Transcript: Pediatrics | Dec 11, 2000

(music plays)

In animation, the title appears inside the shape of a house: “More to life.”

The opening sequence shows a wooden table with a small lit candle as several words fly by: Nutrition, medicine, prevention, treatment, health.
Fast clips show different sets of hands performing activities on the table such as pulling petals from a daisy, drawing a big red heart, tuning a violin, flipping through the pages of a book, cooking, and pouring a glass of red wine.

Maureen Taylor sits in a studio with a yellow wall displaying the “More to life” logo in the background.

Maureen is in her late thirties, with wavy red hair. She’s wearing a long-sleeved dress on two shades of blue and a long necklace with a giraffe.

Maureen says TODAY WE’RE
TALKING ABOUT
KEEPING THE KIDS HEALTHY
AT CHRISTMAS.
SO GIVES US A CALL.

A caption appears on screen showing two phone numbers. They read “(416) 484-2727. 1-888-411-1234.”

The caption changes to “moretolife@tvo.org.”

Maureen continues AND WELCOME BACK,
DOCTOR SACKS.
HI!

Diane is in his late thirties with short black hair. She’s wearing a light brown blazer over a black turtleneck sweater.

Diane says HI, HOW ARE YOU?

Maureen says IS THERE HELP
DEEM LOGICAL EVIDENCE THAT
MORE PEOPLE GET SICK OVER
CHRISTMAS?
BECAUSE IT SEEMS THAT WAY.

Diane says IT'S THE STRESS AFFECT.

Maureen says PROBABLY.

Diane says OR THE PETER PRINCIPLE --
OR MURPHY'S LAW, I SHOULD
SAY.

The caption changes to “Doctor Diane Saks. Pediatrician.”

Diane continues THE WORST TIMES FOR KIDS TO
GET SICK.
NO, I DON'T THINK YOU COULD
PREVENT A COLD.
IF I COULD, I'M KEEPING IT
TO MYSELF UNTIL I CAN
PUBLISH IT.
BUT I THINK THE TRICK IS
THAT THE WEATHER IS
CHANGING.
KIDS ARE INDOORS MORE AND
THEY'RE CATCHING EACH
OTHER'S AIRBORNE SPREAD
VIRUSES BECAUSE THEY SNEEZE
ON EACH OTHER AND RUB EACH
OTHER SHOULDERS, YOU KNOW,
LOOKING FOR A TISSUE.
SO I THINK THAT'S REALLY
WHERE THE --

Maureen says THAT'S GOING TO
HAPPEN.
ARE YOU SEEING A LOT OF KIDS
COMING IN FOR FLU SHOTS THIS
YEAR?

Diane says NOT ENORMOUS AMOUNT.
I THINK MY PRACTICE IS ONE
WHERE THE PARENTS SEEM TO
FEEL -- CERTAINLY IF THERE'S
CONDITIONS WITH A SICK CHILD
AT HOME, DIB BEAT TIS, SEIZE
ZUR DISORDER, HEART DISEASE
OR A SICK GRANDPARENT AT
HOME, THOSE PEOPLE NEED TO
BE PROTECTED.
THE OTHERS ARE COMING IN IN
DRIPS AND DRABS, DEPENDING
ON WHAT THEY READ.
MOST PARENTS I THINK ARE
AWHICH -- AWARE THAT THE FLU
IS A MILD ILLNESS GENERALLY
AND MAKING A JUDGMENT ON
WHETHER THEY WANT TO GIVE A
VACCINE TO A CHILD FOR A
CHILD'S DAY OR TWO OR THREE
OF DISCOMFORT OR INABILITY
TO GO TO WORK.

Maureen says NOW I KNOW A
PARENT WHO DIDN'T REALIZE
UNTIL SHE GOT TO THE OFFICE
THAT KIDS UNDER FOUR, IS IT,
NEED TWO SHOTS?

Diane says I THINK IT'S UNDER SIX,
AND THEY NEED TWO SHOTS.
A MONTH APART FOR IT TO TAKE
FULL EFFECT.
YEAH.

Maureen says SO SHE GOT THEM
THROUGH IT ONCE AND THEN HAD
TO BRING THEM BACK AGAIN,
WHICH THEY JUST -- YEAH,
SOME OF THEM ARE NEEDLE
PHOBIC.

Diane says I KNOW, I HATE BEING THE
BAD GUY.

Maureen laughs and says GIVING SHOTS.
NOW WHAT CELLS A CONCERN
OVER CHRISTMAS TIME WITH
KIDS RUNNING AROUND?
I WOULD IMAGINE THERE ARE
SAFETY ISSUES WE HAVE TO BE
ON THE WATCH FOR.

Diane says I THINK THERE ARE
ENORMOUS SAFETY ISSUES.
WE HAVE GUEST WHOSE HAVE
THINGS IN THEIR PURRS AND
ONE OF THE BIG GUYS BETWEEN
18 MONTHS AND FOUR OR FIVE
IS KIDS WHO ARE INGESTERS
AND THEY LACK FOR THINGS TO
PUT IN THEIR MOUTH, AND TAKE
PILLS IN PARTICULAR.
AND SO WE HAVE PURSES THAT
ARE LEFT OPEN AND I CAN'T
TELL YOU HOW MANY TODDLER
ALSO GO IN AND LOOK FOR
THESE THINGS THAT LACK LIKE
CANDIES AND SHOW UP AT
EMERGE WITH DRUG POISONINGS.

Maureen says REALLY!

Diane says YEAH, SO MEDICINES AND
VISITORS' PURSES SHOULD BE
KEPT AWAY.
I KNOW THOSE ARE THE SIMPLE
THING, OBVIOUSLY THE
ELECTRICAL THINGS AND
DECORATIONS -- WE SPRAY A
LOT OF OUR DECORATIONS ARE
THINGS THAT MIGHT BE TOXIC.
YOU HAVE TO READ THE LABELS
ON THE THINGS THAT YOU'RE
MAKING TO MAKE YOUR HOME
BEAUTIFUL.
SOME OF OUR PLANTS, WE ALL
KNOW ABOUT POINSETTIA, BUT
SOME OF THE OTHER PLANTS
THAT WE'RE BRINGING IN, YOU
KNOW, THEY NEED TO BE
CHECKED.

The caption changes to “Today’s topic: Children’s health.”

Diane continues SOME OF THE HOLLY AND IVY --
MOST OF IT IS SAFE BUT I
THINK THERE MAY BE SOME THAT
IS NOT SAFE SO IT'S A ROUGH
TIME.
I MEAN, YOU'RE DISTRACTED,
YOU'RE EXHAUSTED, AND MAYBE
WE LET UP A LITTLE BIT ON
OUR VIGILANCE ON OUR KIDS
AND THEY'RE GOING TO FIND A
WHICH TO GET HURT.

Maureen says IF YOU'RE GOING
TO BE TRAVELLING OUT OF TOWN
OVER THE HOLIDAY, DO YOU
HAVE ANY RECOMMENDATIONS FOR
PARENTS AS FAR AS BRINGING
ALONG -- I KNOW THAT I
ALWAYS USED TO FORGET
CHILDREN'S TYLENOL AND THEN
I'D HAVE TO GO BUY IT.
DO YOU KNOW HOW MANY OPEN
BOTTLES OF CHILDREN'S
TYLENOL I ACCUMULATED?

Diane says YES.
OR ON THE PLANE.
HOW MANY TIMES HAVE YOU BEEN
ON THE PLANE AND THE MOTHER
SAYS OH, YES, I HAVE TYLENOL
BUT IT'S IN THE BAGGAGE, AND
THEY DON'T CARY CHILDREN'S
MEDICINES ON AIRPLANES SO I
DO KNOW.
YES, I BRING TYLENOL.
I PROBABLY WOULD BRING EYE
DROPS FOR CONJUNCTIVITIS
WHICH IS VERY COMMON THIS
TIME OF YEAR.
MAYBE EAR DROPS FOR KIDS WHO
GET EAR PAIN.
NOT NECESSARILY -- YOU KNOW,
IF THEY'RE FLYING IN
PARTICULAR.
IF I COULD STACK ANYTHING,
I'D PROBABLY STACK A COOL
AIR VAPORIZER, WHICH SING
MORE FOR THE COMFORT OF A
CHILD WHO HAS A COLD THAN
ANYTHING ELSE WE CAN DO.

Maureen says IS THAT RIGHT?

Diane says YEAH.

Maureen says AND IT SHOULD BE
COOL AIR AND NOT THE WARM --

Diane says AND DEFINITELY TAKE YOUR
PEDIATRICIAN WITH YOU IF
YOU'RE GOING SOUTH.
VERY IMPORTANT.
VERY IMPORTANT.

Maureen laughs and says
OKAY.
I WANT TO TALK TO YOU A
LITTLE BIT ABOUT MENINGITIS
BECAUSE THAT'S SOMETHING I'M
SURE WE'RE GOING TO START
HEARING ABOUT THIS WINTER
AND I'M READING ABOUT A
VACCINE THAT'S AVAILABLE FOR
A CERTAIN TYPE OF MENINGITIS
IN THE U.S. AND BRITAIN.

Diane says RIGHT.

Maureen says TELL ME ABOUT
THIS.

Diane says WE'RE VERY EXCITED.
THIS ALMOST -- UNTIL I GET
THE COST ANALYSIS BACK, IS A
NO-BRAINER.
THIS IS A VACCINE AGAINST
BACTERIA CALLED PNEUMOCOCCUS
WHICH IS CURRENTLY IN CANADA
THE NUMBER ONE CAUSE OF
SERIOUS BACTERIAL MEN YIT
TIS, BACTERIAL PNEUMONIA,
BACTERIAL EAR INFECTION
AND IN ADDITION, AND
BRONCHITIS AND SINUSITIS AND
LOTS OF OTHER BAD INFECTIONS
BUT THIS BUG HAS BECOME
RESISTANT, PROBABLY BECAUSE
OF OVER TREATMENT WITH
ANTIBIOTICS BUT HAS BECOME
RESISTANT TO SOME OF OUR
ANTIBIOTICS.
SO IT'S A WONDERFUL BACTERIA
TO TRY AND PREVENT.
AND THEY HAVE A GOOD VACCINE,
WHICH COVERS SEVEN OF THE
MOST -- PNEUMOCOCCUS IS A
FAMILY OF BACTERIA AND
SEVERAL OF THE WORST TYPES
ARE COVERED BY THIS VACCINE.
IT'S NOW BEEN LICENSED IN
THE STATES AND GIVEN IT ALL
CHILDREN UNDER TWO TO TRY
AND PREVENT AND ALREADY I
THINK THEY'RE STARTING TO
SEE A BIG DECREASE IN
SERIOUS MENINGITIS.
S THAT BACTERIA THAT IF IT
CAUSES MENINGITIS, EVEN IF
YOU GET IT PRETTY QUICKLY
AND START TREATING IT MAY
HAVE SERIOUS CONSEQUENCES
AND THE MORE SERIOUS ONE IS
DEAFNESS SO THAT IF WE CAN
PREVENT A FEW CHILDREN FROM
GETTING MENINGITIS THAT
LEADS TO HEARING IMPAIRMENT,
WE HAVE REALLY SAVED NOT
ONLY THE HEALTHCARE DOLLARS
BUT DONE A TREMENDOUS
POSITIVE OUTLOOK FOR THIS.
SO I'M REALLY -- IT MAY BE
LICENSED HERE.
THE QUESTION IS WILL THE
GOVERNMENTS PAY FOR IT.

Maureen says EXACTLY BECAUSE
IT'S PRETTY EXPENSIVE.
DID I READ SOMETHING LIKE
300 DOLLARS A CHILD.

Diane says THAT'S WHAT THEY'RE
PAYING IN THE STATES.
HOPEFULLY CANADA WILL GET IT
WHOLESALE.
NO, I DON'T KNOW, BUT IT
WOULD BE IN THE MANY MANY
MILLIONS OF DOLLARS FOR THE
COUNTRY TO GIVE IT TO
CHILDREN.
ON THE OTHER HAND WE
MENTIONED THE FLU VACCINE
BEFORE.
I SEEM TO THINK -- MOST
PEDIATRICIANS I KNOW, IF
THEY HAD A CHOICE THIS WOULD
NOT BE A CHOICE.
THE PNEUMOCOCCAL VACCINE
IS.MUCH MORE SIGNIFICANT
THAN THE FLU VACCINE.

