Airway Answers with Nicole Goldfarb: Expanding Your Breath of Knowledge, San Diego, CA (2026)

Nicole Goldfarb is a Speech-Language Pathologist, Certified Orofacial Myologist and airway advocate, providing education and guidance to patients and professionals through Airway Answers.

11/26/2025

🤦…𝗠𝗶𝘀𝘁𝗮𝗸𝗲 𝗼𝗻 𝘁𝗵𝗲 𝗹𝗮𝘀𝘁 𝗽𝗼𝘀𝘁! 𝗧𝗵𝗲 𝗰𝗼𝗿𝗿𝗲𝗰𝘁 𝗹𝗶𝗻𝗸 𝗶𝘀 𝗶𝗻 𝘁𝗵𝗶𝘀 𝗽𝗼𝘀𝘁…🤦

🎉 𝐍𝐄𝐖 𝐄𝐏𝐈𝐒𝐎𝐃𝐄 𝐎𝐅 “𝐀𝐈𝐑𝐖𝐀𝐘 𝐀𝐍𝐒𝐖𝐄𝐑𝐒” 𝐑𝐄𝐋𝐄𝐀𝐒𝐄𝐃 𝐖𝐈𝐓𝐇 𝐌𝐀𝐆𝐆𝐈𝐄 𝐋𝐀𝐕𝐄𝐍𝐃𝐄𝐑, 𝐍𝐔𝐑𝐒𝐄 𝐏𝐑𝐀𝐂𝐓𝐈𝐓𝐈𝐎𝐍𝐄𝐑 𝐀𝐍𝐃 𝐒𝐋𝐄𝐄𝐏 𝐌𝐄𝐃𝐈𝐂𝐈𝐍𝐄 𝐒𝐏𝐄𝐂𝐈𝐀𝐋𝐈𝐒𝐓: “𝑵𝒂𝒓𝒄𝒐𝒍𝒆𝒑𝒔𝒚: 𝑼𝒏𝒑𝒂𝒄𝒌𝒊𝒏𝒈 𝒕𝒉𝒆 24/7 𝑵𝒆𝒖𝒓𝒐𝒍𝒐𝒈𝒊𝒄𝒂𝒍 𝑺𝒍𝒆𝒆𝒑 𝑫𝒊𝒔𝒐𝒓𝒅𝒆𝒓 𝒂𝒏𝒅 𝑨𝒊𝒓𝒘𝒂𝒚 𝑪𝒐𝒎𝒐𝒓𝒃𝒊𝒅𝒊𝒕𝒚” 🎉
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𝐹𝑖𝑛𝑑 𝑜𝑢𝑡 ℎ𝑜𝑤 𝑦𝑜𝑢 𝑎𝑠 𝑎 𝑝𝑎𝑡𝑖𝑒𝑛𝑡 𝑜𝑟 𝑎 𝑑𝑒𝑛𝑡𝑎𝑙 𝑜𝑟 𝑚𝑒𝑑𝑖𝑐𝑎𝑙 𝑠𝑝𝑒𝑐𝑖𝑎𝑙𝑖𝑠𝑡 𝑐𝑎𝑛 ℎ𝑒𝑙𝑝 𝑔𝑒𝑡 𝑡ℎ𝑒 𝑐𝑜𝑟𝑟𝑒𝑐𝑡 𝑑𝑖𝑎𝑔𝑛𝑜𝑠𝑖𝑠 𝑓𝑜𝑟 𝑡ℎ𝑖𝑠 𝑜𝑓𝑡𝑒𝑛 𝑜𝑣𝑒𝑟𝑙𝑜𝑜𝑘𝑒𝑑 𝑐𝑜𝑛𝑑𝑖𝑡𝑖𝑜𝑛.
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Some Key Points Discussed in This Episode:
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✅ The central topic is 𝐧𝐚𝐫𝐜𝐨𝐥𝐞𝐩𝐬𝐲, defined as a neurological sleep disorder and a 24/7 disorganization of the sleep and wake cycle.
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❓ A primary question explored how narcolepsy is diagnosed, differentiating between 𝐓𝐲𝐩𝐞 𝟏 (with cataplexy—the abrupt onset of muscle weakness) and 𝐓𝐲𝐩𝐞 𝟐 (without cataplexy).
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🦷 The conversation emphasizes the 𝐫𝐨𝐥𝐞 𝐨𝐟 𝐝𝐞𝐧𝐭𝐚𝐥 𝐚𝐧𝐝 𝐚𝐢𝐫𝐰𝐚𝐲 𝐩𝐫𝐨𝐟𝐞𝐬𝐬𝐢𝐨𝐧𝐚𝐥𝐬 in identifying early warning signs, especially due to high comorbidity rates with sleep apnea (25% to 55%, possibly higher in specialized practices).
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🧠 Causes involve a genetic component (loss of the 𝐎𝐫𝐞𝐱𝐢𝐧 𝐧𝐞𝐮𝐫𝐨𝐭𝐫𝐚𝐧𝐬𝐦𝐢𝐭𝐭𝐞𝐫, particularly in Type 1) often triggered by an environmental hit.
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💊 Treatment options include pharmaceutical agents (stimulants, wake promoting agents, nighttime medications) and non-pharmaceutical strategies like 𝐬𝐭𝐫𝐢𝐜𝐭 𝐬𝐥𝐞𝐞𝐩-𝐰𝐚𝐤𝐞 𝐜𝐲𝐜𝐥𝐞𝐬 𝐚𝐧𝐝 𝐬𝐭𝐫𝐚𝐭𝐞𝐠𝐢𝐜𝐚𝐥𝐥𝐲 𝐩𝐥𝐚𝐜𝐞𝐝 𝐧𝐚𝐩𝐬.
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👶 In children, narcolepsy can be 𝐦𝐢𝐬𝐭𝐚𝐤𝐞𝐧 𝐟𝐨𝐫 𝐀𝐃𝐇𝐃 𝐨𝐫 𝐝𝐞𝐩𝐫𝐞𝐬𝐬𝐢𝐨𝐧, often presenting as hyperactivity or the re-entrance of required naps.
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𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔!
👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow
👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞: https://youtu.be/M_badw2OPag⁣

⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information pr...

11/07/2025

🎉 𝐍𝐄𝐖 𝐄𝐏𝐈𝐒𝐎𝐃𝐄 𝐎𝐅 “𝐀𝐈𝐑𝐖𝐀𝐘 𝐀𝐍𝐒𝐖𝐄𝐑𝐒” 𝐑𝐄𝐋𝐄𝐀𝐒𝐄𝐃🎉: "𝑺𝒆𝒆𝒊𝒏𝒈 𝒕𝒉𝒆 𝑺𝒎𝒐𝒌𝒆: 𝑾𝒉𝒚 𝑯𝒐𝒍𝒊𝒔𝒕𝒊𝒄 𝑶𝒓𝒕𝒉𝒐𝒅𝒐𝒏𝒕𝒊𝒄𝒔 𝒊𝒏 𝑪𝒉𝒊𝒍𝒅𝒓𝒆𝒏 𝒊𝒔 𝒕𝒉𝒆 𝑲𝒆𝒚 𝒕𝒐 𝑳𝒊𝒇𝒆𝒍𝒐𝒏𝒈 𝑯𝒆𝒂𝒍𝒕𝒉 𝒘𝒊𝒕𝒉 𝑶𝒓𝒕𝒉𝒐𝒅𝒐𝒏𝒕𝒊𝒔𝒕 𝑫𝒓. 𝑺𝒕𝒆𝒇𝒇𝒆𝒏 𝑫𝒆𝒄𝒌𝒆𝒓!“

🤯🤯🤯𝙏𝙃𝙄𝙎 𝙀𝙋𝙄𝙎𝙊𝘿𝙀 𝙄𝙎 𝙉𝙊𝙏 𝙏𝙊 𝘽𝙀 𝙈𝙄𝙎𝙎𝙀𝘿!!!!🤯🤯🤯

Some Insights From This Interview:

• ✅ 𝐇𝐨𝐥𝐢𝐬𝐭𝐢𝐜 𝐏𝐞𝐫𝐬𝐩𝐞𝐜𝐭𝐢𝐯𝐞: Dr. Decker emphasizes that orthodontics must connect breathing, teeth, function, and development; ignoring underlying issues leads to relapse.

• 🔑 𝐄𝐚𝐫𝐥𝐲 𝐈𝐧𝐭𝐞𝐫𝐯𝐞𝐧𝐭𝐢𝐨𝐧: He champions interceptive treatment starting as early as age four because growth can be guided easily, providing huge opportunities compared to struggling with complex adult cases.

