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The DOC Podcast

DeLuke Orthodontic Coaching, LLC

The DOC Podcast brings you unique educational content taught by Dr. Mike DeLuke, a Board Certified Orthodontist with over 20 years of clinical and academic experience. Dr. DeLuke built his orthodontic practice from scratch in the early 2000s and grew it into a multimillion-dollar enterprise in less than 10 years. He was able to retire from his private practice at the age of 46 years old, and now devotes his energy to teaching his colleagues how to succeed both personally and professionally. He also provides locum tenens coverage for colleagues in South Florida.

Dr. DeLuke has served as a faculty member at numerous hospitals and orthodontic residency programs around the country, including as the cleft craniofacial orthodontist at Albany Medical Center in New York, and as a clinical professor at The University of Connecticut in the Department of Orthodontics. He is presently an adjunct professor in the Department of Pediatric Dentistry at Healthcare Network and a Visiting Professor in the Department of Orthodontics at Montefiore Einstein Hospital in the Bronx.

The DOC Podcast will bring you in-depth discussions and interviews with industry leaders and experts on a variety of topics, including clinical excellence, practice management, finance and wealth creation, health and wellness, taxes and accounting, fitness, and much more!

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  • 27 episodes
  • weekly
  • Avg 1 hr 27 min
  • English
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  • #176
    Thursday · 1 hr 40 min

    Building Wealth Through Discipline, Delayed Gratification, & Tax Strategy (w/Nicole Vento) [Ep.176]

    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: nicole@vtwmg.com Office: 718-980-9000

  • #175
    September 24 · 1 hr 50 min

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

    Dr. Bret Christensen is an Army veteran, orthodontist, and one of only five orthodontists in the country board-certified in sleep medicine through the American Sleep & Breathing Academy. He owns and operates Christensen Orthodontics with locations in Lewiston, Grangeville, and Moscow, Idaho. In this emotional and wide-ranging episode, Bret opens up about losing his son, surviving a widow-maker heart attack at 45, undergoing open-heart surgery and getting a pacemaker, all while transforming his practice from traditional extraction-based orthodontics to a data-driven, airway-focused approach. He shares thousands of patient records showing that skeletal expansion dramatically improves nasal airway volume, his discovery that toddlers as young as two-and-a-half can be treated, and why he believes the AAO is standing in the way of progress. Plus, a surprise visit from his granddaughter Everly - the child who changed everything. ⏱️ Timestamps / Chapters 0:00 — Cold Open 0:13 — Introduction & Guest Bio 2:53 — Farm Kid Roots & Education 7:16 — Military Career & Orthodontics 11:32 — Building a Practice from Scratch 13:48 — The Shift from Extraction to Expansion 17:05 — Discovering Sleep Apnea Through His Father 21:02 — Surviving a Widow-Maker Heart Attack 25:55 — Training in Sleep Apnea & The Rhinometer 31:35 — Meeting Kevin Boyd & Airway Health Solutions 33:38 — Adult Expansion: Schwartz to MARPE 43:12 — Patient Transformations 56:34 — Host's Reflection on the Journey 68:46 — The AAO Pushback & Speaking Out 78:52 — Everly's Story: Treating Toddlers 89:58 — Orthodontists Need to Become Doctors 1:43:59 — Surprise Visit from Everly 1:49:34 — Closing & What's Next KEY TOPICS: Early orthodontic intervention • MARPE for adults • Rhinometry data on thousands of patients • Nasal volume changes (3-8 cubic centimeters) • Treating children as young as 2-3 years old • The connection between sleep apnea and heart disease • Overcoming professional opposition • The future of orthodontics CONNECT: Dr. Brett Christiansen - Christiansen Orthodontics (Lewiston, Grangeville, Moscow, ID): https://christensenbraces.com/ Dr. Mike DeLuke - TheOrthoCoach.com | Dr.mike@theorthocoach.com Join The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/ Check out the DOC website: https://theorthocoach.com/ (00:00) - Cold Open (00:13) - Introduction & Guest Bio (02:53) - Farm Kid Roots & Education (07:15) - Military Career & Orthodontics (11:31) - Building a Practice from Scratch (13:47) - The Shift from Extraction to Expansion (17:05) - Discovering Sleep Apnea Through His Father (21:02) - Surviving a Widow-Maker Heart Attack (25:55) - Training in Sleep Apnea & The Rhinometer (31:34) - Meeting Kevin Boyd & Airway Health Solutions (33:38) - Adult Expansion: Schwartz to MARPE (43:12) - Patient Transformations (56:33) - Host's Reflection on the Journey (01:08:45) - The AAO Pushback & Speaking Out (01:18:52) - Everly's Story: Treating Toddlers (01:29:58) - Orthodontists Need to Become Doctors (01:43:58) - Surprise Visit from Everly (01:49:33) - Closing & What's Next

    • Chapters
  • #174
    September 17 · 1 hr 27 min

    Changing Trajectories: Disrupting the Status Quo in Pediatric Medicine (w/Dr. Erick Galindo) [Ep.174]

    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 already-complex cases. 1:16:37 — **Reconnecting with Our Humanity** Dr. Galindo's deeply personal answer to how we change the system: by reconnecting with what makes us human, trusting our instincts, and finding the inspiration to keep learning and growing. 1:23:17 — **Closing & Contact Info** Final thoughts and how to connect with Dr. Galindo on Instagram. 1:26:26 — **Outro** Closing remarks and information on The Doc Podcast resources, CE courses, and community. LINKS: Contact Erik Galiendo on IG: @drerick.pediatra Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ The Generational Wealth Code: https://www.vtwmg.com/our-books 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

  • #173
    September 10 · 1 hr 12 min

    The Impact of Sleep & Sleep Disorders on Patient Health (w/Dr. Saema Tahir) [Ep.173]

