Special Encore Episode: Meet the Tongue Tie Team: Lori L. Overland, M.S., CCC-SLP, C/NDT, CLC, FOM

Knowing the type of providers on the Tongue Tie Treatment Team, what they do for infants, and why, is vital to understanding the process.

In this episode, Lisa Paladino interviews Lori L. Overland, M.S., CCC-SLP, C/NDT, CLC.

Topics discussed:

• The vital collaboration between SLP and IBCLC and other team members.
• Caring for those with neuro-motor issues and non-typically developing babies.
• How an SLP evaluates oral structure and function in infants which goes beyond general IBCLC education.
• The importance of the team, mentorship, and much more
• Article referenced during our chat about tongue tie and mastication: https://link.springer.com/article/10.1186/1471-2458-12-934

**********

Now's your chance to join the Professional's Guide To Tongue Tie in the Breastfeeding Infant

Click now: https://www.tonguetieexperts.net/Professional and use code PODCAST40 to save almost $500.

_________________________

More About Lori:

Lori L. Overland is a licensed speech and language pathologist, Certified Lactation Counselor, and holds fellowship in orofacial myology as well as as a neurodevelopmental certification. Lori specializes in oral sensory-motor/feeding therapy, oral placement and orofacial myofunctional disorders in children. Her private practice, Alphabet Soup, focuses on infants, toddlers and preschool children with oral sensory-motor/feeding disorders. Lori provides international consults as well as consults to local school districts and Birth-to-Three organizations.

Check out her course: A Sensory Motor Approach to Adapted Baby Led Weaning

Special thanks to our sponsor, Light Scalpel: www.lightscalpel.com/

Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

Mentioned in this episode:

Light Scalpel Ad Link

Light Scalpel Ad Link

Light Scalpel Ad Link

In this episode, Lisa Paladino reviews the American Academy of Pediatrics clinical report on ankyloglossia and its impact on breastfeeding. She highlights its strengths and critiques, including outdated references and the lack of recognition for IBCLCs. Lisa calls for a holistic, collaborative approach to treatment, involving lactation consultants, body workers, and other specialists, and advocates for updated research and respect for parents' insights.

Takeaways:

• The AAP report on tongue tie has strengths but needs updates and broader collaboration.
• A holistic approach should involve IBCLCs, body workers, and other functional specialists.
• Research needs to be updated, and parents' insights should be valued.

Prefer to read? Click here for the blog: https://www.tonguetieexperts.net/blog

References:

• Identification and Management of Ankyloglossia and Its Effect on Breastfeeding in Infants: Clinical Report. https://publications.aap.org/pediatrics/article/154/2/e2024067605/198022/Identification-and-Management-of-Ankyloglossia
• Smart, S., Tseng, R., Kittrell, A., Merkel-Walsh, R., Chan, J., Jones, N., Altemara, J., and Hartwick, E. (2024). International Consortium of oral Ankylofrenula Professionals (ICAP): Position Statement on Ankylofrenula. https://icapprofessionals.com/

Ways to connect with Lisa:

Become a “Tongue Tie Experts Insider” Support the podcast & get exclusive access to online events - Click HERE

Follow us on Instagram and Facebook as Tongue Tie Experts

Don’t miss our *new* Professional’s Guide to Tongue Tie in the Breastfeeding Infant

Special Coupon Code PODCAST40 to save 40%

If you are enjoying our podcast, be sure to subscribe/follow on your favorite podcast app so you don't miss an episode.

Special thanks to our sponsor for their support of the podcast. You can check out Light Scalpel here: LightScalpel.com

In this conversation, Lisa Paladino shares a case study of a patient with breastfeeding challenges and a complex medical history. She emphasizes the importance of a holistic approach to breastfeeding support, considering the entire family and their unique circumstances. Lisa discusses the journey of this patient, from struggling to breastfeed her first child to navigating multiple miscarriages and finally achieving a successful breastfeeding relationship with her second child. She highlights the role of education, support, and referrals to other healthcare professionals in providing comprehensive care. Lisa shares the insider view of how she manages patients individually and with a view beyond the frenum.

