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.

What happens when a tongue tie is released - but feeding doesn’t improve?

In this episode, Lisa Paladino, CNM, IBCLC, explores an important clinical truth: a frenotomy releases tissue, but it does not teach a baby how to feed.

Inspired by an actual professional discussion across disciplines, this conversation highlights why feeding is functional, not just structural, and why preparation, assessment, and follow-up matter just as much as the procedure itself.

Lisa discusses:

1. The difference between anatomy and function
2. Why some families feel discouraged after a release
3. The importance of interdisciplinary care
4. What true informed consent should include
5. How coordinated support protects the parent–baby relationship

This episode isn’t about whether releases are right or wrong. It’s about improving the process around them, and delivering better care for babies and families.

If this resonates with you, share it with a colleague in another discipline. That’s how change begins.

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.