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Speaker 1: Welcome to Katie's Crib, a production of My Heart Radio

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Speaker 1: and Shondaland Audio. Hi, guys, thank you so much for

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Speaker 1: listening to Katie's Crib. I have a big episode for

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Speaker 1: you guys today. We are in the middle of a

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Speaker 1: global pandemic. Actually I just said middle, and I don't

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Speaker 1: even know if we're in the middle. We don't know

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Speaker 1: if we're in the middle close to the end, at

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Speaker 1: the beginning, we don't know. A lot of things are

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Speaker 1: out of our control. We are here, we are quarantining,

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Speaker 1: we are facing COVID nineteen. And since the start of

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Speaker 1: the shutdown, I have been getting so many texts and

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Speaker 1: emails from friends and friends of friends about how to

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Speaker 1: mom during this time, how to keep our kids safe.

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Speaker 1: And I was like, you, guys, Katie's Crib, we got

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Speaker 1: to get you some answers. So I'm really excited about

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Speaker 1: today's episode and bringing you guys some up to date information.

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Speaker 1: And I have to say that, as you know, information

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Speaker 1: is changing daily on this disease, so what we have

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Speaker 1: right now is up to date, but also could be changing.

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Speaker 1: I have two awesome doctors on today's episode. The first

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Speaker 1: is Dr Rushmi Raw. She is absolutely wonderful, and she

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Speaker 1: came on to discuss pregnancy and COVID. She is the

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Speaker 1: high risk doctor in the Department of Obstetrics and Gynecology

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Speaker 1: at U c l A Health. I also have on

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Speaker 1: my New York City pediatrician, Dr Danielle Taylor to come

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Speaker 1: on and talk to us about COVID and our tiny humans. So,

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Speaker 1: without further ado, let's welcome Dr Rushmi Raw. Let's get

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Speaker 1: right into it and get some of these I have

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Speaker 1: a great list of text and emails from personal friends, family,

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Speaker 1: and from a ton of our awesome Katie's crib listeners.

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Speaker 1: So pandemic or not, people are trying to conceive during

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Speaker 1: this time, like that is happening? Um, we have one

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Speaker 1: listener at Danielle and Collins writes, if I'm wanting to

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Speaker 1: have another child, should I wait for some sort of

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Speaker 1: resolution to the pandemic or vaccine? Seems like an awful

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Speaker 1: time to bring another child into the world, but we

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Speaker 1: want to expand our family. Have you been having clients

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Speaker 1: asked this question? What's your consensus on this? So, yeah, Katie,

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Speaker 1: thank you so much for having me. I really appreciate it. Um.

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Speaker 1: So these are really great questions. UM and absolutely right.

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Speaker 1: This is a question I get asked almost daily. You know,

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Speaker 1: what I tell patients is, from a medical standpoint, I'm

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Speaker 1: not advising against pregnancy. I'm not telling them to hold

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Speaker 1: off on pregnancy. UM. At this time, there really isn't

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Speaker 1: much data to support and increased risk to a woman

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Speaker 1: or her future child, so much so that getting pregnant

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Speaker 1: is considered a contradication. UM. From a personal standpoint, I

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Speaker 1: think that there's a lot of things to consider. There's

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Speaker 1: financial stressors right now, there's a lot of community stressors

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Speaker 1: right now, and I think that those are definitely important

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Speaker 1: things to consider. But I think those are personal and

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Speaker 1: not so much from a medical standpoint. Yeah, that's great

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Speaker 1: to know. We have another listener by the name of

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Speaker 1: Rebecca who wrote in that she was really wanting to

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Speaker 1: have a baby, but because things saying it's a personal choice,

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Speaker 1: Like if you can look at your pregnancy as maybe

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Speaker 1: not being able to have the village you imagined having,

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Speaker 1: it takes a village, right, Like maybe your parents can't

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Speaker 1: fly in, maybe you you can't go to the baby

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Speaker 1: classes you wanted to go to, Maybe you can't take

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Speaker 1: a tour of the hospital in advance. To put your

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Speaker 1: anxiety at ease. So it's really it's a personal question

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Speaker 1: of how you deal with anxiety, finances all of these things. Right. Absolutely,

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Speaker 1: you bring up a really good point there, and we

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Speaker 1: are actually seeing a lot of an increased in terms

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Speaker 1: of anxiety and even PTSD type symptoms. UM, anxiety is

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Speaker 1: worse than by isolation. And essentially we're asking a lot

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Speaker 1: of our women to be isolated. We're asking a lot

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Speaker 1: of people to be isolated. It absolutely takes a village

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Speaker 1: from both a professional and personal standpoint, I agree with that.

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Speaker 1: And we are in a time right now where it's

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Speaker 1: hard to have a village when we're asking everyone to

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Speaker 1: stay kind of quarantine. So these are these are really

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Speaker 1: important things to consider and think about how you would

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Speaker 1: handle that if you were to get pregnant in the future. UM.

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Speaker 1: And so I think that these are really reasonable things

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Speaker 1: to consider, and those are the things that I would

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Speaker 1: tell my patients. Just think about before you make the decision. Great,

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Speaker 1: can COVID nineteen be sexually transmitted? So, as of right now,

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Speaker 1: COVID nineteen is not considered to be a sexually transmitted virus.

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Speaker 1: COVID nineteen is a respiratory virus UM. It's mainly transmitted

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Speaker 1: by respiratory droplets and secretions. UM. So as of right now,

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Speaker 1: that is not something that we have any medical data for. UM.

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Speaker 1: This is huge. I have a lot of friends asking this,

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Speaker 1: does COVID nineteen effect male fertility? Do we know? Very

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Speaker 1: good question. We don't. Short answers, we don't know. There

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Speaker 1: has been COVID nineteen found in sperm in some case reports. UM.

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Speaker 1: But what that means mackerel landing. So what that means

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Speaker 1: in terms of whether that causes issues with future pregnancies

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Speaker 1: or um. Again, we have no data that that can

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Speaker 1: be transmitted UM. If you guys remember Zeca from back

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Speaker 1: in the day that was also found to be instpirmed,

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Speaker 1: but that really didn't mean a whole lot of issues

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Speaker 1: in terms of transmission or in terms of men giving

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Speaker 1: it to women. But we did at that point advise

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Speaker 1: against um, you know, men and women having sex at

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Speaker 1: that time, but that was a very different virus for

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Speaker 1: equividing team where we just don't have any data right now.

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Speaker 1: Can it affect female fertility? Again, no data? UM. You know,

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Speaker 1: if we think about and this is I should have

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Speaker 1: actually just opened up with this, which is that this

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Speaker 1: is such a new virus. We're really five to six

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Speaker 1: months into this UM and no, nobody can really be

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Speaker 1: an expert at this point because data takes lots of

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Speaker 1: time and takes lots of reports and numbers in order

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Speaker 1: for us to make conclusions that really I would feel

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Speaker 1: comfortable saying, yes, this is absolutely what we know and

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Speaker 1: what we don't know UM. And with COVID nineteen being

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Speaker 1: on the United in the United States for five to

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Speaker 1: six months, we don't have data on women who or

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Speaker 1: men who have been trying to get pregnant for a

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Speaker 1: prolonged period of time and starting to see issues with

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Speaker 1: fertility UM and so based off of just the time

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Speaker 1: the limited time period, I would say we just don't

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Speaker 1: know yet. M hm okay, I have Nikki rights, Hi.

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Speaker 1: I love your show, Thanks Nikki, and have listened to

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Speaker 1: it way before I knew I was trying for a baby.

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Speaker 1: I am currently thirteen weeks pregnant and I am a

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Speaker 1: teacher in NYC school district. Is it high risk for

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Speaker 1: pregnant women to work in schools even with social distance protocols?

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Speaker 1: Should the schools allow teachers to work from home? I

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Speaker 1: heard they are hearing now that pregnant women are considered

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Speaker 1: higher risk. Is this true? Why or why not? Yeah, Nikki,

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Speaker 1: you've got a lot of questions. I hear you, girl,

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Speaker 1: We all do. So. Yeah, there's a lot to unpack

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Speaker 1: in that in that question. And um, so let me

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Speaker 1: try and break that down. So are pregnant women considered

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Speaker 1: higher risk? So, in general, pregnant women are considered to

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Speaker 1: be an immunocompromised population, meaning that they tend to get

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Speaker 1: UM infections at a higher rate than people who have

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Speaker 1: a competent immune system. So prior stars and Mirrors and

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Speaker 1: even the influence of IRUs definitely affected pregnant women UM

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Speaker 1: at more severe rates. What we are seeing right now

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Speaker 1: is that that's not necessarily true with CoV two, which

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Speaker 1: is COVID nineteen. However, the CDC did just put out

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Speaker 1: a publication back in the end of June, so just recently.

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Speaker 1: UM their data show that pregnant women did have an

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Speaker 1: increased risk of hospitalization and an increased risk of ic

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Speaker 1: YOU admission and an increased risk of mechanical ventilation, but

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Speaker 1: not an increased risk of death. With that being said,

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Speaker 1: there is a caveat that the CDC data that we

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Speaker 1: did get had a very low percent of the people

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Speaker 1: who responded or they were notified, um who we had

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Speaker 1: a answer on whether or not they were pregnant. We

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Speaker 1: don't know if our denominator was accurate. So with that

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Speaker 1: being that, I think it's hard to make conclusions based

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Speaker 1: off of that particular study, and they mentioned that in

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Speaker 1: their report as well. So I think that what we

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Speaker 1: know for sure is that pregnant women can get sick,

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Speaker 1: whether they are going to be at increased risk for

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Speaker 1: having severe disease or have an increased risk of fatality

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Speaker 1: or death. I think that still remains to be seen,

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Speaker 1: and we're not necessarily seeing even from my practice, and

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Speaker 1: you know from what we're seeing out there, that that's

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Speaker 1: happening in large numbers. So yes, I what I tell

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Speaker 1: my God, thank God for that exactly. So what I'm

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Speaker 1: telling my patients is, you know, pregnant women can get sick.

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Speaker 1: I don't want you to get sick. So if you know,

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Speaker 1: we can be at work. I mean everyone needs to work,

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Speaker 1: Everyone needs to be functional and try and be in

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Speaker 1: the society and make this whole you know, stressful time

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Speaker 1: work for us. But with that being said, it has

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Speaker 1: to be within reason and it has to be safe.

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Speaker 1: So you have to have the protective here, you have

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Speaker 1: to be socially distanced, you have to have availability to

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Speaker 1: wash your hands and stay safe. If we feel like

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Speaker 1: that's not the case, then I would say the option

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Speaker 1: to work from home should be allowed for pregnant women. Awesome,

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Speaker 1: that's great. Um, oh, this is huge. I've been reading

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Speaker 1: a lot about this. Next question, communities of color are

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Speaker 1: being hit disproportionately hard by COVID in examining the cases

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Speaker 1: of pregnant women. What is the data showing thus far

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Speaker 1: and can like what can public health officials do to

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Speaker 1: combat this? This upsets me more than any I'm like,

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Speaker 1: beside myself, this is such an important question. So I

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Speaker 1: completely agree that the data so far does support that

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Speaker 1: women of color, specifically Hispanic and Black women are being

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Speaker 1: disproportionately affected by COVID. Nineteen prior to COVID, we actually

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Speaker 1: we're seeing that, and I'm sure that's something that's on it,

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Speaker 1: you know, everyone's radar as well. But maternal mortality was

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Speaker 1: a lot higher in the black population and women of

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Speaker 1: color as well, So this isn't something that's new to us.

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Speaker 1: And now that we've got COVID, we're seeing the same

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Speaker 1: thing that women of color, Hispanic and Black women are

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Speaker 1: just proportionately affected. We do have data for this. Similarly,

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Speaker 1: in that CDC report that I mentioned, what it showed

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Speaker 1: was that out of all the women who had COVID,

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Speaker 1: nineteen percent were Hispanic women, were Black women, were white women.

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Speaker 1: But when you contrast that with the rates of births

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Speaker 1: into Gusen nineteen Hispanic women only made Black women only

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Speaker 1: made fifteen percent. So they're disproportionately being affected. So that

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Speaker 1: data is real. Are we are seeing that and even

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Speaker 1: from my own personal experience, we are seeing that Hispanic

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Speaker 1: women I practice in California. Hispanic women are disproportionately affected here.

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Speaker 1: So this is an incredibly important topic and something that

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Speaker 1: I want to stress that we all from a medical standpoint,

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Speaker 1: need to be paying attention to. Um What can we

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Speaker 1: do about this? I think medical and public health communities

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Speaker 1: first need to examine their own employe that bias and

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Speaker 1: work on re examining how you can resolve this, because

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Speaker 1: if you don't recognize what's happening, it's going to be

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Speaker 1: impossible to fix it. So that's number one. I think

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Speaker 1: number two you have to be transparent with data. You

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Speaker 1: have to examine your own data. You have to see

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Speaker 1: what's really happening and be able to tackle what where

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Speaker 1: the need is UM. And then you know what you

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Speaker 1: do once you have the data is you have to

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Speaker 1: commit to future research and treatment addressing and eliminating that disparity. UM.

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Speaker 1: To give you an example, you know, it's it's things

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Speaker 1: like Priority, which I'm going to talk about, which is

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Speaker 1: an organization that is looking at research and pregnancy and COVID.

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Speaker 1: They may announce that they're working on a reproductive Health

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Speaker 1: Equity and Birth Justice core looking at exactly this is unbelievable.

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Speaker 1: I want to do I mean, this is a side

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Speaker 1: note and you I want to do a whole episode

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Speaker 1: about this. I just think this is insane and I

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Speaker 1: want to hear more in depth about the work Priority

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Speaker 1: is doing. Absolutely, it's so important. It is so time.

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Speaker 1: Yeah no, no, I totally agree with you. And so essentially,

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Speaker 1: you know, we're looking at trying to increase our recruitment efforts,

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Speaker 1: particularly in the Black, Indigenous and people of color. UM.

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Speaker 1: If you don't have these people involved in your research, UM,

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Speaker 1: and you have to actually reach out to these communities

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Speaker 1: to have them be the ones who tell us what

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Speaker 1: is important. We can't just be doing research what we

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Speaker 1: think is important. We have to reach out to all

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Speaker 1: of these communities and have them involved and then make

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Speaker 1: special efforts to try and address these situations. So I'm

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Speaker 1: so glad you brought it up. It is so incredibly important. Wow.

