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Speaker 1: Hey, whip smarties. Today we have an ultimate smarty guest.

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Speaker 1: You all know that in not just trying times, but

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Speaker 1: honestly all the time, I want expert information. I want

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Speaker 1: to ask people who are incredible in their field what

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Speaker 1: the rest of us who don't work in those fields

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Speaker 1: need to know. Whether that was talking to Jessica Malatti

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Speaker 1: Rivera in the early days of twenty twenty and the pandemic,

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Speaker 1: whether that's getting to talk to legal experts about civics.

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Speaker 1: There's so many things we all have questions about, and

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Speaker 1: there's a lot kicking around right now on the Internet

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Speaker 1: and in the media about health and medicine and doctors

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Speaker 1: and especially our kids. And it seems scary to me.

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Speaker 1: I know it seems scary to a lot of parents.

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Speaker 1: So I called up doctor Megan Beach, who is an

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Speaker 1: amazing pediatric emergency medicine physician whose social media account her

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Speaker 1: handle is at beach gem ten. I love so much

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Speaker 1: she makes me feel informed and happy and safe, and

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Speaker 1: I just asked her, Hey, will you come on the podcast.

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Speaker 1: Will you give us a little guidance? Can I ask

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Speaker 1: you some questions? And also, as everyone's favorite resident Asthma

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Speaker 1: Girley I need to know some things about asthma and allergies.

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Speaker 1: I just I got questions, and it's more than for

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Speaker 1: the DM chat. So doctor Megan has honored us with

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Speaker 1: her presence today. She is here to answer all my questions,

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Speaker 1: which hopefully will answer some of yours. I came to

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Speaker 1: know her during pandemic shutdowns. She got on Instagram and

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Speaker 1: started asking questions like I'm going to ask her today

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Speaker 1: and grew her page into this platform where she educates

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Speaker 1: people and parents and audiences everywhere on everything from diagnosing

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Speaker 1: foreign body injuries like in rusting metal girl brush wires, Yes,

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Speaker 1: seriously that happened, or practicing tips for managing common childhood

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Speaker 1: illnesses which we all need to know. She has incredible

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Speaker 1: medical expertise and as a mom of four relatability. She's

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Speaker 1: so skilled in translating clinical issues into understandable advice that

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Speaker 1: we all can digest and I know, for me makes

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Speaker 1: me feel safer. We're at a time where unfortunately science

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Speaker 1: feels like it's under attack, and it really feels more

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Speaker 1: important than ever to have trusted guides to help us

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Speaker 1: navigate the overwhelming world, not just of health, but the

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Speaker 1: overwhelmingly vulnerable world of children's health. So if you're feeling

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Speaker 1: the way I'm feeling, let's get smarter with doctor Megan Beach. Megan,

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Speaker 1: thank you so much for being here today. I think

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Speaker 1: that public health advocacy and also good science communication is

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Speaker 1: so important today when there's so much misinformation and so

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Speaker 1: much fear mongering, and like, I just have the biggest

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Speaker 1: brain crush on you and what you do, So I

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Speaker 1: just want to extend all of my thanks before I

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Speaker 1: ask you a million questions.

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Speaker 2: No, you know, it's a different world that we live

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Speaker 2: in right now, and I appreciate that there's people out

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Speaker 2: there that understand that. You know, we're out here doing

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Speaker 2: our best, and the negative voices sound louder sometimes than

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Speaker 2: the positive ones, and so it's totally good to hear

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Speaker 2: some validation that there's people that are listening.

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Speaker 1: Absolutely, And you know, it's not lost on me that

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Speaker 1: you've built this incredible following online because so many people,

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Speaker 1: I think, feel the way we do. There's so many

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Speaker 1: parents out in the world going what can I trust,

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Speaker 1: what's real? What's not? What should I be maybe a

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Speaker 1: little scared of, but not completely sleepless over what am

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Speaker 1: I being told to fear? That I don't need to.

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Speaker 1: It's such a complex space because sadly, there's a lot

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Speaker 1: of people profiting off of misinformation, and we're all incredibly

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Speaker 1: vulnerable when it comes to the fear we carry for

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Speaker 1: the kids in our lives. So it's like, I get it,

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Speaker 1: and it's frustrating, and that's why I like to talk

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Speaker 1: to experts like you.

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Speaker 2: One hundred percent.

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Speaker 1: So before I ask you about your career, if it's cool,

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Speaker 1: I actually want to do a quick rewind down memory lane.

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Speaker 1: I always like to know how people grew up where

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Speaker 1: they grew up, and I'm really curious if you got

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Speaker 1: to go hang out with eight or nine year old Megan.

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Speaker 1: Was she one of those kids that from a young

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Speaker 1: age was like, I'm gonna be a doctor or did

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Speaker 1: you have totally separate goals as a child.

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Speaker 2: I grew up wanting to be a doctor, Like I've

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Speaker 2: wanted to be a doctor as long as I can

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Speaker 2: actually remember, my dad's father was a physician, and he

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Speaker 2: was someone that just took care of the community, like

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Speaker 2: would trade medical care for chickens if you couldn't pay. Wow,

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Speaker 2: he was awesome. My mom was in the medical field.

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Speaker 2: Cheese an X ray tech my dad was a law

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Speaker 2: enforcement officer, and so just having the like adrenaline on

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Speaker 2: one side and then the medical care on the other side. Yeah,

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Speaker 2: and I met in the middle with emergency medicine and

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Speaker 2: I very quickly fell in love with it, and it's

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Speaker 2: kind of all I wanted to do, like most of

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Speaker 2: my life.

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Speaker 1: Wow, So what do you think drew you to pediatric

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Speaker 1: emergency medicine? Was that sort of part of the rotation

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Speaker 1: you go through in med school where you have to

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Speaker 1: get into every specialty for a bit and then you

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Speaker 1: figure out what lights you up or did you always

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Speaker 1: kind of have a hunch that it would be emergency

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Speaker 1: medicine because of that sort of duality in your family.

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Speaker 2: I really liked the adrenaline aspect. Pediatrics was one of

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Speaker 2: the first rotations I fell in love with it. There

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Speaker 2: is so much hope when it comes to kids, there's

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Speaker 2: so much resilience in recovery possible. And emergency medicine was

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Speaker 2: actually a late rotation, so I didn't even know that

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Speaker 2: I was going to apply to it until the end,

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Speaker 2: and so I ended up applying for pediatrics and emergency

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Speaker 2: medicine in the match program. So when I submitted that match.

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Speaker 2: I actually didn't know what kind of doctor I was

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Speaker 2: going to be, if I was going to get picked

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Speaker 2: for emergency or pediatrics, but I kind of ultimately I

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Speaker 2: knew the end goal was pediatric emergency medicine, so I

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Speaker 2: knew I would be fine either way, but you know

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Speaker 2: which direction to go was still a mystery.