Maureen says WOW!
OKAY, IF YOU HAVE A QUESTION
ABOUT YOUR CHILD'S HEALTH
FOR DOCTOR DIANE SAKS, GIVE US
A CALL.
AND JERRY IS IN
WALKERTON.
HI JERRY.

Jerry says GOOD MORNING, OR
GOOD AFTERNOON, SORRY.

Maureen says THAT'S ALL
RIGHT.
WHAT'S YOUR QUESTION?

Jerry says I HAVE AN 18
MONTH OLD.
HE BASICALLY EATS EVERYTHING,
BUT I'M WONDERING IF DURING
THE WINTERTIME IF I
SHOULDN'T BE GIVING HIM SOME
VITAMINS AND WHAT KIND OF
VITAMINS AND SHOULD IT BE
ORAL OR WHAT?

Diane says I'M TRULY A NATURALIST AT
HEART HERE.
I THINK IF YOUR GUY IS
EATING WELL, JERRY THAT HE'S
PROBABLY GETTING
SIGNIFICANT -- AND GROWING
WELL, HE'S PROBABLY GETTING
ENOUGH VITAMINS AND MINERALS
AND NUTRIENTS TO GROW.
I THINK WHAT I WOULD SUGGEST,
BECAUSE OF LACK OF SUNLIGHT
IN SOME PARTS OF THE WORLD,
I.E. CANADA IN WINTER AND
ONTARIO, THAT IT MIGHT BE
WISE TO USE A VITAMIN D
SUPPLEMENT, AND SO THAT I
WOULD -- YOU KNOW, IF YOU
WERE GOING TO CHOOSE ONE,
AND I WOULDN'T BE ADAMANT
ABOUT IT, I WOULD CHOOSE ONE
THAT HAD ENOUGH VITAMIN D IN
IT.
AND OBVIOUSLY VITAMIN C DOES,
YOU KNOW, PLAY SOME ROLE IN
SOME UPPER RESPIRATORY
PREVENTION BUT THE AMOUNT
YOU NEED IS SO ENORMOUS THAT
YOU'D NEVER GET IT OUT OF A
DAILY VITAMIN.
SO THAT, YOU KNOW, I THINK
IF YOUR CHILD'S HEALTH WHERE
AND 18 MONTHS AND EATING
WELL, I WOULDN'T NECESSARILY
RECOMMEND VITAMINS.
IF YOU WERE GOING TO CHOOSE
ONE, MAKE SURE IT HAS THE
RIGHT NUMBER OF VITAMIN D IN
IT WHICH IS 400
INTERNATIONAL UNITS.

Maureen says OKAY, THANK YOU
VERY MUCH, JERRY, FOR THE
QUESTION.

Maureen turns to look at a computer screen.

Maureen reads ALICIA BY E-MAIL WOULD LIKE
TO KNOW HOW YOU GET A PICKY
EATER TO EAT.
SHE IS SO PICKY THAT SHE
WILL ONLY EAT CERTAIN THINGS
AND I FEEL SHE'S GOT GETTING
ALL SHE NEEDS.
She continues UNFORTUNATELY WE DON'T KNOW
THE AGE OF THIS CHILD.
THESE ARE MY CHILDREN, TOO,
BY THE WAY.

Diane says YES, YES.
I USE A FOUR LETTER WORD
WITH THESE CHILDREN.
IT'S CALLED WAIT.

Maureen says THAT'S NOT THE
FOUR LETTER WORD I USED,
BUT --

Diane says DID SHE SAY THIS WAS A
GIRL OR BOY?

Maureen says IT'S A GIRL.

Diane says YOU COULD USE WAIT WITH A
BOY BECAUSE BY THE TIME HE'S
15 HE'S GOING TO BE VACUUM
CLEANING YOUR FRIDGE AND
YOU'RE GOING SAY “DID THIS
KID NOT EAT?!”
THE MOST IMPORTANT THING
ABOUT NUTRITION AND DIET IS
YOUR CHILD GROWING WELL AND
ARE THEY GETTING UNHEALTHY
BECAUSE OF MALNUTRITION.
IF YOUR DOCTOR SAYS NO, THEN
THISH SHAW MUST NOT BE MADE
INTO A BEHAVIOURAL ONE.
THE EPIDEMIC WE HAVE IN
CANADA ABOUT NUTRITION IS
NOT POOR EATERS.
IT'S ANOREXIC -- IT'S EATING
DISORDERS, ANOREXIA AND
BULIMIA AND OBESITY.
SO THAT THESE CHILDREN ARE
NOT GETTING TO BE PICKY
ADULT EATERS UNLESS THEY
HAVE A SERIOUS EATING
DISORDER.
I THINK WHAT YOU NEED TO DO
IS OFFER YOUR CHILD A
WHOLESOME DIET THREE OR FOUR
TIMES A DAY, BECAUSE KIDS
SOMETIMES LIKE TO EAT
SMALLER, MORE FREQUENTLY.
LEAVE IT ON THE TABLE FOR 40
MINUTES, YOU KNOW?
AND THEN REMOVE IT.
AND SAY I'M SORRY YOU DIDN'T
FEEL HUNGRY ENOUGH TO EAT
IT.
WE'LL HAVE LUNCH SOON.
AND DON'T GIVE JUICE OR MILK
OR COOKIES IN BETWEEN
BECAUSE YOUR CHILD WILL
STARVE TO DEATH IF THEY
DON'T MAKE IT TO LUNCH.

Maureen says HOW WOULD YOU
KNOW THE SIGNS THAT -- THE
LACK OF NUTRITION IS
AFFECTING YOUR CHILD?
WHAT COULD WE LOOK FOR?

Diane says WELL, I THINK THERE ARE A
FEW THINGS.
ONE, IF A CHILD IS GROWING,
AND THAT'S A BIGGIE, AND
THAT'S WHY YOU GO FOR THOSE
CHECK-UPS.
THEY MEASURE THEM, PUT THEM
ON THE GROWTH CHART.
IF YOU SEE A SIGNIFICANT
FALLING-OFF OF THE HEIGHT OR
WEIGHT OF A CHILD, THEN
SOMETHING IS GOING ON AND
NUTRITION HAS TO BE LOOKED
AT.
IF THE CHILD IS HAVING A LOT
OF DIARRHEA, YOU CAN GET
DIARRHEA FROM MALNUTRITION,
FROM NOT EATING ENOUGH.
OR EATING TOO SWEET STUFF,
LIKE APPLE JUICE.
IF YOU LIVE ON APPLE JUICE
YOU'LL HAVE A LOT OF
DIARRHEA.
SO GROWTH IS NUMBER ONE.
DIARRHEA AND BOWL HABITS ARE
NUMBER TWO, AND PROBABLY IF
YOUR CHILD IS REALLY NOT
SLEEPING WELL, VERY
IRRITABILITY, THEN UT HAVE
TO LOOK INTO THE IRON THING,
BECAUSE THOSE ARE SYMPTOMS
OF IRON DEFICIENCY.
SO IRON IS ONE, CALORIES IS
ANOTHER, YOU KNOW?
IN GENERAL, IT'S -- AND
PROTEIN.
BECAUSE KIDS DON'T LIKE TO
EAT MEATS AND CHICKEN AND
CHEW, SO YOU HAVE TO TRY AND
THINK ABOUT LENTILS AND
BEANS AND MAKE SOUPS THAT
THEY'LL EAT.
MOST OF OUR KIDS ARE NOT MAL
MALNOURISHED.

Maureen says OKAY, GREG IS IN
BURLINGTON.
HI GREG.

Greg says HI, HOW'S IT
GOING?
MY QUESTION IS ABOUT THE
DIFFERENCE BETWEEN A COOL
MIST AND A WARM MIST
VAPORIZER.
MY BOYS BOTH HAVE A HISTORY
OF MINOR ASTHMA, AND WHEN
THEY GET THE COLDS, A COUPLE
DOCTORS, ONE SAID WARM AND
ONE SAID COOL.
SHOULD THEY EVEN HAVE IT IN
THE ROOMS WHEN THEY GO TO
BED?
THAT'S MY QUESTION.

Diane says I'M SO GLAD, BECAUSE IT
GIVES US A CHANCE TO
EXPLAIN.
A COOL MIST IS VERY, VERY --
VAPORIZER IS VERY, VERY
USEFUL FOR A HEALTHY CHILD
IT.
HAS TO BE KEPT CLEAN.
IT'S DAMP AND WET AND NEEDS
TO BE WASHED WITH VINEGAR,
IT GETS FUNG GUS AND MOULD
ON IT.
ASTHMATIC CHILDREN CAN
SOMETIMES REACT TO COLD.
COLD AIR IN AN ASTHMATIC'S
CHEST CAN SOMETIMES BRING ON
ASTHMA AND WE CERTAINLY SAW
THAT A COUPLE OF WIEBES AGO
WHEN IT WENT DRASTICALLY
COLD SUDDENLY WE REALLY HAD
A BARRAGE OF THESE POOR KIDS
STARTING TO WHEEZE.
THE TROUBLE WITH THE WARM
MIST VAPORIZER IS THAT IT
CAN RAISE TEMPERATURES, AND
IF THEY HAVE A COLD, THEY
MAY HAVE A FEVER TO START
WITH.
AND THEY CAN GET BURNT ON
IT.
IN THE MIDDLE OF THE NIGHT
YOU CAN TRIP ON IT AND IT'S
FAIRLY WARM WATER THAT'S
COPPING THROUGH.
SO THAT, YOU KNOW -- AND
WE'RE NOT SURE IT DOES A LOT
OF GOOD.
SO I WOULDN'T USE A WARM
MIST VAPORIZER.
IF YOUR KIDS DON'T RESPOND
TO COLD FOR THEIR ASTHMA, I
MIGHT USE A COOL ONE BUT YOU
HAVE TO KEEP IT CLEAN.

Maureen says OKAY SO, WOULD
YOU JUST PUT IT ON AT NIGHT
I GUESS WHEN THEY GO TO BED?

Diane says YEAH, JUST TO MAKE THEIR
AIRWAY A LITTLE MOISTER AND
COOLER TO HELP THEIR
BREATHING.
YOU KNOW, TO HELP THEIR
NASAL BREATHING.

Maureen says HAVE I HEARD YOU
SAY IN THE PAST THAT IF A
CHILD IS SUFFERING WITH
ASTHMA SOMETIMES TAKING THEM
OUTSIDE IN THE COLD AIR
CAN --

Diane says NO, THAT'S CROUP.
THAT'S CLOSE, CROUP.
CROUP RESPONDS TO COOL AIR.
THAT'S WHEN YOU FEEL SILLY
BECAUSE YOU RUSH YOUR CHILD
TO EMERGE, HE'S NOT
BREATHING AND THE CHILD'S
SLEEPING COMFORTABLY BUT THE
COOL AIR HAS CURED HIM.
MOST CHILDREN WITH ASTHMA IN
A COLD CLIMATE WITH WHEEZE.
A LOT OF OUR HOCKEY
PLAYERS --

Maureen asks WHAT IS CROUP?
WHY DO KIDS GET CROUP?

Diane replies CROUP IS A VIRAL
INFECTION OF THE TRACHEA AND
LARYNX AND THEY GET IT TWO
OR THREE TIMES A YEAR WHEN
THE VIRUS RAISES ITS HEAD.
AND IT CAN BE VERY SCARY IN
THAT IT CAN CLOSE THE AIRWAY
BECAUSE IT'S SWELLING OF THE
AIRWAY.
MOST CASES ARE MILD AND
LITERALLY TAKING THEM OUT IN
COOL AIR OR SITTING THEM UP
AND RELAXING THEM IT GS
AWAY.
ALTHOUGH THERE IS GOOD
MEDICINE FOR IT IF THE CHILD
HAS SEVERE CROUP THAT YOU
GIVE.
IT'S A STEROID BUT IT
DECREASES THE SWELLING TO
PREVENT THE SERIOUS CLOSURE
OF THE AIRWAY.

Maureen says I SEE.
OKAY.
OUR NEXT CALLER IS LISA IN
BRADFORD.
HELLO, LISA.

Lisa says HI, HOW ARE YOU?

Maureen says GOOD, THANKS.

Lisa says I HAVE 20 MONTH
OLD LITTLE BOY WHO HAD A
VERY HIGH FEVER FOR THE LAST
24 HOURS AND THIS MORNING HE
ACTUALLY HAD A FEBRILE
SEIZURE.
AND WE TOOK HIM TO THE
DOCTOR -- SORRY.

Lisa gets emotional and starts to sob.

Diane says NO, THEY ARE VERY, VERY
SCARY.
I UNDERSTAND, LISA, BUT YOU
NEED TO KNOW THAT THERE'S
BEEN NO DOCUMENTED BRAIN
DAMAGE FROM ANY CHILD
GETTING FEBRILE SEIZURE THAT
WAS A SPECIFIC FEBRILE
SEIZURE.
THEY'RE SHORT, AS A RESULT
OF FEVER, NOT PROLONGED, NOT
MORE THAN A FEW MOMENTS, SO
THAT I KNOW THAT YOU'RE
QUITE UPSET.

Maureen says OKAY SO, SHE
DOESN'T NEED TO WORRY ABOUT
THAT.

Diane says NO, I DON'T KNOW THAT'S
HER QUESTION.

Maureen says WAS THAT YOUR
QUESTION, LISA?

Lisa says ACTUALLY IT'S NOT
MY QUESTION.
MY QUESTION IS EVEN HE'S
LYING HERE IN MY LAP AND
EVEN DOSING WITH TYLENOL
WE'RE HAVING A HARD TIME
GETTING HIS FEVER DOWN AND
HE'S HAD BATHS AND SUCH.
THE DOCTORS PUT HIM ON
ANTIBIOTICS -- OH, I'M
SORRY.

Diane says IT'S OKAY.
YOU'VE HAD A ROUGH NIGHT.

Sobbing, Lisa says YOU CAN BELIEVE THAT.

Diane says I CAN, AND YOU KNOW WHAT?
YOUR SON'S NOT EVEN GOING TO
REMEMBER THIS!

Maureen laughs and says ALL THE PAIN YOU
WENT THROUGH.

Lisa says I KNOW, BUT I'M
JUST CONCERNED ABOUT WHAT
MIGHT BE GOING ON WITH HIM,
AS TO WHAT MIGHT BE
OCCURRING.
HE'S HAVING A LITTLE BIT OF
A COUGH, AND THE DOCTOR WAS
THINKING HE MIGHT BE HAVING
A LUNG INFECTION OR
SOMETHING, BUT HE HAS NO
NASAL CON JEX SHUN, HE'S NOT
REALLY COUGHING AND HE HAS
NO CHICKEN POX SIGNS NO, OUT
IS WARD SIGNS AND THE
DOCTORS REALLY REALLY KNOW
EITHER BUT HE'S PUT HIM ON
ANTIBIOTICS JUST TO MAKE
SURE WE'RE NOT AT THE
BEGINNING OF A LUN BEGIN
AFFECTION.
I'M JUST WONDERING IF YOU MIGHT
HAVE AN INSIGHT AS TO WHAT
MIGHT BE GOING ON HERE.

Diane says OKAY.
THAT GROAN WAS HE PUT HIM ON
ANTIBIOTICS AND HE DOESN'T
KNOW WHAT'S WRONG.
YOU NEED ANTIBIOTICS FOR
SPECIFIC -- SPECIFIC
ANTIBIOTICS FOR SPECIFIC
INFECTIONS.
WE DON'T TREAT FEVER -- EVEN
FEVER THAT CAUSES A FEBRILE
CONVULSION WITH ANTIBIOTICS.
THE CHILD MOST LIKELY HAS A
VIRUS, AND THAT'S SORT OF
“THE ODDS ARE” FAVOURITE
THAT HE HAS A VIRUS, BUT IF
YOU DON'T KNOW WHAT'S GOING
ON WITH A CHILE, YOU
SOMETIMES HAVE TO WAIT A DAY
OR TWO, AND THAT'S VERY HARD
FOR YOU.
BUT THE ANTIBIOTICS AREN'T
GOING TO PREVENT THE
TEMPERATURE IF IT'S A VIRAL
INFECTION.
IT'S GOING TO GO UP AND HE
MAY, ALTHOUGH IT'S UNLIKELY,
HAVE ANOTHER FEBRILE
SEIZURE.
BUT WHAT YOU NEED TO DO,
SOMETIMES WE NEED TO WAIT.
IF WE CAN'T HEAR ANYTHING IN
THE CHEST, SEE ANYTHING IN
THE EAR, DON'T FEEL ANY
SWOLLEN GLANDS AND THE CHILD
IS DRINKING, IF THE CHILD
LOOKS VERY, VERY SICK, OKAY,
EVEN AFTER A SEIZE, YOU'RE
YOU MAY NEED TO DO THINGS
LIKE A CHEST X-RAY, CHECK
THE URINE OR EVEN A LUMBAR
PUNCTURE IF THE CHILD LOOKS
SICK ENOUGH.
THAT'S LOOKING FOR
MENINGITIS.
IF THE CHILD IS DRINKING AND
WHEN THE TEMPERATURE GOES
DOWN THE CHILD LOOKS OKAY,
HE DOESN'T HAVE ESPN INGITI
SCOMPMD YOU DON'T NEED TO DO
AN L.P..
IF THE CHILD HAS NO SIGNS OF
COUGHING OR CHEST, AND I
HEARD YOUR CHILD COUGH, I
PROBABLY WOULDN'T DO AN
X-RAY THE FIRST THING.
I'D PROBABLY WAIT A DAY OR
TWO AND SEE WHAT WAS,
BECAUSE THE MOST COMMON
THING IS A VIRUS.
IF THE CHILD LOOKS VERY SICK
IS REFUSING TO EAT AND LOOKS
LISTLESS, HE NEEDS TO BE
SEEN AGAIN AND CHECKED TO
SEE IF THEY CAN FIND OUT THE
CAUSE OF THE FEVER, AND
MAYBE DO SOME BLOOD TESTS OR
URINE TEST OR CHEST X-RAY TO
SEE WHERE THE FEVER'S COMING
FROM.
THE ANTIBIOTIC TO USE JUST
BECAUSE THE CHILD HAS A
FEVER, AND EVEN, AS I SAID,
THE FEBRILE SEIZURE, IS
REALLY NOT GOOD MEDICINE.
WE NEED TO KNOW WHAT WE'RE
TREAT SO LONG WE CAN TREAT
IT PROPERLY.
LOOK ON THE INTERNET ABOUT
FEBRUARY BRIL SEIZURES FROM
THE AMERICAN ACADEMY OF
PAEDIATRICS WEBSITE.
THEY HAVE A VERY NICE
WEBSITE ABOUT FEBRILE
SEIZURES TRYING TO REASSURE
YOU THAT THAT WILL BE OKAY.

Maureen says TEMPERATURE WAS
ALSO SOMETHING, TOO, THAT
STUMPED ME ABOUT WHEN TO
SORT OF SAY OKAY, THIS HAS
GONE ON LONG ENOUGH AND
TYLENOL'S NOT BRINGING IT
DOWN.
WHAT SHOULD PARENTS KNOW
ABOUT AN ELEVATED --

Diane says YOU SHOULD KNOW IN
GENERAL FEVER HELPS FIGHT
VIRAL INFECTIONS.
VIRUSES DON'T REPRODUCE AT
CERTAIN TEMPERATURES.
SO THAT'S WHY OUR BODY
PRODUCES TEMPERATURE AND
FEVER FROM TIME TO TIME.
IT'S USEFUL, HELPFUL IN
STOPPING THE INFECTION.
THERE IS NO DANGEROUS
TEMPERATURE.
A CHILD CAN HAVE A FEBRILE
SEIZURE WHEN IT GOES TO
102 degrees.
IF IT HAD NO TEMPERATURE A
FEW MINUTES, IT'S THE RATE
OF RISE THAT SEEMS TO CAUSE
THE SEIZURE.
FEVER ITSELF IS NOT
DANGEROUS, OKAY, UNLESS
YOU'RE TALKING 106 degrees, 107 degrees
AND THEN OF COURSE CAN CAUSE
SOME BRAIN ILLNESS, BUT
103 degrees,104 degrees IS TELLING US THAT
THE INFECTION'S STILL GOING
ON AND WE HAVE TO LOOK FOR
IT AND TREAT IT.
IT'S UNCOMFORTABLE SO, WE
TREAT KIDS WITH 102 degrees OR 38.5
OR 39 FEVER BUT IT'S NOT
DANGER UNTO ITSELF.

Maureen says OKAY, ALL RIGHT,
GOOD LUCK, LISA.
I HOPE THERE'S A TURNAROUND
VERY SOON FOR YOU.

Diane says I WANTED TO ADD THAT
ALTHOUGH FEVER IS AN
IMPORTANT GUIDE ABOUT
INFECTION, I ALWAYS TELL MY
NEW PARENTS THAT A LISTLESS
CHILD IS THE CHILD THAT
NEEDS TO BE SEEN, FEVER OR
NO FEVER.

Maureen says AND YOU KNOW
YOUR CHILD.
YOU KNOW WHAT LISTLESS IS.

Diane says I WOULDN'T CARE IF THE
DOCTOR SAYS WHAT ARE YOU
DOING BACK HERE?
YOU SAY LOOK AT HIM.
HE'S NOT RESPONDING, NOT
LYING THERE I CAN'T GET
FLUIDS INTO HIM.
THAT'S THE CHILD THAT NEEDS
TO BE SEEN.
NOT THE CHILD RUNNING AROUND
FOR HALF HOUR AND THEN HIS
TEMP GOES UP SO HE COLLAPSES
AGAIN.

Maureen says BECAUSE
DEHYDRATION IS A SERIOUS
THING!

Diane says ABSOLUTELY AS IS BLOOD
INFECTIONS THAT DON'T SHOW
AND OTHER THINGS.

Maureen says ALL RIGHT, GOOD
LUCK, LISA.
TERRY IS IN MITCH ROND HILL.
HELLO, TERRY.

Terry says HI.
I HAVE A TEN-YEAR-OLD
DAUGHTER WHO HAD AN ENLARGED
THYROID AND SHE'S LOST SOME
WEIGHT.
WE'RE NOW WORKING ON BLOOD
TESTS AND SHE'LL BE GOING
FOR AN ULTRASOUND.
AND BEFORE I FINISH I JUST
TO WANT SAY THAT THYROID
DISEASE RUNS RAMPANT IN MY
FAMILY, AND I'M JUST CURIOUS,
ITALIAN BACKGROUND AS WELL,
I'M CURIOUS, HOW OFTEN DO
YOU SEE OVER ACTIVE THYROIDS
IN TEN-YEAR-OLD GIRLS WHO
HAVEN'T HIT PUBERTY YET?

Diane says WELL, IT'S INTERESTING
THAT YOU MENTION
TEN-YEAR-OLD GIRLS.
ALTHOUGH SHE HASN'T HIT
PUBERTY, IF WE HAD
TECHNIQUES GOOD ENOUGH WE
PROBABLY COULD FIND THAT HER
HORMONES HAVE STARTED TO
KICK IN AND TO CHANGE A
LITTLE BIT.
IT'S NOT AN UNUSUAL TIME OF
LIFE, JUST AS THEY'RE ABOUT
TO ENTER ADOLESCENCE, TO GET
CERTAIN HORMONE DISEASES,
BECAUSE THE CONTROL IN
HORMONES FOR THE THYROID ARE
QUITE CLOSELY LINKED WITH
OUR PUBERTAL HORMONES AND WE
SOMETIMES IN KIDS NOT GOING
THROUGH PUBERTY
APPROPRIATELY LOOK AT THE
THYROID TO SEE IF THAT'S
WHERE IT IS.
AS YOU KNOW IT'S A VERY
TREATABLE DISEASE.
I WOULDN'T WANT ANYBODY TO
HAVE IT, BUT, YOU KNOW, IT'S
CERTAINLY SOMETHING THAT WE
CAN TREAT AND CONTROL.
BUT SHE SHOULD BE FOLLOWED
BY A PEDRIATIC AND
ENDOCRINOLOGIST BECAUSE
THERE WILL BE UPS AND
DOWNS THEY WILL NEED TO
BE CLOSELY MONITORED.

