June 12, 2019 • 48 mins
Justin and Dr Jay talk about clipping tongues, circumcision, and Beards are gross.
Dr Jay
StandUpPediatrician.com
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Dr Jay
StandUpPediatrician.com
@iPodcastJustin on Twitter to watch Justin at work at KFIAM640.
Facebook.com/dadpodcast
@DadPodcast
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:12):
Listen to me jas Thy. Helloand welcome to the Dad Podcast. I'm
(00:38):
your host, Justin Worsham, andwith us yet again, is our very
own resident pediatrician, the one andonly doctor Jay Suete. I should doing
out there, Justica, I'm doingfantastic. Thanks for coming back on the
show. I understand you're having beautifulweather there in the state of Connecticut.
We are starting to hit the sixtieson a regular basis. Yeah, yeah,
(00:59):
we're getting up into the eighties.And then we had wind and so
the California is still continuing. It'sback and forth. How's the baseball season
going for you, doctor j Yankeesare an injured team. They've got a
dozen of them. They have anall star team on the disabled list.
Is what's going on here? So, but they're all right. They're not
quite at five hundred yet. Butluckily everybody's doing shitty. And we beat
(01:23):
the Red Sox last night, sothat was nice. That's all that matters,
right is that? Sometimes that's allthat matters? Yet? Okay,
all right? Well, good,So the rivalry is still strong. Can
you ever imagine a day where therewon't be a Red Sox Yankees rivalry?
No, No, that's part ofit. And I saw like another fourteen
year old patient for a check upyesterday. He's got his Red Sox hat
(01:44):
on and everything, and he's abig Red Sox fan. But how can
you blame a fourteen year old who'sonly lived with Red Sox winning. He
hasn't experienced any of the pain andtorture that Red Sox fans before him have,
So you know, he's pretty cockytoo. Hey, I got something
to run by you that happened tome in my parenting world that I think
you would get a kick out of. Is that last or night before last,
(02:07):
my younger son, he was coffinand congested in his nose. So
we've done the thing where we throwon the humid of fire and or open
the window as well, because thatwe found that that helps with the coughing
and everything. And he wakes upand he's still little congested in coffin,
so we decided to keep him athome. He didn't have a fever or
(02:27):
anything, but we figured give hima day to rest and then he'll be
fine. By about halfway through theday, he was good right, and
he was good to go, andthen we came home. We had to
go out to dinner because my wifeand I were both working till late.
So we go out to dinner,and then suddenly when we come home,
doctor Jay, to our surprise,his symptoms they resurfaced. He started coughing
again. He said his nose isstuffed up, and he's just I'm not
(02:51):
feeling well, and he was talkingabout needing to miss another day of school,
and here you go, and itwas it is not fun, man,
It's not fun to kind of lookat this dear sweet child that you
love more than anything and go,you little fucker. You are so lying
to me right now, Oh myrule, no fever, you go to
(03:14):
school otherwise you know, oh,I have a headache, I feel like
I'm getting sick. And then yousay, okay, well you stay home
if you feel like you're getting sick. And then they play with their computer
all day, right right, Well, we have a no video game rule
to try to alleviate that whole hookiething, but they do watch YouTube or
something. And so now I justfeel like I'm gonna have to, you
(03:35):
know, just send my kids intotheir room to just stare at a wall
all day. Is the only wayI can know, Like, how sick
are you exactly, because he haven'tread a book and give you an oral
report when they're feeling better. That'swhat I would do. Practice their math
multiplication, right. It's it's funnybecause my wife is home more with the
(03:57):
kids now, and so she's she'sshe's got an ass ful of it is
the only way I know how toput it, because her fuse has gotten
so much shorter man she is.She has got a hair trigger on her
temper now. She's like, no, no, this bullshit. She just
gets you go to school tomorrow.You're going to school marrow, like she
kept saying. And if you getsick, the nurse will know and send
you home. Yes, And Iwell, here's the other thing is that
(04:18):
we because they've missed a lot ofschool this year, like a lot.
And to the point where I go, listen, guys, thanks to the
education I've gotten from you, doctorJay's, I say, you guys got
to start washing your hands on theregular at school, Like this is an
insane amount of school that they've missedbecause of sickness. And I do believe
you know, we're pretty good atstiffing out the younger. The older one
(04:40):
doesn't really lie. The younger oneis the one. You got to watch
out for it in our house,and he came in this morning going,
you know, I just and he'scoughing up a lung in the morning,
like doing everything he can to puton a show. But it's so sad
because it's kind of obvious. Butas we all taken any acting classes yet,
so he yeah. And but seehere's the thing. I fear him.
(05:01):
I fear him because as he getsolder, he will only get stronger,
doctor Jay, he will only getbetter. And it's one of those
hard things. Like I had peopleapply for a rental house that I had,
and they had they were two youngkids who pull up in like a
brand new Hummer and a brand newCorvette and they're wanting to rent a house
in the quiet suburbs of southern California. I'm like, this doesn't jive.
(05:21):
And they make a ton of moneyand they work in this for this nonprofit
company building houses in third world countriesand listen, I'm all for philanthropy,
but it just doesn't seem to bethe trend of a twenty four year old
who's driving a Hummer. I can'tThere's lots of mixed messages, right and
yeah. So they said they wereself employed and I said, well,
great, just give me your taxreturns. I should be able to verify
(05:43):
income from that. And they go, well, we have past ups from
this one company that we work for. I said, well, if it
shows that you make enough money,then that's fine. Well, they send
me the pastubs and they were smartenough to correlate the amounts they said on
their application with what was on thepast up, but they were not smart
enough to only to not only changethe name, social Security number and the
amount in the paycheck because the amountswithheld for two different amounts paid were identical.
(06:08):
And thankfully I spotted that. Andthen when I asked for the tax
returns lo and behold, they disappeared. So my point is I wanted to
call them and say, hey,next time you try to commit fraud,
you might want to also calculate theamounts withheld. But then I realized,
I'm just educating them so that theycan rip somebody else off down the road.
All of that to say that thereason I don't I don't get into
engage with my kid into how wellI know or why I know what he's
(06:30):
doing to screw up out of fearthat I am educating him to just work
me over and he'll get in.Then you give him a work around,
so next time he does it differently. Yes, he's got to figure that
shit out of himself. Yeah,And I right, and I have to.
But isn't that funny? Like Iam, I got to figure out
it's so much to navigate because it'snot the part I thought about when I
(06:54):
was being a dad, this ideathat I was going to have to I
don't know, be spy. Ifeel like I'm a CIA asset trying to
work somebody else. Uh. Andso anyway, he came in this morning
and like he just and she waslike, I don't know, and if
my wife you're fine, you're fine. And then I could hear him coughing.
(07:14):
And then my wife had to getready because she has to leave early
on Wednesdays, and he goes andI just said, that's enough. Jack.
Let's tell you this much. Ifwe started going back to taking all
of their temperatures rectally, I thinkwe'd have a lot more of less faking
blue sick. Yeah. But here'sthe thing I wonder like, because for
most people, but there has tobe. You're right, But here's what
(07:35):
you have to do. You haveto build into that a time frame because
if you all you know is gettingyour temperature taken rectally, it doesn't really
bother you. I bet right.But if you know, if you've been
doing the mouth thing or the earthing like we have, and then suddenly
now we're going up the pooper,then yeah, that's what you have to
do. So there has to beYeah, we got to get to the
(07:56):
AAP on this and say, let'ssay, much like they've revamped their peanut
situation. I think what we needto do is from the ages of say
three to six, you take thetemperature with the ear thing, and then
at six, once they're into thepublic school system, you go back to
rectally. Just as a study onschool avoidance behaviors and rectal temperature readings and
(08:18):
see if there is some kind ofcorrelation. I think we'd see a trend
in a free hurry. Can Ico author that study with you, because
I would really love for that tobe published in the New Majournal of Medicine.
Rectal temperatures decrease school avoidance behaviors.I think that that is a postulate
that needs to be studied. Soand so. But anyway, as all
(08:41):
the parents know, when you dothis and you make this fight and you
feel so strong, of course thiswill be the day that my son goes
to school and vomits and has afever and then get sent home. And
and that's legitimate. Yeah, whatI found too nutrician. We appreciate parents
sending their sick kids to school,right because they infect the other kids and
(09:01):
that's good for business. It's sucha weird thing because like, that's that's
the thing is that I'm the guywho I don't get angry about it,
but I'm like, I just keepyour kid at home, like when you
come home, you hear him hackingup along like tuberculosis. And uh,
there was a study or an articleI just came across. It was adding
this headline and said why don't doctorsever get sick? So I was interested
(09:22):
and I read it and it hadall this stuff. You know, it's
not like doctors have some kind ofa you know, teflon superpower that blocks
us from viruses. We just washour hands forty times a day, that's
all. Oh yeah, that's andthat's why I tell my kids for a
patient. I wash after a patient, and because of washing my hands so
often, I don't tend to putas many germs into my body, even
(09:43):
though I'm exposed to stuff all thetime, all day because you literally,
out of force of habit, andI'm sure some kind of requirement every time
you leave the room, you gottawash your hands and go into the next
one. Right, do you everdo the hand sanitizer instead of the full
wash or you old school? Now? I alternate. Oh, my hands
are dainty and they dry out ifI do all handwashing with soap, So
there is a lot of hand sanitizeruse in there too, because that tends
(10:07):
to save my hands during the winter. That's funny, That's great. You
can't afford to go to the Bahamasevery February to make my hands get nice
and supple again like you used to. Uh, well, let's let's get
into some of the stuff that yousent doctor Jay. This. I've never
heard about this, so you're gonnahave to educate us all I'm I'm imagining.
(10:28):
But the article for this this comesfrom the Atlantic dot com and it
says why so many babies are gettingtheir tongues clipped So first, break it
down, like, what is tongueclipping. Well, sometimes babies are born
and you know how there is alittle attachment like at the end of your
tongue attaches at the bottom right,Yeah, yeah, and that's called the
(10:48):
frenulum. There's also one that's furtherbehind. And some kids, babies that
are born, when they go toextrude the tongue out of their mouth,
it'll it's tight and it'll dimple inso almost makes the front of the tongue,
tongue look a little heart shaped.And if they can't extrude their tongue,
it can interfere with breastfeeding, uhand getting the right position of the
(11:09):
nipple in the mouth. So Ifind that whenever a lactation consultant has a
baby who is having difficulty feeding,you hear the dog? Do you hear
the freaking dog? Oh? Wedon't hear it. Whining he's starting.
I'm gonna have to kill him,Brodney, stop it. Stop this time.
I don't hear him. It didsound like a small hum though,
(11:30):
but like, yeah, yeah,that's funny, that's hilarious. So,
so the point is it's for helpingwith breastfeeding. I find that lactation consultants
whenever, whenever a baby is havingtrouble with breastfeeding, they say the kid
is tongue tied, and that's notalways the case. So I final the
final judge on whether the kid goesto see an e NT to have it
(11:50):
clipped. And I have seen somethat absolutely positively need to be clipped,
and I've seen others where it's sucha you know, a small uh difference
it would make. And the otherthing is you don't want to clip it
and then have the kid's tongue hangingout of his mouth for the rest of
his life. I mean, it'sthere for a reason, you know.