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Speaker 1: Do you get what's happening in my brain? Which is also,

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Speaker 1: to be clear, both from watching and acting on Gray's

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Speaker 1: Anatomy all these years, I'm like, oh, yeah, when you're

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Speaker 1: in your pieds rotation, like I hear myself saying the terms, which,

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Speaker 1: to be fair, I know because I once also thought

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Speaker 1: I was going to be a doctor, and then I

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Speaker 1: wound up being in the circus instead. Like do you

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Speaker 1: find that people who watch medical shows can banter some

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Speaker 1: of those like not quite Layman's just above terms with you?

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Speaker 1: Or are you like, I get it, everyone's seen twenty

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Speaker 1: years of great anatomy, but you have no idea what

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Speaker 1: you're talking.

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Speaker 2: About, you know. I think it's cool with shows like

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Speaker 2: Gray's Anatomy and The Pit and some of the other

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Speaker 2: medical shows have really brought a lot of what it's

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Speaker 2: like to be a doctor, to be a resident, Yeah,

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Speaker 2: to kind of come up through the ranks to see what,

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Speaker 2: you know, a better idea of what it's really like

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Speaker 2: to do that. And so I think there's a lot

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Speaker 2: more terminology that used to be, you know, more medical

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Speaker 2: is now more kind of in the mainstream. And I

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Speaker 2: think it's cool because I think it's people have a

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Speaker 2: better idea of what I went through to be where

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Speaker 2: I'm at now, all those years of education and training.

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Speaker 2: So I don't I think a lot of people don't

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Speaker 2: take that for granted, and they understand that there's a

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Speaker 2: lot to it totally.

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Speaker 1: You know, it's really interesting. You're bringing up something that

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Speaker 1: makes me think, I think, kind of pulling back the

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Speaker 1: veil on any of these worlds industries that seem kind

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Speaker 1: of glamorous or exciting, or that people assume must be

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Speaker 1: really hoity toity. You know, you become this big deal

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Speaker 1: doctor and everyone thinks, oh, wow, your life must be

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Speaker 1: so fancy, and you're like, do you know what my

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Speaker 1: life is? It's actually so crazy. I think there's something

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Speaker 1: too letting people in, and especially in the field of medicine,

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Speaker 1: letting folks who haven't gone through it, they haven't gone

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Speaker 1: through the years of schooling, the rotations, the residency, this

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Speaker 1: whole placement program, all those steps, letting people see that

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Speaker 1: doctors do this because they love it. Doctors do this

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Speaker 1: because they want to take care of people. They want

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Speaker 1: healthy kids, healthy communities, healthy families. There's so much misinformation

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Speaker 1: out online. You know, there's a lot of accounts saying, oh, well,

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Speaker 1: the reason vaccines are you know, fill in the blank,

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Speaker 1: crazy theory. Don't even want to say it because I

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Speaker 1: know it's nuts, is because doctors get paid. And recently

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Speaker 1: I saw a great science communicator, of which I, you know,

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Speaker 1: consider you to be one. My friend Jess Malatte Rivera,

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Speaker 1: who helped run the COVID track project, is another great one.

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Speaker 1: This great science communicator I follow said, actually, no, we've

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Speaker 1: had enough generations of vaccine science that we forget what

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Speaker 1: it was like when so many kids got sick and died.

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Speaker 1: We forget that one hundred, one hundred and fifty years

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Speaker 1: ago in this country, one in five kids died before

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Speaker 1: their fifth birthday. And by the way, vaccine storage is

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Speaker 1: actually very expensive, and most doctors lose money giving them,

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Speaker 1: but they give them because we need them. And that

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Speaker 1: was a point that I wish she didn't have to make,

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Speaker 1: but also I hadn't seen made before, and I was like, oh, yeah,

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Speaker 1: people probably need to know that it costs money to

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Speaker 1: give this kind of medical care and you do it

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Speaker 1: anyway because it's the right thing to do. And I

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Speaker 1: use that example only to say, because of this following

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Speaker 1: you've built up, you've been answering all these questions for people,

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Speaker 1: and you know, like so many you've said like, okay,

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Speaker 1: we're in lockdown, how can I help? What are some

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Speaker 1: of the things you've communicated to your audience that you've

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Speaker 1: seen really ring the like ding ding ding, Oh, I

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Speaker 1: didn't know that bell That helps shift the fear, and

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Speaker 1: that help people really trust science and medicine a little

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Speaker 1: bit more.

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Speaker 2: I think trying to break down some of the more

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Speaker 2: complex topics. You know, we use some of these words regularly,

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Speaker 2: like immunity and prevention, and as physicians and science people,

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Speaker 2: sometimes we're using these in a completely different context than

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Speaker 2: what a lay person would use, Like when you know,

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Speaker 2: we're talking about transmission in a community, someone else might

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Speaker 2: be talking about transmission person to person. So trying to

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Speaker 2: clarify those I think that there's been some breakthroughs. I

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Speaker 2: think one of the other big things that people don't

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Speaker 2: realize or maybe that you know, people make associations. They

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Speaker 2: think immunization's medication, and they use their knowledge of medication

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Speaker 2: and dosage and ingredients and they bring that to immunizations,

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Speaker 2: where immunizations are really not metations. Really, immunizations are something

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Speaker 2: that's completely different. They're not changing the physiology of your body.

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Speaker 2: They're not changing like the sodium calcium channels like some

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Speaker 2: medications do. They're stimulating an immune response, and that immune

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Speaker 2: response is creating antibodies and cells. But it's not you know,

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Speaker 2: a medication that you're taking every day for years that

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Speaker 2: we're worried about, you know, long term complications from and

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Speaker 2: fifteen years down the road, we're worried about something with

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Speaker 2: a medication which happens absolutely happy. Yeah, immunizations just don't

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Speaker 2: work the same way as medications do. And so I think,

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Speaker 2: you know, having some of those breakthroughs where people go, oh, okay,

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Speaker 2: you know, I was bringing that knowledge of medications and

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Speaker 2: thinking about immunizations. But I think that's kind of an

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Speaker 2: important distinction that helps people kind of pull those apart

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Speaker 2: and realize that there is a difference.

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Speaker 1: Yeah, do you think part of the reason that you

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Speaker 1: can really understand how to translate some of that terminology,

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Speaker 1: how to translate those linguists dick specifics if you will,

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Speaker 1: is because you're a mom of four. Because I find

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Speaker 1: that moms who are experts at anything complex, whether it's

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Speaker 1: the law, medicine, you name it, are the best at

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Speaker 1: explaining those things to the rest of us that are curious, afraid, excited,

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Speaker 1: whatever experience we're having. But like the lay people, if

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Speaker 1: I can get a mom who's an expert to explain

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Speaker 1: something to me, I feel like she gives me the

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Speaker 1: best lesson I've ever had.

