WEBVTT - Finding Your Pediatrician with Dr. Lauren Crosby 0:00:00.240 --> 0:00:08.440 Who baby a baby belof I need you, Oh hell, 0:00:08.760 --> 0:00:13.800 I need you. What to Expect is a production of 0:00:13.920 --> 0:00:18.040 I Heart Radio. I'm your host Heidi Murkop and I'm 0:00:18.079 --> 0:00:20.800 a mom on a mission, a mission to help you 0:00:20.840 --> 0:00:27.240 know what to expect every step of the way. Getting 0:00:27.280 --> 0:00:30.600 ready to welcome your baby bundle, then get ready to 0:00:30.720 --> 0:00:34.080 start shopping not only for that crip, that car seat, 0:00:34.400 --> 0:00:39.000 and all those impossibly tiny and precious outfits, but also 0:00:39.400 --> 0:00:43.360 shopping for a pediatrician. The right pediatriction can see you 0:00:43.400 --> 0:00:46.080 and your little one and later you're not so little 0:00:46.080 --> 0:00:50.559 one through eighteen years or so of checkups and unizations, 0:00:50.640 --> 0:00:54.680 runny noses and fevers, tummy bugs and boo boos of 0:00:54.800 --> 0:01:01.600 all varieties. Help you troubleshoot feeding problems, navigate napstraight, resolve rashes, 0:01:01.720 --> 0:01:06.160 document your baby's amazing growth and development. So today we 0:01:06.280 --> 0:01:09.319 are talking about how to find the baby doctor that's 0:01:09.400 --> 0:01:13.160 right for you and your baby. And joining me today 0:01:13.200 --> 0:01:17.040 is Dr Lauren Crosby, a board certified pediatrician here in 0:01:17.040 --> 0:01:21.240 Los Angeles and my personal go to for all things baby, 0:01:21.319 --> 0:01:25.360 not to mention full disclosure, pediatrician to two of my 0:01:25.440 --> 0:01:30.319 favorite babies, Lenox and Sebastian. Welcome. Dr Crosby. Hi, hi ki, 0:01:30.440 --> 0:01:33.400 thanks for having me. First of all, we have talked 0:01:33.640 --> 0:01:37.600 a lot on what to expect about pregnancy and parenting 0:01:37.680 --> 0:01:40.479 during a pandemic, and there's a lot to talk about. 0:01:40.959 --> 0:01:45.160 But how has the pandemic changed the way that pediatricians practice. 0:01:45.400 --> 0:01:47.760 That's a good question. So in a couple of ways. 0:01:47.880 --> 0:01:51.200 One is the way our office runs is different. You know, 0:01:51.480 --> 0:01:53.520 you're not going to have like tons of little kids 0:01:53.600 --> 0:01:57.000 running around the hallways anymore, and just the stroller parking 0:01:57.080 --> 0:02:00.080 lot that we're trying to have it not crowded. This 0:02:00.240 --> 0:02:02.639 is are doing video visits or i tele medicine visits 0:02:02.680 --> 0:02:05.680 or what they call it telehealth, where certain things can 0:02:05.720 --> 0:02:07.280 be done that way where you don't even have to 0:02:07.360 --> 0:02:09.600 leave your home and we can set up times with 0:02:09.680 --> 0:02:11.799 people where we can look at certain things that way. 0:02:11.840 --> 0:02:14.800 Like I've had very successful office visits for things like 0:02:14.919 --> 0:02:19.520 beastings or allergic reaction type rashes that they thought were 0:02:19.520 --> 0:02:23.320 that or you know, like ezema or rewards, or you know, 0:02:23.360 --> 0:02:27.520 discussing medication changes. The next best thing to be in there, right, Okay, 0:02:27.600 --> 0:02:31.000 let's say you're expecting your first baby and you don't 0:02:31.160 --> 0:02:35.400 have the slightest clue on how to find the pediatrician 0:02:35.560 --> 0:02:39.160 that you know you're going to need. Stat When is 0:02:39.240 --> 0:02:42.720 the best time to start looking for a pediatrician? Really, 0:02:42.840 --> 0:02:46.079 anytime during pregnancy, except for not maybe the last few weeks, 0:02:46.560 --> 0:02:50.000 and even maybe before like thirty five, thirty six weeks, 0:02:50.040 --> 0:02:52.120 like given at least a month or marek because you 0:02:52.120 --> 0:02:53.960 don't know how long it's going to take, or maybe 0:02:54.000 --> 0:02:56.080 you want to interview a bunch of people and you 0:02:56.120 --> 0:02:57.760 want to have plenty of time, and it has to 0:02:57.800 --> 0:02:59.839 match your schedules. Sometimes we play a lot of phone 0:02:59.840 --> 0:03:04.000 to bag. So I think early is always good, definitely, 0:03:04.360 --> 0:03:07.440 essentially because there's always a slim possibility your baby might 0:03:07.480 --> 0:03:10.440 come early surprise you. So you want to be all set. 0:03:10.720 --> 0:03:13.600 How do you start? What are the first things to consider? 