Latest / Two Ts In A Pod with Teddi Mellencamp and Tamra Judge / The Good Doctor

Transcript

The Good Doctor · Two Ts In A Pod with Teddi Mellencamp and Tamra Judge

• 0:02
  Speaker 1: This is Teddy Tea Pod with Cabinet You guys, I
• 0:11
  Speaker 1: am so excited to be joining you this week on
• 0:14
  Speaker 1: Teddy Tea Pod with Dr Tanya Altman. We are all
• 0:17
  Speaker 1: feeling all kinds of ways these days, from excited to
• 0:22
  Speaker 1: stress to brain fog, and we have questions about the
• 0:26
  Speaker 1: vaccine and COVID and our kids and when will life
• 0:28
  Speaker 1: go back to, you know, in quotes normal. So I
• 0:32
  Speaker 1: am grateful to bring on Dr Tanya Altman. She is
• 0:35
  Speaker 1: a U c l A trained pediatrician and a working mom.
• 0:38
  Speaker 1: She's incredible. You can find her info at Dr Tanya
• 0:43
  Speaker 1: dot com. Our most popular tea pods are always when
• 0:46
  Speaker 1: we open it up to the listeners questions, because it's
• 0:50
  Speaker 1: the questions we all have that just kind of stew
• 0:53
  Speaker 1: in our own brain. We overthink where we really just
• 0:55
  Speaker 1: need a professional's help. So thank you so much for
• 0:58
  Speaker 1: joining us, and we have just we're gonna flood you
• 1:01
  Speaker 1: with questions. Is that all right? Definitely? I'm ready hit me, okay, perfect?
• 1:05
  Speaker 1: First one for those who are going vaccine shopping, is
• 1:09
  Speaker 1: there a vaccination you suggest over the other? So I
• 1:13
  Speaker 1: know this sounds cliche because you hear it all the
• 1:15
  Speaker 1: time on the news media from Dr Fauci and everyone.
• 1:18
  Speaker 1: But really, the first shot you can get is the
• 1:21
  Speaker 1: best one for you. We really want to get to
• 1:24
  Speaker 1: hurt immunity. We want to get back to more normal life.
• 1:26
  Speaker 1: So I want everyone to get vaccinated as soon as
• 1:29
  Speaker 1: it's their turn. And I really feel that all three
• 1:33
  Speaker 1: vaccines that are currently available right now in the United
• 1:36
  Speaker 1: States are safe and effective. I love that. And people, are,
• 1:41
  Speaker 1: you know, still so afraid? When do you think people
• 1:44
  Speaker 1: will be in the clear? I did? I did quotes.
• 1:47
  Speaker 1: I know you guys can't actually see me, but in
• 1:49
  Speaker 1: the clear, So you mean in the clear to get
• 1:52
  Speaker 1: back to normal life? Yes, gee, well, um, that's um
• 1:57
  Speaker 1: a great question, and I wish I had a soball
• 2:00
  Speaker 1: the answer for sure. I think in Southern California, where
• 2:03
  Speaker 1: we're both based, things are getting a lot better right now,
• 2:06
  Speaker 1: and I hope that we will have a little more
• 2:09
  Speaker 1: normal of a summer. I'm even hoping that I can
• 2:11
  Speaker 1: have my son's bar mitzpoh with a gathering in our
• 2:13
  Speaker 1: backyard this summer in southern California. But I have to
• 2:16
  Speaker 1: say that the reason why Dr Lensky in the CDC
• 2:20
  Speaker 1: is cautioning everyone to still be careful and not travel
• 2:23
  Speaker 1: is because there are states where numbers are going up
• 2:26
  Speaker 1: right now and they are headed to see really unfortunate
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  Speaker 1: situations like we did back in January here in southern California.
• 2:33
  Speaker 1: So it's gonna depend on where you live in the country.
• 2:35
  Speaker 1: I think how normal of a summer you will have,
• 2:38
  Speaker 1: and for kids going to summer camp and kids going
• 2:40
  Speaker 1: back to school, we're still gonna have some restrictions even
• 2:43
  Speaker 1: in the fall um, such as masking and distancing, but
• 2:47
  Speaker 1: it hopefully will be a lot better than it is
• 2:49
  Speaker 1: right now, and every week and every month we will
• 2:52
  Speaker 1: get back to a little more of a normal type
• 2:54
  Speaker 1: of life. Since you brought up masking, is double masking
• 2:59
  Speaker 1: more active than one mask? Is there a certain mask
• 3:02
  Speaker 1: you should really be wearing? So for kids, I think
• 3:05
  Speaker 1: whichever mask they like to wear and they will properly
• 3:08
  Speaker 1: wear that covers their nose and mouth tightly is fine. Um.