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Speaker 2: I think it's possible. I had my first kid in

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Speaker 2: medical school, and then I had one in residency and

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Speaker 2: fellowship and as an attending so I've had kids like

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Speaker 2: I feel like forever. So I think it's possible. You know,

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Speaker 2: I think that we all have certain skills, and you know,

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Speaker 2: you could go your whole life and not realize that

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Speaker 2: you have this skill related to it. Maybe you would

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Speaker 2: be an excellent Obo player and you never, you know,

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Speaker 2: got the chance to play Obo. And I think that

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Speaker 2: the communication that I'm able to do on social media

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Speaker 2: is unlike skill that I have in real life, and

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Speaker 2: I think it's just something that it clicked and it worked,

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Speaker 2: and it brought these pieces of a puzzle together and

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Speaker 2: it works. And I don't know if it's having kids

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Speaker 2: or not, because I have had them forever, but whatever

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Speaker 2: it is, it works, and people are learning and getting educated,

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Speaker 2: and we're kind of breaking through some of these barriers

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Speaker 2: of the communication issues that we have between the medicine

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Speaker 2: and the people that don't have that background.

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Speaker 1: Maybe part of it even is the fact that you know,

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Speaker 1: you are you're a mom of four. You know what

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Speaker 1: moms need to hear, you know what information they should have.

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Speaker 1: You know that parents are being inundated with all this

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Speaker 1: stuff in the algorithm and how to kind of push

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Speaker 1: back against it. And I think that's really important in

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Speaker 1: times like this, you know, whether it's the COVID nineteen

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Speaker 1: pandemic outbreak in twenty twenty, when you started really speaking

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Speaker 1: to people on social media, which I would call a

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Speaker 1: public health service, whether it's you know, helping parents understand

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Speaker 1: what to do in an emergency. I saw one video

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Speaker 1: you did about like, oh a kids swallowed you know,

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Speaker 1: one of those crazy like brush scrubber things, and you

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Speaker 1: were like this is what to do? And I was like,

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Speaker 1: I would never have known this. You know, you give

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Speaker 1: great advice on all sorts of things, like you said,

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Speaker 1: from medication to allergic reactions in kids, what to look for,

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Speaker 1: you know, what might be a reaction to an ointment

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Speaker 1: versus actual exzema. Like, I've learned so much just from

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Speaker 1: watching you. How do you decide what you're going to

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Speaker 1: talk about? When you do decide to communicate about something,

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Speaker 1: Is it because you get an influx of questions? Or

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Speaker 1: is it because there's some sort of news like this week,

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Speaker 1: despite all scientific research having shown that there is no

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Speaker 1: correlation between a seedamnifin and autism. You know, we've got

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Speaker 1: a guy with no medical degree saying from the White

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Speaker 1: House pulpit that there is Like how do you help

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Speaker 1: parents and especially pregnant women not feel afraid?

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Speaker 2: Yeah? I think uh as For like, how do I

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Speaker 2: decide about content? It's very very random, and it's usually

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Speaker 2: last minute. Yeah, And a lot of times it'll be

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Speaker 2: like a question or maybe like a case that I

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Speaker 2: had or an idea that came across. But a lot

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Speaker 2: of times it is you know, news or a press

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Speaker 2: conference or something that came up that you know, I said, oh,

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Speaker 2: you know, there's gonna be a lot of questions about

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Speaker 2: this or I see how this could be easily misunderstood,

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Speaker 2: So let's talk about it, let's clarify it. And there's

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Speaker 2: a lot of things out there. And I, like you said,

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Speaker 2: I am a mom and just because I'm a doctor,

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Speaker 2: it doesn't mean that I don't have like the fears

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Speaker 2: and anxiety of momming. I have all of those fears

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Speaker 2: in anxiety. And so you know, if I see something

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Speaker 2: and I go, oh, that makes me a little I

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Speaker 2: get I caught some feelings there. I want to make

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Speaker 2: a video and want to talk about it because I

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Speaker 2: want to bring it down to a level where we

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Speaker 2: don't need to be scared. These are the things that

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Speaker 2: we need to be watching out for, and these are

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Speaker 2: the things that we can do to help protect ourselves

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Speaker 2: or something like that. You know, with all of the

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Speaker 2: things that have happened in the last you know, months, years,

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Speaker 2: I've done my best to be very open about my

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Speaker 2: life and my feelings and try to address the things

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Speaker 2: that have happened in a way that I'm providing facts

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Speaker 2: and evidence based information and data to back up what

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Speaker 2: I'm saying. Things are very politically charged, and I really

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Speaker 2: I think we really just need to be focused on

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Speaker 2: the science and the data and where the evidence is

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Speaker 2: pointing us where our kids and for our families and

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Speaker 2: for our health in general.

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Speaker 1: I think that's so smart. You know. One of the

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Speaker 1: things that I saw this week that to your point,

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Speaker 1: helped me bring it down where I was like, wait,

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Speaker 1: what do you mean? And I've read the Sweden study

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Speaker 1: and I've went like hold on, you know, because I

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Speaker 1: did think I was going to go to medical school.

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Speaker 1: I weirdly like to read the AMA papers like it

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Speaker 1: helps me feel grounded when there's so much information and

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Speaker 1: so much noise. And when I read about actually the

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Speaker 1: risk to pregnant women, especially in their first trimester of fever,

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Speaker 1: I was like, oh, okay, this is the thing that

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Speaker 1: expectant moms need to know. They need to know the

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Speaker 1: risks of running a fever for the fetus, for their

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Speaker 1: unborn child, Like okay, And then I went down the

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Speaker 1: rabbit hole of that and went all right, I feel

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Speaker 1: better armed to understand where the most important weight needs

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Speaker 1: to be placed in this larger conversation. And something that

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Speaker 1: I really got excited to talk to you about because

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Speaker 1: you do such great videos and such great communications. Anytime

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Speaker 1: there's an issue, I'm like, what's doctor Beach saying? One

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Speaker 1: of the things that I am running into in my

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Speaker 1: family and extended family, you know, with all the littles

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Speaker 1: around and my godson, and everyone is trying to figure

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Speaker 1: out especially with kids that have sensitivities and ezema, and like,

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Speaker 1: you know, I'm the asthmatic ezema baby of my family,

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Speaker 1: so I know how it is is trying to figure

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Speaker 1: out what is a body having a little reaction to

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Speaker 1: something new, maybe a histamine reaction, and then what is

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Speaker 1: a body, especially a little body, experiencing if this is

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Speaker 1: really an allergy. And there's a lot of news out

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Speaker 1: there today, but the thing I really wanted to ask

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Speaker 1: you about was that, if you don't mind me asking

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Speaker 1: my most personal question, you know, how do you identify

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Speaker 1: a childhood allergy versus a sensitivity? How do you know?