0:03:13.639 --> 0:03:16.520 And I would imagine the first first first thing is 0:03:16.639 --> 0:03:20.239 deciding if you're going to use a pediatrician or family physician, 0:03:21.440 --> 0:03:26.160 you know, I think that that decision depends on the 0:03:26.200 --> 0:03:30.480 family physicians experience. You know, pediatricians are specifically trained and 0:03:30.680 --> 0:03:35.160 only trained in the health, development and illnesses in children, 0:03:35.160 --> 0:03:38.200 and that's very specific. So there are lots of things 0:03:38.240 --> 0:03:40.240 that we scream for you know. Now I've done this 0:03:40.280 --> 0:03:42.640 for twenty years. You know I can eyeball stuff and 0:03:42.680 --> 0:03:45.720 be like that's okay, that's not okay, you know, things 0:03:45.760 --> 0:03:48.800 like that. So some family physicians deal a lot more 0:03:48.840 --> 0:03:53.040 with older kids or maybe more adults. So it depends 0:03:53.040 --> 0:03:56.120 on how much of their practice is really real true 0:03:56.160 --> 0:03:59.440 general pediatrics. I think that matters um And then to 0:03:59.560 --> 0:04:02.280 actually find a pediatrician, you do want someone who is 0:04:02.360 --> 0:04:05.240 board certified. It will say after their name, after the 0:04:05.440 --> 0:04:07.080 M D or the d O, it will say f 0:04:07.160 --> 0:04:10.600 A a P. So that's Fellow of American Academy Pediatrics, 0:04:10.680 --> 0:04:12.840 which means they're board certified. Now some people don't put 0:04:12.880 --> 0:04:15.000 those initials after their name, but you can always call 0:04:15.080 --> 0:04:17.320 their office and make sure their board certified or look 0:04:17.400 --> 0:04:20.880 them up even online. Often it's the will be a 0:04:20.920 --> 0:04:23.080 lot of times it makes the initial recommendation or will 0:04:23.080 --> 0:04:26.000 give a list of people. Call these offices, talk to 0:04:26.040 --> 0:04:29.520 these people. Yeah, that's how Emma found you. In fact, 0:04:29.640 --> 0:04:32.760 was her be recommended you? And you can also ask 0:04:32.800 --> 0:04:37.039 friends or coworkers. Definitely very helpful because you may have friends. 0:04:37.040 --> 0:04:39.160 They know you, they know your style, they know that 0:04:39.200 --> 0:04:41.440 you're either a worried about certain things, or you're not 0:04:41.680 --> 0:04:43.080 and they may be able to go this is a 0:04:43.080 --> 0:04:45.600 good fit for you. Yeah, and I wouldn't necessarily go 0:04:45.720 --> 0:04:50.159 by online reviews as much as those no, because sometimes, 0:04:50.200 --> 0:04:52.320 like even like for our yell page, they'll put a 0:04:52.360 --> 0:04:55.200 one star because the person was mad, because our office 0:04:55.200 --> 0:04:57.400 doesn't take people who don't vaccinate. So you given you 0:04:57.400 --> 0:04:59.839 went on yelp and give us a one start, gotcha? Yeah, 0:05:00.000 --> 0:05:02.039 so you know what I mean. It's extremes. It's either 0:05:02.200 --> 0:05:05.880 super happy or like super mad. So clearly some parents 0:05:05.880 --> 0:05:07.880 are going to have more of a choice than others 0:05:08.279 --> 0:05:11.760 because of insurance coverage or because of their location if 0:05:11.760 --> 0:05:13.800 they're in a rural area where there are a few choices. 