The Untethered Podcast

• Ep 347: Airway First: The Pediatric Dentist's Essential Role in Treating Tongue Ties and Growth Issues

  In this episode, Hallie Bulkin welcomes special guest Dr. Anita Gouri, a board-certified pediatric dentist, to dive deep into the critical, often-missed connection between pediatric dentistry and a child's overall airway health and development.Dr. Gouri shares her personal journey into airway and tissue-focused dentistry, motivated by her own daughter's and nephew's feeding and developmental challenges due to undiagnosed tongue ties. They emphasize the absolute necessity of a multidisciplinary approach, stressing that therapy (SLP, OT, IBCLC, etc.) is optimal before and after a tongue tie release for the best outcomes and to avoid reattachment or unresolved symptoms. The conversation extends to older children, discussing the importance of an airway evaluation before prescribing ADHD medications and the dramatic life-changing results of early palatal expansion to open the airway.In this episode, you’ll learn:✔️ Dr. Gouri’s personal experience discovering her daughter's tongue tie at age 7, long after dealing with feeding issues, colic, and difficulty eating non-pureed foods. ✔️ Why pre- and post-operative therapy (like with an SLP, OT, or IBCLC) is 100% crucial for optimal outcomes following a tongue tie release. ✔️ The importance of getting an airway evaluation before putting children on ADHD medication. ✔️ Key signs of pediatric airway issues during sleep, including mouth breathing , tossing/turning/restless sleep , and the often-missed red flag of hyperextension of the neck. ✔️ The dramatic benefits of early palatal expansion (as early as 3 or 4 years old) to open the airway, often resolving issues like chronic infections (like croup) and snoring , even if the child does not have a crossbite. ✔️ How simple strategies like sleep hygiene (removing dust mite harbingers like stuffed animals and blankets) and dietary changes (like kicking gluten) can reduce inflammation and improve breathing. ✔️ Why a "quick snip" of a tongue tie may not address the entire posterior tie, which can lead to later issues like speech problems.RELATED EPISODES YOU MIGHT LOVEEp 219: Rapid Palatal Expansion for Airway Clearance and Mia's Airway JourneyEp 333: Transforming airway health & smiles with MARPE featuring Dr. Svitlana Koval, DMD, MSc, BDSOTHER WAYS TO CONNECT & LEARN💬 Let’s hang out on social: Instagram | Facebook | LinkedIn⭐ Love the show? Leave a quick review — it means the world to me!Free F.A.S.T. Myo Screening Packet: https://FastMyoScreening.comFind a myofunctional therapist: https://www.themyodirectory.comConnect with Dr. Anita Gouri: https://nocavitykids.com/meet-dr-gouri/ Hosted on Acast. See acast.com/privacy for more information.

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• Ep 346: Candy, Cocktails, & Collapsed Airways: Why Holiday Habits Impact Your Sleep and Breathing

  In this episode, Hallie Bulkin dives into a topic we all need to hear as we navigate Thanksgiving, Christmas, and the rest of the holiday season: how our festive food and drink habits directly impact our sleep and breathing.It's about more than just your waistline, what you eat and drink this time of year directly affects your airway health and daily function. Hallie connects the dots between common holiday culprits like sugar and alcohol, and poor sleep quality, snoring, and overall well-being. She emphasizes the importance of moderation, modeling good habits for your kids, and creating simple strategies to thrive through the season.In this episode, you’ll learn: ✔️Why sugar contributes to inflammation throughout the body, which can cause swelling and restrict an already tight airway. ✔️How consuming too much sugar can lead to sleep-disordered breathing, disrupted sleep, and snoring. ✔️The signs of sugar impact in children (hyperness followed by a hard crash, restless sleep) and adults (frequent nighttime waking, morning exhaustion, or a "low-level cloud" feeling). ✔️Why alcohol acts as a muscle relaxer, which can cause airway muscles to be more easily collapsible, leading to more snoring and potentially more apnic events. ✔️The benefit of balancing carbohydrates (sugar) with protein, fiber, and fat to help your body process food with greater ease. ✔️Simple strategies for both adults and families to focus on airway health during the holidays.RELATED EPISODES YOU MIGHT LOVEEp 332: The Interconnectedness of Oral and Systemic Health with Amber White RDH, HHPEp 333: Transforming airway health & smiles with MARPE featuring Dr. Svitlana Koval, DMD, MSc, BDSOTHER WAYS TO CONNECT & LEARN💬 Let’s hang out on social: Instagram | Facebook | LinkedIn⭐ Love the show? Leave a quick review — it means the world to me!• Free F.A.S.T. Myo Screening Packet: https://FastMyoScreening.com• Find a myofunctional therapist: https://www.themyodirectory.com Hosted on Acast. See acast.com/privacy for more information.