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Speaker 1: And you probably see them in the er all the time,

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Speaker 1: Like what even are the allergies that bring kids into

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Speaker 1: the er the most? I feel a little riddorless on this,

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Speaker 1: and I'm nervous, so I want to ask doctor mom.

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Speaker 2: The thing that we as er doctors cant concerned about

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Speaker 2: is anaphylaxis, and anaphylaxis is a life threatening emergency allergic reaction.

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Speaker 2: And if you have anaphylaxis, the treatment that needs to

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Speaker 2: be administered to save a life is epinephrine. And we

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Speaker 2: have a couple of different ways to administer it now,

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Speaker 2: you know, most notably is the EpiPen, which is a

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Speaker 2: kind of slam it into the thigh and it injects

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Speaker 2: the epinephrine. There's also a little nose spray now and

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Speaker 2: potentially down the road, even things that dissolve in the mouth.

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Speaker 2: So you know, I think people do get nervous with

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Speaker 2: EpiPens because it is a needle. They haven't used it before,

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Speaker 2: and so there's a lot of people that are hesitant

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Speaker 2: to use that EpiPen. And I would just so encourage

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Speaker 2: people if you are concerned that the patient, your child's,

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Speaker 2: someone in your community has an anaphylactic reaction, just administer

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Speaker 2: the medication. There's more harm for not administering it than

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Speaker 2: actually for administering it. And the definition for anaphylaxis is

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Speaker 2: a little it's there's not a real good a definition.

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Speaker 1: Yeah, how do you identify it?

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Speaker 2: We usually say if you are exposed to something that

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Speaker 2: you potentially could be having a reaction to. And you

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Speaker 2: have two systems that are involved to body systems, so

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Speaker 2: like respiratory systems, skin you know, mucous membranes, and so

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Speaker 2: if you have hives and you're wheezing and you might

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Speaker 2: have been exposed to something, that's two systems. You've got

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Speaker 2: respiratory and skin anaphylaxis, go ahead and give the e

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Speaker 2: FI and get into the emergency department. A lot of

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Speaker 2: people will say, well, I'm just gonna try the benadryl first,

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Speaker 2: and we honestly don't recommend it. We don't want to

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Speaker 2: hide those symptoms. We want to treat them with the epinephrine.

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Speaker 2: Even vomiting like GI as a symptoms. So if you

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Speaker 2: had hives and vomiting, that could that could potentially be anaphylaxis.

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Speaker 2: Now there are times that you could have hives and

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Speaker 2: wheezing and it's a viral infection. So there is that,

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Speaker 2: you know, potential of like you have to pay attention to,

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Speaker 2: is there a potential for an interaction that could be allergic.

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Speaker 2: So anaphylaxis a little complicated, but again more toward the epinephrine.

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Speaker 2: That's the life saving treatment.

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Speaker 1: And now a word from our sponsors that I really

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Speaker 1: enjoy and I think you will too. Okay, can I

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Speaker 1: ask an asterisk question? So, for example, you could have

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Speaker 1: two of those symptoms and it's not anaphylaxis, it's you know,

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Speaker 1: some other reaction. But am I right to think, well,

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Speaker 1: maybe do you identify that it might be anaphylaxis if

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Speaker 1: two systems are engaged skin and respiratory will keep it

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Speaker 1: in the example, within an hour of eating, maybe an

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Speaker 1: hour of eating in a new place, or an hour

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Speaker 1: of eating a new food, what would kind of be

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Speaker 1: the timeline that for you would ring the alarm bell.

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Speaker 2: Yeah, so again with the potential for a new exposure.

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Speaker 2: You ate somewhere new, and these symptoms started pretty close together.

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Speaker 2: I think the kind of asterisk for me is, you know,

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Speaker 2: is it a viral infection? Generally you're gonna have like cough,

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Speaker 2: running nose for a couple of days, and then you're

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Speaker 2: wheezing a little bit, and then maybe you develop hives.

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Speaker 2: But you know, things have been going on for a

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Speaker 2: couple days and there's pretty obviously something else going on.

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Speaker 2: Whereas you know, you walked into a basketball game and

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Speaker 2: somebody had a cologne on and then you ate something

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Speaker 2: you haven't eaten before, and all of a sudden, you

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Speaker 2: you know, you start feeling some throat tightenness, you're wheezing,

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Speaker 2: and you have hives. Okay, maybe that that is more

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Speaker 2: likely to be anaphylaxis than a cute onset of a

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Speaker 2: viral infection, and the epinephron would be indicated.

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Speaker 1: Okay, So the even though acute for me, sounds pretty

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Speaker 1: quick when you say a cute onset of a viral infection.

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Speaker 1: To your point hypothetical, your kid's been sick for five

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Speaker 1: days and the symptoms are increasing as their body is

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Speaker 1: working harder and harder to fight the infection. You know

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Speaker 1: they're sick. The anaphylaxis is alarming in the rapidness of

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Speaker 1: its onset from zero right.

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Speaker 2: Usually anaphylex symptoms are going to happen within about we

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Speaker 2: often maybe fifteen minutes. Wow, I mean, they could be

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Speaker 2: seconds from exposure, but usually it's going to be within

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Speaker 2: a fifteen minute or so time period from whatever exposure

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Speaker 2: it is. So if all of a sudden you're good

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Speaker 2: and then you're not good, and you have two systems involved,

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Speaker 2: that would be something that would be concerning.

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Speaker 1: Okay, and the two system indicator is really nice. I

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Speaker 1: like a specific instruction. You talked skin and respiratory. You

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Speaker 1: mentioned mucosal. That's three. What are what are the other

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Speaker 1: systems that could be affected by an allergic reaction that

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Speaker 1: parents should know?

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Speaker 2: So g I would be the other big yeah, okay,

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Speaker 2: you know, a vomiting diarrhead it would be the other

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Speaker 2: one in addition to the respiratory.

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Speaker 1: So two of those four are really strong indicators. When

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Speaker 1: a kid comes in to the er with a severe

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Speaker 1: allergic reaction, what are the first steps that you take?

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Speaker 1: Because sure, if it happens at a school, at a

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Speaker 1: basketball game, you know, someone might have an EpiPen. But

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Speaker 1: if it happens and a family doesn't have access to

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Speaker 1: that and they bring their kid into the er, is

431
00:24:11,440 --> 00:24:13,720
Speaker 1: that the very first thing you do is the is

432
00:24:13,760 --> 00:24:14,400
Speaker 1: the EpiPen?