0:05:13.839 --> 0:05:17.680 But if you have the choice, would you suggest um 0:05:17.720 --> 0:05:22.320 having an interview, consult with a potential candidate, or would 0:05:22.360 --> 0:05:25.600 you even suggest two or three? Yes, I think it's 0:05:25.640 --> 0:05:27.880 good to kind of get a list of people and 0:05:27.920 --> 0:05:30.840 maybe narrow it down. You could narrow it down by 0:05:31.080 --> 0:05:33.240 how many other friends you know that go there and 0:05:33.240 --> 0:05:36.280 I'm happy with them, or how far is the schleft 0:05:36.279 --> 0:05:38.960 to the office, you know, especially in a city like 0:05:39.160 --> 0:05:42.320 l A where it could take you like an hour 0:05:42.520 --> 0:05:45.840 to not even go that far, so traffic, office location 0:05:46.040 --> 0:05:48.560 and hours and all of those things do matter, and 0:05:48.560 --> 0:05:50.680 then it is good to do a visit. We used 0:05:50.720 --> 0:05:53.360 to bring pregnant women into the office and we would 0:05:53.360 --> 0:05:55.680 sit down and meet with them. Now we're not, so 0:05:55.720 --> 0:05:58.280 we're doing it either virtually on a video and visit 0:05:58.760 --> 0:06:01.479 or via phone call too. And I feel like you 0:06:01.560 --> 0:06:04.159 might miss a lot in a phone call if you're 0:06:04.200 --> 0:06:07.240 not you know, making eye contact, at least for me, 0:06:07.279 --> 0:06:10.400 I feel like a video call would be, if possible, 0:06:10.600 --> 0:06:13.920 would be prefercent. That's what we do. Yes, and even 0:06:13.960 --> 0:06:16.760 if you've made your decision without a console, do you 0:06:16.760 --> 0:06:20.599 think it's important to have one call or video visit 0:06:21.000 --> 0:06:24.200 before the delivery so that you're all kind of all 0:06:24.240 --> 0:06:28.480 set about what's going to happen, what you can expect. Typically, 0:06:29.040 --> 0:06:31.440 what I always did when I did those was I 0:06:31.480 --> 0:06:33.960 also would talk about what's what's going to happen at 0:06:33.960 --> 0:06:36.880 the hospital even during that. So I usually say so 0:06:37.000 --> 0:06:39.839 once the baby's out, they call our office right away, 0:06:39.960 --> 0:06:41.719 and then we come see the baby, and we kind 0:06:41.720 --> 0:06:43.440 of give them that, but they should call if they 0:06:43.440 --> 0:06:45.880 still have more questions. For sure, you make it sound 0:06:45.920 --> 0:06:50.359 so easy once the baby's out just you know, just 0:06:50.480 --> 0:06:53.800 like that. Let's let's dig into some of the topics 0:06:53.880 --> 0:06:57.280 you'll want to cover with a potential pediatrisian. I imagine 0:06:57.320 --> 0:06:59.200 some of these you could just go over with the 0:06:59.320 --> 0:07:02.279 office off when you make your call for the appointment. 0:07:02.800 --> 0:07:06.840 Hospital affiliation does that matter? I mean, we like to 0:07:06.880 --> 0:07:09.560 see our newborns right when they come out, like we 0:07:09.640 --> 0:07:12.440 enjoy going in the morning and seeing the new babies. 0:07:12.600 --> 0:07:15.080 But it doesn't always work out. Sometimes their insurance doesn't 0:07:15.120 --> 0:07:18.200 cover the hospital that were so at least if you 0:07:18.200 --> 0:07:21.560 know we'll see them within usually forty eight hours after 0:07:21.600 --> 0:07:24.680 going home, then that's also good because they do have 0:07:24.800 --> 0:07:27.840 people who will cover and sometimes the OBI who delivers 0:07:27.840 --> 0:07:30.280 that the hospital has a pediatrician they work with really well, 0:07:30.320 --> 0:07:32.920 and we'll recommend to see your baby until you come 0:07:32.960 --> 0:07:35.040 to our office. Do you think there are benefits to 0:07:35.160 --> 0:07:39.120 going into there's probably fewer than ever. But solo practice 0:07:39.560 --> 0:07:42.480 as opposed to group practice or a practice that combines 0:07:42.840 --> 0:07:47.000 a nurse practitioner or physicians assistant. Some it depends on style, 0:07:47.040 --> 0:07:50.320 Like I know there's parents, Like we have five doctors 0:07:50.560 --> 0:07:53.360 right now in our practice, UM and so we have 0:07:53.720 --> 0:07:57.520 a busy practice and a busy office. Not prouding anymore 0:07:57.600 --> 0:07:59.600 though at least, but we do really have a good 0:07:59.680 --> 0:08:02.880 number of patients that we see. So for us, if 0:08:02.920 --> 0:08:05.160 you want an appointment at a certain time, like for 0:08:05.200 --> 0:08:07.560 the check up, make