1 00:00:00,240 --> 00:00:08,440 Speaker 1: Who baby a baby belof I need you, Oh hell, 2 00:00:08,760 --> 00:00:13,800 Speaker 1: I need you. What to Expect is a production of 3 00:00:13,920 --> 00:00:18,040 Speaker 1: I Heart Radio. I'm your host Heidi Murkop and I'm 4 00:00:18,079 --> 00:00:20,800 Speaker 1: a mom on a mission, a mission to help you 5 00:00:20,840 --> 00:00:27,240 Speaker 1: know what to expect every step of the way. Getting 6 00:00:27,280 --> 00:00:30,600 Speaker 1: ready to welcome your baby bundle, then get ready to 7 00:00:30,720 --> 00:00:34,080 Speaker 1: start shopping not only for that crip, that car seat, 8 00:00:34,400 --> 00:00:39,000 Speaker 1: and all those impossibly tiny and precious outfits, but also 9 00:00:39,400 --> 00:00:43,360 Speaker 1: shopping for a pediatrician. The right pediatriction can see you 10 00:00:43,400 --> 00:00:46,080 Speaker 1: and your little one and later you're not so little 11 00:00:46,080 --> 00:00:50,559 Speaker 1: one through eighteen years or so of checkups and unizations, 12 00:00:50,640 --> 00:00:54,680 Speaker 1: runny noses and fevers, tummy bugs and boo boos of 13 00:00:54,800 --> 00:01:01,600 Speaker 1: all varieties. Help you troubleshoot feeding problems, navigate napstraight, resolve rashes, 14 00:01:01,720 --> 00:01:06,160 Speaker 1: document your baby's amazing growth and development. So today we 15 00:01:06,280 --> 00:01:09,319 Speaker 1: are talking about how to find the baby doctor that's 16 00:01:09,400 --> 00:01:13,160 Speaker 1: right for you and your baby. And joining me today 17 00:01:13,200 --> 00:01:17,040 Speaker 1: is Dr Lauren Crosby, a board certified pediatrician here in 18 00:01:17,040 --> 00:01:21,240 Speaker 1: Los Angeles and my personal go to for all things baby, 19 00:01:21,319 --> 00:01:25,360 Speaker 1: not to mention full disclosure, pediatrician to two of my 20 00:01:25,440 --> 00:01:30,319 Speaker 1: favorite babies, Lenox and Sebastian. Welcome. Dr Crosby. Hi, hi ki, 21 00:01:30,440 --> 00:01:33,400 Speaker 1: thanks for having me. First of all, we have talked 22 00:01:33,640 --> 00:01:37,600 Speaker 1: a lot on what to expect about pregnancy and parenting 23 00:01:37,680 --> 00:01:40,479 Speaker 1: during a pandemic, and there's a lot to talk about. 24 00:01:40,959 --> 00:01:45,160 Speaker 1: But how has the pandemic changed the way that pediatricians practice. 25 00:01:45,400 --> 00:01:47,760 Speaker 1: That's a good question. So in a couple of ways. 26 00:01:47,880 --> 00:01:51,200 Speaker 1: One is the way our office runs is different. You know, 27 00:01:51,480 --> 00:01:53,520 Speaker 1: you're not going to have like tons of little kids 28 00:01:53,600 --> 00:01:57,000 Speaker 1: running around the hallways anymore, and just the stroller parking 29 00:01:57,080 --> 00:02:00,080 Speaker 1: lot that we're trying to have it not crowded. This 30 00:02:00,240 --> 00:02:02,639 Speaker 1: is are doing video visits or i tele medicine visits 31 00:02:02,680 --> 00:02:05,680 Speaker 1: or what they call it telehealth, where certain things can 32 00:02:05,720 --> 00:02:07,280 Speaker 1: be done that way where you don't even have to 33 00:02:07,360 --> 00:02:09,600 Speaker 1: leave your home and we can set up times with 34 00:02:09,680 --> 00:02:11,799 Speaker 1: people where we can look at certain things that way. 35 00:02:11,840 --> 00:02:14,800 Speaker 1: Like I've had very successful office visits for things like 36 00:02:14,919 --> 00:02:19,520 Speaker 1: beastings or allergic reaction type rashes that they thought were 37 00:02:19,520 --> 00:02:23,320 Speaker 1: that or you know, like ezema or rewards, or you know, 38 00:02:23,360 --> 00:02:27,520 Speaker 1: discussing medication changes. The next best thing to be in there, right, Okay, 39 00:02:27,600 --> 00:02:31,000 Speaker 1: let's say you're expecting your first baby and you don't 40 00:02:31,160 --> 00:02:35,400 Speaker 1: have the slightest clue on how to find the pediatrician 41 00:02:35,560 --> 00:02:39,160 Speaker 1: that you know you're going to need. Stat When is 42 00:02:39,240 --> 00:02:42,720 Speaker 1: the best time to start looking for a pediatrician? Really, 43 00:02:42,840 --> 00:02:46,079 Speaker 1: anytime during pregnancy, except for not maybe the last few weeks, 44 00:02:46,560 --> 00:02:50,000 Speaker 1: and even maybe before like thirty five, thirty six weeks, 45 00:02:50,040 --> 00:02:52,120 Speaker 1: like given at least a month or marek because you 46 00:02:52,120 --> 00:02:53,960 Speaker 1: don't know how long it's going to take, or maybe 47 00:02:54,000 --> 00:02:56,080 Speaker 1: you want to interview a bunch of people and you 48 00:02:56,120 --> 00:02:57,760 Speaker 1: want to have plenty of time, and it has to 49 00:02:57,800 --> 00:02:59,839 Speaker 1: match your schedules. Sometimes we play a lot of phone 50 00:02:59,840 --> 00:03:04,000 Speaker 1: to bag. So I think early is always good, definitely, 51 00:03:04,360 --> 00:03:07,440 Speaker 1: essentially because there's always a slim possibility your baby might 52 00:03:07,480 --> 00:03:10,440 Speaker 1: come early surprise you. So you want to be all set. 53 00:03:10,720 --> 00:03:13,600 Speaker 1: How do you start? What are the first things to consider? 