Tragedy, Resilience, and a Mission to Transform Orthodontics (w/Dr. Bret Christensen) [Ep.175]

Episode Summary In this episode, I sit down with Dr. German Ramirez for an in-depth conversation about early orthodontic treatment, craniofacial growth and development, bone biology, and the critical role of nasal breathing in facial development. Dr. Ramirez shares his remarkable training journey from Colombia to Australia to Tufts University, his pioneering research on the mandibular condylar cartilage, and his passionate case for treating children early rather than waiting until age seven. We dig into the six dimensions of diagnosis, the connection between bruxism and airway, why AHI is a flawed metric for pediatric sleep-disordered breathing, and how collaborating with ENTs and sleep physicians can transform patient outcomes. This is a must-listen for any orthodontist or dentist who wants to understand the biology behind proactive, functional orthodontic care. Timestamps 0:00 — Introduction & Guest Background Introducing Dr. Ramirez and his credentials. 2:07 — Dr. Ramirez's Training Journey From Colombia to Brazil to early ortho training. 6:25 — Mandibular Condylar Cartilage & Bone Biology Growth potential persists into the 90s. 8:41 — Why Early Treatment Matters Mandible grows more in first five years. 10:55 — Sleep, Breathing & the Orthodontist's Role We normalize anatomy, not treat airway. 15:06 — Responding to "No Need to Treat Before 7" Six-dimension diagnosis vs. isolated single-problem studies. 21:05 — Functional Evaluation: Mouth Breathing & Nasal Breathing Identifying mouth breathers and cellular hypoxia effects. 26:47 — The Tongue as Palatal Expander Nasal breathing first, then tongue positioning. 29:57 — Collaborating with Medical Colleagues CBCT, ENTs, and a cleft palate story. 37:27 — Tonsils, Adenoids & Post-Surgery Relapse Why habits persist and relapse rates soar. 41:38 — AHI Limitations & Study Design Problems AHI is a flawed pediatric sleep metric. 47:47 — Bruxism & Airway Connection Tongue protrusion causes grinding — here's how. 51:47 — Resistance to Change in Orthodontics Technology-driven vs. biologically-driven education disconnect. 56:17 — Genetics vs. Environment in Craniofacial Growth Epigenetics and the genetic window concept. 64:56 — Muscle, Bone & Diet Muscle stimulation drives bone growth over time. 72:02 — Communicating with Child Patients "Nose for breathing, mouth for eating." 81:28 — Closing & Contact Info Books, courses, and upcoming lectures worldwide. LINKS: Airway videos: https://www.youtube.com/watch?v=3h0JgmmLj_Q&ab_channel=TMJ%26SleepTherapyCentre Dr. Ramirez’ website: https://www.kidsmalocclusions.com/ Pediatric Airway-focused Myofunctional Orthodontics: https://a.co/d/b1wQhD9 Dr. DeLuke’s Early Treatment Course: https://theorthocoach.com/courses/phase-i-arch-development/?portfolioCats=99

In this episode, I sit down with Dr. Julia Sadove-Lopez - a dentist, parent advocate, and founder of Oris Wellness - to explore a side of pediatric airway health we haven't covered enough on this show: what it's actually like for the parents trying to navigate it.

In this powerful episode, I sit down with Melissa Methven - a former flight attendant turned dental hygienist, widow, author, and breathwork facilitator - to discuss the hidden mental health crisis in dentistry. Melissa shares the story of her husband Scott, a beloved dentist in Wasilla, Alaska, who died by suicide in March 2022 after years of suppressing the pressures of the profession: student debt, perfectionism, emotional labor with patients, chronic pain, and escalating substance use. Melissa opens up about her own suppression and the physical toll it took on her body, the signs she wishes she'd seen sooner, and how she found healing through community, faith, and breathwork. She also reads from her book The Truth Behind the Smiles and offers actionable solutions for dental schools, including mental health education, peer communities, and a dental-specific crisis hotline. This is a raw, important conversation about breaking the silence around depression and suicide in the dental profession, and the hope that comes from living your truth. Timestamps: 0:00 — Introduction & Content Warning 2:41 — Welcoming Melissa & Scott's Story 3:50 — The Pressures of Dentistry & Early Signs 9:33 — Hiding Behind the Smile & Physical Symptoms 13:28 — The Common Dental Struggle 16:19 — Why We Suppress — Roots & The Perfect Illusion 19:51 — Scott's Fear & Writing the Book 25:30 — Feeling Stuck, Faith & Moving Forward 34:50 — Faith vs. Religion & Signs from Beyond 42:41 — Dental Statistics & Solutions for the Profession 47:15 — Tools for Healing & Helping the Kids 57:59 — Being of Service, Fulfillment & Closing 73:06 — Outro LINKS To Purchase Melissa’s Book: https://a.co/d/8nYzyTO Melissa on FB: https://www.facebook.com/tremblaymel/ Melissa on IG: https://www.instagram.com/melissamethven/ Join The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/ Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/ Website: theorthocoach.com YouTube: @theorthocoach Instagram: @theorthocoach