• 3:13
  Speaker 1: For adults, I think we know that the more layers
• 3:16
  Speaker 1: the better, right, So if you have a simple to
• 3:19
  Speaker 1: ply cloth mask and there's not a filter insert, then
• 3:21
  Speaker 1: I would probably put a surgical mask on first and
• 3:24
  Speaker 1: then your decorative mask on top. But if you have
• 3:26
  Speaker 1: a high quality mask that fits properly, that has two
• 3:29
  Speaker 1: or three layers with an insert a filter, then I
• 3:32
  Speaker 1: think that is fine to wear. Um. I've been double vaccinated,
• 3:36
  Speaker 1: so I'm fully vaccinated. It's been more than two months
• 3:39
  Speaker 1: since my second vaccine, so I've loosened up a little
• 3:42
  Speaker 1: bit on my mask requirements. Now if i'm you know,
• 3:44
  Speaker 1: out and about, I might wear you know, a more
• 3:46
  Speaker 1: fun um just simple to ply cloth mask with a
• 3:50
  Speaker 1: filter insert. Whereas before I wore my N ninety five
• 3:53
  Speaker 1: and face shield everywhere. That's what I was gonna ask
• 3:56
  Speaker 1: about the face shields because I know at the kids
• 3:58
  Speaker 1: school and stuff like that, though was um, they would
• 4:01
  Speaker 1: prefer a regular mask. So but I do see some
• 4:05
  Speaker 1: people out that are just in the shields. Are those
• 4:08
  Speaker 1: even effective? You know? Shields alone, um, without a mask
• 4:13
  Speaker 1: are not are not that much. I mean it's a
• 4:15
  Speaker 1: little layer of protection because you could catch some of
• 4:18
  Speaker 1: those larger droplets. You know, someone can't really spit on you,
• 4:21
  Speaker 1: but don't forget some of the smaller particles can fly
• 4:24
  Speaker 1: out the sides, so you really need to cover your
• 4:26
  Speaker 1: mouth and nose. Um. Now, there are some cases, such
• 4:30
  Speaker 1: as the speech therapists in my office. You know, in
• 4:33
  Speaker 1: certain instances she might just wear a face shield and
• 4:35
  Speaker 1: stand six feet away from her student or client because
• 4:38
  Speaker 1: they need to see her lips move um and for
• 4:41
  Speaker 1: hearing impaired people that might be the only option we have,
• 4:44
  Speaker 1: but for most people, you really need a mask covering
• 4:47
  Speaker 1: your nose and mouth. And then one of the most
• 4:50
  Speaker 1: asked questions that I got is can we please talk
• 4:52
  Speaker 1: about why once we're vaccinated we still need to wear
• 4:56
  Speaker 1: the mask. That's a great question. So you know, I
• 5:00
  Speaker 1: actually have not done a lot different since I've been vaccinated,
• 5:03
  Speaker 1: other than maybe you know, not go as um not
• 5:06
  Speaker 1: where my n ninety fives as much since they are
• 5:08
  Speaker 1: so uncomfortable and wear more regular masks. The reason we
• 5:12
  Speaker 1: all still need to mask is because even though the
• 5:14
  Speaker 1: vaccines are very effective and new data shows that it's
• 5:18
  Speaker 1: a lot less likely that a vaccinated person can actually
• 5:21
  Speaker 1: catch the virus, be asymptomatic and transmit it, there is
• 5:25
  Speaker 1: still a small risk there. So instill we until we
• 5:28
  Speaker 1: really reach hert immunity, which means we have around se
• 5:32
  Speaker 1: percent of people in our community that either have had
• 5:35
  Speaker 1: the vaccine or have had COVID and have antibodies. We
• 5:38
  Speaker 1: really all need to still practice all the public health
• 5:41
  Speaker 1: measures because otherwise we're gonna keep seeing cases floating around.
• 5:45
  Speaker 1: So it's gonna be a little bit of time before
• 5:47
  Speaker 1: we say, okay, we don't need the masks anymore if
• 5:50
  Speaker 1: you've already been vaccinated, makes sense. And then how come
• 5:54
  Speaker 1: we're seeing more for the second dose. How come it
• 5:58
  Speaker 1: seems to be that people are getting that get maderna
• 6:01
  Speaker 1: are having a stronger reaction than fiser or is that
• 6:05
  Speaker 1: just one of those like rumors out there that really
• 6:08
  Speaker 1: isn't true. You know, I think with the second dose
• 6:12
  Speaker 1: of the vaccine, and it has to do with when
• 6:14
  Speaker 1: the first dose of the vaccine is the first time
• 6:17
  Speaker 1: you know your body is gonna make and see these
• 6:19
  Speaker 1: spike proteins and start making antibody response. So with the
• 6:23
  Speaker 1: second shot of the vaccine, just like when people who
• 6:26
  Speaker 1: have had covid or vaccinated, when you already have circulating antibodies,
• 6:30
  Speaker 1: you do tend to see a little more of an
• 6:31
  Speaker 1: immune response. So that's why you might feel a little
• 6:34
  Speaker 1: more of this um of the side effects and immune
• 6:37
  Speaker 1: response in your body. It's not dangerous, but it can
• 6:40
  Speaker 1: be uncomfortable if you have you know, fever, chills, aches,
• 6:43
  Speaker 1: and pains um and I kind of feel that I'm
• 6:47
  Speaker 1: seeing at the same with my patients. And you know,
• 6:49
  Speaker 1: I'm a pediatrician, but when I say patients, I mean
• 6:51
  Speaker 1: the parents and the grandparents. I talk to them and
• 6:54
  Speaker 1: help them out, you know, just as much as I
• 6:56
  Speaker 1: do my own patients. I feel like it's across the
• 6:58
  Speaker 1: board with all the vacs scenes um and more so
• 7:01
  Speaker 1: in people that have had COVID in the past, or
• 7:03
  Speaker 1: it's the second dose again, because their body has already
• 7:06
  Speaker 1: seen this spike protein and has some antibody circulating already.