54 00:03:13,639 --> 00:03:16,520 Speaker 1: And I would imagine the first first first thing is 55 00:03:16,639 --> 00:03:20,239 Speaker 1: deciding if you're going to use a pediatrician or family physician, 56 00:03:21,440 --> 00:03:26,160 Speaker 1: you know, I think that that decision depends on the 57 00:03:26,200 --> 00:03:30,480 Speaker 1: family physicians experience. You know, pediatricians are specifically trained and 58 00:03:30,680 --> 00:03:35,160 Speaker 1: only trained in the health, development and illnesses in children, 59 00:03:35,160 --> 00:03:38,200 Speaker 1: and that's very specific. So there are lots of things 60 00:03:38,240 --> 00:03:40,240 Speaker 1: that we scream for you know. Now I've done this 61 00:03:40,280 --> 00:03:42,640 Speaker 1: for twenty years. You know I can eyeball stuff and 62 00:03:42,680 --> 00:03:45,720 Speaker 1: be like that's okay, that's not okay, you know, things 63 00:03:45,760 --> 00:03:48,800 Speaker 1: like that. So some family physicians deal a lot more 64 00:03:48,840 --> 00:03:53,040 Speaker 1: with older kids or maybe more adults. So it depends 65 00:03:53,040 --> 00:03:56,120 Speaker 1: on how much of their practice is really real true 66 00:03:56,160 --> 00:03:59,440 Speaker 1: general pediatrics. I think that matters um And then to 67 00:03:59,560 --> 00:04:02,280 Speaker 1: actually find a pediatrician, you do want someone who is 68 00:04:02,360 --> 00:04:05,240 Speaker 1: board certified. It will say after their name, after the 69 00:04:05,440 --> 00:04:07,080 Speaker 1: M D or the d O, it will say f 70 00:04:07,160 --> 00:04:10,600 Speaker 1: A a P. So that's Fellow of American Academy Pediatrics, 71 00:04:10,680 --> 00:04:12,840 Speaker 1: which means they're board certified. Now some people don't put 72 00:04:12,880 --> 00:04:15,000 Speaker 1: those initials after their name, but you can always call 73 00:04:15,080 --> 00:04:17,320 Speaker 1: their office and make sure their board certified or look 74 00:04:17,400 --> 00:04:20,880 Speaker 1: them up even online. Often it's the will be a 75 00:04:20,920 --> 00:04:23,080 Speaker 1: lot of times it makes the initial recommendation or will 76 00:04:23,080 --> 00:04:26,000 Speaker 1: give a list of people. Call these offices, talk to 77 00:04:26,040 --> 00:04:29,520 Speaker 1: these people. Yeah, that's how Emma found you. In fact, 78 00:04:29,640 --> 00:04:32,760 Speaker 1: was her be recommended you? And you can also ask 79 00:04:32,800 --> 00:04:37,039 Speaker 1: friends or coworkers. Definitely very helpful because you may have friends. 80 00:04:37,040 --> 00:04:39,160 Speaker 1: They know you, they know your style, they know that 81 00:04:39,200 --> 00:04:41,440 Speaker 1: you're either a worried about certain things, or you're not 82 00:04:41,680 --> 00:04:43,080 Speaker 1: and they may be able to go this is a 83 00:04:43,080 --> 00:04:45,600 Speaker 1: good fit for you. Yeah, and I wouldn't necessarily go 84 00:04:45,720 --> 00:04:50,159 Speaker 1: by online reviews as much as those no, because sometimes, 85 00:04:50,200 --> 00:04:52,320 Speaker 1: like even like for our yell page, they'll put a 86 00:04:52,360 --> 00:04:55,200 Speaker 1: one star because the person was mad, because our office 87 00:04:55,200 --> 00:04:57,400 Speaker 1: doesn't take people who don't vaccinate. So you given you 88 00:04:57,400 --> 00:04:59,839 Speaker 1: went on yelp and give us a one start, gotcha? Yeah, 89 00:05:00,000 --> 00:05:02,039 Speaker 1: so you know what I mean. It's extremes. It's either 90 00:05:02,200 --> 00:05:05,880 Speaker 1: super happy or like super mad. So clearly some parents 91 00:05:05,880 --> 00:05:07,880 Speaker 1: are going to have more of a choice than others 92 00:05:08,279 --> 00:05:11,760 Speaker 1: because of insurance coverage or because of their location if 93 00:05:11,760 --> 00:05:13,800 Speaker 1: they're in a rural area where there are a few choices. 94 00:05:13,839 --> 00:05:17,680 Speaker 1: But if you have the choice, would you suggest um 95 00:05:17,720 --> 00:05:22,320 Speaker 1: having an interview, consult with a potential candidate, or would 96 00:05:22,360 --> 00:05:25,600 Speaker 1: you even suggest two or three? Yes, I think it's 97 00:05:25,640 --> 00:05:27,880 Speaker 1: good to kind of get a list of people and 98 00:05:27,920 --> 00:05:30,840 Speaker 1: maybe narrow it down. You could narrow it down by 99 00:05:31,080 --> 00:05:33,240 Speaker 1: how many other friends you know that go there and 100 00:05:33,240 --> 00:05:36,280 Speaker 1: I'm happy with them, or how far is the schleft 101 00:05:36,279 --> 00:05:38,960 Speaker 1: to the office, you know, especially in a city like 102 00:05:39,160 --> 00:05:42,320 Speaker 1: l A where it could take you like an hour 103 00:05:42,520 --> 00:05:45,840 Speaker 1: to not even go that far, so traffic, office location 104 00:05:46,040 --> 00:05:48,560 Speaker 1: and hours and all of those things do matter, and 105 00:05:48,560 --> 00:05:50,680 Speaker 1: then it is good to do a visit. We used 106 00:05:50,720 --> 00:05:53,360 Speaker 1: to bring pregnant women into the office and we would 107 00:05:53,360 --> 00:05:55,680 Speaker 1: sit down and meet with them. Now we're not, so 108 00:05:55,720 --> 00:05:58,280 Speaker 1: we're doing it either virtually on a video and visit 