Maureen says OKAY, THANKS
VERY MUCH ARE FOR THE
QUESTION, TERRY.
WE'RE GETTING LOTS OF
QUESTIONS BY PHONE AND
HERE'S ONE BY E-MAIL ABOUT
THE CHICKEN POX VACCINE.
She reads I HAVE TWO DAUGHTERS AND
THEY'RE FOUR YEARS AND 19
MONTHS.
I WANT TO KNOW HOW EFFECTIVE
THE CHICKEN POX VACCINE IS.

Diane says I DON'T TOUT THE PARTING
LINE ON THIS SO I ALWAYS GET
IN TROUBLE BUT THE CHICKEN
POX VACCINE TO ANSWER A
QUESTION IS VERY EFFECTIVE.
IT SEEMS TO PREVENT CHICKEN
POX IN CHILDREN, CERTAINLY
UP TO TEN YEARS, PROBABLY
LONGER.
WE DON'T KNOW IF IT'S
LIFE-LONG AND WE DON'T KNOW
ITS RELATIONSHIP TO THE SIDE
EFFECT OF CHICKEN POX AS YOU
GET OLDER CALLED SHINGLES.
AND IF IT COULD PREVENT THAT
DISEASE THAT WOULD BE NICE,
TOO.
BUT WE'LL HAVE TO WAIT AND
SEE.

Maureen says WHY DON'T YOU
OUT TO THE PARTY LINE ON
THIS?

Diane says WELL, I'VE ONLY BEEN
PRACTICING 30 YEARS, AND I
KNOW THAT THEY HAVE NUMBERS.

Maureen laughs.

Diane continues AND I KNOW -- AS A SCIENTIST
I LIKE TO THINK I USE THE
NUMBERS ABOUT THE SERIOUS
SIDE EFFECTS OF CHICKEN POX,
AND NEW THAT WE HAVE
NECROTIZING FASCITIS, THAT
FLESH EATING DISEASE, WE
HAVE A REAL CONCERN ABOUT
KEEPING OUR SKIN IN TACT.
AND THAT PUTS IT INTO A
DIFFERENT BALL GAME.
BUT MOST OF US GO THROUGH,
YOU KNOW, CHICKEN POX IN OUR
YOUNGER AGES QUITE WELL
WITHOUT TOO MUCH TROUBLE,
AND I CERTAINLY GIVE IT TO
ALL MY CHILDREN TEN AND OVER
IN MY PRACTICE BECAUSE I
DON'T WANT PUDERTAL CHILDREN
TO GET IT.

Maureen says SO IF A CHILD
HASN'T HAD CHICKEN POX BY
THE AGE OF TEN YOU WOULD
GIVE THEM THE VACCINE.

Diane says OR IF MY PARENTS HAD
DECIDED THE STUFF AND
DECIDED THEY WANTED IT,
THAT'S THE KIND OF STUFF YOU
NEED TO MAKE DECISIONS WITH
NOT FOR.

Maureen says LET'S BE
CLEAR --

Diane says IT'S A SAFE VACCINE.
IT'S EFFECTIVE --

Maureen continues THERE ARE NO
SIDE EFFECTS AND IT'S
EFFECTIVE.

Diane says BUT AGAIN IF I HAD MY
DRUTERS, RIGHT NOW IT'S NOT
COVERED.
IT'S A LITTLE EXPENSIVE.
IF I HAD MY DRUTERS I WOULD
GO BACK -- IF I WAS GOING TO
SPEND MY MONEY, I'D SPEND IT
ON THAT PNEUMOCOCCUS VAX
SOON, I TELL 'YA.

Maureen says YOU WOULD EH?

Diane says YEAH.

Maureen says SO ONCE IT
BECOMES LICENSED WHO WOULD
BE A GOOD POPULATION TO GIVE
THAT TO?
MY 14-YEAR-OLD --

Diane says NO, NO, SHE'S BEYOND --
CHILDREN UNDER TWO, CHILDREN
UNDER FIVE WHO ARE
SUSCEPTIBLE.
THOSE ARE CHILDREN WHO DON'T
HAVE SPLEENS,
IMMUNOSUPPRESSED BECAUSE OF
CANCER TREATMENT, MAYBE
THEY'RE IMMUNOSUPPRESSED
BECAUSE THEY HAVE
MEDICATIONS THAT STOP THEIR
IMMUNITY.
ASTHMA CHILDREN ARE ON
PREDNISONE A LOT THESE DAYS
AND THAT DOES SOMETHING WITH
IMMUNITY.
I MIGHT GIVE IT TO THOSE
CHILDREN.
AGAIN, UNDER FIVE.
THAT'S WHAT THEY'RE DOING IN
THE STATES AND IT MAKES A
LOT OF SENSE NOW.

Maureen says YOU ALWAYS READ
MENINGITIS HITTING HIGHSCHOOL
POPULATIONS.

Diane says THAT'S ALMOST ALWAYS
MENINGOCOCCAL MENINGITIS AND
THE VACCINE FOR THAT IS NOT
AS EFFECTIVE AS THE
PNEUMOCOCCAL VACCINE.
ONLY LASTS A YEAR AND COVERS
A CERTAIN SIROTYPES.
WHAT WE DO IS GIVE KIDS
EXPOSED TO THAT MENINGITIS
THE ANTIBIOTICS TO PREVENT
IT.

Maureen says GOOD ENOUGH.
ANGELA IN OTTAWA?
HELLO ANGELA?

Angela says GOOD AFTERNOON.
I HAVE QUESTION REGARDING
NOSE BLEEDS.
I HAVE FIVE-YEAR-OLD BOY WHO
HAS FREQUENT NOSE BLEEDS.
WE'VE SEEN THE PEDIATRICIAN
WHO REFERRED US TO A
PAEDIATRIC EAR NOSE AND
THROAT SPECIALIST WHO CAUGHT
RAISED EACH SIDE OF HIS NOSE
TWICE AND HE STILL HAS NOSE
BLEEDS THREE TO FOUR TIMES A
WEEK.
SHOULD I BE CONCERNED OR IS
IT SAFE BECAUSE OF GROWTH
OR --

Diane says NO, THERE MAY BE A FEW
THINGS INVOLVED, ANGELA, AND
I GUESS THE FIRST THING I'D
LOOK AT IS LOOK AT YOUR
CHILD'S FINGER IN THE
MORNING.
SEE IF HE'S PINKING AT NIGHT
WHEN HIS NOSE GETS DRY --
PICKING AT NIGHT WHEN HIS
NOSE GETS DRY.
TRY AND VAPORIZE YOUR HOUSE
AS MUCH AS YOU CAN.
WE CERTAINLY KNOW DRYING CAN
CAUSE A PROBLEM.
THERE ARE PRODUCTS OUT NOW,
THE ONE THAT COMES TO MIND
IS CALLED RHINARIS WHICH IS
A GEL THAT HELPS MOIST RISE
THE NOSE AT NIGHT.
PEOPLE WITH ALLERGIES CAN
GET FREQUENT NOSE BLEEDS AND
YOU MIGHT LOOK INTO
TREATMENT OF THAT IF THAT'S
A CONCERN.
AND LAST, IF THERE'S ANYBODY
IN THE FAMILY WHO HAS ANY
BLEEDING TENDENCIES ON YOUR
SIDE OR DAD'S SIDE, AND YOU
MIGHT ASK, YOU MIGHT, AND
I'VE NEVER SEEN A CHILD
PRESENT WITH NOSE BLEEDS,
BUT IT'S POSSIBLE THAT THEY
MIGHT HAVE A MILD BLEEDING
PROBLEM THAT NEEDS TO BE
LOOKED.
A SO YOU MIGHT ASK YOUR
PEDIATRICIAN TO TEST FOR A
FEW OF THOSE.
BUT THE BIG THING IS
VAPORIZATION AND NOT
IRRITATING WITH THE FINGER
AT NIGHT AND AS I SAID,
THESE GELS WORK PRETTY WELL.

Maureen says WHEN YOU SAY
BLEEDING PROBLEMS ARE YOU
THINK THINKING HAEMOPHILIA?

Diane says THAT NATURE.
THERE'S A LOT OF CLOTTING
FACTORS THAT GET INVOLVED
AND WE CAN TEST FOR MOST OF
THEM AND MANY OF THEM ARE
MINOR BUT YOU NEED TO KNOW
BEFORE HE NEEDS TO GET HIS
APPENDIX OUT SOME DAY AND
ALL OF A SUDDEN HE'S STILL
BLEEDING.

Maureen says IS HAEMOPHILIA
GENERAL REALLY DIAGNOSED AT
BIRTH?

Diane says THE REASON IT IS BECAUSE
IT'S A FAMILY HISTORY.
IT'S EXCELLENT.
WE LOOK AT THE SONS RIGHT
AWAY.
BUT THERE ARE MINOR TYPES OF
BLEEDING PROBLEM, FACTOR-13
AND PLATELET DISORDERS WE
WOULDN'T DIAGNOSE.
WE DYING DIAGNOSE THEM IN
WOMEN WHEN THEY START HAVING
PERIODS AND START BLEEDING
HEAVILY.
VERY VERY HEAVILY SO, THEIR
HEMOGLOBIN GOES DOWN.
WE DO PICK UP BLEEDING
PROBLEMS ALL THROUGH LIFE.

Maureen says ALL RIGHT.
OKAY, THANK YOU ANGELA.
PATRICIA IS IN TORONTO.
HI PATRICIA.

Patricia says OH, YES, HI.
MY FOUR YEAR OLD DAUGHTER
WAS DIAGNOSED WITH PINK EYE
AS OF TODAY.
HOW LONG SHOULD I KEEP HER
HOME FROM SCHOOL AND SHE
GOES TO JUNIOR KINDERGARTEN.
AND I WAS ALSO WONDERING
THAT MY FIVE-YEAR-OLD
DOESN'T HAVE ANY SYMPTOMS AT
ALL BUT I WAS WONDERING
WHETHER SHE WOULD HAVE THE
PINK EYE AS WELL?

Maureen says YEAH.

Diane says THIS AFTERNOON SHE CAN GO
BACK IF YOU'VE TREATED IT.

Patricia says YES?

Diane says PINK EYE IS ACTUALLY A
SELF -- IS A DISEASE THAT
WOULD CURE ITSELF IN 10 TO
14 DAYS BUT IT'S
UNCOMFORTABLE.
I DON'T KNOW IF YOU'VE EVER
HAD IT.
ITCHES AND BURNS.
IN TERMS OF ITS
CONTAGIOUSNESS, AS SOON AS
YOU PUT THE DROPS IN, THE
CHILD IS NO LONGER
CONTAGIOUS, ACCORDING TO THE
CANADIAN PAEDIATRIC
SOCIETY'S RECOMMENDATIONS SO
THAT ONCE THEY'RE TREATED
THEY CAN GO TO DAYCARE OR
SCHOOL.
THERE'S A COUPLE OF TRICKS.
ONE IS YOU HAVE TO TREAT IT
FOR A DAY LONGER THAN YOU
SEE THE PINK, OTHERWISE IT
COMES BACK.
IT'S A TRICKY THING.
AND I WOULD, BECAUSE I --
YOU KNOW, I'M ONE OF THESE
PEOPLE WHO KNOW THAT THOSE
KIND OF THINGS HAPPEN, I
WOULD TREAT MY FIVE-YEAR-OLD
ONCE A DAY AND PUT DROPS IN
IN THE FIVE-YEAR-OLD TO TRY
AND HELP PREVENT IT.
JUST FOR A DAY OR TWO UNTIL
YOUR YOUNGSTER STOPS OOZING
OR DISCHARGING OR THE PINK
EYE, THE REDNESS GOES AWAY.
YOU KNOW, I WOULDN'T DO IT
FOR A LONG PERIOD OF TIME
BUT I DON'T THINK IT'S
HARMFUL.