I'm excited to welcome Nicole Vento back to The DOC Podcast for the fourth installment of our five-part series with the Vento family on creating generational wealth. Nicole is a financial advisor, CPA, and CFP who leads the investment committee at her family's firm, and she brings a rare dual perspective with her CPA background combined with institutional trading experience at Goldman Sachs and J.P. Morgan Private Bank. In this episode, we dig deep into the investment and tax-efficiency side of wealth planning, breaking down retirement accounts, ETFs vs. mutual funds, estate planning, 529 plans, the student loan crisis, Trump accounts, charitable giving strategies, and the discipline and mindset it takes to achieve financial freedom. Whether you're just starting out or you've been building wealth for decades, Nicole delivers practical insights you can apply to your own financial journey. Be sure to pick up a copy of the Vento family's book, *The Generational Wealth Code*, linked in the show notes below. **Chapters & Timestamps:** - 0:30 — Episode Intro - 3:06 — Welcome Back, Nicole - 11:09 — Why You Need a Fiduciary - 16:50 — Understanding Retirement Accounts - 47:02 — ETFs vs. Mutual Funds: Tax Treatment - 54:46 — Estate Planning & Step-Up in Basis - 1:03:35 — Education Planning & 529 Plans - 1:10:05 — The Student Loan Crisis - 1:22:44 — Trump Accounts: A New Savings Vehicle - 1:27:36 — Charitable Giving Strategies - 1:33:11 — Discipline, Delayed Gratification & the Margin Mentality - 1:37:39 — Closing & Contact Info - 1:38:54 — Disclosure **Links & Resources:** The Generational Wealth Code: https://a.co/d/0iHwEITG Join The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/ Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/ Connect w/Dr. Mike: Website: theorthocoach.com YouTube: @theorthocoach Instagram: @theorthocoach Connect w/Nicole: Web: Ventotaxandwealth.com Email: [email protected] Office: 718-980-9000

In this episode, I sit down with Dr. Erick Galindo, a pediatrician from Guadalajara, Mexico, whose approach to caring for children has evolved dramatically over his 20+ years in practice. After beginning as a traditional pediatrician focused on sick visits, vaccines, and growth charts, Dr. Galindo's discovery of the importance of tongue ties and oral function launched him down a rabbit hole that fundamentally changed how he sees his patients. Today, he works closely with dentists, orthodontists, myofunctional therapists, chiropractors, and other specialists to understand the whole child from their very first breath. The conversation covers why standard pediatric screening protocols omit airway and breathing assessments, how the current medical system prevents physicians from spending meaningful diagnostic time with patients, and what a truly comprehensive pediatric consultation looks like - from pregnancy and birth history through craniofacial evaluation, posture analysis, and nervous system regulation. Dr. Galindo shares powerful patient stories, including a one-month-old with fascial tension and a 12-year-old with chronic bedwetting linked to craniofacial dysfunction, illustrating how early detection and interdisciplinary care can change a child's entire health trajectory. The discussion closes with a deeply personal reflection on what it will take to transform pediatric medicine, not just systemically, but by reconnecting with our shared humanity. **Timestamps** 0:00 — **Cold Open** Dr. Galindo highlights how young children are losing interdental space and why snoring is a late-stage sign of airway dysfunction. 0:38 — **Introduction** Dr. Mike introduces the episode and Dr. Galindo's background, from traditional pediatrics to a holistic, interdisciplinary approach focused on breathing, sleep, and craniofacial development. 3:22 — **Connecting Through Social Media** How an Instagram connection over a white paper review brought the two doctors together, and the power of social media to educate and empower patients. 5:16 — **From Traditional to Transformational** Dr. Galindo shares his career journey from conventional pediatric training in Mexico City to a transformative discovery of the importance of tongue ties, oral function, and breathing. 9:43 — **Seeing Patients Differently** The fear and excitement of learning new things mid-career, how early intervention with infants can prevent cascading dysfunction, and the emotional impact on families when their child's trajectory is changed. 17:42 — **The Pediatric Screening Gap** Dr. Mike walks through the AAP's recommended well-child screening list and highlights what's glaringly missing. 29:47 — **Breaking Free from the System** How private practice and opting out of insurance allows Dr. Galindo to spend 45–60 minutes per visit, and why conventional medicine's "prescribe and see what happens" model is losing ground. 40:20 — **Inside the Consultation Room** A detailed walkthrough of what a first visit looks like. 43:31 — **The Power of Bodywork** Why Dr. Galindo considers bodyworkers (chiropractors, craniosacral therapists, OTs, PTs) essential collaborators, and how fascial tension, torticollis, and container baby syndrome impact feeding, breathing, and nervous system regulation. 56:50 — **Screen Time & Modern Parenting** The compounding effects of screen addiction, poor feeding practices, pacifier overuse, and lack of movement on children's neurodevelopment and sleep, and why being healthy has become a privilege. 1:04:24 — **Colleague Pushback & Professional Isolation** Dr. Galindo's candid account of feeling isolated from his pediatric peers, facing skepticism and ego-driven resistance, and finding kinship instead with dental specialists and bodyworkers. 1:08:10 — **Changing Trajectories: Outcomes & Early Detection** How treating root causes rather than symptoms leads to children tapering off ADHD medications, and why early detection matters more than chasing outcomes for alrea