it on your way out, because 0:08:07.880 --> 0:08:10.800 an office that is on the busier side, their availability 0:08:10.840 --> 0:08:13.080 maybe a little bit tighter um to get you in 0:08:13.240 --> 0:08:15.920 at a time that you want, whereas a smaller office 0:08:16.000 --> 0:08:18.480 maybe with one or two doctors, depending how busy they are. 0:08:18.720 --> 0:08:20.640 You can find out those kind of things like how 0:08:20.680 --> 0:08:23.480 long is the way time to get an appointment, same 0:08:23.560 --> 0:08:26.680 day appointments, all of those things, and then you know 0:08:26.880 --> 0:08:31.000 if you have qualified nurse practitioner. You know, typically pediatric 0:08:31.080 --> 0:08:34.800 nurse practitioners are quite good, intend to know their limitations, 0:08:35.080 --> 0:08:38.560 and they are also supervised by a physician as well. 0:08:39.400 --> 0:08:41.600 It does depend on what's available in your area. I 0:08:41.640 --> 0:08:43.800 will say. One other thing is that in our practice 0:08:43.880 --> 0:08:46.040 I have found it's nice to have several doctors there 0:08:46.080 --> 0:08:48.000 at one time. There's always like two or three of 0:08:48.080 --> 0:08:51.720 us because also we'll talk to each other, run things 0:08:51.720 --> 0:08:53.440 by each other, or I'll say, look, I'm not going 0:08:53.480 --> 0:08:55.240 to be here tomorrow, but when you come back, I 0:08:55.240 --> 0:08:56.840 want you to see doctor so and so. So I'm 0:08:56.880 --> 0:08:58.640 gonna bring her in so you can meet her. And 0:08:58.679 --> 0:09:01.120 now way tomorrow you come back for us to look 0:09:01.160 --> 0:09:04.240 at the wound or the cut or listen to the lungs. 0:09:04.559 --> 0:09:06.960 You'll know who it is and she'll be able to 0:09:07.080 --> 0:09:09.280 know what's going on. But there's definitely a benefit to 0:09:09.320 --> 0:09:14.240 seeing generally this same pediatation for every world baby check 0:09:14.320 --> 0:09:16.959 up as possible. Yes, and you do want to know 0:09:17.400 --> 0:09:20.480 who's covering you know if that doctor, especially in a solo, 0:09:20.480 --> 0:09:24.560 practices on vacation because us we always have multiple ones 0:09:24.600 --> 0:09:27.480 of us around. You're not allowed to have vacation, right, 0:09:28.520 --> 0:09:32.280 be off, it's not like we're going anywhere, No exactly, 0:09:32.320 --> 0:09:36.480 say cation. Um. So the phone calls when parents have questions, 0:09:36.880 --> 0:09:39.959 should you ask how those are handled? Typically? Are there 0:09:39.960 --> 0:09:42.880 call in times or is it a free for all 0:09:43.000 --> 0:09:45.680 and you wait for a callback. Some doctors do have 0:09:45.800 --> 0:09:48.440 call in ours where people can just call UM. A 0:09:48.480 --> 0:09:50.560 lot of them take a message and the return the 0:09:50.640 --> 0:09:53.160 calls like we return the calls usually between twelve fifteen 0:09:53.160 --> 0:09:55.160 and one fifteen and then after five of it's a 0:09:55.200 --> 0:09:58.120 specific call where they need us. But we do have 0:09:58.320 --> 0:10:01.400 trained nurses who do phone calls and often are the 0:10:01.400 --> 0:10:03.599 first ones on the phone triage because a lot of 0:10:03.640 --> 0:10:05.360 times they can tell you, you know what, you need 0:10:05.360 --> 0:10:07.120 to just come in. I'm going to give you an appointment, 0:10:07.679 --> 0:10:10.400 or that is totally fine, and that is going around, 0:10:10.400 --> 0:10:12.400 and if that fever is still there by tomorrow, we'll 0:10:12.440 --> 0:10:14.439 just call in the morning. We'll get you in. They know. 0:10:14.559 --> 0:10:16.520 I get messages, like yesterday, I got a few. The 0:10:16.600 --> 0:10:18.400 nurse put them right in my box. She said, this 0:10:18.480 --> 0:10:20.360 one you need to call, or this one really would 0:10:20.360 --> 0:10:22.560 prefer to just talk to you, and that's fine, and 0:10:22.640 --> 0:10:26.000 we just call them mat and protocol for emergencies. And 0:10:26.320 --> 0:10:28.640 I think it's kind of like a Murphy's law of 0:10:28.920 --> 0:10:32.720 sick kids. But it's always like Saturday night at three am. 0:10:33.360 --> 0:10:36.120 Did you ask about that as well. Yeah. It's also 0:10:36.200 --> 0:10:38.720 like who's covering and who handles the after hours calls. 