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The Summary

Solomon Behar, MD and Lisa Patel, MD
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Jonah S. -

Thank you again for allowing me the opportunity to share my thoughts on the integrative medicine piece. I find it rather serendipitous that this was aired during in the same episode that the illustrious Paul Offit discussed communication with vaccine skeptics (my favorite piece ever on the podcast). His framework for discussing vaccine safety and effectiveness with patients is perhaps one we can use when discussing what we might consider alternative medicine in general as well. It is important to understand that patients are just trying to do what is best for their health and parents are trying to do what is best for their children. We have to see ourselves as their ally in this endeavor and present the information to them in a way that will help them do what is best. To this end, I will encourage patients to pursue natural or alternative treatments when we have evidence to support them.

One notable example that I often recommend is honey for a cough (when age appropriate, of course). Let's face it, we really have no good antitussive to give them and some are even harmful (seriously, why is codeine still on the market?). When age appropriate, honey has some decent evidence that it can be beneficial and its certainly has less side effects than what we can prescribe. I think my feedback was presented fairly in the segment, but I do want to reiterate for the listeners that I'm not asking for us to embrace "Western medicine" without question and deny all "alternative medicine" (which is a term that shouldn't exist anyway--it's either medicine or it's not). What I'm stressing is the need to embrace the evidence and let that guide us. Thank you for allowing my opinion to be heard and thank you for your efforts to educate us all.

Jonathen B. -

In clinical practice the GERD recommendations do not match what my patients are experiencing. I have had newborn colic symptoms dramatically improve with PPIs and Zantac. Perhaps this is because physiologically GERD and colic do not overlap.

Solomon B., MD -

Hi Jonathan- it is sometimes hard to deny our own clinical experiences when it comes into contrast wth recommendations. We would caution not to relate correlation with causation, as in this case, where the acid blockade may be temporally related to what you see (no more crying) , but it also may be coincidental and the crying would have been extinguished anyway because it was time for the colic to burn itself out. We will actually be having a fuller response on the program in a future episode, so look out for it (I think it is slated for February 2019). Thanks for writing in! Welove hearing from you! -Sol

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Premature Eructation Full episode audio for MD edition 179:17 min - 84 MB - M4AHippo Peds RAP October 2018 Written Summary 380 KB - PDF

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