    Episode Description: Join me for an in-depth conversation with sleep medicine specialist and quadruple Board Certified Physician (Internal Medicine, Pulmonary Disease, Critical Care Medicine, Sleep Medicine), Dr. Sima Tahir, as we discuss the critical role that sleep plays in overall health. Dr. Tahir shares her journey from working on the COVID-19 frontlines to opening her own boutique sleep practice in Manhattan, and why she believes sleep should be at the forefront of medical care. Key Topics Covered: Why Sleep Medicine Matters The lack of sleep education in medical schools and residencies Why sleep disorders are missed by traditional healthcare systems How sleep affects every aspect of health, from mood to chronic disease Recognizing Sleep Disorders Warning signs in children AND adults (headaches, jaw pain, teeth grinding, brain fog, irritability) Why children should NEVER snore The connection between sleep disorders and ADHD/behavioral issues How sleep problems manifest differently in kids vs. adults The Diagnostic Challenge Limitations of polysomnography (sleep studies) Why a normal AHI doesn't rule out sleep disorders Understanding upper airway resistance syndrome The importance of reviewing raw sleep study data The Multidisciplinary Approach Why "sleep takes a team" - collaboration between physicians, dentists, orthodontists, and specialists How dental providers can detect sleep and breathing issues The role of orthodontics in addressing airway problems Breaking down silos between medical and dental Sleep Quality vs. Quantity Why 7-9 hours isn't enough if quality is poor Understanding sleep architecture and circadian rhythms How weekend sleep schedule changes affect your entire week The one-hour-per-day recovery rule Practical Sleep Hygiene The importance of consistent sleep/wake times How hormones (especially in perimenopause) affect sleep Why waking up multiple times per night is NOT normal Red flags that indicate you need a sleep evaluation Perfect For: Healthcare providers (medical and dental) Parents concerned about their children's sleep Anyone experiencing chronic fatigue, brain fog, or sleep issues Professionals interested in the intersection of sleep and overall health Timestamps: 0:00 – Intro and highlight reel 3:35 – Welcome, Dr. Tahir's background and path to sleep medicine 5:08 – Life on the COVID front lines and how it changed her priorities 8:12 – Why she left the hospital system to open her own sleep practice 9:12 – Why sleep is multifactorial and requires a team-based approach 14:20 – The gap in sleep education in medical school and residency 19:09 – Do pediatricians get trained to spot sleep-disordered breathing? 23:03 – Warning signs of sleep disorders in kids and adults (head-to-toe rundown) 28:36 – The dentist's role in catching what pediatricians miss 32:11 – Talking to skeptical dental colleagues about sleep and airway 35:00 – Why sleep studies (polysomnography) can miss real problems, especially in kids 38:07 – What to do when the sleep study says "normal" but symptoms persist 45:59 – Hormones, aging, and why primary care doesn't ask about sleep 52:35 – Why doctors reach for another prescription instead of asking about sleep 55:23 – What "good sleep" actually means (quality vs. hours) 57:33 – How sensitive your circadian rhythm really is 62:13 – Nighttime awakenings: what's normal and what's not 64:43 – Why snoring is never normal — in kids or adults 67:34 – The future of at-home sleep diagnostics and wearables for kids 69:31 – How to reach Dr. Tahir 71:22 – Closing thoughts LINKS Connect w/Dr. Tahir: https://drsaematahirmd.com/ Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ (ONLY 1 SPOT LEFT!) 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 Email: drmike@theorthocoach.com (00:00) - Intro and highlight reel (03:35) - Welcome, Dr. Tahir's background and path to sleep medicine (05:07) - Life on the COVID front lines and how it changed her priorities (08:12) - Why she left the hospital system to open her own sleep practice (09:11) - Why sleep is multifactorial and requires a team-based approach (14:19) - The gap in sleep education in medical school and residency (19:09) - Do pediatricians get trained to spot sleep-disordered breathing? (23:02) - Warning signs of sleep disorders in kids and adults (28:35) - The dentist's role in catching what pediatricians miss (32:11) - Talking to skeptical dental colleagues about sleep and airway (35:00) - Why sleep studies can miss real problems, especially in kids (38:06) - What to do when the sleep study says normal but symptoms persist (45:58) - Hormones, aging, and why primary care doesn't ask about sleep (52:35) - Why doctors reach for another prescription instead of asking about sleep (55:23) - What good sleep actually means (quality vs. hours) (57:32) - How sensitive your circadian rhythm really is (01:02:12) - Nighttime awakenings: what's normal and what's not (01:04:42) - Why snoring is never normal (01:07:34) - The future of at-home sleep diagnostics and wearables for kids (01:09:30) - How to reach Dr. Tahir (01:11:22) - Closing thoughts

    • Chapters
  • #172
    September 3 · 1 hr 27 min

    The Way You Breathe Today May Be Wrecking Your Sleep Tonight (w/Dr. Louise Oliver) [Ep.172]

    In this episode, I sit down with Dr. Louise Oliver, an NHS general practitioner, functional breathing practitioner, and founder of Breath Doc Programs, who discovered the profound impact of dysfunctional breathing after her own struggles with perimenopausal snoring. We dig into why physicians are rarely taught about airway and breathing dysfunction, the biochemistry of over-breathing and "air hunger," and how retraining your CO2 tolerance can be life-changing. We also explore how daytime breathing habits shape nighttime breathing, why puberty, pregnancy, and menopause reshape airway function, the troubling gaps in sleep apnea research for women, and a nuanced take on mouth taping. It's a wide-ranging conversation that challenges assumptions about one of the most basic things we do every moment of our lives: breathe. TIMESTAMPS - 0:00 – Introduction - 3:47 – Meet Dr. Louise Oliver - 3:49 – Dr. Oliver's journey to functional breathing - 9:59 – What actually counts as evidence-based medicine - 14:04 – Why traditional medicine overlooks breathing dysfunction - 19:28 – The mechanics of over-breathing and air hunger - 25:23 – How to retrain your breathing - 33:28 – How over-breathing affects the whole body - 38:42 – Breathing and the autonomic nervous system - 46:16 – Why daytime breathing habits shape nighttime breathing - 52:51 – Women's health, hormones, and breathing - 53:38 – Breathing through puberty, pregnancy, and menopause - 1:14:50 – The gap in women's sleep medicine research - 1:20:10 – The truth about mouth tape - 1:25:46 – Closing thoughts and where to find Dr. Oliver LINKS IG: @drolivertlc Website: https://www.drlouiseolivertherapeuticlifecoaching.com/ Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ 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 Email: drmike@theorthocoach.com (00:00) - Introduction (03:47) - Meet Dr. Louise Oliver (03:48) - Dr. Oliver's Journey to Functional Breathing (09:59) - What Counts as Evidence-Based Medicine (14:03) - Why Medicine Overlooks Breathing (19:27) - The Mechanics of Over-Breathing and Air Hunger (25:22) - Retraining Your Breathing (33:28) - How Over-Breathing Affects the Whole Body (38:42) - Breathing and the Autonomic Nervous System (46:15) - Daytime Breathing Habits Shape Nighttime Breathing (52:50) - Women's Health, Hormones, and Breathing (53:38) - Breathing Through Puberty, Pregnancy, and Menopause (01:14:50) - The Gap in Women's Sleep Medicine Research (01:20:11) - The Truth About Mouth Tape (01:25:46) - Closing Thoughts and Where to Find Dr. Oliver

    • Chapters
  • #171
    August 27 · 1 hr 22 min

    The Evolution of Airway Dysfunction, Malocclusion, & Chronic Disease (w/Dr. Mark Cruz)

    In this episode, I sit down with Dr. Mark Cruz - general dentist, former assistant director of the UCLA Center for Aesthetic Dentistry, and a pioneer in airway-focused dentistry - for one of the deepest conversations we've had on the show. We get into the medical and dental comorbidities of pediatric sleep-disordered breathing, the ongoing debate over whether malocclusion is driven by genetics or environment, and why I believe orthodontists are uniquely positioned, yet often reluctant, to lead in airway health. Mark walks me through his personal journey, including the terrifying night his six-year-old son stopped breathing, and how that experience reshaped his entire clinical philosophy. We dig into the evidence (and lack thereof) behind long-held orthodontic dogma, the anthropological data showing just how dramatically our facial skeletons have changed in only 500 years, and the evolutionary story of why our jaws and airways are in crisis today. We close out by tackling the "no evidence" myth head-on, most notably the claim that tooth extraction and tongue space have nothing to do with airway, and Mark breaks down exactly where that argument falls apart. If you care about early intervention, craniofacial growth and development, or evidence-based practice, get ready to take notes. **Timestamps:** - 0:00 — Open - 0:51 — Meet Dr. Mark Cruz - 2:15 — Mark's Path to Airway-Focused Dentistry - 16:57 — Which Dental Specialty Has the Strongest Evidence? - 17:26 — Why Orthodontics Is Positioned to Lead on Airway - 18:25 — The Airway as the Keystone of the Face - 25:24 — The History of Upper Airway Resistance Syndrome - 27:34 — How Our Facial Skeleton Has Changed in 500 Years - 35:22 — Rethinking Medical and Dental Education - 43:46 — The Airway as the Nexus of Health - 56:07 — Why Is This So Common? The Anthropology of Malocclusion - 61:32 — The Evolutionary Story: From Hunter-Gatherers to Modern Jaws - 70:15 — Debunking the "No Evidence" Myth on Extractions and Tongue Space - 79:03 — Closing Thoughts - 81:53 — Outro and How to Reach Dr. Cruz Know someone who'd make a great guest, or want to be one yourself? Email me at drmike@theorthocoach.com, and don't forget to join The Doc Community on Facebook. Thanks for listening, and remember, you've been blessed with the ability to do amazing things. LINKS Contact Mark - markcruz@markacruzdds.com Orthotown Article Part I: https://www.orthotown.com/magazine/digital/649/march-2025 Orthotown Article Part II: https://www.orthotown.com/magazine/digital/652/may-2025 Phase I Early Treatment Course: https://theorthocoach.com/courses/phase-i-arch-development/?portfolioCats=99 Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ 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 Email: drmike@theorthocoach.com (00:00) - Cold Open (00:50) - Meet Dr. Mark Cruz (02:15) - Mark's Path to Airway-Focused Dentistry (16:56) - Which Dental Specialty Has the Strongest Evidence? (17:25) - Why Orthodontics Is Positioned to Lead on Airway (18:25) - The Airway as the Keystone of the Face (25:23) - The History of Upper Airway Resistance Syndrome (27:34) - How Our Facial Skeleton Has Changed in 500 Years (35:21) - Rethinking Medical and Dental Education (43:45) - The Airway as the Nexus of Health (56:07) - Why Is This So Common? The Anthropology of Malocclusion (01:01:32) - The Evolutionary Story: From Hunter-Gatherers to Modern Jaws (01:10:14) - Debunking the "No Evidence" Myth on Extractions and Tongue Space (01:19:02) - Closing Thoughts (01:21:53) - Outro and How to Reach Dr. Cruz