• 👃 𝐒𝐢𝐠𝐧𝐬 𝐯𝐬. 𝐒𝐲𝐦𝐩𝐭𝐨𝐦𝐬: Dentists must look for the "smoke" (early signs like lack of primate gaps or mouth breathing) to prevent the "fire" (adult destruction and severe malocclusion).

• 💖 𝐅𝐮𝐧𝐜𝐭𝐢𝐨𝐧 𝐢𝐬 𝐑𝐞𝐭𝐞𝐧𝐭𝐢𝐨𝐧: All orthodontic patients need a functional assessment (OMT). Success hinges on creating adequate space for the tongue and facilitating nasal breathing, which leads to better behavior, health, and stability.

• 🧠 𝐂𝐚𝐬𝐞 𝐈𝐧𝐬𝐢𝐠𝐡𝐭: Expanding the palate in a Down syndrome patient resulted in improved hearing, better speech, and the cessation of snoring.

𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔!
👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow
👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞 (𝐟𝐮𝐥𝐥 𝐞𝐩𝐢𝐬𝐨𝐝𝐞): https://youtu.be/T8h0r1DUeWI
..𝘐𝐹 𝑌𝘖𝑈 𝐴𝘙𝐸 𝑇𝘈𝐺𝘎𝐸𝘋 𝘏𝐸𝘙𝐸, 𝘛𝐻𝘌𝑁 𝑌𝘖𝑈𝘙 𝘕𝐴𝘔𝐸 𝑊𝘈𝑆 𝑀𝘌𝑁𝘛𝐼𝘖𝑁𝘌𝐷 𝐼𝘕 𝘛𝐻𝘐𝑆 𝐼𝘕𝑇𝘌𝑅𝘝𝐼𝘌𝑊...

⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information pr...

10/27/2025

🎉 𝐍𝐄𝐖 𝐄𝐏𝐈𝐒𝐎𝐃𝐄 𝐎𝐅 “𝐀𝐈𝐑𝐖𝐀𝐘 𝐀𝐍𝐒𝐖𝐄𝐑𝐒” 𝐑𝐄𝐋𝐄𝐀𝐒𝐄𝐃: “𝐵𝑟𝑒𝑎𝑡ℎ𝑙𝑒𝑠𝑠 𝐴𝑤𝑎𝑘𝑒𝑛𝑖𝑛𝑔: 𝐺𝑜𝑖𝑛𝑔 𝑡𝑜 𝑆𝑙𝑒𝑒𝑝 𝑜𝑛 𝑆𝑎𝑡𝑢𝑟𝑑𝑎𝑦 𝑎𝑛𝑑 𝑁𝑜𝑡 𝑊𝑎𝑘𝑖𝑛𝑔 𝑜𝑛 𝑆𝑢𝑛𝑑𝑎𝑦. 𝐹𝑟𝑜𝑚 𝑆𝑖𝑙𝑒𝑛𝑡 𝐷𝑒𝑎𝑡ℎ 𝑡𝑜 𝐿𝑖𝑓𝑒𝑠𝑎𝑣𝑖𝑛𝑔 𝑆𝑜𝑙𝑢𝑡𝑖𝑜𝑛𝑠” 𝑤𝑖𝑡ℎ 𝐷𝑟. 𝑀𝑎𝑟𝑖𝑎 𝑆𝑜𝑘𝑜𝑙𝑖𝑛𝑎, 𝐷𝐷𝑆 🎉
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✅ 𝘿𝙧𝙞𝙫𝙚𝙣 𝙗𝙮 𝙛𝙚𝙖𝙧 𝙬𝙞𝙩𝙝 𝙩𝙝𝙚 𝙙𝙚𝙖𝙩𝙝 𝙤𝙛 𝙖 𝙜𝙤𝙤𝙙 𝙛𝙧𝙞𝙚𝙣𝙙 𝙖𝙩 𝙖𝙜𝙚 47 𝙩𝙤 𝙩𝙝𝙚 𝙣𝙚𝙖𝙧 𝙙𝙚𝙖𝙩𝙝 𝙤𝙛 𝙖 𝙘𝙤𝙡𝙡𝙚𝙖𝙜𝙪𝙚’𝙨 𝙝𝙪𝙨𝙗𝙖𝙣𝙙, 𝙗𝙤𝙩𝙝 𝙛𝙧𝙤𝙢 𝙪𝙣𝙩𝙧𝙚𝙖𝙩𝙚𝙙 𝙨𝙡𝙚𝙚𝙥 𝙖𝙥𝙣𝙚𝙖, 𝘿𝙧. 𝙎𝙤𝙠𝙤𝙡𝙞𝙣𝙖 𝙩𝙚𝙡𝙡𝙨 𝙝𝙚𝙧 𝙨𝙩𝙤𝙧𝙮 𝙖𝙣𝙙 𝙝𝙚𝙧 𝙞𝙣𝙨𝙥𝙞𝙧𝙖𝙩𝙞𝙤𝙣 𝙛𝙧𝙤𝙢 𝙬𝙧𝙞𝙩𝙞𝙣𝙜 𝙩𝙝𝙚 𝙪𝙥𝙘𝙤𝙢𝙞𝙣𝙜 𝙗𝙤𝙤𝙠 𝙩𝙞𝙩𝙡𝙚𝙙 𝘽𝙧𝙚𝙖𝙩𝙝𝙡𝙚𝙨𝙨 𝘼𝙬𝙖𝙠𝙚𝙣𝙞𝙣𝙜.