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Speaker 1: Um okay. At Nikki Friedlin writes what could happen to

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Speaker 1: a pregnant mom if she gets COVID? Have any newborns

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Speaker 1: had COVID and what are the symptoms? Okay, I know

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Speaker 1: a little bit about this answer, but I probably don't

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Speaker 1: know the up to date stuff you know. Okay, So, yes,

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Speaker 1: pregnant women can get COVID, and there have been case

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Speaker 1: reports of newborns who have COVID as well. Um, it

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Speaker 1: is it follows very similar to the general population in

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Speaker 1: that of pregnant women who will get COVID will have

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Speaker 1: mild or asymptomatic symptoms or disease. Um may have severe

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Speaker 1: issues with COVID, and five percent may be critical. Um,

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Speaker 1: and that's about the percentages And that's not exactly that's

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Speaker 1: about the percentages we're seeing in pregnancy as well. So,

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Speaker 1: like I mentioned, pregnant women can get COVID. So I

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Speaker 1: tell all of my patients to to follow all of

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Speaker 1: the CDC recommendations and stay home and stay safe. Newborns

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Speaker 1: can get COVID. We have seen that happen, whether it's

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Speaker 1: happening because it's being vertically transmitted, meaning going from mom

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Speaker 1: to baby, or if it's happening after the baby is

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Speaker 1: born in the immediate exposures that they get once the

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Speaker 1: baby is born. That piece of it is not completely

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Speaker 1: ironed out yet, although we are getting data as you mentioned,

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Speaker 1: day by day. Um. So you know, most of the newborns,

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Speaker 1: most of children who get it have very very mild symptoms. Um.

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Speaker 1: But in a in a newborn it would be and

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Speaker 1: I'm not the experts, I would defer to the pediatricians

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Speaker 1: on this one, but on in newborns it's usually fever

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Speaker 1: um sometimes as it can be what was actually reported

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Speaker 1: out in the France study with some neurologic symptoms. Yes,

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Speaker 1: there was a study that came out in France that

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Speaker 1: it was transferred through the placenta from a COVID positive

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Speaker 1: mom too. I don't know how many, but a baby

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Speaker 1: or some babies, but a few, okay, one great one

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Speaker 1: baby dies I have a doctor on this show. She

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Speaker 1: knows UM and the baby, I guess for like two weeks.

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Speaker 1: I'm putting this in Katie speak, you guys, but the

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Speaker 1: baby for two weeks had some respiratory issue and some

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Speaker 1: inflammatory brain stuff, which is horrifying and terrifying. But after

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Speaker 1: two weeks, the baby they seem to be okay correct

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Speaker 1: so far, but like, we don't know if there's long

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Speaker 1: term effects, but at the moment, the baby seems to

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Speaker 1: have made it full circle, not going would thank God

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Speaker 1: didn't die or something, you know like that. This one.

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Speaker 1: I get asked a lot for people who are trying

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Speaker 1: to conceive or are very early has COVID proven We

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Speaker 1: probably don't know you, But has has COVID caused miscarriage?

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Speaker 1: That is also a question that I get on the daily. Um,

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Speaker 1: I think, but we're seeing right now the data that's

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Speaker 1: that's currently being quoted. Again, this is just preliminary stuff

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Speaker 1: and things are evolving every single day. But what we're

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Speaker 1: seeing right now is miscarriage rate is on the order

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Speaker 1: of about two so not incredibly high growth restriction, which

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Speaker 1: is you know, when you get COVID or any infection,

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Speaker 1: you often have issues with babies growing well. That rate

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Speaker 1: is about ten percent, which is on the order of

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Speaker 1: what we've seen in a general population, but the preterm

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Speaker 1: birth rate is higher. Um And again this is data

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Speaker 1: we have from women who are super sick with COVID,

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Speaker 1: people who end up in the I c U. But

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Speaker 1: we are seeing a ventilators on eventilator exactly. But we

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Speaker 1: are seeing that the pre term birth rates can be

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Speaker 1: on the order oh god, okay, so if okay, So

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Speaker 1: what we're seeing is if you have a really bad

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Speaker 1: case of COVID, we're delivering babies really early, really early,

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Speaker 1: really to actually means less than thirty seven weeks. That's

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Speaker 1: considered preturn. But yes, in my experience and what I've

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Speaker 1: seen so far in the literature, it is that if

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Speaker 1: a woman ends up being super sick to the point

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Speaker 1: where she is in the I see you and on eventilator,

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Speaker 1: we do seem to be delivering those women sooner. I've

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Speaker 1: only heard these dramatic, mythical stories of women delivering with COVID,

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Speaker 1: and like, I refuse to actually google because I'm horrified

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Speaker 1: and i don't want to know, but I'm going to

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Speaker 1: find out now. Guys, You're welcome, but like women, what

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Speaker 1: happens when they deliver with COVID. I've heard these stories

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Speaker 1: of like women being put out and the baby coming

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Speaker 1: out through cesarean and then they have to isolate from

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Speaker 1: each other for two weeks while a mommy's pumping and

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Speaker 1: comes to and then meets their baby at fourteen days

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Speaker 1: or whatever. Can you tell me about this? Is this

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Speaker 1: even true? Is this a movie I've made up in

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Speaker 1: my head because I'm a dramatic actress in Hollywood, Like,

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Speaker 1: tell me what happens if you deliver with COVID? So

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Speaker 1: I think it's not entirely incorrect, but I think of

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Speaker 1: COVID as what I had mentioned before, Right, eighty percent

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Speaker 1: of women who have COVID are either going to be

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Speaker 1: completely asymptomatic or have extremely mild disease. So for those people,

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Speaker 1: and you know, a lot of institutions are testing every

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Speaker 1: COVID or I'm sorry, I'm testing every pregnant woman who

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Speaker 1: shows up to labor and delivery for their delivery. So

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Speaker 1: a lot of the times we're picking up things that

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Speaker 1: people had zero idea that they had COVID, and we're like, hey,

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Speaker 1: you know, actually you are one of those asymptomatic people

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Speaker 1: who have COVID, So what happens to them, they are

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Speaker 1: not going to have this dramatic you know, of course

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Speaker 1: as you as you delivery. Yeah, so what what's going

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Speaker 1: to happen to them is that they're going to be

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Speaker 1: for the most part, kind of restricted in terms of delivery,

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Speaker 1: in the sense that they're not going to have a

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Speaker 1: ton of people in their room. They're going to be

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Speaker 1: restricted to the bare minimum, and everyone is going to

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Speaker 1: be wearing full protective fear for their delivery. They do

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Speaker 1: not need to wear a mask, although you know, we're

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Speaker 1: going to try to have them wear a mask as

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Speaker 1: much as they can, but obviously during the time of delivery,

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Speaker 1: when they're pushing, UM, it is not reasonable to be

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Speaker 1: wearing a mask. So we don't have our pregnant women's

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Speaker 1: who are COVID positive UM wearing a mask. Not necessarily. Um,

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Speaker 1: they are going to that just here or is that

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Speaker 1: everywhere in the country? Do we know? You know, I

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Speaker 1: think that people have gotten very creative in in barriers

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Speaker 1: and things like that. People can use, you know, little

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Speaker 1: shields that they try to have the pregnant women wear.

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Speaker 1: But masks, I think are are physically almost impossible to do.

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Speaker 1: I mean, it is, it's really hard to labor in.

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Speaker 1: And I know I pushed. Yeah, I was like, if

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Speaker 1: I had a mask on, I would have lost my

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Speaker 1: dang mind. Yeah, yeah, absolutely not. I think it's incredibly hard.

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Speaker 1: I think it's the best of intentions. You could try

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Speaker 1: and have a woman wear a mask, but it's not

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Speaker 1: going to stay on while she's pushing UM. But you know,

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Speaker 1: I think she woman can expect a restricted kind of

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Speaker 1: visitor scenario UM providers who are wearing full protective gear.

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Speaker 1: It may feel a little bit scientific, but it is

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Speaker 1: really just to protect everybody involved in that. Once the

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Speaker 1: baby is born, the neonatal team will probably assess the baby,

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Speaker 1: but the baby isn't gonna get whisked away. The baby

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Speaker 1: is going to now, especially there's new data to say that,

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Speaker 1: you know, we probably think the baby should stay with

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Speaker 1: the mom, but mom should, you know, have as much

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Speaker 1: kind of the same kind of hygiene that we would

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Speaker 1: recommend for somebody who has COVID, so lots of hand

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Speaker 1: washing masks when she's around the baby, um, you know,

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Speaker 1: changing clothes if she's been wearing the clothes for a

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Speaker 1: long time, when she's going to breastfeed. Um. There have

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Speaker 1: been you know, therefore this there were some talks about

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Speaker 1: completely isolating mom and baby. That is not reasonable, and

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Speaker 1: now we're seeing data that that's actually probably not necessary. Um.

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Speaker 1: Now that's for a woman who's asymptomatic, we're doing well.

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Speaker 1: For somebody who's sick in the i c U on

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Speaker 1: a ventil later, um, it probably would be something like

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Speaker 1: you you would like you mentioned, you know, they would

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Speaker 1: probably get delivered via csarian section. Not necessarily because they

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Speaker 1: absolutely had to. But in a lot of the times

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Speaker 1: when moms aren't having good oxygen, the babies aren't getting

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Speaker 1: good oxygen, and their heart rates starts to do things

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Speaker 1: that make us worry, and so we want to get

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Speaker 1: them out of that situation in a situation where we

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Speaker 1: can give them, um, better oxygen, better nutrition, and so

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Speaker 1: those tend to be cecerean deliveries. UM. But it's not

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Speaker 1: like it's not an. Absolutely doesn't mean that just because

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Speaker 1: you have COVID and you're in the I c you're

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Speaker 1: gonna end up with a C section. Um, But they

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Speaker 1: probably don't know their delivery because they're intubated, and you know,

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Speaker 1: they haven't they're not awake and like a mom who

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Speaker 1: is you know, healthy and doing well. So those would

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Speaker 1: be a little bit more dramatic, I suppose where moms

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Speaker 1: would probably get delivered and and meet their babies sometime

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Speaker 1: down the line. My goodness. But you know, all I

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Speaker 1: hear is like, as much as that's the shittiest thing ever,

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Speaker 1: I can't even fathom it. All I hear on the

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Speaker 1: other side is like, yeah, but they all survived, do

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Speaker 1: you know what I mean? Like, I'm just like when

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Speaker 1: I hear these things, I'm like, okay, but like even

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Speaker 1: if it's the worst working days of your life, like

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Speaker 1: you're still walking out of hospital with your baby, like,

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Speaker 1: and it makes me like, like take a breath. Um.

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Speaker 1: I mean I think it makes all of us cringe too.

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Speaker 1: I mean, we our hearts go out to all of

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Speaker 1: these people who you know, whether it's pregnant or not,

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Speaker 1: who are in the guy see you alone because visitors

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Speaker 1: are restricted. It is heartbreaking. And you know, I think

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Speaker 1: that we all are trying to look at the end goal,

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Speaker 1: which is trying to get everybody home, trying to get

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Speaker 1: everybody alive, and although things like separation and not being

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Speaker 1: awake when your baby is born sound absolutely terrible. I'm

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Speaker 1: so thankful that you mentioned that we are at least

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Speaker 1: trying to get them to be alive and go home

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Speaker 1: with their children at some point. So that's I think

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Speaker 1: the anal Yeah, like that's got to be the I mean,

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Speaker 1: I'm I can only say that looking from outside of

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Speaker 1: the experience. Obviously I can't even imagine going through it.

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Speaker 1: But I just uh that, Yeah, I'm just relieved that

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Speaker 1: these horror stories are like not ending in terrible um

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Speaker 1: outcomes at Mrs b h O writes, I'm scared of

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Speaker 1: not being able to have my husband speaking of restricted

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Speaker 1: things in the delivery room with me if quarantine requirements

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Speaker 1: become strict again. She's due September twenty one. Tell me

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Speaker 1: about that ship show that when Yeah, yeah, yeah, I

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Speaker 1: mean that's a reasonable concern, right, I mean, I think

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Speaker 1: that it's exceedingly hard for a woman to be expected

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Speaker 1: to deliver by herself, especially when she's not sick. Um.

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Speaker 1: With that being said, I think it's very institution dependent,

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Speaker 1: it's very hospital dependent. And we all heard of what

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Speaker 1: happened in New York, and I think that you know,

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Speaker 1: for what was going on at that time, they felt

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Speaker 1: as I was the right decision, and by no means

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Speaker 1: do I question that, But I do think it's exceedingly

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Speaker 1: hard for a woman to deliver a loan when she's

429
00:22:59,359 --> 00:23:02,320
Speaker 1: not sick. So with that being said, I think most

430
00:23:02,480 --> 00:23:06,480
Speaker 1: places now are are at least allowing a partner in

431
00:23:06,520 --> 00:23:10,320
Speaker 1: the room significant other for the delivery and for the

432
00:23:10,359 --> 00:23:14,399
Speaker 1: postpartum time period. UM. Where I'm working, they definitely allow

433
00:23:14,600 --> 00:23:17,080
Speaker 1: a partner in the room for the whole entire stay,

434
00:23:17,119 --> 00:23:20,480
Speaker 1: which is through labor and delivery and postpartum as well. UM,

435
00:23:20,520 --> 00:23:23,600
Speaker 1: it's gotten better with the more testing that we have,

436
00:23:23,720 --> 00:23:26,600
Speaker 1: the better we feel about testing all the women who

437
00:23:26,720 --> 00:23:29,080
Speaker 1: come through and knowing that if they're negative, their partners

438
00:23:29,080 --> 00:23:32,199
Speaker 1: are likely negative. And it's not just about you know

439
00:23:32,240 --> 00:23:35,080
Speaker 1: their particular situation, right. If you imagine a partner comes

440
00:23:35,119 --> 00:23:37,600
Speaker 1: in and then walks out in the hallway and goes

441
00:23:37,640 --> 00:23:39,440
Speaker 1: in touch with something, and it comes back in the room,

442
00:23:39,520 --> 00:23:41,200
Speaker 1: and the next partner goes out in touch or something,

443
00:23:41,240 --> 00:23:44,000
Speaker 1: it's it's we're trying to keep everybody safe, and it's

444
00:23:44,040 --> 00:23:46,480
Speaker 1: not a small order, and so that's why we try

445
00:23:46,520 --> 00:23:48,640
Speaker 1: the best we can. But I would say that that's

446
00:23:48,640 --> 00:23:51,560
Speaker 1: a reasonable concern and if things start getting crazy and

447
00:23:51,600 --> 00:23:54,680
Speaker 1: whatever location at you know, she is in, I would

448
00:23:54,680 --> 00:23:56,880
Speaker 1: have her just reach out to her physician, reach out

449
00:23:56,880 --> 00:24:01,240
Speaker 1: to her hospital early and find out what the situation is. Right.

