349 - STI Talk and Advice for New Parents With Dr. Jay

Justin and Dr. Jay talk about STI Spike in Teens, Teen working on DNA based Allergy Test, Advice for New Parents.

Dr. Jay

standupPediatrician.com

@DrJaySutay on Twitter

@iPodcastJustin on Twitter to watch Justin at work at KFIAM640. 

 

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Episode Transcript

(00:12):
Listen to me, listen to momwho chase that than Hello and welcome to

(00:37):
the Dad Podcast. I am yourhost, Justin Worsham with us today is
our one and only stand up pediatrician, doctor Jay Shoote hire you doing there,
just I am fantastic coming off ofthe holidays and the new year.
Well, I have two thousand nineteenchamping up for you there. It's it's

(00:58):
going good. I'm very happy withthe new year and how it goes.
How it's going. But I'll behonest. Uh. We the listeners don't
know this, but we were alittle late starting our recording because my water
heater that I uh that I ittook a dump on me. And so
now I I'm putting in I'm puttingin a tankless water heater because I like
the efficiency of that. And mywife complains if she runs out of hot

(01:21):
water and we only have the onebathroom, so everybody's got to take a
shower with the one shower, souh, and I have the I even
have the governor removed that reduces theflow of water so that it gets good
pressure because that's what the weef likesand so that's so that's what I'm dealing
with but holidays outside, Yeah,exactly, it's not it's not here.

(01:42):
It's always that thing right in life, where everything is fine until you no
longer have to deal or get toget to have whatever luxury it is you're
used to. Like my wife whenI told her the hot water is not
working, and she was like,oh, well, then I'll just go
use the back house like kind ofthing. I'm like, no, that's
not quite how it works, becauseit's all one a lot to tell you.
Last year, my hot water heaterwent and you know what I had

(02:05):
to do. I called my landlordand he took care of it. Ah,
that's beauty of renting. Now,my daughter bought a house last spring,
and if you look at the reportfrom the inspector, he said the
hot water heater could go at anytime that it exceeded its life, and
she had it flooded her basement lastweek and when the serf Pro company came

(02:28):
out to clean up the mess,they took up the carpet, revealed that
she has has bestos under the carpet. Man suits coming over the house.
So the winner Winter broke dinner.That's what that is. That is a
that is a royal pain in theass with a lot of money there was.
They tore down a building at theschool near here, and one of
the buildings was old, so theyhad to cover it in tents and and

(02:51):
said it was for abatement and allthe stuff, and everybody was panicking and
freaking out that the winds would wouldshift. And then yeah, they delay
because Besto's particles would flood the elementaryschool. Yes, well more of the
Actually it's funny that you say that, because the kids weren't in school over
the summer. It was more peoplethat just lived right across the street from
the school. They were They wereworried about themselves and which I here's the

(03:12):
thing, I totally get it.But there was also people who were complaining
about the dust, which I like, it's literally in my backyard and there's
a chain link fence and I didn'tnotice it. Right, It didn't bother
me. I had a pool upover the summer. It didn't really make
my pool dirty. And if yousee the commercials, there's a lot of
money in that asbestos. Oh god, I know there's a lot of money.
Mesothelioma law dot com. You knowthey're all out there every thing that

(03:37):
it's ever been invented has a lawfirm that's suing someone over it. And
I just hate the people who don'tknow any better. They call the city
and complain saying that they're not doingI think it's called debatement. The proper
procedure where they went down the soiland all that stuff, and then somebody
from they shut down the whole operation. They have to wait for somebody from
the city to come out, andthen somebody from the city comes out and
they go, this is what we'vebeen doing, and they go, yeah,

(03:59):
everything's fine, and then they getto start up again. And I
get it that there are people whodo real things that are wrong and all
it takes this one but one persongetting sick, and it's not worth it.
So I try not to be toomuch of a colossal asshole about it.
But Nold your kids go back toschool today? Oh yeah, they
were, they've been in school fora couple weeks now, Oh okay,
because I saw that they finally cameto some kind of arrangement with the teachers

(04:20):
up. Well, I'm in Burbank, so we are a different school district.
It's totally fine. It's definitely allover the news here. My buddy
Kevin, his kid was not inschool for that time, but they were.
His family were supporting the teachers andout on the picket lines and stuff
like that. I don't know alot about. Since I stopped working at

(04:41):
the news station, I don't payattention to the news, probably as much
as I should. But yeah,so I don't know all of the details.
I know that there was all theseannouncements saying that the mayor was announcing
that they had gone at least greetto terms where the teachers could come back
into the classroom. But I don'tthink they're done done, but we'll only
time will tell. But more interestingthan any of that is how was your

(05:01):
holiday? A New Year? DoctorJay? Well? Beautiful New Year.
The girlfriend her family was convening downin Miami, Florida for the New Year's
holiday, so I was brought downthere by my girlfriend. She took care
of everything. We stayed in abeautiful mansion down there, and believe it
or not, the while it wasraiding and cold in New York City when

(05:27):
the ball dropped, I was sittingat a restaurant on Miami Beach watching the
fireworks go off over Miami Beach onNew Year's Eve. So it was so
wonderful. It was nice. Ihad no comedy this year. Took a
year off from doing, you know, spending New Year's with strangers making them
laugh, to spend a time downthere with the girlfriend. But I got
to be honest with you, thoughEnglish is the second language down there.