0:10:39.120 --> 0:10:42.199 So some people have on call centers that take over 0:10:42.480 --> 0:10:44.679 and then only reach out to the actual doctor if 0:10:44.679 --> 0:10:48.679 it's something that the on call nurse system doesn't handle. Um, 0:10:48.880 --> 0:10:51.400 whether it's through the medical center they're affiliated with or 0:10:51.440 --> 0:10:54.200 a company they hire for us, it's one of the 0:10:54.240 --> 0:10:57.600 five doctors which take turns each night on call and 0:10:57.640 --> 0:10:59.600 so after hours, it's our same phone number and it 0:10:59.600 --> 0:11:02.599 gives two options. If it's the emergency, you press this 0:11:02.679 --> 0:11:04.640 and leave a message and we get paged right away, 0:11:05.080 --> 0:11:07.040 versus I have a question that I need to know tonight, 0:11:07.080 --> 0:11:08.760 but I don't have no right to second. Then we 0:11:08.800 --> 0:11:11.080 call back in about one and after two hours. On 0:11:11.120 --> 0:11:13.840 those I'm sure you have the parents who think everything 0:11:13.920 --> 0:11:18.080 is an emergency. We do. That's okay, we know, and 0:11:18.200 --> 0:11:20.640 you know all those basics are super important, you know, 0:11:20.679 --> 0:11:23.280 and you can ask about how billing has done all that, 0:11:23.520 --> 0:11:26.839 all those logistics, But I think even more important than 0:11:26.880 --> 0:11:30.680 that is making sure that pediatrician is on the same 0:11:30.720 --> 0:11:33.760 page as you when it comes to certain philosophies and 0:11:33.880 --> 0:11:48.080 points of view immunizations. I know that's a non negotiable 0:11:48.120 --> 0:11:53.160 in your office, like every parent needs to accept immunizations 0:11:53.240 --> 0:11:55.840 for their their baby. What would you say to a 0:11:56.040 --> 0:12:01.400 prospective parent who comes in and says, I am really 0:12:01.480 --> 0:12:04.920 nervous about this whole vaccination thing. I heard this or that. 0:12:05.640 --> 0:12:08.440 As you know, it's also become like a huge topic. 0:12:08.559 --> 0:12:11.680 So I do like to give them perspective because what's 0:12:11.679 --> 0:12:16.360 happened now is because these parents are not seeing polio 0:12:16.440 --> 0:12:18.960 every day, and they're not seeing measles, and they're not 0:12:19.000 --> 0:12:22.880 seeing newmaccocklemaningitis and hidmeningitis with children with hearing loss and 0:12:22.920 --> 0:12:25.840 brain damage, and you're not seeing it because of these 0:12:25.880 --> 0:12:29.280 fabulous vaccines. That you need to realize that these diseases 0:12:29.360 --> 0:12:33.040 come back when we stop vaccinating. People travel all over 0:12:33.080 --> 0:12:35.120 the world. There are countries that don't have access to 0:12:35.160 --> 0:12:37.640 the vaccines, and we are lucky that we have them. 0:12:37.880 --> 0:12:40.480 So I do go through my years of experience what 0:12:40.720 --> 0:12:44.080 I have seen, how all of us have kids. We've 0:12:44.120 --> 0:12:47.360 all vaccinated our kids with everything. They're all totally fine 0:12:47.360 --> 0:12:49.800 and healthy, and we just really want them to know 0:12:49.880 --> 0:12:54.760 that it's benefits benefits benefits much outweigh the risk exactly, 0:12:54.920 --> 0:12:58.400 and everyone around your baby should be up to date 0:12:58.440 --> 0:13:02.559 on other refinings. Absolutely true breastfeeding. You're not gonna find 0:13:02.720 --> 0:13:07.000 pediatricians who are not pro breastfeeding. Of course they're pro breastfeeding, 0:13:07.080 --> 0:13:10.680 but should you ask about how much hands on guidance 0:13:10.880 --> 0:13:13.800 you will be able to receive in the office, for instance, 0:13:13.880 --> 0:13:18.360 are their knowledgeable nurses or even a certified lactation consultant 0:13:18.480 --> 0:13:22.280 on staff. Because breastfeeding