    • Chapters
  • #170
    August 20 · 1 hr 17 min

    The Truth About Mouth Breathing, Sleep, & Sleep Medicine (w/Dr. Funke Brown) [Ep.170]

    In this episode, I sit down with Dr. Funke Afolabi Brown, a triple board-certified sleep physician, founder of Restful Sleep MD, and best-selling author. We go way beyond the basics of sleep, exploring what "good sleep" actually means, why sleep medicine gets so little attention in physician and dental training, and why that has to change. Dr. Brown and I dig into the full spectrum of sleep-disordered breathing (it's so much more than just obstructive sleep apnea), the strengths and serious limitations of polysomnography versus home sleep testing, and why relying only on the AHI can cause us to miss patients who are genuinely struggling. We also spend a lot of time on the far-reaching effects of poor sleep in kids - behavior, learning, emotional regulation, and how sleep issues so often masquerade as ADHD. We talk candidly about why snoring and chronic mouth breathing should never be treated as "no big deal," why interdisciplinary collaboration between sleep physicians, pediatricians, ENTs, dentists, orthodontists, and myofunctional therapists is essential, and why I'm genuinely optimistic about where sleep medicine is headed. TIMESTAMPS 0:00 — Cold open: sleep's impact on children isn't benign 0:38 — Podcast welcome 1:02 — Guest introduction: Dr. Funke Afolabi Brown 4:20 — Interview begins 5:39 — Dr. Brown's background and path into sleep medicine 7:13 — Sleep education gaps in medical/dental training 10:19 — Defining good sleep: quantity, quality, timing 14:42 — Wearables, sleep tracking, and orthosomnia 20:24 — Acute vs. chronic sleep problems and recovery 26:52 — In-lab polysomnography: strengths and limitations 37:28 — The sleep-disordered breathing spectrum 41:10 — Primary snoring: why it's never normal 46:14 — Allergies, nasal airway, and root causes 48:12 — Chronic mouth breathing debate 54:23 — Why physicians and dentists avoid the topic 1:00:10 — ADHD and sleep-disordered breathing overlap 1:08:57 — Home sleep testing and treatment options 1:09:48 — The future of sleep medicine 1:16:00 — Closing thoughts and where to find Dr. Brown If you found this conversation valuable, please share this episode with someone who needs to hear it, follow DOC Podcast on Instagram, and subscribe to the channel on YouTube so you never miss an episode. LINKS Connect w/Dr. Brown: Website: https://www.restfulsleepmd.com/ Beyond Tired Book: https://a.co/d/2aSRSQt Instagram: https://www.instagram.com/restfulsleepmd/ LinkedIn: https://www.linkedin.com/in/drfunkebrown/ Facebook: https://www.facebook.com/funke.afolabibrown/ Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ The Generational Wealth Code: https://a.co/d/05TlkLJX 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 Email: drmike@theorthocoach.com

    • Transcript
  • #169
    August 13 · 1 hr 31 min

    How to Use the Tax Advantages of Real Estate to Build Wealth (w/Christine Vento-Conway, CPA)[Ep.169]

    In this episode, I sit down again with Christine Vento Conway, Senior Vice President at Inland Securities, to dig into the real estate side of building generational wealth. We pick up where we left off with her family, this time focusing specifically on how real estate's tax advantages (1031 exchanges, DSTs, depreciation, and Qualified Opportunity Zones) can help investors defer, reduce, and even eliminate capital gains taxes. Christine breaks down the numbers, walks through real timelines and rules, and we compare these strategies to REITs so you know exactly which tool fits your situation. Whether you're a seasoned real estate investor or just getting started, this conversation will give you a clear framework for thinking about real estate as a tax strategy, not just an asset class. TIMESTAMPS 0:00 – Introduction and catching up with Christine 3:59 – Christine's role at Inland Securities and her CPA background 10:59 – The four key benefits of real estate as an investment vehicle 14:02 – Duplex vs. institutional real estate: diversification and risk 18:57 – Breaking down the tax consequences of selling a property 36:36 – The 1031 exchange timeline: the 45-day and 180-day rules 37:28 – What a qualified intermediary does (and why you need one) 49:20 – The three phases of a DST investment 56:32 – How DST income and distributions are taxed 1:12:13 – DSTs vs. REITs: what's the difference? 1:15:24 – Qualified Opportunity Zones and the One Big Beautiful Bill Act 1:27:41 – Who qualifies: accredited investor requirements and minimums 1:29:17 – How to get in touch with Christine If this conversation gave you a new way of thinking about real estate, please don't keep it to yourself. Send this episode to your financial advisor or CPA, since many of them aren't familiar with DSTs. Pick up a copy of *The Generational Wealth Code* to go even deeper, and if you want to explore these strategies for your own portfolio, reach out to Christine directly at conway@inland-securities.com. And if you enjoyed this episode, please subscribe, leave a review, and share it with someone who could benefit from a smarter approach to real estate and taxes. LINKS Purchase The Generational Wealth Code: https://a.co/d/0cye2Lqu Email Christine: conway@inland-securities.com Call Christine: 917-410-7725 First Episode w/Vento Family: Second Episode w/John Vento Sr: Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ 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 Email: drmike@theorthocoach.com Instagram: @theorthocoach

  • #168
    August 6 · 1 hr 27 min

    The Role of the Nasal Passageways in Airway Disease (w/Dr. Peter Catalano)

