Book Review

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Ever go “oh, I wish I knew that before I came to the ER!” when the doc tells you that little Johnny’s fever of 105 for one day does not indicate impending doom or the need for antibiotics? Ever wonder why little Jenny doesn’t poop every day – and that it is OK? Well, if you have, a book by Lara Zibners, MD called “if your kid eats this book, everything will still be okay” is a good thing to pick up.

First, I can tell you I am not being paid to endorse this book. I have never met Dr Zibners and only know she is an ER doc trained in pediatric emergency medicine. She wrote this book – and honestly, I wish I had her energy to do the same – to inform parents from an EMERGENCY doctor’s position, about their kids health, and when they should and should not bring the little one into the ER. If I had a nickel for every time I explained to parents the proper dose of tylenol and ibuprofen, the alternating dosing regimen to control fever, the fact that how high the fever goes rarely matters (it is the presence of it, the duration, and rate of rise that matter), and that not every sore throat, ear infection, or bronchitis needs an antibiotic, I would be retired in luxury by now! Dr Zibners does it all for you. In fact, I think this book should be given to new parents when they leave the hospital! For some reason, a lot of this info is not imparted to parents by their pediatricians routinely (some do but I know some good pediatricians who don’t explain enough of these things to their patients’ parents), so it is left to us when they are standing there with young Freddie in the ER hallway, having only gotten a quick screening exam and discharge papers.

She goes first by age – discussing newborns and then later by organ system or complaint. She covers lots of things that children do NORMALLY that many parents think are a sign of hidden pathology. Examples include, tugging on the ears, sounding congested, breathing and moving thier bowels’ irregularly. She nicely has important things in highlighted boxes, telling people when a true emergency exists and when it is time to drop everything and call 911. One of my favourite quotes from the book pertains to a safe, recommended home regimen parents can use to make a cold go away faster (compared to frowned upon cold medications); “Stick ten beans in your pocket and throw one away every day. When the beans are gone, she’ll (your daughter) be better. ” Brilliant. I am SO going to use that one. My “tincture of time” recommendation notwithstanding, she has many better (and funnier) things she tells parents. She writes with a good sense of humour and like a NORMAL person, not someone like Dr Oz or some other famous TV doctor who has to watch themselves all the time. She tells parents things like “We really don’t care about x,y, and z, we DO care about a, b, and c though”. Thus parents, with a few exceptions, can avoid giving the ER doc the grisly details of the colour of Baby’s diarrhoea (like “it is GREEN!!!”). Anyway, give it a read and avoid an unnecessary trip the ER at 4am



11 Responses to Book Review

  1. The best cure for a fever is to make a doctor’s appointment. When you get them there it’s always back to normal.Works like a charm.

  2. Liz says:

    When my nephew was just a few weeks old my sister noticed a white colored growth in his belly button. She panicked and rushed him to the pediatrician. The doc took a look, reached over and, chuckling, removed a nice sized piece of lint from Jake’s belly button. That will be $30.00 please. But at least she didn’t rush him to the ER!

  3. Every time I took my kids unnecessarily to the ER, it was because my pediatrician told me to go.
    BTW, “the proper dose of tylenol and ibuprofen, the alternating dosing regimen to control fever”. This is an unfounded practice that is not supported by research. It is not recommended to alternate tylenol and ibuprofen, and it does nothing more to control fever. Just thought you might want to know :)

  4. EAST says:

    Reality Rounds-
    I was always taught (and this made good sense) that alternation of tylenol and ibuprofen would cover the time gap when the med stopped working, prior to being able to take another dose. It will be interesting to hear others opinions on the matter.

  5. Here are some links:
    http://cpj.sagepub.com/cgi/content/abstract/46/2/146

    http://archpedi.highwire.org/cgi/content/extract/160/7/757-a

    http://www.bmj.com/cgi/content/full/337/sep02_2/a1302?ijkey=mswv8Cts0WfkA&keytype=ref&siteid=bmjjournals

    From my Peds office:
    ALTERNATING ACETAMINOPHEN AND IBUPROFEN

    Fever may be the most common symptom why parents seek help from a health care provider. Even though fever is merely a symptom of an illness, its mere presence is enough to incite panic and fear for many parents. See our full explanation on fever and dosage charts.
    Regimen for managing fever can include exposing a child to a lukewarm bath and/or administering anti-fever medications. Antifever medications may include acetaminophen (Tylenol or FeverAll suppositories), ibuprofen (Motrin or Advil). In recent times, it has become commonplace to administer these two medications in tandem alternating their use over a 3-4 hr period. For example, first a child may receive Tylenol and then 3-4 hours later receiving Motrin or Advil.

    This schedule for treating fever has been studied in only a few unsubstantiated clinical trials and the outcome of these trials is not enough to accept this as a safe method. The tandem use of these medications has not appeared in a few trials to lower fever more than the use of monotherapy (using acetaminophen or ibuprofen alone) anyway.

    The science of using both of these medications is complex, however the medication and its broken down byproducts appear to concentrate in the kidneys causing problems.

    In the future, refrain from alternating these medications during a six hour period with your child…choose either acetaminophen or ibuprofen to reduce fever if necessary.

    I also will be curious what others think.

  6. Tiffany says:

    Love that book!!

  7. Nick says:

    Dr. Zibners (“Zibs”) used to work where I trained. She really is as funny and smart as she comes across in this book. We’re very happy for her that this book is out and making an impact!

  8. Chris says:

    My daughter is almost 7 now – I REALLY wish I would have had this book when she was born! Sounds like a great book.

  9. Rogue Medic says:

    “Stick ten beans in your pocket and throw one away every day. When the beans are gone, she’ll (your daughter) be better. ”

    Or she runs away from home when the same pair of pants, that have the beans in the pocket, becomes very stinky long before the 10 days is up. ;-)

  10. [...] “Hope and change — and children’s books” [Michael Barone, D.C. Examiner; note however that the law at present does not allow for general enforcement by private lawyers] More on kids’ books: Morton Goldberg, “Inoculated”; Books Bikes Boomsticks (”I don’t think I’ve ever felt quite the quiver of rage I felt” on learning of book angle); Deputy Headmistress (reacting to that post); Grad Student Madness (waiting for the black market to spring up in vintage kids’ books). Esther at Reader’s Loft has drawn up some decision flow charts that may help in determining whether a particular kids’ book needs expensive testing under the law. And “If Your Kid Eats This Book, Everything Will Still Be Okay” — that’s the title of a new book offering child health advice, not a CPSIA critique [ER Stories] [...]

  11. Amy says:

    I know this is an old post, but thanks. I ordered the book.

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