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Hi everybody and welcome to another episode of Airway First, the podcast from the Children's

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Airway First Foundation. I'm your host, Rebecca Downing. My guest today is award-winning author

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James Nester. Over the course of his career, James has written for Scientific American,

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Outside Magazine, BBC, The New York Times, The Atlantic, NPR, and many more. In his latest

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book, Breath, The Science of a Lost Art, he explores how the human species has lost the

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ability to breathe properly and more importantly, how we can get it back.

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Breath spent 18 weeks on the New York Times bestseller list in its first year of release

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and has sold more than 1 million copies. It was also awarded the best general nonfiction

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book of 2020 by the American Society of Journalists and Authors. James has spoken around the world

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at a variety of venues including Stanford Medical School, Harvard Medical School, the

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United Nations, and more than 60 radio and television shows. We are also proud to have

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James as a member of the Children's Airway First Foundation advisory board. You can

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find out more about James at MrJamesNester.com. And now, here's my interview with James Nester.

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James, thank you so much for being on the program today. We really appreciate it.

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Thanks for having me here.

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Absolutely. Right out of the gate, I would like to ask you something from your book.

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I'll have a link to your book, Breath, in the show notes as well. It was something that

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caught my attention when I was actually reading the book. We all know how to breathe, right?

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We've been doing it since birth. So why do I need to learn how to breathe?

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Well, you could say that same thing about eating or exercising, right?

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Right, yeah.

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So if we evolved or grew up in a natural environment, you don't need to learn how to breathe. You

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don't need to learn how to exercise. You don't need to learn what foods to eat and when. You

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don't need to relearn how to sleep. But since we aren't in that environment anymore, since

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we're in an industrial environment, we need to relearn all of these things, how our bodies

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are naturally supposed to be. And so I'm not going to go move to a cave or to the wilderness.

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I want to live in this environment. And if you're going to live in this environment and

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not be sick all the time, you need to listen to your body. And it's not just that you need

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to relearn to breathe, but you need to relearn to do all of these different things. And breathing

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is just a part of that. So we have lost the ability to breathe properly. Just look at

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the data and you'll see that. I was shocked when I first found that, but it's entirely

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true.

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Yeah. And we've talked about this in some other podcast episodes, which, you know, obviously

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I'll link to, but and you really hit on it. It's the industrial environment. I mean, that's

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where this shift happened, isn't it?

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Yeah. And all you have to do is either look at our ancestors, distant ancestors, or look

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at indigital populations that are still living in the way that our ancestors did thousands

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of years ago. And they don't have hypertension. They don't have diabetes. They don't have

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breathing problems. They don't have respiratory issues. So, you know, they don't have lower

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back pain or foot problems. So all of the, I won't say all, many of the problems most

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of us living in the industrial world are containing with our problems of our own creation. So if

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we have created these problems, these health issues for ourselves, then we can help reduce

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them or get rid of them. And that's exactly what's happening in self care and health awareness

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right now all over the world.

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That's very valid. So before we get too deep though, just to kind of give a little backstory

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for those that are listening that may not have read the book yet, and if they haven't,

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I highly recommend it. Would you just share a little bit about your journey because you

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had your own airway or breathing journey, which played into this book, correct?

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Yeah, I did. I was suffering from various respiratory issues. I was told that there's

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nothing I could do about them really. It was just a sign of aging. So I was getting pneumonia

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a lot, mild pneumonia. I was getting bronchitis a lot, at least once a year. I was noticing

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I was starting to wheeze when I was working out. And what was odd about this is I was

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doing everything else that I had understood was healthy, right? I was sleeping, fine,

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eating all the right foods. I was exercising all the time, but I kept having respiratory

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issues. And every time I would have some sort of infection, I was given the old Z-Pak, given

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some antibiotics, which works, you know?

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But it doesn't fix the core issue. So it was something that I was contending with for

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years. Nothing super major, you know? It's not like I was missing work from it, well,

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when I had pneumonia I was, but it wasn't something that was impacting me all the time.

