I Bet You Suffer From Acid Reflux


AB: Hello and welcome to SimplifiHealth. My name is Aurelia Byrne. I’m a registered Dental Hygienist at Stonebriar Smile Design, the office of Dr. Jill Wade. Today, Dr. Wade is with us and we’re going to talk about the three things you need to know about acid reflux. Hello, Dr. Wade.

JW: Hello, Aurelia. It’s great to be here today. I’m excited to talk about this. This subject matter—to us in the dental office—is a daily occurence.

AB: Absolutely.

JW: We look at this on almost every single patient. We are trying to decide if we are seeing any signs and symptoms of acid reflux.

AB: A lot of people are not aware of this issue at all. There are so many things that go along with acid reflux. It’s not just heartburn or, “Oh, I had to take something for my stomach because it hurts,” it’s a whole different ball game.

JW: Agreed. I actually think that most people think they don’t have acid reflux specifically because about 30% of the population actually has what’s called “silent reflux” which means that they don’t have the typical signs and symptoms like acid reflux as far as heartburn, burping, chest pain that is happening, sitting right above your heart, kind of in the middle—that is what we call acid reflux or heartburn.

A lot of people may think that they only feel that when they eat tomato sauce or really late at night and laid down. All those things can cause them to have those types of feelings but there’s a ton of people out there who actually are having acid reflux and they don’t even know it, it’s silent.

AB: Yes. What are the things that we don’t know about acid reflux? Tell me what some of the symptoms are that you would know right away, what is one of them?

JW: I think one of the easiest questions to ask anybody is, “Do you find yourself, first thing in the morning, waking up and feeling like you need to clear your throat?” You kind of have a raspy voice and you’re constantly feeling like you need to clear it, before you start maybe at work when you’re talking to a co-worker or you’re doing a presentation and you’re constantly clearing your throat.

A lot of people will tell me, “No I’m just having post-nasal drip,” or “I’m having allergies today so I’m clearing my throat.” This may be true or may be not true. Perhaps, rather than coming down from post-nasal drip, it’s actually coming up. What they’re feeling is something just back in the throat that is irritating to them and they feel like they need to clear it.

AB: When we see a patient in our office and they’re laying in our chair and you ask them these questions, what is the percentage that people actually say, “Yeah, I do clear my throat in the morning?”

JW: That’s a great question. I find that they will start to answer, “No,” and then about two or three seconds later they clear their throat. I’m like, “Oh, okay, you don’t clear your throat. That’s great. You just did.”

AB: That’s so funny.

JW: A lot of what we do in office, as you will know, is just observe; observe people, what they’re doing, what they’re saying, but then also looking in the mouth and actually observing all the subtle signs and symptoms that we’re actually seeing in the oral cavity itself. And not to get into too much detail but there are so many different things that we can look at on the teeth and in the mouth to even see that acid reflux is actually actively occurring.

Now, every once in a while, we don’t know if it’s active or if it has been in the past. For example, the really shiny teeth. It’s like the river. A river has water that goes across all the rocks all the time. That shouldn’t be all that abrasive or harsh on the rocks that overtime, as the water washes over the rocks, it makes them very slippery and very smooth. The same exact thing happens in the mouth on the teeth if you have constant and consistent acid reflux, it washes over the teeth, makes them really smooth and really shiny.

AB: Yeah. The clearing of the throat was the one thing, what’s the second thing that a person would need to know if they have acid reflux and they don’t have heartburn?

JW: One of the other clues that I want to talk to everybody about is that if you have never really been prone to having cavities and then all of a sudden somebody is telling you that you have quite a few cavities—especially on the back teeth and what we call interproximal cavities which is in between your teeth where you floss—that is a huge red flag for me that someone has all of the sudden began to have a lot of reflux issues for whatever reason. It may be stomach issues, sleep apnea, all kinds of reasons that they may have started having reflux, or a hernia.

But from going from having no cavities to all of a sudden having a lot of cavities—maybe you had cavities when you’re a teenager then you are very stable for 5, 10 years and then all of a sudden, you go back in and you have new cavities, this is not normal. If you haven’t stopped brushing your teeth and really changed your diet or not really eating or drinking anything that could be the cause of the cavities, then my first go to thought process would be acid reflux. We need to stop that reflux. If we can’t stop the root cause of the problem—because we’re always thinking about what is the root cause of “the cavities” and can we stop that. If we can’t stop it immediately, what we can do to at least counterbalance that acidity is we recommend a lot of stronger toothpaste and rinses that can actually neutralize the acidity until we can get the root cause of the problem stopped.