• 7:10
  Speaker 1: So I know it's a bummer and a little uncomfortable
• 7:12
  Speaker 1: that you might have to stay home for a day
• 7:13
  Speaker 1: or two unrest, but I think it is well worth
• 7:15
  Speaker 1: it in the long run to get that higher level
• 7:18
  Speaker 1: of protection that the vaccine produces that we know natural
• 7:21
  Speaker 1: infection with COVID cannot provide. And for those that get
• 7:26
  Speaker 1: like either the pain in the arm or actually having
• 7:28
  Speaker 1: stronger symptoms, do you recommend an advil or tail in
• 7:32
  Speaker 1: all or doesn't make a difference. So I think if
• 7:35
  Speaker 1: you need, if you're uncomfortable and you need to take something,
• 7:38
  Speaker 1: I think you can take ibuprofen or a set of
• 7:41
  Speaker 1: menafit um. Now, when I got my vaccine back in December,
• 7:45
  Speaker 1: I was one of the first. Back then that was
• 7:47
  Speaker 1: before they said, hey, hold off on ibuprofen in a
• 7:49
  Speaker 1: set of menapin until you need it in your body
• 7:51
  Speaker 1: mounts and immune response. So I actually took a be
• 7:54
  Speaker 1: proven around the clock um any symptoms because I didn't
• 7:57
  Speaker 1: want to be uncomfortable and I had to go to work,
• 7:59
  Speaker 1: and I still mounted a full immune response because I
• 8:02
  Speaker 1: did blood work to show that. So I do think
• 8:04
  Speaker 1: with them with the more recent data, I recommend that
• 8:07
  Speaker 1: people wait until they start feeling uncomfortable, and then if
• 8:10
  Speaker 1: you're so uncomfortable that you need it, go ahead and
• 8:12
  Speaker 1: take either one. Some doctors are preferring a sina menafin
• 8:16
  Speaker 1: over I do profen, I don't really have a preference.
• 8:19
  Speaker 1: If you need it, I don't want you to be uncomfortable.
• 8:22
  Speaker 1: Makes sense? And then what would you say to women
• 8:25
  Speaker 1: who are pregnant, would you wait to get the vaccine
• 8:27
  Speaker 1: or would you get it wild pregnant. So of course
• 8:30
  Speaker 1: you should always talk to your own O beguine um
• 8:33
  Speaker 1: when you're making this decision. But I do feel that
• 8:36
  Speaker 1: enough pregnant women have gotten the vaccine. Now, pregnant women
• 8:39
  Speaker 1: were not included in the initial studies because unfortunately we
• 8:42
  Speaker 1: can't do studies very often on pregnant women, but enough
• 8:46
  Speaker 1: got pregnant while they got the vaccine. UM. There have
• 8:49
  Speaker 1: been thousands of healthcare providers that chose to get the
• 8:52
  Speaker 1: vaccine when they were pregnant UM and the data shows
• 8:56
  Speaker 1: that it is safe and effective for pregnant women and
• 8:58
  Speaker 1: breastfeeding women based on what we know so far. And
• 9:02
  Speaker 1: also we are seeing antibodies in the babies, so that
• 9:06
  Speaker 1: actually means that it would not only protect you, but
• 9:08
  Speaker 1: also protect your baby when they are born for a
• 9:11
  Speaker 1: little bit of time until they are old enough to
• 9:13
  Speaker 1: hopefully get their own vaccine, which next year we may
• 9:17
  Speaker 1: be giving COVID vaccines to six month old and older.
• 9:21
  Speaker 1: So talk to your own doctor. But I would get
• 9:23
  Speaker 1: it myself if I were pregnant or breastfeeding. So when
• 9:36
  Speaker 1: do you think kids will start getting vaccinated? And do
• 9:38
  Speaker 1: you think they're going to make that a requirement in
• 9:40
  Speaker 1: the schools. So fires are just released their data for
• 9:44
  Speaker 1: kids twelve through fifteen, and it did show that the
• 9:46
  Speaker 1: vaccine was a hundred percent effective um and that it
• 9:50
  Speaker 1: was well tolerated, which is amazing UM. And I think
• 9:54
  Speaker 1: that's what you know. We're gonna see with Maderna in
• 9:56
  Speaker 1: the next few weeks when they released their data as well.
• 9:58
  Speaker 1: So then what they do is something called age d escalation,
• 10:02
  Speaker 1: where they keep going down lower on the kids ages.
• 10:05
  Speaker 1: So Fiser is now in their trials for kids age
• 10:08
  Speaker 1: UM six through eleven, and then after that they will
• 10:12
  Speaker 1: go down to the younger ones. Even so, I am
• 10:15
  Speaker 1: very hopeful that by the fall the vaccine will be
• 10:18
  Speaker 1: available for everyone twelve and up. So that means middle
• 10:21
  Speaker 1: school and high schoolers will be able to get vaccinated
• 10:24
  Speaker 1: by the fall UM. And by older boys right now
• 10:27
  Speaker 1: are twelve and sorry, thirteen and fifteen. They keep they
• 10:31
  Speaker 1: keep growing. I forget, oh they are. My younger one
• 10:33
  Speaker 1: is six, so I think my two older boys will
• 10:36
  Speaker 1: be able to get their vaccine by fall, which is amazing.
• 10:38
  Speaker 1: I'm hoping even by July so we can go on vacation.