450
00:24:02,320 --> 00:24:06,359
Speaker 1: Speaking of this, when this was all going down in

451
00:24:06,400 --> 00:24:09,600
Speaker 1: New York, I had a few friends deliver. Especially it

452
00:24:09,680 --> 00:24:11,359
Speaker 1: was my heart goes out to a lot of women

453
00:24:11,359 --> 00:24:14,080
Speaker 1: who were first time, you know, first time ever going

454
00:24:14,119 --> 00:24:18,000
Speaker 1: through this without their loved one with them um and

455
00:24:18,040 --> 00:24:21,000
Speaker 1: how stressful that is. And I also can only say

456
00:24:21,040 --> 00:24:23,680
Speaker 1: that we just understand the disease more. I mean, if

457
00:24:23,680 --> 00:24:25,680
Speaker 1: I do, then obviously all the doctors dukes, That's where

458
00:24:25,680 --> 00:24:29,520
Speaker 1: I'm getting my information. But so there are ways to

459
00:24:29,640 --> 00:24:32,679
Speaker 1: get that one person in there for the whole time

460
00:24:33,200 --> 00:24:35,600
Speaker 1: and keep everyone separated. It's so funny. I keep having

461
00:24:35,640 --> 00:24:37,520
Speaker 1: flashbacks when my son was born and we were like

462
00:24:37,880 --> 00:24:40,560
Speaker 1: walking down the hallways with other people who had given

463
00:24:40,600 --> 00:24:42,600
Speaker 1: birth and meeting their babies, you know what I mean.

464
00:24:42,600 --> 00:24:47,840
Speaker 1: It was just so like communal almost. I yeah, I remember,

465
00:24:47,880 --> 00:24:49,159
Speaker 1: I was just talking about this the other day. I

466
00:24:49,200 --> 00:24:51,200
Speaker 1: remember when there was a whole families in the waiting

467
00:24:51,240 --> 00:24:54,320
Speaker 1: room cheering after the baby was. My entire family was

468
00:24:54,359 --> 00:24:57,680
Speaker 1: there one minute after I had Albie and we had

469
00:24:57,680 --> 00:24:59,159
Speaker 1: our loan time for a couple of hours. Then as

470
00:24:59,200 --> 00:25:01,240
Speaker 1: soon as we moved, my whole family came. They brought

471
00:25:01,760 --> 00:25:04,879
Speaker 1: to go. I always regret what I picked. I ate salmon, like,

472
00:25:04,960 --> 00:25:07,080
Speaker 1: what a dumb thing to I mean, I love my

473
00:25:07,160 --> 00:25:08,520
Speaker 1: duelist so much, but she was like, you need to

474
00:25:08,600 --> 00:25:11,280
Speaker 1: replenish your body. I should have had a burger and fries.

475
00:25:11,359 --> 00:25:15,560
Speaker 1: That was so dumb. I should have had what I wanted. Um,

476
00:25:15,600 --> 00:25:18,240
Speaker 1: but I've I had some friends make the choice to

477
00:25:18,320 --> 00:25:22,920
Speaker 1: have birth at home during this time. What are I mean?

478
00:25:23,440 --> 00:25:27,000
Speaker 1: I know that I think that statistically speaking, a home

479
00:25:27,040 --> 00:25:30,280
Speaker 1: birth death rate is higher than a hospital one. Is

480
00:25:30,280 --> 00:25:33,040
Speaker 1: that correct? Have you had patients that have been like,

481
00:25:33,080 --> 00:25:36,600
Speaker 1: I'm not doing this, I'm doing this at home. Um,

482
00:25:36,640 --> 00:25:40,320
Speaker 1: there's a new wave of this. What's your opinion on that? Yeah,

483
00:25:40,440 --> 00:25:42,840
Speaker 1: you're spot on, Katie. Yeah, you know it is. It

484
00:25:43,000 --> 00:25:47,119
Speaker 1: is increased risk to deliver at home just in general. Right,

485
00:25:47,119 --> 00:25:49,600
Speaker 1: there's a very particular candidate who would be considered an

486
00:25:49,640 --> 00:25:53,440
Speaker 1: appropriate home birth candidate. Somebody who is considered low risk

487
00:25:53,560 --> 00:25:57,480
Speaker 1: doesn't have any risk factors. Um, you know, maternal mortality

488
00:25:57,560 --> 00:25:59,280
Speaker 1: is a real thing, and so we don't and so

489
00:25:59,440 --> 00:26:02,320
Speaker 1: is new and it mortality. So we really don't want

490
00:26:02,400 --> 00:26:05,399
Speaker 1: people thinking that home births are the way to go.

491
00:26:06,040 --> 00:26:08,560
Speaker 1: But I understand where people were coming from. You know,

492
00:26:08,640 --> 00:26:11,920
Speaker 1: it's it sounded and it looked crazy. Um. The only

493
00:26:11,960 --> 00:26:14,200
Speaker 1: thing that I in my opinion about this is it's

494
00:26:14,240 --> 00:26:17,280
Speaker 1: it's definitely safer to deliver in a hospital than at home,

495
00:26:17,520 --> 00:26:21,080
Speaker 1: especially if you are a higher risk patient. And sometimes

496
00:26:21,119 --> 00:26:23,200
Speaker 1: you don't know if you're higher risk, if you haven't

497
00:26:23,200 --> 00:26:26,000
Speaker 1: had prenatal care, if you haven't been kind of following up,

498
00:26:26,000 --> 00:26:27,800
Speaker 1: and a lot of people have been scared to go

499
00:26:27,880 --> 00:26:30,320
Speaker 1: to OBI appointments, have been scared to be you know,

500
00:26:30,400 --> 00:26:33,000
Speaker 1: followed up in a hospital setting or in a clinic setting.

501
00:26:33,440 --> 00:26:35,920
Speaker 1: So I would just caution people if they think about

502
00:26:36,040 --> 00:26:38,919
Speaker 1: deliverering at home, to really make sure that they are

503
00:26:38,920 --> 00:26:41,440
Speaker 1: an appropriate candidate, to make sure they have an appropriate

504
00:26:41,480 --> 00:26:44,199
Speaker 1: certified midwife who would be available to them, and that

505
00:26:44,280 --> 00:26:48,879
Speaker 1: appropriate certified midwife has a hospital that's backing them up

506
00:26:48,920 --> 00:26:51,000
Speaker 1: and has a physician who's backing them up, because in

507
00:26:51,040 --> 00:26:54,240
Speaker 1: the event of an emergency UM within a couple of minutes,

508
00:26:54,280 --> 00:26:56,600
Speaker 1: things can go very wrong. And so you know, it's

509
00:26:56,600 --> 00:27:00,320
Speaker 1: really for me, it's very it's it's scared for me

510
00:27:00,359 --> 00:27:03,160
Speaker 1: to think about all those people who have made those choices.

511
00:27:03,359 --> 00:27:05,119
Speaker 1: From the most part, I'm sure most of them do.

512
00:27:05,240 --> 00:27:07,760
Speaker 1: Find But if you know we can prevent one mom

513
00:27:07,800 --> 00:27:10,280
Speaker 1: from dying or one baby from dying by having them

514
00:27:10,280 --> 00:27:13,000
Speaker 1: in a hospital, especially a hospital that has spent a

515
00:27:13,000 --> 00:27:16,120
Speaker 1: lot of time and energy to make sure the infection

516
00:27:16,200 --> 00:27:19,199
Speaker 1: prevention protocols are safe, then I would be in support

517
00:27:19,240 --> 00:27:24,440
Speaker 1: of that. M hm, can you take us through, um

518
00:27:24,480 --> 00:27:27,560
Speaker 1: what routine OBI appointments look like? Now, I think you

519
00:27:27,680 --> 00:27:29,720
Speaker 1: just touched on that a little bit, so it came

520
00:27:29,760 --> 00:27:33,359
Speaker 1: to my head. But um ore, OBI appointments just far less.

521
00:27:33,400 --> 00:27:36,000
Speaker 1: Are women having to have their temperature taken before they

522
00:27:36,040 --> 00:27:39,800
Speaker 1: walk in? Like I'm sure the waiting rooms are emptier,

523
00:27:40,359 --> 00:27:42,800
Speaker 1: like everyone's got a mask on. Is that is that

524
00:27:42,920 --> 00:27:47,040
Speaker 1: sort of the new wave of how we're doing things? Yeah, Katie,

525
00:27:47,040 --> 00:27:49,280
Speaker 1: and you you barely need me, you know, you know

526
00:27:49,359 --> 00:27:52,040
Speaker 1: all the others. Well, I think when you're a host

527
00:27:52,080 --> 00:27:55,680
Speaker 1: of a mommy podcast, I text about this stuff a lot.

528
00:27:55,720 --> 00:27:59,000
Speaker 1: I have a lot of phone calls. But that's what

529
00:27:59,080 --> 00:28:03,600
Speaker 1: I'm hearing. Yeah, I'm guessing that people just go to

530
00:28:03,600 --> 00:28:06,480
Speaker 1: the doctor less. And is that okay, So we try

531
00:28:06,520 --> 00:28:10,200
Speaker 1: to eliminate all the non critical visits for whatever that means.

532
00:28:10,480 --> 00:28:13,160
Speaker 1: You know, if you don't necessarily need to come in

533
00:28:13,280 --> 00:28:15,520
Speaker 1: and see a physician, we try to do things over

534
00:28:15,600 --> 00:28:18,800
Speaker 1: the phone or over telehealth. But we're still looking at you.

535
00:28:18,840 --> 00:28:22,040
Speaker 1: But you know, we're not necessarily having you come in. UM.

536
00:28:22,440 --> 00:28:25,119
Speaker 1: With that being said, we we still think it's exceedingly

537
00:28:25,160 --> 00:28:28,160
Speaker 1: important to keep your obi appointments. UM. There's a reason

538
00:28:28,200 --> 00:28:30,359
Speaker 1: that we see people as much as we do, and

539
00:28:30,359 --> 00:28:33,080
Speaker 1: there's things that we're kind of looking out for. Um,

540
00:28:33,119 --> 00:28:34,720
Speaker 1: And sometimes you just need to come in to get

541
00:28:34,720 --> 00:28:37,320
Speaker 1: a blood pressure check and make sure that the baby

542
00:28:37,359 --> 00:28:39,880
Speaker 1: looks okay. And so for all of those reasons, I

543
00:28:39,880 --> 00:28:42,080
Speaker 1: would say, you know, just just go with the guidance

544
00:28:42,120 --> 00:28:45,040
Speaker 1: of what your physician or your institution is saying to

545
00:28:45,040 --> 00:28:48,000
Speaker 1: to make sure we don't miss anything that's important. UM.

546
00:28:48,040 --> 00:28:49,920
Speaker 1: But yeah, you're right, that's what it looks like. You've

547
00:28:49,960 --> 00:28:51,800
Speaker 1: got you know, and I can only speak from my place,

548
00:28:51,880 --> 00:28:54,960
Speaker 1: but you know, we've got screeners downstairs who make sure

549
00:28:54,960 --> 00:28:58,520
Speaker 1: they're screening everybody both through symptoms and through thermal scanners

550
00:28:58,600 --> 00:29:02,560
Speaker 1: or temperature checks. UM. Visitors are limited only for the

551
00:29:02,640 --> 00:29:05,440
Speaker 1: essential appointments, So waiting rooms are bare, and we do

552
00:29:05,520 --> 00:29:07,080
Speaker 1: that on purpose so that there's not a lot of

553
00:29:07,080 --> 00:29:09,880
Speaker 1: people in the waiting rooms. We want to socially distance everybody.

554
00:29:10,480 --> 00:29:13,400
Speaker 1: Um and everyone is a mass. So that's that's pretty

555
00:29:13,480 --> 00:29:17,520
Speaker 1: much fat on, That's exactly what's happening. Yes, I think

556
00:29:17,560 --> 00:29:20,960
Speaker 1: I feel like it would be scary at first. I

557
00:29:20,960 --> 00:29:23,800
Speaker 1: don't know. Man, women are so fucking resilient. I can't

558
00:29:23,840 --> 00:29:27,440
Speaker 1: even believe it. I thank god women are that we're

559
00:29:27,440 --> 00:29:30,880
Speaker 1: the people doing this, because I don't. I mean, I mean,

560
00:29:30,960 --> 00:29:35,400
Speaker 1: it's crazy. What do you think about opening pods when

561
00:29:35,480 --> 00:29:38,560
Speaker 1: women are pregnant? Like if there's a pregnant woman and

562
00:29:38,640 --> 00:29:41,320
Speaker 1: she's got a toddler and there's no school and like

563
00:29:41,480 --> 00:29:44,600
Speaker 1: she's losing her mind, Like, what do you think about

564
00:29:45,720 --> 00:29:47,840
Speaker 1: opening up to and you know, there's all these like

565
00:29:48,000 --> 00:29:50,600
Speaker 1: this is my quarantine or this is my bubble or

566
00:29:50,640 --> 00:29:55,040
Speaker 1: whatever that is. Like are you having your pregnant patients

567
00:29:55,080 --> 00:29:58,240
Speaker 1: completely isolate or you allowing them to open up to

568
00:29:58,320 --> 00:30:03,720
Speaker 1: their discretion? I think that it's totally unreasonable to completely isolate.

569
00:30:03,800 --> 00:30:05,800
Speaker 1: And as I mentioned before, I worry a lot about

570
00:30:05,800 --> 00:30:09,000
Speaker 1: complete isolation and what that does to you or anybody

571
00:30:09,040 --> 00:30:12,120
Speaker 1: for that matter. UM, but I do I do say,

572
00:30:12,200 --> 00:30:14,240
Speaker 1: you know, if you're going to have a quarantine or

573
00:30:14,280 --> 00:30:17,360
Speaker 1: a pod. While I think it's totally reasonable, I think

574
00:30:18,200 --> 00:30:21,400
Speaker 1: really making sure that the other members of that team

575
00:30:21,440 --> 00:30:23,640
Speaker 1: are doing kind of the same thing that you're doing

576
00:30:23,640 --> 00:30:26,720
Speaker 1: and take it as seriously as you are, and you know,

577
00:30:26,760 --> 00:30:30,280
Speaker 1: making it really open and um okay to say, hey,

578
00:30:30,360 --> 00:30:32,120
Speaker 1: you know, I have a sniffle e nose today, I

579
00:30:32,120 --> 00:30:34,120
Speaker 1: don't think I'm gonna come in and you know, not

580
00:30:34,240 --> 00:30:36,520
Speaker 1: making that be an issue down the line. I think

581
00:30:36,600 --> 00:30:40,080
Speaker 1: opening up those lines of communication and really um, having

582
00:30:40,120 --> 00:30:42,560
Speaker 1: everybody on the same page and be just as safe

583
00:30:43,080 --> 00:30:46,120
Speaker 1: um that that is reasonable, and really limiting it to

584
00:30:46,160 --> 00:30:48,600
Speaker 1: as much as possible. And then just following kind of

585
00:30:48,600 --> 00:30:51,360
Speaker 1: the general guidelines, which is always where a mask if

586
00:30:51,400 --> 00:30:55,000
Speaker 1: you can, if you're outside, things are safer than whether

587
00:30:55,040 --> 00:30:58,560
Speaker 1: you're inside and closed doors, UM, still staying a little

588
00:30:58,600 --> 00:31:02,360
Speaker 1: bit distance from each other, frequent hand washing, and then

589
00:31:02,400 --> 00:31:05,760
Speaker 1: the most important thing is if there's any signs of anything,

590
00:31:05,800 --> 00:31:08,000
Speaker 1: whether it's a sniffle, a nose or a sort of

591
00:31:08,040 --> 00:31:10,880
Speaker 1: throat or I just haven't smelled very much in the

592
00:31:10,960 --> 00:31:14,400
Speaker 1: last couple of days, even that you know, um really saying,

593
00:31:14,440 --> 00:31:16,160
Speaker 1: just so I start every day, I take a sip

594
00:31:16,160 --> 00:31:18,240
Speaker 1: of my tea and I take a whiff and a swallow,

595
00:31:18,240 --> 00:31:21,600
Speaker 1: and I'm like, yep, taste and smell. We still got it, okay.