Yeah, So I would imagine ifyou need your tongue clipped, it's because
(12:11):
you like say, as an example, you can't really stick your tongue out.
It's it's overly attached to the bottomof your mouth, right, okay,
and they can't get the And thenby not being able to lift your
even your tongue up far enough eveninside your mouth, let's say you can't
even pull a gene simmons and youknow, lick the bottom of your chin.
They'd be the opposite of the exactlyokay, And so by not even
(12:33):
but it's not even about getting itpast your lips to a certain amount.
It's even like lifting it up tocreate like a suction so that you can
feed. Is what it is.And then what and the lip thing is
that like the bottom lip, howit attaches to the bottom of your to
your gum at the jaw there too, So it could be overly, so
it could be hardware. You can'teven move your bottom lip at all.
You know. There's the picture thatwas in that article. I'm looking at
(12:56):
this baby now. I believe thisbaby has something called a symmetric crying faces,
which is a I'm looking at thekid's mouth crying, Yeah, and
the right lower lip kind of comesdown a little, a little elvis situation.
Yeah, So when a kid cries, they're both supposed to come down,
so that on the left where itdoesn't come down, he's missing a
muscle. And that's a common finding. You found when they cry, their
(13:20):
mouth is not symmetrical when they cry, So that's asymmetric crying faces. Are
you really doing a bit because thissounds like a boat, that's it.
No, I was just looking atthe baby and I thought i'd i'd lay
a little wisdom upon you. Soit looks like, to describe everybody listening,
the baby looks more like it's doinglike a traditional yawn where maybe your
jaw goes to one side. Liketo a lay person like me, I
(13:43):
don't see anything different about this baby. That's yawning, crying, whatever you
want to call it. But doctorJac's that they're missing a muscle in their
face that's causing a little asymmetry inthat Yep, all right, pretty cool
what I found asymmetric crying faces,all right? And uh, what I
found interest in reading this article isthat they don't put the baby under anesthetic.
And I'm assuming because a baby undergeneral anesthesia is kind of risky,
(14:07):
right, Yeah, any anything thatis elective for babies, Generally, the
anesthesiologists want to wait until they're oversix months because there's a significant increase in
safety once the kids hit the sixmonth mark. But this would have to
be done in the newborn period,right because they're having difficulty with feeding,
(14:28):
and you know, again, itprobably is a whole lot of other things
other than that, but when it'sa significant tongue tie, the baby does
feed better and the mother also hasless discomfort with breastfeeding because the baby actually
is getting the nipple into its mouththe way it's supposed to. Okay,
(14:48):
And have you ever performed one ofthese or had somebody perform one of these
procedures? Well, I mean atleast maybe a half a dozen times a
year you have to send a kidwho's got a significant get dimpling of the
front of the tongue when they stickit out. And just recently I had
to send a duborn to the En T. And he snipped it and
I saw the kid a week laterand it was all healed and everybody was
(15:11):
happy. It's interesting because it saysin here that a twenty seventeen study found
an eight hundred and thirty four percentincrease in reported diagnosis of tongue tie to
babies from ninety seven to twenty twelve, and an eight hundred and sixty six
percent increase in freenotomies pronectomies. There'sno scene there, those jerks, they
(15:33):
messed me up. Phrenotomys, Ah, there we go. And these are
just impatient procedures. So the phrenotomyis the lip right either one, either
one. The terms are interchangeable,and what they do is they just give
like a general anesthetic, almost likeyou're having any kind of dental procedure done,
and then they just give it alittle snip and I'm assuming do they
(15:54):
carterize it or stitch it or no, they just snip it. It heals
like within a couple of days.Things the mouth heel very quickly. It's
interesting, and it might have aday or two where the baby is a
little fussier with nursing because it hurts, but eventually the little suction machine starts
to work again and they go backto nursing, and parents mothers not parents
(16:15):
mothers oftentimes experience less discomfort if thebaby is doing it right. Yeah,
And I think that what they don'treally go into it in this article,
or if they did, I'm missingit, is that because kind of like
what you said, but they dotalk about lactation specialists will often assume that
the baby is tongue tied right likewhen it happens a lot, and that
(16:36):
might be the cause of that hugeincrease in diagnosis over the last what looks
to be twenty years or more.And so, but what you're saying is
that so they come in and thenif you're if you say you're having an
issue and a lactation specialist does that, then what you should really do is
just go to the pediatrician and saythis is what the lactation said. Pediatrician
will say this is what the realityis. Yep. And then if I
(16:57):
think it's it's a significant enough Ihave an ear nose and throat doctor in
town, and I let him bethe final judge. He sees, you
know, a lot of them andtakes care of a lot of phrenotomies even
later in life for kids because itcan lead to speech issues as well,
So you know, they take careof a lot of them. So I
(17:22):
let the e n T decide ifit's significant enough. But again, if
you've got a baby that isn't nursingefficiently, a mom who's experiencing a lot
of discomfort and pain when breastfeeding,and again that's pretty normal learning curve stuff
for the first week to two weeksof life, and a lot of times
it straightens itself out. But ifyou have even the tiniest of tongue tie
(17:47):
attachment, that's the first thing theythey sound an alarm about, and it
may or may not make a wholelot of difference. That's interesting to me,
the idea of pain being a partof it, like, because I
know it's a lot of pain ifthe baby's not getting not last properly,
uh and and his nursing improperly,that there can be a lot of discomfort,
can lead to crack nipples, andthen cracked nipples can lead to mastitis
(18:10):
infections, and you know, butyou know it's it's it. There's elasticity
to the frenulum. I mean overover life, it's gonna stretch a little
bit, but for breastfeeding the firstyear of life. And then they go
to middle school and their tongue iswagon out of their mouth like a Saint
Bernard. Well maybe they can growup to be a frontman for a rock
(18:34):
band and there you go and havelegends about their fallacio abilities or whatever.
Exactly. Yeah, I think Iused the wrong Latin term for that.
I should have stuck just to thelate terms. But anyway, um,
here's the thing that also came up. I don't know why this made me
think of this, but did Italk to you about what happened with my
(18:55):
son and his fungus and his junkthat I have? We have we talked
about this. I don't think wehave. I don't think so. No,
So my son he was now he'she's at ten, it'll be eleven
in September. And so both ofmy kids are uncircumcised because I'm uncircumcised.
Right, So thanks for Sharon,thank you, and so we he's the
(19:15):
doctor told me, the pediatrician whenI was a kid, even when I
was like six seven eight, mydad was like, you got to pull
the skin back, you gotta cleanit. And it was incredibly uncomfortable.
Our pediatricians there are connections between theforeskin and the penis that are adhering,
and in order to pull it back, those have to gently break over time,
and sometimes you know, they getthey get worked out, you know,
(19:38):
having erections in your sleep and stufflike that, it'll cause them to
break. But if you have tomanually pull it back, yeah, there's
some bleeding and some discomfort associated withit. I'd never had any of that,
but it was always a discomfort.And so anyway, we go through
it, and he's so now thatI said, well, when does he
need to start and she said,well, actually he doesn't need to really
(20:00):
start worrying about cleaning it until he'susing it. It's way she put it.
But you know, when he getsolder, we'll we'll, we'll get
there. And so recently she said, okay, now it's time to start
peeling it back so that it canstart to kind of stretch the skin a
little bit and not be stuck completelyclosed. I guess for the rest of
his life is what she's trying tostop from happening. And so he's peeling
(20:22):
it back and he said there's somewhite stuff, which I was like,
oh, that's just you know,schmegma or whatever. Yep. So and
I and he was it was uncomfortable. He had cleaned it. It was
uncomfortable, and I told him mostsometimes it gets irritated, and we'd even
put like a little bit of aquiforeon it to keep it from getting irritated
and stuff, and so we butI called the doctor just to be saved
(20:42):
because the nurse. He had goneto the nurse's office to talk about it,
and the nurse said, or thepediatrician sends me back a note saying,
yeah, it's just smegma, it'snot a big deal. But then
it gets worse, and so mywife ends up taking him to urgent care,
and the doctor takes one look atit and says, oh, he's
got a fungus uh in there.Like, so he what we thought was
(21:03):
just white schmegma was actually I guessa white discharge. Does that vibe with
what you would be thinking to doctorJake, Yeah, yeah, because smegma's
more of a waxy yellow color,whereas white and cheesy maybe more fungal looking
and and fungus likes moist, darkareas. That's why it causes diaper rashes
and jock itch in the you know, places that don't see the light of
(21:26):
day much. Now here's my theorythat I wanted to run by you.
I think part of the reason whyhe had this issue is because he insists
on sleeping in like full pajamas insteadof just say, his underwear, where
he's less likely for it to getfunky down there is that it's still it's
still dark and funky under the foreskin, all right. The what he's wearing
on the outside, I mean,he's he's got a light jacket over his
(21:48):
penis. So so if I failedhim as a father, by no,
No, it's just one of thosethings that happens. I mean, I
see. Uh, you know again, could be bacterial infection of the foreskin,
could be fungal infection of the foreskin, or you know, when they
start yanking it, you can havemechanical irritation that causes redness and swelling of
(22:10):
the foreskin. So yeah, lotsof fun. Guy. There's nothing more
gross than a thirteen or fourteen yearold boy. I will tell you that
much. I see, I gota day of thirteen and fourteen year old
boys coming into the office. Itell my nurse put them all in room
seven so I can crack a window. I can't wait. We did already
start the deodorant, and I thinkhe's used per your advice. So when
(22:33):
he turned ten, I bought him. He went and picked out a stick
of deodorant. So now I'm goingwith one of the axe flavors. No,
he actually went with a Dove.He liked the Dove fresh, said
it's what he likes. And Ido a deodorant only. I don't worry
about antipurseprint. I don't know ifthat's a misstep either, but only if
you're wearing a nice suit or something. You know, you got a wedding,
you might want to not have himsweat all right, the tucks or
(22:56):
something. Yeah, I mean itjust at this point we just don't want
them stinking up the joint. Theycan sweat, but they get older than
they're going to need an anti persesprint because it's you know, there's some
kids who just leak out of everypore in their body and sweat. Well
when it comes rise. We don'thave anti pers sprints. We can just
like like a like a flea dipfor a dog. We just dip the
(23:18):
kids into an anti pers sprint becausetheir whole body sweats. So tell me
this. Going back to my son'sjunk, is that. Yes, he's
come back to me a couple oftimes it says, you know, it's
a little uncomfortable, and I'll alwayslook at it and see if as long
as it's the head isn't like incrediblyred like usually it's a little red.
And I've had this experience even inmy youth. Is that a little red
(23:38):
around the urethra hole? Right,Yeah, that's or you could get little
chafing on the end of the foreskinskin if the tip of that is red,
like you know what I mean.But I tell him not really to
worry about it unless it hurts whenhe peas like, so that's what we
learned. And using something like vasolineor aquiferre so that what is broken down
in terms of the adhesions. Don'treattach because with inflammation they can you know,
(24:03):
reform. So using something to justkeep it from resticking so that you
keep making progress in terms of beingable to pull it back and also to
reduce friction right like to an irritatedarea. That's good. So is it
just enough that he's using soap andwater to clean his penis and just keep
at that until everything works itself out. That should be enough. And if
(24:25):
it gets uh, you know,the skin gets read either topical antibacterial like
neosporin or hold onto some loatraman cream. If fit, you know, looks
like there's a cheesy discharge. Itcould be yeast again. But yeah,
they gave us a topical they gavehim an oral antibiotic, and then they
gave us a topical prescription, butthe pharmacy didn't have it. And by
(24:48):
the time we were gonna get it, like he was already over it.
Like it was a yeah, justover the counter loatraman af antifungal is fine.
That's clode trimazoll one percent. Andyou know that's as strong as most
of the things that we can prescribeto. So okay, that's always a
good place to start. Great info, as always, Doc, This is
another one of the fun articles thatyou sent. I love this. It's
(25:11):
here's the thing. This gives mea mix. I have mixed thoughts on
this. This is professional potty trainingisn't just shits and giggles. And this
comes from fatherly dot com and it'sbasically an article talking about what seems to
be a growing market of professional pottytraining coaches or schools that you can go
to. And you went to medicalschool, why why did you? Well,
(25:34):
if this woman's getting up to twothousand dollars a day teaching kids how
to shit on the toilet, yeah, I mean come on, why did
I figure that? Or for sixhundred bucks she could phone or text with
you as well. Uh, that'sand that's that's amazing. So here's where
it comes down is that there's anelement of me of this that I look
(25:55):
at and I go that kind ofsucks. Don't you want people to kind
of be okay with figure stuff outa little bit, But at the same
time, I like the idea thatthey're going to get the information, you
know what I mean, Like,why not go to somebody who knows what
they're talking about and kind of walkyou through it? Right? I agree?
I agree. I give out handoutson how to potty. Some parents
(26:15):
just can't be bothered with it.Some kids are sometimes little pricks and just
don't do it, and parents mightneed a little guidance. But for the
most part, when the kid isready, and you know, that's a
wide range, girls usually train betweenyou know, two and three. Boys
are more like two and a halfto three and a half. Although I'm
looking at the article that we aretalking about and there's a thank you note
(26:37):
written in chicken scratch, but youcan make out what the words are.
So it's a thank you note fromone of her clients. And my problem
with that is the client is ableto write letters. Yeah, that's way
too late to be potty traded.Yeah, because that's well, especially like
full because I've learned from my kidsstarting school and learning to write. Is
that, you know, I meanin kindergarten. My on with sounding out
(27:00):
words unless I'm trying to look atthe spelling here. Unless mom or dad
wrote the letter and then the kidjust copied what they said, you know
what I mean. I don't thinkthe kid came up with awesome balloons on
his own. Yeah, exactly,and so but it is you're funny that
if you could articulate a letter rightthen in theory, you should have been
done, which is maybe part ofthe reason why they brought in the coach.
At that point, they're like,it's not working. What we're doing
(27:22):
a little more difficult than others,and there are kids with issues where it
certainly is a bigger deal than witha normal healthy kid. I just I'm
pissed off at this woman because she'smaking more money, you know. She
says, she's protty trained kids whohad previously been resistant to using the toilet.
She's trained them in an hour anda half. She is a potty
whisper. She's like Caesar Milan toyour kid pooping. Well, as I've
(27:47):
said many of times, I amthe ship whisperer because parents bring in their
ship filled kids diapers and ask meto look at examine it, and I
say, it's it's not speaking tome. Yeah, she says she's doing
it for fifteen years as well,which is it's just it's fascinating and I
feel like, you know, inan area. She's in New York.
I think they also mentioned numbers forthe UK as well, but there's a
(28:12):
oh that's right, there's a pottytraining academy in the UK and that you
can also do. But I feellike if you're in Omaha, Nebraska,
chances are you're not going to beworried about having a potty training coach or
anything along those lines. Outside.Yeah right, I'm shocked, doctor Jay,
I thought you would be against thisidea, but I think it's a
(28:33):
horrible idea. Okay, but butyou know, listen to these stats.
Okay, A one day in homesession is nine hours and it's two thousand
dollars. And then if if sheneeds to a second day, a two
day in home session is fourteen hoursof her potty training abilities. But that's
(28:55):
three grand, Yeah, three grand, And then she does it four to
six days a week, plus telephoneor computer training consults. I mean,
this is big business. If youhave if you have a population that's you
know that it's sustainable, busy ortoo lazy to want to take the time
to train their kid. Yeah.Can you imagine making fifteen hundred dollars a
(29:17):
day for two days of work.I don't. I don't make that.
I make I bring home that afterwork at eight days. Yeah. They
they're only dealing with the potty trade. Yeah, they don't everything. Yeah,
you got it, from depression toschool failure to add and T and
(29:37):
H and I do the toilet tradeand stuff. Wow. And you know
what, it's squeezed into a visitthat I barely get paid for. Yeah,
it sounds like you're undervaluing yourself.That's what it's. That's what I'm
learning. Not me that's undervaluing.It's it's all the money that I just
saw that United Healthcare UH exceeded expectationsfor the first quarter of earnings. And
(30:00):
and I'm saying to myself, youknow what, I'm the one taking care
to kids. They're just ensuring people, right, and they're getting the money.
And because the United States has alaw which prevents the government from negotiating
pharmaceutical prices with the pharmaceutical manufacturers,we can't even negotiate what medicine costs in
this country. So basically they're sayingOkay, we got x amount of money
(30:22):
going into healthcare. We got topay the dividends to our shareholders. This
is what pharmaceuticals costs. We can'task the people to pay more in premiums.
The only way to squeeze dollars outis to squeeze it out of the
doctors who are supplying the care.And god damn it if I ain't making
half of what I made in twothousand and four. And people's salaries,
when they go up in age andexperience and time served, typically doesn't go
(30:45):
down. It certainly doesn't have WOW. And that's because it's big business for
people that didn't go to medical school. Yeah. Yeah, well say that's
a big deal, except that therewas some pristie age and respect at one
time for my career. But nowthere are pediatric walk ins popping up in
(31:06):
every town across the country. Soa parent can get home from work at
five o'clock, have dinner, taketheir kid for the ear at seven thirty
at night, So it cuts downon the flow at my office. But
then when they screw up and givethe kid a medicine they're allergic to or
something else, then it's up tome to pick up the pieces for their
negligence, and it's a cycle thatis not you know, the whole Having
(31:30):
a kid's doctor that follows them frombirth to college graduation is a wonderful idea.
They know your kid, they knowevery in and out of your kid.
And when you go to these walkins, they're just treating and streeting.
That's all they're doing. Yeah,it's a McDonald's a healthcare it is.
You go touch the screen to saywhat's wrong with you? Where does
it hurt, and then move on. That's exactly right, I mean,
(31:52):
if you really think about it.And I don't want to make this necessarily
about bagging on urgent cares either,but I mean because I think everybody's always
you know, doing their best.I do. I do believe that.
Yeah, but the best for someonewho isn't the best and the brightest to
begin with. And that's why they'reworking at an urgent care is you know,
subpar or going to a CBS minuteclinic, you know where their motivation
(32:16):
is to sell your medicine, notgive you healthcare. So of course you're
going to walk out with a prescriptionevery time. If that's what you want,
go to a CBS Minute Clinic,they'll give you medicine. Well,
you know it's funny, is that. Yeah, you kind of blew my
mind, is that I never wouldhave compared urgent cares. Because here's the
thing in real estate. Now thatI'm doing that full time, you learn
(32:36):
about things like Purple Bricks and redfinright, which are what they call discount
commissions. They you know, they'llopen listing is another one of these,
Like they're these websites that for dirtcheap, and their whole marketing campaign is
that a real estate agent is overchargingyou for the services that they provide,
right right, And so for somepeople, sure, it's it's not a
bad idea if you if you're allabout saving money. But what you have
(33:00):
to understand, Like I just wastrying to help a lady get a house.
I was not going to profit fromthis. Her boyfriend is an agent
for Redfinn and he's an idiot,Like he screwed up this deal because he
could not pick up what I wastrying to subtly advise him to do in
order to get his girlfriend this housethat she wanted, right like any he
(33:21):
couldn't see past it, and everybodyI talked to. Their whole thing was,
well, it's because he works forRedfinn. So Redfinn is a company
that, when you look at itfrom a real estate standpoint, is that
they bring leads in. So theperson is different from me in the sense
that my job is that just likea contractor, to use a different example,
I have to be so good atmy job that people naturally refer them
to me. And that's how Ifilled my pipeline, right, is that
(33:44):
people have to go that guy knowswhat he's doing. That guy will take
care of you. He looks outfor your best interest. You're not just
a transaction. That's why you shouldgo with justin. Whereas what you're saying
is if you just go into thesewalk in clinics where it's just churn and
burn, that the people there areprobably going to be of lower quality.
Because if you are a doctor withambition, right, you're probably going to
(34:05):
want to have your own practice orwork for a private company or something along
those signs. Right, Yeah,I mean you don't want to just treat
your infections and strap throat. Imean, I mean that's an easy way
of making the buck. But youknow, for me, it's the longitudinal
relationship that you have with the familyover a long period of time. And
like I said before, now I'mseeing more than if I'm doing prenatal visits
(34:29):
on a Tuesday and I have fourcouples come in. Out of the eight
people in the room, two ofthem are like former patients of mine that
are now having a baby and bringingit to me, which is which is
great. So you know there's thatand the and the turnover. I mean,
you never see the same person atthe same walk in two times in
a row. And I guess we'rewe're looking at the two extremes here.
(34:51):
We're looking at people who want tosave a buck and convenience going to walk
in versus the people that can affordthree grand to have your kid potty train
in two days. So Hi,yeah, you're right, we're talking two
different worlds here. Yes, thatis quite the spectrum. Here's the other
thing that you sent to that thisis always I'm always fascinated by these and
(35:13):
maybe you could clear up some ofthese wives tales. But this comes to
us from my Suncoast dot com andwhat it says is men's beards have more
germs than dog fur. Yeah,huh, so they found that all of
the bearded men that so what sothese professors in Switzerland clinic they took swab
samples from whiskers of eighteen men andcompared them with samples from the necks of
(35:36):
thirty dogs of varying breeds. Theyfound all of the bearded men aged eighteen
to seventy six showed high microbial counts, but only twenty three of the thirty
dogs had high counts. Seven ofthe men sampled were found to be harboring
in their beards microbes that posed athreat to human health. That's insane to
me, Like, how much ofthis are they like blowing out a proportion
(35:59):
in europe opinion? Well, Idon't know. They got they got numbers,
and they have cultures and and they'vegot results here. I don't know.
I just uh, I just thinkwe got to keep it short.
These lumberjack beards, that's where itis, Okay, Yeah, the lumberjack
beards. I think statistically, thelonger the beard, the shorter the pubic
(36:22):
hair. I think they're just spendingmore time down there than they are on
their face. And I mean we'velost our priorities. I think, Yeah,
I know that's that's funny because Ithink you're right, like all,
for all intentsive purposes, a guycould look like a baby bird in his
downstairs but like a lumberjack on hisface. That's very interesting. And I
(36:43):
do you did you see why theydid this study? What the reason was?
