Dr Shap's

Category: PARENT ADVISE

  • Vaping: What do we know today?

    Click para ver el Video completo / Click to view the Video

    Hoy en dia la #tecnología nos ha ayudado a mejorar nuestra vida pero tenemos que ser claros que el #Vaping definitivamente está creando problemas en nuestra salud, jóvenes están teniendo acceso a la #nicotina (#veneno) y muchos de ellos utiliza esto como puente a terminar #fumando y #adictos al #tabaco. Estamos apenas entendiendo los efectos secundarios y la ramificación de lo que está pasando con el vapeo. Más de 1,000 casos se han detectado y se siguen incrementando. Cuidece a usted y a su familia: NO LOS UTILICE

    Por favor siga la liga en el profile para un par de ligas donde se explica con más detalle lo que está pasando.

    Today #technology has been improving our lives, but let’s be clear that #Vaping has created a lot of health problems, our youth is starting to use #nicotine (#poison) and this has created an addiction bridge to start #smoking #tobacco products. We are starting to understand the secondary effects and ramifications of vaping. More than 1,000 cases have been directly linked and this number continues to increase. Take care of yourself and your family: DON’T USE THEM

    Please follow the link in the profile to have access to links that go deeper in what is currently happening

    Thank you @Univision, @ClaudiaBotero and  @LeonKrauze from #AlPuntoCalifornia for the opportunity to share this with our community

    On demand informacion form the CDC https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html

    Information for parents: https://www.healthychildren.org/English/ages-stages/teen/substance-abuse/Pages/E-cigarettes.aspx

    California local resource on everything: from general stuff to how to quit https://www.flavorshookkids.org/

    Original Univision Video: https://www.univision.com/local/los-angeles-kmex/al-punto-california/como-si-le-estuvieran-echando-fuego-a-los-pulmones-el-peligro-de-usar-cigarrillos-electronicos-segun-un-experto-video

  • El doctor Ilan Shapiro habla de los beneficios de la leche para la salud

    Gracias a People en Español por medio de la reportera Lena Hansen por abrir este medio para conversar. Por favor siga nuestra conversacion en https://www.instagram.com/p/B4tHii7jYk0/?utm_source=ig_web_options_share_sheet

    Si tiene dudas, preguntas o sugerencias por favor mandeme un mensaje por instagram (@dr_shaps), twitter (@dr_shaps) o facebook (Ilan Shapiro MD).

  • Bariatric Surgery Recommendations for Pediatric Patients: new guidelines from the American Academy of Pediatrics

    Bariatric Surgery Recommendations for Pediatric Patients: new guidelines from the American Academy of Pediatrics

    Podcast link: https://lnns.co/LvTMJKx8sHD

    This Morning at Buenos Dias America had a great conversation with Andreina Garnica about the new guidelines for weight management surgery in Pediatric Patients. Also, would like to share some links from the American Academy of Pediatrics if you are looking for more information.

    El Dia de Hoy en Buenos Dias America tuve una gran conversación con Andreina Garnica sobre los nuevos lineamientos del manejo de peso por medio de cirugía en Pacientes Pediátricos. Ademas, me gustaría compartir la liga de la Academia Americana de Pediatría por si necesita usted más información del tema.

    You can find the policy statement, “Pediatric Metabolic and Bariatric Surgery: Evidence, Barriers, and Best Practices” here: https://pediatrics.aappublications.org/content/early/2019/10/24/peds.2019-3223

    An AAP News article by lead author Dr. Sarah Armstrong is here: https://www.aappublications.org/news/2019/10/27/bariatricsurgery102719

  • BABY BOOT CAMP

    A couple of months ago, my wife joined “Baby Boot Camp”. I was actually really excited for her to have the opportunity to meet other wives and their kids. In the back of my mind I had the wrong impression of what they actually did there. She explained to me that they met each other with strollers to exercise, how hard can it be? A little bit of walking and talking.

