RSV episode

WE ARE DOING THIS EPISODE AT THE START OF COLD AND FLU SEASON. WE THOUGHT IT WOULD BE TIMELY TO TALK ABOUT RSV.

What is RSV?

Why does it have such a bad reputation compared to other colds?

RSV isn’t just a disease for children but we mostly hear about it in children.

Should we be testing for this more in adults?

What are the symptoms of RSV in children?

How can parents differentiate between a regular cold and a potential RSV infection?

When should parents worry?

What makes RSV so hard for kids, especially under the age of 2?

And this is where the term “bronchiolitis” comes into play in connection with RSV. Why does RSV cause bronchiolitis?

How does RSV impact children differently across various age groups?

What symptoms do adults have?

People often say they are worried their child’s cold will “turn into RSV”—do you get that from your patients?

When should you see your doctor?

Are there specific groups of children more vulnerable to severe RSV complications? Which kids are at higher risk?

What is the significance of early detection and timely medical intervention? Is it helpful to come in early

What care can parents give for RSV at home?

What are the treatment options for RSV?

What are the potential complications from RSV?

What preventive measures can parents take to reduce the risk of RSV in their children?

There are two types of immunizations for RSV—one for mothers and one for babies.

AND IF THE MOTHER DOESN’T RECEIVE THE IMMUNIZATION THERE IS ANOTHER OPPORTUNITY FOR THE CHILD

Are there any misconceptions about RSV that you'd like to address?

DO YOU HAVE A FAVORITE RSV STORY?

AND YOU OFTEN SAY YOU ARE TOO THRIFTY TO BUY SALINE DROPS. WHAT IS THE RECIPE FOR MAKING SALINE AT HOME?

• It is 1/2 teaspoon of salt in 1 cup of warm water

NUTRITION PART 1 — GENERAL NUTRITIONFOR THE NEXT THREE EPISODES WE WILL TALK ABOUT NUTRITION.

IN THIS FIRST EPISODE WE WILL COVER GENERAL NUTRITION.

WHY ARE NUTRITION DISCUSSIONS SO IMPORTANT IN YOUR PREVENTION DISCUSSIONS?

NUTRITION IS SO FOUNDATIONAL WHETHER YOU ARE HELPING CHILDREN TO THRIVE IN SCHOOL OR IN SPORTS OR TO COMBAT FATIGUE AND HEADACHES

WHAT ARE THE FACTORS THAT CONTRIBUTE TO LOW BLOOD SUGAR?

KIDS HAVE A NEED TO EAT MORE FREQUENTLY THAN ADULTS DUE TO THEIR FASTER METABOLISM

HOW DOES THAT WORK WITH KIDS AT SCHOOL?

IS IT UNHEALTHY TO SCHEDULE EATING VS. WAITING UNTIL A CHILD IS HUNGRY?

SO WE TALKED ABOUT THE TIMING OF EATING

LET’S TALK ABOUT HOW THE KIND OF FOOD MAKES A HUGE DIFFERENCE WITH THEIR PHYSIOLOGY

AND WHEN YOU ADDRESS LOW BLOOD SUGAR YOU ALWAYS COUPLE THAT WITH GOOD HYDRATION--WHAT IS A GOOD WATER GOAL?

DO PARENTS NEED TO BUY GATORADE OR OTHER FLAVORINGS?

AND MAYBE ONE MORE PLUG IN FOR ADEQUATE SLEEP

IS THIS A HARD ASK FOR SOMEONE TO COMMIT TO?

A LOT OF KIDS COME IN WITH CONCERNS FOR FATIGUE AND DIZZINESS AND STOMACHACHES AND HEADACHES AND THE MEDICAL WORK-UP FOR THIS LIST OF PROBLEMS IS MASSIVE.

WHY DOES FOOD MATTER? WHY DOES NUTRITION MATTER?