is the natural process that doesn't 0:13:22.280 --> 0:13:25.760 always come naturally, so it depends how much trouble people 0:13:25.800 --> 0:13:28.679 are having. And I have found that the nurses at 0:13:28.679 --> 0:13:31.960 the huspital I'm affiliated with have just become better and 0:13:32.040 --> 0:13:34.960 better and better, and they have great lactation consultants. So 0:13:35.000 --> 0:13:37.400 we really like to make sure before we actually they 0:13:37.440 --> 0:13:39.559 walk out of the hospital that they really at least 0:13:39.720 --> 0:13:42.400 have seen someone who really can get them to latch, 0:13:42.400 --> 0:13:44.200 and that they feel at least like they can latch 0:13:44.200 --> 0:13:47.160 that baby before they get home. Now, sometimes it goes 0:13:47.200 --> 0:13:49.840 off the rails once you're home, right the hospital, everything 0:13:49.880 --> 0:13:51.560 seems to be fine, and you get home and you 0:13:51.559 --> 0:13:54.080 can't latch her baby, and all bets off when the 0:13:54.160 --> 0:13:56.679 mail comes in right right, yes, exactly, and then you're 0:13:56.720 --> 0:13:59.000 dealing with all of those things. So um, when they 0:13:59.000 --> 0:14:00.640 come in a day or two her and we check 0:14:00.679 --> 0:14:03.040 in and we see how they're going, if they are 0:14:03.120 --> 0:14:05.480 having a lot of problems, I will make a bunch 0:14:05.480 --> 0:14:08.480 of suggestions like let's try this position, let's do this, 0:14:08.640 --> 0:14:10.680 let's try this, maybe pump a few minutes just to 0:14:10.720 --> 0:14:12.959 pull the nipple out and then stop and put the 0:14:13.000 --> 0:14:14.640 baby on, and we give them lots of things they 0:14:14.640 --> 0:14:18.440 can try There are some lactation consultants that we work 0:14:18.480 --> 0:14:21.400 closely with and they always give them their card. Nowadays, 0:14:21.400 --> 0:14:24.720 they do a lot of virtual visits, but there are 0:14:25.040 --> 0:14:27.320 those cases where they might need like up close hands 0:14:27.360 --> 0:14:29.120 on just to get the baby on and then they 0:14:29.160 --> 0:14:31.080 back away and have their masks on and stand back, 0:14:31.120 --> 0:14:33.040 and that's very short and probably low risk, and they're 0:14:33.120 --> 0:14:36.080 very careful. On the flip side, say mom is planning 0:14:36.200 --> 0:14:41.160 to for whatever reason, formula feed, should she mention that 0:14:41.400 --> 0:14:44.040 just to get sort of a gauge of whether she 0:14:44.160 --> 0:14:47.960 might be judged for that decision. Definitely should. I mean, 0:14:48.080 --> 0:14:51.560 hopefully they're not being judged for that. We understand there 0:14:51.560 --> 0:14:54.600 are certain personal decisions. For some people. That's a very 0:14:54.640 --> 0:14:57.680 personal decision. Some can't rest feed because they have medical 0:14:57.720 --> 0:15:01.080 reasons or they're on medications, or they've had surgeries on 0:15:01.120 --> 0:15:03.480 their breast that it's not gonna work, and they know 0:15:03.560 --> 0:15:06.800 that and it's fine, you know, and we definitely help 0:15:06.880 --> 0:15:08.920 them through it. And some women just really don't like 0:15:09.000 --> 0:15:11.680 the idea, or they're going back to work in two weeks, 0:15:11.720 --> 0:15:13.880 so there's a lot of reasons. So no judge. So 0:15:13.960 --> 0:15:17.760 you want to find a pediatrician who is supportive of 0:15:18.080 --> 0:15:22.000 whatever you decide to do ultimately, whether it's breastfeed for sure, 0:15:22.080 --> 0:15:25.960 time a long time now, nutrition and supplements, Right, if 0:15:26.000 --> 0:15:28.680 you have strong feelings about that, is that something you 0:15:28.720 --> 0:15:33.440 should talk to the pediatrician about for sure, because there 0:15:33.440 --> 0:15:35.960 are a lot of them, and you're gonna hear a 0:15:35.960 --> 0:15:38.240 lot of things, and there are only certain ones that 0:15:38.360 --> 0:15:41.600 really we feel are safe to use wild breastfeeding, because 0:15:41.600 --> 0:15:43.880 there's no studies on the impact of any of these 0:15:43.920 --> 0:15:46.560 on newborn babies, So there's a lot we don't know, 0:15:46.680 --> 0:15:49.080 And you certainly don't want to risk anything any kind 0:15:49.120 --> 0:15:52.800 of danger of toxic the allergic reaction, anything like that. 0:15:53.000 --> 0:15:55.680 So you definitely don't want to take something without checking 0:15:55.720 --> 0:15:59.680 with your doctor completely. And I think it's just probably 0:15:59.720 --> 0:16:02.400 good to get all of these issues on the table. 