Latest / Wellness, Actually with Emily Oster & Perry Wilson, MD / Mandy Moore's Late-Night Panic Google

Transcript

Mandy Moore's Late-Night Panic Google · Wellness, Actually with Emily Oster & Perry Wilson, MD

• 0:01
  Speaker 1: This is parent Data. I'm Emily Ost. Hello Mandy Moore.
• 0:25
  Speaker 2: Hello Emily Oster.
• 0:27
  Speaker 1: I'd love you to tell people who you are and.
• 0:31
  Speaker 2: What kind of kids you have. My name is Mandy Moore.
• 0:33
  Speaker 2: I am a parent of two boys, Gus who's three
• 0:37
  Speaker 2: and Ozzie, who is seventeen months. And my late night
• 0:42
  Speaker 2: panic Google has to do with croup. Gus, my older son,
• 0:47
  Speaker 2: has had croup for my gosh, you got it maybe
• 0:50
  Speaker 2: for the first time when he was around two, and
• 0:53
  Speaker 2: now every time he starts to get sick, it just
• 0:56
  Speaker 2: goes directly to croup. Like this past week, he woke
• 0:59
  Speaker 2: up on Monday, like after his nap, post post school
• 1:04
  Speaker 2: and just wheezing and the you know signature creepy cough.
• 1:09
  Speaker 2: So it sounds like a seal, It sounds like it.
• 1:12
  Speaker 1: Seals like a sparking meal.
• 1:14
  Speaker 2: And so my late night panic Google has to do
• 1:16
  Speaker 2: with is this ever going to end? Will he grow
• 1:19
  Speaker 2: out of croup? Does this mean he is prone to
• 1:22
  Speaker 2: be asthmatic? When is this all going to end? I mean,
• 1:25
  Speaker 2: we have a nebulizer at home and now we have
• 1:27
  Speaker 2: medication to sort of treat it. We've gone to the
• 1:29
  Speaker 2: hospital twice, so it's it's still it keeps me up
• 1:34
  Speaker 2: at night because it's it's still terrifying. And yeah, so
• 1:38
  Speaker 2: my my, my late night panic Google has to do
• 1:41
  Speaker 2: with when is this going to end? Will he grow
• 1:43
  Speaker 2: out of it? Doesn't mean he's gonna have asthma.
• 1:47
  Speaker 1: So your late and panic Google is like a is
• 1:49
  Speaker 1: a really is like a real panic Google in this.
• 1:53
  Speaker 1: I mean it's just like in the sense that I
• 1:55
  Speaker 1: think so much of what people are up late at
• 1:57
  Speaker 1: night googling is things where the answer is like, yeah,
• 2:00
  Speaker 1: baby's poof can be whatever color. But this is something
• 2:02
  Speaker 1: we're actually like if there are situations if you do
• 2:05
  Speaker 1: have to go to the hospital or bring them outside
• 2:08
  Speaker 1: or something else. Just to give people some context. So,
• 2:13
  Speaker 1: croup is something you get as a result of other infection,
• 2:19
  Speaker 1: other viruses. Is that right?
• 2:21
  Speaker 2: Yes?
• 2:21
  Speaker 1: Yes, that is your Okay.
• 2:23
  Speaker 2: Yes, that's what That's what I know. That's what you're So.
• 2:26
  Speaker 1: Croup is like a symptomatic cough that happens and kids
• 2:29
  Speaker 1: have basically there like it's too hard for them to breathe,
• 2:32
  Speaker 1: and then they need a nebulizer or they need sometimes
• 2:35
  Speaker 1: you can help if they go outside, and sometimes you
• 2:37
  Speaker 1: need to go to the hospital. Yes, so the good
• 2:42
  Speaker 1: news is that it's almost always occurs in kids under six,
• 2:45
  Speaker 1: and the peak time is like six months to three years.
• 2:51
  Speaker 1: So actually, like er visits in the US, about one
• 2:56
  Speaker 1: point three percent of pediatric er visits are for group
• 2:59
  Speaker 1: so like, you are not you are not panic googling.
• 3:02
  Speaker 1: You are not panic googling alone in this case, which
• 3:05
  Speaker 1: is perhaps reassuring, although I never find that like quite
• 3:08
  Speaker 1: as reassuring as wouldn't that it was. But almost half
• 3:12
  Speaker 1: of those are in kids under two, and then in
• 3:15
  Speaker 1: another about half is kids like two to seven, and
• 3:18
  Speaker 1: then basically it's a very small share after that. Great,
• 3:22
  Speaker 1: so you more or less have a couple years of this. Unfortunately,
• 3:27
  Speaker 1: this is like a true late night panic google because
• 3:29
  Speaker 1: your business for this are.
• 3:30
  Speaker 2: Almost always at night.
• 3:31
  Speaker 1: Oh of course, almost always like ten pm to four am.
• 3:34
  Speaker 1: Your kid never needs to go to the er like
• 3:37
  Speaker 1: at two o'clock afternoon. Yep, like you're available to take
• 3:42
  Speaker 1: them there. Yeah, So that's that's good. Uh, that's that
• 3:48
  Speaker 1: feels like you're growing out of it. What about the
• 3:51
  Speaker 1: other kid?