• 10:41
  Speaker 1: But my six year old the younger kids may not
• 10:43
  Speaker 1: be until next year UM in terms of will it
• 10:46
  Speaker 1: be required for schools so usually so the way it
• 10:49
  Speaker 1: works is right now, the COVID vaccines have something called
• 10:52
  Speaker 1: an Emergency Youth Authorization eu A. It's gonna take some
• 10:56
  Speaker 1: time before they get official FDA approval of BACCCENE really
• 11:00
  Speaker 1: can't be mandated by a state until it's FDA approved,
• 11:04
  Speaker 1: and historically all vaccine mandates have come from the state level,
• 11:08
  Speaker 1: not from the school. So I think, although I would
• 11:11
  Speaker 1: love nothing more than to have all kids vaccinated, I
• 11:14
  Speaker 1: think it's gonna be another full year before states start
• 11:16
  Speaker 1: considering should it be mandated for school because I know
• 11:20
  Speaker 1: in the past for like different summer camps and stuff
• 11:23
  Speaker 1: like that, not I mean, obviously not the COVID vaccine,
• 11:26
  Speaker 1: but they've had us go to our pediatrician make sure
• 11:29
  Speaker 1: that it's filled out, that they're up to date on
• 11:31
  Speaker 1: their vaccinations, or they can't go to the particular camp.
• 11:34
  Speaker 1: Like do you think that that is in the few,
• 11:36
  Speaker 1: maybe not schools, but camps. Do you think that type
• 11:39
  Speaker 1: of thing is gonna start to rotate over as well?
• 11:41
  Speaker 1: And potentially could I mean I've been talking to a
• 11:44
  Speaker 1: lot of summer camps across the country, and some camps
• 11:47
  Speaker 1: are deciding should we make it a requirement for our
• 11:50
  Speaker 1: counselors and faculty to get the vaccine um to that
• 11:55
  Speaker 1: give another level protect, layer of protection for the kids. Um,
• 11:58
  Speaker 1: I don't think it can be mandated. Hell, it's available
• 12:00
  Speaker 1: for that specific age group, so I think it is
• 12:03
  Speaker 1: gonna bury. Um. You know, public schools have to wait
• 12:06
  Speaker 1: for state guidance. Independent and private schools can make their
• 12:10
  Speaker 1: own rules. But then again it gets to the whole
• 12:13
  Speaker 1: you know, like, do you want to mandate it if
• 12:15
  Speaker 1: it's not yet FDA approved. I think I think it's
• 12:19
  Speaker 1: gonna be a little bit, a little bit longer before
• 12:22
  Speaker 1: it is an official mandate. I have heard some colleges
• 12:25
  Speaker 1: that are gonna be mandating it for the fall, especially
• 12:27
  Speaker 1: for kids living in the dorms. Right, So you could say,
• 12:30
  Speaker 1: if you're gonna live in the dorms, it's mandated. If
• 12:32
  Speaker 1: you're gonna live off campus, we strongly, um, we strongly
• 12:36
  Speaker 1: encourage it. Um or we expect you to get it,
• 12:39
  Speaker 1: but they don't want to specifically mandate it yet. Right.
• 12:43
  Speaker 1: And I actually I my daughter, my one year old,
• 12:46
  Speaker 1: she had her check up recently, and I she anytime
• 12:49
  Speaker 1: we go anywhere, it's either she's going to the doctor.
• 12:52
  Speaker 1: She also has one of those DOC bands, so like
• 12:54
  Speaker 1: she has stranger danger because she's like you're either taking
• 12:57
  Speaker 1: me get a shot or to get my helmet adjusted.
• 12:59
  Speaker 1: Like where are we going? So I asked her, I said, listen,
• 13:02
  Speaker 1: I saw that, like my gyms and those types of
• 13:04
  Speaker 1: places are starting to open up. Like what should I?
• 13:07
  Speaker 1: I'm feeling bad because any time that Dove sees anybody,
• 13:10
  Speaker 1: she gets scared. She despises being in the car like
• 13:14
  Speaker 1: she's a complete, you know, quarantine baby. Like should I
• 13:18
  Speaker 1: be starting to do those things? And she said, listen,
• 13:21
  Speaker 1: I think you should wait until after spring break see
• 13:26
  Speaker 1: what happens with the new variant, and know that because
• 13:30
  Speaker 1: Dove has her siblings, she is having enough stimulation, so
• 13:34
  Speaker 1: you don't need to have any mom guilt about the
• 13:36
  Speaker 1: amount of things that she's doing outside of the house.
• 13:38
  Speaker 1: But what are your thoughts on that? Because I know
• 13:40
  Speaker 1: there's a lot of us that are just like, you know,
• 13:42
  Speaker 1: the way I used to take my older kids when
• 13:44
  Speaker 1: they were babies out to lunch with me every day,
• 13:46
  Speaker 1: you know, like we did things. And my husband and
• 13:49
  Speaker 1: I were talking, we've never once gone out to eat
• 13:51
  Speaker 1: with yeah, you know, and honestly, with the third child
• 13:55
  Speaker 1: that often happens anyway, right in non COVID times because
• 13:58
  Speaker 1: it's harder to take three kids anywhere. I mean, I
• 14:01
  Speaker 1: think it is gonna be a little bit of a
• 14:03
  Speaker 1: transition for these kids that haven't been out and about
• 14:06
  Speaker 1: around other people. That said, she is getting so much
• 14:09
  Speaker 1: love and stimulation from you guys at home, from the
• 14:11
  Speaker 1: other siblings. I know my six year old has never
• 14:14
  Speaker 1: had as much contact with his older brothers. Right. I
• 14:17
  Speaker 1: make them play with them every day, and when I
• 14:20
  Speaker 1: get home, I also make sure that I really spend
• 14:22
  Speaker 1: time with him, so I think they will readjust pretty quickly.