(05:50):
Oh yeah, Miami is a differentcountry altogether. And it created some confusion
because this fell up here. Whois not all that familiar with the Uber
type of situation. I'm kind ofa newbie, maybe within the last year
a couple of times. So Iorder up an Uber cab to go down
to the store to pick up somegroceries. And a car pulls up and

(06:14):
I asked, a fella, areyou the driver? He's not speaking any
English. I said, you theUber driver? He said, I can't
understand up. So I get inthe car and I got in a lift
car. I don't know why hestopped in front of me, and he
whisks me off to a place Iwasn't knowing. That's fine, sitting in
a car looking at my Uber mapand I'm saying, why is the car

(06:36):
still parked out in front because heput the car to get me pulled up
right behind this guy. So he'ssitting stationary at in front of the house
for stay and half. And Ican't understand why my map, with the
car moving, isn't following the carI'm in. I could have ended up
getting Hatchett murdered. I swear togod, my girlfriend saying, oh my

(06:58):
god, I don't know what I'lltell his d Well, if the other
car is moving and you're tracking iton your phone, then one would assume
that the person who's supposed to getin your lift was also now going to
the grocery store that they didn't wantto go to, right, So I
said to the guy, I said, there has to be a problem because
you're not heading in the direction thatthe grocery store is. And of course
he didn't speak fucking English, right, so it was hard to communicate.

(07:20):
So did he just smile and laughfor us? He turns around, he
makes like a like a goes ina circle, and then drops me off
a block before where he picked meup. I said, you're not going
to be You're not going to driveme back to where you picked me up
by mistake. And again he saidsomething to me and I didn't understand it,
so I ran up. The carwas still there waiting, but he

(07:43):
was pissed, and I said,well, I'm sorry. You know what
was it my fault? Tell me? Was it my fault get the wrong
car? No, because here's theconvention. The Penglish language is important to
be able to communicate with, butnames are pretty much the same. So
the convention is supposed to be.And here's the only thing that I would
say encourage you to do moving forwardis that I don't know if Uber does

(08:05):
it because I strictly use LIFT.I'm not out of any particular reason,
just convenience, I guess, Idon't know. It's what I started using
first, and it works for me. But you you get the driver's name
when they confirm that they're coming topick you up, and so the LIFT
convention is that when you open thedoor, they say your name and then
you say their name back, andthen everybody's cool, and that's how you
avoid that happening. But well,I don't know what the Cuban version of

(08:31):
LIFT uses in terms of language.But I had a problem my own that's
trying to get where I wanted togo. Yeah, but the name that's
that should be what gets you outof that. You know. What I
like too is that it names.They're not names. They're not real names.
All right, even the names Ican't understand. Okay, all right,

(08:52):
my girlfriend standing there, she goes, well, it said like a
grace of dan was coming and yougot the black minivan. I said,
I don't. I took cars stoppedin front of me. What am I
going to do? Right? Andit's not like there was somebody else there
waiting for you, right like withyou be a pretty good scam for a
for a serial killer. You know, you just pull up someone's waiting for

(09:13):
their lift, They get in thecar, and off you bring them into
the Everglades and ever to be seenagain. Yeah, they're gonna have to
for a while. They were,they were messing up their own pr But
I am curious to see how longit takes for that. But I feel
like what would be safer is ifthere's just some kind of misunderstanding comedy,
kind of like Gringo that movie.I don't know if you saw that about
the guy who goes down to deliverthe payment for the marijuana pills or something

(09:35):
that are coming to America and it'sa pretty funny movie. And then there's
Gringo. Yeah, it's a Iliked it. I enjoyed it. But
uh, you know what I likeabout your story of the holidays, and
it's I think this is definitely ringstrue for any man who has had children
and has experienced alimony is that itwas a it was a special thing for
your for all the tab to becovered by your lady Black. You're like,

(10:00):
she's wanting paid for everything and Iand I'm curious because I would imagine
that that's all it takes. It'sjust a guy with kids who also has
paid alimony. But I wonder ifthere's an added layer to it when you're
a doctor too, because the implicationis that doctors are always filthy rich wherever
they go, not pediatricians. Butwhatever. But you know I did.
I did bring her to the Bahamaswith me in October. So this was

(10:22):
a nice It's a very So thiswas her quick pro quo. Yeah,
and you know, like I toldyou this past week, I do nice
things too. We went into thecity, stayed over Saturday night and saw
Sebastian Maniscalco and one of his foursold out Madison Square Garden shows and that
was great and got to spend thenight in New York and uh, you

(10:46):
know, so we're we're it's it'sa nice give and take. And the
other relationships I've been in have beengiven and they take, so it's so
it's, uh, it's nice.She's she's wonderful. So I like the
Baston Maniscalco for anybody I know.Sometimes Doctor J and I will talk comedy.
He's he's an interesting story because hekind of his his blow up moment

(11:07):
or the moment you would say hewas discovered was with Vince Vaughan's Wild West
Comedy Tour. And it's interesting becausehe was on Comedy Central on this special
that was running and it was prettyhot. But at the same time,
he still had his job waiting tableswhile he was on the road. Wasn't
four seasons. Yeah, he wasstill waiting tables and he did that for

(11:28):
I think a good three three orfour months after that aired before he finally
decided to quit that and he wasout on the road full time. But
I heard him on a podcast sayingthat he would have to run he gets
someone to cover his tables for fifteenminutes when his set was coming up,
and he'd run over and do hisset and they come back. Yeah,
isn't that wild? Yeah it is. He's a funny guy. Good for

(11:48):
him though, Yeah, he's heworks hard. The and then I think
I think we covered your New Year'swas in Miami. That was that was
beautiful. Holidays went well, andactually I have fallen in love with the
little Cuban coffee. They're a littleespresso with the butter. It's a beautiful
cart broke up on there. Youput butter in espresso, I don't know.

(12:09):
It's it's like it almost feels likeyou're drinking coffee butter and it just
goes down so nice, and boyyou're up for five or six hours after.
But what about this little thimble ofcoffee? But it must you mainline
it. I guess what about theBristol chart? What is that register for?
Does it? What kind of situationdoes it decreate? Well, let's
let's just say travel is not kindto the suite cold. I was probably

(12:33):
you know, shipping out some musketballs the first couple of days. And
Bristol ones but solid ones. Yeah, they're about as hard as concrete.
But you know, things loosen upafter the bleeding stops, so you know
how it is. That's great.I thought of you. My nephew is
going to school to be a physicaltherapist, and he had a saying because

(12:56):
his sister gets locked up, andhe said, motion is lotion. So
if you're if you're moving, thenthat's that gets things in the bowels moving
up. It loosens things up.And I think it also works kind of
for joints and stuff as well.Is that I agree with your ass On
a plane for four hours, thingsare going to stop dead in their tracks.