433
00:24:14,800 --> 00:24:18,040
Speaker 2: Absolutely? Still Oka Absolutely, And we you know we have

434
00:24:18,600 --> 00:24:20,520
Speaker 2: we're able to draw up at be from a vial.

435
00:24:21,160 --> 00:24:23,840
Speaker 2: It takes time, we actually have EpiPens in our department

436
00:24:23,880 --> 00:24:25,920
Speaker 2: that we can go all right, you know I'm concerned

437
00:24:25,920 --> 00:24:28,920
Speaker 2: about anaphylexis let's let's go and you know we can

438
00:24:28,920 --> 00:24:32,560
Speaker 2: get that very quickly to bedside, to start the treatment

439
00:24:32,560 --> 00:24:33,600
Speaker 2: for anaplexis.

440
00:24:33,760 --> 00:24:35,600
Speaker 1: That's amazing because in my brain I was like, oh,

441
00:24:35,640 --> 00:24:38,560
Speaker 1: maybe you guys, you know, get a sick kid, check

442
00:24:38,600 --> 00:24:41,159
Speaker 1: them in, run an iv line, put the ePIE in

443
00:24:41,160 --> 00:24:43,480
Speaker 1: the ivy. You're like, no, I'm using an EpiPen too,

444
00:24:44,119 --> 00:24:48,879
Speaker 1: because it's the quickest and it's efficient. Okay, absolutely, person question,

445
00:24:49,080 --> 00:24:51,320
Speaker 1: but when you were saying people get nervous about doing

446
00:24:51,359 --> 00:24:55,600
Speaker 1: the shot in the thigh, can it go anywhere in

447
00:24:55,600 --> 00:24:57,840
Speaker 1: a thigh? Is it supposed to be the top, the side,

448
00:24:57,880 --> 00:25:00,880
Speaker 1: closer to the butt, closer to the knee. I've never

449
00:25:00,920 --> 00:25:03,639
Speaker 1: had to give one to somebody, so I realized I

450
00:25:03,640 --> 00:25:04,760
Speaker 1: would be nervous to do this.

451
00:25:04,880 --> 00:25:08,560
Speaker 2: Also, yeah, you generally kind of toward the outside of

452
00:25:08,600 --> 00:25:10,960
Speaker 2: the thigh, and you can even give it through pants

453
00:25:11,000 --> 00:25:13,240
Speaker 2: are clothing if it's an emergency, if you can't really

454
00:25:13,320 --> 00:25:16,160
Speaker 2: that spot, Yeah, that needle will go all the way

455
00:25:16,240 --> 00:25:18,679
Speaker 2: through obviously if you can get the pants down, and

456
00:25:18,680 --> 00:25:21,280
Speaker 2: it's reasonable to do that. But you know, if in

457
00:25:21,320 --> 00:25:23,560
Speaker 2: an emergency, you can go right through clothing kind of

458
00:25:23,560 --> 00:25:26,920
Speaker 2: on the outside of the thigh. And like I said,

459
00:25:27,000 --> 00:25:29,600
Speaker 2: there are other modalities now. So there's like a nose

460
00:25:29,640 --> 00:25:33,359
Speaker 2: spray that you can do. There is an automated one

461
00:25:33,400 --> 00:25:34,879
Speaker 2: as well, so you can you kind of put that

462
00:25:34,920 --> 00:25:36,760
Speaker 2: one right up against the thigh and you press a

463
00:25:36,760 --> 00:25:39,080
Speaker 2: button and it kind of talks you through it. So

464
00:25:39,119 --> 00:25:41,880
Speaker 2: there's some other ones now, but the most important thing

465
00:25:42,040 --> 00:25:44,840
Speaker 2: is just to get the epinephrin in the patient. There

466
00:25:44,880 --> 00:25:47,760
Speaker 2: are some trainers. If you have a child that has

467
00:25:47,800 --> 00:25:50,600
Speaker 2: anaflex or if you have it, you can ask your

468
00:25:50,600 --> 00:25:53,439
Speaker 2: doctor for a trainer and it'll you can literally just

469
00:25:53,480 --> 00:25:55,280
Speaker 2: kind of play with it. There's no needle in it,

470
00:25:55,280 --> 00:25:57,520
Speaker 2: so it's not gonna hurt you, and it shows you,

471
00:25:57,520 --> 00:25:59,040
Speaker 2: you know what this is what it feels like when

472
00:25:59,080 --> 00:26:01,639
Speaker 2: it releases. You know, you can feel the mechanism on

473
00:26:01,640 --> 00:26:05,080
Speaker 2: the inside. You can also like the one that talks

474
00:26:05,119 --> 00:26:07,040
Speaker 2: to you. It talks you through what you're doing. So

475
00:26:07,080 --> 00:26:10,120
Speaker 2: it's really cool. There's a lot of really neat technology

476
00:26:10,160 --> 00:26:14,440
Speaker 2: that's in the future coming which is exciting, but most

477
00:26:14,440 --> 00:26:17,560
Speaker 2: important thing for anphylaxis, the life saving treatment is just

478
00:26:17,600 --> 00:26:18,480
Speaker 2: to do the epinephrin.

479
00:26:19,080 --> 00:26:23,720
Speaker 1: Yeah. Wow, Okay, that's really cool that there's options to

480
00:26:23,880 --> 00:26:27,560
Speaker 1: teach your kids what to expect if I went through

481
00:26:27,560 --> 00:26:30,880
Speaker 1: this recently, my partner's little one. One of her kids

482
00:26:30,920 --> 00:26:35,119
Speaker 1: has asthma, and I have asthma, and the terror about

483
00:26:35,119 --> 00:26:37,600
Speaker 1: the nebulizer on the first couple of times it had

484
00:26:37,640 --> 00:26:41,360
Speaker 1: to be used absolutely shattered my heart. And I was like, oh,

485
00:26:41,440 --> 00:26:44,359
Speaker 1: let me get mine. Ou like, I got a nebulizer,

486
00:26:44,440 --> 00:26:49,200
Speaker 1: let's go. And we started, during this asthma flair, having

487
00:26:49,560 --> 00:26:52,240
Speaker 1: like a nebulizer tea party at the little kid's table.

488
00:26:53,000 --> 00:26:56,520
Speaker 1: And now she's not scared of it. And it was,

489
00:26:57,119 --> 00:26:59,440
Speaker 1: you know, just luck of the draw that I could

490
00:26:59,440 --> 00:27:02,880
Speaker 1: do that for and with her, and that I've done

491
00:27:02,880 --> 00:27:04,440
Speaker 1: this my whole life. You know, I think I was

492
00:27:04,520 --> 00:27:06,800
Speaker 1: diagnosed with asthma when I was five or six. I'd

493
00:27:06,800 --> 00:27:10,400
Speaker 1: have to ask my mom, but it really I think

494
00:27:10,400 --> 00:27:13,439
Speaker 1: as adults we can forget how scary some of this

495
00:27:13,480 --> 00:27:17,240
Speaker 1: stuff is for kids. And I didn't know that they

496
00:27:17,280 --> 00:27:20,400
Speaker 1: had those. So that's really really cool, what a cool thing.