• 14:26
  Speaker 1: That said, you don't have to go from doing nothing
• 14:28
  Speaker 1: to like, Okay, we're going to an indoor gym class.
• 14:30
  Speaker 1: What about a park play date with a family, you know,
• 14:33
  Speaker 1: with one child around her age, right where the kids
• 14:36
  Speaker 1: are outdoors and playing a little distance, because anything outdoors
• 14:40
  Speaker 1: is safer than indoors, and especially if the parents have
• 14:43
  Speaker 1: been vaccinated and the older kids wear masks. So I
• 14:46
  Speaker 1: think there might be some ways where you could do
• 14:48
  Speaker 1: a little bit safer interactions so that way she does
• 14:50
  Speaker 1: get to see kids a little bit. But I don't
• 14:52
  Speaker 1: think it's absolutely necessary. There's nothing wrong with waiting a
• 14:55
  Speaker 1: few more months and then starting play dates with her,
• 14:58
  Speaker 1: But I agree that going to an indoor or play
• 15:00
  Speaker 1: Jim with a bunch of unmasked one year olds does
• 15:04
  Speaker 1: make me a little nervous right now, even though our
• 15:07
  Speaker 1: community rate is really low right now in the areas
• 15:10
  Speaker 1: that we live in, which is amazing. UM, I would
• 15:13
  Speaker 1: still hold off on that a little longer. And while
• 15:17
  Speaker 1: we were just talking, Kyle Richards just texted me and
• 15:20
  Speaker 1: she's like, Hey, can you please ask Dr Tanya which
• 15:23
  Speaker 1: is the best vaccine if you have anaphylactic allergies example penicillin,
• 15:28
  Speaker 1: bees horses, et cetera. Report factor. I have had to
• 15:33
  Speaker 1: go off topic to ask real quick cause I cannot
• 15:35
  Speaker 1: forget definitely, so there there really isn't a lot of
• 15:39
  Speaker 1: data on that. UM. That said, people with severe anaphylactic
• 15:43
  Speaker 1: allergies have gotten all three vaccines and done fine. Usually
• 15:48
  Speaker 1: your doctor will say I want you to take your
• 15:50
  Speaker 1: eppy pen with you. I want you to take Zurchech
• 15:52
  Speaker 1: with you, UM and let them know, and they're gonna
• 15:55
  Speaker 1: watch you for probably a half an hour instead of
• 15:57
  Speaker 1: fifteen minutes after your shot in case you have any
• 16:00
  Speaker 1: sort of reaction, then you're gonna immediately take that Zrchech.
• 16:04
  Speaker 1: You know, take your EpiPen if you need it. Um.
• 16:07
  Speaker 1: I have had doctor friends that have serious anaphylactic reaction
• 16:10
  Speaker 1: that went to the hospital to get their vaccine with
• 16:13
  Speaker 1: all of that, and they all did fine. But I
• 16:15
  Speaker 1: want you to check with your own doctor. UM. I
• 16:18
  Speaker 1: still think there's a way to safely get you the vaccine.
• 16:21
  Speaker 1: I just want you to be watched a little bit
• 16:22
  Speaker 1: more and have all of that medication with you that
• 16:25
  Speaker 1: you would take if you got that be sting or
• 16:27
  Speaker 1: had that anaphylactic reaction. And then the next thing is supplements, vitamins.
• 16:34
  Speaker 1: Is there something you should be taking as a household
• 16:36
  Speaker 1: that's going to keep you extra protected, Like what's best
• 16:39
  Speaker 1: for kids, what's best for adults? Like in general, regardless
• 16:42
  Speaker 1: of COVID or not sure. So I have to tell
• 16:45
  Speaker 1: you Teddy that, UM. You know, I'm really into nutrition
• 16:48
  Speaker 1: and supplements and overall wellness. I have a little bit
• 16:50
  Speaker 1: more of an integrative practice here at Calabas's Pediatric's Wellness Center.
• 16:54
  Speaker 1: So I do recommend supplements depending on my family's diet
• 17:00
  Speaker 1: and lifestyle, because it is better to get your nutrition
• 17:03
  Speaker 1: from food. That said, I find that many kids aren't
• 17:07
  Speaker 1: getting enough vitamin D in their diet, and so that's
• 17:09
  Speaker 1: why vitamin D is recommended pretty much for everybody UM
• 17:13
  Speaker 1: during COVID and doing during cold and flu season. I
• 17:16
  Speaker 1: have in some cases recommended that my patients take extra
• 17:19
  Speaker 1: vitamin C extra zinc UM. For my patients that maybe
• 17:23
  Speaker 1: have some issues UM focusing and concentrating at school, like
• 17:27
  Speaker 1: maybe a d h D type symptoms, trouble sleeping, anxiety,
• 17:30
  Speaker 1: or depression, then I'll often use Omega's or magnesium. So
• 17:34
  Speaker 1: it really depends on the family that I'm dealing with.
