Airway Answers with Nicole Goldfarb: Expanding Your Breath of Knowledge

Nicole Goldfarb

Nicole Goldfarb is a Speech-Language Pathologist & Certified Orofacial Myologist, providing information through "Airway Answers with Nicole Goldfarb". She interviews professionals in the field of sleep & airway in order to get all of our questions answered.  This series is for both professionals and those interested in sleep & airway issues. ⚠️ 𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

  1. Ep. 74: "Breathing for Two: Pregnancy, Maternal and Fetal Outcomes, and Sleep-Disordered Breathing with Dr. Loiuse O'Brien"

    3d ago

    Ep. 74: "Breathing for Two: Pregnancy, Maternal and Fetal Outcomes, and Sleep-Disordered Breathing with Dr. Loiuse O'Brien"

    ⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.  _______________  E͟p͟i͟s͟o͟d͟e͟ ͟S͟u͟m͟m͟a͟r͟y͟ ✅ How 𝐬𝐥𝐞𝐞𝐩-𝐝𝐢𝐬𝐨𝐫𝐝𝐞𝐫𝐞𝐝 𝐛𝐫𝐞𝐚𝐭𝐡𝐢𝐧𝐠 (SDB) impacts maternal and fetal health and outcomes including being a trigger for maternal 𝐡𝐲𝐩𝐞𝐫𝐭𝐞𝐧𝐬𝐢𝐨𝐧, 𝐩𝐫𝐞𝐞𝐜𝐥𝐚𝐦𝐩𝐬𝐢𝐚, 𝐚𝐧𝐝 𝐠𝐞𝐬𝐭𝐚𝐭𝐢𝐨𝐧𝐚𝐥 𝐝𝐢𝐚𝐛𝐞𝐭𝐞𝐬.🤰 ✅ The impact of 𝐜𝐢𝐫𝐜𝐚𝐝𝐢𝐚𝐧 𝐦𝐢𝐬𝐚𝐥𝐢𝐠𝐧𝐦𝐞𝐧𝐭 and shift work on increased maternal risks for 𝐦𝐢𝐬𝐜𝐚𝐫𝐫𝐢𝐚𝐠𝐞 𝐚𝐧𝐝 𝐩𝐫𝐞𝐭𝐞𝐫𝐦 𝐛𝐢𝐫𝐭𝐡. ✅ Why is 𝐬𝐮𝐩𝐢𝐧𝐞 𝐬𝐥𝐞𝐞𝐩 (back sleeping) a significant risk factor for late stillbirth? 📉 ✅ The critical role of sleep as the " 𝐭𝐡𝐢𝐫𝐝 𝐩𝐢𝐥𝐥𝐚𝐫 𝐨𝐟 𝐡𝐞𝐚𝐥𝐭𝐡 " for stabilizing maternal metabolism, immune function, and hormonal balance. ✅ Discussion highlights 𝐂𝐏𝐀𝐏 𝐢𝐧𝐭𝐞𝐫𝐯𝐞𝐧𝐭𝐢𝐨𝐧 as a non-pharmacological tool to stabilize maternal blood pressure, increase fetal movement, and improve depressive symptoms. 💨 ✅ 𝐄𝐚𝐫𝐥𝐲 𝐬𝐜𝐫𝐞𝐞𝐧𝐢𝐧𝐠 and intervention during pregnancy can improve long-term cardiovascular health for both mother and child. ✨ ✅ Utilizing pregnancy as a vital " 𝐰𝐢𝐧𝐝𝐨𝐰 𝐭𝐨 𝐢𝐧𝐭𝐞𝐫𝐯𝐞𝐧𝐞 to prevent maternal 𝐜𝐚𝐫𝐝𝐢𝐨𝐯𝐚𝐬𝐜𝐮𝐥𝐚𝐫 𝐝𝐢𝐬𝐞𝐚𝐬𝐞 and metabolic issues decades later. 🤱✨🏥 𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔! 👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞: https://youtu.be/oKCbnxmTkWc 👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow _______________ ABOUT OUR GUEST: Dr. Louise O’Brien is a Professor in the Division of Sleep Medicine and holds a joint appointment in Obstetrics & Gynecology at the University of Michigan. Originally trained as a physiologist in the United Kingdom, her early research focused on sudden infant death syndrome and maternal-fetal health. After completing her PhD, she moved to the United States and specialized in pediatric sleep