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It was just sort of in the background, but it did seem to be getting worse every year.

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And so I wanted to figure it out. And that's really what got me interested in this concept

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of learning how to breathe correctly and improving your respiration and seeing what

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that could do for you. And I'm trying to remember exactly how you just phrased it, but with

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what's going on with breathing and the fact that we're just, we're all having these different

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respiratory issues, right? We're all having allergies, asthma is on the rise. You're seeing

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all of these things. And you mentioned that you get a Z-Pak. We've all done that. But

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we're not getting to the core, right? We're just treating the symptoms. And part of that,

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I think, is this whole, I'm not sure if it came from you or where, but this global pandemic

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of breathing. So at the core, if it's my understanding, is this whole disevolution that you were referencing,

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right? The jaws that we just suddenly don't have room in our mouths anymore?

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Well, there's many reasons why we're such poor breathers. And this disevolution is one of

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many reasons. I think it's the primary driver. Other people think being constantly exposed

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to allergens, to pollution, to mold, to dust can contribute to this, which is totally true.

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But I really think the shrinking of our mouths, the shrinking of the sinus cavities really

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had a lot to do with why we become such habitually poor breathers. And when I discovered that,

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you know, that in the course of about 300 years, this came on from close to zero, not

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quite zero, close to zero to 90% of the population has some sort of malocclusion, which can impact

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your breathing. It shocked me because I didn't know that evolution, quote unquote, evolution

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could act so fast across an entire population, but it can in a single generation. That's

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what we've seen. So yeah, I think it's the main driver. But you know, I think there's

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also an argument to be said that these other things have at minimum contributed to it,

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us not being able to breathe properly.

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And they're also, well, I guess not also. So as far as, you know, contributing one

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of the things we've done, and I say we collect blame on you know, calling anybody out is to

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counteract our bodies have started many of us mouth breathing during the day and the

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night this whole chronic mouth breathing thing. So why is this so critical that you

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uncovered that we breathe through our nose instead of our mouth? Because I think at least

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several I've done it right when I listen about yes, I've tested and it's a lot easier to

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breathe through your mouth. It's just easier. So yeah, so so why is that bad if that feels

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easier? What makes that so bad?

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Well, it's a lot easier to go through a McDonald's drive through every meal than to cook your

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own stuff. So that's a fair point. Okay. Yeah, you know, we can breathe through our mouths.

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We're designed to be able to breathe through our mouths as a backup system. And it's fantastic.

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How terrible would that be just to have one pathway through which we can breathe? But

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it is not the main pathway through which we should be breathing. You can when you're

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really working out hard, you can default to mouth breathing for a little bit. And you're

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laughing when you're talking to someone. Oftentimes when we're talking, we're mouth breathing,

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which is one of the reasons why I think talking to people gets so exhausting after a while.

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Not really focusing on how you're breathing. But and that won't make any difference. I'm

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talking about habitual constant mouth breathing. And you know, this is not my hypothesis. It's

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not my theory. This is documented over decades and decades and decades, hundreds and hundreds

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of different studies looking at the difference between mouth breathing and nasal breathing.

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So anyone that's looked at our anatomy can see what a complex, beautiful ornate structure

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the airway is. And it's that way for a reason. You know, nature doesn't build things in a

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very complex way by accident. Nature's very into building things as simple as possible.

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What is the most simple and efficient way of building something? Nature doesn't like

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unnecessary excess. So all of these structures are there for a reason. They're there to help

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filter our air, you know, protect us. They're there to allow us to get more oxygen. They're

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there to allow us to have more developed growth in our mouths and faces. So this is not controversial

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stuff, right? And from what I've seen is no one has argued this point that the nasal breathing

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is superior than mouth breathing. But very few people really apply that logic to their

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day to day lives. And that's what I thought was so interesting about this is we've known

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this for so long and yet look around. And so many people are probably mouth breathing.

