In this episode, Lisa is joined by Dr. Neel Bulchandani, an integrative specialist and chiropractor who shares a whole-body perspective on tongue tie, feeding, and function. Together, they explore how tension in the jaw, floor of the mouth, and body can affect babies, parents, and long-term outcomes.

They discuss Dr. Neel’s approach to bodywork, the role of pre- and post-release support, the importance of listening to families, and the complexity of deciding whether a release is necessary. This is a thoughtful conversation about collaboration, clinical intuition, and why tongue tie care is never just about the mouth.

Dr. Neel Bulchandani practices in Santa Barbara and Los Angeles, and also teaches his methods through courses and professional training.

Find out more about the Cosmic Mandible Webinar Series here: https://www.eventbrite.com/e/the-cosmic-mandible-series-tickets-1986963509344

And his website: https://www.neelbulchandani.com/

Special thanks to our sponsor, REMplenish. 10% “welcome” discount when you sign up for their newsletter at the bottom of this page - https://www.remplenish.com

More from Tongue Tie Experts:

Explore additional resources, including downloads, free guides, and links mentioned in this episode—along with access to our courses and new book:

👉 www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all offerings.

This podcast is meant for education and conversation only. It is not medical advice and does not replace formal education, professional training, or individualized care from a qualified healthcare provider. Always seek appropriate guidance for individual concerns. The views and opinions shared by our guests are their own and do not necessarily reflect those of the host or Tongue-tie experts.

Mentioned in this episode:

Remplenish

What happens when everything you thought you knew… isn’t enough?

In this episode, Lisa is joined by Patty Reiger, RDH and Orofacial Myofunctional Therapist, who shares the story of her granddaughter’s tongue tie journey - and how it changed the way she sees this work.

Although Patty has decades of experience in oral health, she quickly realized that her professional knowledge didn’t fully prepare her for what families face when concerns are dismissed, answers are unclear, and support is fragmented.

Together, they explore the moment many providers eventually face:

recognizing the limits of your own scope, and the need for a truly collaborative approach.

In this conversation, they discuss:

• Why professional knowledge doesn’t always translate to real-life situations
• The difference between understanding anatomy and supporting function
• How families experience confusion, dismissal, and delayed care
• Why knowing your limits, and scope of practice, actually improves outcomes
• The importance of interdisciplinary collaboration in tongue tie care
• Why follow-up and ongoing support matter just as much as the procedure

This episode is a powerful reminder that:

The best providers aren’t the ones who know everything -

they’re the ones who know when to bring in others.

Contact info for Patty Reiger:

instagram.com/remplenish_pattymyo

Email: patty@remasteredsleep.com

More From Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

This podcast is meant for education and conversation only. It is not medical advice and does not replace formal education, professional training, or individualized care from a qualified healthcare provider. Always seek appropriate guidance for individual concerns. The views and opinions shared by our guests are their own and do not necessarily reflect those of the host or Tongue-tie experts.

In this episode of the Tongue Tie Experts Podcast, Lisa Paladino, CNM, IBCLC shares a clinical thinking framework she has primarily taught inside her professional trainings - until now.

One of the most common questions Lisa hears from professionals is not simply “How do I identify a tongue tie?” but something deeper:

How do I think through these cases?

How do I avoid missing something important?

How do I support families without creating fear or confusion?

The challenge is often not a lack of knowledge - it’s the absence of a clear framework for clinical reasoning.

In this episode, Lisa introduces the CAREFUL™ framework, a model developed from more than three decades of working with babies and families. This approach is designed to help professionals slow down, consider the full feeding picture, and provide thoughtful, family-centered care.

Lisa also discusses:

• Why feeding challenges cannot be understood through anatomy alone

• The importance of caring for the parent–baby dyad

• How structured clinical thinking improves confidence and decision-making

• Why interdisciplinary collaboration is essential in tongue tie care

• How a careful, measured approach builds trust with both families and colleagues

This episode offers a look into the thinking process Lisa teaches in her professional education programs and reflects the philosophy behind Tongue Tie Experts.

If this episode resonates with you, consider sharing it with a colleague. The more we strengthen how professionals approach these cases, the better outcomes we create for babies and families.

More From Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

This podcast is meant for education and conversation only. It is not medical advice and does not replace formal education, professional training, or individualized care from a qualified healthcare provider. Always seek appropriate guidance for individual concerns. The views and opinions shared by our guests are their own and do not necessarily reflect those of the host or Tongue-tie experts.