0:16:02.520 --> 0:16:07.280 You don't want a parent to hold back about anything. No, definitely, definitely. Okay, 0:16:07.320 --> 0:16:09.600 So you've covered the nuts and bolts of what is 0:16:09.640 --> 0:16:12.160 important to look for in a pediatrician, But then there 0:16:12.160 --> 0:16:16.240 are some intangibles, right, don't you think for Emma it 0:16:16.440 --> 0:16:19.600 was so important to have a doctor who wasn't an 0:16:19.600 --> 0:16:25.280 alarmist um and so her non alarmists obstetrician referred her 0:16:25.360 --> 0:16:30.760 to you a non alarmists pediatrician who just as importantly 0:16:31.800 --> 0:16:37.920 was able to take her concerns seriously while also offering reassurance. 0:16:38.360 --> 0:16:40.560 For me, it was all about empathy and a sense 0:16:40.600 --> 0:16:43.240 of humor. I feel like a sense of humor takes 0:16:43.280 --> 0:16:47.800 parents far and pediatricians far in the relationship listening. I 0:16:47.840 --> 0:16:50.400 was just gonna say, it's exactly like my my little 0:16:50.400 --> 0:16:53.480 list is like, a sense of humor definitely helps. Listening 0:16:53.480 --> 0:16:56.640 skills are super important, and also being able to give 0:16:56.680 --> 0:17:00.680 the parent perspective too. You know, it's super important to 0:17:00.680 --> 0:17:04.360 go look and even sometimes from my own experience with 0:17:04.400 --> 0:17:08.600 my son's I'll even go, look, Luke broke his arm 0:17:08.800 --> 0:17:11.679 in multiple places and we had to have surgery and 0:17:11.680 --> 0:17:14.080 they had to put a ran or whatever, and we 0:17:14.200 --> 0:17:16.280 got through it. And I've been there and this is 0:17:16.320 --> 0:17:17.760 gonna be fine, and this is what we're gonna do, 0:17:17.880 --> 0:17:20.159 or whatever it was. I'm able to reassure that it's 0:17:20.200 --> 0:17:22.960 it's gonna get better, it's gonna go wait. I promise you. 0:17:22.960 --> 0:17:26.480 You know, so, is that actually something you should put 0:17:26.480 --> 0:17:29.679 on your checklist like that? The pediatrician is also a 0:17:29.720 --> 0:17:32.000 mom or a dad You know, it's interesting because I 0:17:32.040 --> 0:17:34.879 have friends who practice in one runs a clinic in 0:17:35.000 --> 0:17:38.760 York and he doesn't have kids. H he's you know, fabulous, 0:17:38.880 --> 0:17:42.200 you know, brilliant and fabulous, so like you can't. It's 0:17:42.200 --> 0:17:44.359 funny you think that, oh, well they have to have children, 0:17:44.400 --> 0:17:48.320 but not necessarily so interesting. But I think the perspective 0:17:48.400 --> 0:17:51.760 is often really helpful because you've been in the trenches 0:17:52.320 --> 0:17:57.239 and world perspective, like, remember, there's this many millions of 0:17:57.320 --> 0:18:00.719 kids who have done this or been through this or 0:18:00.760 --> 0:18:04.840 whatever and they're fine now. So yeah, what about exam 0:18:05.280 --> 0:18:09.040 table manner? Like that's going to be super hard to judge, 0:18:09.359 --> 0:18:12.679 you know, until your your baby is on the table. 