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Yeah. And you mentioned something about, you know, more oxygen. But if I understood correctly,

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there comes a point where there's too much, right? Where we can actually breathe in too

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much. No, you're not going to breathe in too much oxygen. It's, you know, everyone's been

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focused on oxygen, but oxygen is easy unless you're really sick, unless you're at altitude.

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Getting oxygen is the easy part. It's having that proper level of CO2 that's a lot harder

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for people. So you can over breathe, you can hyperventilate and your SBO2 is rocking to

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99%, 98%. Great. Why do you feel so terrible? Why is your health so bad? What do you keep

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having asthma attacks and panic attacks? It's because you're breathing too fast. So it has

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less to do with oxygen, more to do with the volume and pace of each of those breaths that

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you're taking in. It's just too much. It's like revving up a car. And when you're idling,

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just revving the motor over and over and over, you're going to wear out the motor, which

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is, you're going to wear out your body if you keep breathing that way.

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Gotcha. All right. So it's the fact that it's just too fast or too much volume.

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Yeah. It's, it's when we over breathe, you know, if anyone's done any breath work, you

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over breathe for a specific purpose to stress your body out. That's what these vigorous

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pranayamas do. You are stressing your body out. So in order to give you the power to

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learn how to stress your body out specifically so you can calm it. So if you're unconsciously

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over breathing all the time, you are sending your body and your brain stress signals. This

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is just 911 calls over and over and over and over throughout the day. What happens to the

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body? Blood sugar goes up, cortisol goes up, free radicals go up. You start losing sensations

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in your fingers and in your toes. You're always cold all the time. So that is caused by this

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chronic over breathing. Just like overeating is bad. Over breathing is bad as well.

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So how should we be breathing then? Aside from through the nose?

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Yeah, you know, everyone thinks like I spent so many years researching this stuff. Oh,

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I found this secret and it's now trademarked and you can learn more about it when you take

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my fifth course where I lose the secret training of the breathing masters. There's no secret

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here people. It's extremely boring because nature is very simple and your, what your

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body needs is very simple things to support it. So instead of taking 40 different supplements

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all the time, eat the right food. You don't need those supplements. Instead of paying

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attention to every single step you take throughout the day, just work in a way in which you're

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naturally walking throughout the day and you don't need to look at your pedometer. With

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breathing is the same thing. Why don't these indigenous populations have all of the respiratory

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issues because they are in a natural environment. Their posture is very different. They're paying

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attention to the way in which they sit. They pay attention to the way in which they sleep.

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They pay attention to the way in which they breathe when they're exercising. So it's,

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the secret is just to do what your body is naturally designed to do. That's the secret.

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This isn't about becoming superhuman or super breather. It's just allowing your body to

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naturally do it. There's nothing wrong with our bodies. It's us who have screwed up in

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our cultures who have screwed them up and now we're trying to get them back to that

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balanced state.

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So then what's the point of doing breath work?

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Well, breath work allows you to become aware of your breath. It allows you to take control

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of your breathing, conscious control of your breathing so you can condition yourself to

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breathe better unconsciously. The more breath work you do, especially training in breath

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holds or training very slow rhythmic breathing, naturally your body is going to find that

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pace. It's going to find that rhythm and you'll start breathing that way without even thinking

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about it, which to me is really the point of all this stuff. I don't want to have to

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be thinking about how I'm breathing all the time. That sounds terrible. I want my body

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to naturally do it, but that takes a lot of conditioning and that's what breath work is

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so good at doing.

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Catch.

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You're listening to Airway First with today's guest, James Nester. You can find out more

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about the Children's Airway First Foundation and our mission to fix a force six on our

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website at childrensairwayfirst.org. The CAF website offers tons of great resources for

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parents and medical professionals, including videos, blogs, recommended reading lists,

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comprehensive medical research, podcasts, and so much more. We also encourage parents

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to join the Airway Huddle, our Facebook support group which was created for parents of children

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with Airway and sleep related issues. You can access the Airway Huddle support group at

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facebook.com backslashgroups backslashairwayhuddle. Are you a medical professional or parent that's

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interested in being a guest on the show or do you have an idea for an upcoming episode?

