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Airway Answers with Nicole Goldfarb: Expanding Your Breath of Knowledge

Ep 59: โ€œ(Part 2): 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, DDSโ€

07 Jul 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€œ๐๐€๐‘๐“ 2: ๐…๐Ž๐‘ ๐๐€๐‘๐„๐๐“๐’ & ๐๐‘๐Ž๐•๐ˆ๐ƒ๐„๐‘๐’ ๐Ž๐… ๐‚๐‡๐ˆ๐ƒ๐‹๐‘๐„๐ ๐–๐ˆ๐“๐‡ ๐’๐‹๐„๐„๐ ๐€๐๐๐„๐€ & ๐Ž๐“๐‡๐„๐‘ ๐’๐‹๐„๐„๐ & ๐€๐ˆ๐‘๐–๐€๐˜ ๐ˆ๐’๐’๐”๐„๐’โ€ ๐ฐ๐ข๐ญ๐ก ๐ƒ๐ซ. ๐‰๐ž๐ซ๐š๐ฅ๐ ๐’๐ข๐ฆ๐ฆ๐จ๐ง๐ฌ, ๐Œ.๐ƒ., ๐ƒ๐ซ. ๐ƒ๐š๐ฏ๐ข๐ ๐Œ๐œ๐ˆ๐ง๐ญ๐จ๐ฌ๐ก, ๐„๐๐“, ๐ƒ๐ซ. ๐๐ข๐ฅ๐ฅ ๐‡๐š๐ซ๐ซ๐ž๐ฅ, ๐ƒ๐ƒ๐’! ๐ŸŽ‰โฃThis episode is ๐—ฃ๐—”๐—ฅ๐—ง ๐Ÿฎ and discusses sleep disordered breathing in children and reviews some questions asked by parents and practitioners on social media forums. This series focuses on the ๐—บ๐˜‚๐—น๐˜๐—ถ๐—ณ๐—ฎ๐—ฐ๐˜๐—ผ๐—ฟ๐—ถ๐—ฎ๐—น ๐—ป๐—ฎ๐˜๐˜‚๐—ฟ๐—ฒ ๐—ผ๐—ณ ๐˜€๐—น๐—ฒ๐—ฒ๐—ฝ ๐—ฑ๐—ถ๐˜€๐—ผ๐—ฟ๐—ฑ๐—ฒ๐—ฟ๐—ฒ๐—ฑ ๐—ฏ๐—ฟ๐—ฒ๐—ฎ๐˜๐—ต๐—ถ๐—ป๐—ด ๐—ถ๐—ป ๐—ฐ๐—ต๐—ถ๐—น๐—ฑ๐—ฟ๐—ฒ๐—ป, the ๐—ฐ๐—ฟ๐˜‚๐—ฐ๐—ถ๐—ฎ๐—น ๐—ฟ๐—ผ๐—น๐—ฒ ๐—ผ๐—ณ ๐—ฐ๐—ผ๐—น๐—น๐—ฎ๐—ฏ๐—ผ๐—ฟ๐—ฎ๐˜๐—ถ๐—ผ๐—ป among different specialists, and ๐—ฎ๐—ฑ๐—ฑ๐—ฟ๐—ฒ๐˜€๐˜€๐—ถ๐—ป๐—ด ๐—ฐ๐—ผ๐—บ๐—บ๐—ผ๐—ป ๐—บ๐—ถ๐˜€๐—ฐ๐—ผ๐—ป๐—ฐ๐—ฒ๐—ฝ๐˜๐—ถ๐—ผ๐—ป๐˜€ regarding treatments and diagnoses.