The Untethered Podcast
Episode 204: Progressing Through Play and TOTs with Dr. Brita Destefano
Today Hallie talks with Dr. Brita Destefano PT, DPT, PCS as they discuss all things Tethered Oral Tissues (TOTs) and infant development. As a part of the TOT's care team, PTs play a role in helping children with concerns related to posture/neck tension (e.g., torticollis), feeding, digestion, head shape (e.g., plagiocephaly), and other motor delays or disorders that may be at play. Dr. Brita shares her passion for helping parents to understand their child's individual developmental trajectory (hint: milestones are important but not the end all be all!) in an effort to help children achieve optimal function.
Dr. Brita's gentle sense of humor and her own experience as a mom of children with TOTs makes her very relatable. She shares her evaluation and treatment process and effort to educate others through her business, Progress Through Play.
Please click here to download the show notes.
For more episodes visit www.untetheredpodcast.com
Episode 218: The Three Pillars Approach with Jessica Altemara, IBCLC and Dr. Ray Tseng, DDS, PhD, FAAPD01:09:46On this week's episode of The Untethered Podcast, Jessica Altemara and Dr. Ray Tseng join Hallie to discuss the significance of offering both holistic and evidence-based care to families facing difficulties with the functional impacts of tethered oral tissues (e.g., tongue tie, lip tie, buccal tie). They delve into the role of social-emotional support in guiding families through their tongue-tie journey, using the Three Pillars Approach. Hot topics including the importance of continuity of care, research data collection, collaborative efforts, and professional development are also discussed. About Jessica: Jessica, a mother of four, has been devoted to supporting families facing oral restrictions since her own experience with a tongue-tied baby in 2005. With her background as a La Leche League Leader, doula, and IBCLC-certified practitioner, she established a successful private practice. Jessica's advocacy extends nationwide, where she has collaborated with various practices to introduce the integrative Three Pillar Approach. About Dr. Ray Tseng: Dr. Ray has been practicing pediatric dentistry for 11 years and diagnosing and treating lip and tongue ties in infants and children for 5 years. He started the NC Tongue Tie Center, focused on research and clinical practice and is on the board of directors for the International Consortium for Ankylofrenula Professionals (ICAP), an international society for tongue-tie clinicians, health professionals, and researchers. He has created an evidence-based practice and treatment protocol, produced clinical evidence related to lip and tongue ties, and continues to collaborate with other ankyloglossia and tongue tie health professionals.This episode is definitely packed with a wealth of knowledge. Dr. Ray and Jessica are inviting all of you to join the movement with ICAP, an international organization of tongue-tie professionals whose vision is to promote best practices for the assessment, diagnosis and integrative treatment of restricted oral tissuesIf this episode inspired you in some way, take a screenshot of you listening, post it to your Instagram Stories, and tag @halliebulkin For more episodes visit www.untetheredpodcast.com
Episode 217: Functional Nasal Breathing with Dr. Melyssa Hancock, MD54:17Join Hallie in this week’s episode as she sits down with Dr. Melyssa Hancock, double board-certified Facial Plastic & Reconstructive Surgeon in Boca Raton, FL. Dr. Hancock is a specialist practicing full spectrum facial cosmetic and reconstructive surgery, with emphasis on rhinoplasty and revision rhinoplasty, as well as facial rejuvenation procedures and skin cancer reconstruction. The conversation covers everything you need to know about the importance of nasal breathing for overall health and the functional and aesthetic aspects of the total nose approach.You’ll also hear them talk about the process of rhinoplasty, and various tips to successfully navigate healthcare and ensure an optimal recovery from facial plastic surgery. Hallie emphasizes the importance of finding an ENT you can trust and properly researching and understanding the risks and expectations of the procedure.This episode is 100% informative and fun. If this episode inspired you in some way, take a screenshot of you listening, post it to your Instagram Stories, and tag us, @halliebulkin and @drmelyssahancockFor more episodes visit www.untetheredpodcast.com
Episode 216: Impact of Misdiagnosed Vision Problems and the Transformative Role of Vision Therapy with Dr. Bryce Appelbaum, OD, FCOVD01:03:27In this week’s episode, Dr. Bryce Appelbaum joins Hallie to discuss misdiagnosed and mismanaged functional vision problems. ADHD, concussions, sleep disorders, stress, educational impact and more are discussed. He also explains the critical difference between eyesight and vision; hint: they are NOT the same!Dr. Bryce is on a mission to change the way the world views vision. He believes there is more to vision than just 20/20 eyesight and has developed programs to retrain the brain to revise the eyes. This episode is definitely an eye-opener as you’ll discover the worlds of vision and Myo are quite parallel and interconnected. You’ll also learn how you can best help yourself, your family and/or your patients.If this episode inspired you in some way, take a screenshot of you listening, post it to your Instagram Stories, and tag us, @halliebulkin and @DrbryceappelbaumP.S. Dr. Bryce is giving all The Untethered Podcast audience an exclusive discount to his ScreenFit program! Use coupon code UNTETHERED for 10% off when you enroll at screenfit.comFor more episodes visit www.untetheredpodcast.com
Episode 215: Airway-Focused Dentistry and Myofunctional Therapy with Dr. Annie Babb, DDS01:04:03In this week’s episode, Hallie chats with Dr. Annie, who is passionate about airway-focused dentistry – an approach that places an emphasis on improving a patient's airway and breathing. She shares how her own experience with breathing issues led her to discover the importance of airway-focused dentistry which allowed her to become a better practitioner.Dr. Annie also talks about how she and her colleagues at Braces for All Ages use myofunctional therapy and a holistic, collaborative approach to care for patients whether they need myo, a frenectomy and/or airway expansion. She shares how they work closely with other providers in their community to help patients get the best results for their current and future health.If this episode inspired you in some way, take a screenshot of you listening, post it to your Instagram Stories, and tag us, @halliebulkin and @dr.anniebabbFor more episodes visit www.untetheredpodcast.com