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Then shoot us a note via the contacts page on our website or send us an email directly

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at info at childrensairwayfirst.org. As a reminder, this podcast and the opinions expressed

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here are not a medical diagnosis. If you suspect your child might have an airway issue, contact

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your pediatric airway dentist or pediatrician. And now let's jump back into my interview

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with today's guest, James Nester.

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And this is then we're playing into your comment about how we breathe during the day

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impacts how we breathe the night then, correct? This is pretty controversial. This part of

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the segment of the podcast put up a big red flag because some ENTs and sleep medicine people

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say how you breathe the day has zero impact on how you breathe at night. I tend to disagree

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with that even though I'm a reporter, I shouldn't have attitudes or I shouldn't have really

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placed myself on one side of the line here. I have to disagree on it because I have met

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probably hundreds by this time of people who have used breathwork to improve their daytime

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anxiety, their asthma or their panic or whatever. They say, my God, I used to sleep, used to

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snore, used to have sleep apnea and either it's greatly reduced or sometimes people don't

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even have it anymore. Just a real, I want to be super clear about this. Everyone's different.

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So everyone's going to respond differently. So you can't say what's worked for one person

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is going to work for everyone. But from what I've seen, there are no negative side effects

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from improving your breathing. So you're only going to improve things are only going to

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improve and time and time again, we're seeing sleep improve. But when you learn how to breathe

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properly, have there been any huge studies of this? No, who's going to pay for that?

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Right? Zero people because this is just allowing people to get off of CPAPs. You know, but

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there is one in Stanford coming up about 200 people looking at sleep tape and sleep apnea.

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That's being run by Ann Kearney down at Stanford. She finally got funding after looking for

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funding for about five years. Oh, wow. From a private funder, of course, because who,

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what a public entity would ever fund. So, it's allowing people to help heal themselves

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for free. Right. So I'm going to ask you another controversial

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one. I only know it's controversial because I've heard your response before. But I only

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had one other person that would ever talk to me about this on the podcast. So we're

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going there. Yeah, it's really not that exciting, but I just thought I'd practice it with that.

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So, mouth taping. I know your advocate's not the right word, but your supporter of it.

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And just, you know, from some of the things that I've read and some of the other people

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that I've spoken with in previous episodes, that seems to be another touchy one at this

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point. Where do you stand on that? Well, yeah, I never want to be an evangelist

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for any of this stuff. I always want to be objective because if you're objective and

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you don't have your hand in any of the cookie jars, you can call BS on stuff. And I always

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want to be able to call BS on stuff because that's my, it's supposed to be my job as a

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supporter. So when it comes to mouth taping, I talk about my personal experience in the

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book from going from mouth breathing and snoring a lot to mouth taping and snoring

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zero. I talk about my experience talking to other people who had that same experience

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as me. And since the book has come out, this is the one thing I've heard more than anything

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else over and over and over. No matter where I go, what place I do talks at, from doing

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book signings, people talk about mouth taping, how it has transformed their sleep quality.

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In many cases, transformed their life. Will it work for everybody? No. No. Right. Is there

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any negative side effect to nasal breathing during sleep? No. Can everyone mouth tape?

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No. And a way to try to see if this is right for you is to put that little piece of tape

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on and keep it on for 10 minutes while you're watching TV or whatever, and then keep it

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on for 20 minutes and then try to work a few hours with that little piece of tape. And if

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you find after an hour of wearing that tape, you just have completely forgotten about it

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because it's effortless to breathe through your nose. I think my personal opinion from

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talking to so many people about this, I think you can try it out at night and see if it works

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for you. If it doesn't work for you, don't do it. If your nose is clogged, don't do it.

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Don't do it. That's right. There's some common sense here. And now it's just, I can't tell

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you how many interviews, even the New York Times just wrote about mouth taping. Wall

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Street Journal wrote about it two months before that. It's now in Men's Health Magazine,

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a huge section. And some ENTs say, oh, this is extremely dangerous. Don't fall for this.