(13:18):
Well, let's let's talk about someof the stuff that you have prepared.
I think the most fun we'll startthere is the sties. Yeah,
there's a jump in sti's among teens. Now here's what I'm curious about.
I'm familiar with an STD. Yeah, they changed the name on us justin
Oh, so now it's not disease, it's an infection, right, Remember

(13:41):
remember when it was venurial disease,Yeah, way back when then it became
an STD. Now it's an STII have I have no idea. I
mean, it was always an infection. That's not anything new. They could
have gone with infection right from jumpfreaking begin. But so what is the

(14:01):
difference between a disease and infection?I have no freaking idea. I mean,
it's the same thing. But youknow, well, an infection to
me, implies that it's got tohave some kind of virus or bacteria into
it, like, whereas a diseaseis genetic. Is that did I just
graduate med school? Well, Imean your kid who has an ear infection,

(14:24):
I also say has middle ear disease. So to me, it's just
maybe they ran out of d's ontheir poster board some of the eyes or
I don't know what that. Yeah, I don't know. So what is
this? What does this mean whenthey have a jump in teens? Is
this is this because we don't haveafter school specials anymore telling kids to wrap

(14:46):
it up? Is it because kidsare are having sex earlier? Or what?
I think? It's both? AndI don't uh, you know,
we actually at my office, anybodythat is uh sexually active gets a chlamydia
screen at their yearly check up,and we do that. We've been doing

(15:07):
it for a couple of years.It probably only picked up handfully kids with
it, But that's one that ison the rise, and I think part
of it is, you know,the kids aren't aware that a lot of
this stuff is preventable with protection,and a lot of this stuff is treatable
with antibiotics. I mean, kidscome in that have chlamydia, gonorrhea.

(15:28):
You know, it's a doxy cycleand then some zinthramax and you feel better
in a day or two and you'renot spreading it to other people. So
it's a pretty easy treatment if kidsknew that they could come in and have
that. So maybe the reason theychange into infection is people realize infections can
be treated. Yeah, and thatoh that's it. Oooh ooh, that

(15:50):
is it. I think you're right, that makes sense that it's more about
branding. That jives with what Ithink you and I have talked about goes
on in the medical field. Um, it's funny because I had we had
the sex talk with my kid acouple months ago I think now we're at
and we went into like using protectionas important because you could get diseases,

(16:10):
But for us, we said thatit was a bigger deal to keep people
from getting pregnant because you didn't wantto get pregnant when you were young,
right, um, that kind ofstuff, and they had some questions about
that. But yeah, that's that'sinteresting. So if how old in your
opinion, should should I be talkingto my kid about STIs? Uh?
You know, I don't discuss itwith patients until thirteen or fourteen unless I

(16:38):
do talk about puberty. Uh anduh, you know growth and changes in
the body with you know, girlsstart changing sometimes as early as nine or
ten, and boys sometimes or fourteenor fifteen before they start to to move
along puberty wise, so you knowwhen the timings right. I'm not so
sure it's an age thing as itis is a where where are they developmentally?

(17:02):
So you know, but I alwayswith thirteen year olds fourteen year olds
always ask them if they have anyquestions they want to ask me without their
parent around and see if they wantto. I want to start fostering that
at thirteen so that each team,when they're in college and see something growing
on their dick, they can callthem. You say it, well,

(17:22):
that makes sense. One of thethings that the doctor said in this article
is that screening only adolescents whose selfreport being sexually experienced runs the risk of
missing many adolescents who truly are sexuallyexperienced, but report otherwise. Adolescent self
report of sexual risk behavior is notoriouslyinaccurate with a bias to underreport sexual risk
taking behavior. By that, theymean the risk of frequency of the frequency

(17:45):
of non condom sex, or thenumber of their sex partners or ass play.
Wow, I just threw out there. No, it's it's so funny
to be like on the what Iconsider Obviously we're not on the forefront of
anal but I just like the ideaof parents now it's part of the talk,
right, like that now you haveto get into that, and I

(18:06):
just I it makes me feel likejust an angry like an angry old man
with coke bottle glasses and my pantsup around my sterning because I'm like guys
like the who who is great?Like just stick stick to the vagina until
why why you got to crank itup a notch? Like? And why
are you crank it up a notchat such a young age? I guess
I know. Well, I mean, I mean if you're homosexual, right,

(18:27):
oh yeah, yeah, I guessthere's no risk. I mean they
don't really they they can get theSTD from either side, but they can't
get pregnant from the rear entry,and I just I don't know. Maybe
it's because I'm I'm all I dowhen I talk about this stuff, is
I fear that I'm being too transparentand that people listening are just like,

(18:48):
what really? Like, why areyou so uptight? Just I'm not up
tight about it? Yeah, Iam. I just my job because of
this podcast right from the overlord thatown my practice, Somebody's going to be
listening and say, did he justsay assid play? Oh that'll make me
never sleep again? Uh? Weshould just move on it. No,

(19:10):
you also had some terms. Butmy point is is that I don't see
I don't see the appeal of itor you know what I mean, especially
if you are the recipient, LikeI just don't. I don't get that.
What's what's in it for the personwho's who's having it done to them?
But maybe there's maybe I'm not Uh, I don't know. I'm just
not interested, I guess, ismy point. And maybe that to me

(19:30):
it's funny that that at some levelin twenty nineteen, I have a what
would be considered a nineteen fifties levelmentality or approach. Yeah, exactly like
I'm like, I love that there'san idea of me being why you so
up title man? Like you you'rea prude? Yeah, exactly, And

(19:52):
I wish I wish I knew moreabout what everybody else was doing sexually at
home, because then I would belike, oh, because there's a strong
chance I am just approved and thatmy poor wife is just so bored and
miserable with me. But you knowwhat, it's on her for lying because
she says she's very happy. Sothen you know you should be more honest,
and it's on you, he said, using a defense mechanism. So

(20:15):
what are what are the new terms? Is there? Do you know?
Well, I was gonna quiz you. I was gonna quiz you you some
slain terms, yeah, for STDs, and I wanted to see if you
could name the STD all right,So before you do that, I do
choices. You want the choices?Well, well, here's I have one
quick question that I want to getinto before we move on from this.