497
00:27:20,480 --> 00:27:24,239
Speaker 1: And I almost wonder too, if that's something that you know,

498
00:27:24,880 --> 00:27:28,200
Speaker 1: parents could talk to their kids' schools about, even saying, hey,

499
00:27:28,200 --> 00:27:30,439
Speaker 1: can you get some of these in classrooms so that

500
00:27:30,560 --> 00:27:33,440
Speaker 1: they know if their friend has to get an EpiPen

501
00:27:33,960 --> 00:27:36,520
Speaker 1: injection or if they have to get an EpiPen injection,

502
00:27:36,560 --> 00:27:37,680
Speaker 1: they don't have to be afraid.

503
00:27:38,320 --> 00:27:40,479
Speaker 2: I try to bring the trainers with me, like when

504
00:27:40,520 --> 00:27:42,840
Speaker 2: I do like the Great American Teaching and stuff like that,

505
00:27:42,960 --> 00:27:44,840
Speaker 2: just to give the kids this is what it is,

506
00:27:44,840 --> 00:27:46,640
Speaker 2: this is how you can use it, and the kids

507
00:27:46,640 --> 00:27:48,399
Speaker 2: can do it on each other and on themselves. So

508
00:27:48,440 --> 00:27:51,120
Speaker 2: it's a great opportunity to kind of teach them this

509
00:27:51,160 --> 00:27:52,520
Speaker 2: is what it is, this is why we use it,

510
00:27:52,560 --> 00:27:54,239
Speaker 2: and this is what it feels like to actually use one,

511
00:27:54,240 --> 00:27:54,879
Speaker 2: which is neat.

512
00:27:54,840 --> 00:27:58,200
Speaker 1: That's really cool. I know it's pretty difficult to prevent

513
00:27:58,720 --> 00:28:01,880
Speaker 1: exposure to allergens, whether a kid has a food allergy

514
00:28:02,600 --> 00:28:05,520
Speaker 1: or something that they don't even know about yet. But

515
00:28:06,000 --> 00:28:09,199
Speaker 1: are there things you recommend to parents, especially in that

516
00:28:09,320 --> 00:28:13,199
Speaker 1: early developmental stage where we're figuring out whether or not

517
00:28:13,280 --> 00:28:16,639
Speaker 1: a kid has allergies, whether or not a kid has asthma.

518
00:28:16,720 --> 00:28:20,119
Speaker 1: Are there recommendations you give them about reducing risk and

519
00:28:20,240 --> 00:28:21,240
Speaker 1: mitigating risk.

520
00:28:22,200 --> 00:28:26,040
Speaker 2: I think we have a lot of really newish data

521
00:28:26,080 --> 00:28:29,960
Speaker 2: that shows that introducing things that are potential allergens early

522
00:28:30,000 --> 00:28:32,560
Speaker 2: in life, like some of the first introductions to foods,

523
00:28:33,000 --> 00:28:35,680
Speaker 2: actually help reduce the risk that they're going to continue

524
00:28:35,720 --> 00:28:37,679
Speaker 2: to have issues with those in the future. So we

525
00:28:37,720 --> 00:28:41,880
Speaker 2: actually recommend early exposure to peanut butter and regular exposure

526
00:28:41,880 --> 00:28:44,560
Speaker 2: to peanut butter as soon as babies are starting solids

527
00:28:44,600 --> 00:28:47,520
Speaker 2: from you know, that five to six month time, starting

528
00:28:47,520 --> 00:28:49,680
Speaker 2: with a small amount and just giving it every day,

529
00:28:49,760 --> 00:28:53,880
Speaker 2: especially for family, every day, just a small amount, and

530
00:28:53,920 --> 00:28:55,520
Speaker 2: then you can even you know, up to like a

531
00:28:55,600 --> 00:29:00,040
Speaker 2: teaspoon or something like that. The patients that have the

532
00:29:00,080 --> 00:29:03,080
Speaker 2: families that have allergies running in the family, these can

533
00:29:03,160 --> 00:29:06,400
Speaker 2: reduce the risk that the child will have reactions to

534
00:29:06,440 --> 00:29:09,000
Speaker 2: it in the future. And having a wide variety of

535
00:29:09,080 --> 00:29:13,120
Speaker 2: diet and regular use of things that are potential allergens

536
00:29:13,200 --> 00:29:16,360
Speaker 2: like fish and meats and vegetables and fruits that are

537
00:29:16,360 --> 00:29:19,920
Speaker 2: common allergens, introducing those early so that the body just

538
00:29:19,960 --> 00:29:21,640
Speaker 2: gets used to them is less likely to have a

539
00:29:21,680 --> 00:29:25,360
Speaker 2: reaction in the future. So we're getting you know, science

540
00:29:25,360 --> 00:29:27,400
Speaker 2: has kind of gone both ways. We used to say

541
00:29:27,440 --> 00:29:30,720
Speaker 2: avoid it until they're older, but now early introduction seems

542
00:29:30,760 --> 00:29:33,280
Speaker 2: to reduce the risk of having those allergies in the future.

543
00:29:33,520 --> 00:29:36,520
Speaker 1: That's really cool. I mean I understand that with you know,

544
00:29:36,600 --> 00:29:41,400
Speaker 1: the the kind of genetic lottery that exists when when

545
00:29:42,320 --> 00:29:47,360
Speaker 1: kids are created, there's a high likelihood that a lot

546
00:29:47,360 --> 00:29:50,440
Speaker 1: of things are genetically inherited. Will the switch turn on

547
00:29:50,600 --> 00:29:53,520
Speaker 1: or off? We don't know, Like with allergies, So is

548
00:29:53,560 --> 00:29:56,880
Speaker 1: the idea because again, you know, I'm allergic to everything

549
00:29:56,920 --> 00:30:02,120
Speaker 1: as Maticgarreer, is the idea that, like, the more exposure

550
00:30:02,160 --> 00:30:06,160
Speaker 1: they have to these things, you actually increase the likelihood

551
00:30:06,240 --> 00:30:09,800
Speaker 1: that that switch won't turn on. They could have a

552
00:30:09,840 --> 00:30:12,880
Speaker 1: capacity to have allergies to foods, but should they be

553
00:30:13,040 --> 00:30:17,560
Speaker 1: exposed early and regularly, that might not turn into something

554
00:30:17,600 --> 00:30:18,600
Speaker 1: that is a reaction.