AB: What are the things that I feel is really important about that particular issue as a patient listening to our podcast right now is that if you go to your dentist and they’re diagnosing you with a lot of interproximal caries or cavities—which means in between the teeth—and they can’t give you a reason why because you know you brush your teeth two times a day, and floss maybe once or twice a week, and you’re not gargling with Dr Pepper, you’re doing your due diligence as your preventative care as best as you can because let’s face it, nobody’s perfect. Maybe you hadn’t gone to the dentist for two years but you’re still doing your preventative maintenance, how can you get all these cavities?

The first thing as a patient is always question, “Why do I have all these cavities?” And if your dentist tell you and look at you in a way that, “I don’t know, you just got cavities because you’re prone to them,” there’s a reason, there’s always a reason just like we’re talking about the root cause of the issue. If that dentist is not able to ask you specific questions about what we’re talking about right now, then you’re going to always get those cavities again because you’re never going to stop the problem. Is that correct?

JW: That is absolutely correct. You know I’m a huge believer about really diving down deep to find those root causes. I know here soon, in one of our episodes, we are going to bring in one of our favorite ENT specialists (Ear, Nose, Throat specialist) that we work with, Dr. Mehendale, to continue this conversation about root causes of acid reflux, because hey, if you think, “Why am I going to take my medical advice from a dentist and dental professionals?” I’m going to tell you, don’t then. I’ll bring in medical specialists, physicians, cardiologists, and everything we need to in the future to allow you to have confidence that what we’re talking about is not craziness. We’re science based people who believe that root causes need to be looked up further and we’ll bring in other specialists that aren’t in the dental profession to help you believe that what we’re talking about is true and how that you can then begin to use your dental experiences to actually help you get healthier, help your overall wellness, optimize your overall health and well-being.

AB: Let’s digress a little bit and go to the third clue if you have acid reflux. We talked about interproximal caries and clearing your throat. What’s the third one, Dr. Wade?

JW: I think we touched based on it a few minutes ago, it is about this shininess, this ability to have this acid moving across the teeth all the time. Teeth are strong guys, this is one of the strongest parts of your whole body, even stronger than bone. In order to be able to make it deteriorate, if you want to say, you’ve got to have this acid that’s supposed to stay down in your stomach—your stomach was built for it to stay down in there and to protect itself from that acid, it was never meant to be up into your esophagus or your oral cavity. It doesn’t mean that you’re throwing up or that you’re feeling it, it could be just in vapor form, a burp or a little gargle. It doesn’t have to be as obvious as you may think. But this acid wash, if you want to say, can create this really shiny effect on the teeth and/or thinning.

A lot of people may notice that their teeth are wearing down extremely fast like accelerated wear and tear. We all have wear and tear on our teeth but accelerated wear or this ability to look into the mirror—you know what I’m talking about Aurelia—and see all of a sudden almost like their teeth are thinning right in the front, they get clearer and more translucent right there and then start to see little chips and breaks, this could be a sign of accelerated wear pattern from acid reflux.

AB: Correct. The three things that we talked about that is extremely important for a patient to know is if you’re going to your dentist and you’re experiencing these types of issues, point that out to your dentist so they can hopefully get you to the right specialist—which we’re going to have Dr. Mehendale coming and talk about this on a medical portion—very important, you need to be aware of these things and just be advocate. That’s what we’re trying to promote here, you have to take your health into your own hands and we’re here to help you get educated with our podcast and let you know that these are the things that you need to be looking for, if we’re going to talk about teeth or we’re going to talk about something else with another professional that comes in.

JW: Exactly.

AB: If you would like to learn more about acid reflux and be your own advocate, we want you to visit our website called youniversityhealth.com, and there, you’re going to be able to download exactly what we were talking about and the details about how to become an advocate. For the dental professionals, if you would like to learn more about what we see in the mouth clinically, you could reach out at relevancehealth.com. Thank you, Dr. Wade.

JW: Thank you, Aurelia.

AB: Thank you for listening everybody.

Clinical Case Stories are the WAY to Learn


Imagine real life clinical case stories teaching you the relevant details and begin to observe them in your practice the same day! After each podcast episode of SymplifiHealth, Dr. Jill Wade will post a case story on the blog of Relevance Total Health that is related to the previous weeks topic. Real pictures of the real patient situation. Want to learn even more? then join the free online course via the cart at Relevance Total Health and get the inside scope of the story that goes along with the clinical case.

SymplifiHealth Podcast was launched June 21st and over the next few days we will post case stories that support our initial 3 episodes. Enjoy learning how to make a difference!

The Physical Fitness Paradox


JW: Welcome to SimplifiHealth. This is Dr. Jill Wade. Today’s episode is labeled “Physical Fitness Paradox.” Today’s topic is about a critical element of overall health and wellbeing physical fitness. What is being physically fit or looking fit mean? It can be something different to each and everyone of us. This topic is huge and broad. And numerous times on this podcast, we’ll be discussing different aspects of physical fitness. Why? Big reason why, because science proves over and over again that our lifestyle choices affect our health the most. You can make the most improvements and changes in a positive manner with lifestyle changes faster than any magic pills that you can take. Like it or not, we must be active. First step, is getting up and getting started. Today, joining the show is going to be Cade Allison, one of the amazing trainers at Cowboys Fit. Cade, welcome to the show.