(20:37):
Is that I'm just curious, isthat as part of your uh practice?
Do you you know everybody does continuingeducation? Is any part of your continuing
education to learn what emojis are beingused? To describe sexual acts, like
is that even on your thing?No? No, but I know about
the egg plant in the peach,okay about all right? All right?
All right? I thought there wouldbe a donut in a high dog,

(21:00):
but there isn't. No, they'revery subtle. I like how subtle they
are. And I don't know ifit's that, like, if it's lack
of resources or what. But there'suh the smiley face with the hands out
to the side is a hug.I thought it was jazz hands and used
it in that way for many,many times incorrectly. So that's hilarious.
Okay, all right, give methe options so I know which one.

(21:21):
I will say that. There aregonna be your choices, all right,
yea, okay, chlamydia all right, HIV, okay, herpes, man,
there's so many pubic licensyphilis, ohboy? All right? All right?
Number one crotch crickets. All right, so crotch crickets. That has

(21:47):
to be crabs. But I don'tthink that was one of the options.
Oh, that's one of that wasone of the options. Well, crabs
is another slang name for uh somethinglice. Yeah, yeah, look at
that, Look at me go that'sright. Yeah, there we go,
all right, hit me again here. It is the gift that keeps on

(22:10):
giving. Oh I know that onethat's herpies. Yeah, it is right.
Yeah, the fact that the infectinfection is incurable and characterized by intermittent
outbreaks. How does somebody so,how does somebody treats herpies? Is it?
You know, you'll treat the treebreaks, the outbreak and that's it,
but it never goes away? Right? And is it true? What?
What? Because I know we've kindof touched on this before, is

(22:30):
that you pretty much there's a lotof people who have herpies, but it's
just not it doesn't show itself aroundthe genital area kind of a thing because
you can get called herpes one andtwo. The herpes uh that causes the
mouth source is different than the herpiesthat causes the hum infectioned uh down on

(22:51):
the general genital herpies also cause mouthsource. Yeah again, because it can
get transferred, okay, but ithas to get transferred, right, It's
not like if I as long asI'm not going down on somebody who's got
the herb I don't have, Idon't have to worry about it around my
mouth area. Usually not no,I well said, alright, next one,
next one, hit me. Everyoneknows this one. It has a
bunch of names. It's the clap, the drip, morning drip. I'm

(23:15):
gonna go gnarrha. That is correct. Origin of the name the clap include
a shortened form of the French termfor brothel I mean clappier, and a
primitive treatment that involved clapping the penisbetween your hands to squeeze out the pus
that is common with gonorrha. Ohgod, oh that hurt. Oh boy.

(23:37):
Next the deadliest catch. Ooh,I've never heard this one. Let's
see what one haven't we said?This is wildly inappropriate, but I feel
like today people are more. ButI would go HIV. That is correct
as it is high five high five? Wow Hi, and the Roman numeral
five high five is not okay.I'm not all right with that sligh term

(24:00):
from high combined with the Roman numeralfive. Wow. Here you go.
How about the great imitator? Thegreat imitator? Um, I don't know.
I think I'm gonna so I gottapick something because we've already covered gonorrhea,

(24:22):
right, yes, yeah, Sowe've got pubic genital wartz. No,
that's not one of the all right, what's it? What's the great
copy? The great imitator is syphilis, nicknamed for the fact that the symptoms
of syphilis mimic the symptoms of otherafflictions and were easily misdiagnosed before modern tests
were created. In fact, syphilisin the bacteria that cause line disease are

(24:45):
very similar. Look at that.I would not want to be that fellow
walking through the woods getting bitten bya tick and then developing symptoms of line
disease and having it misdiagnosed as syphilis. Yeah, and knowing is half the
battle, all right, They're justto finish it out. I got one

(25:07):
more to give you. How aboutthe clam or gooey stuff clamor But I
feel like that's gonnaiha again. Butbecause goner is the same as chlamydia,
Well, clam is that shortened versionof the name chlamydia that plays out on
the use of clam as a euphemismfor the female genitals. Yeah, so

(25:30):
it's it's gonnaia for chicks. Well, it's chlamydia for both of them,
clamidia, chlamydia, the clam becausethey shortened chlamydia, but it also refers
to is chlamydia the same as gonaiaor am I? It's not. But
where there's smoke, there's fire,And if you test positive for one,
you get treated for both. Oh, yes you do. Why because they

(25:53):
chances are you got both. Wherethere's smoke, there's fire, buddy.
Oh, just to be safe,just to cover all bases. Yeah,
I feel like here's the thing.I feel like I start off strong but
in a weak standpoint is that youdon't want to know too much about STDs
when you're, you know, knockingon the door forty like you don't want
to be. When I do thecomedy act, if there's a group of
women up front, I'll ask thegroup if they can, amongst themselves,

(26:15):
name five of the top ten sexuallytransmitted diseases, and if they're able to
do it pretty easily, then Iwarned the crowd of men out there not
to approach these women after the show. That's good stuff. I like it
all right, So that we didall those right, nailed it? Yeah,
I think so that was fine.I look at that, well done,

(26:37):
doctor day breaking it as always,Let's see what else do we own?
Production? My own segment production.I know right, look at you
go the What do you want totalk about next? You want to talk
about the you want to save thetips to close with and talk about this
team. That's a good way todu Yeah, this team that invented a

(26:59):
new form of testing for allergies.Am I am I understanding this correctly?
Yes, this is a kid,a very young fellow who is only fourteen
now, but when you're seven oreight had terrible allergies and was restricted from
eating and certain things, cash huesand a number of other things. And
he, at the age of eight, started thinking about coming up with a