AND THIS MAY MEAN SOME COMPROMISE ON FOOD CHOICES LIKE WE TALKED ABOUT WITH PICKY EATERS

WE SAY THIS OFTEN IN A COUPLE WAYS: PARENTS CHOOSE WHAT AND WHEN AND KIDS CHOOSE HOW MUCH; OR, SAID ANOTHER WAY THAT PARENTS CHOOSE THE CHOICES

LET’S TALK ABOUT THE BROAD STROKES THAT WE CAN PAINT NUTRITION WITH. WHAT IS ENERGY DENSITY AND NUTRITION DENSITY?

WHERE DO HIGHLY PROCESSED FOODS FIT INTO THIS DISCUSSION

WOULD YOU SAY THE SAME ABOUT ARTIFICIAL SWEETENERS?

AND MAYBE JUST A QUICK BASIC COMMENT ON ENERGY CONTENT OF EACH TYPE OF FOOD:

IS THERE A PLACE FOR FOCUSING ON PLANT-BASED FOOD?

LET’S SPEND SOME TIME TALKING ABOUT SPECIFIC NUTRITION COMPONENTS WE NEED TO WORK ON. THERE ARE SOME NUTRIENTS AND MICRONUTRIENTS THAT CAN BE CHALLENGES TO GET INTO KIDS.

FIBER FIRST. WHAT IS IT GOOD FOR AND WHO IS AT RISK FOR DEFICIENCY?

HOW IMPORTANT IS IT THAT PARENT’S MODEL BEHAVIOR?

CALCIUM

AND IF THEY WON’T DO MILK. CAN WE GET THIS ANY OTHER NATURAL WAY?

VITAMIN D—THIS HAPPENS NATURALLY WITH SUN EXPOSURE IS IT ENOUGH?

VITAMIN A

IRON

ZINC

WITH SUPPLEMENTS--WE ARE NOT TRYING TO REPLACE A WELL-BALANCED HEALTHY DIET, BUT SOME KIDS NEED THIS TO BE HEALTHY

LET’S TAKE THAT THOUGHT AND SEGUE TO OUR LAST SECTION ON HOW WE CAN HELP PARENTS ASSESS THEIR CHILD’S EATING. WHERE DO WE START THE EVALUATION?

IS THERE A DANGER TO SCREENING AND CATALYZING EATING DISORDERS?

WHAT IS A 30,000 FOOT LEVEL VERSION OF HOW YOU WANT TO HELP PATIENTS?

HOW ARE YOU TRYING TO COME AT THIS FROM THE PATIENT / PARENT OWNERSHIP INSTEAD OF A RIGHTING REFLEX

PARENTS WORRY MOST ABOUT THINGS THAT ARE THE HARDEST TO CONTROL: TOILET TRAINING, SLEEP, AND EATING

PORTION SIZES WITH UPSIZING THINGS AT FAST FOOD PLACES AND ENCOURAGING KIDS TO EAT ALL THEIR FOOD

SO TRUSTING KIDS HUNGER AND FULLNESS CUES AND LET THE GROWTH CHART TELL THE TALE IS A KEY

RESOURCES:

FIRST IS THE Website: myplate.gov WHICH HAS SOME GOOD GENERAL FOOD PRINCIPLES

Deceptively Delicious BY JESSICA SEINFELD

THIS EPISODE IS HAPPENING THE WEEK BEFORE SCHOOL STARTS—A TIME WHEN ALL FAMILIES PLAN FOR A GRADUAL TRANSITION FROM SUMMER CHAOS TO A REGIMENTED SCHOOL SCHEDULE. INVARIABLY THOUGH FAMILIES THINK “OH NO, SCHOOL STARTS TOMORROW. WE HAD ALL SUMMER TO PREPARE FOR THIS. GOOD LUCK KIDS”

WHY DO WE NEED SLEEP?

HOW TO ESTABLISH HEALTHY BEDTIME ROUTINES

WHAT DOES BEDTIME LOOK LIKE

IS THERE A BEST TIME FOR GOING TO BED?

WHAT IS THE IDEAL ENVIRONMENT FOR BEDTIME?