    Overview In this episode, I sit down with Dr. Peter Catalano - an otolaryngologist, rhinology fellowship director, and pioneer of minimally invasive nasal surgery. Dr. Catalano has held appointments at Mount Sinai School of Medicine, the Lahey Clinic, and Tufts University, and has spent over three decades developing and publishing on targeted nasal airway surgery. I've had the privilege of working with Dr. Catalano on a major article addressing mouth breathing, and our conversation here is one of the most important I've had on this platform. We go deep into the science of nasal airflow, the structural and institutional barriers preventing children from getting the care they need, and the very real consequences (neurological, behavioral, cardiovascular, and craniofacial) of untreated mouth breathing and sleep-disordered breathing. We also address the myths and dogmas that continue to persist in both the ENT and orthodontic worlds, and what it's going to take to break them down. If you've ever wondered why the two worlds of dentistry and medicine remain so siloed on this issue, or what it means for patients when they fall through the crack, this episode is for you. Timestamps 0:00 – Introduction and Dr. Catalano's background: ENT, skull base surgery, academic appointments at Mount Sinai, Lahey Clinic, and Tufts University 4:10 – How Dr. Catalano's career trajectory led him from engineering to medicine to rhinology — and the philosophy of fate and the "hidden angel" guiding his path 9:12 – The MicroShaver revolution: meeting Dr. Setliff in South Dakota and the aha moment that changed everything about minimally invasive sinus surgery 11:13 – The unexpected discovery: patients reporting they stopped snoring after sinus surgery, and how that led to a focus on nasal airway and sleep-disordered breathing 13:18 – [Ad] Early Orthodontic Treatment Comprehensive — a two-day hands-on immersive course with Dr. Daniel Camacho, Fort Lauderdale, FL, November 13–14. Click the link in the show notes to register. 14:27 – The 2009 Singapore breakthrough: Dr. Deyun Wang and computational flow dynamics — why no one actually knew how air moved through the nose until then 19:32 – Why previous nasal surgeries failed for OSA, and what "follow the airflow" means for surgical targets between the eyes 20:30 – Why making big holes in sinuses made things worse — and why the sinuses don't actually ventilate during breathing 23:58 – How the superior airway and structures like the uncinate process and concha bullosa became key surgical targets, producing a 15–20% improvement in airflow 26:08 – The insurance dilemma and medical-legal risks that prevent ENTs from performing airway surgery — even when the data is clear 30:03 – The ferret studies and the "never operate under 16" dogma: how flawed 1980s animal models became entrenched standard of care for pediatric ENT surgery 35:48 – Parallels to hormone replacement therapy and the rampant hypocrisy in academic medicine — how good studies get buried and bad ones persist 40:55 – How Dr. Catalano fought back against an insurance company, changed their pediatric sinus surgery policy, and survived multiple attempts to have his medical license revoked 47:12 – The Harvold monkey studies: why the obligate nasal breather argument is wrong, why the studies are foundational, and what it means that no one could repeat them today 58:07 – Children don't just "outgrow" airway obstruction: why the lymphoid involution argument is true but dangerously misleading when 90% of craniofacial growth is complete by age 8 1:13:57 – CBCT in ENT and orthodontic practice: why orthodontists need to learn to read the full image, how Dr. Catalano and Dr. John Walker found hidden tumors, and why rhinology-focused ENTs already use equivalent imaging 1:17:33 – Nocturnal enuresis and airway: the pituitary/ADH connection, why these children ask about bedwetting the moment they wake from surgery, and the anecdotal but compelling clinical evidence 1:27:15 – Swell body reduction: how a novel procedure Dr. Catalano pioneered in 2015 went from being met with rotten tomatoes at conferences to becoming standard of care Closing If this conversation resonated with you, I want to encourage you to share it with your colleagues, your dental and medical partners, and anyone who works with young patients who struggle to breathe. This is exactly the kind of interdisciplinary dialogue that can change outcomes for kids who are being told to wait it out. LINKS Dr. Peter Catalano: Email: catalanop9@gmail.com AJODO Article on Mouth Breathing: https://pubmed.ncbi.nlm.nih.gov/40057896/ Join The DOC Community on Facebook for more great content and discussions (https://www.facebook.com/share/g/1Cb9rkQVde/) Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ 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 Email: drmike@theorthocoach.com Instagram: @theorthocoach

  • #167
    July 30 · 1 hr 32 min

    One Family's Airway Revolution (w/Sydney & Dr. Victor Avis) [Ep.167]

    In this episode, I sit down with a truly inspiring father-daughter team - Dr. Victor Avis, a recently retired general dentist and orthodontist of 38 years, and his daughter Sydney Avis, co-founders of the Airway Revolution Foundation. What begins as a deeply personal story about Sydney's lifelong, undiagnosed struggle with airway and sleep disorders quickly evolves into a powerful conversation about the systemic gaps in how medicine and dentistry recognize and treat airway-related health issues. From Sydney's childhood as a chronic mouth breather to her life-changing double jaw surgery in 2020, and from Dr. Avis' discovery of the Mews and orthotropics to the launch of a nonprofit digital learning platform, this episode is packed with insight, honesty, and a whole lot of heart. Timestamps 0:00 — Introduction & welcome 0:23 — About today's guests: Dr. Victor Avis & Sydney Avis, co-founders of the Airway Revolution Foundation 3:16 — Dr. Avis frames the conversation: what it's like to see patients transform through airway treatment, and why he didn't see it in his own daughter 7:19 — Sydney begins her story: growing up without knowing something was wrong 8:21 — Dr. Avis reflects: he didn't know mouth breathing wasn't normal, even watching home videos; the missed opportunity at age 6 10:43 — School struggles begin: from A student to C student despite extraordinary effort; asthma, inhalers, and cavities nobody connected to airway 15:25 — Sydney's growing anxiety: first panic attack at prom; daily panic attacks escalating through her gap year 15:57 — The breaking point: a 3 AM call from Thailand - Sydney in the hospital getting a brain scan 20:29 — Dr. Avis discovers John Mew on YouTube; two weeks later he's in England studying orthotropics 22:19 — Presenting Sydney's case to Bill Hang's study group: the recommendation for double jaw surgery, and Sydney's immediate answer: "Okay, let's do it" 24:13 — The pre-surgery journey: sleep studies, DICE with Dr. Soroush Zaghi, MADs, CPAP, nothing helps; surgery delayed by COVID 31:11 — Sydney shares life after surgery: REM rebound, finally feeling rested, and the lifting of the "fog" 52:37 — Why they founded the Airway Revolution Foundation and built a free digital learning platform for parents, educators, and adults 1:12:28 — Lessons from trying to change doctoral education and lobbying Capitol Hill and why they ultimately decided to go directly to the public 1:22:51 — The danger of anti-airway commentary; 50–60% of kids on ADHD medications may have an undiagnosed sleep disorder; how to connect with the Foundation Closing Dr. Victor and Sydney Avis are doing something rare - turning personal pain into a movement that has the potential to change millions of lives. If their story resonates with you, visit airwayrevolution.org and follow @theairwayrevolution on social media to stay connected as their digital learning platform launches this fall. LINKS Airwayrevolution.org Connect w/the Avis' on Social Media: @theairwayrevolution Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ 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 Email: drmike@theorthocoach.com Instagram: @theorthocoach

  • #166
    July 23 · 1 hr 9 min

    More Than the Tongue: Rethinking Oral Ties, Latch, & Facial Development (w/Dr. Shereen Lim) [Ep.166]

