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Check For Ties At Birth

Today was a big dose of reality. Sorry to be a downer, but let's be serious about how the "it's no big deal, they'll be fine" attitude is affecting our children. Like Dr. Baxter said - is just surviving ok when thriving is an option?

Patient A - 8 year old born with a to-the-tip tongue tie. Severely impaired speech and major tooth crowding and malocclusion. At 5 months old was sedated by an oral surgeon for tongue tie release. Presented to my office with an almost-to-the-tip tongue tie. I can't possibly imagine what was done to this child that required general anesthesia that ultimately looks like nothing was actually done. In school based speech therapy and was told he'll never be able to speak normally. 8 years have gone by with the parents thinking that their child was as good as he was gonna get because the tongue tie was "already fixed."

Patients B and C - sisters, 7 years old and 8 months old. Both with tongue ties. Baby spits out all purees and solid foods and can only successfully use a certain type of bottle. Older sister has all the symptoms of sleep disordered breathing, has speech issues, and is a slow, picky eater. Mom wants to know why no one ever checked for ties when she's been regularly bringing these issues up to her pediatrician (and being told it's all fine)?

Patient D - 17 month old with a to-the-tip tongue tie. Diagnosed at birth by pediatrician. Yay! Who then told parents that ties can't be fixed until age 2-3 unless they are put under sedation. Boo, hiss. In physical therapy due to delayed walking and balance issues. More misinformation causing long term issues.

Patient E - 3 week old who cannot latch onto the breast and leaks as much milk out of the bottle onto herself as she actually swallows. Mom really wants to breastfeed. And I'm pretty sure baby (and parents) would prefer if baby wasn't taking a milk bath with every feed. She's gaining weight so everything is fine!

Patient F, G, H - 1/2/3 week old causing mom so much pain she cries every time baby latches. Just give baby a bottle!