    She started going a couple of days a week and without noticing it, it became a daily activity. Every day a different exercise was done, she became fit and lost the dreadful baby weight from the pregnancy (something that I’m struggling to do, I had an average of each pound she gained, I gained 2).

    A couple of weeks back; I was invited to the “invite your partner Valentines day” activity. I was ready to show these ladies what a Man can do. Arriving to the place other great strong Man, like me, were ready to show their muscles.  After 15 minutes of workout and 45 minutes to go, the picture in my mind of latte sipping ladies with a croissant in their hands quickly when out of the window. I was dripping in sweat, looking for the white towel to throw to the ground. As part of the routine, you run with the stroller: how hard can it be? It was hard enough that “I gave the opportunity” to my wife to do it most of the time.

    I’m really grateful that this group exists. It not only gives a great lifestyle to the participants, but also teaches kids from an early age how to improve themselves, be healthy and most important, to collaborate in a family healthy activity every day.

    Amor, thank you for breaking the paradigm of the “sipping morning lattes” (I still have my droughts if they don’t have some “chatting-stretching days” J ) and teaching me the value of been healthy.

     

    THANK YOU BABY BOOT CAMP (By the way, it is a nationwide network, http://www.babybootcamp.com/FL-Naples.aspx)

  • Thumb vs Pacifier

    When we are babies, none of us were asked if we wanted to “suck our thumb or use a Pacifier (I LOVE THE NAME!), wondering right now about that decision for my daughter. Many lactation consultants and pediatricians believe that there could be a “nipple” confusion if a newborn is exposed to bottles/pacifiers in the first 3 weeks, for sure it’s a nice a idea but I have not yet seen (until now) some one that has not “exposed” their babies to them. In our debate, someone told us, “you can accidentally loose the paci, but you can’t cut out the thumb”… That got us thinking, we waited 3 weeks, limiting her contact to artificial nipples and we started to have a couple of questions in our heads:

    1)    Having no choice, but for sure influence in the decision, I would encourage the pacifier for my baby instead of the thumb. The entire concept was commodity, easy handling, decrease risk of Sudden Infant Death Syndrome (AKA: SIDS; could be a topic for another day) thinking that one day in the future “Mr Paci” will go on a trip an never come back…

    2)    Choice two: “The Organic Thumb”, you never lose it, they know where it is, but it needs some behavioral interventions (as the pacifier) to finish with it, plus having a finger on the mouth after the child has teeth starts to push  certain areas creating good business for orthodontics.

    And for every one… What was your feeling? Did you choose a method? Any tips? Was it hard to “take” it out?

  • Cultural approach to earrings for girls…

    In my home country, when a girl is delivered, they give them 2 shots (standard for the world) one is a vaccine for hepatitis b (to prevent infection of that virus that can lead to liver damage and death) and the other one is vitamin K (to prevent excess bleeding). Also, before going home, the new lady is given to the parents with 2 beautiful punctured earlobes with 2 amazing hypoallergenic earrings: that’s just part of the delivery package.

    You need to understand our cultural “shock” when we asked them when are they going to do the piercings at the hospital, and the answered was “we don’t do that”.

    And I was shocked:

    1) In my mind “the entire world” knew that baby girls will have earrings at the moment that they leave the hospital

    2) We needed to find out what would the process be in order to “normalize” in our cultural standards, her ears

    As per AAP (American Academy of Pediatrics) Guidelines, recommends that anybody that would like a piercing be ready to take care of it, meaning, that the age and maturity of “patient” will differ on that, and having my 1 month old baby, does not even qualify as “potty trained” let alone, be ready to wash her own earrings, and kind of goes against the my cultural expectations. But imagine that I did not read that statement, I can fine the logic to it…

    It’s a fact that our daughter will get her piercings… We went online, we asked friends, doctors and parents regarding what to do… Well practically there is a couple of THINGS TO CONSIDER:

    1. Hygiene: Of course you want to have the safest, cleanest area to do any procedure to your own flesh and blood.
    2. Vaccines: Many people recommend waiting 15 days after the “Tetanus” shot (2 month regular shots for the US) before doing any piercings, that way it minimize risk of contracting a horrible PREVENTABLE disease.
    3. Method
      1. options and choices:
        1. By piercing gun: Usually done in most places, can be self thought to do it, easy, if is in a store, the “gun” per se, in most cases cannot be sterilized, and the blunt trauma (the actual pressure from the earring to the skin
        2. By Needle… Using the same protocol and technique of a piercing professional. Using sterile equipment to perforate the ear lobes, having less tissue damage, but the cost is more and needs to be in a safe place.

    Both of the choices don’t sound attractive…

    What did you do for your baby? What technique did you use? Did you waited, for how long? What was your experience after the fact?

  • I’m pregnant… Do I get my baby Stem cells, do I buy it or not?:

    Have you ever thought of getting your future baby  cord stem cells? Do they Work? Is it worth it…

    Well, for disclosure purposes, we did… I will walk you up our, thoughts, ideas and of course the bottom line. On a daily basis we here about all this weird diseases, and how they start from nowhere and they would be saved by stem cells… First of all, stem cell are the type of cells that can potentially  be converted to any cell of the body, technology and medicine has been advancing to cover and to be used for more than 70 diseases, and the potential is limitless , but  sadly, we are not there yet. Making this point, you can potentially, at birth , have a little assurance that in the future, the list will grow and you will have in a  storage somewhere, blood and/or tissue of your baby that could save his/her life. The idea is incredible, but not that simple. We ask ourselves:

    1) Do we want to have it? The answer was simple (and probably all parents will say the same thing) YES YES YES AND YES! Even that the possibility is really  low,  it’s worth it “to protect your baby”   (I imagine that is part of why  these companies marketing, they got us…),   is like buying  life insurance… You aspect not to use it but it’s good to have it.

    2)  What’s the cost? It was a decision “make it or break it” moment… There are a couple of big names… From public to private companies,  with different plans, offers and guarantees. And with monthly plans …  My advice: call every company, ask them to send you information, look at the numbers (how many times the clients have needed the  cells and how many times they actually worked, how long have they been in business, ask for everything…  And If you need more questions to ask just send me a msg, I can gladly help you out) .. We found a nice price, that was the number that we had in our minds,  and we  chose a  company that had good numbers, good quality, long-standing, and a nice  $ package…  You need to consider that if doing this, if your household budget will be painfully affected, DON’T DO IT… I will explain why later on…

    3) Ok… Now, we want this, we have a nice company and a payment plan, do I need to pay for the “special offer” to prepay 20 years for storage? I  don’t think it’s worth it, at the  speed that technology is moving forward, this technology will be obsolete , my best guess is more or less 10 years, when the medicine nobel price will  be “how to create tissue, organs and  fix disease with skin cells” (I chose skin cells because they are  relatively easy to collect… It could be anything…). For this reason, we chose NOT to pay the 20 year something prepaid package.

    After you sign up, they will send you a kit, it has everything that you need to know, and the human salesperson, that will be in contact with you will explain  everything, and most Obstetrics doctors will know what to do with it… IT’S IMPERATIVE TO HAVE IT IN YOUR “WAY OUT BAG” for the hospital.

            4) AND WHAT DO WE DO IF WE DON’T, FOR ANY REASON DO IT, WOULD WE BE BAD PARENTS AND OUR BABY WILL DIE FROM A HORRIBLE DISEASE  BECAUSE WE DID NOT DID IT? The real answer is NO.  Now there is new technology to extract from the “baby teeth” cells that could be potentially used for most of the diseases.

    G-d willing, we would never need to use it… But it will be stored,  somewhere safe  and in our mind will have a check mark, right there with life /disability insurance, looking only to protect our family