    In this episode, I'm joined for the second time by Dr. Shereen Lim, an internationally recognized dentist whose work is reshaping how we think about oral tethered tissues and their role in craniofacial growth, airway health, and orthodontic outcomes. Since her first appearance on the show (Episode 34 - link below), Dr. Lim has pushed even further beyond tongue ties, focusing her clinical lens on lip ties, buccal frenum ties, and their profound influence on facial development, maxillary arch constriction, dental crowding, and orthodontic relapse. This conversation is a masterclass in staying intellectually curious, remaining open to what the evidence in your own practice is telling you, and constantly reassessing your diagnosis and treatment approach as new information emerges. Timestamps 0:00 – Introduction & episode overview 3:12 – Welcome back: Dr. Lim returns to The DOC Podcast 4:43 – Beyond tongue ties: Dr. Lim's evolving focus on lip and cheek (buccal) ties and their impact on latch, facial tension, and development 8:46 – The lower lip tie discovery: how chin strain and mentalis tension led to a clinical breakthrough 9:55 – Buccal ties, orthodontic relapse, and how cheek tension shapes the dental arch 14:45 – Interdisciplinary collaboration: working with osteopaths, chiropractors, and lactation consultants 15:59 – The emotional weight of realizing what we've missed — and why blinders happen 19:01 – Case study: the patient with severe malocclusion and the tightest cheek ties Dr. Lim has ever seen 22:03 – My talk on why orthodontists resist airway-focused care — and granting colleagues grace 25:44 – Tongue ties without transverse deficiency: how cheek ties may explain the variation 27:36 – V-shaped arches, orthodontic relapse, and the role of perioral restrictions 29:39 – Historical perspective: the Frenkel appliance, lip bumpers, and treating the etiology 33:03 – How to assess what's normal vs. abnormal: signs to look for across infancy, childhood, and adulthood 36:41 – The procedure: CO2 laser technique, team-based approach, and what to expect after releases 39:10 – When outcomes fall short — and why proper pre/post care changes everything 41:34 – A remarkable case: releasing ties in an infant with Down syndrome against specialist advice 44:19 – Challenging the 2020 AAO-HNS consensus statement and the misuse of evidence-based medicine 46:53 – The real value of clinical observation and patient-reported outcomes 50:19 – Pushback on social media vs. trust within the clinical community 52:10 – Functional trainer appliances (Myobrace, Vivos, 2Pill): where they help and where they fall short 56:18 – Post-release comfort: why oral releases may make functional appliances easier to tolerate 57:54 – The journey approach: doing one thing at a time and building confidence incrementally 1:00:46 – Vestibuloplasty technique: releasing multiple sites together for better outcomes 1:03:46 – A message to overwhelmed clinicians: you don't have to do it all at once 1:06:32 – Evidence-based practice in action: what Dr. Lim is actually doing in her clinic 1:07:09 – Where to find Dr. Lim & closing thoughts This conversation reminded me of why I do this work. Dr. Lim's willingness to look critically at her own outcomes, stay open to what her patients are showing her, and continuously evolve her clinical approach is a model for all of us. Whether you're brand new to airway-focused dentistry or have been in this space for years, I hope this episode leaves you a little more curious, a little more humble, and motivated to ask whether there's a better way to serve the children and families we care for. LINKS Episode 34 w/Dr. Lim: LINK Dr Lim’s Book: Breathe, Sleep, Thrive Dr. Lim’s Website: https://www.drshereenlim.com.au/ Dr. Lim’s IG: @dr.shereenlim Dr. Lim on FB: LINK Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ 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 Email: drmike@theorthocoach.com

  • #165
    July 16 · 1 hr 28 min

    A Holistic Approach to the Management of Sleep Apnea (w/Dr. Dave McCarty) [Ep.165]

    In this episode, I sit down with Dr. Dave McCarty - board-certified in internal medicine and sleep medicine, Chief Medical Officer of Rebis, and the visionary behind the Empowered Sleep Apnea Project - for one of the richest conversations I've had on this show. We go deep on why the AHI is far more limited than most providers and patients realize, trace the history of sleep apnea from Dickens' "Fat Joe" to the invention of CPAP, and unpack a landmark trial now questioning whether high-pressure CPAP may cause harm. Dave draws a compelling parallel between today's resistance to airway-focused thinking in dentistry and the tragic story of Ignaz Semmelweis, the physician who discovered handwashing saves lives and was institutionalized for it. We also make the case for nasal breathing, tackle the real limits of evidence-based medicine, and Dave shares his vision for Rebis: an integrated sleep medicine ecosystem that puts the patient, not the algorithm, at the center. Timestamps 0:00 – Introduction & Dr. Dave McCarty bio 2:40 – Dave's origin story: from primary care to sleep medicine ("I'm a recovering primary care doc") 12:32 – Cold-calling Tom Colquitt & the dental-airway connection 15:59 – Enthusiasm as a guiding force: Ralph Waldo Emerson, cold calls, and following fear 18:20 – Why insurance-driven medicine creates silos — and what the dental community can teach physicians about patient-centered care 21:37 – Unpacking the complexity of sleep apnea: obstructive vs. central, the "vanilla chocolate swirl," and why the AHI is a code that needs decoding 26:12 – The history of sleep apnea: from Osler and Dickens' "Fat Joe" to Pickwickian syndrome 29:21 – 1966: Henri Gastaut studies a Pickwickian patient and discovers sleep apnea as we know it 30:38 – Colin Sullivan and the invention of CPAP in 1981 40:40 – The five reasons to treat sleep apnea: risk, snoring, sleep experience, wake experience, and comorbidities 50:00 – Why nasal breathing matters: autonomic nervous system, nitric oxide, craniofacial development, and immune defense 56:07 – The Semmelweis parallel: dangerous truths, resistance to change, and the human cost of orthodontic practices we may need to revisit 1:12:43 – No randomized controlled trial proves CPAP prevents mortality — and new data suggests over-pressurization may cause harm 1:18:22 – Rebis: building an integrated, multidisciplinary sleep medicine ecosystem that democratizes complexity 1:27:40 – Closing thoughts & how to connect with Dr. McCarty LINKS: Rebis: https://www.rebishealth.org/ Contact Dr. McCarty: https://www.empoweredsleepapnea.com/ Beyond OSA: https://www.nxtbook.com/farran/orthotown/orthotown-march-2025/index.php?startpage=36#/p/34; Articles Referenced by Dr. McCarty: email Dr. DeLuke (drmike@theorthocoach.com) Phase I CE Courses: https://theorthocoach.com/courses/phase-i-arch-development/?portfolioCats=99 Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ 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 Email: drmike@theorthocoach.com Instagram: @theorthocoach If this episode opened your eyes to how much more there is to sleep-disordered breathing than a number on a sleep study report, I encourage you to share it with a colleague in medicine, dentistry, or orthodontics who needs to hear this conversation. The siloes between our disciplines are costing patients, and it's going to take all of us working together to tear them down.

  • #164
    July 9 · 1 hr 22 min

    The Oral-Systemic Connection: Why Dentists Need to Look Beyond the Mouth (w/Dr. Witt Wilkerson) [Ep.164]