(27:22):
DNA test that would be able totell whether you are life threatening allergic to
a certain thing or are you justsensitive to it where you might get a
little tingling on your tongue or alittle bit of swelling of your lip,
but it's not going to close upyour airway and cause you to die.
So that's what he's been working onfor the last six years half of his

(27:44):
life. And he started a companyand is doing a lot of interesting research
that may someday lead to a testthat will be able to tell you if
you can, you know, safelyeat things with a little discomfort versus you
need to stay away from this becauseit's a horrible thing and it will kill
you. So yeah, he says, most patients. You know, what

(28:07):
we do now is if we thinkthey're allergic to it, we have them
try. They take it in asmall amount in the allergics office with epinephrin
on hand in case, you know, the kid has a reaction. And
you know, again the reaction sometimesis very minor other times, you know,
the airway can close off, theycan start wheezing, and it's not
dose dependent. I mean, Ihave kids who are exposed to just the

(28:30):
tiniest amount of peanut antigen and theirbody swells up. So it's important to
know that stuff. Yeah, heexperienced when he would eat a cash you
his tongue would prickle and his lipswould swell up, and so he thought,
but he never went into anaphylactic shock. And so what I've learned from
you, doctor Jay, is thatan allergy is anaphylactic, where like airways

(28:51):
can swell up and you break outinto hives and that kind of stuff.
But a sensitivity is you know,maybe you get the runs or something like
that. Is that fair to say? Right, it's not life and it's
it's not going to progress. Theproblem is in some kids when they you
know, first or exposed to anallergy, and all they might get is
that little tingling in the mouth ofthe tongue swelling. But in some people,

(29:15):
the next time they get exposed toit, their whole body reacts to
it and it becomes very serious,and there's no way to really know without
that oral challenge type of thing,which of those people you are. And
if this kid's company comes up witha way to test your DNA and be
able to help people, be ableto know whether they can have something or

(29:37):
not safely, is a big deal. Because there's something called oral allergy syndrome
too. I don't know if you'veheard of that, but certain fresh fruits
and vegetables, kids will get alocalized reaction of the lips and tongue with
the certain fruits and veggies. It'snot a full blown food allergy, but

(29:59):
it's a sensitivity that sometimes is uncomfortable. They need to take bena drill or
they need to avoid the certain fruitsthat cause the reaction. So maybe next
time we can talk about oral allergysyndrome and I could do a little more
background on that and send you somestuff. Yeah, that makes it because
I as a young boy, wheneverI would eat a Kiwi, the inside
of my mouth would itch. Yeah, and that's one of the that's one

(30:22):
of them. Yeah, I meanthat's one that causes it. It's a
peaches, nectarines, watermelon. Yeah, and apples too. You know,
kid bites into an apple and theyfeel a tingly thing, and you know,
if that's all it is, it'sfine, you can eat the apple.
But if it's not, again,this kid might be able to help
us out. A nush I believehis first name, us first name,

(30:47):
and he uh so, here's whatI'm curious about is is that if it
can be so, he's basically tryingto pioneer path to use DNA to predict
allergic possibilities or trained. Yes,so right now, the only way is
cause and effect. Like they hityou with everything, Like a friend of
mine literally had to have like herback pricked with like thirty six different things

(31:10):
to try to test how and thenit creates like a small little hive and
that yeah, if you have anallergic reaction to that or whatever, and
so because but here's The part thatit confuses me is I have a friend
who had no issue with bread,and then one day she had wedding cake
and went into anaphylactic shock. Uh. And so now she has a really

(31:30):
big sensitivity to gluten. Now Iwould I would venture a guess that you
know, right exactly? Uh.And I wonder if she moved to Texas,
if it would just go away.But and I wonder if like so,
because to me, if you're allergic, you should be allergic your entire
life. But I've even had itexplained to me by my doctor that that
there there's a working theory, orwas at least fifteen years ago I think

(31:53):
it was when I was talking toher about this, but that allergies end
up kind of working like building blocksthat you know, you can have allergies
to different things, but as longas you're not experiencing them at the same
time, you don't really have hugelike symptoms. But when I told you
too about the tick, the lonestar tick that causes the red meat sensitivity,

(32:15):
so it's a it's a it's aweird worldly living so that but is
that a reason why DNA couldn't predictthat? I mean right, because because
things can change. Because I imaginethe reason why this person got allergic to
gluten is because they had modified theproteins and the wheat to make it easier
to grow, or something along thoselines. But I'm an idiot, right,

(32:35):
and it may not be the wheat. It may be something else,
another protein that was something that wascreated. So yeah, it's just you
know, listen, people are gonnaif you eat something and it makes your
tongue swell or gives you a bellyache, You're probably not gonna want to
eat that thing again. So Ithink a lot of us kind of,
you know, modify our diet almostunconsciously, you know what I mean.

(32:58):
Yeah, you know. And I'vebeen telling people that I'm allergic to fish
and shellfish since I was eat becauseit's easier than telling them I don't like
fish yourself. You know, giveme the same fucking respect to give a
vegetarian. That's all I'm asking.That's great. I have a pickie diet,

(33:20):
so do the vegetarian. I likeit, though. It's funny because
it is kind of sad. Mywife gets like an upset stomach whenever sheet's
bread now, and so when wewent. We went to a fundraiser at
a pizza place here for the school, and they, oh, tell me
you got a collie flower crust pizza. No, although I do enjoy cauliflower
crust pizza, I don't know ifthat means we can no longer be friends,

(33:42):
Doctor Jay, but I like it. And but this place just had
a regular gluten free which I thinkwas probably rice based or something. But
it's funny because they ask you,like I go, can we get the
gluten free crust? And the ladygoes, yeah, is it allergy or
preference? And I had to gopreference, like my poor kids now because
your coal in the way God madeit. Yeah, we well, my