medicine, later becoming a pioneer in the study of sleep-disordered breathing during pregnancy. For more than two decades, Dr. O’Brien has led influential research examining the impact of sleep and breathing disorders on maternal, fetal, and infant health, helping advance awareness of this often-overlooked area of medicine. _______________ ABOUT THE HOST:  Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, international speaker, and author. She has completed numerous presentations on orofacial myofunctional therapy as it relates to sleep-disordered breathing in both children and adults. She is the author of a 2023 article in Dental Sleep Practice Magazine “Why Every Dentist and Orthodontist Should Have an Orofacial Myofunctional Therapist on Their Team”, and she also wrote an article for Sleep World Magazine for sleep MDs, respiratory technicians, and other sleep specialists titled “Helping to Restore Proper Rest: How orofacial myofunctional therapy can aid in the treatment of sleep-disordered breathing”. She is also the author of a two-part chapter on orofacial myofunctional therapy in a medical textbook "Sleep, Craniofacial Form, and Airway Function Disorders" with the world renowned editors Dr. David Gozal, MD, Dr. Bill Harrell (orthodontist), and Dr. David McIntosh (ENT). Nicole is the author of a children’s book series “The Adventures Captain Airway and Mr. Mighty Mouth”, helping to bring airway insight to young children, their parents, teachers, and other medical professionals. She is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy and serves as a mentor and consultant in the field of orofacial myofunctional therapy. Nicole’s life-long quest is to help in the early identification and treatment of sleep-disordered breathing and airway issues. _________________  🎧𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝐭𝐨 𝐀𝐮𝐝𝐢𝐨 𝐏𝐨𝐝𝐜𝐚𝐬𝐭: https://airwayanswers.buzzsprout.com/2408017/follow  💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.AirwayAnswers.info  💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.SanDiegoCenterForSpeechTherapy.com  📩𝐄𝐦𝐚𝐢𝐥: Nicole@AirwayAnswers.info  👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐅𝐚𝐜𝐞𝐛𝐨𝐨𝐤: https://www.facebook.com/profile.php?id=61565074499503 👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦: https://www.instagram.com/sandiegospeechandmyotherapy/ 👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐓𝐢𝐤𝐓𝐨𝐤: https://www.tiktok.com/@airway.answers