596
00:31:22,320 --> 00:31:24,680
Speaker 1: Like all my friends who got COVID, which I have

597
00:31:24,720 --> 00:31:29,480
Speaker 1: a lot, that was a huge symptom for most of them. Um,

598
00:31:29,520 --> 00:31:33,360
Speaker 1: what about women who have multiple children and are pregnant

599
00:31:33,880 --> 00:31:37,240
Speaker 1: and they need to send their child to daycare because

600
00:31:37,240 --> 00:31:39,560
Speaker 1: they have to work or they have to get their

601
00:31:39,640 --> 00:31:41,560
Speaker 1: kid to some I know a lot of public schools

602
00:31:41,600 --> 00:31:43,720
Speaker 1: are not opening in the fall, but they need some

603
00:31:43,800 --> 00:31:46,600
Speaker 1: sort of childcare. Is that safe? What are you recommending

604
00:31:46,600 --> 00:31:51,040
Speaker 1: to your pregnant patients about schools or daycares if it's

605
00:31:51,040 --> 00:31:54,440
Speaker 1: at how possible to avoid while we're in a surge,

606
00:31:54,480 --> 00:31:57,160
Speaker 1: I think that that's probably the way to go. But

607
00:31:57,280 --> 00:31:59,320
Speaker 1: with that being said, you gotta do what you gotta do.

608
00:31:59,400 --> 00:32:01,160
Speaker 1: So if your kids have to go because you've got

609
00:32:01,160 --> 00:32:02,680
Speaker 1: to go to work, then that's what you do. And

610
00:32:02,760 --> 00:32:04,560
Speaker 1: you just try to have them go to a place

611
00:32:04,600 --> 00:32:06,960
Speaker 1: that's taking it as seriously as you are, who are

612
00:32:07,000 --> 00:32:11,200
Speaker 1: following all of the guidelines. And then frequent handwashing, you know,

613
00:32:11,360 --> 00:32:15,000
Speaker 1: frequent frequent handwashing, which is really hard for kids, um

614
00:32:15,080 --> 00:32:17,760
Speaker 1: and for adults frankly, but you know, really kind of

615
00:32:17,800 --> 00:32:22,080
Speaker 1: making that just become the every day, all the time. Um,

616
00:32:22,120 --> 00:32:24,880
Speaker 1: that's the way to go. We need to do a

617
00:32:24,880 --> 00:32:27,640
Speaker 1: whole episode on how to make handwashing fun for toddlers

618
00:32:27,680 --> 00:32:32,920
Speaker 1: because my toddlers disgusting and he hates washing. I mean,

619
00:32:32,920 --> 00:32:34,960
Speaker 1: we wash his hands so much more than we used to,

620
00:32:35,120 --> 00:32:40,320
Speaker 1: and it is a struggle every Yeah, it's the worst.

621
00:32:41,120 --> 00:32:44,479
Speaker 1: I need soap, I need dinosaurs swimming in there, I

622
00:32:44,520 --> 00:32:47,640
Speaker 1: need I need like all that. Okay, please tell me,

623
00:32:48,160 --> 00:32:51,880
Speaker 1: Please tell me that the that the not washing down

624
00:32:52,160 --> 00:32:55,760
Speaker 1: of delivery boxes and take out for a pregnant woman

625
00:32:56,080 --> 00:32:59,160
Speaker 1: that almost killed me in the first few weeks of quarantine. Like,

626
00:32:59,240 --> 00:33:01,720
Speaker 1: are we recommend pregnant women don't have to do this anymore?

627
00:33:02,000 --> 00:33:04,760
Speaker 1: Should they still be doing it? I think that, you know,

628
00:33:05,080 --> 00:33:08,480
Speaker 1: wiping down boxes are probably not necessary. But what I

629
00:33:08,520 --> 00:33:10,800
Speaker 1: do think is, you know, when you get anything from

630
00:33:10,840 --> 00:33:13,480
Speaker 1: the outside, if it's fruit or something that's going to

631
00:33:13,560 --> 00:33:16,280
Speaker 1: go directly into your mouth, wash that. But if it's

632
00:33:16,280 --> 00:33:18,600
Speaker 1: going to be something that you take out of a container,

633
00:33:18,960 --> 00:33:21,000
Speaker 1: you don't have to wash the container. Take things out

634
00:33:21,000 --> 00:33:23,920
Speaker 1: of the container, then wash your hands really well before

635
00:33:23,960 --> 00:33:26,400
Speaker 1: you eat it. That's what I would say. Um, and

636
00:33:26,440 --> 00:33:28,760
Speaker 1: you can throw the container away, But wiping down the

637
00:33:28,800 --> 00:33:30,960
Speaker 1: container and then taking it out and then what I mean,

638
00:33:31,000 --> 00:33:32,640
Speaker 1: you just still just need to wash your hands before

639
00:33:32,640 --> 00:33:34,240
Speaker 1: you eat your food. So I think, you know, just

640
00:33:34,320 --> 00:33:37,200
Speaker 1: making sure that you limit as much contact with the

641
00:33:37,200 --> 00:33:39,719
Speaker 1: container and everything in the house, but then just wash it.

642
00:33:39,720 --> 00:33:42,440
Speaker 1: Taking everything out of the containers and then throwing the

643
00:33:42,440 --> 00:33:45,480
Speaker 1: containers away and washing your hands is probably more than enough.

644
00:33:46,200 --> 00:33:51,560
Speaker 1: When do you think we're gonna have a vaccine everybody?

645
00:33:52,080 --> 00:33:54,560
Speaker 1: I would dream of a six month vaccine, but I

646
00:33:54,600 --> 00:33:59,000
Speaker 1: think more realistically we're looking at twelve to eighteen months. Yeah,

647
00:33:59,280 --> 00:34:04,200
Speaker 1: that's what I hear. Buckle up, people. The information on

648
00:34:04,280 --> 00:34:07,440
Speaker 1: coronavirus and its impacts on pregnant women is rapidly changing.

649
00:34:07,440 --> 00:34:11,719
Speaker 1: We've discussed this a lot um and meaningful data. The

650
00:34:11,760 --> 00:34:13,560
Speaker 1: more that we collect, the better, and U c l

651
00:34:13,600 --> 00:34:16,719
Speaker 1: A Health recognized that early, thank you very much, and

652
00:34:16,800 --> 00:34:21,480
Speaker 1: launched a national registry which you touched on, called Priority

653
00:34:21,520 --> 00:34:28,040
Speaker 1: Study or Pregnancy Coronavirus Outcomes Registry. Can you give the listeners,

654
00:34:28,120 --> 00:34:30,480
Speaker 1: let's circle back. You touched on it. A little bit previously.

655
00:34:30,520 --> 00:34:34,000
Speaker 1: A quick synopsis of Priority, Who qualifies to participate, what

656
00:34:34,120 --> 00:34:36,160
Speaker 1: sort of data is being collected that they may be

657
00:34:36,280 --> 00:34:39,040
Speaker 1: missing from the c d C where they can register.

658
00:34:39,160 --> 00:34:41,319
Speaker 1: I mean this is so crucial, Like you, if you're

659
00:34:41,360 --> 00:34:44,960
Speaker 1: listening to this podcast and you're pregnant, like you can

660
00:34:45,080 --> 00:34:50,560
Speaker 1: really help other pregnant women through this organization. Yes, yeah,

661
00:34:50,560 --> 00:34:52,759
Speaker 1: thank you so much for bringing this up. So I

662
00:34:52,760 --> 00:34:55,080
Speaker 1: am so proud of my colleagues who have really kind

663
00:34:55,080 --> 00:34:58,880
Speaker 1: of blaze the way in in getting this going in

664
00:34:58,960 --> 00:35:03,400
Speaker 1: collaboration with uc SF. So Priority is basically a nationwide study.

665
00:35:03,640 --> 00:35:06,279
Speaker 1: It's across the whole nation. We're looking at pregnant and

666
00:35:06,360 --> 00:35:09,839
Speaker 1: recently pregnant women who either have had COVID or under

667
00:35:09,880 --> 00:35:12,920
Speaker 1: investigation for having COVID, and the goal is really to

668
00:35:12,960 --> 00:35:17,200
Speaker 1: better understand how pregnancy and postpartum, how women are really

669
00:35:17,239 --> 00:35:20,080
Speaker 1: affected by COVID and their symptoms and what the impact

670
00:35:20,200 --> 00:35:23,400
Speaker 1: is on pregnancy and delivery. There's three approaches to it,

671
00:35:23,480 --> 00:35:25,879
Speaker 1: So one is that we are kind of doing questionnaires

672
00:35:25,920 --> 00:35:29,400
Speaker 1: and its patient reported outcomes. Another aspect of it is

673
00:35:29,440 --> 00:35:32,200
Speaker 1: that we are asking access to medical records for some

674
00:35:32,320 --> 00:35:35,040
Speaker 1: proportion of the people. And then third we're looking at

675
00:35:35,040 --> 00:35:38,040
Speaker 1: actual biospecimens, so like plus CENTA and you know, trying

676
00:35:38,040 --> 00:35:40,280
Speaker 1: to answer some real science to try to figure out

677
00:35:40,600 --> 00:35:43,840
Speaker 1: UM what goes on UM. And again, like I mentioned,

678
00:35:43,920 --> 00:35:46,640
Speaker 1: we're trying to make a real big effort in including

679
00:35:46,680 --> 00:35:50,719
Speaker 1: all racial and ethnic backgrounds and really trying to take

680
00:35:50,760 --> 00:35:56,240
Speaker 1: away the disparity issue. And truthfully, anybody can be enrolled.

681
00:35:56,280 --> 00:35:59,239
Speaker 1: You just have to be over thirteen years old UM,

682
00:35:59,360 --> 00:36:01,680
Speaker 1: and it's any one who's either been pregnant or had

683
00:36:01,719 --> 00:36:04,480
Speaker 1: been pregnant within the last six weeks. And we really

684
00:36:04,480 --> 00:36:07,799
Speaker 1: welcome everybody to please to please, please please reach out

685
00:36:07,800 --> 00:36:10,880
Speaker 1: to us. And you can UM reach out at Priority

686
00:36:10,960 --> 00:36:14,040
Speaker 1: dot you, CSS dot edu. That's the website and it's

687
00:36:14,040 --> 00:36:16,520
Speaker 1: a very very easy website. You can just go in

688
00:36:16,560 --> 00:36:19,040
Speaker 1: and then roll through the website and someone will reach out.

689
00:36:19,840 --> 00:36:22,400
Speaker 1: And one more time, you said, it's Priority dot U, C,

690
00:36:22,840 --> 00:36:24,880
Speaker 1: S F dot E D. We're going to link to

691
00:36:24,920 --> 00:36:27,960
Speaker 1: this and when I post this UM episode, I'll put

692
00:36:27,960 --> 00:36:32,840
Speaker 1: a link to I mean, we really can't know anything

693
00:36:33,239 --> 00:36:37,719
Speaker 1: until we study women who are going through this right now,

694
00:36:37,760 --> 00:36:42,520
Speaker 1: so your experience is crucial to helping pregnant women in

695
00:36:42,520 --> 00:36:45,720
Speaker 1: the future. Do you have any last piece of advice

696
00:36:45,840 --> 00:36:47,799
Speaker 1: or things you want to say, Dr Rushmi Raw, this

697
00:36:47,840 --> 00:36:52,160
Speaker 1: has been so eye opening and completely horrifying in some ways,

698
00:36:52,239 --> 00:36:58,160
Speaker 1: but then also very relieving in other ways. UM. So yeah,

699
00:36:58,400 --> 00:37:02,560
Speaker 1: I've taken some nice deep breaths. Are my friends out there? Um?

700
00:37:02,680 --> 00:37:05,640
Speaker 1: Is there any last piece of word of advice? Yeah?

701
00:37:05,680 --> 00:37:07,560
Speaker 1: I think you know number one. Thank you so much

702
00:37:07,560 --> 00:37:10,480
Speaker 1: for having me. I think having um these informational and

703
00:37:10,600 --> 00:37:14,480
Speaker 1: educational sessions are are key. UM. And just my last

704
00:37:14,480 --> 00:37:16,840
Speaker 1: advices and message really is that there's a lot of

705
00:37:16,880 --> 00:37:22,080
Speaker 1: people out there who are just really um interested and

706
00:37:22,120 --> 00:37:24,600
Speaker 1: committed to taking care of women and taking care of

707
00:37:24,600 --> 00:37:27,799
Speaker 1: pregnant women and children. And UM, I would say that

708
00:37:27,840 --> 00:37:29,959
Speaker 1: we're just gonna work really hard until this is over.

709
00:37:30,160 --> 00:37:32,720
Speaker 1: And if there's anything that we can do for you guys,

710
00:37:33,080 --> 00:37:35,600
Speaker 1: or if there's any way you anything you need from us,

711
00:37:35,600 --> 00:37:38,720
Speaker 1: just please don't hesitate to reach out. That's so nice

712
00:37:38,960 --> 00:37:41,759
Speaker 1: and wonderful. See, even if you guys feel alone, you're

713
00:37:41,800 --> 00:37:45,719
Speaker 1: not alone. Thank you, Dr rush me Ral. Thank you

714
00:37:45,760 --> 00:37:49,120
Speaker 1: for all of your advice and intelligence and and bringing

715
00:37:49,120 --> 00:37:52,759
Speaker 1: the information to the Katie's Crib listeners. You guys, thank

716
00:37:52,800 --> 00:37:56,920
Speaker 1: you for listening. And up next we have Dr Daniel Taylor,

717
00:37:57,239 --> 00:37:59,360
Speaker 1: who's a pediatrician from New York City who's going to

718
00:37:59,440 --> 00:38:03,640
Speaker 1: give us a lot lot of information on COVID and kiddos.

719
00:38:05,160 --> 00:38:18,000
Speaker 1: So thank you so much, thank you. Next, we have

720
00:38:18,120 --> 00:38:20,520
Speaker 1: Dr Daniel Taylor here to answer all of our questions

721
00:38:20,520 --> 00:38:26,040
Speaker 1: about kids and COVID. You guys, I am so thrilled

722
00:38:26,760 --> 00:38:31,000
Speaker 1: to have Dr Danielle Taylor on and just selfishly speaking,

723
00:38:31,080 --> 00:38:34,960
Speaker 1: she is my pediatrician and now she's the person I

724
00:38:35,040 --> 00:38:38,080
Speaker 1: text when I need to be talked off a COVID ledge.