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• Ep: 345: The Hidden Link Between Pediatric Feeding Struggles & Craniosacral Therapy

  In this episode, Hallie Bulkin interviews Meaghan Beames, a craniosacral therapist, discussing the profound impact of craniosacral therapy on infant feeding and development. They explore Meaghan's journey into this field, the connection between craniosacral therapy and oral development, and the importance of addressing tension patterns in infants. The conversation emphasizes the need for more qualified providers in this area and the significance of nervous system regulation for both babies and parents. Meaghan shares insights on the number of therapy sessions needed, the challenges faced by families, and the importance of meeting them where they are. The episode concludes with advice for those looking to build a business in infant therapy, highlighting the ongoing demand for these services.In this episode, you’ll learn:✔️Craniosacral therapy can significantly improve infant feeding issues. ✔️Tension patterns in the body can affect a baby's ability to feed. ✔️It's essential to meet families where they are in their journey. ✔️Nervous system regulation is crucial for both infants and parents. ✔️Craniosacral therapy helps babies feel safe and calm. ✔️The number of therapy sessions needed varies by individual case. ✔️Craniosacral therapy can aid in the recovery post-tongue tie release. ✔️There is a growing need for qualified providers in infant therapy. ✔️Parents often feel overwhelmed and need support in their journey. ✔️Building a business in infant therapy can be rewarding and necessary.RELATED EPISODES YOU MIGHT LOVEEpisode 154: Fascia and Function Throughout The Body with Daniel Lopez, D.O.Episode 231: Gentle Healing with Craniosacral Therapy with Courtney Whitaker LMT, CSTOTHER WAYS TO CONNECT & LEARN💬 Let’s hang out on social: Instagram | Facebook | LinkedIn⭐ Love the show? Leave a quick review — it means the world to me!🥄 Download your Free Pediatric Feeding Screening Packet Hosted on Acast. See acast.com/privacy for more information.

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• Ep: 344: "What It’s Really Like to Wear Expanders — Hallie & Her Daughters Spill the Truth!"

  In this episode of the Untethered podcast, Hallie Bulkin and her daughters, Lily and Mia, share their experiences with dental expanders and clear aligners. They discuss the feelings associated with getting and removing expanders, the transition to Invisalign, and the daily challenges and funny moments that arise during their orthodontic journeys. Hallie also provides an update on her own dental treatment, emphasizing the importance of airway health and the overall benefits of these dental appliances for both children and adults.In this episode, you’ll learn:✔️The experience of getting an expander can be uncomfortable but is manageable.✔️Removing the expander can feel liberating and improve speech.✔️Clear aligners offer more flexibility compared to fixed expanders.✔️Daily life with Invisalign includes challenges like remembering to wear them.✔️Kids can adapt well to orthodontic treatments with the right support.✔️Funny stories often arise from the challenges of wearing dental appliances.✔️Maintaining good hygiene and care for aligners is crucial.✔️Airway health is an important aspect of orthodontic treatment.✔️Parents should encourage kids to share their experiences with peers.✔️Open communication about dental treatments can help alleviate fears. RELATED EPISODES YOU MIGHT LOVEEp 331: Inside My MARPE Journey with Hallie Bulkin, MA, CCC-SLP, CMT®, CPFT™Episode 322: Child Expansion Journey: Real Talks with Lily and MiaOTHER WAYS TO CONNECT & LEARN💬 Let’s hang out on social: Instagram | Facebook | LinkedIn⭐ Love the show? Leave a quick review — it means the world to me!• Free F.A.S.T. Myo Screening Packet: https://FastMyoScreening.com• Find a myofunctional therapist: https://www.themyodirectory.com Hosted on Acast. See acast.com/privacy for more information.

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• EP 343: Inside a Mission-Driven Pediatric Feeding Practice

  In this insightful conversation, Hallie Bulkin sits down with Emily Hussey, M.S., CCC-SLP/L, CLC, founder of Eats and Speaks, to explore the dynamic world of pediatric feeding therapy. Emily shares her journey from speech-language pathology to pediatric feeding, highlighting the importance of early oral health, parent education, and individualized care for every child.They unpack the realities of working with families, the need for collaboration among professionals, and how early intervention can shape lifelong health outcomes. Emily also discusses the challenges of running a private practice, from navigating insurance complexities to building a supportive, mission-driven team.Throughout the episode, Hallie and Emily emphasize that feeding therapy is about more than just food - it’s about connection, confidence, and care.In this episode, you’ll learn: ✔️ Why Emily pivoted from speech therapy to pediatric feeding therapy. ✔️ The role of early intervention in preventing long-term feeding issues. ✔️ How parent education supports children’s feeding and oral development. ✔️ Why every child requires an individualized, flexible care approach. ✔️ The impact of “all-or-nothing” thinking on therapeutic outcomes. ✔️ How teamwork enhances care in feeding and myofunctional therapy. ✔️ What it takes to build and sustain a successful private practice. ✔️ How insurance challenges affect accessibility to therapy services. ✔️ Why community and peer support are vital for therapists and families alike.RELATED EPISODES YOU MIGHT LOVEEpisode 299: Breathing, Bites, and Breakthroughs with Dr. Nora Ghodousi-Zaghi DDSEp 335: The #1 Way to Transform Your Pediatric Feeding EvaluationsOTHER WAYS TO CONNECT & LEARN💬 Let’s hang out on social: Instagram | Facebook | LinkedIn⭐ Love the show? Leave a quick review — it means the world to me!• Learn more about Emily’s work: https://www.eatsandspeaks.com/🍼 Ready to deep-dive into tethered oral tissues? Check out Tongue Tie Bootcamp Hosted on Acast. See acast.com/privacy for more information.

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