• 3:52
  Speaker 2: He knock on wood at this point hasn't exhibited any
• 3:56
  Speaker 2: of those symptoms. And it's funny because I know that
• 3:58
  Speaker 2: like some kids can get croup, it's the result of
• 4:01
  Speaker 2: other viruses or infections or whatever and never really happen again.
• 4:04
  Speaker 2: But then there is like a small, select, little sliver
• 4:07
  Speaker 2: of kids that are just prone to get it over
• 4:10
  Speaker 2: and over again, and unfortunately, I think that's Gus's case.
• 4:12
  Speaker 2: And then I kind of have done some light reading,
• 4:15
  Speaker 2: and my understanding is that like sometimes it goes hand
• 4:19
  Speaker 2: in hand with being asthmatic. So I guess that was
• 4:22
  Speaker 2: just my other half of the question was like, does
• 4:25
  Speaker 2: this mean that he's going to have childhood asthma? Is
• 4:27
  Speaker 2: that something I should look out for? That freaks me
• 4:31
  Speaker 2: out as well because I don't have asthma. My husband
• 4:34
  Speaker 2: had it as a kid, so it's like that's a
• 4:37
  Speaker 2: whole new world to me as well.
• 4:40
  Speaker 1: So for something like this, there's this sort of like, yes,
• 4:44
  Speaker 1: there's an increase, but also like there are a lot
• 4:47
  Speaker 1: of other factors that would matter. So there are many
• 4:49
  Speaker 1: other things that associated with asthma, like parental asthma is
• 4:52
  Speaker 1: a very significant risk factor, other allergies, other like allergenic diseases,
• 4:57
  Speaker 1: like if they have a lot of eggs of U,
• 4:59
  Speaker 1: so there's a bunch of that correlate with asthma, and
• 5:03
  Speaker 1: so there's like a a relatively small increase, but a
• 5:07
  Speaker 1: huge Another way to say this, like a huge share
• 5:09
  Speaker 1: of kids have group who don't ultimately develop asthma. Okay,
• 5:13
  Speaker 1: And so it's like, you know, it's like one of
• 5:16
  Speaker 1: these complicated things where you say, like we would talk
• 5:19
  Speaker 1: about an increased risk, and even that increased risk could
• 5:22
  Speaker 1: sound big. You could sound like doubling or something. I
• 5:25
  Speaker 1: don't think it is in this case, but it could
• 5:27
  Speaker 1: sound it could sound large. But actually, like I could
• 5:31
  Speaker 1: tell you about baysy and updating, which is probably like
• 5:34
  Speaker 1: too much this podcast. But there's this idea that when
• 5:40
  Speaker 1: we see some common symptom, sure, then the question is
• 5:46
  Speaker 1: like what do you learn from a common symptom? So
• 5:48
  Speaker 1: here's like an example, all right, think about people showing
• 5:50
  Speaker 1: up with.
• 5:51
  Speaker 2: A headache, like a bad headache at the hospital.
• 5:53
  Speaker 1: Sure, if you have a brain tumor, you are very
• 5:57
  Speaker 1: likely to have a bad headache, but almost everyone with
• 6:01
  Speaker 1: a bad headache does not have a brain tumor. Got it.
• 6:04
  Speaker 1: And so there's the sense in which like, yes, there's
• 6:07
  Speaker 1: an increased risk of brain tumor with a bad headache,
• 6:10
  Speaker 1: because like that is one of the symptoms. But if
• 6:13
  Speaker 1: you asked, what should I learn about brain tumor risk
• 6:16
  Speaker 1: from my headache, the answer is like nothing, got it?
• 6:19
  Speaker 1: So this is a little bit like that in the
• 6:21
  Speaker 1: sense that, like you know, like, yes, there is an
• 6:23
  Speaker 1: increased risk, but a huge How likely should you think
• 6:28
  Speaker 1: that is as a result of the group.
• 6:31
  Speaker 2: Some of the other symptoms got it?
• 6:33
  Speaker 1: Got it exactly. The basy and stuff is still relatively small,
• 6:36
  Speaker 1: given that you don't have any other any other symptoms.
• 6:38
  Speaker 2: See, we did like some get a base roll.
• 6:41
  Speaker 1: These rules like very important.
• 6:44
  Speaker 2: I love it. It's such good statistics.
• 6:47
  Speaker 1: I don't know what else on your mind?
• 6:48
  Speaker 2: All right, Do we did croup? You got any other problems? No?
• 6:51
  Speaker 2: That was it. That was like the big thing that
• 6:54
  Speaker 2: in my household that has been top of mind lately.
• 6:57
  Speaker 2: Did the kids?
• 6:58
  Speaker 1: Did your kids sleep pretty well? Even when when they're
• 7:00
  Speaker 1: not creepy.
• 7:01
  Speaker 2: They knock on wood? Yes, we've been very, very lucky.