I mess it why The study wasconducted by scientists who wanted to learn
whether there is a risk that humansmight pick up a dog born disease from
an MRI scanner that was also usedby veteran arians. That was the reason
(37:04):
the study was done. So tothe point now where humans have to use
have to use old veterinary MRIs inorder to have their scans done. I'm
telling you, man, we arenot too far off from our rectal thermometer
study. I really think we couldget funding for this and make it a
thing. I believe that to bethe radiology practice that is just like a
(37:28):
CVS minute clinic. Right, Yeah, bring your dog. We've got dad
MR fifty percent off if you're willingto get an ur Kenine MRI machine.
It sucks that we're just a coupleof dudes, right, because I'm curious
with this beard craze, Like howmany women are into it. I would
(37:49):
venture a guess, and I can'twait to hear from you guys on the
social media, but I would venturea guest that the members of our Hot
Moms Club that are listening are notfans of beards. My wife likes stubble,
which I'm glad to hear you saythat if it's the lumberjack beard is
where it's really crazy. But Iusually always rock about a five o'clock shadow
now, and she likes the lookof that and doesn't mind stuff pushy in
(38:12):
the winter because it's good for warmth. Yeah, but I've already gone down
to my lowest setting now, soyeah, I keep it short in the
summer, but I have things tohide, so I keep my beard.
You keep a beard a little bitlonger. Now, Do you ever worry
about this stuff? Have you heardmore stuff like about the microbials and all
that. Yeah, listen, Idon't wear a tie to work anymore because
(38:35):
it had shit and piss bacteria becauseyou can't really watch it well. You
know. I was having them dryclean, but it became expensive every time
I got spit on or puked onor something landed on me. So I
stopped wearing ties to work. Ionly wear them when I do stand up
now to remind people I'm a pediatrician. That's interesting. Otherwise what would I
do with my Superman and Spider Manand pez to spend two hundred ties that
(39:02):
are only able to be warned bya pediatrician or a high school biology teacher.
Or Yeah, that's a good point. Here's how many times in a
week would you say that you're vomitedon, pissed on or whatever? I
mean, I guess the coffee ofthe season. I'm constantly coming in contact
with fluids. Oh, I meanI I change diapers, you know,
(39:25):
I It's that's why I washed myhands. Otherwise, you know, it
wouldn't matter whether I'd have a beardor not. I'm be dead. How
many have you ever done on mycrobioaccount on your ties? Is that something
that you can just take it?There have been mutuals, many many studies
that look at the ties that doctorswear, where they you know, swab
(39:45):
the doctor's ties at the hospital,and then they swab ties of people at
work in a business environment, andthe amount of bacteria on the hospital base
ties so significantly higher than people whojust you know, go to their office.
Incredible. I love that. Prettyamazing, It is pretty amazing.
Before we wrap things up here,we also wanted to talk about doctor Craig
(40:07):
Canna Perry. If you remember,he's the sleep expert that used to be
a resident for with doctor Judent medicalstudent and now he's the director of the
Sleep at Yale. Right, yes, yeah, So he's got a new
book that is available for pre orders. So if you've got young kids or
know somebody who's having young kids,go ahead and pre order. It's coming
(40:29):
out on May seventh. It's nevertoo late to sleep train the low stress
way. It's a high quality sleepfor babies, kids and parents. So
if you like, you know theguy he taught, he's the one who
came on the show and talked about, you know what daylight savings time does,
and he's talking about making high schoolat least start later on in the
day, you know, based onresearch and all that. And he just
(40:50):
see my impression, he just seemslike a smart, sound guy and all
he thinks about and lives and eatsand breathes is sleep. So why not
read a book by a guy whodoes that? Dot com? Yes,
Yes, it's sound. It's alreadyup for pre order on Amazon. And
I'll see if I can get himto join us for for a cast the
next the next time when he topromote the book. Yeah, that would
(41:12):
be great. I would love tochat more with him about it. So
uh yeah, So again, there'slinks in the description of this episode,
but the title is It's never tooLate to Sleep Train if you just put
that in there, or put doctorCraig Kenna Perry, which I think,
in my opinion, it sounds.There's a link in the description, just
use that, or you could searchit on Amazon. But yeah, good
dude, good book. Good toknow it's for me. I bet you
(41:35):
this could be like what baby Wisewas for me. I don't know if
you're pro baby Wise or not,doctor Ja, but yeah, I'm the
other one is uh Solve your childSleep Problems by doctor Ferber from Boston,
and Craig trained under doctor Ferber.So uh, he's he's a smart dude.
But yeah baby Wise. I meanI told him when I you know,
I looked at some of the uhtitle cha, chapter titles and stuff.
(42:00):
I said, I don't know,Craig, this could get you on
Oprah wouldn't that be great? Well, And to be clear, like I'm
not even say baby Wise for mewas a great way for me to learn
how to deal with my baby.It's not sleep specific, it's just it's
a good introductory book for like raisingan infant, in my opinion. And
(42:20):
I think if this one is great, like if you're if you got even
somebody's pregnant, right, like thisis good information to have before the baby
comes, because oftentimes after the babycomes, you are too tired to absorb
the information and it's and it's oftentoo late. You're yeah, exactly.
So I found that because I readbaby Wise before Jacob was born, and
then I did like a refresher.It's funny because when we nailed it,
(42:43):
I think with Jacob as far aslike it always he we had days.
But for the most part, theroutine thing in that way really worked for
us. It made sense, andit made sense for him and everything.
And then when Jack came into thepicture, it did not make sense,
like it wasn't working. And thenI went back and revisited the book,
and it's because I wasn't doing whatthe book told me. And when I
did that, Jack, who wasknown for being a very angry baby immediately
(43:06):
chilled out. Everything got nice,everybody, everything was smooth and even so
I recommend that. And and Ican't wait to read this book about the
sleep stuff. I think it'll Ithink it'll be great because because of Craig
Canna Perry's appearances on the show,Like, I'm very particular about interrupting my
son's deep sleep because right now we'regoing through this thing where they like having
they each have a dog essentially,so our family has two dogs, and
(43:29):
now they're doing a thing where thedogs sleep in their bedroom. Right Well,
the younger son's dog has no problemjust going in, laying on the
bed, and everything's fine because she'sa little more chill. The older son's
dog is a little more high maintenanceand once things her way. So when
we shut the door so she'll stayin there, she scratches at the door,
like in the middle of the nightsometimes when we've left the window open
just to keep it cool in hisroom. Then the sprinklers come on in
(43:52):
the middle of the night and itscares that dog and she scratches the door,
wants out. And even though itlooks like our son isn't waking up.
I just have a fee that whatif his deep sleep is getting disrupted.
I haven't seen any signs where heseems tired or lethargic during the day,
but I'm probably overly protective in thatarena. Yeah, maybe a little
bit. They all get it.If if their body is craven sleep,
(44:13):
they're gonna make up for it somewhereor they're gonna get sick, right because
their you know body is make somestop and slow down. Yeah all right,
well again, it's never too lateto sleep train. The Low Stress
Way to High Quality Sleep for Babies, kids, and Parrots by doctor Craig
Canna Perry. Check it out.Don't forget to check out doctor j At
stand up. Go ahead. CanI give a little plug too? Please?
(44:35):
Ye streaming for free if you happento have Amazon Prime Video streaming for
free. I am on a showcalled Comics Watching Comics Season seven. I'm
in the first episode, so ifyou're interested in seeing the comedy judged by
four experienced comics. Comics Watching Comicsseason seven, episode one free on Amazon
(45:00):
Prime Video. Yeah, check itout. It's interesting because because I knew
you and I watched them, Iwas very upset by any criticism that they
threw you. Well, yeah Iwas too. Yeah, but they actually
were pretty positive overall. Yeah,no, we're pretty positive. So just
the guy that was the dentist sayingthat, coming on stage and saying I'm
a pediatrician, he said, youknow, don't come out if you say
(45:22):
you're a pediatrician, then you're nota comic. You gotta kind of explain
it. If all my jokes arerelated to kids and ship poop and y
you know it's and I'm wearing aScooby Doo tie, you gotta kind of
get that out of the way.I think, Yes, I know,
people, Here's the thing. Comicsare notorious for way overthinking stuff. I
(45:43):
know that people have listened to medo this show like you know, shits
or lock. But I mean you'veheard me overthink stuff like It's just I
remember there was a time when Iwas like, you know, because I'm
a dad, I shouldn't wear anice button up shirt, I should wear
just a baseball team like look likea dad. Like I'm a dad in
a sitcom was my stupid mentality untilI had a booker who I sent an
old tape to and I hadn't.I hadn't put together the new tape and
(46:06):
the old tape had me in anice button up shirt. And then they
she said, you know what,I'm gonna book you because not only are
you funny, but at least you'rea professional. She goes, if I
see another person who looks like theydon't care dressing in a hoodie and some
cargo pants, I'm gonna shoot myself. Alright, there are venues for hoodies.
You know, you're doing bar shows, open mics, things like that,
but you know you're doing a theater. You know you'd gussie yourself up
(46:30):
a little bit. I always someonetold me once you dress better than the
one step above what the audience isdressing, which means in some places at
ELK Sladge, I could be wearingoveralls. But but you know, I
mean you're that you're working. Yeah, yeah, no, I I agree.
But immediately after getting that email,I went out and I bought two
sports jackets and more button up shirtsand changed my entire look after that,
(46:54):
And it was I'm sure it wasmore coincidence, because this is an example
of me arguing overthinking it. Byoverthinking it, I think, but shortly
after that is when I started gettingmore headlining gigs. Was after I got
the set to wear a white coaton stage, justin Yes, that's commitment.
I've come a long goddamn away fromthat. You know that's committed.
Little steps over, well, it'stwelve twelve years of it, so you
(47:16):
know you change and evolved, andyou know it's it's fun. I find
the whole process of comedy just tobe fascinating. I just I don't know
why my heroin is getting people tolaugh, but it is. That's funny.
And again, the name of theshow is Comics Watching Comics, and
it's available on Amazon Prime, seasonseven, episode one, correct. Yes,
(47:37):
and guess what that gave me.I have an IMDb page what doctor
Jay Sute as himself. It justsays Jay Sute is an actor. That's
it. That's all it says.And then it says comics watching comics.
But that's great. That's better thanme. Mine has all of my like
three of the voiceover jobs I hadfor video games. And then the one
time I was in a movie playingJimmy Kimmel, not another celebrity movie.
(48:00):
Yeah you could play Jimmy Kimmel's Yeah, I keep getting that a lot lately,
that You're right, it's super doucheybecause people like, like, especially
now that I'm in real estate andI'm beginning exposed to a whole new group
of people. Like I was ata meeting and one of the other guys
like held up a picture of JimmyKimmel on his phone, like this guy
looks just like this guy, right, and uh and I said, yeah,
I played him in a movie andthey were like, really, but
(48:20):
it's not like it would be differentif it was you know, uh,
Vigo Mortenson was you know, it'salso but it's just some shitty comedy that
some kid who had parents with aton of money from Puerto Rico wanted to
make. Because at least that wasmy understanding. But anyway, uh so
yeah, go to uh go checkout comics watching comics on your Amazon Prime
season seven, episode one, standup Pediatrician dot com, or give him
(48:44):
a follow on the Twitter at doctorJ. Sute. Thanks again for coming
on the show, Doc big pleasure. We'll do it again and on behalf
of Doctor J. This is justworship saying, hug your kids, hump
your loved one, and stay frosty. My friends,
Listen to me jas Thy. Helloand welcome to the Dad Podcast. I'm
(00:38):
your host, Justin Worsham, andwith us yet again, is our very
own resident pediatrician, the one andonly doctor Jay Suete. I should doing
out there, Justica, I'm doingfantastic. Thanks for coming back on the
show. I understand you're having beautifulweather there in the state of Connecticut.