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Get your sleep study immediately. Come on over to my office. So there's a certain logic

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to that, right? Some people have structural issues in their noses. They need surgery in order to

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breathe well, which is why you try these other practices of wearing it for a little while,

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seeing how it works for you before you use it when you go to sleep. So common sense,

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which is a slim supply. A lot, you know, a lot of throughout a lot of different areas right now.

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So that's what I think of mouth taping. I love it. I have a real hard time sleeping without it.

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It's the same for millions of people now. Is it right for everyone? No. Figure it out yourself.

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Those are the tools. Right. Well, I appreciate that. Thank you. Because it is, it's so funny.

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I've had other guests that I'd asked and they just, they don't even want to talk about it.

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So I do, I appreciate that. Well, you know, because I think people see something online and

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then immediately want to do it all the time, you know, without doing any of these initial

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steps. And there's, there's other people who are really pissed off and sleep medicine. Some ENTs

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were just like, you know, who are you to tell people that they can improve their sleep using

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this piece of tape? You are not qualified to say this. I am not qualified to say that, but I am

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qualified to go out and talk to leaders in the field over a number of different years and look

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at the research. And that's what I'm telling you. And I'm also okay with telling you my personal

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experience. Sure. And that's what I mentioned in the book. And if you have a problem with that,

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too bad. I don't know what to tell you. You know, I just think this is something that is free. I

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know it works for a lot of people. If you're careful, if you do it right, it might work for you.

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So why not give it a try? Why not? Right? I have strong opinions about

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mouth taping as you, as you say. I know, I know. That's what you get for asking me that question.

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I knew, I knew, but that's why I asked it. Because, you know, like I said, no one else will talk to

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me about it. So, all right. So one of the things that you say, and it's not a direct quote, so,

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but that respiration can also lead to restoration. And to me, especially as it relates to

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children's every first mean, that's, that's it in a nutshell for me personally, right? If you can

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breathe right, your health's going to improve. I just thought maybe we could talk a little bit

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more about that and some of the things that you have found over the course of your research. So

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I mean, you've seen some pretty dramatic changes, correct?

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I see them all the time. I get letters all the time, hundreds, thousands, thousands of them.

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Now, I hear about this, all people find me and they corner me and they tell me about this stuff,

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which is a bit ironic because I am only the messenger here. I cannot do any of this research.

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And so, you know, I will try to refer them to the experts in the field and those experts may be

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sick of getting all these emails from these people. But, you know, that's my role here. I'm a conduit

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to where the research and the science is. So of course, I, you know, hear all these stories

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all the time because they're so transformative. But one thing that all of these people have had in

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common, every single one of them from my experience, is they're all really pissed off. They're extremely

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angry that it took them finding a weird book to learn that their kid may have a breathing problem.

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Maybe shouldn't be on a fistful of drugs that aren't doing any good for them, right? That maybe

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sleep disorder, breathing is why their kid is still wetting their bed at the age of 12,

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why they have such severe ADHD. And I'm pissed off for them because I'm not saying I'm not against

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drugs. I think Western medicine is a beautiful thing. I would not be alive without it. I love it.

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Pills and powders when you need them are the best thing in the world. Imagine dentistry without

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anesthesia. No, thanks. I really like living in the modern world, but you can't diagnose someone

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with several chronic issues without looking at their breathing. And one thing that I keep hearing

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over and over again is that no one even asked their kids about their sleep quality, about their

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breathing, about anything to do with their respiration. And I think that is borderline

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criminal. It really is to have some kids suffer for 10 years without looking at the most simple,

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basic principle behind so much of this, which is breathing. And if there's one thing I hope this

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book does is bring attention to specifically sleep disorder breathing, which I see as a growing pandemic

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of its own self. That's true. And kind of to that point, you've been,

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in the whole, the year and a half you've been on our board, and just for that amount of time,

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I know you've been traveling, you've been speaking in your, you're all over the place talking about

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this and talking with people about this from when you started, you know, when you were doing your

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research to now, are you seeing this kind of has this shift started, or is it still,

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I guess, specifically within the medical community, are you starting to see the shift happen because,

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you know, at least from the perspective where I'm sitting, parents are starting to get it and

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parents are starting to ask questions. Well, I don't know if I'm the best person to answer that,

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because I'm in this little bubble, right? I'm brought out to do these talks, I go on these tours,

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and people are already clued into it because they're going to see me. Most of them have read the

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book. So they, so they want to share their stories. So it's hard for me to look at the general gauge,

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what's the temperature of this stuff, you know, throughout the country. I don't know.