725
00:38:39,920 --> 00:38:44,040
Speaker 1: But also it's thank I mean, I try, I try,

726
00:38:44,080 --> 00:38:47,160
Speaker 1: but um, you guys. Katie's crib community also knows her

727
00:38:47,160 --> 00:38:50,640
Speaker 1: because Dr Daniel Taylor was featured on one of the

728
00:38:50,640 --> 00:38:55,400
Speaker 1: episodes last season where we talked about developmental milestones of

729
00:38:55,480 --> 00:38:57,520
Speaker 1: a one year old and it was an episode with

730
00:38:57,600 --> 00:39:05,760
Speaker 1: Nicolette Um, Robinson right yep and Jamie Yes, Jamie yes, um,

731
00:39:05,840 --> 00:39:10,120
Speaker 1: So thank you for taking the time of course. Um.

732
00:39:10,280 --> 00:39:12,279
Speaker 1: Also to give you guys a visual, she's wearing her

733
00:39:12,440 --> 00:39:20,239
Speaker 1: very cool teenage Sons gaming headset. It's all I had. Well,

734
00:39:20,280 --> 00:39:23,319
Speaker 1: I'm in my closet, so you know. So have you

735
00:39:23,360 --> 00:39:28,160
Speaker 1: actually personally seen any pediatric COVID cases. Um, it's a

736
00:39:28,160 --> 00:39:31,000
Speaker 1: little bit of a loaded question. Um. When COVID first

737
00:39:31,000 --> 00:39:33,520
Speaker 1: came to New York, it was you know, we were

738
00:39:33,560 --> 00:39:36,680
Speaker 1: the epicenter in the United States. We didn't have a

739
00:39:36,680 --> 00:39:39,400
Speaker 1: lot of testing, We didn't have a lot of a

740
00:39:39,440 --> 00:39:42,440
Speaker 1: lot of things. So we saw what we were calling

741
00:39:42,480 --> 00:39:45,600
Speaker 1: presumed COVID. So we have a lot because we're at

742
00:39:45,440 --> 00:39:49,680
Speaker 1: a university medical center, we had a lot of physicians

743
00:39:49,840 --> 00:39:52,960
Speaker 1: who could get tested and then their children would have

744
00:39:53,000 --> 00:39:56,040
Speaker 1: fevers and they would have COVID and I would we

745
00:39:56,080 --> 00:39:59,000
Speaker 1: would have seen them or children looking back, who it

746
00:39:59,160 --> 00:40:01,719
Speaker 1: wasn't the flu lasted a really long time. It wasn't

747
00:40:01,719 --> 00:40:04,440
Speaker 1: anything we could figure out, and then they just kind

748
00:40:04,440 --> 00:40:08,439
Speaker 1: of recovered. Um. So now when we're testing kids, were

749
00:40:08,440 --> 00:40:11,279
Speaker 1: typically testing them if they're really sick or going to

750
00:40:11,320 --> 00:40:13,480
Speaker 1: the hospital. So we have had patience in my practice

751
00:40:13,480 --> 00:40:16,160
Speaker 1: that have tested positive for sure. And for children, is

752
00:40:16,200 --> 00:40:18,400
Speaker 1: it the same as adults? Is it a nose swab?

753
00:40:18,480 --> 00:40:21,080
Speaker 1: Because I've had it that test twice and that is

754
00:40:21,160 --> 00:40:25,600
Speaker 1: hard to My toddler would lose his dang mind with

755
00:40:25,680 --> 00:40:29,239
Speaker 1: that saying up his yes, it's not fun. So for

756
00:40:29,320 --> 00:40:31,520
Speaker 1: little er kids, we try to do it quickly. It

757
00:40:31,680 --> 00:40:35,040
Speaker 1: works better if you do it slower UM and kind

758
00:40:35,040 --> 00:40:37,360
Speaker 1: of try to avoid the midline a little bit. But

759
00:40:37,400 --> 00:40:39,239
Speaker 1: with little kids, they just they want to get out,

760
00:40:39,280 --> 00:40:40,960
Speaker 1: so you do it. You it's like a shot, you

761
00:40:41,000 --> 00:40:43,440
Speaker 1: go and you go out. UM. But yeah, it's not

762
00:40:43,600 --> 00:40:46,279
Speaker 1: it's not a fun test. And what do parents have

763
00:40:46,360 --> 00:40:49,279
Speaker 1: to look for symptom wise? I mean everywhere on the

764
00:40:49,320 --> 00:40:53,720
Speaker 1: internet we can see the baseline symptoms for adults, you know, fever, cough,

765
00:40:53,840 --> 00:40:56,360
Speaker 1: shortness of breath, those are the serious ones. Is it

766
00:40:56,440 --> 00:41:01,120
Speaker 1: the same for toddlers and young little kids? It is?

767
00:41:01,239 --> 00:41:03,440
Speaker 1: But what we're finding is, UM, a lot of them

768
00:41:03,440 --> 00:41:07,680
Speaker 1: are are asymptomatic or or not having a lot of symptoms. UM.

769
00:41:07,719 --> 00:41:10,799
Speaker 1: In most cases children's are not as sick as adults are.

770
00:41:10,840 --> 00:41:13,880
Speaker 1: In most cases UM and usually it's about two to

771
00:41:13,960 --> 00:41:16,800
Speaker 1: fourteen days after an exposure where they'll come down and

772
00:41:16,880 --> 00:41:20,479
Speaker 1: symptoms fever. I always say the top three symptoms or fever, fever,

773
00:41:20,560 --> 00:41:23,920
Speaker 1: and fever. So we're really looking for fever. And what

774
00:41:24,040 --> 00:41:27,560
Speaker 1: does constitute a fever for you? Like a hundred we

775
00:41:27,680 --> 00:41:30,439
Speaker 1: say call it a hundred. It's really a hundred point four,

776
00:41:30,480 --> 00:41:33,759
Speaker 1: which comes from thirty eight degrees celsius um, but it's

777
00:41:33,800 --> 00:41:36,600
Speaker 1: really a hundred point four rectal temperature. But you know,

778
00:41:36,760 --> 00:41:39,880
Speaker 1: if you're you know, when your kids warm um and

779
00:41:39,920 --> 00:41:42,279
Speaker 1: then you just kind of keep monitoring them and then

780
00:41:42,360 --> 00:41:45,480
Speaker 1: cough and shortness of breath are signs that we look for. UM.

781
00:41:45,640 --> 00:41:49,160
Speaker 1: Kids have more g I symptoms now that we're finding um,

782
00:41:49,200 --> 00:41:53,319
Speaker 1: abdominal in belly paine um diarrhea more than adults. We're

783
00:41:53,320 --> 00:41:55,520
Speaker 1: seeing some of that too. Not that you need to

784
00:41:55,520 --> 00:41:57,960
Speaker 1: freak out when your kid has diarrhea, but it's just

785
00:41:58,360 --> 00:42:01,800
Speaker 1: you know, we've seen some called some skin manifestations the

786
00:42:02,120 --> 00:42:05,160
Speaker 1: dermatologists are telling us about, you know, covid toes or whatever,

787
00:42:05,200 --> 00:42:08,759
Speaker 1: different rashes that we're seeing. So once again in linked

788
00:42:08,760 --> 00:42:12,120
Speaker 1: to this secondary inflammatory disease which I want to get to.

789
00:42:12,360 --> 00:42:15,560
Speaker 1: It can be the abdominal symptoms certainly are seen in there,

790
00:42:15,600 --> 00:42:18,200
Speaker 1: but it can also be presenting symptom of we've seen

791
00:42:18,200 --> 00:42:20,520
Speaker 1: nothing else. We're just not sure about a lot of it.

792
00:42:21,320 --> 00:42:24,080
Speaker 1: So when you say covid toes, is that just super

793
00:42:24,160 --> 00:42:26,400
Speaker 1: red like it just looks like they look like it

794
00:42:26,440 --> 00:42:30,080
Speaker 1: looks like frost bite from what they've they've described to me,

795
00:42:30,600 --> 00:42:32,839
Speaker 1: But it's not. It's like or it can be little

796
00:42:32,880 --> 00:42:37,479
Speaker 1: dots like on the tip of the toes. I've seen pictures. See.

797
00:42:37,520 --> 00:42:40,080
Speaker 1: I had a friend who's toddler two years old tested

798
00:42:40,080 --> 00:42:42,920
Speaker 1: positive for COVID and the only thing she had, like

799
00:42:42,960 --> 00:42:46,080
Speaker 1: you said, fever, fever fever. She had twelve hours of

800
00:42:46,120 --> 00:42:51,000
Speaker 1: A hundred and two and they took her in and um,

801
00:42:51,040 --> 00:42:52,719
Speaker 1: they honestly thought it was like a U t I

802
00:42:52,760 --> 00:42:55,040
Speaker 1: because they were potty training her and she was holding

803
00:42:55,080 --> 00:42:57,439
Speaker 1: a lot and or they thought it was everything else.

804
00:42:57,440 --> 00:42:59,120
Speaker 1: And the doctor was like, should we test for COVID?

805
00:42:59,160 --> 00:43:01,440
Speaker 1: And honestly everyone was like, I mean should we? We've

806
00:43:01,480 --> 00:43:04,480
Speaker 1: been completely quarantined, haven't seen anybody. And they did run

807
00:43:04,520 --> 00:43:06,799
Speaker 1: the test and she did have it, but that, thank god,

808
00:43:06,920 --> 00:43:10,480
Speaker 1: was all she had. We hear stories like that a lot.

809
00:43:10,880 --> 00:43:14,480
Speaker 1: So I was talking to a mom today with a rash.

810
00:43:14,760 --> 00:43:18,160
Speaker 1: Could it be COVID? Sure, but if once again, if

811
00:43:18,200 --> 00:43:20,800
Speaker 1: your child's okay, comfortable, you're not rushing to the hospital

812
00:43:21,320 --> 00:43:25,319
Speaker 1: if it's COVID, okay, But let's you know, let's let's

813
00:43:25,360 --> 00:43:27,600
Speaker 1: just leave her and see what happens and see if

814
00:43:27,640 --> 00:43:29,480
Speaker 1: she gets sicker, because we don't want to we also

815
00:43:29,520 --> 00:43:31,600
Speaker 1: don't want to alarm everybody and how I went rushing

816
00:43:31,600 --> 00:43:34,800
Speaker 1: the hospital. Right. We don't want to be putting our children.

817
00:43:34,840 --> 00:43:36,759
Speaker 1: I know. I've never been on such high alert for

818
00:43:36,880 --> 00:43:39,839
Speaker 1: my kid falling. Like he's such a toddler. He's such

819
00:43:39,880 --> 00:43:42,640
Speaker 1: a beast right now and a monster physically, and I'm

820
00:43:42,680 --> 00:43:45,680
Speaker 1: just like, now is not the time to crack your head.

821
00:43:45,719 --> 00:43:47,960
Speaker 1: I don't want to go to the hospital. I don't

822
00:43:48,000 --> 00:43:49,759
Speaker 1: want to go to the hospital. I don't want to

823
00:43:49,800 --> 00:43:52,040
Speaker 1: go to the hospital. My daughter got stitches in the

824
00:43:52,040 --> 00:43:54,279
Speaker 1: middle of March or the end of March, and I

825
00:43:54,360 --> 00:43:58,520
Speaker 1: was I was beside myself. No, not about stitches, because

826
00:43:58,560 --> 00:44:00,920
Speaker 1: kids get stitches, but you know, know, just to be

827
00:44:01,080 --> 00:44:05,120
Speaker 1: around the hospital when you when it's scary, when there's

828
00:44:05,120 --> 00:44:08,240
Speaker 1: things that are contagious there right now. But the pediatric hospitals,

829
00:44:08,239 --> 00:44:12,040
Speaker 1: to be honest with you, are pretty tame because kids

830
00:44:12,040 --> 00:44:16,080
Speaker 1: are not getting as severe symptoms. They're actually not and

831
00:44:16,200 --> 00:44:18,799
Speaker 1: they're taking all the precautions now, more than you know

832
00:44:19,719 --> 00:44:22,839
Speaker 1: late February early March when we knew nothing. I think

833
00:44:22,880 --> 00:44:24,839
Speaker 1: we're taking a lot more precautions now. So if your

834
00:44:24,880 --> 00:44:28,200
Speaker 1: child does have to go to the hospital, go right, right,

835
00:44:28,280 --> 00:44:32,560
Speaker 1: right right. That's why aren't kids getting it like adults.

836
00:44:32,600 --> 00:44:36,080
Speaker 1: Such a good question and when that I have no

837
00:44:36,200 --> 00:44:39,719
Speaker 1: answer to. UM, they don't know, they don't know. There's

838
00:44:39,760 --> 00:44:41,839
Speaker 1: a lot of theories. I'm not sure I even want

839
00:44:41,840 --> 00:44:44,680
Speaker 1: to talk theories. We don't even need it, but we

840
00:44:44,719 --> 00:44:48,880
Speaker 1: don't know. We don't know. UM, can you explain this

841
00:44:49,040 --> 00:44:54,839
Speaker 1: secondary inflammatory disease that it sounds like the majority of

842
00:44:55,040 --> 00:44:59,920
Speaker 1: toddler and children COVID cases, thank god, have been manageable,

843
00:45:00,280 --> 00:45:03,520
Speaker 1: the majority of them. But then there's this awful thing

844
00:45:03,600 --> 00:45:05,520
Speaker 1: that you know more about because I read a lot

845
00:45:05,560 --> 00:45:08,160
Speaker 1: about it in cases in New York of kids weeks

846
00:45:08,280 --> 00:45:11,680
Speaker 1: after they had had COVID symptoms, they get some sort

847
00:45:11,680 --> 00:45:15,120
Speaker 1: of secondary inflammatory disease. What does that look like? So

848
00:45:15,360 --> 00:45:18,000
Speaker 1: I just want to say, and you set it beautifully,

849
00:45:18,040 --> 00:45:22,600
Speaker 1: it's so rare. It's really really very rare. UM. And

850
00:45:22,960 --> 00:45:26,040
Speaker 1: the case reports came out kind of weeks after UM

851
00:45:26,080 --> 00:45:29,319
Speaker 1: and they kind of pieced it together as to associated

852
00:45:29,320 --> 00:45:32,560
Speaker 1: with COVID and UM it is, you know, three to

853
00:45:32,680 --> 00:45:37,040
Speaker 1: six weeks after either a positive swab the horrible swab

854
00:45:37,080 --> 00:45:41,160
Speaker 1: we talked about, or antibodies or an exposure to covid UM.