We are starting to hit the sixtieson a regular basis. Yeah, yeah,
(00:59):
we're getting up into the eighties.And then we had wind and so
the California is still continuing. It'sback and forth. How's the baseball season
going for you, doctor j Yankeesare an injured team. They've got a
dozen of them. They have anall star team on the disabled list.
Is what's going on here? So, but they're all right. They're not
quite at five hundred yet. Butluckily everybody's doing shitty. And we beat
(01:23):
the Red Sox last night, sothat was nice. That's all that matters,
right is that? Sometimes that's allthat matters? Yet? Okay,
all right? Well, good,So the rivalry is still strong. Can
you ever imagine a day where therewon't be a Red Sox Yankees rivalry?
No, No, that's part ofit. And I saw like another fourteen
year old patient for a check upyesterday. He's got his Red Sox hat
(01:44):
on and everything, and he's abig Red Sox fan. But how can
you blame a fourteen year old who'sonly lived with Red Sox winning. He
hasn't experienced any of the pain andtorture that Red Sox fans before him have,
So you know, he's pretty cockytoo. Hey, I got something
to run by you that happened tome in my parenting world that I think
you would get a kick out of. Is that last or night before last,
(02:07):
my younger son, he was coffinand congested in his nose. So
we've done the thing where we throwon the humid of fire and or open
the window as well, because thatwe found that that helps with the coughing
and everything. And he wakes upand he's still little congested in coffin,
so we decided to keep him athome. He didn't have a fever or
(02:27):
anything, but we figured give hima day to rest and then he'll be
fine. By about halfway through theday, he was good right, and
he was good to go, andthen we came home. We had to
go out to dinner because my wifeand I were both working till late.
So we go out to dinner,and then suddenly when we come home,
doctor Jay, to our surprise,his symptoms they resurfaced. He started coughing
again. He said his nose isstuffed up, and he's just I'm not
(02:51):
feeling well, and he was talkingabout needing to miss another day of school,
and here you go, and itwas it is not fun, man,
It's not fun to kind of lookat this dear sweet child that you
love more than anything and go,you little fucker. You are so lying
to me right now, Oh myrule, no fever, you go to
(03:14):
school otherwise you know, oh,I have a headache, I feel like
I'm getting sick. And then yousay, okay, well you stay home
if you feel like you're getting sick. And then they play with their computer
all day, right right, Well, we have a no video game rule
to try to alleviate that whole hookiething, but they do watch YouTube or
something. And so now I justfeel like I'm gonna have to, you
(03:35):
know, just send my kids intotheir room to just stare at a wall
all day. Is the only wayI can know, Like, how sick
are you exactly, because he haven'tread a book and give you an oral
report when they're feeling better. That'swhat I would do. Practice their math
multiplication, right. It's it's funnybecause my wife is home more with the
(03:57):
kids now, and so she's she'sshe's got an ass ful of it is
the only way I know how toput it, because her fuse has gotten
so much shorter man she is.She has got a hair trigger on her
temper now. She's like, no, no, this bullshit. She just
gets you go to school tomorrow.You're going to school marrow, like she
kept saying. And if you getsick, the nurse will know and send
you home. Yes, And Iwell, here's the other thing is that
(04:18):
we because they've missed a lot ofschool this year, like a lot.
And to the point where I go, listen, guys, thanks to the
education I've gotten from you, doctorJay's, I say, you guys got
to start washing your hands on theregular at school, Like this is an
insane amount of school that they've missedbecause of sickness. And I do believe
you know, we're pretty good atstiffing out the younger. The older one
(04:40):
doesn't really lie. The younger oneis the one. You got to watch
out for it in our house,and he came in this morning going,
you know, I just and he'scoughing up a lung in the morning,
like doing everything he can to puton a show. But it's so sad
because it's kind of obvious. Butas we all taken any acting classes yet,
so he yeah. And but seehere's the thing. I fear him.
(05:01):
I fear him because as he getsolder, he will only get stronger,
doctor Jay, he will only getbetter. And it's one of those
hard things. Like I had peopleapply for a rental house that I had,
and they had they were two youngkids who pull up in like a
brand new Hummer and a brand newCorvette and they're wanting to rent a house
in the quiet suburbs of southern California. I'm like, this doesn't jive.
(05:21):
And they make a ton of moneyand they work in this for this nonprofit
company building houses in third world countriesand listen, I'm all for philanthropy,
but it just doesn't seem to bethe trend of a twenty four year old
who's driving a Hummer. I can'tThere's lots of mixed messages, right and
yeah. So they said they wereself employed and I said, well,
great, just give me your taxreturns. I should be able to verify
(05:43):
income from that. And they go, well, we have past ups from
this one company that we work for. I said, well, if it
shows that you make enough money,then that's fine. Well, they send
me the pastubs and they were smartenough to correlate the amounts they said on
their application with what was on thepast up, but they were not smart
enough to only to not only changethe name, social Security number and the
amount in the paycheck because the amountswithheld for two different amounts paid were identical.
(06:08):
And thankfully I spotted that. Andthen when I asked for the tax
returns lo and behold, they disappeared. So my point is I wanted to
call them and say, hey,next time you try to commit fraud,
you might want to also calculate theamounts withheld. But then I realized,
I'm just educating them so that theycan rip somebody else off down the road.
All of that to say that thereason I don't I don't get into
engage with my kid into how wellI know or why I know what he's
(06:30):
doing to screw up out of fearthat I am educating him to just work
me over and he'll get in.Then you give him a work around,
so next time he does it differently. Yes, he's got to figure that
shit out of himself. Yeah,And I right, and I have to.
But isn't that funny? Like Iam, I got to figure out
it's so much to navigate because it'snot the part I thought about when I
(06:54):
was being a dad, this ideathat I was going to have to I
don't know, be spy. Ifeel like I'm a CIA asset trying to
work somebody else. Uh. Andso anyway, he came in this morning
and like he just and she waslike, I don't know, and if
my wife you're fine, you're fine. And then I could hear him coughing.
(07:14):
And then my wife had to getready because she has to leave early
on Wednesdays, and he goes andI just said, that's enough. Jack.
Let's tell you this much. Ifwe started going back to taking all
of their temperatures rectally, I thinkwe'd have a lot more of less faking
blue sick. Yeah. But here'sthe thing I wonder like, because for
most people, but there has tobe. You're right, But here's what
(07:35):
you have to do. You haveto build into that a time frame because
if you all you know is gettingyour temperature taken rectally, it doesn't really
bother you. I bet right.But if you know, if you've been
doing the mouth thing or the earthing like we have, and then suddenly
now we're going up the pooper,then yeah, that's what you have to
do. So there has to beYeah, we got to get to the
(07:56):
AAP on this and say, let'ssay, much like they've revamped their peanut
situation. I think what we needto do is from the ages of say
three to six, you take thetemperature with the ear thing, and then
at six, once they're into thepublic school system, you go back to
rectally. Just as a study onschool avoidance behaviors and rectal temperature readings and
(08:18):
see if there is some kind ofcorrelation. I think we'd see a trend
in a free hurry. Can Ico author that study with you, because
I would really love for that tobe published in the New Majournal of Medicine.
Rectal temperatures decrease school avoidance behaviors.I think that that is a postulate
that needs to be studied. Soand so. But anyway, as all
(08:41):
the parents know, when you dothis and you make this fight and you
feel so strong, of course thiswill be the day that my son goes
to school and vomits and has afever and then get sent home. And
and that's legitimate. Yeah, whatI found too nutrician. We appreciate parents
sending their sick kids to school,right because they infect the other kids and
(09:01):
that's good for business. It's sucha weird thing because like, that's that's
the thing is that I'm the guywho I don't get angry about it,
but I'm like, I just keepyour kid at home, like when you
come home, you hear him hackingup along like tuberculosis. And uh,
there was a study or an articleI just came across. It was adding
this headline and said why don't doctorsever get sick? So I was interested
(09:22):
and I read it and it hadall this stuff. You know, it's
not like doctors have some kind ofa you know, teflon superpower that blocks
us from viruses. We just washour hands forty times a day, that's
all. Oh yeah, that's andthat's why I tell my kids for a
patient. I wash after a patient, and because of washing my hands so
often, I don't tend to putas many germs into my body, even
(09:43):
though I'm exposed to stuff all thetime, all day because you literally,
out of force of habit, andI'm sure some kind of requirement every time
you leave the room, you gottawash your hands and go into the next
one. Right, do you everdo the hand sanitizer instead of the full
wash or you old school? Now? I alternate. Oh, my hands
are dainty and they dry out ifI do all handwashing with soap, So
there is a lot of hand sanitizeruse in there too, because that tends
(10:07):
to save my hands during the winter. That's funny, That's great. You
can't afford to go to the Bahamasevery February to make my hands get nice
and supple again like you used to. Uh, well, let's let's get
into some of the stuff that yousent doctor Jay. This. I've never
heard about this, so you're gonnahave to educate us all I'm I'm imagining.
(10:28):
But the article for this this comesfrom the Atlantic dot com and it
says why so many babies are gettingtheir tongues clipped So first, break it
down, like, what is tongueclipping. Well, sometimes babies are born
and you know how there is alittle attachment like at the end of your
tongue attaches at the bottom right,Yeah, yeah, and that's called the
(10:48):
frenulum. There's also one that's furtherbehind. And some kids, babies that
are born, when they go toextrude the tongue out of their mouth,
it'll it's tight and it'll dimple inso almost makes the front of the tongue,
tongue look a little heart shaped.And if they can't extrude their tongue,
it can interfere with breastfeeding, uhand getting the right position of the
(11:09):
nipple in the mouth. So Ifind that whenever a lactation consultant has a
baby who is having difficulty feeding,you hear the dog? Do you hear
the freaking dog? Oh? Wedon't hear it. Whining he's starting.
I'm gonna have to kill him,Brodney, stop it. Stop this time.
I don't hear him. It didsound like a small hum though,
(11:30):
but like, yeah, yeah,that's funny, that's hilarious. So,
so the point is it's for helpingwith breastfeeding. I find that lactation consultants
whenever, whenever a baby is havingtrouble with breastfeeding, they say the kid
is tongue tied, and that's notalways the case. So I final the
final judge on whether the kid goesto see an e NT to have it
(11:50):
clipped. And I have seen somethat absolutely positively need to be clipped,
and I've seen others where it's sucha you know, a small uh difference
it would make. And the otherthing is you don't want to clip it
and then have the kid's tongue hangingout of his mouth for the rest of
his life. I mean, it'sthere for a reason, you know.
Yeah, So I would imagine ifyou need your tongue clipped, it's because
(12:11):
you like say, as an example, you can't really stick your tongue out.