    Summary: In this episode, I sat down with one of the most respected voices in dentistry, Dr. Witt Wilkerson - Director of Dental Medicine at the Dawson Academy and a true pioneer in the intersection of occlusion, TMD, airway, and integrative dental medicine. We had an incredibly rich conversation about the paradigm shift that I believe is transforming our profession: moving away from reactive, tooth-focused treatment and toward a whole-health, root-cause approach. Dr. Wilkerson shares his 44-year journey from treating bruxism purely as a bite problem to recognizing airway and sleep-disordered breathing as primary drivers of dysfunction. We challenged the siloing of dental specialties, made the case for dentistry as oral medicine, and explored the enormous opportunity we all have, dentists and hygienists alike, to screen for and address systemic health issues, including inflammation, blood sugar dysregulation, and sleep disorders. This is a conversation you do not want to miss. Timestamps: 0:00 - Welcome 0:23 — I introduce Dr. Witt Wilkerson and what we'll cover in today's episode 4:46 — Dr. Wilkerson shares his background: joining Dr. Pete Dawson's practice in 1982 and a career built on the question, "Is there a better way?" 6:07 — We discuss the segmentalized state of dentistry and medicine, and why the younger generation is finally starting to change that 8:33 — The 2009 Baylor article that changed everything for Dr. Wilkerson: the link between sleep apnea, bruxism, and airway 12:51 — I ask Dr. Wilkerson about the courage and humility it takes to admit you were wrong, and to update what you've been teaching for decades 28:23 — Dr. Wilkerson walks us through the three pillars of Integrative Dental Medicine: inflammation/infection, airway/sleep, and TMD/occlusion 29:26 — Why salivary testing should be part of every new patient exam, and what it can tell us about systemic health 30:06 — The diabetes-periodontal link we've known about since dental school, and why almost none of us are acting on it 30:52 — How continuous glucose monitoring is being used as both a periodontal and whole-health tool in Dr. Wilkerson's practice 45:41 — We get into orthodontics and TMD, including the defensive reaction from the ortho community that held the profession back, and what I think the specialty should do instead 50:05 — A critical clinical protocol: why you should always study sleep before placing any occlusal appliance on a bruxer 54:43 — The adult complex restorative patient: how I believe we should be approaching these cases from a truly interdisciplinary standpoint 1:14:16 — The future of treatment sequencing: why airway therapy may need to come first, before any restorative or orthodontic work 1:18:15 — How to connect with Dr. Wilkerson, the IDM Scholar Society, and the S3 Workshops Call to Action: If this conversation lit a fire in you the way it did for me, here's what I'd encourage you to do next: Connect with Dr. Witt Wilkerson and learn more about the IDM Scholar Society and his S3 (Sleep, Saliva & Sugar) Workshops at IDMScholarSociety.com, or reach out to him directly at WittWilkersonDMD@gmail.com Join me and Dr. Daniel Camacho at the Early Orthodontic Treatment Comprehensive Course - a two-day hands-on event, November 13–14 in Fort Lauderdale, FL. We'll cover early airway-focused interceptive treatment, CBCT reading, live patient observation, and so much more. Includes 41 CE hours. Space is limited, so grab your spot at https://www.earlyorthotreatment.com/ Share this episode - If this conversation shifted your perspective on dentistry's role in whole-body health, please pass it along to a colleague. The more dental professionals hear this message, the more patients we can help and the stronger our profession becomes. Join The DOC Community on Facebook for ongoing discussions, resources, and more content like this. https://www.facebook.com/share/g/1Cb9rkQVde/ Work with me directly - Head to theorthocoach.com to access my CE courses or schedule a private one-on-one coaching session. LINKS AAO White Paper Review: https://youtu.be/pKSD_PVO4G0 YouTube: @theorthocoach Email: drmike@theorthocoach.com Instagram: @theorthocoach

  • #163
    July 2 · 1 hr 39 min

    The Fundamentals of Generational Wealth: Planning, Fiscal Discipline, & Real Estate (w/John Vento Sr.) [Ep.163]

    OVERVIEW Most high-income professionals work incredibly hard, yet wonder why wealth and financial freedom seem just out of reach. The answer, more often than not, isn't about earning more. It's about understanding the fundamentals that turn a good income into lasting wealth. In this episode, Dr. Mike sits down with John Vento Sr., a CPA, financial advisor, and co-author of The Generational Wealth Code, for a conversation that could genuinely change the financial trajectory of your life. John has spent 40 years helping dentists and other professionals build real, lasting wealth, and in this episode, he lays out the exact framework he uses with every client: start with fiscal discipline and margin, know your numbers cold, minimize your tax burden legally, and then deploy your capital strategically through real estate. Whether you're just starting out and trying to dig out from under student loan debt, or you're well into your career and ready to accelerate your wealth-building, this episode gives you a practical roadmap — one built not on hype or shortcuts, but on proven principles that compound over a lifetime and beyond. TIMESTAMPS 3:42 — Episode begins; Introduction to the series and The Generational Wealth Code 4:25 — Why "Living Within Your Means" is the most important chapter in the book 6:45 — Taxes as your #1 lifetime expense; the importance of tax literacy 9:22 — Good debt vs. bad debt; how to approach student loan debt as a young professional 13:44 — The 20 questions in the book's introduction and using it as a lifelong financial guide 15:00 — Knowing your numbers: the statement of net worth and cash flow analysis 18:07 — The cost of waiting; why starting early is critical 22:47 — Balancing competing goals: student loans, retirement, college savings, and investing 25:56 — Retirement planning; the 12-variable financial calculator and setting realistic goals 30:21 — Estate planning: wills, trusts, LLCs, and when to start 39:20 — The "live for today" mindset; balancing enjoyment and financial responsibility 43:22 — Cash flow statements; where your money is really going 47:45 — Transitioning to real estate: creating margin to invest 50:01 — Why dentists should own their office space; the phantom deduction of depreciation 52:47 — LLCs, liability protection, and entity structure for real estate 56:55 — Tax benefits of owning real estate through an LLC; SALT workarounds 1:00:49 — The One Big Beautiful Bill Act and accelerated depreciation for capital improvements 1:03:45 — Cost segregation studies and maximizing depreciation deductions 1:09:46 — The value of a financial coach; the importance of an ongoing, intimate client relationship 1:14:14 — Leverage in real estate: using other people's money to multiply returns 1:17:10 — Equity recycling: pulling out equity to buy more properties and build wealth 1:19:28 — Depreciation, step-up in basis, and passing real estate wealth to the next generation 1:24:47 — Passive vs. active real estate investors; IRS classifications and what they mean for your taxes 1:28:27 — Passive Income Generators (PIGs) and Delaware Statutory Trusts 1:30:25 — Preview of the next episode with Christine Vento: 1031 exchanges, Qualified Opportunity Funds, and advanced real estate strategies 1:31:17 — Types of 1031 exchanges: simultaneous, delayed, reverse, and construction/improvement 1:37:26 — Closing thoughts: tax planning as a year-round chess match against the IRS If this episode got you thinking differently about your financial future, please don't keep it to yourself. Share it with a colleague, a friend, or anyone in your life who could benefit from hearing this information. The principles John shares here don't just help people save money; they help people build the kind of financial freedom that lasts for generations. The information discussed in this podcast is intended for informational and educational purposes only and should not be considered individualized financial, investment, legal, or tax advice. Please consult your own professional for advice specific to your individual situation. LINKS: Purchase John’s New Book: https://a.co/d/0cye2Lqu Vento Tax & Wealth Mgmt. Website: https://www.vtwmg.com/ Joint Episode w/The Vento Family: https://youtu.be/9sEzEto2mAM Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ 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/ Link to Balance Sheet on DOC Website: theorthocoach.com YouTube: @theorthocoach Email: drmike@theorthocoach.com Instagram: @theorthocoach

  • #162
    June 25 · 1 hr 40 min

    The Great Airway Debate: All That's Old is New Again (w/Dr. Duane Grummons) [Ep.162]

    Overview: In this landmark episode, Dr. Mike sits down with Dr. Duane Grummons - a board-certified orthodontist, educator, and internationally recognized lecturer with over 50 years of clinical experience. Dr. Grummons traces the origins of airway-focused orthodontics from his early training under Ricketts, Bench, and Gugino in the 1970s, through the political and clinical headwinds of the 1990s, to the evidence-based framework he champions today. The conversation covers early facial orthopedics, slow maxillary expansion, mandibular arch development, face mask therapy, cone beam imaging, and the critical importance of treating the whole patient, not just the teeth. Timestamps: 0:00 — Welcome 0:23 — Introduction of Dr. Duane Grummons and his 50+ year career in orthodontics 3:16 — Dr. Grummons on his clinical history: Ricketts, Bench, Gugino, and learning to think in 3D from day one 7:03 — "It's a fad" — addressing the critics of airway orthodontics and why this work is decades old 21:03 — The 2026 AAO: only 1 out of 155 lectures addressed early treatment and airway 24:44 — Why orthodontists fear lower arch expansion — and why they shouldn't 30:57 — Advice for colleagues who want to shift toward earlier, airway-focused care 38:26 — Why residency programs are still teaching that mandibular expansion is malpractice 47:30 — The science behind slow maxillary expansion and why RPE may be the wrong tool for young kids 1:01:22 — "Flying the maxillae": face mask therapy, tip/yaw/roll, and 3D orthopedic planning 1:19:32 — CBCT and 3D imaging: why the debate is still happening and why Dr. Grummons can't practice without it 1:28:39 — The power of parent testimonials and capturing outcomes on video 1:33:59 — Facial descriptors, the hyoid complex, and why diagnosis must go beyond the teeth 1:38:36 — Closing thoughts: health span, brain longevity, and rising above the circumstances Summary: This episode is an essential listen for any clinician serious about comprehensive, patient-centered orthodontic care. Dr. Grummons reminds us that the science has always been there, and that the most powerful thing we can do is go deep on diagnostics, treat early when the face is developing, and never stop learning. LINKS: Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ 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 Email: drmike@theorthocoach.com Instagram: @theorthocoach

