Comments on: Book Review

By: CPSIA: miscellaneous reading

CPSIA: miscellaneous reading — Mon, 24 Aug 2009 15:24:02 +0000

[…] “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] […]

By: Rogue Medic

Rogue Medic — Sun, 09 Aug 2009 20:46:34 +0000

“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.

By: Chris

Chris — Fri, 07 Aug 2009 14:47:54 +0000

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

By: Nick

Nick — Fri, 07 Aug 2009 01:38:02 +0000

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!

By: Tiffany

Tiffany — Thu, 06 Aug 2009 07:04:39 +0000

Love that book!!

By: Reality Rounds

Reality Rounds — Wed, 05 Aug 2009 23:25:38 +0000

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.

By: EAST

EAST — Wed, 05 Aug 2009 23:05:38 +0000

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.

By: Reality Rounds

Reality Rounds — Wed, 05 Aug 2009 22:46:25 +0000

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

By: Liz

Liz — Wed, 05 Aug 2009 17:11:27 +0000

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!

By: midwest woman

midwest woman — Wed, 05 Aug 2009 14:33:40 +0000

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.