It's it's overly attached to the bottomof your mouth, right, okay,
and they can't get the And thenby not being able to lift your
even your tongue up far enough eveninside your mouth, let's say you can't
even pull a gene simmons and youknow, lick the bottom of your chin.
They'd be the opposite of the exactlyokay, And so by not even
(12:33):
but it's not even about getting itpast your lips to a certain amount.
It's even like lifting it up tocreate like a suction so that you can
feed. Is what it is.And then what and the lip thing is
that like the bottom lip, howit attaches to the bottom of your to
your gum at the jaw there too, So it could be overly, so
it could be hardware. You can'teven move your bottom lip at all.
You know. There's the picture thatwas in that article. I'm looking at
(12:56):
this baby now. I believe thisbaby has something called a symmetric crying faces,
which is a I'm looking at thekid's mouth crying, Yeah, and
the right lower lip kind of comesdown a little, a little elvis situation.
Yeah, So when a kid cries, they're both supposed to come down,
so that on the left where itdoesn't come down, he's missing a
muscle. And that's a common finding. You found when they cry, their
(13:20):
mouth is not symmetrical when they cry, So that's asymmetric crying faces. Are
you really doing a bit because thissounds like a boat, that's it.
No, I was just looking atthe baby and I thought i'd i'd lay
a little wisdom upon you. Soit looks like, to describe everybody listening,
the baby looks more like it's doinglike a traditional yawn where maybe your
jaw goes to one side. Liketo a lay person like me, I
(13:43):
don't see anything different about this baby. That's yawning, crying, whatever you
want to call it. But doctorJac's that they're missing a muscle in their
face that's causing a little asymmetry inthat Yep, all right, pretty cool
what I found asymmetric crying faces,all right? And uh, what I
found interest in reading this article isthat they don't put the baby under anesthetic.
And I'm assuming because a baby undergeneral anesthesia is kind of risky,
(14:07):
right, Yeah, any anything thatis elective for babies, Generally, the
anesthesiologists want to wait until they're oversix months because there's a significant increase in
safety once the kids hit the sixmonth mark. But this would have to
be done in the newborn period,right because they're having difficulty with feeding,
(14:28):
and you know, again, itprobably is a whole lot of other things
other than that, but when it'sa significant tongue tie, the baby does
feed better and the mother also hasless discomfort with breastfeeding because the baby actually
is getting the nipple into its mouththe way it's supposed to. Okay,
(14:48):
And have you ever performed one ofthese or had somebody perform one of these
procedures? Well, I mean atleast maybe a half a dozen times a
year you have to send a kidwho's got a significant get dimpling of the
front of the tongue when they stickit out. And just recently I had
to send a duborn to the En T. And he snipped it and
I saw the kid a week laterand it was all healed and everybody was
(15:11):
happy. It's interesting because it saysin here that a twenty seventeen study found
an eight hundred and thirty four percentincrease in reported diagnosis of tongue tie to
babies from ninety seven to twenty twelve, and an eight hundred and sixty six
percent increase in freenotomies pronectomies. There'sno scene there, those jerks, they
(15:33):
messed me up. Phrenotomys, Ah, there we go. And these are
just impatient procedures. So the phrenotomyis the lip right either one, either
one. The terms are interchangeable,and what they do is they just give
like a general anesthetic, almost likeyou're having any kind of dental procedure done,
and then they just give it alittle snip and I'm assuming do they
(15:54):
carterize it or stitch it or no, they just snip it. It heals
like within a couple of days.Things the mouth heel very quickly. It's
interesting, and it might have aday or two where the baby is a
little fussier with nursing because it hurts, but eventually the little suction machine starts
to work again and they go backto nursing, and parents mothers not parents
(16:15):
mothers oftentimes experience less discomfort if thebaby is doing it right. Yeah,
And I think that what they don'treally go into it in this article,
or if they did, I'm missingit, is that because kind of like
what you said, but they dotalk about lactation specialists will often assume that
the baby is tongue tied right likewhen it happens a lot, and that
(16:36):
might be the cause of that hugeincrease in diagnosis over the last what looks
to be twenty years or more.And so, but what you're saying is
that so they come in and thenif you're if you say you're having an
issue and a lactation specialist does that, then what you should really do is
just go to the pediatrician and saythis is what the lactation said. Pediatrician
will say this is what the realityis. Yep. And then if I
(16:57):
think it's it's a significant enough Ihave an ear nose and throat doctor in
town, and I let him bethe final judge. He sees, you
know, a lot of them andtakes care of a lot of phrenotomies even
later in life for kids because itcan lead to speech issues as well,
So you know, they take careof a lot of them. So I
(17:22):
let the e n T decide ifit's significant enough. But again, if
you've got a baby that isn't nursingefficiently, a mom who's experiencing a lot
of discomfort and pain when breastfeeding,and again that's pretty normal learning curve stuff
for the first week to two weeksof life, and a lot of times
it straightens itself out. But ifyou have even the tiniest of tongue tie
(17:47):
attachment, that's the first thing theythey sound an alarm about, and it
may or may not make a wholelot of difference. That's interesting to me,
the idea of pain being a partof it, like, because I
know it's a lot of pain ifthe baby's not getting not last properly,
uh and and his nursing improperly,that there can be a lot of discomfort,
can lead to crack nipples, andthen cracked nipples can lead to mastitis
(18:10):
infections, and you know, butyou know it's it's it. There's elasticity
to the frenulum. I mean overover life, it's gonna stretch a little
bit, but for breastfeeding the firstyear of life. And then they go
to middle school and their tongue iswagon out of their mouth like a Saint
Bernard. Well maybe they can growup to be a frontman for a rock
(18:34):
band and there you go and havelegends about their fallacio abilities or whatever.
Exactly. Yeah, I think Iused the wrong Latin term for that.
I should have stuck just to thelate terms. But anyway, um,
here's the thing that also came up. I don't know why this made me
think of this, but did Italk to you about what happened with my
(18:55):
son and his fungus and his junkthat I have? We have we talked
about this. I don't think wehave. I don't think so. No,
So my son he was now he'she's at ten, it'll be eleven
in September. And so both ofmy kids are uncircumcised because I'm uncircumcised.
Right, So thanks for Sharon,thank you, and so we he's the
(19:15):
doctor told me, the pediatrician whenI was a kid, even when I
was like six seven eight, mydad was like, you got to pull
the skin back, you gotta cleanit. And it was incredibly uncomfortable.
Our pediatricians there are connections between theforeskin and the penis that are adhering,
and in order to pull it back, those have to gently break over time,
and sometimes you know, they getthey get worked out, you know,
(19:38):
having erections in your sleep and stufflike that, it'll cause them to
break. But if you have tomanually pull it back, yeah, there's
some bleeding and some discomfort associated withit. I'd never had any of that,
but it was always a discomfort.And so anyway, we go through
it, and he's so now thatI said, well, when does he
need to start and she said,well, actually he doesn't need to really
(20:00):
start worrying about cleaning it until he'susing it. It's way she put it.
But you know, when he getsolder, we'll we'll, we'll get
there. And so recently she said, okay, now it's time to start
peeling it back so that it canstart to kind of stretch the skin a
little bit and not be stuck completelyclosed. I guess for the rest of
his life is what she's trying tostop from happening. And so he's peeling
(20:22):
it back and he said there's somewhite stuff, which I was like,
oh, that's just you know,schmegma or whatever. Yep. So and
I and he was it was uncomfortable. He had cleaned it. It was
uncomfortable, and I told him mostsometimes it gets irritated, and we'd even
put like a little bit of aquiforeon it to keep it from getting irritated
and stuff, and so we butI called the doctor just to be saved
(20:42):
because the nurse. He had goneto the nurse's office to talk about it,
and the nurse said, or thepediatrician sends me back a note saying,
yeah, it's just smegma, it'snot a big deal. But then
it gets worse, and so mywife ends up taking him to urgent care,
and the doctor takes one look atit and says, oh, he's
got a fungus uh in there.Like, so he what we thought was
(21:03):
just white schmegma was actually I guessa white discharge. Does that vibe with
what you would be thinking to doctorJake, Yeah, yeah, because smegma's
more of a waxy yellow color,whereas white and cheesy maybe more fungal looking
and and fungus likes moist, darkareas. That's why it causes diaper rashes
and jock itch in the you know, places that don't see the light of
(21:26):
day much. Now here's my theorythat I wanted to run by you.
I think part of the reason whyhe had this issue is because he insists
on sleeping in like full pajamas insteadof just say, his underwear, where
he's less likely for it to getfunky down there is that it's still it's
still dark and funky under the foreskin, all right. The what he's wearing
on the outside, I mean,he's he's got a light jacket over his
(21:48):
penis. So so if I failedhim as a father, by no,
No, it's just one of thosethings that happens. I mean, I
see. Uh, you know again, could be bacterial infection of the foreskin,
could be fungal infection of the foreskin, or you know, when they
start yanking it, you can havemechanical irritation that causes redness and swelling of
(22:10):
the foreskin. So yeah, lotsof fun. Guy. There's nothing more
gross than a thirteen or fourteen yearold boy. I will tell you that
much. I see, I gota day of thirteen and fourteen year old
boys coming into the office. Itell my nurse put them all in room
seven so I can crack a window. I can't wait. We did already
start the deodorant, and I thinkhe's used per your advice. So when
(22:33):
he turned ten, I bought him. He went and picked out a stick
of deodorant. So now I'm goingwith one of the axe flavors. No,
he actually went with a Dove.He liked the Dove fresh, said
it's what he likes. And Ido a deodorant only. I don't worry
about antipurseprint. I don't know ifthat's a misstep either, but only if
you're wearing a nice suit or something. You know, you got a wedding,
you might want to not have himsweat all right, the tucks or
(22:56):
something. Yeah, I mean itjust at this point we just don't want
them stinking up the joint. Theycan sweat, but they get older than
they're going to need an anti persesprint because it's you know, there's some
kids who just leak out of everypore in their body and sweat. Well
when it comes rise. We don'thave anti pers sprints. We can just
like like a like a flea dipfor a dog. We just dip the
(23:18):
kids into an anti pers sprint becausetheir whole body sweats. So tell me
this. Going back to my son'sjunk, is that. Yes, he's
come back to me a couple oftimes it says, you know, it's
a little uncomfortable, and I'll alwayslook at it and see if as long
as it's the head isn't like incrediblyred like usually it's a little red.
And I've had this experience even inmy youth. Is that a little red
(23:38):
around the urethra hole? Right,Yeah, that's or you could get little
chafing on the end of the foreskinskin if the tip of that is red,
like you know what I mean.But I tell him not really to
worry about it unless it hurts whenhe peas like, so that's what we
learned. And using something like vasolineor aquiferre so that what is broken down
in terms of the adhesions. Don'treattach because with inflammation they can you know,
(24:03):
reform. So using something to justkeep it from resticking so that you
keep making progress in terms of beingable to pull it back and also to
reduce friction right like to an irritatedarea. That's good. So is it
just enough that he's using soap andwater to clean his penis and just keep
at that until everything works itself out. That should be enough. And if
(24:25):
it gets uh, you know,the skin gets read either topical antibacterial like
neosporin or hold onto some loatraman cream. If fit, you know, looks
like there's a cheesy discharge. Itcould be yeast again. But yeah,
they gave us a topical they gavehim an oral antibiotic, and then they
gave us a topical prescription, butthe pharmacy didn't have it. And by
(24:48):
the time we were gonna get it, like he was already over it.
