Episode 25 of Airway Answers: ALL ABOUT ALLERGIES! with Dr. David McIntosh, ENT

Welcome to the "Airway Answers with Nicole Goldfarb: Expanding your Breath of Knowledge". In this episode, Nicole Goldfarb, M.A. CCC, SLP- COM® interviews the well-known ENT, Dr. David McIntosh, and they talk ALL ABOUT ALLERGIES and the impact of allergies on the airway and sleep.  This is Part 1 of a multiple-part ENT series. 

Topics include:
✅ Why not all ENTs understand the airway and SDB
✅ What is the "allergic march"
✅ Allergic rhinitis versus non-allergic rhinitis
✅ Why what appears to be allergies may not show up on allergy testing
✅ The "Big 4" allergens
✅ Why there are more allergies occurring these day, with onset at a younger age, and more severe occurrences
✅ Treatments for allergies
✅ Nasal steroid sprays, nasal irrigation sprays, and systemic allergy medications 
✅ Why Nitric Oxide is not always good
✅ Nasal turbinates
✅ Nasal cycle
✅ Venous pooling
✅ How to detect allergies in our patients
✅ Why it is not good to sleep on our backs (different than what you thought!)
✅ and much more....
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ABOUT THE GUEST:

Dr. David McIntosh is a Pediatric 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 also specializes in sinus disease and provides opinions on the benefit of revision of previous sinus operations. He is also passionate about Indigenous Health.  Dr. McIntosh has undertaken advanced surgical training in ENT and Head and Neck Surgery and Paediatric training at Starship Children’s Hospital in Auckland, New Zealand. 

His books include: 
* Don’t Ignore the Snore (2020)
* Snored to Death (Are You Dying in Your Sleep) (2020)
* Sleep-Disordered Breathing: A Parent Guide (2023)
* A Parent's Guide to ENT (2024)
* The ABC of ENT, ASD, and ADHD (2024)
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ABOUT THE HOST: 

Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, an International speaker, author, Ambassador for the Breathe Institute, a Talk Tools educational partner, and has served on the faculty for the Sleep Education Consortium and Airway, Sleep, and Pediatrics Pathway (ASAP) program. She has completed over 50 presentations on orofacial myofunctional therapy as it relates to sleep-disordered breathing in both children and adults.  Nicole is the author of various articles and of a two-part chapter on OMT in a medical textbook “Growing Into Breathing Problems: The Collaborative Quest For Lifetime Solutions”. She has written a children’s book series “The Adventures of Captain Airway and Mr. Mighty Mouth”. She is on the Child Airway Initiative Task Force (CAST), developing a universal screening tool for all dentists to use to screen patients for sleep-disordered breathing.

Nicole is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy. She currently serves as a mentor and consultant to patients, professionals, and colleagues nationally and internationally in the field of orofacial myofunctional therapy. Nicole combines her background and skills in Psychology, Orofacial Myofunctional Therapy, and Speech-Language Pathology to provide effective and result-based evaluations, therapy, consultations, and mentorship for children and adults of all ages. She has a special passion and interest in sleep-disordered breathing and diagnosing restricted frenums as they relate to myofunctional disorders. Nicole’s life-long quest is to help in the early identification and treatment of sleep-disordered breathing and airway issues. 

For more on Nicole, visit her practice: www.sandiegocenterforspeechtherapy.com. 

Follow her Facebook: San Diego Center for Speech Therapy