855
00:45:41,280 --> 00:45:46,600
Speaker 1: And what we're seeing very rare is the same thing, um, fever,

856
00:45:47,080 --> 00:45:50,440
Speaker 1: abdominal pain, um. But these are kids that get much

857
00:45:50,480 --> 00:45:52,480
Speaker 1: much sicker and probably need to go, you know, to

858
00:45:52,560 --> 00:45:58,080
Speaker 1: the hospital. Rash, red eyes, mucous membrane involvement, some neurocognitive

859
00:45:58,160 --> 00:46:03,920
Speaker 1: like confused headache, lethargy, confusion, UM, some respiratory symptoms, and

860
00:46:03,960 --> 00:46:06,080
Speaker 1: the g I symptoms. Was the thing that was surprising

861
00:46:06,680 --> 00:46:09,200
Speaker 1: is sometimes he's you know, fever, but fever for four days.

862
00:46:09,680 --> 00:46:11,359
Speaker 1: I mean I saw some kids with diarrhea. I call

863
00:46:11,400 --> 00:46:13,399
Speaker 1: the air. They said, no, we need really really need fever.

864
00:46:13,880 --> 00:46:16,000
Speaker 1: We need them to have a fever, fever, fever fever.

865
00:46:16,719 --> 00:46:18,920
Speaker 1: You know it's I didn't know until I was a

866
00:46:18,960 --> 00:46:23,320
Speaker 1: mom myself, but I was one of those moms, um

867
00:46:23,400 --> 00:46:27,560
Speaker 1: that went to the pediatrician like you a lot, text

868
00:46:27,640 --> 00:46:30,400
Speaker 1: you a lot. Like it took me a while to

869
00:46:30,480 --> 00:46:35,080
Speaker 1: get my mommy muscle strong to know the difference between

870
00:46:35,920 --> 00:46:38,920
Speaker 1: he's having an off day and something's actually going on.

871
00:46:39,640 --> 00:46:43,240
Speaker 1: And I really have to like implore all you moms listening,

872
00:46:43,719 --> 00:46:46,840
Speaker 1: you've got it. Like I know when my kid feels

873
00:46:46,840 --> 00:46:49,240
Speaker 1: hot and has a fever. I know when he's acting

874
00:46:49,280 --> 00:46:53,160
Speaker 1: not himself. I know when he's just not interested in

875
00:46:53,200 --> 00:46:56,080
Speaker 1: dinner that night, or is actually like not eating and

876
00:46:56,120 --> 00:46:58,839
Speaker 1: not acting like himself and his lethargic. It's happened only

877
00:46:58,880 --> 00:47:00,680
Speaker 1: a few times in his two an half years, but

878
00:47:00,719 --> 00:47:03,560
Speaker 1: it was clear that he was not himself. It's the

879
00:47:03,640 --> 00:47:06,720
Speaker 1: question I always ask, what does your guts say? Because

880
00:47:06,719 --> 00:47:08,879
Speaker 1: I can't. You're with them, you know your child. I'm

881
00:47:08,920 --> 00:47:11,160
Speaker 1: on the phone or on telehealth or maybe even in

882
00:47:11,200 --> 00:47:12,920
Speaker 1: the office, but you know your child. What does your

883
00:47:12,920 --> 00:47:15,960
Speaker 1: guts say is going on? And it's not a frivolous

884
00:47:16,040 --> 00:47:18,080
Speaker 1: or a throwaway, it's it's really I want to it's

885
00:47:18,120 --> 00:47:20,239
Speaker 1: really they really know your kid, like when they're not

886
00:47:20,520 --> 00:47:22,719
Speaker 1: when you're doing something with them that they love to

887
00:47:22,760 --> 00:47:25,840
Speaker 1: do and they have no interest, right, they're just like

888
00:47:25,880 --> 00:47:28,200
Speaker 1: they can't even get you know. It's like, okay, we're

889
00:47:28,239 --> 00:47:31,680
Speaker 1: in a mode here that things need to be looked at. Um,

890
00:47:31,719 --> 00:47:34,839
Speaker 1: how can it affect newborns? Is there again not much

891
00:47:34,920 --> 00:47:37,120
Speaker 1: info on there's not a lot of information on it.

892
00:47:37,200 --> 00:47:40,560
Speaker 1: I mean, um, so because you're getting admitted to the

893
00:47:40,560 --> 00:47:43,839
Speaker 1: hospital when you're pregnant and having a baby, they test you.

894
00:47:44,360 --> 00:47:46,760
Speaker 1: And actually it was a shocking number when we were

895
00:47:46,800 --> 00:47:49,840
Speaker 1: at the peak, A shocking number of asymptomatic moms, pregnant

896
00:47:49,880 --> 00:47:53,759
Speaker 1: women who were testing positive that had no idea. Some

897
00:47:53,840 --> 00:47:56,160
Speaker 1: of them had some symptoms and some didn't. UM. But

898
00:47:56,239 --> 00:47:59,239
Speaker 1: then we subsequently test the fathers and the babies and

899
00:47:59,280 --> 00:48:02,200
Speaker 1: really we haven't seeing a lot of transmission. There are

900
00:48:02,239 --> 00:48:06,399
Speaker 1: isolated cases, very few once again of transmission, but they're

901
00:48:06,400 --> 00:48:09,200
Speaker 1: not sure what it means if it happens, but we

902
00:48:09,200 --> 00:48:11,719
Speaker 1: are testing the babies in it for now. The newborns

903
00:48:11,880 --> 00:48:14,680
Speaker 1: seam okay. Once again, such a small sample size. This

904
00:48:14,840 --> 00:48:18,400
Speaker 1: is also new um and just not a lot of cases.

905
00:48:19,640 --> 00:48:23,640
Speaker 1: Should all kids be in masks at all times? No,

906
00:48:24,360 --> 00:48:28,160
Speaker 1: if you're if your home and you're with your family,

907
00:48:28,239 --> 00:48:30,520
Speaker 1: that's your kind of bubble. Of course, you don't need

908
00:48:30,520 --> 00:48:34,919
Speaker 1: to be in a mask. UM. The recommendations is are

909
00:48:34,960 --> 00:48:38,800
Speaker 1: over two years old outside in the environment, you should

910
00:48:38,840 --> 00:48:41,560
Speaker 1: be in a mask. So if you're if you're outside

911
00:48:41,600 --> 00:48:44,800
Speaker 1: or if you're you know, close to other people, UM,

912
00:48:44,880 --> 00:48:47,399
Speaker 1: you should be in a mask over if you're over two.

913
00:48:47,920 --> 00:48:51,400
Speaker 1: And this is a listener's question that I'm gonna jump to.

914
00:48:51,680 --> 00:48:56,680
Speaker 1: But this mask wearing and toddlers, is it doing damage

915
00:48:56,719 --> 00:48:59,200
Speaker 1: to their psyche? Is the I mean or do we not?

916
00:48:59,440 --> 00:49:01,320
Speaker 1: I mean look is it. It's just more important to

917
00:49:01,400 --> 00:49:03,680
Speaker 1: keep them not sick. Mental health is I think is

918
00:49:03,960 --> 00:49:06,360
Speaker 1: going to be the huge kind of lingering thing, and

919
00:49:06,400 --> 00:49:08,600
Speaker 1: not because of mask wearing. I think it's because of

920
00:49:09,280 --> 00:49:10,840
Speaker 1: you know, I think I think we're gonna have to

921
00:49:10,880 --> 00:49:13,360
Speaker 1: make sure our kids are okay, make sure they're mentally okay,

922
00:49:13,400 --> 00:49:16,440
Speaker 1: make sure they're comfortable, and make sure they feel good. Um.

923
00:49:16,480 --> 00:49:17,960
Speaker 1: I don't think the mask is going to do it.

924
00:49:17,960 --> 00:49:20,880
Speaker 1: It's very funny. I have patience. I now know that

925
00:49:20,920 --> 00:49:24,080
Speaker 1: babies can see you smile even when you have a

926
00:49:24,120 --> 00:49:26,120
Speaker 1: mask on. They look at your eyes. I can smile

927
00:49:26,160 --> 00:49:28,200
Speaker 1: at a baby with them and I wear like full

928
00:49:28,239 --> 00:49:30,719
Speaker 1: on and they can they smile back. They look at

929
00:49:30,719 --> 00:49:33,080
Speaker 1: your eyes. It's amazing and incredible and something I actually

930
00:49:33,120 --> 00:49:36,479
Speaker 1: didn't know. Oh wow, that's comfortable, and they still smile.

931
00:49:36,520 --> 00:49:38,400
Speaker 1: They don't seem to be you're either they're trying to

932
00:49:38,400 --> 00:49:41,200
Speaker 1: grab it off your face, which which happens to or

933
00:49:41,239 --> 00:49:43,880
Speaker 1: there you know, and they can see you smile. So

934
00:49:43,920 --> 00:49:46,200
Speaker 1: I don't think that's the issue. I don't think we're

935
00:49:46,239 --> 00:49:49,440
Speaker 1: doing damage their psyche. And of course you can explain,

936
00:49:49,480 --> 00:49:51,359
Speaker 1: you know, this is something we do. We're not trying

937
00:49:51,400 --> 00:49:53,520
Speaker 1: to spread, just like washing your hands using they love

938
00:49:53,560 --> 00:49:56,240
Speaker 1: pure l. So I think if you love to yourls

939
00:49:56,239 --> 00:49:58,360
Speaker 1: love purel. So if the whole thing is, how do

940
00:49:58,400 --> 00:50:01,160
Speaker 1: I convince him not to suck his after I've pure it?

941
00:50:01,320 --> 00:50:03,680
Speaker 1: Like because I'm purelling in the car, you know, if

942
00:50:03,719 --> 00:50:06,799
Speaker 1: we've you know, we have my pot open to just

943
00:50:06,880 --> 00:50:08,920
Speaker 1: my brother and if we like, go there or I

944
00:50:08,960 --> 00:50:11,200
Speaker 1: don't know, like whatever we're doing. We're purelling all the

945
00:50:11,280 --> 00:50:16,319
Speaker 1: day time. And then you you soap in water. Yeah,

946
00:50:16,480 --> 00:50:18,439
Speaker 1: and then get him, get him a substitution, something else

947
00:50:18,440 --> 00:50:23,000
Speaker 1: you can suck on. Yeah, yep, yes, see listen to this.

948
00:50:23,000 --> 00:50:27,040
Speaker 1: This is why she is um the best in your opinion?

949
00:50:27,840 --> 00:50:30,520
Speaker 1: When will we have a vaccine for kids? Oh? Another

950
00:50:30,600 --> 00:50:33,439
Speaker 1: another question? I love. It's funny. A couple of days ago,

951
00:50:33,480 --> 00:50:36,319
Speaker 1: I would have said two years, eighteen months to two years,

952
00:50:36,360 --> 00:50:39,920
Speaker 1: but it looks like they're fast tracking some things. But um,

953
00:50:40,680 --> 00:50:43,800
Speaker 1: kids are going to be last, right, which, in all fairness,

954
00:50:43,960 --> 00:50:45,960
Speaker 1: they're not getting as sick. So kids are going to

955
00:50:46,040 --> 00:50:48,960
Speaker 1: be last because when we have vaccines, they have to

956
00:50:49,040 --> 00:50:51,560
Speaker 1: be you know, tried it, and usually it's a the

957
00:50:51,600 --> 00:50:55,279
Speaker 1: adult population first before they can so, so kids will

958
00:50:55,280 --> 00:51:00,160
Speaker 1: be the last ones but eighteen months, twelve to eighteen months,

959
00:51:00,640 --> 00:51:03,440
Speaker 1: it's not going to be tomorrow. No, So we have

960
00:51:03,520 --> 00:51:06,680
Speaker 1: to really Yeah, the mom's out there who are really

961
00:51:06,760 --> 00:51:08,839
Speaker 1: like leaning on it's going to be over soon. It's

962
00:51:08,840 --> 00:51:11,320
Speaker 1: going to be over soon. Should really figure out mental

963
00:51:11,480 --> 00:51:14,279
Speaker 1: health ways to let that idea go. Yeah, I mean

964
00:51:15,200 --> 00:51:17,560
Speaker 1: it once again though, it's it's not touching your face.

965
00:51:17,600 --> 00:51:19,560
Speaker 1: It's wearing a mask, it's not touching your face, is

966
00:51:19,560 --> 00:51:22,359
Speaker 1: washing your hands, it's just being diligent and being kind

967
00:51:22,400 --> 00:51:25,600
Speaker 1: to your neighbor, not coughing and sneezing on your friends.

968
00:51:25,880 --> 00:51:31,520
Speaker 1: I mean, there's a lot of basic obviously like yeah, yeah, yeah,

969
00:51:31,680 --> 00:51:33,960
Speaker 1: are you worried? This is this is what I talked

970
00:51:33,960 --> 00:51:35,880
Speaker 1: about with a lot of my friends. When we the

971
00:51:36,000 --> 00:51:40,360
Speaker 1: kids do go back to school, are we completely freaked

972
00:51:40,400 --> 00:51:43,719
Speaker 1: about the regular stuff? Like I feel like in my household,

973
00:51:44,080 --> 00:51:48,320
Speaker 1: knock on wood, no one has gotten a cold, pink eye, diarrhea,

974
00:51:48,600 --> 00:51:54,000
Speaker 1: all the usual things that we would have in cycles

975
00:51:54,040 --> 00:51:56,160
Speaker 1: all the time last year because my kid was on

976
00:51:56,200 --> 00:51:58,000
Speaker 1: play dates, or he was in a toddler and me

977
00:51:58,160 --> 00:52:01,520
Speaker 1: class and you know, or I had three friends and

978
00:52:01,520 --> 00:52:03,600
Speaker 1: their kids over and this one got pink eye in

979
00:52:03,640 --> 00:52:06,320
Speaker 1: their class and now we all have it, like, because

980
00:52:06,360 --> 00:52:10,040
Speaker 1: there's been such a stop to all of the other

981
00:52:11,080 --> 00:52:15,960
Speaker 1: toddler Petrie dish in school situations, what the hell is

982
00:52:16,000 --> 00:52:18,120
Speaker 1: that going to look like when we're back. I'm scared.

983
00:52:18,880 --> 00:52:22,000
Speaker 1: I mean those things are seasonal anyway, So I don't

984
00:52:22,000 --> 00:52:24,200
Speaker 1: think one or two years not getting a cold or

985
00:52:24,200 --> 00:52:25,799
Speaker 1: not getting pink eye. You know, if you don't get

986
00:52:25,800 --> 00:52:27,560
Speaker 1: pink eye this year, you'll get it in two years.

