Episode 26 of Airway Answers: "ASTHMA, REFLUX, TONSILS, ADENOIDS, & EAR INFECTIONS 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 ASTHMA, REFLUX, TONSILS, ADENOIDS, & EAR INFECTIONS” and the impact of allergies on the airway and sleep.  This is Part 2 of a multiple-part ENT series.  Don’t forget to watch Part 1, which was “ALL ABOUT ALLERGIES”, and the nest episode in Part 3 you will learn "ALL ABOUT ADHD, ASD (autism spectrum disorder), & THE RELATIONSHIP TO ENT, AIRWAY, & SLEEP-RELATED ISSUES". As a practitioner, patient, or parent, this ENT series is a must watch!

Topics in today's interview include:
✅ What is asthma and how it is treated? 
✅ The relationship between asthma and allergies
✅ The relationship between asthma and sleep-disordered breathing 
✅ Breathing retraining programs and asthma or asthma-like symptoms (anxiety / panic)
✅ Airway causes and consequences of reflux
✅ Why the tonsils and adenoids enlarge?
✅ Why do sometimes the tonsils enlarge and not the adenoids or vice versa? 
✅ Does mouth breathing cause the tonsils to enlarge?
✅ Tonsillectomy versus tonsillectomy
✅ How often do the adenoids grow back and why?
✅ The relationship between adenoid and tonsil hypertrophy and sleep disordered breathing
✅ The best ways to view the tonsils and the adenoids
✅ Ear infections, allergies, adenoids, and 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 is the author of multiple articles and book chapters as well as a children’s book series on airway.

She is on the Child Airway Initiative Task Force (CAST), which is a national team of doctors, dentists, and orthodontists 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 OMT.  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