555
00:30:19,240 --> 00:30:23,320
Speaker 2: Yeah, so it's important to know what the allergies are.

556
00:30:23,560 --> 00:30:26,719
Speaker 2: And the allergy that we're talking about is an antibody,

557
00:30:26,800 --> 00:30:30,280
Speaker 2: an IgE antibody that's reacting to a substance that our

558
00:30:30,360 --> 00:30:32,720
Speaker 2: body seeses foreign or I mean really it is a

559
00:30:32,720 --> 00:30:36,920
Speaker 2: foreign substance, but our body is creating this IgE reaction.

560
00:30:37,600 --> 00:30:41,040
Speaker 2: And so if we're introducing them early and regular, the

561
00:30:41,080 --> 00:30:44,040
Speaker 2: body is not seeing them as the same type of

562
00:30:44,080 --> 00:30:49,840
Speaker 2: foreign and their IgE reaction isn't happening. So again, the

563
00:30:49,920 --> 00:30:52,520
Speaker 2: data is always changing, but I think it's right now.

564
00:30:52,600 --> 00:30:56,000
Speaker 2: The data really shows that early introduction and regular exposure

565
00:30:56,080 --> 00:30:59,520
Speaker 2: to some of these allergens reduces the risk in the future.

566
00:30:59,560 --> 00:31:03,600
Speaker 2: So I think that getting families, especially those that are

567
00:31:03,680 --> 00:31:07,360
Speaker 2: born at risk for allergies. We've got this kind of triangle, right,

568
00:31:07,360 --> 00:31:10,520
Speaker 2: So you've got asthma, allergies, and exzema in this little

569
00:31:10,520 --> 00:31:13,440
Speaker 2: triangle that these things tend to run together. So in

570
00:31:13,520 --> 00:31:16,880
Speaker 2: families that we have asthma and exzema and maybe some allergies,

571
00:31:17,560 --> 00:31:20,120
Speaker 2: consider you know, talking to your doctor about making sure

572
00:31:20,160 --> 00:31:23,200
Speaker 2: that you're introducing things like peanut butter and maybe certain

573
00:31:23,240 --> 00:31:28,720
Speaker 2: fruits early in the food journey as babies.

574
00:31:29,760 --> 00:31:33,400
Speaker 1: That's really cool. When you were talking about the IgE response,

575
00:31:33,440 --> 00:31:35,680
Speaker 1: I was like, Oh, I get what you're saying. It's

576
00:31:35,720 --> 00:31:38,920
Speaker 1: sort of like having a terribly behaved dog at the

577
00:31:38,920 --> 00:31:41,920
Speaker 1: dog park that attacks the other dogs versus a dog

578
00:31:41,960 --> 00:31:44,080
Speaker 1: that can like chill and look at another dog and

579
00:31:44,120 --> 00:31:46,440
Speaker 1: be like whatever and go back to what it's doing.

580
00:31:46,640 --> 00:31:50,240
Speaker 1: It's like the exposure actually helps your body not attack

581
00:31:51,080 --> 00:31:52,960
Speaker 1: the thing that's moving through your system.

582
00:31:53,200 --> 00:31:56,640
Speaker 2: YEP, absolutely, Okay, I like it.

583
00:31:57,080 --> 00:32:01,360
Speaker 1: So when you talk about options like this, you know

584
00:32:01,480 --> 00:32:03,640
Speaker 1: what the data says. The cool thing about science is

585
00:32:03,760 --> 00:32:07,240
Speaker 1: it's always evolving, right, We're always learning more. We get

586
00:32:07,280 --> 00:32:11,840
Speaker 1: to perfect our recommendations, we get to tinker with our

587
00:32:11,920 --> 00:32:15,600
Speaker 1: plans based on new information, but based on what we

588
00:32:15,680 --> 00:32:20,800
Speaker 1: know now, if a child has complex allergies, would you

589
00:32:21,480 --> 00:32:25,760
Speaker 1: recommend parents focus on this sort of exposure therapy or

590
00:32:26,080 --> 00:32:30,320
Speaker 1: do you think they should also seek out an allergist

591
00:32:30,680 --> 00:32:34,400
Speaker 1: to create a plan. What does a plan like that

592
00:32:34,440 --> 00:32:37,479
Speaker 1: look like? And I ask because when I was seven,

593
00:32:37,640 --> 00:32:41,480
Speaker 1: I was on allergy shops for a while. My parents

594
00:32:41,480 --> 00:32:43,360
Speaker 1: are always like, hey, we got a bubble boy over here,

595
00:32:44,480 --> 00:32:46,720
Speaker 1: and I it was really helpful for me then, but

596
00:32:46,800 --> 00:32:49,000
Speaker 1: obviously I was too young to really know what was

597
00:32:49,040 --> 00:32:51,800
Speaker 1: going on and to feel like I'm armed with that

598
00:32:51,920 --> 00:32:57,200
Speaker 1: information now. So how does a parent know whether they

599
00:32:57,280 --> 00:32:59,480
Speaker 1: need to have a plan from an allergist or they

600
00:32:59,520 --> 00:33:03,400
Speaker 1: can just kind of manage at home symptoms and exposures.

601
00:33:04,160 --> 00:33:06,680
Speaker 2: So I think starting with your pediatrician is always the

602
00:33:06,800 --> 00:33:11,600
Speaker 2: right answer. Pediatricians, you know we infant nutrition is you know,

603
00:33:11,640 --> 00:33:14,480
Speaker 2: we are specialists in that. So starting with your pediatrician

604
00:33:14,640 --> 00:33:18,880
Speaker 2: working through a nutrition exposure plan as little babies and

605
00:33:18,920 --> 00:33:22,120
Speaker 2: as they get older if they're having allergies and eggemn asthma,

606
00:33:22,440 --> 00:33:25,560
Speaker 2: I think getting into an allergist is a great idea.

607
00:33:25,640 --> 00:33:27,960
Speaker 2: There are so many, like I said, new technologies and

608
00:33:28,000 --> 00:33:31,320
Speaker 2: new data and research out there, and allergists are very

609
00:33:31,360 --> 00:33:34,960
Speaker 2: specially specifically trained to deal with this. So I think

610
00:33:35,240 --> 00:33:38,000
Speaker 2: getting into an allergist like Ruben Allergy, who's one of

611
00:33:38,000 --> 00:33:40,920
Speaker 2: my favorite people, would be a great place to start.