987
00:52:28,000 --> 00:52:30,640
Speaker 1: I don't think it's gonna and you would have anyway

988
00:52:30,719 --> 00:52:33,000
Speaker 1: because none of that can you know, you don't get

989
00:52:33,000 --> 00:52:36,239
Speaker 1: immunity for more than about a year for that stuff. Um,

990
00:52:36,320 --> 00:52:39,000
Speaker 1: So I don't think a year of kids not getting

991
00:52:39,160 --> 00:52:41,400
Speaker 1: and we're seeing believe it or not, even people that

992
00:52:41,440 --> 00:52:45,640
Speaker 1: are healthy, we're still seeing Coxsackie. We're still seeing rosiola,

993
00:52:45,760 --> 00:52:48,959
Speaker 1: which we don't really. People are shocked. They're like, we've

994
00:52:49,000 --> 00:52:51,399
Speaker 1: we've got nowhere, We've seen nowhere. How are they still

995
00:52:51,440 --> 00:52:54,839
Speaker 1: getting this? That is a mystery. Um, either they're not

996
00:52:54,920 --> 00:52:57,720
Speaker 1: as safe as they believe to be, or it's something

997
00:52:57,800 --> 00:53:00,600
Speaker 1: latent that just comes out that's just they or you

998
00:53:00,640 --> 00:53:02,840
Speaker 1: know when it is. I think kids are going to

999
00:53:02,920 --> 00:53:04,920
Speaker 1: get sick, whether you you know you have a sibling

1000
00:53:04,920 --> 00:53:07,960
Speaker 1: and you get sick when you're six months old, or

1001
00:53:08,040 --> 00:53:10,880
Speaker 1: you don't see anybody till you're in kindergarten and you

1002
00:53:10,920 --> 00:53:13,040
Speaker 1: get sick when you're in kindergarten. I think one year

1003
00:53:13,080 --> 00:53:19,080
Speaker 1: of not having the Petri dishes. Okay, Okay, see guys, ha,

1004
00:53:19,480 --> 00:53:22,319
Speaker 1: I just took a really nice collective breath because I'm

1005
00:53:22,360 --> 00:53:25,920
Speaker 1: just so like, whenever my kid does go back to school,

1006
00:53:26,200 --> 00:53:28,359
Speaker 1: we are going to be sick for two years. Like

1007
00:53:28,480 --> 00:53:31,080
Speaker 1: I'm like, I mean, the flues and the colds and

1008
00:53:31,120 --> 00:53:33,280
Speaker 1: the caves and the sore throats and the strep throats

1009
00:53:33,320 --> 00:53:35,680
Speaker 1: and all that garbage. But I guess it'll just pick

1010
00:53:35,760 --> 00:53:38,600
Speaker 1: up and be normal. Like it'll be really good hands

1011
00:53:39,040 --> 00:53:43,480
Speaker 1: oh that's true, feel really good at covering their silver lining.

1012
00:53:43,600 --> 00:53:45,680
Speaker 1: They'll be good handwashers, will be good at covering their

1013
00:53:45,719 --> 00:53:48,600
Speaker 1: mouths um, and they'll they'll be a little bit like

1014
00:53:48,760 --> 00:53:51,280
Speaker 1: stand back, you know, they'll be a little bit probably

1015
00:53:51,680 --> 00:53:56,200
Speaker 1: better at it. That's very true. Um. A lot of

1016
00:53:56,280 --> 00:53:59,600
Speaker 1: listeners have school and daycare questions that I'm going to

1017
00:53:59,680 --> 00:54:02,000
Speaker 1: get you right now. And thank you all you awesome

1018
00:54:02,040 --> 00:54:04,160
Speaker 1: listeners for getting back to us and being part of

1019
00:54:04,160 --> 00:54:08,040
Speaker 1: the Katie's crib community and asking these awesome questions. So, um,

1020
00:54:08,120 --> 00:54:11,120
Speaker 1: Shelly asks, I have three year old twins. One twin

1021
00:54:11,160 --> 00:54:14,160
Speaker 1: has chronic asthma. The twins are supposed to start preschool

1022
00:54:14,160 --> 00:54:17,319
Speaker 1: in September. My son's allergists said the social benefits of

1023
00:54:17,320 --> 00:54:20,400
Speaker 1: preschool outweigh the risks of him getting COVID and impacting

1024
00:54:20,480 --> 00:54:25,160
Speaker 1: his asthma. Thoughts, Um, I think it depends on where

1025
00:54:25,200 --> 00:54:27,680
Speaker 1: you live. So you have to look at the numbers.

1026
00:54:27,840 --> 00:54:30,120
Speaker 1: You know, right now New York is really low, other

1027
00:54:30,160 --> 00:54:32,600
Speaker 1: places are really high. I think what they've laid out

1028
00:54:32,600 --> 00:54:34,920
Speaker 1: for when they're going to start stuff, and what percent

1029
00:54:34,960 --> 00:54:37,600
Speaker 1: of people need to be negative or represent need to

1030
00:54:37,600 --> 00:54:40,040
Speaker 1: be positive, and how quickly that goes up. You know,

1031
00:54:40,080 --> 00:54:42,359
Speaker 1: you've got twins, so I feel like the socialization isn't

1032
00:54:42,520 --> 00:54:44,319
Speaker 1: kind of already there because you've got two of them.

1033
00:54:44,800 --> 00:54:47,880
Speaker 1: But that's true if your allergist is saying it. So

1034
00:54:47,920 --> 00:54:50,200
Speaker 1: I don't know the severity of the asthma or anything

1035
00:54:50,239 --> 00:54:53,680
Speaker 1: like that, but um, I think you listen to your doctors,

1036
00:54:53,760 --> 00:54:56,480
Speaker 1: look at ask your preschool what they're doing. If they're like, wow,

1037
00:54:56,600 --> 00:54:59,239
Speaker 1: just come back in, then maybe you look again. And

1038
00:54:59,280 --> 00:55:01,359
Speaker 1: if they have a if they have an actual plan.

1039
00:55:01,840 --> 00:55:04,600
Speaker 1: They're looking at filters, They're looking you know, filters in

1040
00:55:04,600 --> 00:55:06,839
Speaker 1: the areation. If they're going to be outside a lot

1041
00:55:06,840 --> 00:55:08,239
Speaker 1: of the time, if they're going to have like a

1042
00:55:08,680 --> 00:55:10,920
Speaker 1: what they're calling cohorts or bubbles of kids that they

1043
00:55:11,000 --> 00:55:14,080
Speaker 1: keep together, they have to have a plan. I think,

1044
00:55:14,520 --> 00:55:16,640
Speaker 1: I think you just want to know. I've been feeling

1045
00:55:16,680 --> 00:55:19,680
Speaker 1: that a lot with my group, with my mom friends,

1046
00:55:19,760 --> 00:55:22,600
Speaker 1: and that a lot of people who because I Albi

1047
00:55:22,640 --> 00:55:24,920
Speaker 1: hasn't started preschool yet, and I looked at a bunch

1048
00:55:24,960 --> 00:55:27,480
Speaker 1: and so you guys know like in l A and

1049
00:55:27,520 --> 00:55:29,680
Speaker 1: not everyone has this, but a lot of the preschools

1050
00:55:29,719 --> 00:55:33,880
Speaker 1: are moving completely outdoors, no indoor classes for a while,

1051
00:55:34,360 --> 00:55:37,200
Speaker 1: and then they're splitting the playyards so that kids are

1052
00:55:37,200 --> 00:55:40,200
Speaker 1: sort of split into like four to six kids pods

1053
00:55:40,880 --> 00:55:42,520
Speaker 1: um that they will stick with the whole time. And

1054
00:55:42,560 --> 00:55:44,960
Speaker 1: then and then a bunch of the preschools have like

1055
00:55:45,680 --> 00:55:48,840
Speaker 1: put in running rivers in the front of soap and water,

1056
00:55:49,280 --> 00:55:52,280
Speaker 1: like like kids are washing their hands every thirty minutes,

1057
00:55:52,400 --> 00:55:55,680
Speaker 1: or what's their plan for potty breaks? You know, like

1058
00:55:55,719 --> 00:55:58,080
Speaker 1: who's cleaning the bathroom in between each person? Like these

1059
00:55:58,120 --> 00:56:02,399
Speaker 1: are the questions I've slowly learned through friends to ask like, um,

1060
00:56:02,400 --> 00:56:06,040
Speaker 1: how are they cleaning the inside? With what you have

1061
00:56:06,160 --> 00:56:08,920
Speaker 1: to trust? You're gonna have to trust your kids, bestie also,

1062
00:56:09,000 --> 00:56:11,279
Speaker 1: because those are the people that are going to be

1063
00:56:11,480 --> 00:56:13,320
Speaker 1: putting you at risk or not putting at risk. I

1064
00:56:13,320 --> 00:56:15,120
Speaker 1: think you have to have you can have conversations with

1065
00:56:15,320 --> 00:56:17,960
Speaker 1: you know, we're in the same pod. We gotta we

1066
00:56:17,960 --> 00:56:19,560
Speaker 1: gotta do this, we gotta do the right thing, And

1067
00:56:19,600 --> 00:56:21,920
Speaker 1: I think that's an important conversation to have as well.

1068
00:56:22,280 --> 00:56:26,359
Speaker 1: It's a lot like safe sex. It's so insane, like

1069
00:56:26,719 --> 00:56:29,960
Speaker 1: because we've only opened our pod to one other family. Um,

1070
00:56:30,000 --> 00:56:32,880
Speaker 1: they live around the corner. The mother is eight and

1071
00:56:32,880 --> 00:56:35,359
Speaker 1: a half months pregnant, which is really scary because she

1072
00:56:35,920 --> 00:56:37,840
Speaker 1: we all want to keep her protected and her daughter

1073
00:56:37,880 --> 00:56:41,239
Speaker 1: is six weeks younger than my son. And we're the

1074
00:56:41,280 --> 00:56:43,919
Speaker 1: parents are very very good friends, and we it took

1075
00:56:43,960 --> 00:56:47,600
Speaker 1: weeks of deliberation where we felt like, hey, these are

1076
00:56:47,600 --> 00:56:49,719
Speaker 1: the rules. I'm going to tell you if I've seen

1077
00:56:49,719 --> 00:56:51,719
Speaker 1: anybody else, and then you can decide if you want

1078
00:56:51,760 --> 00:56:55,440
Speaker 1: to take a fourteen daybreak from plate dates. It's a

1079
00:56:55,440 --> 00:56:59,320
Speaker 1: trust thing, but it's literally like who how many partners

1080
00:56:59,360 --> 00:57:02,680
Speaker 1: have you had? How to use protection. It's like insane,

1081
00:57:02,760 --> 00:57:06,960
Speaker 1: It's like, oh my gosh. Absolutely, Hi Katie, this is

1082
00:57:07,000 --> 00:57:10,080
Speaker 1: from Renee. I live in a dense area of Boston.

1083
00:57:10,280 --> 00:57:13,480
Speaker 1: I'm a mom of four little ones. Wow, bravo to you,

1084
00:57:13,800 --> 00:57:17,080
Speaker 1: ages six to five months. When my daughter's school opens

1085
00:57:17,080 --> 00:57:18,440
Speaker 1: in the fall and she goes to first grade, what

1086
00:57:18,480 --> 00:57:20,120
Speaker 1: are some ways I can keep the babies at home

1087
00:57:20,160 --> 00:57:22,320
Speaker 1: healthy from the school germs. So you brings home. All

1088
00:57:22,360 --> 00:57:24,840
Speaker 1: three older kids share one room in our twelve square

1089
00:57:24,840 --> 00:57:27,120
Speaker 1: foot department. Oh and then I just have to add

1090
00:57:27,160 --> 00:57:29,240
Speaker 1: this part. She wrote, You're my favorite actress. Thank you

1091
00:57:29,280 --> 00:57:31,520
Speaker 1: for being there for me during long lonely post part

1092
00:57:31,600 --> 00:57:33,880
Speaker 1: of days in the form of scandal and through this podcast.

1093
00:57:33,880 --> 00:57:36,480
Speaker 1: So much love, Renee. Yeah, I love you, Renee. That

1094
00:57:36,480 --> 00:57:39,120
Speaker 1: it's so nice of you sending so much love to you.

1095
00:57:39,360 --> 00:57:43,400
Speaker 1: That's wonderful. Okay, I forgot the question. No, I'm kidding.

1096
00:57:44,720 --> 00:57:46,680
Speaker 1: So she has an older kid that she wants to

1097
00:57:46,760 --> 00:57:48,520
Speaker 1: go back to school, and then she has little ones.

1098
00:57:48,600 --> 00:57:50,800
Speaker 1: Oh God, what do you do there? Um? You know,

1099
00:57:50,920 --> 00:57:52,800
Speaker 1: So it's it's what I do. So I go to work.

1100
00:57:52,880 --> 00:57:56,040
Speaker 1: I go to work every day. Um, I've been wearing scrubs.

1101
00:57:56,120 --> 00:57:58,720
Speaker 1: I love them. Um, I changed when I get home.

1102
00:57:58,760 --> 00:58:00,200
Speaker 1: I watched my The first thing I do when I

1103
00:58:00,200 --> 00:58:03,120
Speaker 1: get to work is wash my hands. The first thing

1104
00:58:03,200 --> 00:58:05,120
Speaker 1: I do when I get home is wash my hands

1105
00:58:05,520 --> 00:58:08,320
Speaker 1: and take a shower. Um, So I think it's I mean,

1106
00:58:08,720 --> 00:58:11,520
Speaker 1: I think when she comes home, you can you can

1107
00:58:11,520 --> 00:58:14,800
Speaker 1: have home clothes or you know, hang out pajamas if

1108
00:58:14,800 --> 00:58:16,960
Speaker 1: you really want to be safe. Since they're so so close,

1109
00:58:17,280 --> 00:58:19,640
Speaker 1: make sure she washes her hands. Um, you can give

1110
00:58:19,640 --> 00:58:21,160
Speaker 1: her shaff you, but make make sure you do it

1111
00:58:21,160 --> 00:58:23,280
Speaker 1: once over on her. I'm assuming she's the oldest or

1112
00:58:23,320 --> 00:58:25,720
Speaker 1: the eldest, so not touching her face, not coughing, she

1113
00:58:25,720 --> 00:58:27,439
Speaker 1: shouldn't have to wear a mask in her own house.

1114
00:58:27,520 --> 00:58:31,040
Speaker 1: I don't. I think that's reasonable. But I think if

1115
00:58:31,040 --> 00:58:33,320
Speaker 1: she comes home and washes her hands and washes her face,

1116
00:58:33,400 --> 00:58:35,600
Speaker 1: and we talked about not coughing, and and then as

1117
00:58:35,640 --> 00:58:38,400
Speaker 1: soon as you see an inkling of you know, maybe

1118
00:58:38,400 --> 00:58:41,640
Speaker 1: a fever something, then you can call your pediatrician. Maybe

1119
00:58:42,320 --> 00:58:44,040
Speaker 1: put her a little bit to the side. Yeah, from

1120
00:58:44,080 --> 00:58:48,200
Speaker 1: the other kids, So let me ask about that sort

1121
00:58:48,240 --> 00:58:52,240
Speaker 1: of leads us into visitors and at natural ce Levine,

1122
00:58:53,680 --> 00:58:56,280
Speaker 1: she asks, I will deliver second baby in October. The

1123
00:58:56,320 --> 00:58:58,760
Speaker 1: first child turns through in November. How do I manage

1124
00:58:58,760 --> 00:59:01,040
Speaker 1: parents and in laws that want help with both kids

1125
00:59:01,040 --> 00:59:03,680
Speaker 1: but won't have been in our COVID bubble beforehand. One

1126
00:59:03,680 --> 00:59:06,240
Speaker 1: set is local, one set will travel across the country.