Takeaways

• A holistic approach to breastfeeding and tongue tie care is essential, considering the entire family and their unique circumstances.
• Education, support, and referrals to other healthcare professionals are crucial in providing comprehensive care for breastfeeding parents.
• The journey of breastfeeding can be challenging, but with the right guidance, successful breastfeeding relationships can be achieved.
• It is important for healthcare professionals to recognize the impact they have on families.

—--------------------------------------------------------------------------

Ways to connect with Lisa:

Follow us on Instagram and Facebook as Tongue Tie Experts

Don’t miss our *new* Professional’s Guide to Tongue Tie in the Breastfeeding Infant

Special Coupon Code PODCAST40 to save 40%

Links to other Tongue Tie Experts freebies and pro and parent's programs: https://www.tonguetieexperts.net/Links

Save 15% on any of our other courses with the code PODCAST15

If you are enjoying our podcast, be sure to subscribe/follow on your favorite podcast app so you don't miss an episode.

Special thanks to our sponsor for their support of the podcast. You can check out Light Scalpel here: LightScalpel.com

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

Mentioned in this episode:

Light Scalpel Ad Link

Light Scalpel Ad Link

Light Scalpel Ad Link

In this episode of the Tongue Experts podcast, Lisa Paladino interviews Dr. Sharon Smart, and Dr. Ray Tseng.

Dr. Sharon Smart and Dr. Ray Tseng, board members of ICAP and CIREAS, discuss the importance of interdisciplinary teamwork and evidence-based practices for treating tongue and oral ties. They emphasize the need for rigorous research and advocate for educating professionals about ttethered oral tissues. Both highlight the evolving field and encourage listeners to join ICAP and CIREAS to stay informed and support advancements in care.

To learn more (and join) ICAP, click here: https://icapprofessionals.com/

Dr. Ray Tseng is a pediatric dentist and owner of the NC Tongue Tie Center in Cary, North Carolina. He holds a DDS and PhD from The Ohio State University and completed post-doctoral research and pediatric specialty training at the University of North Carolina. Dr. Tseng has focused on tethered oral tissues (TOTs) for six years, conducting research and practice to build a strong evidence base in this field. He serves on the board of ICAP and chairs its scientific affairs committee, while also holding adjunct faculty positions at UNC and Curtin University.

Dr. Sharon Smart is a teaching and research academic at Curtin University, specializing in pediatric feeding disorders and tongue-tie. She is actively involved with ASTOT and serves as Vice Chair of ICAP, where she co-chairs CIREAS. Dr. Smart has collaborated on ICAP’s Position Statement and Practice Guidelines for Ankylofrenula Management, offering evidence-based recommendations for healthcare professionals worldwide.

Special thanks to our sponsor for their support of the podcast. You can check out Light Scalpel here: LightScalpel.com

More From Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

Mentioned in this episode:

Light Scalpel Ad Link

Light Scalpel Ad Link

Light Scalpel Ad Link

What are IBCLCs Afraid of? Episode 364

In this conversation, Lisa Paladino discusses her experiences, as an IBCLC and Certified Nurse Midwife, with 35 years of experience, and the fears that come with this career.. She talks about the responsibility of not missing any medical problems or lactation issues, the fear of not being trusted or taken seriously, and the concern of giving care plans that may not work for families. Lisa emphasizes the importance of developing a rapport with the families and providing education and resources to build trust. She also shares a case study of a baby with a tongue tie to illustrate the decision-making process and the art and science of being an IBCLC.

Takeaways:

• Being an IBCLC is a high-pressure job with a lot of responsibility.
• IBCLCs fear missing medical problems or lactation issues and not being trusted or taken seriously.
• Developing a rapport with families and providing education and resources is crucial for building trust.
• Care plans should be tailored to the individual needs and capabilities of the families.
• The decision-making process as an IBCLC involves a combination of science and art.