612
00:33:41,280 --> 00:33:45,960
Speaker 1: Okay, cool, is there anything that those of us you

613
00:33:46,000 --> 00:33:48,840
Speaker 1: know who follow you and support your work, but don't

614
00:33:49,400 --> 00:33:51,240
Speaker 1: you know live where you live in Florida. I asked

615
00:33:51,280 --> 00:33:54,000
Speaker 1: this question because my partners from Florida and we do

616
00:33:54,120 --> 00:33:57,040
Speaker 1: really love home, and I know it can be a

617
00:33:57,080 --> 00:33:59,360
Speaker 1: scary place to practice medicine right now with all this

618
00:33:59,520 --> 00:34:04,760
Speaker 1: hoopla about vaccine mandates, you know, potentially being eradicated, like

619
00:34:05,840 --> 00:34:09,520
Speaker 1: whether it's sort of rallying cry stuff or petitions to sign,

620
00:34:09,640 --> 00:34:13,600
Speaker 1: or even just like saying hi, we're supporting you from afar,

621
00:34:13,760 --> 00:34:16,600
Speaker 1: Like can we do anything from out of state to

622
00:34:16,680 --> 00:34:18,759
Speaker 1: support the work you're doing in state to try to

623
00:34:18,840 --> 00:34:20,080
Speaker 1: keep kids and families healthy?

624
00:34:20,680 --> 00:34:23,879
Speaker 2: You know, I think it's tough. I think talking with

625
00:34:24,040 --> 00:34:29,560
Speaker 2: our congress people, representatives, senators to talk about what's really

626
00:34:29,600 --> 00:34:32,200
Speaker 2: important on a national level and making sure that science

627
00:34:32,239 --> 00:34:35,440
Speaker 2: and data and evidence are prioritized on a national level

628
00:34:35,760 --> 00:34:41,440
Speaker 2: is really important. So I think advocating through you know,

629
00:34:41,600 --> 00:34:46,440
Speaker 2: our means our representatives is the great place to start,

630
00:34:46,480 --> 00:34:49,440
Speaker 2: and I know always I would always appreciate the social

631
00:34:49,440 --> 00:34:52,719
Speaker 2: media support and all of the other creators out there

632
00:34:52,760 --> 00:34:56,840
Speaker 2: also pushing science and data making sure that we're supporting

633
00:34:56,840 --> 00:34:57,319
Speaker 2: them as well.

634
00:34:57,800 --> 00:35:01,200
Speaker 1: Yeah, I mean, I really try with folks you know,

635
00:35:01,320 --> 00:35:03,719
Speaker 1: like you and other friends in scientific fields. I'm like,

636
00:35:03,800 --> 00:35:05,720
Speaker 1: let me just engage with these posts all the time

637
00:35:05,920 --> 00:35:08,960
Speaker 1: so they're getting some positivity and some love. So all

638
00:35:09,000 --> 00:35:11,880
Speaker 1: of our whipsmarties at home. I'm so proud that my

639
00:35:11,960 --> 00:35:15,920
Speaker 1: audience is very like, very wise, and also they love

640
00:35:16,040 --> 00:35:19,840
Speaker 1: data like I do. Please go engage and leave kindness

641
00:35:19,880 --> 00:35:22,920
Speaker 1: for our medical heroes because they deal with a lot

642
00:35:22,960 --> 00:35:25,960
Speaker 1: of other stuff too. I really want to respect your time.

643
00:35:25,960 --> 00:35:27,560
Speaker 1: I'm going to ask you my last question, even though

644
00:35:27,560 --> 00:35:31,200
Speaker 1: I want to ask you one hundred more. For you,

645
00:35:31,200 --> 00:35:33,960
Speaker 1: you know, you do a lot of big work for

646
00:35:34,000 --> 00:35:36,040
Speaker 1: the world. You do a lot of big work in

647
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Speaker 1: a hospital. A lot of it is for community, but

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Speaker 1: like just for you, for doctor Beach, for Megan, what's

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Speaker 1: bringing you joy? And what is your work in progress

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00:35:48,120 --> 00:35:50,440
Speaker 1: right now? And maybe it is for everyone, but maybe

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Speaker 1: it's like something you're working on for yourself.

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Speaker 2: I would say that social media for me is it

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00:35:56,160 --> 00:35:59,239
Speaker 2: really is a coping mechanism, the ability to connect with

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Speaker 2: like minded peace, you know. And I do post a

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Speaker 2: lot of like educational, sciencey stuff, but I post some

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Speaker 2: fun stuff too and obviously enjoy myself in that respect.

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Speaker 2: I am working on a nonprofit that will benefit kids

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Speaker 2: in the emergency department and then also kids in outside

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Speaker 2: emergency departments, to make sure that those emergency departments are

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Speaker 2: able to take care of kids that are sick. Not

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Speaker 2: every emergency department is the same, and the care that

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Speaker 2: kids get in an adult or community emergency department is

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Speaker 2: not often the same as they're going to get in

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Speaker 2: a pediatric er. And I want to kind of expand

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00:36:35,800 --> 00:36:38,799
Speaker 2: that care, that good quality, evidence based care out to

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00:36:38,880 --> 00:36:43,759
Speaker 2: these outside emergency departments, using this nonprofit, getting the supplies

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00:36:43,840 --> 00:36:47,359
Speaker 2: and the knowledge out to those facilities, and then when

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Speaker 2: they get to the emergency department, keeping them comfortable, taking

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Speaker 2: away the stress and the trauma in the emergency department.

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Speaker 2: So those are kind of my passion projects right now.

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Speaker 2: But I'll be on a social media Really is the

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Speaker 2: way that I cope with all of the stuff that's

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Speaker 2: happening in the world.

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Speaker 1: Yeah, Well, I think especially when you are by nature

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Speaker 1: a helper, which you are. It can be a space

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00:37:09,840 --> 00:37:14,799
Speaker 1: that you can step into to offer help. And sometimes

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Speaker 1: we feel a little boxed in by the world around us,

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00:37:17,560 --> 00:37:21,319
Speaker 1: and this digital world, for all of its flaws, I mean,

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00:37:21,520 --> 00:37:24,600
Speaker 1: you know, sometimes it's sort of accessible. Can also be

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00:37:25,760 --> 00:37:28,479
Speaker 1: a space where you can like drop a life raft

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00:37:28,520 --> 00:37:32,480
Speaker 1: out for people. And I really admire that you continue

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Speaker 1: to show up not just in your hospital every day,

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00:37:34,480 --> 00:37:37,400
Speaker 1: but in these digital spaces every day, because I know

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00:37:37,440 --> 00:37:41,080
Speaker 1: it's not an easy time to be an evidentiary and

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00:37:41,160 --> 00:37:47,359
Speaker 1: science based medical professional. But I so appreciate what you do,

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Speaker 1: and I just appreciate you taking the time. I always

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Speaker 1: want to talk to folks who do what you do,

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Speaker 1: but in moments like this, when parents are so scared,

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Speaker 1: the fact that you'd take time out of your data

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Speaker 1: come speak to our audience really means a lot.

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Speaker 2: Me. Thank you,