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Airway Answers with Nicole Goldfarb: Expanding Your Breath of Knowledge

EP. 57: "(Part 1) For Parents & Providers of Children with Sleep Apnea & Other Sleep & Airway Issues with Dr. Jerald Simmons, M.D., Dr. David McIntosh, ENT, & Dr. Bill Harrel, DDS"

23 Jun 2025

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โš ๏ธ๐ƒ๐ˆ๐’๐‚๐‹๐€๐ˆ๐Œ๐„๐‘: 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.ย _______________ย โฃ๐ˆ๐ฌ ๐ฒ๐จ๐ฎ๐ซ ๐œ๐ก๐ข๐ฅ๐ ๐ฌ๐ญ๐ซ๐ฎ๐ ๐ ๐ฅ๐ข๐ง๐  ๐ฐ๐ข๐ญ๐ก ๐ฎ๐ง๐ž๐ฑ๐ฉ๐ฅ๐š๐ข๐ง๐ž๐ ๐ก๐ฒ๐ฉ๐ž๐ซ๐š๐œ๐ญ๐ข๐ฏ๐ข๐ญ๐ฒ, ๐ข๐ซ๐ซ๐ข๐ญ๐š๐›๐ข๐ฅ๐ข๐ญ๐ฒ, ๐๐ข๐Ÿ๐Ÿ๐ข๐œ๐ฎ๐ฅ๐ญ๐ฒ ๐Ÿ๐จ๐œ๐ฎ๐ฌ๐ข๐ง๐ , ๐จ๐ซ ๐ฉ๐จ๐จ๐ซ ๐ฌ๐ฅ๐ž๐ž๐ฉ? ๐Ÿค” ๐˜๐จ๐ฎ ๐ฆ๐ข๐ ๐ก๐ญ ๐›๐ž ๐ฌ๐ฎ๐ซ๐ฉ๐ซ๐ข๐ฌ๐ž๐ ๐ญ๐จ ๐ฅ๐ž๐š๐ซ๐ง ๐ญ๐ก๐š๐ญ ๐ญ๐ก๐ž๐ฌ๐ž ๐œ๐จ๐ฆ๐ฆ๐จ๐ง ๐ข๐ฌ๐ฌ๐ฎ๐ž๐ฌ, ๐จ๐Ÿ๐ญ๐ž๐ง ๐ฆ๐ข๐ฌ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐ ๐š๐ฌ ๐€๐ƒ๐‡๐ƒ, ๐œ๐จ๐ฎ๐ฅ๐ ๐›๐ž ๐ซ๐จ๐จ๐ญ๐ž๐ ๐ข๐ง ๐š ๐ก๐ข๐๐๐ž๐ง ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ: ๐ฌ๐ฅ๐ž๐ž๐ฉ-๐๐ข๐ฌ๐จ๐ซ๐๐ž๐ซ๐ž๐ ๐›๐ซ๐ž๐š๐ญ๐ก๐ข๐ง๐ ! ๐Ÿ˜ดย โฃ๐ˆ๐ง ๐ญ๐ก๐ข๐ฌ ๐ž๐ฒ๐ž-๐จ๐ฉ๐ž๐ง๐ข๐ง๐  ๐ž๐ฉ๐ข๐ฌ๐จ๐๐ž, ๐š ๐ญ๐ž๐š๐ฆ ๐จ๐Ÿ ๐ฐ๐จ๐ซ๐ฅ๐-๐ซ๐ž๐ง๐จ๐ฐ๐ง๐ž๐ ๐ž๐ฑ๐ฉ๐ž๐ซ๐ญ๐ฌ โ€“ ๐ข๐ง๐œ๐ฅ๐ฎ๐๐ข๐ง๐  ๐š๐ง ๐จ๐ซ๐ญ๐ก๐จ๐๐จ๐ง๐ญ๐ข๐ฌ๐ญ, ๐š ๐ฌ๐ฅ๐ž๐ž๐ฉ ๐ง๐ž๐ฎ๐ซ๐จ๐ฅ๐จ๐ ๐ข๐ฌ๐ญ, ๐š๐ง ๐„๐๐“ ๐ฌ๐ฎ๐ซ๐ ๐ž๐จ๐ง, ๐š๐ง๐ ๐š ๐ฆ๐ฒ๐จ๐Ÿ๐ฎ๐ง๐œ๐ญ๐ข๐จ๐ง๐š๐ฅ ๐ญ๐ก๐ž๐ซ๐š๐ฉ๐ข๐ฌ๐ญ โ€“ ๐ซ๐ž๐ฏ๐ž๐š๐ฅ ๐ฐ๐ก๐ฒ ๐ญ๐ซ๐š๐๐ข๐ญ๐ข๐จ๐ง๐š๐ฅ ๐š๐ฉ๐ฉ๐ซ๐จ๐š๐œ๐ก๐ž๐ฌ ๐จ๐Ÿ๐ญ๐ž๐ง ๐ฆ๐ข๐ฌ๐ฌ ๐ญ๐ก๐ž ๐ญ๐ซ๐ฎ๐ž ๐œ๐š๐ฎ๐ฌ๐ž. ๐“๐ก๐ž๐ฒ ๐ž๐ฑ๐ฉ๐ฅ๐š๐ข๐ง ๐ก๐จ๐ฐ ๐Ÿ๐š๐œ๐ญ๐จ๐ซ๐ฌ ๐ฅ๐ข๐ค๐ž ๐ง๐š๐ซ๐ซ๐จ๐ฐ ๐ฃ๐š๐ฐ๐ฌ, ๐ž๐ง๐ฅ๐š๐ซ๐ ๐ž๐ ๐ญ๐จ๐ง๐ฌ๐ข๐ฅ๐ฌ, ๐ฉ๐จ๐จ๐ซ ๐ฆ๐ฎ๐ฌ๐œ๐ฅ๐ž ๐ญ๐จ๐ง๐ž, ๐š๐ง๐ ๐ž๐ฏ๐ž๐ง ๐ฆ๐จ๐ฎ๐ญ๐ก ๐›๐ซ๐ž๐š๐ญ๐ก๐ข๐ง๐  ๐œ๐š๐ง ๐ฌ๐ž๐œ๐ซ๐ž๐ญ๐ฅ๐ฒ ๐๐ข๐ฌ๐ซ๐ฎ๐ฉ๐ญ ๐ฒ๐จ๐ฎ๐ซ ๐œ๐ก๐ข๐ฅ๐'๐ฌ ๐ฌ๐ฅ๐ž๐ž๐ฉ, ๐ข๐ฆ๐ฉ๐š๐œ๐ญ๐ข๐ง๐  ๐ญ๐ก๐ž๐ข๐ซ ๐›๐ซ๐š๐ข๐ง ๐š๐ง๐ ๐จ๐ฏ๐ž๐ซ๐š๐ฅ๐ฅ ๐๐ž๐ฏ๐ž๐ฅ๐จ๐ฉ๐ฆ๐ž๐ง๐ญ. ๐Ÿ’กย โฃ๐ƒ๐ข๐ฌ๐œ๐จ๐ฏ๐ž๐ซ ๐ฐ๐ก๐ฒ ๐ž๐š๐ซ๐ฅ๐ฒ ๐ข๐ง๐ญ๐ž๐ซ๐ฏ๐ž๐ง๐ญ๐ข๐จ๐ง ๐š๐ง๐ ๐š ๐œ๐จ๐ฅ๐ฅ๐š๐›๐จ๐ซ๐š๐ญ๐ข๐ฏ๐ž, ๐ก๐จ๐ฅ๐ข๐ฌ๐ญ๐ข๐œ ๐ญ๐ซ๐ž๐š๐ญ๐ฆ๐ž๐ง๐ญ ๐š๐ฉ๐ฉ๐ซ๐จ๐š๐œ๐ก ๐š๐ซ๐ž ๐š๐›๐ฌ๐จ๐ฅ๐ฎ๐ญ๐ž๐ฅ๐ฒ ๐œ๐ซ๐ฎ๐œ๐ข๐š๐ฅ ๐Ÿ๐จ๐ซ ๐ฒ๐จ๐ฎ๐ซ ๐œ๐ก๐ข๐ฅ๐'๐ฌ ๐ฅ๐š๐ฌ๐ญ๐ข๐ง๐  ๐ก๐ž๐š๐ฅ๐ญ๐ก ๐š๐ง๐ ๐ฐ๐ž๐ฅ๐ฅ-๐›๐ž๐ข๐ง๐ . ๐ƒ๐จ๐ง'๐ญ ๐ฅ๐ž๐ญ ๐ฒ๐จ๐ฎ๐ซ ๐œ๐ก๐ข๐ฅ๐'๐ฌ ๐ฌ๐ฅ๐ž๐ž๐ฉ ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ๐ฌ ๐ ๐จ ๐ฎ๐ง๐š๐๐๐ซ๐ž๐ฌ๐ฌ๐ž๐ โ€“ ๐Ÿ๐ข๐ง๐ ๐จ๐ฎ๐ญ ๐ฐ๐ก๐š๐ญ ๐ฒ๐จ๐ฎ'๐ฏ๐ž ๐›๐ž๐ž๐ง ๐ฆ๐ข๐ฌ๐ฌ๐ข๐ง๐ ! ๐Ÿš€โฃโœ… Sleep-disordered breathing, primarily obstructive sleep apnea, is about airway obstruction, not solely oxygen levels. ๐Ÿ˜ดย โœ… Issues like snoring or partial/complete airway collapse disrupt sleep continuity, leading to consequences such as decreased focus, irritability, and hyperactivity (often misdiagnosed as ADHD). ๐Ÿคฏย โœ… Airway narrowing can be caused by enlarged tonsils/adenoids, deviated septum, weak oral muscles, narrow jaws, or obesity. ๐Ÿ“ย โœ… Effective treatment requires a collaborative team including sleep doctors, ENTs, airway-minded dentists/orthodontists, and myofunctional therapists. ๐Ÿค๐Ÿฆท๐Ÿ‘ƒ๐Ÿ—ฃ๏ธย โœ… Early intervention