CA: Thanks for having me.

JW: Cade, tell me a little bit about how you started becoming a trainer?

CA: Yeah, absolutely. I went to school for physical therapy, blew out my knee, and found out I had a bunch of imbalances overtime that had me predisposed to that knee injury. I didn’t really liked that nobody told me that through my years of playing soccer so I wanted to get on the preventative side. Through school, I got into more kind of biomechanic side of things and wanted to help people be able to fix these issues before they come big injuries like I suffered. That drew me to the training route. Now, a lot of movement assessment, seeing how people just move in their day-to-day life, and fixing those things really can help them with everything else of staying healthy, not having these injuries, and just feeling better.

JW: Absolutely. I named this talk today The Physical Fitness Paradox. I just want to explain to people why I went down that road because a paradox is a statement that is seemingly contradictory or post to common sense and yet, it is perhaps true. I really feel that there are some particular items that we want to discuss today that go to that thought process of physical fitness being a paradox. One I want to really talk to you about is BMI. I also want to talk about if somebody is ready to get started exercising again and getting active again, how should they approach that and then I also want to talk about kind of the new trends or fads that are going on or have gone on that do work or don’t work, kind of that whole paradox thought process to that.

Let’s start off real quick by talking about BMI. Oh, my God, I am morbidly obese when it comes to the BMI platform and I hate that. I just hate it. I hate it worse than even getting up on the scale and seeing what my weight really is.

CA: BMI is definitely one of those where people are like, “What’s my BMI?” Even when I was going through school they still looked heavily at BMI. BMI is really an equation based on your height and weight and it misses a lot of things. Some of those are body fat percentage, bone density, muscle mass, and overall composition. Females are going to have more body fat than males, it’s just how we’re designed.

JW: And it’s so not fair.

CA: Right. A lot of people too—I find it funny—they bring in a picture, they want to look like this but they want to weigh this weight as well. A lot of the times the number they associate with the look isn’t correct. We get these images in our head of, “This is the way I should be,” “This is the body fit I should be,” and “I should look like this.” A lot of what I do with my clients is go, “We need to look at this from an accurate standpoint.” BMI just doesn’t get us there.

JW: Right. You can line up 10 people in front of me in all different shapes, sizes, ages, and you really can’t tell who is the healthiest, who is the fittest out of that group unless you really know who the healthiest and fittest is in that group. Because just because you’re skinny doesn’t mean you’re the healthiest. I mean, I’ve got a little junk in the trunk and I think a lot of people would be surprised that on paper, my blood work—I’m pretty darn healthy and pretty proud of it. But I’m not probably going to look like I’m the healthiest one in that line up of 10.

CA: Absolutely.

JW: Working at Cowboys Fit and working with some of the cheerleaders and things like that—although they look great and they’re skinny—what do they ask you sometimes?

CA: It’s funny to see people see they can do certain things and get a result. It’s not always a healthy thing that gets in the result. I’ve worked with people in the past and just people in the fitness industry you haven’t seen for—a friend of mine in college got into fitness modeling, doing competitions, and kind of what that route, “How do you lose that weight? how do you get to that body fat percentage?” “I smoke during that time.”

JW: Oh, my.

CA: That’s not what we want.

JW: A little counter-productive.

CA: Is it worth it? I think that some people get obsessed with the end result and not necessarily the process to get there. I think the process is a lot more important than that final result that we’ve deemed in our mind to be, “This is what I have to look like,” or “This is what I have to weigh.” Really making sure we have healthy goals and healthy process to get us there is the most important part.

JW: Absolutely. There you go with paradox with the weight thing. It’s not always about what that scale or that BMI score is going to show to get you healthy. Speaking of being healthy, let’s say it’s been years since you’ve worked out by yourself—or with a trainer, in the gym, or in your home gym—if you need to take the clothes and the hangers off of your equipment at home because really they’re doing you no good just to be at extra closet and you might actually want to start using them again, let’s talk about how you can start to get back into this swing of things because you can’t really just right go back to the way that you did it before you stopped.

CA: Absolutely. It’s one of those things that whatever you did may not even work now. I know how I trained in high school and college is really different in how I train now. Even as you work back into that, it’s a slow process. We want to make sure we’re not jumping in really fast, really quick, to our old habits or even that same intensity or volume. You hear those words a lot, “Intensity is going to be that threshold that we’re kind of pushing.” A lot of times, you hear a percent to weight, the higher the intensity to like one-rep max, is 90% intensity, 80% intensity, and then the volume is really the amount of repetitions you have in a workout. How do you balance those two? With a lot of people getting back into it, they’re small steps, we’re going to build upon that. We want to make sure that we’re doing it in a way that we can set those goals, hit the next goal, hit the next goal.