Like it was a yeah, justover the counter loatraman af antifungal is fine.
That's clode trimazoll one percent. Andyou know that's as strong as most
of the things that we can prescribeto. So okay, that's always a
good place to start. Great info, as always, Doc, This is
another one of the fun articles thatyou sent. I love this. It's
(25:11):
here's the thing. This gives mea mix. I have mixed thoughts on
this. This is professional potty trainingisn't just shits and giggles. And this
comes from fatherly dot com and it'sbasically an article talking about what seems to
be a growing market of professional pottytraining coaches or schools that you can go
to. And you went to medicalschool, why why did you? Well,
(25:34):
if this woman's getting up to twothousand dollars a day teaching kids how
to shit on the toilet, yeah, I mean come on, why did
I figure that? Or for sixhundred bucks she could phone or text with
you as well. Uh, that'sand that's that's amazing. So here's where
it comes down is that there's anelement of me of this that I look
(25:55):
at and I go that kind ofsucks. Don't you want people to kind
of be okay with figure stuff outa little bit, But at the same
time, I like the idea thatthey're going to get the information, you
know what I mean, Like,why not go to somebody who knows what
they're talking about and kind of walkyou through it? Right? I agree?
I agree. I give out handoutson how to potty. Some parents
(26:15):
just can't be bothered with it.Some kids are sometimes little pricks and just
don't do it, and parents mightneed a little guidance. But for the
most part, when the kid isready, and you know, that's a
wide range, girls usually train betweenyou know, two and three. Boys
are more like two and a halfto three and a half. Although I'm
looking at the article that we aretalking about and there's a thank you note
(26:37):
written in chicken scratch, but youcan make out what the words are.
So it's a thank you note fromone of her clients. And my problem
with that is the client is ableto write letters. Yeah, that's way
too late to be potty traded.Yeah, because that's well, especially like
full because I've learned from my kidsstarting school and learning to write. Is
that, you know, I meanin kindergarten. My on with sounding out
(27:00):
words unless I'm trying to look atthe spelling here. Unless mom or dad
wrote the letter and then the kidjust copied what they said, you know
what I mean. I don't thinkthe kid came up with awesome balloons on
his own. Yeah, exactly,and so but it is you're funny that
if you could articulate a letter rightthen in theory, you should have been
done, which is maybe part ofthe reason why they brought in the coach.
At that point, they're like,it's not working. What we're doing
(27:22):
a little more difficult than others,and there are kids with issues where it
certainly is a bigger deal than witha normal healthy kid. I just I'm
pissed off at this woman because she'smaking more money, you know. She
says, she's protty trained kids whohad previously been resistant to using the toilet.
She's trained them in an hour anda half. She is a potty
whisper. She's like Caesar Milan toyour kid pooping. Well, as I've
(27:47):
said many of times, I amthe ship whisperer because parents bring in their
ship filled kids diapers and ask meto look at examine it, and I
say, it's it's not speaking tome. Yeah, she says she's doing
it for fifteen years as well,which is it's just it's fascinating and I
feel like, you know, inan area. She's in New York.
I think they also mentioned numbers forthe UK as well, but there's a
(28:12):
oh that's right, there's a pottytraining academy in the UK and that you
can also do. But I feellike if you're in Omaha, Nebraska,
chances are you're not going to beworried about having a potty training coach or
anything along those lines. Outside.Yeah right, I'm shocked, doctor Jay,
I thought you would be against thisidea, but I think it's a
(28:33):
horrible idea. Okay, but butyou know, listen to these stats.
Okay, A one day in homesession is nine hours and it's two thousand
dollars. And then if if sheneeds to a second day, a two
day in home session is fourteen hoursof her potty training abilities. But that's
(28:55):
three grand, Yeah, three grand, And then she does it four to
six days a week, plus telephoneor computer training consults. I mean,
this is big business. If youhave if you have a population that's you
know that it's sustainable, busy ortoo lazy to want to take the time
to train their kid. Yeah.Can you imagine making fifteen hundred dollars a
(29:17):
day for two days of work.I don't. I don't make that.
I make I bring home that afterwork at eight days. Yeah. They
they're only dealing with the potty trade. Yeah, they don't everything. Yeah,
you got it, from depression toschool failure to add and T and
(29:37):
H and I do the toilet tradeand stuff. Wow. And you know
what, it's squeezed into a visitthat I barely get paid for. Yeah,
it sounds like you're undervaluing yourself.That's what it's. That's what I'm
learning. Not me that's undervaluing.It's it's all the money that I just
saw that United Healthcare UH exceeded expectationsfor the first quarter of earnings. And
(30:00):
and I'm saying to myself, youknow what, I'm the one taking care
to kids. They're just ensuring people, right, and they're getting the money.
And because the United States has alaw which prevents the government from negotiating
pharmaceutical prices with the pharmaceutical manufacturers,we can't even negotiate what medicine costs in
this country. So basically they're sayingOkay, we got x amount of money
(30:22):
going into healthcare. We got topay the dividends to our shareholders. This
is what pharmaceuticals costs. We can'task the people to pay more in premiums.
The only way to squeeze dollars outis to squeeze it out of the
doctors who are supplying the care.And god damn it if I ain't making
half of what I made in twothousand and four. And people's salaries,
when they go up in age andexperience and time served, typically doesn't go
(30:45):
down. It certainly doesn't have WOW. And that's because it's big business for
people that didn't go to medical school. Yeah. Yeah, well say that's
a big deal, except that therewas some pristie age and respect at one
time for my career. But nowthere are pediatric walk ins popping up in
(31:06):
every town across the country. Soa parent can get home from work at
five o'clock, have dinner, taketheir kid for the ear at seven thirty
at night, So it cuts downon the flow at my office. But
then when they screw up and givethe kid a medicine they're allergic to or
something else, then it's up tome to pick up the pieces for their
negligence, and it's a cycle thatis not you know, the whole Having
(31:30):
a kid's doctor that follows them frombirth to college graduation is a wonderful idea.
They know your kid, they knowevery in and out of your kid.
And when you go to these walkins, they're just treating and streeting.
That's all they're doing. Yeah,it's a McDonald's a healthcare it is.
You go touch the screen to saywhat's wrong with you? Where does
it hurt, and then move on. That's exactly right, I mean,
(31:52):
if you really think about it.And I don't want to make this necessarily
about bagging on urgent cares either,but I mean because I think everybody's always
you know, doing their best.I do. I do believe that.
Yeah, but the best for someonewho isn't the best and the brightest to
begin with. And that's why they'reworking at an urgent care is you know,
subpar or going to a CBS minuteclinic, you know where their motivation
(32:16):
is to sell your medicine, notgive you healthcare. So of course you're
going to walk out with a prescriptionevery time. If that's what you want,
go to a CBS Minute Clinic,they'll give you medicine. Well,
you know it's funny, is that. Yeah, you kind of blew my
mind, is that I never wouldhave compared urgent cares. Because here's the
thing in real estate. Now thatI'm doing that full time, you learn
(32:36):
about things like Purple Bricks and redfinright, which are what they call discount
commissions. They you know, they'llopen listing is another one of these,
Like they're these websites that for dirtcheap, and their whole marketing campaign is
that a real estate agent is overchargingyou for the services that they provide,
right right, And so for somepeople, sure, it's it's not a
bad idea if you if you're allabout saving money. But what you have
(33:00):
to understand, Like I just wastrying to help a lady get a house.
I was not going to profit fromthis. Her boyfriend is an agent
for Redfinn and he's an idiot,Like he screwed up this deal because he
could not pick up what I wastrying to subtly advise him to do in
order to get his girlfriend this housethat she wanted, right like any he
(33:21):
couldn't see past it, and everybodyI talked to. Their whole thing was,
well, it's because he works forRedfinn. So Redfinn is a company
that, when you look at itfrom a real estate standpoint, is that
they bring leads in. So theperson is different from me in the sense
that my job is that just likea contractor, to use a different example,
I have to be so good atmy job that people naturally refer them
to me. And that's how Ifilled my pipeline, right, is that
(33:44):
people have to go that guy knowswhat he's doing. That guy will take
care of you. He looks outfor your best interest. You're not just
a transaction. That's why you shouldgo with justin. Whereas what you're saying
is if you just go into thesewalk in clinics where it's just churn and
burn, that the people there areprobably going to be of lower quality.
Because if you are a doctor withambition, right, you're probably going to
(34:05):
want to have your own practice orwork for a private company or something along
those signs. Right, Yeah,I mean you don't want to just treat
your infections and strap throat. Imean, I mean that's an easy way
of making the buck. But youknow, for me, it's the longitudinal
relationship that you have with the familyover a long period of time. And
like I said before, now I'mseeing more than if I'm doing prenatal visits
(34:29):
on a Tuesday and I have fourcouples come in. Out of the eight
people in the room, two ofthem are like former patients of mine that
are now having a baby and bringingit to me, which is which is
great. So you know there's thatand the and the turnover. I mean,
you never see the same person atthe same walk in two times in
a row. And I guess we'rewe're looking at the two extremes here.
(34:51):
We're looking at people who want tosave a buck and convenience going to walk
in versus the people that can affordthree grand to have your kid potty train
in two days. So Hi,yeah, you're right, we're talking two
different worlds here. Yes, thatis quite the spectrum. Here's the other
thing that you sent to that thisis always I'm always fascinated by these and
(35:13):
maybe you could clear up some ofthese wives tales. But this comes to
us from my Suncoast dot com andwhat it says is men's beards have more
germs than dog fur. Yeah,huh, so they found that all of
the bearded men that so what sothese professors in Switzerland clinic they took swab
samples from whiskers of eighteen men andcompared them with samples from the necks of
(35:36):
thirty dogs of varying breeds. Theyfound all of the bearded men aged eighteen
to seventy six showed high microbial counts, but only twenty three of the thirty
dogs had high counts. Seven ofthe men sampled were found to be harboring
in their beards microbes that posed athreat to human health. That's insane to
me, Like, how much ofthis are they like blowing out a proportion
(35:59):
in europe opinion? Well, Idon't know. They got they got numbers,
and they have cultures and and they'vegot results here. I don't know.
I just uh, I just thinkwe got to keep it short.
These lumberjack beards, that's where itis, Okay, Yeah, the lumberjack
beards. I think statistically, thelonger the beard, the shorter the pubic
(36:22):
hair. I think they're just spendingmore time down there than they are on
their face. And I mean we'velost our priorities. I think, Yeah,
I know that's that's funny because Ithink you're right, like all,
for all intentsive purposes, a guycould look like a baby bird in his
downstairs but like a lumberjack on hisface. That's very interesting. And I
(36:43):
do you did you see why theydid this study? What the reason was?
