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Explore every episode of the podcast The Baby Manual

Dive into the complete episode list for The Baby Manual. Each episode is cataloged with detailed descriptions, making it easy to find and explore specific topics. Keep track of all episodes from your favorite podcast and never miss a moment of insightful content.

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TitlePub. DateDuration
610 - Postpartum and Getting Back to Normal07 Oct 202600:48:27

Dr. Carole Keim welcomes OB-GYN and integrative medicine physician and co-founder of Mone Wellness, Dr. Kate Hom, to The Baby Manual for an encouraging conversation about postpartum recovery and what it really means to “get back to normal” after having a baby. Dr. Hom explains why the traditional six-week postpartum visit is an important medical checkpoint but does not mean that a mother’s body has completely recovered. Together, they discuss the significant hormonal and physical changes after delivery, pelvic floor recovery, nutrition, birth trauma, mental health, and the importance of having a strong support system throughout the postpartum period.

Dr. Hom and Dr. Keim also explore the pressure of “bounce back” culture and why recovery can take much longer than six weeks. They talk about pelvic floor therapy after pregnancy, including for mothers who deliver by C-section, as well as baby blues, postpartum depression and anxiety, birth plans, doulas, epidurals, Pitocin, and some of the realities of labor and delivery. Dr. Hom shares her integrative approach to postpartum wellness, including attention to nutrition, blood sugar regulation, nervous system support, gentle progressive movement, and mental health care. She also introduces Mon Wellness, an app she helped create to give postpartum mothers access to education, expert guidance, community features, wellness tracking, and other tools for navigating recovery. 

Key Moments

00:00 Welcome to Season 6 and meet Dr. Kate Hom

02:42 Why six weeks doesn’t mean postpartum recovery is complete

06:19 Hormonal changes, “bounce back” culture, and finding a new normal

09:14 Nutrition, nutrient repletion, and supporting postpartum recovery

10:43 Pelvic floor therapy, urinary leakage, and recovery after pregnancy

14:09 Understanding birth trauma and recognizing possible symptoms

17:31 Doulas, advocacy, and creating a supportive birth team

22:09 Birth plans, epidurals, Pitocin, and flexibility during labor

29:13 Understanding labor progression and preparing for delivery

34:23 Baby blues, postpartum depression, and postpartum anxiety

38:49 Therapy, medication, and professional mental health support

40:33 Mone Wellness and integrative postpartum support

 

About Dr. Katherine Hom, MD, FACOG:

Dr. Katherine Hom is a board-certified OB/GYN with a medical degree from UC Irvine, residency at the University of Nevada-Las Vegas, and certification in Women's Functional and Integrative Medicine. She is the co-founder of Mone Wellness. She strives to be the bridge in women's health, intersecting a holistic approach with modern, evidence-informed medicine. As an integrative OB/GYN, she empowers women to make the best healthcare decisions for themselves by offering integrative interventions such as lifestyle, nutritional, mind-body, and botanical, as well as pharmaceutical and surgical options. She enjoys collaborating with a multidisciplinary team so women can feel the most supported, especially in transitional times like postpartum.

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Resources discussed in this episode:

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Contact Dr. Carole Keim MD

 

Contact Dr. