45,120
Hopefully.

610
00:44:45,120 --> 00:44:46,120
Absolutely.

611
00:44:46,120 --> 00:44:52,040
Thanks again to today's guest, Daniel Drew for sharing his medical insight and each of

612
00:44:52,040 --> 00:44:54,520
you for listening to today's episode.

613
00:44:54,520 --> 00:44:57,800
If you're new to our podcast, please don't forget to subscribe.

614
00:44:57,800 --> 00:45:01,800
And if you enjoyed today's episode, leave us a review or comment telling us about what

615
00:45:01,800 --> 00:45:03,160
you enjoyed most.

616
00:45:03,160 --> 00:45:07,000
You can stay connected with the Children's Airway First Foundation by following us on

617
00:45:07,000 --> 00:45:13,000
Instagram, Facebook, Twitter and LinkedIn, or join us via our Facebook parent support

618
00:45:13,000 --> 00:45:19,440
group, the airway huddle at facebook.com backslash groups backslash airway huddle.

619
00:45:19,440 --> 00:45:23,400
If you'd like to be a guest or have an idea for an upcoming episode, shoot us a note via

620
00:45:23,400 --> 00:45:29,200
the context page on our website or send us an email directly at info at children's airway

621
00:45:29,200 --> 00:45:31,320
first.org.

622
00:45:31,320 --> 00:45:35,400
Remember this podcast and the opinions expressed here are not a medical diagnosis.

623
00:45:35,400 --> 00:45:40,600
If you suspect your child might have an airway issue or sleep-related disorder, contact your

624
00:45:40,600 --> 00:45:43,520
pediatric airway dentist or pediatrician.

625
00:45:43,520 --> 00:45:47,520
And finally, thanks to all the parents and medical professionals out there that are working

626
00:45:47,520 --> 00:45:52,080
hard to help make the lives of kids around the globe just a little bit better.

627
00:45:52,080 --> 00:46:16,080
Take care, stay safe and happy breathing everyone.