A lot of the times, with people, I say, “Okay, what’s our main goal? What’s our time frame? Let’s make sure that’s realistic first and foremost.” I always ask them, “How do you plan on getting to this goal? What have you done in the past? How do you typically like to workout? What don’t you like to do?” Get a good idea of their idea of fitness and how they would personally accomplish this goal. And then we can start throwing some of the realism, if we have to bring some people down to earth and say, “Okay, it’s great. Here’s some twix we would do, this is how we would start out.” You can always increase your training volume and intensity. You can always make it harder. It’s hard to jump into something full force and then try to step it back.

JW: Good point. I’m going to share a journal article in circulation back from even like 2011, talking about exercise and cardiovascular disease. Basically what they were trying to pinpoint is, what is your biggest bang for the buck when it comes to exercising? How long? Because everybody thinks, “I don’t have enough time to exercise for two hours at the gym.” This article talks about 22 minutes, that’s it. That’s the biggest bang for the buck from a scientific standpoint that they found. They even went on to show that if you over exercise like 45 minutes vigorously per day, for a week, it’s way too much. Is that kind of playing into maybe people aren’t getting the results that they’re thinking they should get? Can you over exercise?

CA: Absolutely. It’s funny, I see a lot of people come to the gym everyday. Some people are there for 2 ½ hours and some for 30 minutes. The people that are there for 2 ½ hours typically don’t have these amazing results because they’re not being efficient with their time. You don’t need to be in there for 2 hours, you don’t need to be murdering yourself day in and day out. We want to make sure that we’re still recovering too from these workouts. Recovery—I would say—is one of the most important parts. We work out to then recover, to rebuild from what we tore down and grow from that exercise. I did an interview with men’s fitness and one of the questions they asked was, “How can people train like athletes?”

JW: Right. That’s what everybody wants to know.

CA: Absolutely. A lot of people go, “Woah, I want to look like this athlete,” “I want to be like this athlete,” “This is how he trains, let’s just jump in to his program.” He/she has had years of building up to this point. A lot of people see the end result but they don’t see the process and what it was to get there. Jumping in too hard too fast can be counterproductive.

JW: Right. Those same people may also just genetically been built, if you want to say, to make themselves almost like this special athlete in that particular sport. Because genetically, that’s how tall they are, that’s how short they are, that’s how long their arms are. Literally, things could physically be that way and that’s why they’re so good at what they do.

CA: Absolutely. Just the length of your arms, the length of your torso, you look at an olympic swimmer, at NFL alignment, very different body types. Genetically how we’re built is going to play to that for sure. How our body metabolises different nutrients is going to play into it. So definitely knowing what works best for you, may not work best for somebody else. Seeing a program online or doing what your friend does may be great for them but may not be the best for you. I always tell people, “Grab a trainer and let’s figure out what’s the best setup for you to be successful in your goals.”

JW: Makes sense, yeah. I don’t think I want to look like the Cowboy starting linebacker.

CA: Nope, nope, me either.

JW: I found that interesting to statistic, if I can speak, that says that only 20% of adults out there are actually really meeting their ideal activity guidelines, 20%, that is so low.

CA: It’s really low.

JW: We’ve got to get up off the couches.

CA: It’s one of those things that I think a lot of people think that idea that the activity has to be a vigorous workout or they have to go to the gym. I kind of laugh sometimes, people come in the gym and they do more talking and sitting on their phones than working out. In their mind, they’ve come to the gym now, they’ve done their exercise for the day. What did we really accomplish? I’d tell a lot of people, playing with the kids, getting active, throwing the ball at the dog, these are things that add to that activity level. Small tweaks and that lifestyle that really add up. Take the stairs, little things.

It’s so cliche to think about, but I think fitness trackers have helped too. You start to conceptualize, “Am I really moving that much? Am I being active?” I think setting those goals is a fun way to just add in a little bit of activity here and there in your everyday life.

JW: I want to tell you, I 100% agree with that. When fitbits came out a long time ago and I put my first Fitbit on, I thought, “Man, I’m an active person,” my thought process was I am an active person. I would look at my Fitbit at 3:00 in the afternoon. Being a dentist, I do sit down and get up a lot but I’m only walking two or three steps to the next room. By 2:00 or 3:00 in the afternoon, I only have like 2,000 maybe 2,500 steps where the ideal goal is somewhere around 10,000. After you’ve kind of worked up to that I would have a long day, be quite tired actually and still need another 8,000 steps to go. But it did really hit home how sedentary some professions can be if you work at a front office of any type or if you’re at the computer all day. I do think that these devices are certainly helping the awareness, if nothing else, to help track.