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I see from all the letters I get and all the people that tell me stuff that awareness seems to be

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spreading, but I just have no idea. And, you know, it's not my job necessarily to spread this.

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I've done what I could with the book, but I really think it's the family physician's job,

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or the people looking at the kids or prescribing them, whatever drugs for their problems to be

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a prize to this information. It just seems crazy that they're not. And so I don't know what it's

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going to take for that to happen. Probably a bunch of lawsuits is what I think is what's going to

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really push the dial, which is sad, but kind of true. But I think that that's really what needs to

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happen. And as far as, you know, has this become global news? I don't think so. I think we've got

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a long way to go, but you do see signs of this percolating in places. Maybe it wasn't percolating

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before.

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Right. Okay. And I'm not going to ask you to do reading demonstrations for us today.

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Just for anybody that's listening that would like to see some of them, I'll find a couple of

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other interviews that you've done that you've demonstrated that some people can get kind of a

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sense of what you talk about in the book. You do list some examples. So at the end of every episode,

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I like to turn it back over to the guest and just open the floor completely to you so that the

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final thought is yours. Any message that you would like to leave with parents at this point?

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Well, I think if parents are listening to this podcast, they're clued into the breathing health

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of their kids. So there's not a lot that I can, I can tell them. I think that awareness is really

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the most important thing just to become aware of it. Are all problems attributed to sleep disorder

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breathing or breathing dysfunction? Of course not. No, they're not. But it's a pretty easy one to

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diagnose. And because it's so easy to diagnose, I think that that puts some more power in the hands

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of parents. Like you can, there's so many wearables now that can provide pretty accurate data on

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sleep apnea, on snoring, on other issues to do with sleep quality. That it's worthwhile if your

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kid is having chronic issues or even if they're not, just look at their general breathing health.

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You know, it's once you're a good breather early on in life that will tend to stay with you, but

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you need that knowledge and awareness. I mean, my God, I wish I had known this stuff when I was

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growing up. It would have made my life a lot easier, you know, but I didn't. And so you can't regret

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the past, but what you can do is learn from our follies and sort of try to put all that knowledge

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together and build a better future. And I think that's what everyone's trying to do at this time.

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And I think breathing is definitely breathing awareness is definitely a part of that. Awesome.

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Well, I appreciate you being on today and speaking a little bit more about your book and

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everything that you just covered. Thanks a lot for having me.

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Thanks again to today's guest, James Nester, for sharing his insight and to each of you for

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listening to today's episode. If you're new to our podcast, please don't forget to subscribe.

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And if you enjoyed today's episode, leave us a review or comment telling us about what you

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enjoyed most. You can stay connected with the Children's Airway First Foundation by following

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us on Instagram, Facebook, Twitter, and LinkedIn. Parents can also join us via our Facebook

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Parent Support Group, the Airway Huddle, at facebook.com, backslash groups, backslash airway huddle.

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Looking for more from Kath? Then check out our new YouTube channel. You can find a variety of

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00:33:59,200 --> 00:34:04,640
informative original video content there, as well as video recordings and excerpts from selected

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Airway First podcast episodes. If you'd like to be a guest or have an idea for an upcoming episode,

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shoot us a note via our contact page on our website or send us an email directly at infoat

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childrensairwayfirst.org. And finally, thanks to all the parents and medical professionals out there

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that are working to help make the lives of kids around the globe just a little bit better.

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Take care, stay safe, and happy breathing, everyone.