Maureen says SO IF THE SCHOOL
STILL SEES EVIDENCE OF THE
PINK EYE AND WANTS TO SEND
THEM HOME YOU CAN SAY THE
CANADIAN PAEDIATRIC
SOCIETY --

Diane says YOU KNOW, THERE'S A
WONDERFUL BOOK CALLED, PUT
OUT BY THE CANADIAN
PAEDIATRIC SOCIETY WHICH HAS
SENSIBLE, SENSIBLE AND
SCIENTIFICALLY-BASED
RECOMMENDATIONS ABOUT WHEN
KIDS CAN GO BACK, AFTER
CHICKEN POX, AFTER
CONJUNCTIVITIS AND THEY CAN
GET THEM -- NURSERY SCHOOLS
AND DAYCARES AND SCHOOLS
SHOULD HAVE THESE BOOKS FROM
THE CANADIAN PAEDIATRIC
SOCIETY.
THEY'RE VERY, VERY USEFUL
AND THEY HAVE GOOD
INFORMATION FOR PARENTS, TOO,
BUT THEY'RE MEANT FOR
SCHOOLS AND DAYCARES AND
THEY JUST HAVE TO ASK --
IT'S CALLED “WELL BEINGS.”

Maureen says ALL RIGHT,
EXCELLENT IDEA.
LET'S GO TO AN E-MAIL.
THIS IS CHRIS FROM SARNIA.
KIND OF WEIRD.
Maureen reads “MY SON HAS A NOTICEABLY
STRONG ODOUR TO HIS URINE.
I NOTICE THIS IF A DIAPER
HAS BEEN PROPERLY SEALED.
HE DRINKS PLENTY OF LIQUIDS
INCLUDING WATER THIS PAST
FALL WE SWITCHED TO RICE
MILK.
COULD THIS BE THE CAUSE?”

Diane says HMM.
DOES SHE SAY HOW OLD HE IS,
MAUREEN?

Maureen says NO.

Diane says INFANTS, IF HE'S GROWING
WELL AND THRIVING I'M NOT
TOO CONCERNED.

Maureen says DIAPERED CHILD.

Diane says I DON'T KNOW, MY KIDS'S
STILL 16, 17, I'VE TOLD YOU
THAT.

Maureen laughs.

Diane continues BUT IF HE'S A VERY YOUNG
INFANT AND HE'S THRIVING
THEN I DON'T WANT TO WORRY
YOU.
THERE ARE CONGENITAL
ILLNESSES WITH AMINO ACID
AND PROTEIN METABOLISMS AND
OTHER THINGS THAT CAN CAUSE
FUNNY-SMELLING URINE.
THERE'S ONE THAT'S CALLED
MAPLE SYRUP URINE degrees.

Maureen says IT SMELLS LIKE
MAPLE SYRUP.

Diane says YES, THAT'S THE ONE
EVERYBODY REMEMBERS BUT
THERE REALLY ARE A FEW
OTHERS THAT SMELL A NOT SO
PLEASANT KIND OF ODOUR.
THAT'S ONE.
SECOND THING IS CERTAINLY
SOY PRODUCTS ARE VERY, VERY
HIGH IN PROTEIN.
THEY'RE TERRIFIC.
THEY'RE HEALTHY AND
WONDERFUL AND THAT CAN BE
CAUSING THE EXTRA ODOUR IN
YOUR SON'S URINE SO IF HE'S
GROWING AND THRIVING, I
MIGHT TRY AND GET A SPECIMEN
TO BRING INTO THE DOCTOR'S
WHEN YOU GO NEXT TIME FOR
HIS CHECK-UP BUT I WOULDN'T
NECESSARILY, YOU KNOW, RUN
FOR THAT PROBLEM NOW.

Maureen says COULD YOU GET A
SPECIMEN FROM A LITTLE BOY
IN A DIPER?

Diane says TWO THINGS.
SURE IF I HAD A MONTH AND
NOTHING ELSE TO DO.
THEY HAVE -- AND YOU CAN GO
TO A LAP, THEY HAVE BAGS.
ESPECIALLY LITTLE BOY, I
WOULDN'T TELL YOU LITTLE
GIRLS AND THEY HAVE A STICKY
THING AND YOU POP IT ON.
IT'S LIKE A LITTLE BIG CON
DOME -- CONDOM THING AND IT
CATCHES THE URINE OR WHEN HE
STARTS IN THE BATH -- DON'T
YOUR KIDS ALWAYS PEE WHEN
YOU PUT THEIR FEET IN THE
BATH.
SO YOU COULD TAKE A STERILE
ANDAR VD HAVE IT READY --

Maureen says GO TO IT!

Diane says ALL RIGHT, ALL RIGHT, GET
THE BAG.

Maureen says WE'RE TALKING
CHILDREN'S HEALTH THIS
AFTERNOON WITH PEDIATRICIAN
Dr. DIANE SAKS.
IF YOU HAVE QUESTIONS ABOUT
YOUR CHILE'S ILLNESS,
PRESENT, PAST, FUTURE, GIVE
US A CALL.
MICHELE IS IN
EXITER.
HI MICHELE.

Michelle says HI.

Maureen says HI, WHAT'S YOUR
QUESTION?

Michelle says I HAVE A QUESTION
ABOUT ACID REFLUX IN
CHILDREN.
I HAVE TWO-YEAR-OLD THAT WAS
DIAGNOSED WITH REFLUX AT
SEVEN WEEKS OLD.
HE WAS IN AND OUT OF
HOSPITAL SINCE HE WAS BORN
WITH DEHYDRATION, PNEUMONIA,
THINGS THAT GO ALONG WITH
IT.
MY DOCTOR'S HESITANT TO SEND
HIM TO A SURGEON BECAUSE HE
KEEPS BELIEVING THAT HE'S
GOING GROW OUT OF THIS.
AND I WAS WONDERING AT WHAT
POINT DO CHILDREN WITH
REFLUX GROW OUT OF IT?

Diane says MM-HMM.
I'M SORRY, WHAT, WHAT WE'RE
TALKING ABOUT HERE IS
THERE'S TWO EVOLVINGS, ONE
AT THE TOP OF THE STOMACH AT
THE BOTTOM OF THE ESOPHAGUS
ONE AT THE BOTTOM OF THE
STOMACH, THE PYLORIC VALVE
AND WHEN YOUR CHILD EATS
THESE VALVES CLOSE SO THE
ACID AND STOMACH CONTENTS GO
BACK INTO THE ESOPHAGUS --
WAS YOUR BABY PREM?

Michelle says NO.

Diane says NO.
SOME PREM BABIES HAVE THE
PROBLEM BUT IT'S NOT AN
UNCOMMON PROBLEM.
MANY HAVE A WEAK VALVE SO
THE STOMACH ACID AND
COULDN'T TENS GO BACK TO THE
ESOPHAGUS CAUSING BURNING,
THESE ARE KIDS THAT CRY AT
NIGHT.
THEY'RE VERY UNCOMFORTABLE.
THIS IS A VERY SEVERE CASE
BECAUSE THE CHILD IS
ACTUALLY -- HAS ACTUALLIES A
PIR RATED BECAUSE OF
CONTENTS COMING BACK UP INTO
THE LUNGS AND THAT'S WHAT
WE'VE HEARD AND THE CHILD
HAS GOTTEN DEHYDRATED
BECAUSE HE HAS GOTTEN SICK
FROM THAT.
THERE IS GOOD MEDICATION AND
I'M SURE -- HAS YOUR CHILD
BEEN ON MEDICATION FOR THIS?

Michelle says YEAH, HE'S BEEN
ON ALL KINDS OF DIFFERENT --

Diane says IT IS USEFUL MEDICATION
BUT IT DOESN'T WORK IN ALL
CASES.
UNFORTUNATELY THE SURGERY
HAS PROBLEMS WITH IT.
THESE CHILDREN CAN'T VOMIT
AND SOMETIMES VOMITING IS
NECESSARY.
IT DOESN'T ALWAYS WORK.
SOMETIMES THE SURGERY ITSELF
AFTER A TIME NEEDS TO BE
REPEATED.
I HAVEN'T HAD ANY CHILDREN
GONE SURGERY IN THE LAST
FIVE YEARS OR SO WITH THIS.
AND I THINK HE'S PROBABLY
HOPING THAT WHEN HE'S
UPRIGHT MORE AND WALKING
ABOUT, SOMEWHERE BETWEEN TWO
AND FOUR, THAT THIS PROBLEM
WOULD STOP.
I MEAN, SURGERY SHOULD
ALWAYS BE TAKEN ONLY WHEN
IT'S ABSOLUTELY NECESSARY.
IT'S ANAESTHESIA, IT'S
INFECTION, AND BLEEDING.
WE HAVE WONDERFUL HOSPITALS
SO THEY HAVE LIMITED THIS TO
MINIMUMS BUT THOSE RISKS
WHEREAS IF HE'S GOING TO
OUTGROW THIS, THAT WOULD BE
THE BEST.

Maureen says IS THERE A GOOD
POSSIBILITY HE WILL IF HE'S
HAD IT THIS SEVERELY IN?

Diane says YES, I'VE SEEN CHILDREN
WITH VERY SEVERE DISEASE AS
THEY GET AROUND FOUR AND
OLDER TODDLER AGE, OUT-GO
IT.

Maureen says IS HIS HEALTH IN
ANY DANGER WHILE THEY'RE
WAITING TO SEE --

Diane says YES, BECAUSE HE CAN GET
VERY SERIOUS PNEUMONIA AS HE
ALREADY HAS AND HE MAY NOT
BE THRIVING NUTRITIONALLY
BECAUSE HE DOESN'T WANT TO
EAT BECAUSE IT HURTS, COMES
BACK.
SO THERE ARE A LOT OF ISSUES
THAT THEY HAVE TO WEIGH.
IT'S NOT A STRAIGHT FORWARD
YES/NO ANSWER.
WHAT I WOULD SUGGEST IS GET
A CONSULT WITH A PAEDIATRIC
SURGEON SO YOU ACTUALLY KNOW
THE RISKS AND BENEFITS OF
THE PROCEDURE BECAUSE IT'S
ONLY A LIMITED NUMBER OF
PROCEDURES.

Maureen says RIGHT, YOU DON'T
HAVE TO GO THROUGH WITH
IT --

Diane says NO, BUT GET THE
INFORMATION SO WE KNOW WHAT
YOU'RE TALKING ABOUT.
YOU KNOW WHY YOUR DOCTOR'S
HESITANT THAT WOULD BE MORE
USEFUL FOR YOU.

Maureen says GOOD LUCK.
PATTY IS IN PARIS.
HELLO.

Patty says HI.

Maureen says HI.

Patty says I HAVE QUESTION.
I HAVE A FOUR MONTH OLD
DAUGHTER AND SHE WAS
HOSPITALIZED A FEW DAYS AGO
WITH TONSILLITIS ONLY
BECAUSE HER FEVER WOULDN'T
GO DOWN.
SHE'S BREAST FEEDING AND THE
PEDIATRICIAN JUST WANTED TO
DO SOME BLOODWORK, WHICH
BROKE MY HEART.
AND SHE STAYED OVERNIGHT AND
THE PEDIATRICIAN SAID THAT
THIS COULD BE SOMETHING THAT
MIGHT RUN IN THE FAMILY
BECAUSE MY SON, WHO'S GOING
TO BE TURNING THREE HAS HAD
THROAT INFECTIONS, EAR
INFECTIONS, HE'S BEEN ON
ABOUT 20 DOSES OF
ANTIBIOTICS, NO WORD OF A
LIE AND HE GOT HIS TONSILS
TAKEN OUT IN MAY AND HIS
ADENOID SCOMPMD HE'S BEEN
VERY HEALTHY SINCE THEN.
THERE WAS MOULD IN OUR HOUSE,
THAT WAS TAKEN OUT.
HE'S BEEN OFF AND ON NORMAL
SICKNESS, BUT THE BABY'S A
QUESTION.
WHAT COULD I DO FOR HER IF
THIS IS GOING TO BE
SOMETHING THAT RUNS IN THE
FAMILY?
LIKE, HE EXPLAINED TO ME
THAT IT HAS TO DO WITH THE
FACIAL SNAIP.