• 7:04
  Speaker 2: We've always had good, good sleepers. We did sleep train
• 7:07
  Speaker 2: them early, and that like kind of I think set
• 7:10
  Speaker 2: the foundation for everything. They've always been pretty great about that.
• 7:14
  Speaker 2: We're about to switch to a toddler bed though, Is
• 7:17
  Speaker 2: there any like any advice in that regard because we're
• 7:21
  Speaker 2: my husband and I are terrified and we've just been
• 7:24
  Speaker 2: like waiting. It's probably way too because she's in a
• 7:26
  Speaker 2: cage and he's in a cage.
• 7:28
  Speaker 1: Yes, yeah, so it is true that after you get
• 7:33
  Speaker 1: them in the top then they can then they can leave. Yeah,
• 7:36
  Speaker 1: I think for it's like all these things, like having
• 7:40
  Speaker 1: a consistent response is basically the key. So if they
• 7:44
  Speaker 1: come out, I will tell you. With my daughter, we
• 7:48
  Speaker 1: switch to a childtherer bed and then like the first
• 7:51
  Speaker 1: day she came out, and you know, she came out
• 7:54
  Speaker 1: of her room like during nap and we're like, oh, no,
• 7:57
  Speaker 1: you're not allowed to leave the bed at all. That's
• 8:01
  Speaker 1: ever like the rule with the bed is you can't
• 8:03
  Speaker 1: leave the bed. And she was like okay, And you know,
• 8:06
  Speaker 1: I had like a sort of like a very type
• 8:08
  Speaker 1: a like three year old. She was like, okay, I'm not.
• 8:10
  Speaker 2: Going to leave the bed.
• 8:11
  Speaker 1: And then like we only learned like much much later.
• 8:14
  Speaker 1: We were trying to pitty train her at night. We
• 8:16
  Speaker 1: were like, hey, you know, would you be interested in
• 8:18
  Speaker 1: using the bathroom at night, you know, like not having diapers,
• 8:21
  Speaker 1: and she was like, you know, like do you think
• 8:23
  Speaker 1: you would wake up for and she was like, oh,
• 8:25
  Speaker 1: I always wake up, but you told me not to
• 8:26
  Speaker 1: leave the bed, so I haven't been going to the bathroom.
• 8:29
  Speaker 2: Oh, because she's like, oh no, we went too far.
• 8:32
  Speaker 2: That backfired, Yeah, get backfired. So maybe there's a balance.
• 8:37
  Speaker 1: But I do think there's a sense when they switched
• 8:39
  Speaker 1: to the bed that you just, you know, tell them
• 8:42
  Speaker 1: that they actually like, telling them that they can't leave,
• 8:45
  Speaker 1: and then sort of consistently returning them to the bed
• 8:48
  Speaker 1: if they try a few times. Like you know, if
• 8:49
  Speaker 1: your kid already understands about staying in their bed, you'd
• 8:52
  Speaker 1: probably be fine.
• 8:53
  Speaker 2: I'm more concerned with him leaving the room.
• 8:56
  Speaker 1: Yeah, sure, so I think that's you also put them
• 8:58
  Speaker 1: back in the room.
• 8:59
  Speaker 2: Correct, Yeah, that's that's the bigger deal. I'm he could
• 9:01
  Speaker 2: get out of his bed and he can go potty
• 9:03
  Speaker 2: if he needs to. But yeah, I think we're just
• 9:05
  Speaker 2: it's such a huge milestone and such a big shift.
• 9:09
  Speaker 2: Like he's been in a crib his whole life and
• 9:11
  Speaker 2: he's never tried to climb out. But we just feel
• 9:14
  Speaker 2: like he's three. He's a big boy. He's like independent
• 9:18
  Speaker 2: and all, you know, and all these other facets of
• 9:20
  Speaker 2: his life that it's just time to make that change
• 9:23
  Speaker 2: if it feels like he's not a baby anymore. So
• 9:26
  Speaker 2: I think we're just ready to pull the plug, but
• 9:28
  Speaker 2: terrified of doing it.
• 9:29
  Speaker 1: I feel like it's this. I have these friends who
• 9:32
  Speaker 1: really like the swaddle and who like never wanted to
• 9:36
  Speaker 1: give up the swaddle, and we're like at the point
• 9:38
  Speaker 1: of like buying like swaddles for a ten month old
• 9:41
  Speaker 1: from like some lady on Etsy.
• 9:42
  Speaker 2: You know. I the only person who would.
• 9:44
  Speaker 1: Like she was like big off brand because they're so big,
• 9:48
  Speaker 1: and it was like eventually like you know what, it's time,
• 9:51
  Speaker 1: It's time to let it.
• 9:52
  Speaker 2: Go, time to let it go. Yeah, we're very much
• 9:54
  Speaker 2: in that camp. We're ready.
• 9:59
  Speaker 1: I basically if you have if you have like good
• 10:02
  Speaker 1: sleep hygiene, it just continues. Yeah, okay, good, that's my take.
• 10:11
  Speaker 1: Thank you, This is great.
• 10:12
  Speaker 2: What a treat, What a treat. Thank you,