Podcast Pediatricians

Smart phone integrated infant monitors with Pulsoximetry are actually DUMB, with real potential for harm. Matt and Rob finish off PooPalooza with constipation treatments –  cleanouts to cure, from enemas to MiraLAX to Ex-Lax. Beware the vacation relapse!  Potty training and a salute to Rachel Bloom. We support Medicaid and CHIP for kids (less so Ponch and Ernie Douglas) PP 008 Pulsox PooPalooza CHIP SHOWNOTES

Is MiraLax safe? The many faces of constipation, The Bristol Scale, Mr Hanky, encopresis, rectal exams, abdominal x-rays, and The Cheese Grandma!

Rob and Matt continue to explore the dark mysteries of the colon.

We chat on what constipation is and how it can present itself in children, and “bear down” on how critical a pooping history is to establishing a diagnosis and treatment plan. We cover rectal exams, “push through” a scale for describing poop, and “squeeze out” a discussion on juicing for babies!   PP 007 MiralaxPooP Shownotes

PooPalooza begins! Newborn and Infant BMs, constipation, the mystery of Elvis’s bowels, why poop stinks, a salute to Journalism, the Mutter Museum and Lincoln Logs.

Rob and Matt cover poop from soup to nuts, The names, the colors, the smells, and the constipation epidemic,  How the colon works,  problems with bowel movements and our deep dive into constipation starting with infants.

Journalism is the bedrock of a free society and we salute it (and are happy to pay for it!) in all its many forms.

PP 006 PooPalooza I Shownotes

PP 006 PooPalooza I Shownotes

Comparing Cow milk to plant based milk-like beverages, ugly cow A2 milk, does low-fat milk cause weight gain, cheese whiz, and our annual PP Oscars wrap-up.

Rob and Matt explore all things milk and answer your burning milk based questions.  Should the word milk even be used for a plant based beverages?  Just how nutritious are these soy, almond, coconut and cashew plant based milk substitutes?  What IS cheese whiz and how does one properly order a cheese steak in Philadelphia? Is the A2 milk from down under, produced by ugly cows, better than our A1 milk in the United States? Lastly, is low-fat milk less healthy and does it cause weight gain?

Matt’s homemade nasal saline, Rob’s fun with piercings and tattoos, and twe give our unsolicited take on the the year in movies and The Oscars.  PP 005 Milk Movies SHOWNOTESPP 005 Milk Movies SHOWNOTES

Rob RANTS about Big Pharma and Mylan, sellers of epipen, and reveals the shocking connection between Alexander Hamilton and Jane Austen. Plus stitch cutters and anemia, all brought to you by the Republic of Palau!

BIG PHARMA has done amazing things led by many dedicated, selfless individuals BUT soaring drug costs coupled with huge BIG PHARMA profits, fueled by direct consumer marketing and venture capital money, is indefensible. Drug costs are rising more than any other segment of our healthcare industry while BIG PHARMA profits outstrip the rest of healthcare.  The winner of our first Podcast Pediatricians rant is Mylan Pharmaceuticals and its CEO Heather Bresch, owners of EpiPen, the branded epinephrine autoinjector that they did not invent. EpiPens treat life threatening allergic reactions in children. Follow this excruciatingly long saga of Mylan greed, incestuous anti-competitive behavior, political nepotism, and incredible price gouging for a device that they buy from an outside manufacturer for less than $35.  We then detail Mylan’s shortchanging of Medicaid, staggering compensation packages for its top brass, tax inversion to the Netherlands, allegations of price fixing for its generic products, and a scheme to remove any modicum of price checks. We give some suggestions on alternatives to EpiPens and some national reforms to rein in Big Pharma that should be considered. Then we drop the April 1st   Lin-Manuel Miranda bombshell.

Show notes and links for this episode can be found at podcastpediatricians.com

PP 004 Shownotes

The 6 Teen Sleep Commandments and High School start times, Matt’s Crocs, preventing eczema, Jon Stewart, and rude doctors and parents,

In this episode, we wrap up (for now) our discussion of sleep by covering some topics on many a parent’s Top Ten Frustration list: the sleep pattern of teenagers. Are they really that tired? What is it that is different about teens?  Before we delve into that mystery, we discuss two recent studies, one of which may make parents want to be a bit nicer to their child’s doctor, and another which may encourage their babies good and greasy!  REM, tonsillectomies, , along with ……(what for it)…….. the Delaware Pause.  Join us !

Show notes and links for this episode can be found at podcastpediatricians.com   PP 003 Shownotes

The history of sleep, sleep hygiene, a Halloween debacle, twisting ticks, shrink-wrapped sweet potatoes and MTM   In this episode, Rob and Matt delve back into the issues of infant sleep. But first, we cover the basics. What is sleep? Why do we need it? How has it, and our concepts of it, changed over the course of history? How and why did artificial light change things forever?

We also review 4 common methods to get those little buggers to cooperate with their exhausted parents, and discuss some of the stumbling blocks parents may trip over on their way to a decent night’s sleep.   Night terrors, nightmares, and headbangers (oh my!). We share a model for taking a good sleep history, and pay tribute to the iconic Mary Tyler Moore.

Show notes and links for this episode can be found at podcastpediatricians.com

PP 002 shownotes

Rob Walter and Matt Gotthold kick off our inaugural show with our five infant sleep commandments and then explain why the new AAP infant room sharing recommendations are just wrong, and end with Mr Rogers Tall Man.  We are the Podcast Pediatricians! Check out podcastpediatricians.com, which includes show notes and a bibliography for each episode.   Co-hosted by two full time community pediatricians who combined have over 50 years of pediatric caregiving – and parenting – experience. We are truly independent voices.  We sign our own paychecks and owe no allegiance to any local or national organizations. We offer practical pediatric advice from the front lines. We both LOVE being pediatricians, despite insurance hassles, electronic medical records and silly 3 AM phone calls. We hope to appeal to savvy parents AND pediatric caregivers of all stripes: Family Practitioners, Pediatric Nurse Practitioners, Pediatric Physician Assistants, Pediatric Nurses, medical/nursing students, residents and our fellow pediatricians. We plan to highlight one pediatric topic at a time, with historical perspectives and practical advice, sometimes in multiple episodes, often later with a follow-up episode with an expert in that field. Quality pediatric care can be complicated. It is often not black or white – and we revel in the gray. We are hoping to actively engage YOU, our fellow caregivers and parents, with your feedback on podcastpediatricians.com, including pearls and faux pas  and suggestions and comments to share. Our conversational tangents may frequently be wide-ranging, often encompassing popular culture and a few rants, but we always try to bring things back to what this podcast is primarily about: the health of children and their families.

PP 001 Shownotes