Maureen says MMM?

Patty says WHICH I THOUGHT
WAS FUNNY.
I THOUGHT SHE WAS JOKING
WHEN SHE SAID THAT.
IT HAS TO DO WITH THE SHAPE
OF THEIR FACE, THEIR CHIN IS
VERY LONG WHICH CAN REALLY
MEAN THAT THERE'S NOT MUCH
THROOM THEIR THROAT.

Maureen says I'VE HEARD THAT
FOR EAR INFECTIONS.

Diane says ESPECIALLY WITH THE
ADENOIDS AND BLOCKING THE
THROAT.
A FEW THINGS, IT'S VERY
UNUSUAL FOR A CHILD, EVEN
UNDER A YEAR, BUT CERTAINLY
AT FOUR MONTHS TO HAVE TON
SILLITIS TO HAVE A BACTERIAL
OR EVEN A SIGNIFICANT VIRAL
INFECTION OF THE TONSIL
TISSUE.
I NEVER SAY NEVER IN
MEDICINE.
I'VE JUST SEEN THINGS THAT I
WOULD HAVE THOUGHT WERE
NEVER AND I NEVER SAY
ALWAYS.
SO THIS MAY BE, AND YOU
CERTAINLY HAVE AN
UNFORTUNATE HISTORY WITH
YOUR SON.
ON THE OTHER HAND JUST JUST
AS WE WERE TALKING TO
MICHELE A MOMENT AGO, TAKING
A THE TONSILS OUT IN A FOUR
YEAR OLD, AN OPERATIVE
PROCEDURE, IF ANYBODY WOULD
DO IT, AND I DON'T THINK
THEY WOULD AT THIS POINT,
THE YOUNGER YOU ARE THE MORE
RISK YOU'RE AT FOR SURGERY.
SO I THINK YOU SAID YOUR SON
IMPROVED TAKING HIS TONSILS
AND ADENOIDS OUT AND HE MAY
HAVE, I'VE CERTAINLY HEARD
THAT, BUT YOU ALSO REMOVED
THE MOULD IN THE HOUSE.
SO I THINK THE BEST YOU CAN
DO -- I DON'T KNOW HOW OLD
YOUR SON IS?

Patty says HE'S THREE.

Diane says IS HE IN DAYCARE?

Patty says NO.

Diane says GOOD!
GOOD, GOOD.
I'M SAYING IF YOU CAN KEEP
THEM-HE STILL HAD 20
INFECTIONS.
SO THAT'S SIGNIFICANT.
YOU KNOW, IF HE CONTINUES TO
GET INFECTION, I'D CERTAINLY
CHECK HIS IMMUNITY, BUT AT
THIS POINT IN TIME, I THINK
WE HAVE TO SEE WHERE YOUR
LITTLE GIRL IS GOING WITH
THIS.
YOU KNOW, IT'S JUST TOO
EARLY TO START TALKING ABOUT
SURGERY YOU KNOW FOR THIS.

Maureen says NOW THIS
TONSILITIS WE'RE TALKING
ABOUT IS THAT RELATED TO THE
PNEUMOCOCCUN.

Diane says SHE MAY, YOU CAN GET
PHARYNGITIS --

Maureen says I JUST READ
DOCTORS ARE CONCERNED WITH
PNEUMOCOCCUS, YOU MENTIONED
IT'S BECOME A SUPERBUG, DO
YOU THINK KIDS WITH
PNEUMOCOCCUS SHOULD BE
BANNED FROM GOING TO DAYCARE?

Diane says WELL NOT WITH
PNEUMOCOCCUS, BUT KIDS WHO
HAVE MULTIPLE INFECTIONS AND
ARE PROVEN TO HAVE SUPER
RESISTANT BUGS THAT THEY'RE
NOT RESPONSIVE TO ANY
ANTIBIOTICS, I THINK THAT
MAY BE, YOU KNOW, AN ISSUE.
AND I THINK CERTAINLY
THERE'S A GOOD ARGUMENT AT
THIS POINT THAT WE HAVE TO
DO SOMETHING AS A SOCIETY TO
ISOLATE THOSE BUGS.
AND SINCE, YOU KNOW, I THINK
WE HAVE ALTERNATIVES TO
DAYCARE IF WE THINK ABOUT IT
YOU KNOW, MAYBE HOME DAYCARE
AS OPPOSED TO THE LARGER
DAYCARES, THAT THAT'S
USEFUL.
BUT YEAH, I THINK WE HAVE TO
THINK ABOUT IT.
IF WE HAVE A KID WHO HAS A
SUPER RESISTANT BUG ABOUT
WHETHER ESCHE BE SPREADING
THAT AROUND AND THEY DO
SPREAD THEM LIKE WILDFIRE IN
DAYCARE.

Maureen says AND YOU DID SAY
THE PNEUMOCOCCUS VACCINE
MIGHT HELP PREVENT EAR
INFECTIONS RELATED TO THAT.
HOW DO YOU KNOW IF THE KIND
OF EAR INFECTION YOUR CHILD
IS GETTING IS PNEUMOCOCCUS?

Diane says THE ONLY WAY IS LITERALLY
BY TAKING THE PUS BEHIND THE
TYMPANIC MEMBRANE AND
TESTING IT AND WE DON'T DO
THAT ANYMORE.
BUT YOU'RE LITERALLY TAKING
A SPECIMEN, POPPING
THE MEMBRANE AND SUCKING IT
OUT AND TESTING THAT.
YOU WOULDN'T KNOW THAT
UNLESS YOU DID THAT.

Maureen says I WANT TO THANK
PATTY FOR HER CALL AND
MELANIE HAS A QUESTION ABOUT
EAR INFECTIONS.
Maureen reads I HAVE AN 18 MONTH OLD SON
WHO HAS FLU WIDE IN HIS EARS
THIS HAS BEEN ONGOING SINCE
11 MONTHS AND I'M NOT SURE
IF THE PLANE CAUSED THE EAR
INFECTIONS OR TUETING BUT
HE'S BEEN TO THE SPECIALIST
ALREADY AND THEY'RE NOT SURE
IF THEY WANT TO USE TUBES OR
NOT.
THEY TRIED FOUR KINDS OF
ANTIBIOTICS, THEY CLEARED
THE INFECTION BUT NOT THE
FLUID.
HE GOES BACK IN TWO MONTHS
AND GETS CHECKED AGAIN SO I
GUESS MY QUESTION IS, IS IT
SERIOUS TO HAVE KNEW WIDE IN
YOUR EARS FOR THIS LENGTH OF
TIMEIS USING TUBES THE
SAFEWAY TO GO?

Diane says DOES SHE HAVE AN OLDER
CHILD?

Maureen says DOESN'T SAY.

Diane says CLEAR AND STERILE FLUID
BEHIND THE EUSTACIAN TUBE IS
NOT SERIOUS UNTO ITSELF BUT
OFF YOUNG FELLOW WHO NEEDS
TO HEAR BECAUSE HE NEEDS TO
LEARN AND TALK AND RESPOND
AND THAT'S REALLY THE ISSUE.
IS THERE SOME WAY TO KNOW IF
YOUR SON IS HEARING
PROPERLY.
IF HE'S HEARING, YOU KNOW, A
SIGNIFICANT AMOUNT OF WHAT'S
GOING ON AROUND HIM AND HE
DOESN'T HAVE ACUTE BACTERIAL
OTITIS, I WOULD HOLD OFF ON
THE TUBES.
IF HE'S NOT HEARING, I THINK
THAT'S A GOOD ARGUMENT FOR
TO YOU THINK ABOUT IT AND
DISCUSS AGAIN WITH THE EAR
NOSE AND THROAT SPECIALIST.
HEARING IS VERY IMPORTANT AT
CERTAIN AGES IN OUR LIVES,
YOU KNOW?
SOMETIMES I'D LIKE TO LOSE
MY HEARING, BUT AT THAT AGE
YOU NEED TO HAVE IT AT ALL
TIMES.

Maureen says THE TUBE
PROCEDURE IS SAFE?
IT'S AN OPERATION THOUGH.

Diane says NO, IT'S AN OPERATION.
WE USE ANAESTHESIA, SO ALL
OF THOSE THINGS WE TALKED
ABOUT BEFORE, IT IS SAFE.
THERE ARE POSSIBLE SIDE
EFFECTS ON THE OTHER END OF
IT.
IT IS VERY EFFECTIVE IN SOME
CHILDREN.
AND YOU KNOW, AS A RISK/BENEFIT,
WHEN YOU'RE THINKING ABOUT
THE RISKS OF MULTIPLE YOT
PARTICULAR, OKAY, OR SERIOUS
EAR INFECTIONS THAT CAN
HURT HEARING, IT MAY
OUTWEIGH THE RISK THE TUBE
INSERTION IN YOUR CHILD.
BUT AGAIN IT'S AN INDIVIDUAL
THING AND YOU HAVE TO MAKE
SURE THESE ARE TRUE EAR
INFECTIONS.
UNFORTUNATELY -- AS A LITTLE
TRICK, WHEN BABIES ARE
CRYING THEIR EAR DRUMS GET
RED.
AND SINCE MOST BABIES AND
YOUNG TODDLERS CRY WHEN
THEY'RE GETTING THEIR EAR
EXAMINED, OFTEN IT'S
MISINTERPRETED AS AN EAR
INFECTION WHEN IT'S REALLY A
RED EAR FROM CRYING.
SO YOU HAVE TO MAKE SURE.
NOW THERE IS A TRICK, BUT
MOST DOCTORS DON'T USE IT.
IT'S ACTUALLY A LITTLE TUBE
WHICH ALLOWS YOU TO SEE IF
THE EAR DRUM IS MOVING OR
NOT.
AND IF THE EAR DRUM IS
MOVING, THEN THERE'S NOT PUS
BEHIND THE EAR, THE EAR'S
RED FROM SCREAMING.
SO THAT, YOU KNOW, YOU
REALLY NEED TO MAKE SURE
THAT TEASE ARE EAR
INFECTIONS, LIKE URINE
INFECTIONS, AND I ALWAYS
GLUMP THE TWO TOGETHER, YOU
HAVE TO MAKE SURE OF THE
DIAGNOSIS.

Maureen says ALL RIGHT, SUSAN
IS IN FORT FRANCIS.
HELLO.

Susan says GOOD AFTERNOON.

Maureen says HELLO.

Susan says I'M CALLING TODAY
ABOUT MOO 11-YEAR-OLD
DAUGHTER, JUST TURNED 11 IS
GENERALLY REMARKABLY HEALTHY
BUT SINCE THIS LAST FALL HAS
HAD A CHRONIC COUGH FROM THE
BACK OF HER THROAT OR UPPER
CHEST.
SHE'S BEEN TREATED WITH A
BROAD SPECTRUM ANTIBIOTIC.
THE CHEST X-RAY CAME OUT
CLEAR AND WE'VE ALSO DONE
BREATH TESTING, FOR AN
ASTHMA TEST, IF YOU WILL,
AND EVEN THAT CAME AT BETTER
THAN 100 percent LUNG VOLUME.
BUT THIS COUGH BECOMES SO
VIOLENT THAT SHE LITERALLY
WILL BRING UP A MEAL THAT
SHE'S EATEN.
AND WE JUST CAN'T FIND THE
SOURCE.

Diane says HAS SHE LOST WEIGHT?

Susan says NO.

Diane says NO, GOOD.
DOES SHE COUGH AT NIGHT?

Susan says NO, AND EACH TIME DURING
THE DAY, IF SHE SUDDENLY
GOES OUT INTO THE COLD AIR,
I AM IN NORTHWESTERN ONTARIO,
IT'LL --

Diane says IT'S COLD THERE.

