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.

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.