I mess it why The study wasconducted by scientists who wanted to learn
whether there is a risk that humansmight pick up a dog born disease from
an MRI scanner that was also usedby veteran arians. That was the reason
(37:04):
the study was done. So tothe point now where humans have to use
have to use old veterinary MRIs inorder to have their scans done. I'm
telling you, man, we arenot too far off from our rectal thermometer
study. I really think we couldget funding for this and make it a
thing. I believe that to bethe radiology practice that is just like a
(37:28):
CVS minute clinic. Right, Yeah, bring your dog. We've got dad
MR fifty percent off if you're willingto get an ur Kenine MRI machine.
It sucks that we're just a coupleof dudes, right, because I'm curious
with this beard craze, Like howmany women are into it. I would
(37:49):
venture a guess, and I can'twait to hear from you guys on the
social media, but I would venturea guest that the members of our Hot
Moms Club that are listening are notfans of beards. My wife likes stubble,
which I'm glad to hear you saythat if it's the lumberjack beard is
where it's really crazy. But Iusually always rock about a five o'clock shadow
now, and she likes the lookof that and doesn't mind stuff pushy in
(38:12):
the winter because it's good for warmth. Yeah, but I've already gone down
to my lowest setting now, soyeah, I keep it short in the
summer, but I have things tohide, so I keep my beard.
You keep a beard a little bitlonger. Now, Do you ever worry
about this stuff? Have you heardmore stuff like about the microbials and all
that. Yeah, listen, Idon't wear a tie to work anymore because
(38:35):
it had shit and piss bacteria becauseyou can't really watch it well. You
know. I was having them dryclean, but it became expensive every time
I got spit on or puked onor something landed on me. So I
stopped wearing ties to work. Ionly wear them when I do stand up
now to remind people I'm a pediatrician. That's interesting. Otherwise what would I
do with my Superman and Spider Manand pez to spend two hundred ties that
(39:02):
are only able to be warned bya pediatrician or a high school biology teacher.
Or Yeah, that's a good point. Here's how many times in a
week would you say that you're vomitedon, pissed on or whatever? I
mean, I guess the coffee ofthe season. I'm constantly coming in contact
with fluids. Oh, I meanI I change diapers, you know,
(39:25):
I It's that's why I washed myhands. Otherwise, you know, it
wouldn't matter whether I'd have a beardor not. I'm be dead. How
many have you ever done on mycrobioaccount on your ties? Is that something
that you can just take it?There have been mutuals, many many studies
that look at the ties that doctorswear, where they you know, swab
(39:45):
the doctor's ties at the hospital,and then they swab ties of people at
work in a business environment, andthe amount of bacteria on the hospital base
ties so significantly higher than people whojust you know, go to their office.
Incredible. I love that. Prettyamazing, It is pretty amazing.
Before we wrap things up here,we also wanted to talk about doctor Craig
(40:07):
Canna Perry. If you remember,he's the sleep expert that used to be
a resident for with doctor Judent medicalstudent and now he's the director of the
Sleep at Yale. Right, yes, yeah, So he's got a new
book that is available for pre orders. So if you've got young kids or
know somebody who's having young kids,go ahead and pre order. It's coming
(40:29):
out on May seventh. It's nevertoo late to sleep train the low stress
way. It's a high quality sleepfor babies, kids and parents. So
if you like, you know theguy he taught, he's the one who
came on the show and talked about, you know what daylight savings time does,
and he's talking about making high schoolat least start later on in the
day, you know, based onresearch and all that. And he just
(40:50):
see my impression, he just seemslike a smart, sound guy and all
he thinks about and lives and eatsand breathes is sleep. So why not
read a book by a guy whodoes that? Dot com? Yes,
Yes, it's sound. It's alreadyup for pre order on Amazon. And
I'll see if I can get himto join us for for a cast the
next the next time when he topromote the book. Yeah, that would
(41:12):
be great. I would love tochat more with him about it. So
uh yeah, So again, there'slinks in the description of this episode,
but the title is It's never tooLate to Sleep Train if you just put
that in there, or put doctorCraig Kenna Perry, which I think,
in my opinion, it sounds.There's a link in the description, just
use that, or you could searchit on Amazon. But yeah, good
dude, good book. Good toknow it's for me. I bet you
(41:35):
this could be like what baby Wisewas for me. I don't know if
you're pro baby Wise or not,doctor Ja, but yeah, I'm the
other one is uh Solve your childSleep Problems by doctor Ferber from Boston,
and Craig trained under doctor Ferber.So uh, he's he's a smart dude.
But yeah baby Wise. I meanI told him when I you know,
I looked at some of the uhtitle cha, chapter titles and stuff.
(42:00):
I said, I don't know,Craig, this could get you on
Oprah wouldn't that be great? Well, And to be clear, like I'm
not even say baby Wise for mewas a great way for me to learn
how to deal with my baby.It's not sleep specific, it's just it's
a good introductory book for like raisingan infant, in my opinion. And
(42:20):
I think if this one is great, like if you're if you got even
somebody's pregnant, right, like thisis good information to have before the baby
comes, because oftentimes after the babycomes, you are too tired to absorb
the information and it's and it's oftentoo late. You're yeah, exactly.
So I found that because I readbaby Wise before Jacob was born, and
then I did like a refresher.It's funny because when we nailed it,
(42:43):
I think with Jacob as far aslike it always he we had days.
But for the most part, theroutine thing in that way really worked for
us. It made sense, andit made sense for him and everything.
And then when Jack came into thepicture, it did not make sense,
like it wasn't working. And thenI went back and revisited the book,
and it's because I wasn't doing whatthe book told me. And when I
did that, Jack, who wasknown for being a very angry baby immediately
(43:06):
chilled out. Everything got nice,everybody, everything was smooth and even so
I recommend that. And and Ican't wait to read this book about the
sleep stuff. I think it'll Ithink it'll be great because because of Craig
Canna Perry's appearances on the show,Like, I'm very particular about interrupting my
son's deep sleep because right now we'regoing through this thing where they like having
they each have a dog essentially,so our family has two dogs, and
(43:29):
now they're doing a thing where thedogs sleep in their bedroom. Right Well,
the younger son's dog has no problemjust going in, laying on the
bed, and everything's fine because she'sa little more chill. The older son's
dog is a little more high maintenanceand once things her way. So when
we shut the door so she'll stayin there, she scratches at the door,
like in the middle of the nightsometimes when we've left the window open
just to keep it cool in hisroom. Then the sprinklers come on in
(43:52):
the middle of the night and itscares that dog and she scratches the door,
wants out. And even though itlooks like our son isn't waking up.
I just have a fee that whatif his deep sleep is getting disrupted.
I haven't seen any signs where heseems tired or lethargic during the day,
but I'm probably overly protective in thatarena. Yeah, maybe a little
bit. They all get it.If if their body is craven sleep,
(44:13):
they're gonna make up for it somewhereor they're gonna get sick, right because
their you know body is make somestop and slow down. Yeah all right,
well again, it's never too lateto sleep train. The Low Stress
Way to High Quality Sleep for Babies, kids, and Parrots by doctor Craig
Canna Perry. Check it out.Don't forget to check out doctor j At
stand up. Go ahead. CanI give a little plug too? Please?
(44:35):
Ye streaming for free if you happento have Amazon Prime Video streaming for
free. I am on a showcalled Comics Watching Comics Season seven. I'm
in the first episode, so ifyou're interested in seeing the comedy judged by
four experienced comics. Comics Watching Comicsseason seven, episode one free on Amazon
(45:00):
Prime Video. Yeah, check itout. It's interesting because because I knew
you and I watched them, Iwas very upset by any criticism that they
threw you. Well, yeah Iwas too. Yeah, but they actually
were pretty positive overall. Yeah,no, we're pretty positive. So just
the guy that was the dentist sayingthat, coming on stage and saying I'm
a pediatrician, he said, youknow, don't come out if you say
(45:22):
you're a pediatrician, then you're nota comic. You gotta kind of explain
it. If all my jokes arerelated to kids and ship poop and y
you know it's and I'm wearing aScooby Doo tie, you gotta kind of
get that out of the way.I think, Yes, I know,
people, Here's the thing. Comicsare notorious for way overthinking stuff. I
(45:43):
know that people have listened to medo this show like you know, shits
or lock. But I mean you'veheard me overthink stuff like It's just I
remember there was a time when Iwas like, you know, because I'm
a dad, I shouldn't wear anice button up shirt, I should wear
just a baseball team like look likea dad. Like I'm a dad in
a sitcom was my stupid mentality untilI had a booker who I sent an
old tape to and I hadn't.I hadn't put together the new tape and
(46:06):
the old tape had me in anice button up shirt. And then they
she said, you know what,I'm gonna book you because not only are
you funny, but at least you'rea professional. She goes, if I
see another person who looks like theydon't care dressing in a hoodie and some
cargo pants, I'm gonna shoot myself. Alright, there are venues for hoodies.
You know, you're doing bar shows, open mics, things like that,
but you know you're doing a theater. You know you'd gussie yourself up
(46:30):
a little bit. I always someonetold me once you dress better than the
one step above what the audience isdressing, which means in some places at
ELK Sladge, I could be wearingoveralls. But but you know, I
mean you're that you're working. Yeah, yeah, no, I I agree.
But immediately after getting that email,I went out and I bought two
sports jackets and more button up shirtsand changed my entire look after that,
(46:54):
And it was I'm sure it wasmore coincidence, because this is an example
of me arguing overthinking it. Byoverthinking it, I think, but shortly
after that is when I started gettingmore headlining gigs. Was after I got
the set to wear a white coaton stage, justin Yes, that's commitment.
I've come a long goddamn away fromthat. You know that's committed.
Little steps over, well, it'stwelve twelve years of it, so you
(47:16):
know you change and evolved, andyou know it's it's fun. I find
the whole process of comedy just tobe fascinating. I just I don't know
why my heroin is getting people tolaugh, but it is. That's funny.
And again, the name of theshow is Comics Watching Comics, and
it's available on Amazon Prime, seasonseven, episode one, correct. Yes,
(47:37):
and guess what that gave me.I have an IMDb page what doctor
Jay Sute as himself. It justsays Jay Sute is an actor. That's
it. That's all it says.And then it says comics watching comics.
But that's great. That's better thanme. Mine has all of my like
three of the voiceover jobs I hadfor video games. And then the one
time I was in a movie playingJimmy Kimmel, not another celebrity movie.
(48:00):
Yeah you could play Jimmy Kimmel's Yeah, I keep getting that a lot lately,
that You're right, it's super doucheybecause people like, like, especially
now that I'm in real estate andI'm beginning exposed to a whole new group
of people. Like I was ata meeting and one of the other guys
like held up a picture of JimmyKimmel on his phone, like this guy
looks just like this guy, right, and uh and I said, yeah,
I played him in a movie andthey were like, really, but
(48:20):
it's not like it would be differentif it was you know, uh,
Vigo Mortenson was you know, it'salso but it's just some shitty comedy that
some kid who had parents with aton of money from Puerto Rico wanted to
make. Because at least that wasmy understanding. But anyway, uh so
yeah, go to uh go checkout comics watching comics on your Amazon Prime
season seven, episode one, standup Pediatrician dot com, or give him
(48:44):
a follow on the Twitter at doctorJ. Sute. Thanks again for coming
on the show, Doc big pleasure. We'll do it again and on behalf
of Doctor J. This is justworship saying, hug your kids, hump
your loved one, and stay frosty. My friends,
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