(34:07):
kids. I'm glad that you andI have talked about this a while ago,
so for anybody who's new to theshow, we did a segment I
think it had to be at leasta couple of years ago, where we
talked about how by removing gluten fromyour kids diet at a young age actually
can affect and create issues like glutenis important to have in a kid's diet,
so you can't remove it entirely,that it's better off to the kind

(34:28):
of we talked about like it's betterto kind of reduce their carbs if you
think they're having a weight issue orsomething like that. But that real,
you know, so I make suremy kids do get grains, but it's
just more cost effective to make pasta, like to get the gluten free stuff
because my wife would be the onlyone eating the gluten free because I prefer
to have marinara over some roasted vegetablesanyway, And that's you know, less

(34:52):
carbs for this guy with high cholesterol. But well, let me tell you,
I was looking. I was atthe Funny Bone the beginning of January
with Tony Rock and I'm looking atthe menu and I turned to him and
I said, you know, Ilook at this. I think it's amazing
that more comedians just don't drop deadbecause of comedy club food. And he
goes, oh, that reminds me. And he says to the waitress,

(35:14):
could I have a piece of cheesecake? That's great, you know, so
funny the other thing that you sentto us, which I think is a
great refresher because what I've noticed aboutthe audiences for this show is that they
kind of rotate, right so,and when people start having kids, there's
a new crop, a new classthat comes in that is looking so even

(35:36):
though my kids are older, Imay not think of this. I'm very
thankful that doctor Jay thought of this. And this is advice for new parents
and their babies, according to Pediatricsdot Com. And you know what's interesting,
most of these things on the listare things that I've been saying since
I started in practice twenty five yearsago. So it's nice to see it
all in one place when I whenI do the prenatal visits, these are

(36:00):
the messages I try to get acrossto the people before they even have the
baby. So I thought it waswas pretty pretty good advice for new parents,
So hit me with what's number one? Number one is some things are
clear cut, non debatable, suchas having babies sleep on their backs.
All right. In many instances,however, such as swaddling, we're not

(36:24):
how to bathe the baby so on. There's many different ways to do it,
but there's only one right way toput your baby to sleep, and
that's on the back. And that'sbecause if a baby is a belly sleeper,
like the risk of sids, likejumps up astronomically right until they can
roll over, which is somewhere betweenfour and six months, so, you
know, and I try to goover with the parents at the prenatal visit,

(36:46):
you know, I tell them somethings, you know, are plus
minus. We talk about the circumcision, and I tell him, you can,
you know, do it or notdo it. There's no um definitive
article that says to do it ornot do it, But there's plenty of
articles that present both sides compellingly.So that's a decision, you know.
Do you do cloth diapers versus disposablediapers? Oh, I don't even know

(37:07):
why the fuck is a doctor I'mbeing asked that question, But I tell
them either way it's the right answer, you know. But there are some
things that are absolute, like thereis no bad article written about babies drinking
breast milk. Okay, it's onehundred percent, you know. Same with
sleeping babies on their backs. Thereare just some some givens. And I
would pretty much add on to that, given the kids should get their vaccines,

(37:30):
but I know that that's debatable aswell. Right number two is newborns
spend two thirds of their time sleeping. Yeah, and the remaining third divide
between feeding watchful, waiting for thisand yes, crying two to three eight
hours a day of crying. First, well, that's right, but the
first two weeks of life, thebabies actually sleep about twenty hours and they
just wake up to poop and eat. And you know, most newborns are

(37:54):
gonna cry, you know, overthe course of a day two to three
hours. It doesn't even qualify forcolleague until it's over six hours a day.
Wow. It's interesting to me.I've heard it on other podcasts with
new new parents or something that theythey'll mention that, oh, they were
sleeping through the night and then nowthey're not, and I and it's because
of you. I know that attwo to three months they start to cut

(38:15):
teeth. So it's like you getthat, you get them home, and
then you get a rest bit andthen you feel like you're hitting a groove
and then something happens and you don'tthink of the teeth, right, it's
not one. Also, if they'reover like fourteen pounds before they hit four
months, they sometimes could use alittle bit of solid food like a rice
cereal in their diet at dinner timebecause that'll stick to the ribs and get

(38:37):
you through six eight hours at night. If a baby's already proven they can
sleep six to eight hours at nightand now they're reverting, it's either that
they're hungry or their teeth are botheringthem. Yeah, and if anybody is
a new parent, you taught meto look at their gums and if their
gums look kind of red, that'sthe signs of teeth trying to starting to
poke through. And it is sometimesthey look blue like when popping through in

(39:00):
the back you get a big sackof gum blood and when it breaks through,
you sometimes see a little bit ofyou know, spit laden blood on
the babies bed there, and youworry about where the blood's coming from,
but it's usually from a molar thatcame through. I've never heard that before.
That's good infoman. I like thisone, which seems like it's prime
for your act, is that allbabies spit up, have gas, give

(39:22):
little body jerks when falling asleep,open one not eye a time, sneeze,
a hiccup. These are all normal. Absolutely. I give a new
Board handbook out to all the parentsof new boards, which is simply pointing
out all the normal things that babiesdo and have rashes, that kind of
stuff that are nothing to worry about, and it saves my advice nurses and

(39:43):
probably a bazillion phone calls with youknow this type of stuff. I've never,
in twenty five and a half yearsof practice seen a baby cry while
they have the hiccups. They donot bother the baby at all. They
look like violent jerking motions, right, and they bothered the parents. But
a baby will never cry when theyhave the hiccups. They seem to enjoy
it. Is it that a parentis afraid that it's not just a hiccup,

(40:05):
that it's like a seizure or somethingor what is their conservative? Oh,
they just want to know why thekid got to hit. There's no
rhyme or reasoning babies for why theygot the hiccup. And they sneeze because
they can't freaking blow their nose.I never, I've never. It never
ceases to amaze me what these newparents, What lengths they will go to
the idea that it's like, well, I'm failing my child because they're hiccupping,