CA: I’m a big fan too of the wrist heart rate monitors that are in devices. They are really good. They’re not going to be as accurate as I can trust one heart rate monitor, I know as you know, I’m a big fan of chest-based heart rate monitors from the standpoint of—I tell a lot of people too—how many calories do you think you’re burning in the workout? I was the same way at the beginning it was, “Oh, I’m burning easily 500 or 600 calories workout.” I’m looking at my diet going, “Okay, this is kind of what I burned in the day.” And then you strap one of those on and realize, “Ooh, I’m not doing nearly as much as I thought.”

I know we—and our workouts too—look at some of the machines, they have the calorie counters which aren’t 100% accurate but kind of gives you an idea. Ten calories is a lot longer of a row than you would anticipate. I think just being able to conceptualize what it takes to burn a calorie or how many steps you are getting in a day is a really cool way to go, “Okay, I need to adjust A, B, and C because this is my true activity level,” “Maybe I need to bump that activity level up a lot,” “Maybe I’m not eating enough, maybe I’m eating too much.” It gives us a lot of insight just on where that activity is and all the other aspects that plays into and just health and fitness.

JW: Right. Just kind of helps you understand the fuel in versus the expenditure of the fuel out. I think you do, if you’re stuffing Cheetos down at 3:00, you’ve probably got a little too much fuel going in and not spending enough coming out.

CA: Absolutely.

JW: I just want to remind everybody exactly why exercise is so helpful. I don’t think a lot of people hear it this way. I think society just tells us that exercise is good for you and so you just naturally know that you should be doing it but you don’t really remember why the body needs you to exercise. There are two main things that exercise does for us, it maintains what we call homeostasis, by recycling proteins and removing damaged cellular debris, this is very important part of a healthy lifestyle. The other thing it does is autophagy which a lot of you may not have ever heard of that word before but it acts as a protective mechanism. When you exercise, it increases autophagy to prevent death of cells and when cells die, they are what turns on the immune system. This then creates inflammation.

As you guys are starting to listen to me more and more, you’ll know that the key element to being healthy and everything I stand for is that inflammation is the root cause of disease, it is the nemesis. Anything we can do in our life to help decrease any aspect of the inflammation is going to help you and put you on the right track. You were making a funny comment earlier today about exercise and inflammation.

CA: It’s kind of funny that we train to cause inflammation and cause muscle breakdown that stress our systems to then be more efficient. We have to kind of cause this to make it better. I talk to a lot of people, “You hear interval training and high intensity in these words.” CrossFit’s a buzzword that goes out there, I did that in college and there are places for all of these out there. But to understand why we’re using those type of training tools, I know we’ve talked about clearing fatigue, why are we doing interval stuff, we want the body to be efficient at getting back that homeostasis so we’re going to Rev the heart rate, build up some lactic acid, and tax some energy systems. I’m looking for at how efficient can we get back to neutral, how fast does that heart rate come back down, and how fast can we recover. We’re really training the clearing of fatigue in the recovering from fatigue rather than the, “Okay, I want you to be able to do a mile on this time.” It’s more of how fast we bounce back from that stress. We have to stress the system out to be more efficient at getting it back to normal which is kind of a backwards way to think about it.

JW: It’s the paradox thought process of being actually physically fit. Not necessarily to look like a professional athlete but how can we, as individuals, be actually physically fit. It’s a paradox.

CA: When you think about it too, people’s ideas of fit are different. That’s why I always talk about recovering. Some people go chase that sore feeling. Some days, yeah, I want you to be sore, some days, I don’t want you to be sore. I know I talk to you and other clients about, “How did you sleep last night? How do you feel? Where are we at?” We look at the nervous system, the muscle, our hydration, our food, all these plans to what that output should look like today. I guess this jumps back to get back into too fast, but people just destroy themselves right off the bat.

JW: Right.

CA: We need to make sure we’re also looking at how we’re recovering because at the end of the day, we want to be able to go perform—whatever that is—recover. You will perform again and be able to do that in a method that’s building yourself and not tearing this down.

JW: Absolutely. We still just have to get up, we have to get up, start moving, we got to get off the couches.

CA: Yup, small goals.

JW: Yeah. We just have to do it. I wanted to share with everybody a survey performed at the University of Michigan where they went into the college basically where everybody was working out, where the students were able to go access the gym, and things like that. They went around and they surveyed all the students that were in there working out. They asked them, “Why do you work out?” They were expecting kind of what I was expecting the traditional answers, answers like, “I want to look good, I want to lose weight, I want to be attractive for boys, girls, go pick up boys, girls out the gym.” They were normal things that I thought that the answer would be. But I have to say I was shocked by the answer that actually came out by the survey. It was, when they asked them, “Why do you workout?” “Because my parents do, because my parents exercise.”