ย The primary aim of this series is to clarify issues parents face and provide a ๐—ฐ๐—ผ๐—บ๐—ฝ๐—ฟ๐—ฒ๐—ต๐—ฒ๐—ป๐˜€๐—ถ๐˜ƒ๐—ฒ ๐˜‚๐—ป๐—ฑ๐—ฒ๐—ฟ๐˜€๐˜๐—ฎ๐—ป๐—ฑ๐—ถ๐—ป๐—ด of pediatric sleep disordered breathing, emphasizing that it's often more than just enlarged tonsils or requires more than CPAP alone. The ๐—ฐ๐—ผ๐—น๐—น๐—ฎ๐—ฏ๐—ผ๐—ฟ๐—ฎ๐˜๐—ถ๐˜ƒ๐—ฒ, ๐˜๐—ฒ๐—ฎ๐—บ-๐—ฏ๐—ฎ๐˜€๐—ฒ๐—ฑ ๐—ฎ๐—ฝ๐—ฝ๐—ฟ๐—ผ๐—ฎ๐—ฐ๐—ต is highlighted as essential for effective and sustained treatment. Discussions also delve into ๐—ถ๐—ป๐˜๐—ฒ๐—ฟ๐—ฝ๐—ฟ๐—ฒ๐˜๐—ถ๐—ป๐—ด ๐˜€๐—น๐—ฒ๐—ฒ๐—ฝ ๐˜€๐˜๐˜‚๐—ฑ๐˜† ๐—ฟ๐—ฒ๐˜€๐˜‚๐—น๐˜๐˜€ (e.g., mild findings, central apneas), the ๐—ถ๐—บ๐—ฝ๐—ฎ๐—ฐ๐˜ ๐—ผ๐—ณ ๐—ฑ๐—ฒ๐—ป๐˜๐—ฎ๐—น-๐˜€๐—ธ๐—ฒ๐—น๐—ฒ๐˜๐—ฎ๐—น ๐—ฑ๐—ฒ๐˜ƒ๐—ฒ๐—น๐—ผ๐—ฝ๐—บ๐—ฒ๐—ป๐˜, and the role of ๐—ฎ๐—น๐—น๐—ฒ๐—ฟ๐—ด๐—ถ๐—ฒ๐˜€ ๐—ฎ๐—ป๐—ฑ ๐—น๐—ผ๐˜„ ๐—ถ๐—ฟ๐—ผ๐—ป, as well as common symptoms like ๐—ฏ๐—ฟ๐˜‚๐˜…๐—ถ๐˜€๐—บ.Key topics include:โœ…๐‚๐จ๐ฅ๐ฅ๐š๐›๐จ๐ซ๐š๐ญ๐ข๐จ๐ง ๐ข๐ฌ ๐œ๐ซ๐ฎ๐œ๐ข๐š๐ฅ ๐Ÿ๐จ๐ซ ๐ž๐Ÿ๐Ÿ๐ž๐œ๐ญ๐ข๐ฏ๐ž ๐ญ๐ซ๐ž๐š๐ญ๐ฆ๐ž๐ง๐ญ.โœ…๐‚๐๐€๐ ๐ข๐ฌ ๐š ๐ญ๐ž๐ฆ๐ฉ๐จ๐ซ๐š๐ซ๐ฒ ๐ฆ๐ž๐š๐ฌ๐ฎ๐ซ๐ž ๐Ÿ๐จ๐ซ ๐ฌ๐ž๐ฏ๐ž๐ซ๐ž ๐œ๐š๐ฌ๐ž๐ฌ, ๐ง๐จ๐ญ ๐š ๐ฉ๐ž๐ซ๐ฆ๐š๐ง๐ž๐ง๐ญ ๐œ๐ฎ๐ซ๐ž. ๐Ÿšซโœ…๐“๐จ๐ง๐ฌ๐ข๐ฅ/๐š๐๐ž๐ง๐จ๐ข๐ ๐ซ๐ž๐ฆ๐จ๐ฏ๐š๐ฅ ๐ข๐ฌ ๐ข๐ฆ๐ฉ๐จ๐ซ๐ญ๐š๐ง๐ญ ๐›๐ฎ๐ญ ๐จ๐Ÿ๐ญ๐ž๐ง ๐ง๐ž๐ž๐๐ฌ ๐Ÿ๐จ๐ฅ๐ฅ๐จ๐ฐ-๐ฎ๐ฉ ๐š๐ง๐ ๐ฆ๐ฎ๐ฅ๐ญ๐ข-๐Ÿ๐š๐œ๐ญ๐จ๐ซ ๐ญ๐ซ๐ž๐š๐ญ๐ฆ๐ž๐ง๐ญ.