• 17:39
  Speaker 1: That said, the other thing to remember is that supplements
• 17:42
  Speaker 1: are not f d a M approved or cleared in
• 17:45
  Speaker 1: our country. In our country, and I recently had a
• 17:48
  Speaker 1: case with an adult patient UM that had some liver issues,
• 17:53
  Speaker 1: probably from a contaminated supplement, so I am very cautious UM.
• 17:58
  Speaker 1: More recently, I'm more cautious about supplements in my patients
• 18:02
  Speaker 1: UM until we get some oversight here in the United
• 18:05
  Speaker 1: States or UM. I've been talking to the Clean Label
• 18:08
  Speaker 1: Project as well about testing certain vitamins and supplements that
• 18:10
  Speaker 1: I do like to use in my practice. So I
• 18:14
  Speaker 1: would say, UM, in many cases, I do recommend supplements
• 18:17
  Speaker 1: for my families, but talk to your own pedatriction of course,
• 18:20
  Speaker 1: because it's important that they know you know what your
• 18:22
  Speaker 1: child and what you are on. And why do you
• 18:34
  Speaker 1: think you know, most of us have more brain fog
• 18:37
  Speaker 1: since this is all started than than before, Like I've
• 18:42
  Speaker 1: me personally, even from my own clients myself, just in general.
• 18:46
  Speaker 1: You know, some days you wake up and you feel
• 18:48
  Speaker 1: good and you feel present, and then just some days
• 18:50
  Speaker 1: you really feel like you're just pushing through the fog
• 18:52
  Speaker 1: to get through. Why do you think that is? Yeah,
• 18:55
  Speaker 1: you know, I think there's several reasons, right, I mean,
• 18:58
  Speaker 1: a lot of us are indoors more, I mean luckily
• 19:00
  Speaker 1: now in southern California, whether whether it's beautiful, So I
• 19:03
  Speaker 1: let everybody know you need to be outdoors every day
• 19:05
  Speaker 1: for at least an hour, even those kids that are
• 19:07
  Speaker 1: on zoom school all day long. Make sure you're geting
• 19:10
  Speaker 1: enough sleep. I think COVID has added extra stress to
• 19:13
  Speaker 1: all of our lives. I know, you know, I don't
• 19:15
  Speaker 1: sleep as well as I used to. Um. I think
• 19:18
  Speaker 1: we're also worried about everything and trying to be cautious
• 19:21
  Speaker 1: and not do the wrong thing and not accidentally get
• 19:24
  Speaker 1: exposed and bring COVID at home so I think it's
• 19:26
  Speaker 1: just a combination of we all are leading much more stressful,
• 19:30
  Speaker 1: anxious lives right now. UM, and that is just really
• 19:34
  Speaker 1: taking a wear and tear on all of our mental health.
• 19:37
  Speaker 1: Which is why you know, making sure that you are
• 19:41
  Speaker 1: in a good place, that you're spending time, you know,
• 19:43
  Speaker 1: for yourself as a mom, because if you're foggy and
• 19:47
  Speaker 1: stressed and exhausted, you you can't take care of the kids, right,
• 19:50
  Speaker 1: So it's important to make sure that you take care
• 19:52
  Speaker 1: of yourself first, and UM, to teach your kids you
• 19:56
  Speaker 1: know that, UM, sleep and nutrition and stress reduction and
• 20:00
  Speaker 1: being mindful and sitting outdoors every day and exercising is
• 20:02
  Speaker 1: so important for their overall well being and those are
• 20:06
  Speaker 1: those are tools that will really help them as they
• 20:07
  Speaker 1: get older. I love the outdoors an hour a day
• 20:10
  Speaker 1: because it really is a game change. I know, like
• 20:13
  Speaker 1: when I have sunshine, even just to go on a walk,
• 20:16
  Speaker 1: have a little sunshine, immediately I can like just take
• 20:20
  Speaker 1: that breath. Um. The next one is on drinking, and
• 20:24
  Speaker 1: this one comes from Lisa Arenna. How much vodka is
• 20:27
  Speaker 1: too much vodka? But I mean not just vodka, but
• 20:30
  Speaker 1: you hear really about a lot of people these days,
• 20:33
  Speaker 1: they're like, you know, I'm just having a glass of
• 20:35
  Speaker 1: wine a night to take the edge off or whatever
• 20:37
  Speaker 1: it may be. What do you think is too much?