Susan continues I WOULD SAY MAYBE SIX
TIMES A DAY SHE'LL GO INTO
THESE SEVERE COUGHING
SPELLS.
SHE DOESN'T ALWAYS VOMIT
BUT --

Diane says RIGHT, AND IT STARTED IN
THE FALL?

Susan says IN THE FALL, YES.

Diane says SO IT'S THREE MONTHS INTO
IT.
MY FIRST GUESS, OKAY,
ESPECIALLY SINCE IT WAS A
NORMAL X-RAY, SO SHE DOESN'T
HAVE ANY SWOLLEN LYMPH NODZ
IN HER CHEST, WHICH IS WORRY
SOME, MY FIRST GUEST, AND
FROM THE INFORMATION THEY'VE
RULED OUT SOME THINGS IS
THAT THIS WAS A WHOOPING
COUGH YOUR CHILD HAD IN THE
FALL OR DIDN'T EVEN NOTICE
SHE HAD WHOOPING COUGH AND
THAT THIS COUGH IS STILL
FROM THAT.
OKAY?
I THINK WEAN THE LUNG
TESTING, I STILL SEE YOUNG
CHILDREN, 11-YEAR-OLDS WHO
GO OUT IN THE COLD AND GET
BRONCHO SPASM.
SO I DON'T KNOW IF SHE'S
BEEN ON PUFFER, OR THAT WILL
HELP, GIVING HER A VENTOLIN
PUFFER HAS ALTERED HER
COUGH.
I WOULD THINK AND RE-THINK
ABOUT BRONCHO SPASM FROM
COLD.
I'VE SEEN KIDS WHO ARE
ALLERGIC TO COLD ITSELF AND
THAT CAN CAUSE SOME
PROBLEMS.
I WONDER IF SHE WAS TESTED
WHILE SHE WAS COUGHING.

Susan says NO.

Diane says AND THIS IS TO THROW IN,
BECAUSE I WANT PEOPLE TO
THINK ABOUT IT, AND IT'S NOT
YOUR DAUGHTER FROM A NUMBER
OF THINGS YOU SAID, BUT
THERE REALLY ARE PSYCHO
GENIC COUGHS THAT YOUNG
TEENAGED PEOPLE GET.
AND IT'S SOME HORRENDOUS
COUGHS THAT CAN GO ON AND ON
BUT THEY GENERALLY DON'T
COUGH WHEN THEY'RE SLEEPING
AND IT SOUNDS A SPECIFIC --
ALMOST LIKE A WHOOPING CRANE
COUGH AND THEY DON'T COUGH
UNTIL THEY VOMIT, SO IT
DOESN'T SOUND LICK THAT BUT
I ALWAYS THROW THAT IN.

Maureen says NOW YOU SAID
WHOOPING COUGH.
LET'S ASSUME THAT SUSAN
VACCINATED HER CHILDREN WHEN
THEY WERE YOUNG.
HOW COULD HER DAUGHTER HAVE
WHOOPING COUGH.

Diane says IT'S NOT OUR BEST VACCINE.
AND WE KNOW IT PROBABLY
WARES OFF BY TEN OR 11 AND
THE LAST TIME YOU GET A
WHOOPING COUGH SHOT IS FOUR
YEARS OF AGE.
SO WE CERTAINLY SEE KIDS
WITH WHOOPING COUGH OLDER
THAN THAT.
MANY PHYSICIANS STUDYING AND
GO INTO A PAEDIATRIC WARD
PICK UP THE COUGH BECAUSE AS
AN ADULT WE'RE SUSCEPTIBLE
AGAIN.

Maureen says IS THAT RIGHT?

Diane says YEAH.
MUCH MORE COMMON THAN WE
KNOW.

Maureen says IS THIS ALSO
CALLED PTUSSIS?

Diane says YES, OR PARAPTUSSIS AND
THERE ARE GERMS LIKE
WHOOOPING KAUF CALLED PARA
PARAPTUSSIS BUT THEY CAUSE
THE SAME THING.
THESE KIDS USUALLY HAVE IT
AT NIGHT SO THE FACT SHE'S
HAVING IT DURING THE DAY IS
A LITTLE BIT OF A PUZZLE.
I'M NOT SURE THAT I WOULDN'T
NEED TO GET THIS RECHECKED
WITH A PAEDIATRIC
PULMINOLOGIST.

Maureen says ROBIN SAYS “I
HAVE CHILD WHO IS FOUR YEARS,
NINE MONTHS OLD IN GOOD
PHYSICAL HEALTH.
MY CHILD HAD NORMAL IF NOT
PRECOCIOUS DEVELOPMENT UNTIL
SOMETIME BETWEEN 14 AND 18
MONTHS OF AGE OR SO.
FROM THAT CHILD ON HE
DEMONSTRATED A LOSS OF
LANGUAGE SKILLS AND A SEVERE
DELAY IN RECEPTIVE AND
EXPRESSIVE LANGUAGE.
WITH INTENSIVE THERAPY HE'S
MADE SOME GOOD GAINS BUT
HE'S STILL DELAYED IN
LANGUAGE COMPARED WITH HIS
PIERCE IS THERE ANY
POSSIBILITY THAT HIS
IMMUNIZATIONS COULD HAVE
CAUSED THIS?
I'M VERY WORRIED BECAUSE
HE'S APPROACHING FIVE YEARS
OF AGE AND I HAVE TO MAKE
SOME DECISIONS ABOUT FUTURE
IMMUNIZATIONS GIVEN WHAT
COULD BE PERHAPS A
PARTICULAR VULNERABILITY
DEMONSTRATED BY MY CHILD.

Diane says YOU'VE HEARD ME SAY TODAY
ALREADY, I NEVER SAY NEVER
AND I NEVER SAY ALWAYS, BUT
THE SCIENTIFIC PROOF OF
DEVELOPMENTAL DELAY OR
AUTISM OR WHATEVER CAUSED BY
THE IMMUNIZATIONS IS JUST
NOT THERE.
AND THEY REALLY DO STUDY IT
AND THEY REALLY DO LOOK.
AND WE DON'T HAVE THAT YET.
AND THE SAME IS TRUE, EVEN
WITH THE PTUSSIS VACCINE.
THAT THE RISK IS SO MUCH
MORE SEVERE FROM GETTING
SERIOUSLY ILL, DYING, HAVING
BRAIN DAMAGE FROM PTUSSIS
WHEN YOU'RE UNDER SIX MONTHS
THAN THE RISK OF THE VACCINE
CAUSING THAT.
THE SCIENTIFIC EVIDENCE
REALLY IS STRONGLY IN FAVOUR
THAT IT'S NOT CAUSED BY THE
VACCINE AND THAT'S ALL I
COULD TELL YOU.
AND I WOULD GO AND ON
VACCINATE HER CHILD.
IF HE HASN'T HAD ANY
PROGRESSION -- WE DON'T --
WELL, HE WOULDN'T BE GETTING
A PTUSSIS ANYWAY AT FOUR.

Maureen asks WHAT WOULD HE BE
GETTING?

Diane replies DIPHTHERIA AT THE TIME
NICE POLIO BOOSTER AND A
REPEAT M.M.R. AT FOUR TO SIX,
MEASLES MUMPS AND RUBLE LA
AND IT'S BEEN THE MEASLES
THAT'S BEEN THE WORRY SOME
PART OF THIS BUT THE DATA
ISN'T THERE.

Maureen says WE HAD DOCTOR WENDY
ROBERTS ON RECENTLY TALKING
ABOUT THIS AND SHE SAID --
SHE TOTALLY AGREES WITH YOU
BUT SHE SAID THERE ARE
STUDIES GOING ON RIGHT NOW
THAT ARE GOING TO GIVE US A
FINAL ANSWER ON THIS.
SO THAT'S ALL WE CAN SAY.

Diane says BUT UNTIL WE KNOW,
MEASLES IS A SERIOUS DISEASE,
HAVING A POPULATION THAT CAN
GIVE GERMAN MEASLES TO
ADULTS, YOU KNOW, IS A
SERIOUS PROBLEM BECAUSE
THEIR BABIES WILL BE
MALFORMED SO THAT AT THIS
POINT WE REALLY MUSTN'T
RECOMMEND NOT GIVING M.M.R.
YOU KNOW, WE'LL LOOK INTO IT,
I THINK WE LOOK INTO IT WITH
OPEN MINDS, MOST OF US ARE
NOT INFLUENCED BY THE DRUG
COMPANIES TO SELL THIS STUFF
BUT WE'RE INFLUENCED BY
WHAT'S THE RISK BENEFIT OF
IMMUNIZATION AND RIGHT NOW I
WOULD HIGHLY, REALLY TRY AND
ENCOURAGE PEOPLE TO IMMUNIZE
THEIR CHILDREN.

Maureen says OKAY, ROBIN,
THANK YOU FOR THE QUESTION.
CHRISTINA IS ON THE LINE.
HELLO, CHRISTINA.

Christina says HI.

Maureen says HI.

Christina says HI, MY QUESTION
TODAY IS I HAVE FOUR YEAR
OLD WHO HAS A PLUMBING
PROBLEM.

Diane laughs.

Christina continues AND I HONESTLY BELIEVE IT'S
PSYCHOLOGICAL.
I'VE TRIED THE CORN EVERYDAY,
THE PRUNE JUICE, STOOL
SOFTENER, WHOLE WHEAT BREAD,
I'VE CHANGED HIS WHOLE DIET
AND IT'S BEEN GOING ON FOR
CLOSE TO A YEAR.
HE CAN GO SIX TO EIGHT DAYS
WITHOUT GOING, AND THIS PAST
WEEKEND HE FINALLY WENT AND
I WOULD COMPARE IT TO GIVING
BIRTH.

Maureen says OH, MY GOSH!

Diane says SHE'S WAITING FOR THE
PLUMMER!
THAT'S HER PLUMBING PROBLEM!

Maureen laughs.

Christina says IT'S FRUSTRATING --

Maureen says THEY CAN DO
THIS --

Diane says ABSOLUTELY..
THIS IS A HIGH PLUMBING --

Maureen says ON PURPOSE.

Diane continues ON PURPOSE.
YOU KNOW WHAT?
IT'S REALLY A PHYSICAL
PROBLEM.
MAY HAVE BEEN PSYCHOLOGICAL
BUT I THINK IN MOST CASES IT
STARTS WITH LITTLE FISSURES
OR A HARD SCHOOL, CAUSES
SOME CUTS AND HEM ROIDS AND
THEY STOP GOING AND THEY
HOLD AND THEN IT'S AMAZING,
THE PAUL ENLARGES RAPIDLY
AND LOSES ITS MUSCLE TONE.
YOU KNOW, ALL OF US WHO
DON'T EXERCISED -- I MEAN
ALL OF US WHO EXERCISE KNOW
HOW HARD IT IS TO BUILD UP
THAT MUSCLE AND STOP FOR
FOUR DAYS WHILE YOU'RE ILL
AND THE MUSCLE IS FLAB AS IF
YOU'VE NEVER WORKED IT OUT
AT ALL.
THAT'S WHAT WAS WITH THE
BOWL.
WHAT YOU NEED TO DO IS TO
RETRAIN THIS BOWL BUT FIRST
YOU NEED TO SHRINK IT AND
THE TRICK IS TO GIVE YOUR
CHILD, AND GOOD LUCK,
DIARRHEA FOR A WHILE.
LOOSE, LOOSE STOOLS.
MINERAL OIL IS STILL THE
DRUG OF CHOICE IN THIS.
YOU CAN -- YOU MUST GIVE IT
EVERYDAY AND YOU NEED TO
GIVE IT IN QUANTITIES UNTIL
IT ACTUALLY COMES OUT AND
SOILS HIM IN HIS PANTIES AND
THEN YOU CAN CUT BACK A
LITTLE BIT.
BUT YOU NEED TO KEEP HIS
STOOLS VERY, VERY LOOSE.
THEY HAVE A PRODUCT, AND
I'LL PUSH IT BECAUSE IT
WORKS CALLED LANSOYL WHICH
IS A JAM OF MINERAL OIL THAT
YOU CAN USE AND THE KIDS
LOVE, AND HE NEEDS TO GET
THAT EVERYDAY AND IF HE GOES
TO SCHOOL IN THE MORNING I
WOULD USE IT IN THE MORNING
SO THAT WHEN HE COMES HOME
ELITE LUNCH AND THEN YOU AND
HE GO SIT FOR A NICE TEN, 15
MINUTES WITH A BOOK ON THE
POT.
HIS FEET NEED TO BE FLAT ON
THE GROUND, SO HE NEEDS TO
HAVE A LITTLE BENCH OR STOOL
FOR HIS FEET AND IT NEEDS TO
BE PART OF HIS ROUTINE.
BUT YOU NEED TO MAKE IT
PAINLESS, AND AFTER
LITERALLY FOUR TO SIX MONTHS
HIS BOWL WILL CUT BACK AND I
WOULD KEEP ALL THE OTHER
THINGS YOU'RE DOING, THE
FIBRE, THE WHOLE WHEAT TO
GET IN PLACE.
BECAUSE HE'LL ALWAYS HAVE A
CONSTIPATION PROBLEM.
IT COMES FROM SOMEONE IN
YOUR FAMILY.
I KNOW IT'S YOUR HUSBAND'S
SIDE -- NO, I DON'T KNOW
THAT.
I DON'T KNOW HER.
BUT GENERALLY, IT IS
SOMETHING THAT WILL BE
RECURRENT, SO YOU NEED TO
KEEP YOUR DIET VERY, VERY
HIGH IN FIBRE, BUT MINERAL
OIL IS THE KEY HERE FOR LONG
PERIODS OF TIME.