    1h 44m
  2. Ep. 73.: "The Floor of the Mouth: A Whole-Body Approach to Tongue-Tie and Airway Health with Dr. Neel Bulchandani, DC"

    Apr 24

    Ep. 73.: "The Floor of the Mouth: A Whole-Body Approach to Tongue-Tie and Airway Health with Dr. Neel Bulchandani, DC"

    ⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.  _______________  📝 Episode Summary ✅ Why is the floor of the mouth a vital concept for providers to understand in lingual restriction cases? ✅ How does torsional debt create spiral tension patterns stretching from the head down to the big toe? ✅ The Floor 4 protocol (targeting the head, throat, sides, and feet) helps patients achieve a "phase shift" of global suppleness. ✅ Diastasis recti is identified as a frequently overlooked midline issue that significantly impacts airway posture and breathing development. ✅ Holistic care must combine manual therapy, photobiomodulation, and intuitive movement to address the root causes of dysfunction rather than simply cutting tissue. 🌀✨👣 𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔!  👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞: https://youtu.be/ed2Y-eryHa4 👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow _______________ ABOUT OUR GUEST:  Dr. Neel Bulchandani is an integrative specialist and chiropractor. He developed an interdisciplinary manual therapy system, called Functional Mandibular Diaphragmatic Integration (FMDI), and in this system he has linked jaw mechanics with cranial, visceral, and foot dynamics and has synthesized many fields and modalities to comprehensively investigate and unlock whole-body pain, tension, and dysfunction. He also developed the Floor 4, a protocol connecting 4 key areas of the body to Floor of Mouth tension. He works in person and virtually, has created online courses for both practitioners and patients; and he also is teaching this method to healthcare professionals worldwide to apply it directly with clients seeking rapid, lasting transformation. Dr. Neel collaborates with many osteopaths, midwives, doulas, nurses, physicians, nutritionists, lactation consultants, dentists, ENTs. chiropractors, physical therapists, naturopaths, and massage therapists. He's often a go-to provider for pre- and post-op bodywork for patients undergoing frenectomies and frenuloplasties. He has helped many moms breastfeed with more ease, less pain, and more success by utilizing his knowledge of freeing tension associated with oral ties. Dr. Neel also sees many children and adults who suffer from issues related to tethered oral tissues: feeding, airway, digestion, sleep, and TMJ issues. He’s also an advisor to two neuroacoustic companies, and he utilizes and educates on photobiomodulation. His practice base is in Santa Barbara, California and he also sees patients in Los Angeles. _______________ ABOUT THE HOST:  Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, international speaker, and author. She is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy and serves as a mentor and consultant in the field of orofacial myofunctional therapy.   _________________  🎧𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝐭𝐨 𝐀𝐮𝐝𝐢𝐨 𝐏𝐨𝐝𝐜𝐚𝐬𝐭: https://airwayanswers.buzzsprout.com/2408017/follow  💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.AirwayAnswers.info  💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.SanDiegoCenterForSpeechTherapy.com  📩𝐄𝐦𝐚𝐢𝐥: Nico

    1h 24m
  3. Ep. 72: "Female, Forty, Fatigued, and Forgotten: Uncovering the Hidden Airway Crisis in Midlife Women"

    Mar 23

    Ep. 72: "Female, Forty, Fatigued, and Forgotten: Uncovering the Hidden Airway Crisis in Midlife Women"

    ⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.  _______________  📝 Episode Summary • ✅ Why are midlife women frequently misdiagnosed with "normal" sleep studies despite suffering from chronic exhaustion and brain fog? • ✅ The episode explores Upper Airway Resistance Syndrome (UARS), a condition where the brain arousals occur from breathing effort without significant oxygen drops. • ✅ Discussion highlights how hormonal changes during menopause and pregnancy can trigger nasal congestion and airway instability. • ✅ Experts emphasize that AHI numbers are often arbitrary and fail to capture the physiological strain felt by symptomatic "thin, fit" females. • ✅ Red flags like depression, anxiety, headaches, tooth grinding, TMJ pain, voice loss, reflux, and cold hands are identified as some critical indicators of a hidden airway struggle. • ✅ Long-term recovery requires a "team approach" using myofunctional therapy, structural surgery, dental appliances, and even in some cases CPAP to restore functional sleep breathing. 𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔!  👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞: https://youtu.be/BAll7yQqm7M 👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow _______________ ABOUT OUR GUEST:  Dr. David McIntosh is a Paediatric ENT Specialist with a particular interest in airway obstruction, facial and dental development and its relationship to ENT airway problems, and middle ear disease. . He has undertaken advanced surgical training in ENT and Head and Neck Surgery and Paediatric training at Starship Children’s Hospital in Auckland, New Zealand. _______________ ABOUT THE HOST:  Nicole Goldfarb, M.A. CCC, SLP-COM®, is a speech-language pathologist, certified orofacial myologist, and international speaker. An author and owner of San Diego Center For Speech Therapy, she specializes in myofunctional therapy to treat sleep-disordered breathing and airway issues.  _________________  🎧𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝐭𝐨 𝐀𝐮𝐝𝐢𝐨 𝐏𝐨𝐝𝐜𝐚𝐬𝐭: https://airwayanswers.buzzsprout.com/2408017/follow  💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.AirwayAnswers.info  💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.SanDiegoCenterForSpeechTherapy.com  📩𝐄𝐦𝐚𝐢𝐥: Nicole@AirwayAnswers.info  👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐅𝐚𝐜𝐞𝐛𝐨𝐨𝐤: https://www.facebook.com/profile.php?id=61565074499503  👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦: https://www.instagram.com/sandiegospeechandmyotherapy/ 👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐓𝐢𝐤𝐓𝐨𝐤: https://www.tiktok.com/@airway.answers