If you’re a parent out there listening, I want you to really think about that for a second. If you don’t get up, get active, and start to show the kids the example of just being physically fit and being active, you’re not only potentially hurting your health, you’re potentially hurting actually your kid’s health as well because you are setting that example for them. I don’t know, but I think there’s a lot of people out there that just having that perspective may help you decide, “You know what? Today is the day. Today is the day.” Even if it’s just grab the dog, grab the kids, go take a little walk and come back in and do it again the next day, and add a little something.

CA: Like family activities. Making them active I think is huge. For me, growing up—sorry dad, I’m about to put you on blast—my dad didn’t work out. He worked crazy hours. He was an athlete growing up and working out was not a priority for him, for him it’s more of a stressor than a decompression tool. I know that’s [oat 00:21:58] for a lot of people, it’s more of a, “God, [inaudible 00:22:04] have to do, I got to mow the lawn, I have to take the dry cleaning, and I got to go workout today,” people view it as a negative.

My mom on the other hand, an avid runner, marathonist, tennis player, just was constantly working out. I remember summer’s growing up, they were both educators, my mom would be doing push ups so I want to do push ups. You just kind of monkey see monkey do, you do what your parents do. As we all know, we have good and bad manners since we picked up not even intentionally and the same thing with working out. My sister, not the biggest fitness person but takes more after my dad. It’s was kind of a person she bonded with a lot growing up. It’s cool to see that and I think that survey is awesome because it shows that people are being active. Those kids come from households that were active households.

I think too, if you’re an athlete, there’s a transition from an athlete mindset into a generalized health mindset. Is it really important for me to hit benchmark numbers that I did as an athlete? No. There’s a switch in that mindset too, what’s the best for my health and from what I used to do? But I definitely think, for kids, I know they even sell like toy barbell sets now. There are some podcasts I’ll follow and watch and the mom or dads working out and the four or five girls in the back copying what mom and dad do with their toy barbell set. It’s fun to see that especially with younger kids too I think, it’s just important to have them see their parents be active and you’ll typically have a lot more of those habits, those good habits rather than the bad habits.

JW: Right. Cade, thanks for being a great example yourself of what a personal trainer should be about and knowledgeable, being able to use and set up a plan for that person’s unique ability that’s right in front of you and not just the same cookie cutter plan for everybody because that just ain’t going to work.

CA: That’s something to watch out for. I definitely think having a trainer, if they’re handing you something they hand everybody, how do we know that’s designed for you? Test your personal trainers out there, ask them questions. We should be put on the spot a good amount too. If we’re knowledgeable, we can back it up, if we’re not, maybe it’s time to find a different trainer.

JW: There you go, great piece of advice right there. Hey, Cade, I would love to have you come back on SimplifiHealth again in the future. I think you just made a great topic right there of talking about how to customize your workout, maybe even VA your genetics. Maybe we can talk about that some time. Also something else that we talked about earlier which is more job related movements and posturing that happens at our jobs that creates some pain, some extra areas of attention that we can workout and stretch in different ways, I think we should talk about that as well.

CA: Absolutely.

JW: If we have a listener that like to get in touch with you, how would they do that?

CA: My email pretty good check in that is cade.allison8@gmail.com and then I try to post a good amount of fitness stuff on my Instagram which is @cadejayhawk, it’s kind of a mix of normal me stuff and then a good blend of fitness stuff as well.

JW: Wonderful. Thanks again for coming today. If you guys want to checkout, youniversityhealth.com. For those of you dental professionals and medical professionals, you can check us out at relevancehealth.com. Once again, thanks to Cade Allison for joining us on SimplifiHealth. This is Dr. Jill Wade. And keep smiling from the inside out.


Many may be wondering why a podcast Dr. Wade? How much interest could there be in dentistry? Good point! Not everybody loves teeth and smiles like I do. But this podcast SYMPLIFIHEALTH is so much more. The focus is thinking outside of the box of traditional health care and instead sharing creative preventive approaches. I will surround myself with other like- minded professionals and together we will discuss in realistic terms how you can help yourself by becoming your own healthcare advocate. So the topics are endless.

I have been told over and over by patients that we have a simple way of explaining complicated things and now in this format, I can share it with more people. I feel very passionate about the numerous links between medicine, dentistry and genetics. As a listener, you will be able to easily follow relevant suggestions on common approaches to wellness. Share with your friends, family, and co-workers so we all can feel healthier and happier. The podcast launches on Thursday June 21st! Don’t miss it. The first three episodes launch together:

Keep smiling from the inside out!
Dr. Jill Wade

Braces on, Braces off… Crooked Teeth, Beautiful Smile!



For most teens that is the way it goes.  Getting braces off is a normal part of adolescent transition.  That is unless you need major jaw surgery and you’re missing 6 teeth requiring implants.  That was Mallory’s path but lucky for us Dr. Moody was part of a team that understood the road to a beautiful smile is as important as the end product.  Dr. Moody listened to what Mallory said and what she didn’t say.  Over the year and half process she gave her confidence every step of the way.  The result- a smile that shows on the outside what is coming from the inside.  What does Mallory think of her dentist?  She says Dr. Moody is her own personal “tooth fairy!”