• 20:42
  Speaker 1: So that's a great question. I'm sure that my level
• 20:44
  Speaker 1: of vodka is different from Lisa's level of vodka. Right,
• 20:47
  Speaker 1: we can handle every night. Um. So I think again
• 20:50
  Speaker 1: it goes back to sort of your overall health and
• 20:53
  Speaker 1: well being and how much you can tolerate. So if
• 20:55
  Speaker 1: you're a healthy person in your doctor feels that a
• 20:58
  Speaker 1: glass of wine every night or a few times a
• 21:00
  Speaker 1: week is fine, then I think that's okay. I would
• 21:03
  Speaker 1: defer to your to your doctor. But if you find
• 21:06
  Speaker 1: that you're waking up tired in the morning, that you
• 21:08
  Speaker 1: can't focus, you can't concentrate, you know, you're just really
• 21:11
  Speaker 1: run down, I would probably take a cleanse break and
• 21:14
  Speaker 1: maybe go off of the drinking for you know, a
• 21:16
  Speaker 1: little while, and try to really focus on nutrition and wellness. Um,
• 21:20
  Speaker 1: and then when you're feeling back to yourself, then maybe
• 21:23
  Speaker 1: you can add in the occasional, you know, once in
• 21:25
  Speaker 1: a while drink of alcohol. And people's favorite question to
• 21:30
  Speaker 1: ask me is like, if you're trying to be healthy,
• 21:32
  Speaker 1: what alcohol do you drink And for me, I'm like,
• 21:35
  Speaker 1: I don't choose to drink alcohol because I'm trying to
• 21:37
  Speaker 1: be healthy and so I'm gonna have a drink at
• 21:39
  Speaker 1: something that I like. But what do you think would
• 21:42
  Speaker 1: is the most I know? You know, for a while
• 21:44
  Speaker 1: it was I always heard red wine is you know,
• 21:47
  Speaker 1: the best for the heartet of it, and then I
• 21:49
  Speaker 1: heard actually it's two cup you know, Like, so what
• 21:51
  Speaker 1: are your thoughts? So I still think the data and
• 21:54
  Speaker 1: research would show that red wine is the best for
• 21:57
  Speaker 1: your heart, it's the best for your cholesterol. Um. Again,
• 22:01
  Speaker 1: you can talk to your own doctor about that. I
• 22:03
  Speaker 1: think you know, for some people, hard alcohol is harder
• 22:05
  Speaker 1: for their liver and for them to you know, metabolize.
• 22:09
  Speaker 1: So um. I know plenty of the parents and grandparents
• 22:12
  Speaker 1: in my practice, especially if they've had COVID, if they
• 22:14
  Speaker 1: have liver issues, they're sticking with that red wine. But again,
• 22:18
  Speaker 1: I think it's whatever you are used to and whatever
• 22:20
  Speaker 1: sort of helps you out. Um. As a pediatrician, I
• 22:24
  Speaker 1: don't often recommend alcohol or he's on a very often,
• 22:29
  Speaker 1: so I would say as little as you need for
• 22:31
  Speaker 1: that effect that you want is probably the best solution. Yeah, yeah,
• 22:37
  Speaker 1: I guess that's the information we all need to hear. Sorry,
• 22:40
  Speaker 1: I can't say, hey, do three shots of this every day?
• 22:45
  Speaker 1: You're like what? And then another Okay, this one keeps
• 22:48
  Speaker 1: coming in about babies, and I haven't noticed this to
• 22:51
  Speaker 1: be true. I maybe it is, But have you noticed
• 22:55
  Speaker 1: that babies that have formula have more digestive issues that
• 22:59
  Speaker 1: baby used to have breast milk. So that's a good question,
• 23:04
  Speaker 1: and um, often the answer is yes. Now, it's sort
• 23:08
  Speaker 1: of a multifactorial response, right. We know that breast milk
• 23:12
  Speaker 1: is the easiest to digest, it's the best for baby,
• 23:16
  Speaker 1: but also breast milk feeds the good gut bacteria that
• 23:20
  Speaker 1: and and it's the bad gut bacteria that usually causes
• 23:23
  Speaker 1: the colic, this tummy issues, the gas, the fussiness. So therefore,
• 23:28
  Speaker 1: the most ideal situation to have a happy baby with
• 23:31
  Speaker 1: better digestion and less colic would be um having a
• 23:35
  Speaker 1: good good gut microbiome, which would mean a normal vaginal
• 23:38
  Speaker 1: delivery where the mom's um good gut bacteria goes on
• 23:42
  Speaker 1: to colonize the baby, or supplementing with activated being fantas,
• 23:47
  Speaker 1: which is the good gut bacteria that research has shown
• 23:50
  Speaker 1: that babies need for long term health, for their immune
• 23:54
  Speaker 1: development and for their digestion UM, and then the breast
• 23:58
  Speaker 1: milk to feed that good gut back area. That would
• 24:00
  Speaker 1: really be the ideal situation. Now that's not possible for everybody,
• 24:04
  Speaker 1: and that's okay. So if I have a formula fed
• 24:07
  Speaker 1: baby that's cology, I might still give them the vivo
• 24:10
  Speaker 1: probiotic that I recommend because I do feel like that's
• 24:13
  Speaker 1: the one with the most research behind it. UM, I
• 24:16
  Speaker 1: might choose a formula that's more hypoallergenic. I think there's
• 24:18
  Speaker 1: a lot of different factors that come into play. So
• 24:21
  Speaker 1: and that's sort of what pediatricians are trained to do.
• 24:23
  Speaker 1: So talk to your pediatriction let them sort of evaluate
• 24:26
  Speaker 1: your baby if these symptoms are normal or not, if
• 24:29
  Speaker 1: you need to change what your baby is feeding at
• 24:32
  Speaker 1: in a probiotic or another type of medication. UM. But yes,
• 24:36
  Speaker 1: M the So the short answer is yes, historically breastfed
• 24:40
  Speaker 1: babies do better than formula fed babies in terms of
• 24:42
  Speaker 1: gut issues. And what about once you transition to you know,
• 24:47
  Speaker 1: from either breast milk or um formula, do you recommend
• 24:51
  Speaker 1: like an organic hoal milk or an oat milk or
• 24:54
  Speaker 1: an almond milk or do you think to each his own?