(40:28):
like you know what I mean,I know they're all normal people,
these poor poor people, and babiesespecially you know, young ones, birth
to like four months old. Theyall spit up, and I tell parents
they spit up the equivalent of onefeet a day. So it's either one
feed that doesn't sit right and itgets launched all over the place, or
a series of wet verbs over thecourse of the day that adds up to

(40:50):
one feed. So I'll let onefeed go. If they're puking up more
than one feed a day in termsof volume, then they could be limiting
the calories that they should be getting. We developed a pattern where what I
would do is I would feed,and then you'd feed him for a little
bit and then you burp them right, And what you should do you don't
get the air out from above.It's got a course through the intestines and

(41:14):
come out from below, and itcould raise all kinds of help. So
the so I realized that I feltlike it was like topping off a gas
tank, right, is that Irealized that even if I burped my son's
more often, it did not itwas not a predictor for the amount of
spit up that would come up.But if I burped them until they spit

(41:34):
up a little bit like to me, that was a sign that they were
full, and then they didn't spitup like not as you got all the
air out, get a little andthe siphon in a gas tank, you
know, you get on. It'sonce that the air it is gone,
then you're good. And then mymother in law wouldn't listen because she said
we were trying to explain to herthat Jacob when he was a baby,
was fussy because he was getting tired. It was the pattern was you wake

(41:58):
up, you eat, and thenyoung hang out a little bit and get
talked to, and then you goto sleep, like that was the pattern.
And she said, well, washungry and he needs to do diapers,
so she changes diaper and then hadmy niece feed him a bottle,
and my wife was like, well, now you're holding him because all that
bottle you just gave him is goingto come right up. And then of
course she holds him for like tenminutes. The minute she gives him back
to Natalie, he vomits all overNatalie's shirt, like just everywhere. It

(42:22):
was a whole bottle. It wasdiscussed you were baby. She knew this
one. I love because it's aninterest. This one always. This is
the biggest thing that I think makesme an old school minded parent because I
never if I don't know why,I don't like it, but I never
take offense. Now I've done enoughlead up. That's rude. But here
it is. You can have visitorsover as long as they promise and are

(42:44):
trustworthy that they are not ill andwash their hands very well. However,
if you prefer not to have visitors, tell them no and say it's doctor's
orders. I will back you up. Now, yeah, I tell parents.
You can tell people I'm parked inand unmarked car up the street monitoring
their driveway. Okay, if youhave to put the blame on someone,
blame me. The other thing too, And it's not mentioned in the article,

(43:06):
but the visitors are going to wearyou the hell out, and you're
going to lose out on seven hundredand fifty hours asleep in the first twelve
months of having a baby at homeand once you get home. First of
all, if you had a Csection, you had major surgery, you're
trying to recover from it, andyou don't need to be a hostess.
You know what I'm saying. Iwould say that people who come over to
see the baby should be healthy andwash their hands but they all should be

(43:29):
bearing gifts of food or other things, or say, hey, you know,
I see you guys are busy withthat new baby. Why don't I
go shovel the driveway for you?You know those people, those are the
ones you want to have over rightexactly? And I does it make me
a colossal asshole that when somebody sayscan you wash your hands before you hold
the baby, that might really likeyou should be washing your hands before you

(43:50):
pick the baby up. Okay,my bad, My bad, won't happen
again, doctor Jay. The worstplace to take a newborn is to work,
church or crowded places. Pull offand go to work while ill.
And they also feel because they knowyou, that they should be allowed to
hold the baby. Oh, Iguess that's me. I'm the asshole.
I say, first two months oflife until the baby gets in their first

(44:10):
vaccines. They should not be outin public, especially places where people gather,
and you have no control over who'swell and who isn't. So there's
I can recall probably this kid's probablyin her twenties now, but I can
remember her having her christening at likefour weeks of age in a full church
and the kid got the RSV respiratorysince cecil virus and was one of the

(44:36):
toughest asthmatic patients I ever took careof. If they had waited a couple
of weeks, you know, itwould have been they wouldn't have been RSV
season, and the baby would havealready gotten the first shots and maybe had
a little bit stronger immune system.So I just think that it's any baby
in the first two months of lifethat develops a fever over one hundred point
five, they get admitted to thehospital, they get catheterized for a you're

(45:00):
in sampled, They get stuck witha venom puncture to check blood cultures,
and they get a spinal tap tocheck and make sure they don't have meningitis
from something they were exposed to whilethey were born. Forget the people in
the crowded workplace and everything else.Yeah, most of the kids end up
not having those infections. They endup having a virus they were exposed to.
But we still have to rule outthose dad infections because babies don't localize

(45:24):
the source of their infections all thatwell. So what you're saying is that
even though the baby is just showingsome mild symptoms of a mild cold,
but because those symptoms of a coldcould be a trigger or a sign of
a much more severe disease, theyhave to not just cold with a fever
over one hundred point five. Ifa baby has no symptoms, it has

(45:45):
a fever of one hundred and oneand is under two months of age,
you want to make sure they knewhow to take the temperature right. But
that kid still goes to the hospitalbecause some of the infections like meningitis or
blood infection, or urinary tract infectionbecause the kid has a urinary track abnormality
that you don't know about yet becausethe kid's only you know, a month

(46:06):
old. Those things can present withfever in the first couple of months and
give me very serious So the twodays the kids spend in the hospital on
antibiotics while we wait for the culturesto come back negative. We want them
to come back negative because we wantto be able to tell the parents yet
it was just a virus. Butwe also don't want the babies to have
to get blood tests, urine tests, and spinal taps. So keep your

(46:28):
babies out of public, especially duringcold and flu season. For the first
two months. Now, what aboutif you want to get out of the
house, can you take the babyon a walk? I mean, like,
obviously not in a where there's aton of people to have contact,
because those people need to be aroundto transmit the disease. But if you're
just walking through the neighborhood, becausenobody goes on walks anymore. Really,
you know what I mean? Aslong as you know you just think the
baby out in the carriage, youput the mosquito netting over the carriage,