  • #161
    June 18 · 1 hr 38 min

    Airway, Wellness, and the Patient-Centered Private Practice (w/Dr. Trevor Nichols) [Ep.161]

    Episode Summary Dr. Trevor Nichols returns to The Doc Podcast for his second appearance, and a lot has changed. Since opening Nichols Orthodontics and Aesthetics in Gilbert, Arizona, in August 2024, Trevor has grown from a two-person operation to a team of 20, with a waitlist. In this rich conversation, Dr. Mike and Dr. Nichols cover the full journey: the leap from corporate/DSO orthodontics to private practice ownership, the vision and systems that fuel their growth, the personal wellness habits that keep them grounded, and, most passionately, the case for early airway-focused, craniofacial orthodontic treatment. This episode is a must-listen for any orthodontist, dentist, or healthcare professional who wants to treat the whole patient, not just the teeth. Timestamps 3:29 — Welcome back: Dr. Nichols returns to the show after ~2 years 4:33 — "Probably the best two years of my life" — Dr. Nichols reflects on opening his practice 5:27 — Starting with just two people, leasing space from a general dentist 6:29 — "Fight for your dreams" — the case for private practice ownership 6:53 — Why private practice better protects patients and the profession vs. corporate/DSO models 22:03 — Building the vision: how to define what orthodontics truly fulfills you 23:29 — "Do a true audit of what in orthodontics brings you happiness" 29:34 — The three pillars of Nichols Orthodontics: patient experience, culture, and results 40:24 — Why Dr. Nichols hired a CEO (formerly at Crumbl Cookies) to run the business side 50:44 — Balancing plates: weekly date nights, gratitude practices, and intentional reflection 57:32 — Shifting to the clinical: why diagnosis is what separates orthodontists from OTC aligners 1:00:57 — "We're not just orthodontists — we're craniofacial orthopedists" 1:02:58 — "I don't really care about the teeth right now" — diagnosing profile, growth, and airway first 1:11:06 — Treating 3- and 4-year-olds: when early intervention is warranted and how to screen for it 1:17:44 — 45% of Nichols Orthodontics' practice is now airway-focused treatment 1:27:43 — The key to phase one braces success: bond ALL the primary teeth + disarticulate 1:29:00 — The tongue as nature's expander: ~400g of force at swallow — why we don't need more 1:37:18 — "Early adopters take the most scrutiny — and then we find out they were right all along" LINKS Register for the In-person Early Treatment Comprehensive ($1000 off if register by June 30): https://www.earlyorthotreatment.com/ Episode 50 w/Dr. Nichols: https://podcasts.apple.com/us/podcast/finding-living-your-purpose-w-dr-trevor-nichols-ep-50/id1689703392?i=1000655038062 Connect w/Dr. Nichols: https://www.nicholsortho.com/?utm_source=GBP Instagram: @dr.trevornichols 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/ Enroll in one-on-one coaching w/Dr. Mike: https://theorthocoach.com/doc-coaching/ If this episode resonated with you, please take a moment to share it with a colleague, friend, or fellow healthcare professional who would benefit from hearing it. Word of mouth is the single most powerful way to grow this community and spread this message. Leave us a rating and review on Apple Podcasts or Spotify; it makes a huge difference! And if you haven't already, subscribe so you never miss an episode of The Doc Podcast. Thank you for your support! Together, we're changing lives, one conversation at a time.

  • #160
    June 11 · 1 hr 14 min

    More Than The Mouth: Dentistry's Role in Total Health (w/Dr. Staci Whitman)

    Episode Summary In this powerful episode, Dr. Mike sits down with Dr. Staci Whitman, a board-certified pediatric dentist, functional and naturopathic dentistry expert, and one of the only dentists in the world certified by the Institute of Functional Medicine. Dr. Staci shares her remarkable journey from nearly leaving the profession entirely to becoming a trailblazer in functional pediatric dentistry. Together, they dive deep into the critical connections between oral health and whole-body health, exposing the gaps in traditional dental education and offering a roadmap for how dentists and patients can do better. Show Notes 0:00 — Introduction & welcome 1:49 — Topics covered today: fluoride, oral-gut microbiome, airway health, burnout, and more 3:33 — Dr. Staci's journey: from a childhood dental trauma to nearly quitting the profession 5:47 — "I almost left dentistry" — how debt kept her in and what ultimately changed 6:57 — The pivot to pediatrics and a root-cause, upstream approach 15:36 — Her three diagnostic priorities: nutrition, gut health, and airway (not the teeth) 16:11 — "We don't have dental physicians" — connecting the mouth to the whole body 33:12 — The fluoride debate: how Dr. Staci went from advocate to skeptic 37:06 — Fluoride works topically, not systemically — what the science actually says 56:06 — The oral microbiome: nitric oxide, the oral-gut axis, and why it matters 57:02 — "You cannot have a healthy patient without a healthy gut" 58:00 — Oral microbiome testing: options, tools, and why it should be standard of care 1:05:46 — Top action step #1: nutrition and reducing snacking frequency 1:07:40 — Top action step #2: hydration, saliva, and minerals 1:08:02 — Top action step #3: airway and the dangers of mouth breathing Resources & Links Mentioned: Register for the In-person Early Treatment Comprehensive ($1000 off if register by June 30): https://www.earlyorthotreatment.com/ Oral microbiome testing resources: https://www.viome.com/products/oral-health-intelligence; https://www.bristlehealth.com/ Cochrane Review on Fluoride (2024): https://pubmed.ncbi.nlm.nih.gov/39362658/ The Institute for Functional Dentistry: https://functionaldentistry.com/ Episode with Beth Lambert: https://podcasts.apple.com/us/podcast/whats-causing-the-chronic-disease-epidemic-in-our/id1689703392?i=1000716655495 Connect with Dr. Staci: https://doctorstaci.com/ Dr. Staci on Instagram: @doctor_staci Connect with Dr. Mike: theorthocoach.com Dr. Mike on Instagram: @theorthocoach Email: drmike@theorthocoach.com Join the DOC Community on Facebook: https://www.facebook.com/share/g/1Cb9rkQVde/ The health of our patients and our profession depends on dentists willing to think differently. Please share this episode with a colleague or fellow parent who needs to hear it!