109 00:05:58,760 --> 00:06:01,479 Speaker 1: or via phone call too. And I feel like you 110 00:06:01,560 --> 00:06:04,159 Speaker 1: might miss a lot in a phone call if you're 111 00:06:04,200 --> 00:06:07,240 Speaker 1: not you know, making eye contact, at least for me, 112 00:06:07,279 --> 00:06:10,400 Speaker 1: I feel like a video call would be, if possible, 113 00:06:10,600 --> 00:06:13,920 Speaker 1: would be prefercent. That's what we do. Yes, and even 114 00:06:13,960 --> 00:06:16,760 Speaker 1: if you've made your decision without a console, do you 115 00:06:16,760 --> 00:06:20,599 Speaker 1: think it's important to have one call or video visit 116 00:06:21,000 --> 00:06:24,200 Speaker 1: before the delivery so that you're all kind of all 117 00:06:24,240 --> 00:06:28,480 Speaker 1: set about what's going to happen, what you can expect. Typically, 118 00:06:29,040 --> 00:06:31,440 Speaker 1: what I always did when I did those was I 119 00:06:31,480 --> 00:06:33,960 Speaker 1: also would talk about what's what's going to happen at 120 00:06:33,960 --> 00:06:36,880 Speaker 1: the hospital even during that. So I usually say so 121 00:06:37,000 --> 00:06:39,839 Speaker 1: once the baby's out, they call our office right away, 122 00:06:39,960 --> 00:06:41,719 Speaker 1: and then we come see the baby, and we kind 123 00:06:41,720 --> 00:06:43,440 Speaker 1: of give them that, but they should call if they 124 00:06:43,440 --> 00:06:45,880 Speaker 1: still have more questions. For sure, you make it sound 125 00:06:45,920 --> 00:06:50,359 Speaker 1: so easy once the baby's out just you know, just 126 00:06:50,480 --> 00:06:53,800 Speaker 1: like that. Let's let's dig into some of the topics 127 00:06:53,880 --> 00:06:57,280 Speaker 1: you'll want to cover with a potential pediatrisian. I imagine 128 00:06:57,320 --> 00:06:59,200 Speaker 1: some of these you could just go over with the 129 00:06:59,320 --> 00:07:02,279 Speaker 1: office off when you make your call for the appointment. 130 00:07:02,800 --> 00:07:06,840 Speaker 1: Hospital affiliation does that matter? I mean, we like to 131 00:07:06,880 --> 00:07:09,560 Speaker 1: see our newborns right when they come out, like we 132 00:07:09,640 --> 00:07:12,440 Speaker 1: enjoy going in the morning and seeing the new babies. 133 00:07:12,600 --> 00:07:15,080 Speaker 1: But it doesn't always work out. Sometimes their insurance doesn't 134 00:07:15,120 --> 00:07:18,200 Speaker 1: cover the hospital that were so at least if you 135 00:07:18,200 --> 00:07:21,560 Speaker 1: know we'll see them within usually forty eight hours after 136 00:07:21,600 --> 00:07:24,680 Speaker 1: going home, then that's also good because they do have 137 00:07:24,800 --> 00:07:27,840 Speaker 1: people who will cover and sometimes the OBI who delivers 138 00:07:27,840 --> 00:07:30,280 Speaker 1: that the hospital has a pediatrician they work with really well, 139 00:07:30,320 --> 00:07:32,920 Speaker 1: and we'll recommend to see your baby until you come 140 00:07:32,960 --> 00:07:35,040 Speaker 1: to our office. Do you think there are benefits to 141 00:07:35,160 --> 00:07:39,120 Speaker 1: going into there's probably fewer than ever. But solo practice 142 00:07:39,560 --> 00:07:42,480 Speaker 1: as opposed to group practice or a practice that combines 143 00:07:42,840 --> 00:07:47,000 Speaker 1: a nurse practitioner or physicians assistant. Some it depends on style, 144 00:07:47,040 --> 00:07:50,320 Speaker 1: Like I know there's parents, Like we have five doctors 145 00:07:50,560 --> 00:07:53,360 Speaker 1: right now in our practice, UM and so we have 146 00:07:53,720 --> 00:07:57,520 Speaker 1: a busy practice and a busy office. Not prouding anymore 147 00:07:57,600 --> 00:07:59,600 Speaker 1: though at least, but we do really have a good 148 00:07:59,680 --> 00:08:02,880 Speaker 1: number of patients that we see. So for us, if 149 00:08:02,920 --> 00:08:05,160 Speaker 1: you want an appointment at a certain time, like for 150 00:08:05,200 --> 00:08:07,560 Speaker 1: the check up, make it on your way out, because 151 00:08:07,880 --> 00:08:10,800 Speaker 1: an office that is on the busier side, their availability 152 00:08:10,840 --> 00:08:13,080 Speaker 1: maybe a little bit tighter um to get you in 153 00:08:13,240 --> 00:08:15,920 Speaker 1: at a time that you want, whereas a smaller office 154 00:08:16,000 --> 00:08:18,480 Speaker 1: maybe with one or two doctors, depending how busy they are. 155 00:08:18,720 --> 00:08:20,640 Speaker 1: You can find out those kind of things like how 156 00:08:20,680 --> 00:08:23,480 Speaker 1: long is the way time to get an appointment, same 157 00:08:23,560 --> 00:08:26,680 Speaker 1: day appointments, all of those things, and then you know 158 00:08:26,880 --> 00:08:31,000 Speaker 1: if you have qualified nurse practitioner. You know, typically pediatric 159 00:08:31,080 --> 00:08:34,800 Speaker 1: nurse practitioners are quite good, intend to know their limitations, 160 00:08:35,080 --> 00:08:38,560 Speaker 1: and they are also supervised by a physician as well. 161 00:08:39,400 --> 00:08:41,600 Speaker 1: It does depend on what's available in your area. I 162 00:08:41,640 --> 00:08:43,800 Speaker 1: will say. One other thing is that in our practice 163 00:08:43,880 --> 00:08:46,040 Speaker 1: I have found it's nice to have several doctors there 164 00:08:46,080 --> 00:08:48,000 Speaker 1: at one time. There's always like two or three of 165 00:08:48,080 --> 00:08:51,720 Speaker 1: us because also we'll talk to each other, run things 166 00:08:51,720 --> 00:08:53,440 Speaker 1: by each other, or I'll say, look, I'm not going 167 00:08:53,480 --> 00:08:55,240 Speaker 1: to be here tomorrow, but when you come back, I 168 00:08:55,240 --> 00:08:56,840 Speaker 1: want you to see doctor so and so. So I'm 169 00:08:56,880 --> 00:08:58,640 Speaker 1: gonna bring her in so you can meet her. And 170 00:08:58,679 --> 00:09:01,120 Speaker 1: now way tomorrow you come back for us to look 171 00:09:01,160 --> 00:09:04,240 Speaker 1: at the wound or the cut or listen to the lungs. 172 00:09:04,559 --> 00:09:06,960 Speaker 1: You'll know who it is and she'll be able to 173 00:09:07,080 --> 00:09:09,280 Speaker 1: know what's going on. But there's definitely a benefit to 174 00:09:09,320 --> 00:09:14,240 Speaker 1: seeing generally this same pediatation for every world baby check 175 00:09:14,320 --> 00:09:16,959 Speaker 1: up as possible. Yes, and you do want to know 176 00:09:17,400 --> 00:09:20,480 Speaker 1: who's covering you know if that doctor, especially in a solo, 177 00:09:20,480 --> 00:09:24,560 Speaker 1: practices on vacation because us we always have multiple ones 178 00:09:24,600 --> 00:09:27,480 Speaker 1: of us around. You're not allowed to have vacation, right, 179 00:09:28,520 --> 00:09:32,280 Speaker 1: be off, it's not like we're going anywhere, No exactly, 180 00:09:32,320 --> 00:09:36,480 Speaker 1: say cation. Um. So the phone calls when parents have questions, 181 00:09:36,880 --> 00:09:39,959 Speaker 1: should you ask how those are handled? Typically? Are there 182 00:09:39,960 --> 00:09:42,880 Speaker 1: call in times or is it a free for all 183 00:09:43,000 --> 00:09:45,680 Speaker 1: and you wait for a callback. Some doctors do have 184 00:09:45,800 --> 00:09:48,440 Speaker 1: call in ours where people can just call UM. A 185 00:09:48,480 --> 00:09:50,560 Speaker 1: lot of them take a message and the return the 186 00:09:50,640 --> 00:09:53,160 Speaker 1: calls like we return the calls usually between twelve fifteen 187 00:09:53,160 --> 00:09:55,160 Speaker 1: and one fifteen and then after five of it's a 188 00:09:55,200 --> 00:09:58,120 Speaker 1: specific call where they need us. But we do have 189 00:09:58,320 --> 00:10:01,400 Speaker 1: trained nurses who do phone calls and often are the 190 00:10:01,400 --> 00:10:03,599 Speaker 1: first ones on the phone triage because a lot of 191 00:10:03,640 --> 00:10:05,360 Speaker 1: times they can tell you, you know what, you need 192 00:10:05,360 --> 00:10:07,120 Speaker 1: to just come in. I'm going to give you an appointment, 193 00:10:07,679 --> 00:10:10,400 Speaker 1: or that is totally fine, and that is going around, 194 00:10:10,400 --> 00:10:12,400 Speaker 1: and if that fever is still there by tomorrow, we'll 195 00:10:12,440 --> 00:10:14,439 Speaker 1: just call in the morning. We'll get you in. They know. 196 00:10:14,559 --> 00:10:16,520 Speaker 1: I get messages, like yesterday, I got a few. The 197 00:10:16,600 --> 00:10:18,400 Speaker 1: nurse put them right in my box. She said, this 198 00:10:18,480 --> 00:10:20,360 Speaker 1: one you need to call, or this one really would 199 00:10:20,360 --> 00:10:22,560 Speaker 1: prefer to just talk to you, and that's fine, and 200 00:10:22,640 --> 00:10:26,000 Speaker 1: we just call them mat and protocol for emergencies. And 201 00:10:26,320 --> 00:10:28,640 Speaker 1: I think it's kind of like a Murphy's law of 202 00:10:28,920 --> 00:10:32,720 Speaker 1: sick kids. But it's always like Saturday night at three am. 203 00:10:33,360 --> 00:10:36,120 Speaker 1: Did you ask about that as well. Yeah. It's also 204 00:10:36,200 --> 00:10:38,720 Speaker 1: like who's covering and who handles the after hours calls. 205 00:10:39,120 --> 00:10:42,199 Speaker 1: So some people have on call centers that take over 206 00:10:42,480 --> 00:10:44,679 Speaker 1: and then only reach out to the actual doctor if 207 00:10:44,679 --> 00:10:48,679 Speaker 1: it's something that the on call nurse system doesn't handle. Um, 208 00:10:48,880 --> 00:10:51,400 Speaker 1: whether it's through the medical center they're affiliated with or 209 00:10:51,440 --> 00:10:54,200 Speaker 1: a company they hire for us, it's one of the 210 00:10:54,240 --> 00:10:57,600 Speaker 1: five doctors which take turns each night on call and 211 00:10:57,640 --> 00:10:59,600 Speaker 1: so after hours, it's our same phone number and it 212 00:10:59,600 --> 00:11:02,599 Speaker 1: gives two options. If it's the emergency, you press this 213 00:11:02,679 --> 00:11:04,640 Speaker 1: and leave a message and we get paged right away, 214 00:11:05,080 --> 00:11:07,040 Speaker 1: versus I have a question that I need to know tonight, 215 00:11:07,080 --> 00:11:08,760 Speaker 1: but I don't have no right to second. Then we 216 00:11:08,800 --> 00:11:11,080 Speaker 1: call back in about one and after two hours. On 217 00:11:11,120 --> 00:11:13,840 Speaker 1: those I'm sure you have the parents who think everything 218 00:11:13,920 --> 00:11:18,080 Speaker 1: is an emergency. We do. That's okay, we know, and 219 00:11:18,200 --> 00:11:20,640 Speaker 1: you know all those basics are super important, you know, 220 00:11:20,679 --> 00:11:23,280 Speaker 1: and you can ask about how billing has done all that, 221 00:11:23,520 --> 00:11:26,839 Speaker 1: all those logistics, But I think even more important than 222 00:11:26,880 --> 00:11:30,680 Speaker 1: that is making sure that pediatrician is on the same 223 00:11:30,720 --> 00:11:33,760 Speaker 1: page as you when it comes to certain philosophies and 224 00:11:33,880 --> 00:11:48,080 Speaker 1: points of view immunizations. I know that's a non negotiable 225 00:11:48,120 --> 00:11:53,160 Speaker 1: in your office, like every parent needs to accept immunizations 226 00:11:53,240 --> 00:11:55,840 Speaker 1: for their their baby. What would you say to a 227 00:11:56,040 --> 00:12:01,400 Speaker 1: prospective parent who comes in and says, I am really 228 00:12:01,480 --> 00:12:04,920 Speaker 1: nervous about this whole vaccination thing. I heard this or that. 229 00:12:05,640 --> 00:12:08,440 Speaker 1: As you know, it's also become like a huge topic. 230 00:12:08,559 --> 00:12:11,680 Speaker 1: So I do like to give them perspective because what's 231 00:12:11,679 --> 00:12:16,360 Speaker 1: happened now is because these parents are not seeing polio 232 00:12:16,440 --> 00:12:18,960 Speaker 1: every day, and they're not seeing measles, and they're not 233 00:12:19,000 --> 00:12:22,880 Speaker 1: seeing newmaccocklemaningitis and hidmeningitis with children with hearing loss and 234 00:12:22,920 --> 00:12:25,840 Speaker 1: brain damage, and you're not seeing it because of these 235 00:12:25,880 --> 00:12:29,280 Speaker 1: fabulous vaccines. That you need to realize that these diseases 236 00:12:29,360 --> 00:12:33,040 Speaker 1: come back when we stop vaccinating. People travel all over 237 00:12:33,080 --> 00:12:35,120 Speaker 1: the world. There are countries that don't have access to 238 00:12:35,160 --> 00:12:37,640 Speaker 1: the vaccines, and we are lucky that we have them. 239 00:12:37,880 --> 00:12:40,480 Speaker 1: So I do go through my years of experience what 240 00:12:40,720 --> 00:12:44,080 Speaker 1: I have seen, how all of us have kids. We've 241 00:12:44,120 --> 00:12:47,360 Speaker 1: all vaccinated our kids with everything. They're all totally fine 242 00:12:47,360 --> 00:12:49,800 Speaker 1: and healthy, and we just really want them to know 243 00:12:49,880 --> 00:12:54,760 Speaker 1: that it's benefits benefits benefits much outweigh the risk exactly, 244 00:12:54,920 --> 00:12:58,400 Speaker 1: and everyone around your baby should be up to date 245 00:12:58,440 --> 00:13:02,559 Speaker 1: on other refinings. Absolutely true breastfeeding. You're not gonna find 246 00:13:02,720 --> 00:13:07,000 Speaker 1: pediatricians who are not pro breastfeeding. Of course they're pro breastfeeding, 247 00:13:07,080 --> 00:13:10,680 Speaker 1: but should you ask about how much hands on guidance 248 00:13:10,880 --> 00:13:13,800 Speaker 1: you will be able to receive in the office, for instance, 249 00:13:13,880 --> 00:13:18,360 Speaker 1: are their knowledgeable nurses or even a certified lactation consultant 250 00:13:18,480 --> 00:13:22,280 Speaker 1: on staff. Because breastfeeding is the natural process that doesn't 251 00:13:22,280 --> 00:13:25,760 Speaker 1: always come naturally, so it depends how much trouble people 252 00:13:25,800 --> 00:13:28,679 Speaker 1: are having. And I have found that the nurses at 253 00:13:28,679 --> 00:13:31,960 Speaker 1: the huspital I'm affiliated with have just become better and 254 00:13:32,040 --> 00:13:34,960 Speaker 1: better and better, and they have great lactation consultants. So 255 00:13:35,000 --> 00:13:37,400 Speaker 1: we really like to make sure before we actually they 256 00:13:37,440 --> 00:13:39,559 Speaker 1: walk out of the hospital that they really at least 257 00:13:39,720 --> 00:13:42,400 Speaker 1: have seen someone who really can get them to latch, 258 00:13:42,400 --> 00:13:44,200 Speaker 1: and that they feel at least like they can latch 259 00:13:44,200 --> 00:13:47,160 Speaker 1: that baby before they get home. Now, sometimes it goes 260 00:13:47,200 --> 00:13:49,840 Speaker 1: off the rails once you're home, right the hospital, everything 261 00:13:49,880 --> 00:13:51,560 Speaker 1: seems to be fine, and you get home and you 262 00:13:51,559 --> 00:13:54,080 Speaker 1: can't latch her baby, and all bets off when the 263 00:13:54,160 --> 00:13:56,679 Speaker 1: mail comes in right right, yes, exactly, and then you're 264 00:13:56,720 --> 00:13:59,000 Speaker 1: dealing with all of those things. So um, when they 265 00:13:59,000 --> 00:14:00,640 Speaker 1: come in a day or two her and we check 266 00:14:00,679 --> 00:14:03,040 Speaker 1: in and we see how they're going, if they are 267 00:14:03,120 --> 00:14:05,480 Speaker 1: having a lot of problems, I will make a bunch 268 00:14:05,480 --> 00:14:08,480 Speaker 1: of suggestions like let's try this position, let's do this, 269 00:14:08,640 --> 00:14:10,680 Speaker 1: let's try this, maybe pump a few minutes just to 270 00:14:10,720 --> 00:14:12,959 Speaker 1: pull the nipple out and then