European Sleep Congress

Speaker 1 2:08

Thank you .

Speaker 2 2:17

Thank you . Thank you , renata , thank you , uh , your airway circle fans . Uh , I'm Stanley um . Been've been in the sleep surgery space , in the study of which for almost a decade now , really excited to be part of this effort really led by our European colleagues on disseminating , on teaching , on sharing the practical approach to adults and children with sleep breathing disorders . You know , I have been in a fair number of conferences , I've spoken on some of my views and my work , and I think what is two observations ? One is in Europe , all the specialists are really really really good at what they do . There is no question about it . I think a lot of the technology and the applications are outstanding . The second observation is just like sleep everywhere , though , when it comes to sleep and breathing , you really need a multi-team discussion amongst the professionals , amongst how we speak with the patients , and in that way we're all having the same challenges and then finding solutions . And I think this Congress in Vienna , where I find it's most unique , is that sort of a very neatly packaged information and tools that participants can bring home , while these tools are taught by some of the top professionals in their field , for , let's say , no-transcript . I think my input there is really to .

Speaker 2 13:59

The whole meeting is built on two other . You know two basic foundations , okay , one is on the practical side , right , like when the patient walks in and they could be coming in for any procedure , or specifically for airway and sleep related concerns . What's my approach ? You know how do I make that next half hour , one hour , meaningful ? Now , that's the practical side , the philosophical side that I've been lecturing on for quite some time now , and really it's more of something that I've learned over the years , and that is the importance , the urgency , the urgency of developmental milestones . Developmental milestones and so if we catch them , so there are times when we have to be like really feel really a sense of urgency about it . You know , if we're nearing the end of a time point for skeletal maturity , for , you know , soft tissue related muscle development , like there are moments when we really have to be like really urgent with the patient and there are times when we can observe , and the timing and the cadence of which will be reflected actually by the meeting schedule itself . So we will be , literally , you'll be picking up practical tools , but you'll also see so at different ages or different stages of development .

Speaker 2 15:26

All right , what are the timely things to do , oh , and I should , I should say . There's one more thing , um , which , uh , stresses me out mildly , uh , and that is that this meeting also wants to emphasize wellness . Uh , of , uh . The doctors , um , and the therapists themselves , you know , so many of us , I think , have spent a lot of years in training , oftentimes having had to put aside a lot of things , including our own wellness , and that will be emphasized in this meeting . And the part that stresses me out is Christian is going to lead us on some kind of a run around the city . This morning I actually just saw on my YouTube some marathon running popped up . See , you know the problem with our phones . They know what we're stressed out about , they know what we're thinking about . So , yeah , start running . Don't make it harder now . Oh , come on now . It's not enough that I participate in this run . I have to act like I'm nasally breathing the whole time . So , yeah , so three things Practical tools yes , we want you to go home and be like hey , you know , patient comes in , comes Monday .

Speaker 2 16:41

There's a few things I can add in right away and that's going to slowly help . I want folks to start looking at what stage of life this patient is in and how we can impact , and then , lastly , make sure that we're safe and good ourselves . So , super , super high hopes for this meeting . No hopes for myself in completing the run , but I'll get started . No-transcript , no-transcript , oh , I can take a stab at it , but I'll wait . Uh , do you want me to try ? I love that question because I've been troubled by that lately , um , and especially I've been troubled by that since the Olympics .

Speaker 2 36:20

Uh , because if you then look at long story short , if you look at all the winners of your 100 meter um freestyle , all those swimmers would , um , look a lot like your patients . Uh , and I mean on the more severe spectrum of which and since this year the winner is a Chinese person , it turns out that the same craniofacial features were found in the Chinese person as well . So , apparently , if you want to swim really fast , you want to have narrow upper jaw , very narrow , so narrow that the mandible turns out a little bit crooked because you have a functional shift early on in life . Chances are you retained your adenoids , although I don't know what the swim water does to the adenoids . That I don't know . Um , but uh , this concept was an old one that you know . Christian gave me no and and , and a bunch of us have always been wondering , like , well , if you have these swimmers who are obligate mouth breathers and they're very good at swimming right is there some evolutionary advantage to having a narrow jaw ? Is there an evolutionary advantage of mouth breathing ? Is there an evolutionary advantage of having huge adenoids ? The answer is yes . I guess if you are going to be spending most of your hours in the swimming pool , I guess that would be the evolutionary advantage . So I'm not saying whether that's good or bad , I'm just saying if that's what you do .

Speaker 2 38:03

And so , to look at my thoughts a little bit more , I went on to look at all the winners of your 10Kk , uh , distance running , running people . Now you go look at it , but what you're going to see is as they go to the finish line . The first of all , before they get to the finish line , they're already smiling . They're nasally breathing , they're smiling till the very end , and I could see their incisors from , like I mean , you could see them from the second deck up in the state , okay . And then the third one's mouth breathing , like you know , like you know that that's why you know he got the bronze medal .

Speaker 2 38:28

So I'm gonna tell you whoever posed that question . I want to meet you . Whoever it is . It's a very interesting question , I think . In the end , of course , I do believe that the carbon dioxide retention is a response , of course , to right , let's say the you know the consequences of the function of breathing itself . But yeah , like like everything in life , there's no good or bad . I mean , christian , if , instead of this Vienna run , you wanted us to go on a Vienna swim , you know I might do better than than that . I can't swim for a long , long , long , long time . Oh yeah , that's this anyways . Um , great question , though . Love that question .

Speaker 2 39:06

Uh , something that um been pondering more and more , as you see , since we briefly mentioned cg , every time I talk to this group , uh , this vienna group , I always wonder what would he have said . You know you gotta understand 2015 and you know those early years , you know , and with group this Vienna group , I always wonder what would he have said . You know you got to understand 2015 and you know those early years , you know , and with when , when he and I was talking to Audrey and myself about , you know , just expanding adults at that time , right On on the more , starting that discussion , I wonder what would he say today ? You know , I remember that first meeting that I was with him , that second AMS myofunctional meeting , when he was there just soaking it all in and also sharing with us . You know , like you know , he was pivoting right towards a lot more myofunctional , you know , etiology and contribution to sleep , breathing care . And then today we have like a conference like this , you know , with experts like yourselves doing it .

Imagining Impact of Past Innovations

Speaker 2 40:04

I just wonder what he would have said or how he would have felt . I would imagine how he would have felt . Is , see , I told you so . See , look , you know , you know these , these dentists , and then these myofunctional functional therapists . They had to be involved with this . You know from , you know quickly . And then the second thing he would have said is probably , but the French was already doing this before these German sounding people , that's my imagination of what he would have said . No-transcript , bye-bye , thank you , bye-bye .