Episode 214: An update from a 7-year-olds perspective with Lily & Hallie Bulkin26:05On take your child to work day, Hallie invited Lily, her 7.5 year old daughter back onto the podcast. They discuss Lily’s medical history, her take on different food and so much more! At this point, Lily has had a tongue tie release, feeding therapy, myofunctional therapy, early expansion with an ALF appliance, followed by a Hyrax RPE with a forward growth component and is in a permanent retainer at the moment that will come out summer 2023. We dive a bit deeper into these topics. Join us and be sure to listen ALL the way to the end; Lily will give you a good laugh! If this episode inspired you in some way, take a screenshot of you listening, post it to your Instagram Stories, and tag @halliebulkin (give Lily a shout out, too!)For more episodes visit www.untetheredpodcast.com
Episode 213: The NICU OT: Advocacy, Education & An Interdisciplinary Approach with Jacklynn Knotts OTR/L, CNT, IBCLC, CPST01:05:58Want to know what it really takes to work in an interdisciplinary neonatal intensive care unit (NICU)? In today’s episode, Jackee joins Hallie to share how she and some of her colleagues have created this in their hospital NICU.After experiencing a NICU stay with her first child, Jackee made it her mission to change the support, education, and experience for families of babies in the NICU. She discusses how her interdisciplinary team supports the family unit so that they can receive the best care while in the NICU and are as prepared as they can be to transition from the NICU to their home once discharged. This is truly an inspiring episode and an approach that should exist in NICU’s across the country!!If this episode inspired you in some way, take a screenshot of you listening, post it to your Instagram Stories, and tag us, @halliebulkin and @the.nicu.ot For more episodes visit www.untetheredpodcast.com
Episode 212: The Soma Appliance: Balancing The Body, Calming The Nervous System with Dr. Jasmine Elmore, DDS, CSOM, PDBSc01:17:51Dr. Jasmine Elmore rejoins Hallie on the podcast almost two years after their first episode together! During this time, Jasmine has been on a journey of discovery as shared during this episode with the recent launch of her SOMA-focused practice. SOMA stands for Splint Orthopedic Myofunctional Appliance (“SOMA”) and is a dental appliance with its own unique system of adjustments and protocols. It aims to help with the TMJ, musculature, and airway. Hallie and Jasmine deep dive into the full body benefits of the SOMA and other integrated therapies as this holistic approach to optimal health aims to balance the body and calm the nervous system. This jam-packed episode also covers a patient-centered approach and key factors to consider when looking to increase your professional skillset (and more)!In this episode you’ll hear: Career Transformation and “Failures” The Pave The WayThe Long Road to Understanding The Soma Appliance Created By Dr. Joseph Da CruzBalancing the Body and Calming the Nervous System: The Impact of Soma Appliances on Psychological Well-BeingIntegrating Traditional and Holistic Medicine for Better Health OutcomesHow to Stay on the Path to Health and WellnessA Journey of Discovering True Self: From Warrior to GardenerFinding the Holistic Treatment Pathway: Listening to the Patient, Meeting Them Where They Are and Learning TogetherUnlocking the Ultimate Knowledge and Skillset [Feed The Peds®; The Soma Appliance]The Art and Science of Muscle-Informed Exercise for Treating PatientsPutting the Patient First: Elevating Your Skillset, Identity, and Mentorship Lasting Relief and Improvement with SOMAThe Struggle to Talk About the Quiet Genius: How Our Bodies Respond to Everyday Life.Dental Distress Syndrome: Impact on Body Functioning; Understanding the Impact on Homeostasis and NeurologyExpectation, Positive Thinking & Arming Yourself With Education: The Key to Finding Your Ideal Therapy Plan and Health GoalsIf this episode inspired you in some way, take a screenshot of you listening, post it to your Instagram Stories, and tag us, @halliebulkin and @sleepwithsoma For more episodes visit www.untetheredpodcast.com
Episode 211: Differential Diagnosis: OMDs & PFDs22:57In this episode, we dive into a question that popped up on a recent Feed The Peds® live case study call: How can we differentially diagnose OMDs in children that present with other potential diagnoses?Join me as I share my thoughts when it comes to the differential diagnosis of OMDs & Pediatric Feeding Disorders (PFDs) primarily involving the oral phase of the swallow.Tune in and happy listening!For more episodes, visit www.untetheredpodcast.com
Episode 210: SCREEN THE PEDS with Hallie Bulkin, MA, CCC-SLP, CMT®, COM16:27Hey friends! Join Mia and I on episode 210 this week. Reflecting on this a bit, I can’t believe we’re at 210 episodes and 491k downloads of the podcast, which is incredible for such a small niche! Thank you for all who have been with me since the beginning and for those of you who found this later on but have become loyal listeners!In this episode, I wanted to focus on screening our pediatric patients and why it is such a need. I also talk about orofacial myofunctional disorders and tips on how we can intervene. Listen for a special announcement, too! This one’s short but impactful.If you're an SLP or OT, join me for a FREE 5-day training and screen your first pediatric feeding patient (I’ll supply the patient!). You'll receive a certificate of completion after. Free 5-hour training on how to screen your first pediatric feeding client and you will get a certificate of completion (CMH’s) Bonus join the course and you get 5 hours of ASHA and AOTA CEUs! Please click here to download the show notes.For more episodes visit www.untetheredpodcast.com