Happy, Healthy Smiles Lead to a Bright Future

SSD Frisco Style May-16 Ad

What is more wonderful than the reflection of an amazing mother and her incredible daughter? This May, Stonebriar Smile Design honors a wonderful example; Amy Harris and her daughter Morgan. We have watched Amy instill over the years a passion for life, work, family and love. The reflection that blossoms is a confident, passionate and lovely young woman. It is so much fun to witness and contribute to this natural and beautiful process through enhancing smiles. In honor of Mother’s Day, we encourage you or someone you love to move forward in creating a bright future with a beautiful and confident smile.

Smile & Spring Into Health


Spring time generates a feeling of rebirth and a fresh start.

Why not focus on your health this Spring with the same sort of attitude. No matter if last year was your worst medical year or your best… you can now lay out a new strategic plan for optimizing your oral health and over-all wellness. Take 5 minutes to write down the answers to these questions.

  • Are there any improvements I would like to make in my overall health needs this year?
  • Are there any improvements I would like to make in my overall appearance this year?
  • Are there any improvements I would like to make in my overall energy level this year?

Call Stonebriar Smile Design TODAY for a complimentary wellness consult or email us a info@stonebriarsmiledesign.com. We have solutions, referrals and options that can help you reach your new and improved goals.

Our goal is to keep you smiling from the inside out!

My Dynamic Smile has Increased My Confidence

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I have been seeing Dr. Wade for over 10 years, and she has actually really changed my life. I’ve always had a dynamic personality and I was always a social butterfly. I always had a smile on my face, the problem was… I didn’t have a pretty smile.

I guess what I am trying to say is, before I met Dr. Wade, I was not a pretty man. Then after Dr. Wade I’ve got a dynamic social life. I mean its almost dangerously social.

Since I have been at Stonebriar Smile Design I don’t even think about another dentist. If I am out town, in New York, I will fly back home to have my teeth worked on. Not only is she very personable, but she is really that damn good. Sorry about the language but she really is that good. I always find my way back  to get my teeth worked on. I can call her on the weekend, which she probably won’t want y’all to know this but I will call her on the weekend and say Dr. Wade I have a problem and she will meet me up here on a weekend or on a holiday. She just really cares about her patients.

The atmosphere at the office is wonderful . The ladies are all friendly, pretty, not that it matters but it really does… I don’t know. Just everything about the office is inviting. The whole atmosphere, all the personalities. Every body just seems to get along really good… I mean I just enjoy it. As a matter of fact, in the words of the church lady… “It’s just special… special… special…”

I don’t know what all makes them do the things they do, but they are all just a good team. I definitely have more confidence with my new dynamic smile.

21 Minutes to Healthy

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21 Minutes to Healthy: How the new Vasper machine is using old technology to efficiently improve mental and physical health.

The first thing that comes to mind when seeing the Vasper is Ivan Drago, the Russian nemesis of our favorite southpaw Rocky Balboa in Rocky IV. Despite all the hoses, cuffs, and computers attached to the device at first glance, the machine itself looks like a simple recumbent bike. Nothing could be further from the truth.

In the 1960’s NASA worked diligently to cool off pilots in the Royal Air Force.  This was accomplished by using a simple pump to send cold water through several tubes lining the pilots suits and pressing against their bodies. Now, thanks to Peter Wasowski, the CEO and founder of Vasper Systems, patients are getting  similar results in under 30 minutes as compared to other exercises that take an hour or longer. Mr. Wasowski first became fascinated with vascular compression in the early 1990’s. He also was familiar with cooling technology from his days at CoolSystems,  spinoff of NASA Ames Research center.

Compression cuffs are placed on the upper arm, chest and thigh in an effort to increase the lactic acid production from the muscles. By doing so, the brain is “tricked” into thinking there is muscle damage and therefore, stimulated to release anabolic hormones such as Human Growth Hormone (HGH) and testosterone in an effort to repair. In addition, melatonin , serotonin, norepinephrine and dopamine are released adding the benefit of sleep, decreased anxiety, improved mood and alertness and a better overall sense of well-being.

Cooling the body diverts elevated body temperature which can significantly  limit performance during exercise. When your body temperature increases, blood flow shifts towards the skin leaving less oxygen in the muscle. When there is not enough blood to remove lactic acid from the muscles, the body hits a wall and fatigues. Cooling the body during the workout can reduce pain and inflammation on joints and also increases cardiovascular performance.