    1h 19m
  4. Ep. 71: “Is Health a Luxury? Rethinking Airway, ADHD, and Long-Term Health Through a Life-Course Lens with Dr. Boyd, Dr. McCarty, & Dr. Decker"

    Mar 2

    Ep. 71: “Is Health a Luxury? Rethinking Airway, ADHD, and Long-Term Health Through a Life-Course Lens with Dr. Boyd, Dr. McCarty, & Dr. Decker"

    ⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.  _______________  📝 Episode Summary📝 • ✅ How neurodevelopmental traits like ADHD serve as early signals of lifelong physiological strain and how these characteristics are modifiable 🧠 • ✅ Why is comprehensive sleep and airway care often treated as a "luxury good" rather than a standard of health? 💎 • ✅ The discussion emphasizes moving from blame to agency, empowering parents with modifiable pathways for their children’s growth. 🤝 • ✅ Key points include the critical role of masticatory competence and diet (Firm, Fresh, Fibrous foods) as well as good breathing in developing the craniofacial respiratory complex. 🍎 • ✅ Experts advocate for a shared narrative-based language across medical and dental silos to prioritize early intervention. 🗣️ • ✅ Strategies are discussed as to how to speak to patients, parents, and families in order to help guide them without overwhelming them. 💖 • ⭐ AND MORE... 𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔!  👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞: https://youtu.be/pb-fnF6nCpo 👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow _______________ ABOUT OUR GUESTS:  Dr. Kevin Boyd, DDS, MSc, is a pediatric dentist and researcher in Chicago. An instructor at Lurie Children’s Hospital, he specializes in evolutionary medicine, focusing on how early childhood feeding and the craniofacial-respiratory complex impact long-term health, sleep, and breathing. Dr. Dave McCarty is a board-certified sleep specialist and Chief Medical Officer of Reebus Health. An award-winning educator, he created the Empowered Sleep Apnea project to simplify complex sleep-wake disorders through patient-centered public education and shared clinical language. Dr. Stefan Decker is a German orthodontic and dentofacial orthopedic specialist. As Director of the Orthodontic Specialist Academy, he focuses on early preventative care, holistically connecting breathing, teeth, and function to optimize development and airway health. _______________ ABOUT THE HOST:  Nicole Goldfarb, M.A. CCC, SLP-COM®, is a speech-language pathologist, certified orofacial myologist, and international speaker. An author and owner of San Diego Center For Speech Therapy, she specializes in myofunctional therapy to treat sleep-disordered breathing and airway issues.  _________________  🎧𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝐭𝐨 𝐀𝐮𝐝𝐢𝐨 𝐏𝐨𝐝𝐜𝐚𝐬𝐭: https://airwayanswers.buzzsprout.com/2408017/follow  💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.AirwayAnswers.info  💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.SanDiegoCenterForSpeechTherapy.com  📩𝐄𝐦𝐚𝐢𝐥: Nicole@AirwayAnswers.info  👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐅𝐚𝐜𝐞𝐛𝐨𝐨𝐤: https://www.facebook.com/profile.php?id=61565074499503  👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦: https://www.instagram.com/sandiegospeechandmyotherapy/ 👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐓𝐢𝐤𝐓𝐨𝐤: https://www.tiktok.com/@airway.answers