0:18:13.400 --> 0:18:16.080 So what would you look for? You know, it is 0:18:16.119 --> 0:18:17.560 hard to tell. But I think when you do do 0:18:17.600 --> 0:18:19.199 the interview, like you said, if you can get a 0:18:19.280 --> 0:18:22.359 video one that at least it's helpful. I mean, I 0:18:22.680 --> 0:18:24.960 like to talk to the babies. That's how I can 0:18:25.000 --> 0:18:28.119 do my part of my developmental assessment is I just 0:18:28.200 --> 0:18:31.479 let them stare at me and see what happens, you know, 0:18:31.560 --> 0:18:33.399 and and the back and forth with the baby and 0:18:33.440 --> 0:18:35.920 I dangle my step and so I kind of spend 0:18:35.960 --> 0:18:37.520 time with them. So I can see if they're reaching 0:18:37.520 --> 0:18:39.840 and grabbing, if they're trying to roll for things, and 0:18:39.840 --> 0:18:42.520 and just staring at the baby is important to let 0:18:42.520 --> 0:18:44.720 them look at your face. And I watched them, and 0:18:44.760 --> 0:18:47.199 I watched their eye contact and the social skills. So 0:18:47.680 --> 0:18:49.560 and you know what, as you and I know what 0:18:49.760 --> 0:18:52.240 is better for a baby's social and language development than 0:18:52.280 --> 0:18:57.760 people talking to them eye contact, singing, talking, narrating your day. Right, 0:18:58.800 --> 0:19:02.160 So I also believe in mom gut and I feel 0:19:02.200 --> 0:19:06.520 it's important for doctors to respect it. Remember when Emma 0:19:07.119 --> 0:19:09.879 had lenox with the local site was infected and she 0:19:10.000 --> 0:19:13.800 had the mom got something wasn't right, and she persevered 0:19:14.000 --> 0:19:17.480 and sure enough he ended up very rare case, but 0:19:17.720 --> 0:19:22.479 ended up, you know, with a staff infection. So what 0:19:22.520 --> 0:19:24.760 are your feelings on mom cut. Obviously it's not gonna 0:19:24.760 --> 0:19:28.679 be a but right. I think that it's very different 0:19:28.680 --> 0:19:32.199 with first baby Mama and third baby momat too. But 0:19:32.480 --> 0:19:34.800 we know that and that's fine, but we always want 0:19:34.800 --> 0:19:36.919 to address it whatever the concern is. You know, at 0:19:37.000 --> 0:19:38.679 least take it seriously and say, you know what, I 0:19:38.800 --> 0:19:42.480 see why you're saying that, or you feel this way. 0:19:42.720 --> 0:19:46.480 But here's X, Y and Z to explain why this 0:19:46.560 --> 0:19:49.439 is okay, or you know what, you're absolutely right, let's 0:19:49.560 --> 0:19:51.920 do this like you're right, I think the formula isn't 0:19:51.920 --> 0:19:54.040 agreeing with the baby, and let's take the poop for 0:19:54.080 --> 0:19:56.600 blood or you know, so you at least do something 0:19:56.640 --> 0:20:01.080 to address it, and sometimes just to alleviate those worries 0:20:01.119 --> 0:20:04.240 and concerns. And most of the time the baby is fine, 0:20:04.680 --> 0:20:07.480 vast majority of time, but when in doubt, check it out. 0:20:07.520 --> 0:20:10.040 It's just better. Now, it's better. And that actually brings 0:20:10.080 --> 0:20:12.600 me to my final point. The way I see it, 0:20:12.720 --> 0:20:16.520 the relationship with your pediatrician, just like your obie or 0:20:16.520 --> 0:20:20.280 your midwife, should be a partnership. So you as parents 0:20:20.560 --> 0:20:23.119 will contribute what you know best, and that's your baby. 0:20:23.119 --> 0:20:25.720 And first time parents out there all saying, what do 0:20:25.720 --> 0:20:27.480 you mean, I don't know anything about my baby, But 0:20:27.720 --> 0:20:31.160 in fact, you see your baby every day, every night, 0:20:31.240 --> 0:20:33.760 and so you will get to know your baby, and 0:20:33.800 --> 0:20:37.000 you will know your baby best. And then the pediatrician 0:20:37.200 --> 0:20:41.160 contributes to that partnership what he or she knows best, 0:20:41.200 --> 0:20:45.200 and that's all the medical expertise and experience, and then 0:20:45.240 --> 0:20:47.680 you put that together and and it's a beautiful thing. 0:20:47.760 --> 0:20:52.680 But what's your best advice for building a good relationship 0:20:52.720 --> 0:20:55.840 with the pediatrician that you do choose. I think listening 0:20:55.840 --> 0:20:58.880 on both sides is good, you know, I think that's important. 0:20:58.920 --> 0:21:01.520 I think that make ensure that you do ask your 0:21:01.600 --> 0:21:05.080 questions and that they are willing to answer them so 0:21:05.119 --> 0:21:08.920 that you don't feel brushed off or rushed is good. 0:21:09.440 --> 0:21:12.359