in craniofacial development is critical for preventing problems. ๐Ÿ‘ถย โœ… CPAP for children should be a temporary, transitional therapy while structural issues are addressed. ๐Ÿ’กย โœ… There is a significant lack of education on these concepts in medical and dental training programs. ๐ŸŽ“โŒย โœ… A holistic approach, addressing medical, dental, skeletal, and muscular factors, is essential for comprehensive resolution. โœจโฃ๐‘ช๐’‰๐’†๐’„๐’Œ ๐’๐’–๐’• ๐’•๐’‰๐’Š๐’” ๐’Š๐’๐’•๐’†๐’“๐’—๐’Š๐’†๐’˜ ๐’๐’ ๐’€๐’๐’–๐‘ป๐’–๐’ƒ๐’† ๐’๐’“ ๐’‚๐’๐’š ๐’๐’‡ ๐’š๐’๐’–๐’“ ๐’‡๐’‚๐’—๐’๐’“๐’Š๐’•๐’† ๐’‘๐’๐’…๐’„๐’‚๐’”๐’• ๐’‘๐’๐’‚๐’•๐’‡๐’๐’“๐’Ž๐’”!ย ๐Ÿ‘‰๐Ÿ‘€ ๐˜๐จ๐ฎ๐“๐ฎ๐›๐ž (๐Ÿ๐ฎ๐ฅ๐ฅ ๐ž๐ฉ๐ข๐ฌ๐จ๐๐ž): https://youtu.be/Cqqb519S93k_______________ABOUT OUR GUESTS:ย Dr. Jerald H. Simmons, M.D. is a Triple Board Certified Neurologist Specializing in Sleep Disorders and Epilepsy.ย  He is the Founding-Director of Comprehensive Sleep Medicine Associates, with locations in Texas.ย Dr. Bill Harrell is a distinguished professional in the field of orthodontics ans his practice was the first in Alabama and the Southeast to have 3D ConeBeam CT (CBCT) imaging. His practice was also the first in the USA to include 3D face imaging and measurements of Nasal Resistance and nasal airflow using Rhinomanometry, Acoustic Rhinometry, and Peak Nasal Inspiratory Flow (PNIF).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 an

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