YOU TALKED ABOUT DOING THE MATH TO ESTABLISH BEDTIMES FOR CHILDREN.

HOURS OF SLEEP FOR DIFFERENT AGES?

SOME SAY THEY NEED TO READ OR WATCH TV TO FALL ASLEEP. HOW MUCH OF THAT IS TRUE?

WHAT IS THE RELATIONSHIP BETWEEN BLUELIGHT AND MELATONIN PRODUCTION?

WHAT ABOUT EXERCISE BEFORE BED? AND SOMETIMES KIDS HAVE ACTIVITIES THAT RUN LATE AT NIGHT

WHAT ABOUT MUSIC AS A TOOL TO GO TO BED?

WHAT ABOUT NAPS AND DO NAPS DISRUPT NIGHTTIME SLEEP?

SLEEP DEFICIT AND TEENS WANTING TO SLEEP IN UNTIL NOON FOR SLEEP DEFICIT PAYBACK ON THE WEEKEND

IT SEEMS EASIER TO HAVE THE CHILD SLEEP WITH A PARENT INSTEAD OF SOLVING THE PROBLEM OF HAVING THEM SLEEP IN THEIR OWN BED?

IT MAY SEEM MORE EXHAUSTING TO TACKLE THE PROBLEM THAN JUST PUTTING UP WITH HOW YOU ARE DOING.

LET’S FIRST ADDRESS DIFFICULTY GOING TO SLEEP

What are solutions for children who have a difficult time falling asleep

WHAT IF WE DO ALL THESE THINGS AND WE STILL ARE HAVING A HARD TIME GETTING THEM TO SLEEP?

HOW DO YOU HELP KIDS WITH INSOMNIA

WHAT IF ANXIETY IS THE OBSTACLE TO FALLING ASLEEP

ARE THERE ANY MEDICATION SLEEP AIDS THAT YOU USE?

LET’S MOVE THE SECOND CATEGORY OF SLEEP PROBLEMS—DIFFICULTY STAYING ASLEEP

WHAT DOES THAT LOOK LIKE IN THE MIDDLE OF THE NIGHT?

WOULD YOU TRY TO FIGURE OUT WHY THEY ARE WAKING UP?

COULD WE BE MISSING ANY MEDICAL REASONS OR MEDICAL PROBLEMS THAT ARE CAUSING THEM TO WAKE UP AT NIGHT?

SLEEP APNEA

AND LET’S BRIEFLY MENTION RESTLESS LEGS SYNDROME AS AN UNCOMMON PROBLEM THAT KEEPS PEOPLE FROM FALLING ASLEEP AT NIGHT

IS THERE A TREATMENT FOR IT?

FOR THE LAST SEGMENT, LET’S TALK ABOUT SPECIFIC CONDITIONS THAT ARISE DURING SLEEP AND THEY ARE GROUPED INTO SEGMENTS—

THE non-REM PARASOMNIAS ARE THE NIGHT TERRORS, SLEEP WALKING, AND SLEEP TALKING. THE REM PARASOMNIAS ARE NIGHTMARES

LET’S COVER NIGHT TERRORS, SLEEP WALKING AND SLEEP TALKING FIRST.

AND THEN FOR NIGHTMARES, THESE ARE DIFFERENT FROM THE OTHERS BECAUSE THE CHILD IS STILL IN REM SLEEP

AND YOU LIKE TO ADVOCATE FOR EMPOWERING CHILDREN?

A TIMELY TOPIC IS THE USE OF SLEEP EVALUATION DEVICES LIKE CELL PHONES OR WEARABLES. HOW HELPFUL ARE THEY?

BUT YOU WOULD RECOMMEND A SLEEP STUDY IF NEEDED AT TIMES?

AND DO YOU HAVE ANY REFERENCES FOR SLEEP RESOURCES

ANY LAST PARTING COMMENTS?

THAT WRAPS UP THIS EPISODE—HAPPY SLEEPING!

Healthy Sleep Habits, Happy Child--Weisbluth

Solve Your Child's Sleep Problems—Ferber

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