1127
00:59:06,280 --> 00:59:09,800
Speaker 1: Do we enforce a fourteen day quarantine everyone gets tested? Help?

1128
00:59:09,960 --> 00:59:12,920
Speaker 1: This is a huge hot topic question for everyone I

1129
00:59:12,960 --> 00:59:18,160
Speaker 1: know pregnant at the moment and really needing assistance and

1130
00:59:18,280 --> 00:59:21,760
Speaker 1: help in their home with either family that lives close

1131
00:59:21,760 --> 00:59:24,360
Speaker 1: by or a night nurse, or like, how do people

1132
00:59:25,480 --> 00:59:29,200
Speaker 1: deal with family immediate family and getting them in their

1133
00:59:29,240 --> 00:59:32,800
Speaker 1: bubbles for when the baby comes. So I'll answer the

1134
00:59:32,800 --> 00:59:35,640
Speaker 1: easy question first, which is people that live in your

1135
00:59:35,640 --> 00:59:38,640
Speaker 1: hometown and local people. You certainly I think it's reasonable

1136
00:59:38,640 --> 00:59:43,120
Speaker 1: to ask to quarantine for fourteen days. Um. Yeah, people

1137
00:59:43,160 --> 00:59:45,080
Speaker 1: that are flying across the country, I think it's a

1138
00:59:45,080 --> 00:59:48,480
Speaker 1: little more difficult. It's you know, they're going to be flying,

1139
00:59:48,520 --> 00:59:50,200
Speaker 1: they're going to be on a plane, they're gonna be

1140
00:59:51,200 --> 00:59:53,720
Speaker 1: in the universe. So I think, you know, asking them

1141
00:59:53,720 --> 00:59:56,520
Speaker 1: to get tests when they get local, um, but having

1142
00:59:56,520 --> 00:59:59,600
Speaker 1: them safe or reasonable enough time. So that's that's a

1143
01:00:00,080 --> 01:00:02,680
Speaker 1: thing to do. But I think it's doable and the

1144
01:00:02,800 --> 01:00:06,040
Speaker 1: risk reward of having your family close and being able

1145
01:00:06,080 --> 01:00:09,080
Speaker 1: to help is important as well when you're a new mom.

1146
01:00:09,120 --> 01:00:12,800
Speaker 1: And do you think people who are flying should get

1147
01:00:12,840 --> 01:00:16,560
Speaker 1: tested and quarantine for fourteen days? If that's even a reality?

1148
01:00:16,600 --> 01:00:18,520
Speaker 1: I mean, who who can take off? You know? Good

1149
01:00:18,600 --> 01:00:20,840
Speaker 1: Lord like that? I mean that would be perfection, But

1150
01:00:21,120 --> 01:00:24,400
Speaker 1: I think it's probably going to be one or the other. Yeah. Um.

1151
01:00:24,480 --> 01:00:28,919
Speaker 1: In reality from Panama, she says, thank you for opening

1152
01:00:29,000 --> 01:00:33,280
Speaker 1: up this space my pleasure. Um. This is from Alejandra

1153
01:00:33,400 --> 01:00:35,560
Speaker 1: and she says, I'm a teacher. I'm a mommy of

1154
01:00:35,560 --> 01:00:38,280
Speaker 1: three little ones, nine, five and six months old. Like

1155
01:00:38,360 --> 01:00:40,560
Speaker 1: any mom, my biggest concern is if I get sick,

1156
01:00:40,600 --> 01:00:42,760
Speaker 1: who cares for my little ones? Especially a baby who's

1157
01:00:42,760 --> 01:00:45,200
Speaker 1: still nursing? Which brings me to my question. If you

1158
01:00:45,240 --> 01:00:48,000
Speaker 1: test positive for coronavirus and have to self isolate, can

1159
01:00:48,080 --> 01:00:50,840
Speaker 1: you continue nursing? Does testing positive mean you need to

1160
01:00:50,880 --> 01:00:52,760
Speaker 1: be away from your children for two weeks while you

1161
01:00:52,800 --> 01:00:56,200
Speaker 1: stop being positive? Many thanks for providing the space for

1162
01:00:56,240 --> 01:01:01,160
Speaker 1: worried mommies like me. So the guidelines are to take precautions,

1163
01:01:01,320 --> 01:01:04,320
Speaker 1: wear a mask, wash your hands, wash all your tubing,

1164
01:01:04,360 --> 01:01:08,560
Speaker 1: and your breast pump stuff really well. Um, and they

1165
01:01:08,600 --> 01:01:11,160
Speaker 1: haven't seen I mean, once again, the data is so

1166
01:01:11,240 --> 01:01:14,480
Speaker 1: little for you know, a positive you know, but they

1167
01:01:14,480 --> 01:01:19,200
Speaker 1: haven't seen a lot of transmission. Um. But take precautions

1168
01:01:19,040 --> 01:01:23,160
Speaker 1: as you would if you were in you know, outside

1169
01:01:23,240 --> 01:01:25,720
Speaker 1: or with someone who is who you thought might be positive.

1170
01:01:25,760 --> 01:01:30,480
Speaker 1: So masks, handwashing, and and keeping separate when you're not,

1171
01:01:30,840 --> 01:01:33,280
Speaker 1: you know, for for a little while until you're negative. Yeah,

1172
01:01:33,320 --> 01:01:37,040
Speaker 1: maybe fourteen days of like staying away and only being

1173
01:01:37,120 --> 01:01:41,640
Speaker 1: near the baby while breastfeeding exactly. Yeah, I wonder pumping, Yeah,

1174
01:01:41,800 --> 01:01:44,720
Speaker 1: pumping or you like wear gloves and a mask, mask

1175
01:01:44,840 --> 01:01:48,160
Speaker 1: and do mostly pumping and a few breastfeeds a day,

1176
01:01:48,200 --> 01:01:51,080
Speaker 1: depending on how many feeds you're doing a day exact.

1177
01:01:51,080 --> 01:01:54,160
Speaker 1: They're hoping they're antibodies that way too, because usually nursing

1178
01:01:54,160 --> 01:01:57,520
Speaker 1: their anabo where they're hoping that that's transmissible, but studies

1179
01:01:57,520 --> 01:02:02,680
Speaker 1: aren't conclusive yet. So gosh, Dr Daniel Taylor, you are

1180
01:02:03,480 --> 01:02:07,800
Speaker 1: just everyone everyone feel her vibe. See it's so for me,

1181
01:02:08,000 --> 01:02:11,440
Speaker 1: it's like to have a calm pediatriction is like a

1182
01:02:11,680 --> 01:02:17,640
Speaker 1: perfect yin to my yang. Any partying bits of advice

1183
01:02:17,880 --> 01:02:21,160
Speaker 1: or wisdom or just you want to talk me off

1184
01:02:21,160 --> 01:02:25,240
Speaker 1: a ledge in front of everybody. Sure sure, UM, I,

1185
01:02:25,360 --> 01:02:28,000
Speaker 1: just as a healthcare provider want to say, don't don't

1186
01:02:28,000 --> 01:02:32,240
Speaker 1: miss your appointments, vaccinate on time. Don't feel like we're open.

1187
01:02:32,840 --> 01:02:36,640
Speaker 1: We're we're you can call and ask what we're doing.

1188
01:02:36,680 --> 01:02:39,880
Speaker 1: We're seeing babies in the morning, younger kids in the afternoon.

1189
01:02:40,040 --> 01:02:43,320
Speaker 1: In six spots are just very little. We're separating everybody.

1190
01:02:43,360 --> 01:02:45,760
Speaker 1: But keep your appointments and vaccinate because we don't want

1191
01:02:45,760 --> 01:02:47,520
Speaker 1: this to end and then have a pandemic of something

1192
01:02:47,560 --> 01:02:50,960
Speaker 1: else that's you know, kids could get vaccinated for. So

1193
01:02:51,080 --> 01:02:54,240
Speaker 1: make sure you keep those appointments. UM call us talk

1194
01:02:54,320 --> 01:02:57,720
Speaker 1: to us, UM call before find out what's an emergency.

1195
01:02:57,800 --> 01:03:00,400
Speaker 1: Don't freak out on your own. Don't just run to

1196
01:03:00,440 --> 01:03:06,840
Speaker 1: the emergency. Call us and trust us UM to answer questions. UM.

1197
01:03:07,040 --> 01:03:11,400
Speaker 1: Follow the rules, wear masks, wash your hands, limit your

1198
01:03:11,440 --> 01:03:15,040
Speaker 1: contacts UM because it's it's the easiest way to have

1199
01:03:15,080 --> 01:03:17,360
Speaker 1: all of this. Be a little bit more behind us.

1200
01:03:17,760 --> 01:03:21,800
Speaker 1: Be patient, Be patient with your doctors, Be patient with yourself.

1201
01:03:21,880 --> 01:03:24,480
Speaker 1: Be patient with the new rules. Sometimes only one parent

1202
01:03:24,560 --> 01:03:26,520
Speaker 1: can come in sometimes I mean be patient that we're

1203
01:03:26,520 --> 01:03:30,280
Speaker 1: doing it too to protect everybody. And if if our

1204
01:03:30,320 --> 01:03:32,280
Speaker 1: guidelines are different one day than they were the next.

1205
01:03:32,320 --> 01:03:35,040
Speaker 1: Stay to be patient with that too, because it's all new.

1206
01:03:35,680 --> 01:03:39,080
Speaker 1: This is really you're bringing up such great points I had.

1207
01:03:39,120 --> 01:03:42,280
Speaker 1: I was pushing my Albie's two and a half year

1208
01:03:43,000 --> 01:03:45,919
Speaker 1: check up and pushing it and pushing it, and then

1209
01:03:46,000 --> 01:03:48,560
Speaker 1: I called and asked the doctor like a million questions,

1210
01:03:48,560 --> 01:03:50,640
Speaker 1: like how are you keeping separate? And they only had

1211
01:03:50,680 --> 01:03:53,200
Speaker 1: appointments for non sick kids in the morning, and they

1212
01:03:53,200 --> 01:03:55,760
Speaker 1: were super spaced out. I didn't see anybody, and it

1213
01:03:55,880 --> 01:03:59,320
Speaker 1: was so great and so well handled. And I'm sure, like,

1214
01:04:00,000 --> 01:04:02,479
Speaker 1: how many doctors are doing that at like you said

1215
01:04:02,520 --> 01:04:05,920
Speaker 1: you are. And then I think that the that pediatricians

1216
01:04:05,920 --> 01:04:10,240
Speaker 1: in general like have just been so wonderful at moving

1217
01:04:10,400 --> 01:04:14,520
Speaker 1: so many medical things to phone calls, questions and tele medicine.

1218
01:04:14,560 --> 01:04:17,560
Speaker 1: Like so if you're having that gut sort of twinge

1219
01:04:17,640 --> 01:04:21,000
Speaker 1: that something's not right, it's like I can send photos

1220
01:04:21,040 --> 01:04:23,640
Speaker 1: like in this time, my son's tooth has turned gray

1221
01:04:24,040 --> 01:04:28,720
Speaker 1: from a fall. He's had weird broken capillaries on his

1222
01:04:28,800 --> 01:04:32,160
Speaker 1: face from a crying fit he had, And I'm just

1223
01:04:32,240 --> 01:04:35,360
Speaker 1: like sending close up photos with my actor audition ring

1224
01:04:35,440 --> 01:04:38,200
Speaker 1: light to my you know, to you oh, I sent

1225
01:04:38,320 --> 01:04:42,960
Speaker 1: you pictures of his gray tooth, because but like I

1226
01:04:43,040 --> 01:04:47,320
Speaker 1: just feel like we really have to call on our pediatricians,

1227
01:04:47,360 --> 01:04:49,680
Speaker 1: like you're saying, ask a lot of questions, use the phone,

1228
01:04:49,920 --> 01:04:54,720
Speaker 1: use FaceTime, email, pictures like whatever, so that you can

1229
01:04:54,840 --> 01:04:57,760
Speaker 1: stay on top of any symptoms you see. Um, but

1230
01:04:57,800 --> 01:05:00,400
Speaker 1: also keep caring for your kid, because they do other

1231
01:05:00,400 --> 01:05:02,720
Speaker 1: stupid stuff that has nothing to do with COVID, A

1232
01:05:02,760 --> 01:05:05,800
Speaker 1: lot of false a lot of trampoline stuff. Um, there's

1233
01:05:05,920 --> 01:05:10,280
Speaker 1: there's actually a pitch the American Academy of Pediatrics AP

1234
01:05:10,680 --> 01:05:13,600
Speaker 1: hashtag call your pediatrician. I mean, it's just call us.

1235
01:05:13,600 --> 01:05:15,200
Speaker 1: We're here, we want we want to talk to you.

1236
01:05:15,240 --> 01:05:17,360
Speaker 1: We want to talk to you after ledge. Thank you

1237
01:05:17,400 --> 01:05:19,360
Speaker 1: so much for being on Katie's crib and for being

1238
01:05:19,360 --> 01:05:23,560
Speaker 1: a voice of reason during this very epic, intense stressful

1239
01:05:24,240 --> 01:05:27,800
Speaker 1: time for new moms, for moms of toddlers, for moms

1240
01:05:27,800 --> 01:05:31,920
Speaker 1: with multiple kids, and at Katie's crib. This is the

1241
01:05:31,920 --> 01:05:36,280
Speaker 1: info we have right now on COVID. Thanks for having me.

1242
01:05:36,720 --> 01:05:40,560
Speaker 1: Thank you, Dr Daniel Taylor. Thank you guys so much

1243
01:05:40,600 --> 01:05:44,160
Speaker 1: for listening. I hope that helped calm some of your nerves.

1244
01:05:44,200 --> 01:05:48,200
Speaker 1: Stay calm, carry on, You got this subscribe, tell your friends,

1245
01:05:48,280 --> 01:05:51,439
Speaker 1: follow us on all the socials at Katie's Crib, and also,

1246
01:05:51,520 --> 01:05:53,520
Speaker 1: if you have any thoughts or ideas of things you'd

1247
01:05:53,520 --> 01:05:55,280
Speaker 1: like to hear more about, you can email me at

1248
01:05:55,360 --> 01:05:59,560
Speaker 1: Katie's Crib at Shonda land dot com. Thanks guys, till

1249
01:05:59,600 --> 01:06:09,560
Speaker 1: next time, ka Katie's Crib is a production of iHeart

1250
01:06:09,640 --> 01:06:12,560
Speaker 1: Radio and Shonda Land Audio. For more podcasts from I

1251
01:06:12,640 --> 01:06:15,680
Speaker 1: Heart Radio, visit the I heart Radio app, Apple Podcasts,

1252
01:06:15,800 --> 01:06:19,240
Speaker 1: or wherever you listen to your favorite shows. I'm coming

1253
01:06:19,320 --> 01:06:24,680
Speaker 1: for you, I Want You, Want You, Want You