𝐒𝐨𝐦𝐞 𝐢𝐦𝐩𝐨𝐫𝐭𝐚𝐧𝐭 𝐭𝐨𝐩𝐢𝐜𝐬 𝐜𝐨𝐯𝐞𝐫𝐞𝐝 𝐢𝐧 𝐭𝐡𝐢𝐬 𝐢𝐧𝐭𝐞𝐫𝐯𝐢𝐞𝐰:
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📚𝐃𝐫. 𝐒𝐨𝐤𝐚𝐥𝐢𝐧𝐚'𝐬 𝐌𝐢𝐬𝐬𝐢𝐨𝐧: Her book is a family drama/medical mystery promoting alternatives to CPAP, which has a pre-launch starting October 6. Dr. Sokolina aims to promote healthier breathing and rid the world of sleep issues.
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• 🦷 𝐁𝐫𝐮𝐱𝐢𝐬𝐦 & 𝐆𝐮𝐚𝐫𝐝𝐬: Night guards are not enough; holistic care must address the underlying causes of bruxism, often sleep disturbances or the search for emotional/physical balance. Myofunctional therapy is a crucial component of this balance.
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• 👩‍⚕️ 𝐒𝐜𝐫𝐞𝐞𝐧𝐢𝐧𝐠: Dentists should screen all patients by looking for obvious signs of sleep disordered breathing, including broken teeth, large tonsils, thick nasal sides, and acid reflux clues.
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• 🧪 𝐎𝐛𝐣𝐞𝐜𝐭𝐢𝐯𝐞 𝐃𝐚𝐭𝐚: Microbiome saliva testing offers objective data to explain systemic connections, like inflammation and predisposition for Alzheimer’s or sleep apnea, to patients.
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• 🌍 𝐂𝐨𝐥𝐥𝐚𝐛𝐨𝐫𝐚𝐭𝐢𝐨𝐧: A major hope is to bridge the communication gap between the "dental planet" (dentists, myofunctional therapists) and the "sleep physician planet" (medical professionals).
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𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔!
👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow
👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞 (𝐟𝐮𝐥𝐥 𝐞𝐩𝐢𝐬𝐨𝐝𝐞): https://youtu.be/gcK195412Sk

(𝘊𝘰𝘭𝘭𝘦𝘢𝘨𝘶𝘦𝘴: 𝘪𝘧 𝘺𝘰𝘶 𝘢𝘳𝘦 𝘵𝘢𝘨𝘨𝘦𝘥 𝘩𝘦𝘳𝘦, 𝘵𝘩𝘦𝘯 𝘺𝘰𝘶𝘳 𝘯𝘢𝘮𝘦 𝘸𝘢𝘴 𝘮𝘦𝘯𝘵𝘪𝘰𝘯𝘦𝘥 𝘪𝘯 𝘵𝘩𝘪𝘴 𝘪𝘯𝘵𝘳𝘦𝘷𝘪𝘦𝘸)

⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers does not give medical advice. The information provided in this video ...

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