stop and put the 271 00:14:13,000 --> 00:14:14,640 Speaker 1: baby on, and we give them lots of things they 272 00:14:14,640 --> 00:14:18,440 Speaker 1: can try There are some lactation consultants that we work 273 00:14:18,480 --> 00:14:21,400 Speaker 1: closely with and they always give them their card. Nowadays, 274 00:14:21,400 --> 00:14:24,720 Speaker 1: they do a lot of virtual visits, but there are 275 00:14:25,040 --> 00:14:27,320 Speaker 1: those cases where they might need like up close hands 276 00:14:27,360 --> 00:14:29,120 Speaker 1: on just to get the baby on and then they 277 00:14:29,160 --> 00:14:31,080 Speaker 1: back away and have their masks on and stand back, 278 00:14:31,120 --> 00:14:33,040 Speaker 1: and that's very short and probably low risk, and they're 279 00:14:33,120 --> 00:14:36,080 Speaker 1: very careful. On the flip side, say mom is planning 280 00:14:36,200 --> 00:14:41,160 Speaker 1: to for whatever reason, formula feed, should she mention that 281 00:14:41,400 --> 00:14:44,040 Speaker 1: just to get sort of a gauge of whether she 282 00:14:44,160 --> 00:14:47,960 Speaker 1: might be judged for that decision. Definitely should. I mean, 283 00:14:48,080 --> 00:14:51,560 Speaker 1: hopefully they're not being judged for that. We understand there 284 00:14:51,560 --> 00:14:54,600 Speaker 1: are certain personal decisions. For some people. That's a very 285 00:14:54,640 --> 00:14:57,680 Speaker 1: personal decision. Some can't rest feed because they have medical 286 00:14:57,720 --> 00:15:01,080 Speaker 1: reasons or they're on medications, or they've had surgeries on 287 00:15:01,120 --> 00:15:03,480 Speaker 1: their breast that it's not gonna work, and they know 288 00:15:03,560 --> 00:15:06,800 Speaker 1: that and it's fine, you know, and we definitely help 289 00:15:06,880 --> 00:15:08,920 Speaker 1: them through it. And some women just really don't like 290 00:15:09,000 --> 00:15:11,680 Speaker 1: the idea, or they're going back to work in two weeks, 291 00:15:11,720 --> 00:15:13,880 Speaker 1: so there's a lot of reasons. So no judge. So 292 00:15:13,960 --> 00:15:17,760 Speaker 1: you want to find a pediatrician who is supportive of 293 00:15:18,080 --> 00:15:22,000 Speaker 1: whatever you decide to do ultimately, whether it's breastfeed for sure, 294 00:15:22,080 --> 00:15:25,960 Speaker 1: time a long time now, nutrition and supplements, Right, if 295 00:15:26,000 --> 00:15:28,680 Speaker 1: you have strong feelings about that, is that something you 296 00:15:28,720 --> 00:15:33,440 Speaker 1: should talk to the pediatrician about for sure, because there 297 00:15:33,440 --> 00:15:35,960 Speaker 1: are a lot of them, and you're gonna hear a 298 00:15:35,960 --> 00:15:38,240 Speaker 1: lot of things, and there are only certain ones that 299 00:15:38,360 --> 00:15:41,600 Speaker 1: really we feel are safe to use wild breastfeeding, because 300 00:15:41,600 --> 00:15:43,880 Speaker 1: there's no studies on the impact of any of these 301 00:15:43,920 --> 00:15:46,560 Speaker 1: on newborn babies, So there's a lot we don't know, 302 00:15:46,680 --> 00:15:49,080 Speaker 1: And you certainly don't want to risk anything any kind 303 00:15:49,120 --> 00:15:52,800 Speaker 1: of danger of toxic the allergic reaction, anything like that. 304 00:15:53,000 --> 00:15:55,680 Speaker 1: So you definitely don't want to take something without checking 305 00:15:55,720 --> 00:15:59,680 Speaker 1: with your doctor completely. And I think it's just probably 306 00:15:59,720 --> 00:16:02,400 Speaker 1: good to get all of these issues on the table. 307 00:16:02,520 --> 00:16:07,280 Speaker 1: You don't want a parent to hold back about anything. No, definitely, definitely. Okay, 308 00:16:07,320 --> 00:16:09,600 Speaker 1: So you've covered the nuts and bolts of what is 309 00:16:09,640 --> 00:16:12,160 Speaker 1: important to look for in a pediatrician, But then there 310 00:16:12,160 --> 00:16:16,240 Speaker 1: are some intangibles, right, don't you think for Emma it 311 00:16:16,440 --> 00:16:19,600 Speaker 1: was so important to have a doctor who wasn't an 312 00:16:19,600 --> 00:16:25,280 Speaker 1: alarmist um and so her non alarmists obstetrician referred her 313 00:16:25,360 --> 00:16:30,760 Speaker 1: to you a non alarmists pediatrician who just as importantly 314 00:16:31,800 --> 00:16:37,920 Speaker 1: was able to take her concerns seriously while also offering reassurance. 315 00:16:38,360 --> 00:16:40,560 Speaker 1: For me, it was all about empathy and a sense 316 00:16:40,600 --> 00:16:43,240 Speaker 1: of humor. I feel like a sense of humor takes 317 00:16:43,280 --> 00:16:47,800 Speaker 1: parents far and pediatricians far in the relationship listening. I 318 00:16:47,840 --> 00:16:50,400 Speaker 1: was just gonna say, it's exactly like my my little 319 00:16:50,400 --> 00:16:53,480 Speaker 1: list is like, a sense of humor definitely helps. Listening 320 00:16:53,480 --> 00:16:56,640 Speaker 1: skills are super important, and also being able to give 321 00:16:56,680 --> 00:17:00,680 Speaker 1: the parent perspective too. You know, it's super important to 322 00:17:00,680 --> 00:17:04,360 Speaker 1: go look and even sometimes from my own experience with 323 00:17:04,400 --> 00:17:08,600 Speaker 