(46:51):
even if it's not mosquito season,because it repels your neighbors from reaching in
and touching your baby with their filthyhands, right, and don't part the
carriage at the tryouts three hundred kidsthere, Yes, exactly, But getting
outside is good for everybody. Thenext one is I'm a strong proponent of
breastfeeding. That having been said,if you cannot or will not breastfeed,
formula and water supplies in this countryare such that you should not feel guilty

(47:14):
about this. I agree with thatone hundred percent. I don't think I
need to add to that. Sowe don't have to fight over breastfeeding or
formula or anything like that. Doyou know feeding is definitely shown to be
better for growth and digestion and alsoimmune response, primarily with GI viruses.
But formula is the same number ofcalories per ounce and it will cause you

(47:37):
to grow as well as breast milk. If it's not. If breastfeeding isn't
something that Jura crazy about, Ihave a stupid question, but I'm just
curious about it. Is that doesif you don't breastfeed, like let's say
you go strictly formula, does thatlead to the less of a situation where
the mom has the saggy breastfeeding boobsafterwards? And let me say this.

(47:58):
I understand I'm a man, rightunderstand that I'm not supposed to comment on
it, but I also would liketo defend myself and say that I do
not look at those and go,well, that is disgusting and unattractive to
me. I still am a bigfan of boobs. So now you think,
once the feeding days are over,the feedbags in many cases shrink back
to where they should be, althoughI've noticed, especially with a couple of

(48:19):
the people i've known, that thenipples get darker for some reason. I
don't know. It's like refinishing yourhardware and floors. I don't know.
Yeah, all right, So itis like, okay, I was just
curious if that had any if therewas any known information about it at all.
For slightly older babies with colic,I will give parents advice and help
them to cope, but I tellthem upfront that nothing may work, and
they may have to write it outfor a few months. They will remember

(48:43):
the colic went older, but thebaby will not. That's right. So
unless you write about it in adiary and turn it into a storybook,
you read the baby every night beforethey go to sleep. They This is
something that came up for me thatI find fascinating that it's not common knowledge.
Is that with Jacob was such acalm baby and a good sleeper and

(49:06):
everything, and then out of nowhere, he just started crying. And it
wasn't that he was cutting teeth oranything like that, and we're just like,
what the heck, And my wifewas like, we were looking at
all the books, and my wifegoes, I think he's got colic,
And I was like, but whywould he just be colic all of a
sudden, right like out of nowhere. That's the definition of colleaguey pain is
pain that comes and goes. Soit's that's what it is. And you

(49:30):
know what, like I said earlier, to qualify for the diagnosis of college,
they got to be crying six hoursa day without any reason, you
know, And that means they're fed, they're changed, they're not too hot,
they're not too cold. You know, they don't have you know,
And that's the problem is you haveto still, you know, rule out
things. And if you do yourjob as a doctor and rule out the

(49:52):
causes for a quote unquote colique babyand everything is normal, Yeah, you
just have to reassure him. Imean, I have not seen a collogue
kindergartener. Well, what we didwas I just basically said, well,
what has changed in the last twoweeks? And my wife was like nothing.
I go, okay, well thenwhat have we done? Like and

(50:12):
for whatever reason, we just startedgoing through our activities and she said okay.
And then I baked cookies and Isaid, okay, cookies. I
said, so you had before youwere before you hadn't had any chocolate chip
cookies and she was like no,And I said okay. I said,
then what about chocolate, Like IF'swhat's like? What if there's something with
the chocolate that he's getting through thebreast milk. And then she did some

(50:35):
poke it through what to expect whenyou're expecting and found a very small little
section that said caffeine in the breastmilk can create colic like symptoms for the
baby. And then I said,well, wait a minute, because she
had asked the doctor if she couldhave like a small glass of doctor pepper
or coke, and she said yes. She gave her like, if you
have this much, everything should befine. I said, but you've also
been having three or four cookies aday and she was having a scoop of

(50:58):
cappuccino chip ice cream at night.And I said, I go, I
go, that's it. So whatwe did was, thankfully, we had
her pump and dump like the nextfeeding, and then slowly after that we
were using stuff that was frozen,and uh, he just and then he
finally chilled out and it all wentaway. So we found that we or
believe, I don't know, itcould have all been coincidental, but we

(51:19):
believe that it was the caffeine inthe breast milk that really pushed him over
the top. Was it the gobassior the hot dog. Meanwhile Justice,
Hey guys, it's justin So Ihad some technical difficulty and I caught it
in time, only to h haveit fall apart when I tried to import

(51:42):
it into my computer. So wewrapped up the college thing. What you
heard is what we finished with.Doctor J had his great joke about the
Cobasa and the hot dog. Thenthere was another thing that says, if
you have a question, you couldgo to a reliable source such as Healthy
children dot org or the app Pediatricsymptom MD. If you don't have answers,
call me. That's why I'm here. And basically what I clarified with

(52:02):
doctor J was that you can.Those are actual websites that he appreciates and
the app. He said, ifyou're a pediatrician has a website they prefer
you go to to go to that. He's just not a fan of you
using web md and googling stuff becauseusually you're getting misinformation and it's not correct,
so stay away from those. Andalso he said, of course make

(52:23):
sure you go to stand up Pediatriciandot com to check out when doctor J
is coming to a city near you. You can also go to follow him
on Twitter at doctor J. Sute. The links for that are in the
description of this episode. And thenalso, I haven't mentioned this in a
while, and I'm sorry because mostof you already listened to it, already
know it. I should put itat the front the show that goes out

(52:44):
to the public. But if you'renot a part of it, go to
the Facebook fan group. It's calledStaying Frosty with the Dad Podcast. It's
run by our very own Butcher Drew. Alright, alright, alright, and
it's a great way to talk tolike minded parents. And the reason I
brought it up with doctor J isbecause he posts on there. If he
finds something interesting or whatever, he'llpost and he'll respond to you there too
as well. So on behalf ofdoctor J. Sute, our stand up

(53:07):
pediatrician. This is Justine Warship saying, hug your kids, hump your loved
one, and stay frosty, myfriends,