The workout on Vasper takes 21 minutes, with an additional 10 minutes for a cooling bed. While individuals are encouraged to wait until the 4th session to give feedback, many find that within the first few workouts there is increased energy, focus, better mood and sleep. Our own Relevance Total Health, The U. S. Special Ops Command, NASA, San Jose Sharks and Texas Rangers are a few of the larger entities utilizing this technology and the list continues to grow. The science is sound and the results are overwhelmingly remarkable. For all intents and purposes, the Vasper seems to be the future in rehabilitation, fitness, and recovery.

Join us to get V FIT!

The Mouth is the Window to the Body

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The mouth is the window to the body. This passage resonated within me more in the last year than it had in the last 12 years of my career. You see, I should know better. I am an informed clinician, trained in the Bale-Doneen Method of heart attack, stroke and diabetes prevention and I know how to avoid fatal events. I have been completely captivated in the utilization of genetic testing and inflammatory markers to access the risk of an individual patient and customize care. I also know that there is an oral-systemic link to cardiovascular disease and total body inflammation. Unfortunately, this past year, I was quickly reminded how much of a link there truly is between your oral health and your cardiovascular system. With February being dedicated towards heart health awareness, I would like to share a little of my  story to show you how quickly things can go from perfectly normal to being at risk for a cardiovascular event.

I have attempted to practice what I preach for several years now. I didn’t want to be a 50 pound over weight couch potato telling  other people to be active. I have taken a nutritional supplement and cleansing product called Isagenix for a few years now and also worked out at Tier One doing Cross-fit and jiu-jitsu, that is, until just over a year ago.

I have always been open-minded with patients that have come in and struggled with weight, diet, or exercise issues. I have heard countless stories of how this injury or that injury has slowed down progress at the gym or caused mobility to take a hit thus allowing for major weight fluctuations. Some stories were believable. Others, well, let’s just say that after 10 years some people never made it back to working out. However my 2013-14 year left me with some injuries that have made it difficult to recover. I literally became the patient with the same complaints. I gained weight, had a change in mood and felt the physical symptoms so many complain about:  Fatigue, joint pain, headaches, sluggishness, back pain to name a few. Needless to say, I was grateful to work through them and have been back into the grove of working out. That is with one exception.

My right sinus area over my cheekbone was sensitive. It didn’t hurt, it just ached.  I ignored it and chalked it up to sinus issues and allergies I mean, this is Texas. However, while physically I was improving, the state of my internal well-being had declined significantly. Already “blessed” with a significant history of heart disease, diabetes, lupus and high cholesterol in my family (thanks mom and dad), the last thing I needed was new onset of these issues in my chart.  Unfortunately, my worst nightmare came true this last summer when I had my advanced screening.

At Relevance Total Health, we go above the standard of care and practice optimal care in an effort to get to the root of disease. This does not only include medical evaluation but an in depth dental screening and evaluation.  Arterial wellness is absolutely instrumental in maintaining your body systems and keeping them healthy. Your arterial system is the most important organ system as it supplies all your other tissues and organs with the vital nutrients and oxygen you need to live.  We test the stability of your arterial wellness by using genetics, diagnostic tests, like carotid ultrasound, and inflammatory markers to tell us if you are truly at risk or not, we call it our “hot” or “not” program for initial screening.  Most of my testing was fine with the exception of a few inflammatory markers.  My blood pressure was normal. My sugar was normal. Weight was improving. If the mouth is truly the “window” could this be something oral? Could that pain in my jaw/cheek actually be from an issue in the mouth, teeth or gums?

After long discussion and thorough evaluation with Dr. Jill Wade and her team at Stonebriar Smile Design, we found out that my oral health wasn’t up to par.  I was questioned about my jiu-jitsu and trauma to my mouth. We discussed a time when I was defending a rear naked choke that caused a significant amount of pain in my mouth due to the pressure applied to my cheek/jaw rather than the carotid artery, which is typically restricted of blood flow. I remember being sore and thinking I was elbowed. Dr. Wade utilized  custom tests to rule out two possible causes of burden to my overall health: oral DNA to rule out periodontal disease and 3-D cone beam x-ray to rule out dental infection or fracture of a tooth.

The results were shocking. Not only did I have 2 or 3 of the most common bacteria found in the deadly plaques that cause heart attack and stroke, I also had a fracture through my tooth to the maxillary bone.  I had been x-rayed a few months prior and told that everything looked “OK”. Unfortunately the “standard” x-ray doesn’t always see everything. The 3-D cone beam uses digital technology to get a comprehensive view and produce images like a cat scan. Part of my inflammatory issues, were in my mouth! I was promptly referred to an oral surgeon, had my tooth removed, and implant placed. I have had NO cheek pain, and my markers are improving.

In my vanity, I was nervous about missing a tooth for a few weeks. Well, let me tell you, I’m grateful to be a LIVING jack-o-lantern (I get my implant crown next week) rather than being DEAD with a mouth full of teeth. My momma still thinks I’m handsome.