1: my son's I'll even go, look, Luke broke his arm 324 00:17:08,800 --> 00:17:11,679 Speaker 1: in multiple places and we had to have surgery and 325 00:17:11,680 --> 00:17:14,080 Speaker 1: they had to put a ran or whatever, and we 326 00:17:14,200 --> 00:17:16,280 Speaker 1: got through it. And I've been there and this is 327 00:17:16,320 --> 00:17:17,760 Speaker 1: gonna be fine, and this is what we're gonna do, 328 00:17:17,880 --> 00:17:20,159 Speaker 1: or whatever it was. I'm able to reassure that it's 329 00:17:20,200 --> 00:17:22,960 Speaker 1: it's gonna get better, it's gonna go wait. I promise you. 330 00:17:22,960 --> 00:17:26,480 Speaker 1: You know, so, is that actually something you should put 331 00:17:26,480 --> 00:17:29,679 Speaker 1: on your checklist like that? The pediatrician is also a 332 00:17:29,720 --> 00:17:32,000 Speaker 1: mom or a dad You know, it's interesting because I 333 00:17:32,040 --> 00:17:34,879 Speaker 1: have friends who practice in one runs a clinic in 334 00:17:35,000 --> 00:17:38,760 Speaker 1: York and he doesn't have kids. H he's you know, fabulous, 335 00:17:38,880 --> 00:17:42,200 Speaker 1: you know, brilliant and fabulous, so like you can't. It's 336 00:17:42,200 --> 00:17:44,359 Speaker 1: funny you think that, oh, well they have to have children, 337 00:17:44,400 --> 00:17:48,320 Speaker 1: but not necessarily so interesting. But I think the perspective 338 00:17:48,400 --> 00:17:51,760 Speaker 1: is often really helpful because you've been in the trenches 339 00:17:52,320 --> 00:17:57,239 Speaker 1: and world perspective, like, remember, there's this many millions of 340 00:17:57,320 --> 00:18:00,719 Speaker 1: kids who have done this or been through this or 341 00:18:00,760 --> 00:18:04,840 Speaker 1: whatever and they're fine now. So yeah, what about exam 342 00:18:05,280 --> 00:18:09,040 Speaker 1: table manner? Like that's going to be super hard to judge, 343 00:18:09,359 --> 00:18:12,679 Speaker 1: you know, until your your baby is on the table. 344 00:18:13,400 --> 00:18:16,080 Speaker 1: So what would you look for? You know, it is 345 00:18:16,119 --> 00:18:17,560 Speaker 1: hard to tell. But I think when you do do 346 00:18:17,600 --> 00:18:19,199 Speaker 1: the interview, like you said, if you can get a 347 00:18:19,280 --> 00:18:22,359 Speaker 1: video one that at least it's helpful. I mean, I 348 00:18:22,680 --> 00:18:24,960 Speaker 1: like to talk to the babies. That's how I can 349 00:18:25,000 --> 00:18:28,119 Speaker 1: do my part of my developmental assessment is I just 350 00:18:28,200 --> 00:18:31,479 Speaker 1: let them stare at me and see what happens, you know, 351 00:18:31,560 --> 00:18:33,399 Speaker 1: and and the back and forth with the baby and 352 00:18:33,440 --> 00:18:35,920 Speaker 1: I dangle my step and so I kind of spend 353 00:18:35,960 --> 00:18:37,520 Speaker 1: time with them. So I can see if they're reaching 354 00:18:37,520 --> 00:18:39,840 Speaker 1: and grabbing, if they're trying to roll for things, and 355 00:18:39,840 --> 00:18:42,520 Speaker 1: and just staring at the baby is important to let 356 00:18:42,520 --> 00:18:44,720 Speaker 1: them look at your face. And I watched them, and 357 00:18:44,760 --> 00:18:47,199 Speaker 1: I watched their eye contact and the social skills. So 358 00:18:47,680 --> 00:18:49,560 Speaker 1: and you know what, as you and I know what 359 00:18:49,760 --> 00:18:52,240 Speaker 1: is better for a baby's social and language development than 360 00:18:52,280 --> 00:18:57,760 Speaker 1: people talking to them eye contact, singing, talking, narrating your day. Right, 361 00:18:58,800 --> 00:19:02,160 Speaker 1: So I also believe in mom gut and I feel 362 00:19:02,200 --> 00:19:06,520 Speaker 1: it's important for doctors to respect it. Remember when Emma 363 00:19:07,119 --> 00:19:09,879 Speaker 1: had lenox with the local site was infected and she 364 00:19:10,000 --> 00:19:13,800 Speaker 1: had the mom got something wasn't right, and she persevered 365 00:19:14,000 --> 00:19:17,480 Speaker 1: and sure enough he ended up very rare case, but 366 00:19:17,720 --> 00:19:22,479 Speaker 1: ended up, you know, with a staff infection. So what 367 00:19:22,520 --> 00:19:24,760 Speaker 1: are your feelings on mom cut. Obviously it's not gonna 368 00:19:24,760 --> 00:19:28,679 Speaker 1: be a but right. I think that it's very different 369 00:19:28,680 --> 00:19:32,199 Speaker 1: with first baby Mama and third baby momat too. But 370 00:19:32,480 --> 00:19:34,800 Speaker 1: we know that and that's fine, but we always want 371 00:19:34,800 --> 00:19:36,919 Speaker 1: to address it whatever the concern is. You know, at 372 00:19:37,000 --> 00:19:38,679 Speaker 1: least take it seriously and say, you know what, I 373 00:19:38,800 --> 00:19:42,480 Speaker 1: see why you're saying that, or you feel this way. 374 00:19:42,720 --> 00:19:46,480 Speaker 1: But here's X, Y and Z to explain why this 375 00:19:46,560 --> 00:19:49,439 Speaker 1: is okay, or you know what, you're absolutely right, let's 376 00:19:49,560 --> 00:19:51,920 Speaker 1: do this like you're right, I think the formula isn't 377 00:19:51,920 --> 00:19:54,040 Speaker 1: agreeing with the baby, and let's take the poop for 378 00:19:54,080 --> 00:19:56,600 