More From Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

This week's episode is a replay of our response to an article in the NY Times regarding tongue tie treatment. The article featured my colleague, Dr. Scott Siegel.

In this episode, which was recorded as an Instagram Live event, you'll hear more of the story including:

- My letter to the editor of the NY Times, which can be found here: https://www.tonguetieexperts.net/blog

- The motivation of Dr. Siegel agreeing to open his office to reporters.

- How Dr. Siegel feels about how his practice was portrayed.

- The research, practices, and patient experiences shared with the reporters that wasn't included in their story.

Dr. Siegel's website for more information: https://www.drscottsiegel.com/

I'd love to hear your thoughts on this. Email me @ Lisa@LisaPaladino.net

Thanks so much for listening and for being a part of the Tongue Tie Experts community.

_______________________________________________

Ways to connect with Lisa:

Follow us on Instagram and Facebook as Tongue Tie Experts

Don’t miss our *new* Professional’s Guide to Tongue Tie in the Breastfeeding Infant

Special Coupon Code PODCAST40 to save 40%

Links to other Tongue Tie Experts freebies and pro and parent's programs: https://www.tonguetieexperts.net/Links

Save 15% on any of our other courses with the code PODCAST15

If you are enjoying our podcast, be sure to subscribe/follow on your favorite podcast app so you don't miss an episode.

More From Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

In this episode, Lisa Paladino CNM, IBCLC calls on her experience and current literature to discuss the procedure for frenotomy for breastfeeding infants, focusing on the tools used, the types of providers who perform the procedure, and the associated risks and precautions.

She emphasizes the importance of understanding these aspects for professionals who work with infants and breastfeeding. Lisa also highlights the differences between scissor releases and laser releases, explaining the benefits of using a CO2 laser. She advises choosing an experienced provider and following proper aftercare instructions. Additionally, she stresses the importance of working with a lactation consultant before and after the release procedure.

Reference: Garrocho-Rangel A, Herrera-Badillo D, Pérez-Alfaro I, Fierro-Serna V, Pozos-Guillén A. Treatment of ankyloglossia with dental laser in paediatric patients: Scoping review and a case report. Eur J Paediatr Dent. 2019 Jun;20(2):155-163. doi: 10.23804/ejpd.2019.20.02.15. PMID: 31246095.

More on Frenotomy:

https://www.tonguetieexperts.net/blog

More from Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

In this episode, Lisa interviews Rebecca Hill, PhD, DNP, FNP-C, CNE, FAAN about the state of research on tongue tie and its associated effects on infant feeding. They discusses her personal journey, how she evolved her work into researching tongue tie. The conversation explores the importance of clinical experience and the need for evidence. Dr. Hill discuss the challenges of measuring the effectiveness of tongue tie treatment and the need for ancillary support from lactation consultants, speech-language pathologists, and occupational therapists.

Highlights

• There IS research on tongue tie, with the number of published studies increasing every year.
• Randomized controlled trials (RCTs) are challenging to conduct ethically in this population.
• Rigorous research methods and eliminating bias are crucial in studying tongue tie.
• Research is bringing credibility to the field of tongue tie and breastfeeding.
• Ancillary support from lactation consultants, speech-language pathologists, and occupational therapists is important in treating tongue tie.
• Clinical judgment plays a critical role in healthcare.
• Current research projects that Dr. Hill is supervising.

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off

About Dr. Rebecca Hill

Dr. Rebecca Hill holds a BSN, MSN, post-master’s certificate in nursing education, DNP, and PhD in Nursing. She is a family nurse practitioner, certified nurse educator, and lactation counselor. Her current titles include Associate Dean for Academic Affairs and associate professor at the MGH Institute of Health Professions School of Nursing in Boston, MA, and she maintains a clinical practice.