ย โœ…๐’๐ฅ๐ž๐ž๐ฉ ๐ฌ๐ญ๐ฎ๐๐ข๐ž๐ฌ ๐š๐ซ๐ž ๐ฏ๐ข๐ญ๐š๐ฅ, ๐›๐ฎ๐ญ ๐ฆ๐ข๐ฅ๐ ๐ซ๐ž๐ฌ๐ฎ๐ฅ๐ญ๐ฌ ๐๐จ๐ง'๐ญ ๐๐ข๐ฌ๐ฆ๐ข๐ฌ๐ฌ ๐ฌ๐ฒ๐ฆ๐ฉ๐ญ๐จ๐ฆ๐ฌ. ๐Ÿ’กโœ…๐‚๐ž๐ง๐ญ๐ซ๐š๐ฅ ๐š๐ฉ๐ง๐ž๐š๐ฌ ๐œ๐š๐ง ๐›๐ž ๐ง๐จ๐ซ๐ฆ๐š๐ฅ ๐ฉ๐ก๐ฒ๐ฌ๐ข๐จ๐ฅ๐จ๐ ๐ข๐œ๐š๐ฅ ๐จ๐œ๐œ๐ฎ๐ซ๐ซ๐ž๐ง๐œ๐ž๐ฌ, ๐ง๐จ๐ญ ๐ง๐ž๐œ๐ž๐ฌ๐ฌ๐š๐ซ๐ข๐ฅ๐ฒ ๐š ๐›๐ซ๐š๐ข๐ง ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ. ๐Ÿง โœ…๐๐ซ๐ฎ๐ฑ๐ข๐ฌ๐ฆ ๐ข๐ฌ ๐Ÿ๐ซ๐ž๐ช๐ฎ๐ž๐ง๐ญ๐ฅ๐ฒ ๐ฅ๐ข๐ง๐ค๐ž๐ ๐ญ๐จ ๐š๐ข๐ซ๐ฐ๐š๐ฒ ๐ข๐ฌ๐ฌ๐ฎ๐ž๐ฌ, ๐ฅ๐จ๐ฐ ๐ข๐ซ๐จ๐ง, ๐š๐ง๐ ๐š๐ฅ๐ฅ๐ž๐ซ๐ ๐ข๐ž๐ฌ. ๐Ÿฆทโœ…๐„๐š๐ซ๐ฅ๐ฒ ๐ข๐ง๐ญ๐ž๐ซ๐ฏ๐ž๐ง๐ญ๐ข๐จ๐ง ๐Ÿ๐จ๐ซ ๐๐ž๐ง๐ญ๐š๐ฅ-๐ฌ๐ค๐ž๐ฅ๐ž๐ญ๐š๐ฅ ๐ข๐ฌ๐ฌ๐ฎ๐ž๐ฌ ๐ข๐ฌ ๐ข๐ฆ๐ฉ๐จ๐ซ๐ญ๐š๐ง๐ญ. ๐Ÿ‘ง๐Ÿ‘ฆโ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/sOKudsKh-LE_________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.ย  Dr. Harrellโ€™s practice was the first in Alabama and the Southeast to have 3D ConeBeam CT (CBCT) imaging, providing a comprehensive view of the patientโ€™s anatomy, including the teeth, bones of the head and neck, the TM Joints, the Airway and sinuses, and other vital structures. 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 and Neck Surgery and Paediatric training at Starship Childrenโ€™s Hospital in Auckland, New Zealand.____________ABOUT THE HOST: <

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