    1h 25m
  5. Ep. 70: "Prioritizing Function in Tongue-Tie Identification and Treatment with Dr. Soroush Zaghi, MD and Dr. Richard Baxter, DMD, MS"

    Feb 6

    Ep. 70: "Prioritizing Function in Tongue-Tie Identification and Treatment with Dr. Soroush Zaghi, MD and Dr. Richard Baxter, DMD, MS"

    ⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.  _________  📝 Episode Summary • ✅ The discussion explores how a tongue-tie can be a complex medical condition affecting breathing, sleep, speech and feeding, rather than just a dental issue. • 🦷 Experts identify critical red flags, including bedwetting, snoring, slow eating, and mouth breathing as primary functional indicators.   • 👅Evaluating for compensations is a necessary component to differentiate whether a frenum is restricted or not in children and adults. • 🧠 Modern protocols emphasize using CBCT for adult risk assessment and sucrose water for infant pain management during procedures. • ✨ Long-term success requires a "team approach," integrating myofunctional therapy pre- and post-release to establish correct oral rest posture rather than treating the release as a standalone solution  . ⁣𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔!  👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞 (𝐟𝐮𝐥𝐥 𝐞𝐩𝐢𝐬𝐨𝐝𝐞): https://youtu.be/BspphJE0u0U 👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow  _________ ABOUT OUR GUESTS: Dr. Soroush Zaghi is a board-certified ENT, sleep surgeon, and founder of The Breathe Institute. A leading researcher, he redefined tongue-tie as an airway-centered medical condition, advancing evidence-based surgical techniques and interdisciplinary collaboration to improve global sleep and breathing outcomes. Dr. Richard Baxter is a dentist and author of Tongue-Tied, translated into 12 languages. As owner of the Alabama Tongue-Tie Center, he utilizes a functional, patient-centered approach focusing on airway health and metabolic factors to shape global protocols. __________ ABOUT THE HOST:  Nicole Goldfarb, M.A. CCC, SLP-COM®, is a speech-language pathologist, certified orofacial myologist, and host of Airway Answers. She owns the San Diego Center For Speech Therapy, specializing in myofunctional therapy to help treat sleep-disordered breathing and restore proper oral function.  ___________  🎧𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝐭𝐨 𝐀𝐮𝐝𝐢𝐨 𝐏𝐨𝐝𝐜𝐚𝐬𝐭: https://airwayanswers.buzzsprout.com/2408017/follow  💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.AirwayAnswers.info  💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.SanDiegoCenterForSpeechTherapy.com  📩𝐄𝐦𝐚𝐢𝐥: Nicole@AirwayAnswers.info  👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐅𝐚𝐜𝐞𝐛𝐨𝐨𝐤: https://www.facebook.com/profile.php?id=61565074499503  👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦: https://www.instagram.com/sandiegosp

    51 min
  6. Ep. 69: "Precision Airway Surgery: Transforming Sleep, The TMJ, & Aesthetics with Dr. Reza Movahed"

    Jan 20

    Ep. 69: "Precision Airway Surgery: Transforming Sleep, The TMJ, & Aesthetics with Dr. Reza Movahed"

    ⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.  _________  KEY POINTS: ✅ Dr. Movahed explains how Maxillomandibular Advancement (MMA) surgery offers an 86% success rate for curing obstructive sleep apnea. 🌬️ ✅ Drug-Induced Sleep Endoscopy (DISE) is presented as an essential diagnostic for visualizing real-time airway collapse and optimizing surgical outcomes. 📹 ✅ The discussion explores the move toward MARPE and segmental expansion, while emphasizing that anteroposterior (AP) advancement typically trumps transverse width for airway success. 🦷 ✅ A remarkable case involving a seven-year-old illustrates the life-saving potential of total joint replacement in treating severe pediatric apnea. 👶 ✅ Collaboration with myofunctional therapists is vital for long-term functional stability and preventing surgical relapse. ✨ ✅ The upcoming "Winds of Change" conference will further explore multidisciplinary airway protocols ⁣𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔!  👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞 (𝐟𝐮𝐥𝐥 𝐞𝐩𝐢𝐬𝐨𝐝𝐞): https://youtu.be/D-uV7zpgrYk 👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow  _________ ABOUT OUR GUEST:  Dr. Movahed is a skilled Oral and Maxillofacial Surgeon, bringing his expertise to patients across the greater St. Louis region, San Francisco Bay area, and beyond. With a focus on treating dentofacial deformities and obstructive sleep apnea, he specializes in corrective jaw surgery, temporomandibular joint procedures, and combined orthognathic and TMJ surgeries.  He is a Clinical Assistant Professor at Saint Louis University’s Department of Orthodontics. He is also a prolific writer with contributions to numerous chapters and scientific articles. He is also a coauthor of a textbook focusing on treatments for sleep apnea and dentofacial conditions.  Dr. Movahed’s patients are consistently amazed by his clinical and compassionate bedside manner. His friendly and approachable personality instantly puts them at ease, fostering an environment of trust and open communication. With his extensive experience and warm demeanor, Dr. Movahed is dedicated to delivering the highest quality of care, ensuring that each patient’s unique needs are met with personalized attention and skillful expertise. ***WINDS OF CHANGE CONFERENCE 2026: https://windsofchangeconference.net/ __________ ABOUT THE HOST:  Nicole Goldfarb, M.A. CCC, SLP-COM®, is a speech-language pathologist, certified orofacial myologist, and host of Airway Answers. An author and speaker, she owns the San Diego Center For Speech Therapy, specializing in myofunctional therapy to treat sleep-disordered breathing and restore proper airway function.  ___________  🎧𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝐭𝐨 𝐀𝐮𝐝𝐢𝐨 𝐏𝐨𝐝𝐜𝐚𝐬𝐭: https://airwayanswers.buzzsprout.com/2408017/follow  💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.AirwayAnswers.info  💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞𝐬: www.SanDiegoCenterForSpeechTherapy.com  📩𝐄𝐦𝐚𝐢𝐥: Nicole@AirwayAnswers.info  👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐅𝐚𝐜𝐞𝐛𝐨𝐨𝐤: https://www.facebook.com/profile.php?id=61565074499503  👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦: https://www.instagram.com/sandiegosp

    1h 28m
  7. Ep. 68: "Oral Sensory Motor Strategies for Children with Down Syndrome & Low Muscle Tone of the Orofacial Complex with Heather Vukelich, M.S., CCC-SLP"

    12/23/2025

    Ep. 68: "Oral Sensory Motor Strategies for Children with Down Syndrome & Low Muscle Tone of the Orofacial Complex with Heather Vukelich, M.S., CCC-SLP"

    ⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.  _______________  📝 𝐄𝐩𝐢𝐬𝐨𝐝𝐞 𝐒𝐮𝐦𝐦𝐚𝐫𝐲📝 ✅ How can early intervention transform the lives of children with Down syndrome? 👶 ✅ The episode explores oral sensory motor therapy as a vital foundation for speech clarity and safe feeding. 🍽️ ✅ Discussion focuses on identifying red flags like hypotonia and "relative macroglossia," where the tongue appears large in a small oral cavity. 👅 ✅ The interview highlights the success of family-centered programs using Talk Tools to build jaw stability and "wake up" oral muscles. 🧠 ✅ Integration with orthodontic expansion is crucial for airway health and creating necessary tongue space. 🦷 ✅ Experts emphasize that OSM work is a necessary, lower-level precursor to higher-level myofunctional therapy. ✨ 𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔!  👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞 (𝐟𝐮𝐥𝐥 𝐞𝐩𝐢𝐬𝐨𝐝𝐞): https://youtu.be/HQ3HGgdtE90 👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow _______________ ABOUT OUR GUEST:  Heather Vukelich, MS, CCC-SLP, is an ASHA-certified Speech-Language Pathologist, Feeding Specialist, and certified TalkTools® Instructor with nearly two decades of experience serving infants and young children with Down syndrome and complex orofacial needs. She works from offices in Paso Robles and Danville, California, and is widely known for her practical, family-centered approach to oral sensory-motor development, feeding, breathing, and early communication. Heather trains therapists worldwide, teaches large-scale virtual parent education courses, and collaborates closely with pediatric dentists, orthodontists, ENTs, and airway specialists to support children with hypotonia, feeding challenges, and developmental delays. In this episode of Airway Answers, Heather shares the real-world strategies, therapy foundations, and clinical pearls she uses every day to support children with Down syndrome — including how to build oral motor strength, improve sensory regulation, establish safer and more efficient feeding skills, and optimize breathing and airway development from infancy through early childhood. https://happykidstherapy.com/ _______________ ABOUT THE HOST:  Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, international speaker, and author. She has completed numerous presentations on orofacial myofunctional therapy as it relates to sleep-disordered breathing in both children and adults. She is the author of a 2023 article in Dental Sleep Practice Magazine “Why Every Dentist and Orthodontist Should Have an Orofacial Myofunctional Therapist on Their Team”, and she also wrote an article for Sleep World Magazine for sleep MDs, respiratory technicians, and other sleep specialists titled “Helping to Restore Proper Rest: How orofacial myofunctional therapy can aid in the treatment of sleep-disordered breathing”. She is also the author of a two-part chapter on orofacial myofunctional therapy in a medical textbo

    1h 5m
  8. Ep. 67: "Narcolepsy: Unpacking the 24/7 Neurological Sleep Disorder and Airway Comorbidity"

    11/26/2025

    Ep. 67: "Narcolepsy: Unpacking the 24/7 Neurological Sleep Disorder and Airway Comorbidity"

    ⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.  __________ 𝐹𝑖𝑛𝑑 𝑜𝑢𝑡 ℎ𝑜𝑤 𝑦𝑜𝑢 𝑎𝑠 𝑎 𝑝𝑎𝑡𝑖𝑒𝑛𝑡 𝑜𝑟 𝑎 𝑑𝑒𝑛𝑡𝑎𝑙 𝑜𝑟 𝑚𝑒𝑑𝑖𝑐𝑎𝑙 𝑠𝑝𝑒𝑐𝑖𝑎𝑙𝑖𝑠𝑡 𝑐𝑎𝑛 ℎ𝑒𝑙𝑝 𝑔𝑒𝑡 𝑡ℎ𝑒 𝑐𝑜𝑟𝑟𝑒𝑐𝑡 𝑑𝑖𝑎𝑔𝑛𝑜𝑠𝑖𝑠 𝑓𝑜𝑟 𝑡ℎ𝑖𝑠 𝑜𝑓𝑡𝑒𝑛 𝑜𝑣𝑒𝑟𝑙𝑜𝑜𝑘𝑒𝑑 𝑐𝑜𝑛𝑑𝑖𝑡𝑖𝑜𝑛. ⁣ Some Key Points Discussed in This Episode: ⁣ ✅ The central topic is 𝐧𝐚𝐫𝐜𝐨𝐥𝐞𝐩𝐬𝐲, defined as a neurological sleep disorder and a 24/7 disorganization of the sleep and wake cycle. ⁣ ❓ A primary question explored how narcolepsy is diagnosed, differentiating between 𝐓𝐲𝐩𝐞 𝟏 (with cataplexy—the abrupt onset of muscle weakness) and 𝐓𝐲𝐩𝐞 𝟐 (without cataplexy). ⁣ 🦷 The conversation emphasizes the 𝐫𝐨𝐥𝐞 𝐨𝐟 𝐝𝐞𝐧𝐭𝐚𝐥 𝐚𝐧𝐝 𝐚𝐢𝐫𝐰𝐚𝐲 𝐩𝐫𝐨𝐟𝐞𝐬𝐬𝐢𝐨𝐧𝐚𝐥𝐬 in identifying early warning signs, especially due to high comorbidity rates with sleep apnea (25% to 55%, possibly higher in specialized practices). ⁣ 🧠 Causes involve a genetic component (loss of the 𝐎𝐫𝐞𝐱𝐢𝐧 𝐧𝐞𝐮𝐫𝐨𝐭𝐫𝐚𝐧𝐬𝐦𝐢𝐭𝐭𝐞𝐫, particularly in Type 1) often triggered by an environmental hit. ⁣ 💊 Treatment options include pharmaceutical agents (stimulants, wake promoting agents, nighttime medications) and non-pharmaceutical strategies like 𝐬𝐭𝐫𝐢𝐜𝐭 𝐬𝐥𝐞𝐞𝐩-𝐰𝐚𝐤𝐞 𝐜𝐲𝐜𝐥𝐞𝐬 𝐚𝐧𝐝 𝐬𝐭𝐫𝐚𝐭𝐞𝐠𝐢𝐜𝐚𝐥𝐥𝐲 𝐩𝐥𝐚𝐜𝐞𝐝 𝐧𝐚𝐩𝐬. ⁣ 👶 In children, narcolepsy can be 𝐦𝐢𝐬𝐭𝐚𝐤𝐞𝐧 𝐟𝐨𝐫 𝐀𝐃𝐇𝐃 𝐨𝐫 𝐝𝐞𝐩𝐫𝐞𝐬𝐬𝐢𝐨𝐧, often presenting as hyperactivity or the re-entrance of required naps. ⁣ 𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔!  👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞 (𝐟𝐮𝐥𝐥 𝐞𝐩𝐢𝐬𝐨𝐝𝐞): https://youtu.be/M_badw2OPag  ________ ABOUT OUR GUEST:  Maggie Lavender is a Board-Certified Family Nurse Practitioner licensed in Texas with specialization in Sleep Disorders Medicine and Neurology. She attended Louisiana State University Health Sciences Center, where she received her Bachelor of Science in Nursing. She began her career working in a pediatric intensive care and burn unit. She later moved to Houston, Texas and continued her career in a neuroscience intensive care unit at a level one trauma center. She then completed her Master of Science in Nursing and Post-Master’s Emergency Nurse Practitioner Certificate simultaneously at the University of Texas Health Science Center. Her Nurse Practitioner career began in Houston, Texas at Comprehensive Sleep Medicine Associates (CSMA) alongside Dr. Jerald Simmons, beginning in 2012. She briefly moved to Pittsburgh and provided care at an Internal Medicine Practice before moving back to The Woodlands, Texas. She is currently practicing again at CSMA and is specializing in comprehensive sleep disorders, neurology, and epilepsy. Maggie has evolved to be a recognized Nurse Practitioner specialist on an international level, and currently functions as a published author, consultant and lecturer on the management of patients with narcolepsy and other sleep disorders. Maggie is the President and Founder of Sleep Medicine Advanced Practice Providers (SMAPP) Foundation. It is the first and only non-profit APP led organization to provide education, expert training, networking and empowerment to all Advanced Practice Providers in the field of sleep Medicine. _______ ABOUT THE HOST:  Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist

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Nicole Goldfarb is a Speech-Language Pathologist & Certified Orofacial Myologist, providing information through "Airway Answers with Nicole Goldfarb". She interviews professionals in the field of sleep & airway in order to get all of our questions answered.  This series is for both professionals and those interested in sleep & airway issues. ⚠️ 𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

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