Teen/Young Adult Pedcasts

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 34

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Literature Review

1) Does oral health affect your life if you are sick and in intensive care? According to a new study in JAMA, the answer is yes. From the study: 10,742 patients – “toothbrushing was associated with significantly lower risk for Hospital Acquired Pneumonia and ICU mortality. Reduction in pneumonia incidence was significant for patients receiving invasive mechanical ventilation but not for patients who were not receiving invasive mechanical ventilation. Toothbrushing for patients in the ICU was associated with fewer days of mechanical ventilation and a shorter ICU length of stay. Brushing twice a day vs more frequent intervals was associated with similar effect estimates….Non-ICU hospital length of stay and use of antibiotics were not associated with toothbrushing.” (Ehrenzeller et. al. 2024)

Why does this matter? In effect, what this study shows is that patients with oral hygiene needs that are not met will have increased bacterial burdens leading to infectious disease risk via systemic inflammation and possibly bacterial translocation. At the end of the day, oral hygiene is very important to lower the total burden of inflammation in everyone, but especially in the most ill patient. It is super important for everyone to brush 2-3 x daily and floss daily at night…..

Plus a discussion on Back to School.

Enjoy, Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 32

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Sleep Part III

Finally, the other elephant in the room related to sleep is STRESS. Stress alters the function of the hormone cortisol and can significantly alter night sleep function. There are three major chemicals that affect sleep: cortisol, adenosine and melatonin.

In normal conditions, adenosine rises during the day making you sleepy, cortisol hits its low point at night and melatonin rises as the sun goes down. This combination puts pressure on you to feel sleepy and want to go to bed. Unfortunately, modern life has made many of us feel stressed and sympathetically fired up which affects cortisol function. Instead of being at its nadir at night, the stress response causes cortisol to rise at inappropriate times disrupting sleep onset and maintenance. Couple this stress with facebook addiction and screen induced melatonin suppression and you have a recipe for insomnia and disrupted sleep. (Hanson et. al. 2010)….Plus, a section on cellphones and driver knowledge.

Enjoy,

Dr. M

Dr. M’s SPA Audiocast Newsletter Volume 14 Issue 30

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Sleep Part II

Let us pause here! So far we now know that humans at all ages will suffer from memory dysfunction and brain sewage cleanup problems leading to inflammation and damage long term. What ages are most at risk? They are likely mirrored by other physiologic events that are at risk based on age. Teenagers, infants and toddlers are rapidly growing creatures requiring more macro/micronutrients, water, and toxin avoidance for success. It is likely that sleep follows these same principles.

Going to a simple google scholar search for “sleep deprivation age risk” brings up countless articles on the effects of sleep deprivation in mothers and children on risk of obesity, diabetes, premature birth and much more.

….Plus more on gender and emotion as well as a recipe of the week.

Enjoy,

Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 24

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Reading

If you want to spend any amount of time with your child beyond hugs, feeding and basic life duties, I would recommend reading above all else. I find it hard to believe that this is the first article that I have written on reading. I pondered that for a minute and concluded that this, in effect, was me taking this information for granted. That ends today.

When I reflect on my journey on the road to reading literacy, I note that I was not an avid reader. Nay, I hated reading for most of my childhood. My first self chosen pleasure book was The Firm when I was 23 years old. Why would this be? To sit for me was and is akin to mild torture. While other kids loved to dive into a book, that was not for me. Run, play, drum, hike, yes sir. All in….plus a Literature Review and section on Memorial Day.

Enjoy,

Dr. M

Dr. M’s Women and Children First Podcast #74 – Philip Bugaiski OD – Vision Beyond 20/20

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This week I sit down with Philip Bugaiski to discuss ocular tracking, reading difficulties and vision therapy.
Dr. Bugaiski was born in New York and first developed an interest in optometry as a result of childhood vision challenges, requiring vision therapy. He studied science as an undergraduate at the Penn State University graduating with honors. He was awarded one of six national scholarships for optometry from the US Air Force. He served his country with distinction. He finished his doctoral work at the State University of New York College of Optometry. He completed fellowships in Synotic Optometry and Vision Therapy. He worked as Chief of Pediatrics and Vision Therapy for a multi-doctor practice until he founded The Developmental Vision Center in Charlotte, North Carolina. He specializes in Vision Development, Vision Therapy, Pediatric Optometry, and Vision Rehabilitation.
Dr. Bugaiski is also North Carolina’s only Fellow of the College of Syntonic Optometry. He is a sought-after guest speaker for various groups on a local, national, and international level.
All too often, children and adults are told that their eyes are healthy, they have 20/20 eyesight or their glasses are the correct power, and there is nothing else to be done. They are told that their reading issues are inborn dyslexia and other reductionistic diagnosis. At The Developmental Vision Center, Dr. Bugaiski looks beyond 20/20 eyesight. His team is there to treat the person, not just their eyes. Vision therapy is a program of progressive visual activities performed under doctor supervision, individualized by a vision therapist to fit the needs of each patient. In a statement, he is treating the child not a diagnostic name.
Please enjoy my conversation with Philip Bugaiski,
Dr. M
Dr. Bugaiski Website
LinkedIn Link

Dr. M’s Women and Children First Podcast #72 – Blaine Leeds D.D.S. – Oral Health and Sleep

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This week I sit down with Dr. Blaine Leeds to discuss oral health, sleep apnea, bedwetting and more.
Dr. Leeds is a leader in the dental field. He speaks nationally on tele-dentistry, oral health and dental treatments for sleep disordered breathing and sleep apnea. He is a graduate of Arkansas Tech with a Bachelors degree in Chemistry before attending the University of Tennessee School of Dentistry where he graduated with honors. His skills in dentistry have also spurned many technological companies to help dentistry reach far locations. He is the author of, What happens when your child doesn’t sleep? a book exploring the connection between oral motor function, anatomy and sleep. This is a very important topic as poor sleep will dominate a child’s behavior in a negative way. He has been a guest on many major news networks sharing this wisdom.
Today we sit down to dissect the issues of oral health, sleep and a whole child approach. The exploration is exactly what we need, root cause analysis and treatments based on the reasons not the symptoms.
Please enjoy my conversation with Blaine Leeds,
Dr. M

Dr. M’s Women and Children First Podcast #70 – Stan Gabryszewski, M.D., Ph.D. – Allergies

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This week I sit down with Dr. Stan Gabryszewski to discuss allergies from multiple angles.
Dr. Gabryszewski graduated from Princeton University with a degree in Molecular Biology before attending Columbia University for his MD as well as a PhD degree in Cellular, Molecular and Biomedical Studies. He then completed his pediatric residency and is a senior allergy immunology fellow at the Children’s Hospital of Philadelphia where he now teaches and performs research in the lab of Dr. David Hall. His research is focused on better understanding the epidemiologic and immunologic features among pediatric allergic disorders, in particular the food allergies IgE-mediated food allergy and eosinophilic esophagitis.
In this conversation, Stan and I sit down to discuss his recent paper in Pediatrics entitled, Patterns in the Development of Pediatric Allergy. This article is a much needed look at the true prevalence of allergy and allergic diseases in children. We discuss the statistics as well as the thoughts behind the why this is occurring. The upstream reasons are very important, hard to tease out but worthy of discussion.
Please enjoy my conversation with Stan Gabryszewski,
Dr. M
His recent paper in pediatrics.

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