• 24:57
  Speaker 1: You know? Sure? So I'm actually a big dairy person
• 25:00
  Speaker 1: for kids because I do think that dairy um has
• 25:04
  Speaker 1: the best form of calcium in vitamin D for growing kids,
• 25:07
  Speaker 1: and there is a lot of data that shows that
• 25:09
  Speaker 1: kids raised on milk alternatives don't grow quite as well.
• 25:13
  Speaker 1: Now that said, if my families come to me and
• 25:15
  Speaker 1: say we're vegan, we drink oat milk, we drink whatever
• 25:18
  Speaker 1: type of milk it is, I'll say that's fine, let
• 25:21
  Speaker 1: me see the ingredients because I want to make sure
• 25:23
  Speaker 1: I supplement their diet with other things that they need.
• 25:26
  Speaker 1: So um, So, if you're asking me and your family
• 25:29
  Speaker 1: is fine with dairy, and you guys tolerate dairy, okay,
• 25:31
  Speaker 1: I would prefer transitioning to an organic whole milk dairy.
• 25:35
  Speaker 1: But if you want something else, I will work with
• 25:37
  Speaker 1: my families on the way to get all that proper
• 25:39
  Speaker 1: nutrition into their kids diet that they need. And I
• 25:42
  Speaker 1: know that you um have to you have to go soon.
• 25:46
  Speaker 1: So in clothing, is there anything like that I have
• 25:49
  Speaker 1: an asked that you think is something that everybody needs
• 25:52
  Speaker 1: to know, needs to do, needs to hear in this moment.
• 25:56
  Speaker 1: You know, I think I keep hearing from so many
• 25:58
  Speaker 1: families just how um hard it's been during COVID right
• 26:03
  Speaker 1: to be home with their kids, to not be able
• 26:05
  Speaker 1: to do all their normal activities. And I just want
• 26:07
  Speaker 1: to remind everyone that this is time that you can
• 26:10
  Speaker 1: never get back with your family, right, and so if
• 26:13
  Speaker 1: you really try to make the most of it. And
• 26:15
  Speaker 1: I know it's exhausting and crazy, right, you know, I
• 26:17
  Speaker 1: have three kids too, and a husband at home who's
• 26:20
  Speaker 1: working from home right now. Luckily I get to leave
• 26:23
  Speaker 1: every day. I think that's what's what saved us a
• 26:24
  Speaker 1: little bit. Um. But you know, this will end and
• 26:28
  Speaker 1: your kids are gonna look back and all they're gonna
• 26:30
  Speaker 1: remember from COVID is how safe they felt at home
• 26:34
  Speaker 1: with mom and dad or whatever your family unit is,
• 26:36
  Speaker 1: and all that amazing extra time they spent with you,
• 26:40
  Speaker 1: and all the experiences that you had as a family.
• 26:44
  Speaker 1: So as much as you can really try to make
• 26:45
  Speaker 1: this a safe, fun time for them, that's what they're
• 26:48
  Speaker 1: gonna take out of this. If you don't expose them
• 26:51
  Speaker 1: to the stress and the worry about not having enough
• 26:53
  Speaker 1: toilet paper, they're not going to remember that stuff. So
• 26:57
  Speaker 1: I think, although I know it's it's very hard for
• 27:00
  Speaker 1: so many, I think there are ways to sort of
• 27:01
  Speaker 1: spin this that when we look back ten years from now,
• 27:04
  Speaker 1: our kids will say, well, remember that year where we
• 27:07
  Speaker 1: spent at home and we couldn't go on vacation and
• 27:10
  Speaker 1: we camped in a tent in the family room, and
• 27:13
  Speaker 1: you know, we ordered our groceries and some days we
• 27:16
  Speaker 1: had to like make dinner with whatever was in the cupboard.
• 27:19
  Speaker 1: And how fun was that time? You know? So I
• 27:22
  Speaker 1: would say, just try to make it enjoyable for your
• 27:25
  Speaker 1: kids and support them and love them and they will
• 27:28
  Speaker 1: be fine. Oh. Such good advice and true, so true.
• 27:32
  Speaker 1: Thank you so much for joining us, and I hope
• 27:35
  Speaker 1: to see you again soon. Thanks Teddy, I hope to
• 27:38
  Speaker 1: see you again soon. Stay safe, appreciate it. For more
• 27:42
  Speaker 1: information about Dr Tanya Altman's concierge's pediatric practice at the
• 27:46
  Speaker 1: Calabasa's Pediatrics Wellness Center, visit Calabasas Peds dot com. C
• 27:52
  Speaker 1: A L A B A S A S P E
• 27:56
  Speaker 1: D S dot com. Thanks you guys so much for
• 27:59
  Speaker 1: two n into this week's Teddy teapod. I know that
• 28:02
  Speaker 1: that gave me a huge sigh of relief that we
• 28:05
  Speaker 1: are all doing the best that we can. If we
• 28:07
  Speaker 1: continue to take this moment to focus on being there
• 28:10
  Speaker 1: for our friends, our family, our kids, and just enjoy
• 28:13
  Speaker 1: the time that we have because we will never get
• 28:15
  Speaker 1: it back, then I feel like, honestly true, amazing great
• 28:19
  Speaker 1: times are ahead. Let's end this on a positive note,
• 28:23
  Speaker 1: have an amazing day, and I'll talk to you guys soon.
• 28:26
  Speaker 1: Thanks for listening. Subscribe to Eddie Teapot on her radio
• 28:30
  Speaker 1: or wherever you listen to podcasts.