Maureen says AND KEEP THE SAY
THE MINERAL OIL, IF SHE'S
USING THAT, CAN HE KEEP
USING THAT FOR YEARS TO
COME?

Diane says YEAH, MINERAL OIL DOESN'T
GET ABSORBED.
THE PROBLEM WITH MINERAL
SOIL IT TAKES AWAY SOME FAT
VALUABLE VAIT MINUTE ISS SO
IF YOU'RE USING MINERAL OIL
GIVE A MULTI VITAMIN SOME
OTHER TIME DURING THE DAY.
VITAMIN A AND E AND MAYBE A
FEW OF THE OTHERS GET LOST
WITH THE OIL.

Maureen says SHOULD YOU EVER
SEEK A DOCTOR'S ATTENTION
FOR THIS PROBLEM?

Diane says OH, SURE BUT I THINK THEY
WILL TELL WHAT YOU I TELL
YOU THERE.
IS A CONDITION CALLED HERSHBRAS
DISEASE WHERE YOU DON'T HAVE
THE RIGHT KIND OF NERVES IN
YOUR RECTUM.
THESE CHILDREN DON'T THRIVE,
DON'T GROW RARE, SO IF YOUR
CHILD IS NORMAL HEIGHT AND
WEIGHT AND DOING FINE IN
EVERY OTHER WAY, PROBABLY
DOESN'T HAVE HERSCHBRON'S
DISEASE, PROBABLY HAS
CHRONIC CONSTIPATION AND
IT'S A VERY SERIOUS DISEASE.
THEY DON'T EAT WELL, GET MA
SPLMD NOURISHED AND THEY CAN
IMPACT THEIR BLADDER SO IT
DOESN'T EMPTY AND THEY CAN
GET URINARY TRACT
INFECTIONS.
THAT'S VERY SERIOUS.

Maureen says GOOD LUCK,
CHRISTINA.
MELISSA IS IN PORT McNICKLE.
HI, WHAT'S YOUR QUESTION?

Melissa says MY QUESTION IS ADO HOME
DAYCARE, AND I'VE BEEN DOING
IT FOR ABOUTEIGHT MONTHS AND
MY THREE-YEAR-OLD HAS JUST
STARTED BITING.
AND MY ONE CONCERN IS HE
DOES HAVE A LOT OF PROBLEMS
WITH HIS TONSILS AND
ADENOIDS, HE HAD THEM TAKEN
OUT IN SEPTEMBER SO I'M
WONDERING IF IT IS JUST
BEHAVIOUR OR IF IT COULD BE
SOMETHING MEDICAL.

Diane says BITE IS REALLY ALMOST
ALWAYS BEHAVIOURAL.
SOME CHILDREN WHEN THEY'RE
TUETING EARLY ON, YOU KNOW
MONTHS OLD, REALLY INFANTS,
SMALL INFANTS WILL BITE, BUT
IT'S OFTEN BEHAVIOURAL.
IT'S OFTEN CHILDREN WHO
DON'T SPEAK WELL AND THEY
GET FRUSTRATED AND SO THEY
BITE BUT IT'S VERY SERIOUS.
A HUMAN BITE CAN BE VERY
SERIOUS AND CAUSE TERRIBLE,
TERRIBLE HARM SO HE REALLY
NEEDS TO FIND SOME OTHER WAY
TO EXPRESS HIS FRUSTRATION
UNTIL HE CAN TALK BETTER.
AND WHAT I WOULD MAKE SURE
YOU DO IS TIME-OUT -- DO NOT
BITE HIM TO SHOW HIM IT
HURTS.
HE KNOWS IT HURTS.
BUT CERTAINLY GRAB HIM AND
ANGRILY PUT HIM IN A CORNER
OR CHAIR AND SAY NO BITING.
AND IT ONLY NEEDS TO BE TEN
OR 15 SECONDS BUT HE HAS TO
KNOW YOU MEAN IT AND YOU'RE
ANGRY.
AND I DON'T NECESSARILY MEAN
YOU NEED TO PAY KIND
ATTENTION TO THE CHILD YOU
BIT, ALTHOUGH I KNOW YOU
HAVE TO, IT'S REALLY TO LET
HIM KNOW THE BEHAVIOUR'S
UNACCEPTABLE.

Maureen says YEAH, EVERY ONCE
IN A WHILE YOU GET A BITER.
GOOD LUCK WITH THAT.
I'M SURE YOU'LL BE ABLE TO
SOLVE THAT PROBLEM.
HERE -- THIS E-MAIL FROM
JILL IS IMPORTANT.
I HAVE A CHILD THAT'S 16 AND
HAS COME UP POSITIVE FOR
T.B.
THE CHEST X-RAYS ARE
NEGATIVE.
THE DOCTOR SUGGESTED GIVING
I.N.H.
WOULD YOU RECOMMEND THIS OR
NOT?

Diane says OH, YES.
IF THIS IS A CHILD WHO
DIDN'T RECEIVE B.C.G. WHEN
THEY'RE BORN, AND WE DON'T
GIVE THAT IN CANADA, IN MANY
THIRD WORLD COUNTRIES THEY
WILL GIVE B.C.G. AS A TURN
BURK LOWS SIS PREVENTIVE AND
THAT SOMETIMES CAN BE A
POSITIVE T.B., ALTHOUGH EVEN
THEN, AT THIS POINT IN TIME
WHEN YOU CONVERT FROM A
NEGATIVE T.B. TEST TO A
POSITIVE, THE GOING CONCERN
IS THAT THE CHILD WILL GET
ACTIVE T.B. AND THAT'S A
SERIOUS DISEASE AND SOME OF
IT IS EVEN RESISTANT TO
ANTIBIOTICS, THAT IF WE CAN
PREVENT IT AT THIS NEWLY
CONVERTED STAGE WITH I.N.H.
I WOULD CERTAINLY USE IT.
WE HAVE A REAL PROBLEM RIGHT
NOW IN TORONTO WHERE THERE'S
AN EXPOSURE IN THE SCHOOL.
IT WOULD BE IMPORTANT TO
KNOW WHAT YOUR SON'S
EXPOSURE WAS BECAUSE ALL THE
PEOPLE EXPOSED NEED TO BE
FOLLOWED WITH T.B. TESTING.

Maureen says IT'S A DRUG I
TAKE IT?

Diane says IT'S A DRUG YOU TAKE FOR
MANY MANY MONTHS, I THINK
SIX TO NINE MONTHS.

Maureen says ARE THERE ANY
SIDE EFFECTS THAT YOU KNOW?

Diane says WELL THE BIG ONE -- I
THINK I.N.H., IT TURNS YOUR
CONTACT LENSES ORANGE.
NO, NO, THAT'S REPHAMPIN.
I TAKE IT BACK.

Maureen laughs and says OK. SO AS FAR AS YOU
KNOW --

Diane says WELL, ALL DRUGS HAVE SOME
SIDE EFFECTS GENERALLY, A
LITTLE G.I. SIDE EFFECT BUT
CERTAINLY IT'S A SAFE DRUG
USED WORLDWIDE IN GREAT
QUANTITIES, AND CERTAINLY
T.B. IS VERY SERIOUS IF YOU
COME DOWN WITH ACTIVE T.B.

Maureen says YES, I KNOW IF
YOU HAVE THE ACTIVE KIND
THERE'S MEDICATION YOU HAVE
TO TAKE RELIGIOUSLY.
IS IT THE SAME WHEN YOU'VE
JUST GOT --

Diane says YES, BECAUSE THAT'S
SAYING YOU'VE BEEN EXPOSED.
YOU MAY NOT GET SICK BUT
T.B. CAN PRESENT UP TO A
YEAR AFTER YOU'VE BEEN
EXPOSED.
THEY COULD SEE CHANGES IN
YOUR LUNGS A YEAR LATER AND
IF YOU COULD CATCH THIS NOW
BEFORE IT'S GOT TEN INTO
YOUR HUNGS OR CAUSE SERIOUS
ILLNESS, THIS IS THE TIME TO
DO IT.

Maureen says HE'S NOT
She air quotes CONTAGIOUS?

Diane says NO, HE WOULD NOT BE
CONSIDERED CONTAGIOUS
BECAUSE HE HAS A NORMAL
X-RAY AND HE'S NOT COUGHING
AND HE WOULD NOT BE
CONSIDERED CONTAGIOUS.
THE PUBLIC HEALTH DEPARTMENT,
IF IT HASN'T BEEN TOO
DISSEMINATED IN RECENT YEARS
BY LACK OF FUNDING ARE TRULY
EXPERTS IN THIS FIELD AND
THEY DEAL WITH ALL OF THESE
PROBLEMS AND THEY'RE
ENORMOUS, BECAUSE WE HAVE
PEOPLE COMING FROM MANY
COUNTRIES THAT HAVE T.B.,
WHERE T.B. IS INDEM MICK.
BUT IF HE'S A NEW CONVERTER,
HE SHOULD GET TREATED.

Maureen says OKAY, I'M GLAD
WE GOT THAT IN AND YOU WERE
HERE TODAY.
THANKS VERY MUCH FOR DOING THIS.

Diane says THANKS, THAT WAS GREAT.

Maureen says DOCTOR DIANE SAKS
IS A PEDIATRICIAN AND
SOCIETY PROFESSOR OF
PAEDIATRIC MEDICINE IN
TORONTO.
IF YOU WANT MORE INFORMATION
ABOUT KIDS HEALTH CHECK OUT
THE HEALTH CANADA WEBSITE.
IT'S AT W.W.W..H.C.-S.C.GC.CA.
AND FOLLOW THE LINKS AND IN
TORONTO CALL THE MEDICAL
HEALTH LINE AT THE HOSPITAL
FOR SICK CHILDREN AT:

A slate pops up that reads “(416) 813-5817.”

The slate changes to “The Children’s Hospital of Eastern Ontario: (613) 738-4888. Academy of Pediatrics: www.aap.org.”

Maureen concludes AND
THAT’S IT FOR
THIS EDITION OF
MORE TO LIFE.
THANKS FOR SPENDING
THE HOUR WITH US
AND I HOPE
YOU’LL TUNE IN
AGAIN
MONDAY TRHOUGH
FRIDAY, FROM 1:00 TO 2:00.

A closing slate reads “The advice given in the preceding program is of a general nature only. Viewers should consult their own medical professional for medical advice specific to their circumstances.”

Watch: Pediatrics