Speaker 1: blood or you know, so you at least do something 379 00:19:56,640 --> 00:20:01,080 Speaker 1: to address it, and sometimes just to alleviate those worries 380 00:20:01,119 --> 00:20:04,240 Speaker 1: and concerns. And most of the time the baby is fine, 381 00:20:04,680 --> 00:20:07,480 Speaker 1: vast majority of time, but when in doubt, check it out. 382 00:20:07,520 --> 00:20:10,040 Speaker 1: It's just better. Now, it's better. And that actually brings 383 00:20:10,080 --> 00:20:12,600 Speaker 1: me to my final point. The way I see it, 384 00:20:12,720 --> 00:20:16,520 Speaker 1: the relationship with your pediatrician, just like your obie or 385 00:20:16,520 --> 00:20:20,280 Speaker 1: your midwife, should be a partnership. So you as parents 386 00:20:20,560 --> 00:20:23,119 Speaker 1: will contribute what you know best, and that's your baby. 387 00:20:23,119 --> 00:20:25,720 Speaker 1: And first time parents out there all saying, what do 388 00:20:25,720 --> 00:20:27,480 Speaker 1: you mean, I don't know anything about my baby, But 389 00:20:27,720 --> 00:20:31,160 Speaker 1: in fact, you see your baby every day, every night, 390 00:20:31,240 --> 00:20:33,760 Speaker 1: and so you will get to know your baby, and 391 00:20:33,800 --> 00:20:37,000 Speaker 1: you will know your baby best. And then the pediatrician 392 00:20:37,200 --> 00:20:41,160 Speaker 1: contributes to that partnership what he or she knows best, 393 00:20:41,200 --> 00:20:45,200 Speaker 1: and that's all the medical expertise and experience, and then 394 00:20:45,240 --> 00:20:47,680 Speaker 1: you put that together and and it's a beautiful thing. 395 00:20:47,760 --> 00:20:52,680 Speaker 1: But what's your best advice for building a good relationship 396 00:20:52,720 --> 00:20:55,840 Speaker 1: with the pediatrician that you do choose. I think listening 397 00:20:55,840 --> 00:20:58,880 Speaker 1: on both sides is good, you know, I think that's important. 398 00:20:58,920 --> 00:21:01,520 Speaker 1: I think that make ensure that you do ask your 399 00:21:01,600 --> 00:21:05,080 Speaker 1: questions and that they are willing to answer them so 400 00:21:05,119 --> 00:21:08,920 Speaker 1: that you don't feel brushed off or rushed is good. 401 00:21:09,440 --> 00:21:12,359 Speaker 1: And also, you know, on the on the parents side, 402 00:21:12,440 --> 00:21:15,040 Speaker 1: you know, making sure that you know you show up 403 00:21:15,080 --> 00:21:17,880 Speaker 1: on time for your appointments and that you kind of 404 00:21:18,040 --> 00:21:21,239 Speaker 1: follow a lot of the stuff that we suggest that 405 00:21:21,280 --> 00:21:24,880 Speaker 1: will actually help you. And if you disagree, I want 406 00:21:24,880 --> 00:21:27,760 Speaker 1: to know, you know, I'll be if or if you 407 00:21:27,880 --> 00:21:31,000 Speaker 1: tried it and it didn't work, fine, let's talk about 408 00:21:31,000 --> 00:21:34,840 Speaker 1: it and make clean b So communication that's the key 409 00:21:34,920 --> 00:21:40,480 Speaker 1: to any good relationship, including the relationship between parents and pediatrician. 410 00:21:40,560 --> 00:21:42,879 Speaker 1: And you will spend almost as much time with your 411 00:21:42,920 --> 00:21:46,960 Speaker 1: pediatrician as you will with your partner, so you want 412 00:21:46,960 --> 00:21:49,440 Speaker 1: to make this relationship work. So I want to thank 413 00:21:49,480 --> 00:21:52,600 Speaker 1: you Dr Crosby for joining us and walking us through 414 00:21:52,640 --> 00:21:55,320 Speaker 1: how to find the best pediatrician. Thank you, thanks for 415 00:21:55,359 --> 00:22:03,560 Speaker 1: having me say love my baby love. I need you, 416 00:22:03,960 --> 00:22:09,879 Speaker 1: Oh how I need you. Thanks for listening remember, I'm 417 00:22:09,920 --> 00:22:13,000 Speaker 1: always here for you. What to Expect is always here 418 00:22:13,040 --> 00:22:16,439 Speaker 1: for you. We're all in this together. For more on 419 00:22:16,480 --> 00:22:19,680 Speaker 1: what you heard on today's episode, visit what to Expect 420 00:22:19,720 --> 00:22:22,960 Speaker 1: dot com slash podcast. You can also check out What 421 00:22:23,080 --> 00:22:26,120 Speaker 1: to Expect when You're Expecting, What to Expect the First Year, 422 00:22:26,359 --> 00:22:29,760 Speaker 1: and the What to Expect app. And we want to 423 00:22:29,800 --> 00:22:33,480 Speaker 1: hear from you. Connect with us on our community message 424 00:22:33,480 --> 00:22:36,600 Speaker 1: board or on our social media. You can find me 425 00:22:36,920 --> 00:22:40,720 Speaker 1: at Heidie Murkoff and Emma at Emma Being w t 426 00:22:40,920 --> 00:22:45,320 Speaker 1: E and of course at What to Expect. Baby Love 427 00:22:45,440 --> 00:22:48,960 Speaker 1: is performed by Riley Biterer. What to Expect is a 428 00:22:49,000 --> 00:22:52,399 Speaker 1: production of I Heart Radio. From more shows from I 429 00:22:52,520 --> 00:22:56,760 Speaker 1: Heart Radio check out the I Heart Radio app, Apple Podcasts, 430 00:22:57,000 --> 00:23:01,520 Speaker 1: or wherever you listen to your favorite shows. In my 431 00:23:02,000 --> 00:23:10,280 Speaker 1: Arms right, don't You Stay? Knija Kneeda, Baby Love, Baby 432 00:23:10,400 --> 00:23:10,640 Speaker 1: Low