  • #159
    June 4 · 1 hr 16 min

    Real Estate, Taxes, & The Power of Planning: Inside the Generational Wealth Code (w/The Vento Family)

    Episode Summary Dr. Mike welcomes a powerhouse family of financial professionals to The DOC Podcast: John Vento Sr., his daughters Christine Vento and Nicole Vento, and his son John Vento Jr. Together, they discuss their brand-new book, The Generational Wealth Code, and share decades of expertise in tax planning, real estate investing, and wealth management. John Sr. traces his journey from doing his first tax return in his parents' Brooklyn basement in 1985 to building a comprehensive wealth management firm. Each of his three children - all CPAs and securities-licensed - shares how they found their own specialties: Christine in 1031 exchange real estate solutions and Delaware Statutory Trusts, Nicole in tax-smart investment management and financial planning, and John Jr. in dental CPA and proactive tax strategy. The conversation spans the importance of year-end tax planning (not April 15th), the power of passive real estate income, how to raise financially literate children, and why paying for expert financial advice is an investment, not a cost. This is the first of a five-part series with the Vento family, with each member returning for a dedicated solo episode. Timestamps 0:00 – Introduction & welcome to the Vento family 2:01 – Overview of *The Generational Wealth Code* and the five-part series 3:09 – Guests introduce themselves 5:04 – John Sr.'s background: From Brooklyn basement to building his own firm (1985) 6:03 – John Sr. on leaving KPMG and why he added a securities license to his CPA practice 9:20 – Christine's background: From KPMG deal advisory to real estate and 1031 exchanges 10:48 – Christine explains 1031 exchanges and Delaware Statutory Trusts (DSTs) 14:47 – Nicole's background: Goldman Sachs, JPMorgan, and returning to the family practice 20:53 – John Jr.'s background: Working in the firm as a teenager, Pricewaterhouse, and becoming managing partner 27:09 – Why year-end tax planning matters: "Once December 31st passes, there's nothing you can do" 30:02 – The origin story of John Sr.'s first book, *Financial Independence: Getting to Point X* 32:04 – What's new in *The Generational Wealth Code* and the impact of the One Big Beautiful Bill Act 38:37 – John Sr.: "Financial literacy should be required in every high school" 1:07:32 – John Jr.: "Almost every decision in life has a tax consequence" — preview of his solo episode 1:12:39 – Book release date, where to buy, and how to contact the Vento family firm Resources & Links The Generational Wealth Code – Available June 9th on Amazon and Barnes & Noble (pre-order now): https://a.co/d/0iHwEITG https://www.ventotaxandwealth.com/ Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ 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 Email: drmike@theorthocoach.com Instagram: @theorthocoach

  • #158
    May 28 · 1 hr 28 min

    Should 3D/CBCT Imaging be the Standard of Care in Orthodontics? (w/Dr. Dania Tamimi) [Ep.158]

    In this episode of The DOC Podcast, I sit down with Dr. Dania Tamimi, an oral and maxillofacial radiologist, Harvard-trained dental educator, and holistic health advocate, for a wide-ranging conversation on why diagnosis must come first in dentistry, and why 3D CBCT imaging is no longer optional for orthodontists who want to truly serve their patients. Dr. Tamimi brings a uniquely multidisciplinary perspective, weaving together radiology, yoga therapy, kinesiology, and craniofacial anatomy to make the case that the mouth and the airway cannot be treated in isolation. Together, we challenge the "tooth straightener" mindset still dominant in orthodontics, break down the science of nasal breathing and its profound impact on facial development, and take a critical look at recent AAO position statements on airway and CBCT. Whether you're a seasoned clinician, a young provider, or a curious parent, this episode will change the way you think about dental imaging, airway, and what it means to truly diagnose. Timestamps: 0:00 — Introduction & Meet Dr. Dania Tamimi 4:01 — Dr. Tamimi's background: oral & maxillofacial radiology explained 4:46 — A parallel career in fitness and why it matters for TMJ 6:55 — "It's all connected" - the TMJ, airway, and the whole body 10:01 — Dr. Mike's airway awakening: how getting a CBCT in 2014 changed everything 12:37 — Why we image: diagnosis is the single most important step 18:38 — CT vs. CBCT: what's the actual difference and why does it matter? 21:58 — Cone beam CT explained: lower dose, dental-specific, and what it can (and can't) show 25:52 — Why is 3D CBCT adoption still debated in orthodontics? 30:09 — Fear, comfort zones, and the cost of not knowing 36:07 — "Knowledge gives you power, fear takes it away" 38:59 — "I don't want to be responsible for what's on the scan" - the liability fear no one talks about 44:07 — Should orthodontists rename themselves craniofacial orthopedists? 52:00 — No such thing as a routine X-ray: why clinical exam must come first 1:13:34 — The science of nasal breathing: nitric oxide, filtration, and why mouth breathing changes your face 1:14:35 — How mouth breathing narrows jaws, crowds teeth, and displaces the tongue into the airway 1:19:01 — Challenging the AAO white paper: "No craniofacial phenotypes can identify airway problems"? 1:23:25 — Can orthodontists read their own scans? How to know when to refer LINKS Register for the In-person Early Treatment Comprehensive:https://www.earlyorthotreatment.com/ 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/ Enroll in one-on-one coaching w/Dr. Mike: https://theorthocoach.com/doc-coaching/ Link to Dr. Mike’s review of the AAO White Paper Update on SDB: https://youtu.be/pKSD_PVO4G0?si=CSxQy4V6tZoe551t Dr. Tamimi TEDx talk: https://youtu.be/zlYuHwqrsPo?si=30NiJu_UiuPeKRlX Contact Dr. Tamimi: https://inspire-imaging.com/

  • #157
    May 21 · 1 hr 29 min

    Rethinking When, Why, & How We Treat Patients (w/Dr. Mike DePascale) [Ep.157]

    Episode Summary Dr. Mike DePascale is a Connecticut-based orthodontist and co-owner of a multi-location practice with his partner and mentor, Dr. Jeff Kozlowski. In this episode, Dr. DePascale shares his remarkable personal journey from suffering severe obstructive sleep apnea in his early 20s and undergoing orthognathic surgery to becoming a passionate advocate for airway-focused, early-interceptive orthodontic care. The conversation covers the philosophy behind their thriving partnership, why airway is still woefully undertaught in residency programs, how to practically integrate early airway-focused treatment into a busy practice, the critical role of interdisciplinary collaboration, and what it takes to maintain peak fitness while building a career and a family. This is a conversation about so much more than teeth, it's about breathing, thriving, and never settling. Timestamps 0:00 — Introduction to The DOC Podcast and Dr. Mike DePascale 10:57 — Dr. DePascale's origin story: cold-calling medical offices to find his path 12:30 — Diagnosed with severe sleep apnea in his 20s: 3 car accidents, 2–4 hours of sleep a night 15:30 — Choosing orthognathic surgery over CPAP — and how it saved his life 19:00 — Finding Dr. Jeff Kozlowski: choosing mentorship over immediate money 24:00 — What makes a practice partnership actually work: communication, consistency, and commitment 33:00 — Residency training: what it prepared him for — and what it didn't 38:00 — Why airway is barely taught in orthodontic residencies (and what needs to change) 45:00 — The 1968 Salzman Index, Medicaid, and how the system trains orthodontists to pull teeth instead of treat early 53:00 — How to practically integrate airway screening into a busy multi-doc practice 58:00 — Team training, sleep questionnaires, and the power of interdisciplinary referral networks 63:00 — The emotional reality: a mom crying after finally hearing "tongue tie" for the first time after 5 specialists 68:00 — How early is too early? Dr. DePascale's own son: frenectomy at weeks old, T&A at age 2 75:00 — Why orthodontists are uniquely positioned — and obligated — to lead in the airway space 80:00 — Fitness as a non-negotiable: from not finishing a mile to running a 4:53, and why he never gets out of it Links Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ 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 Email: drmike@theorthocoach.com Instagram: @theorthocoach Thank you for your support of The DOC Podcast, and please share the show with others who may benefit from hearing this conversation!

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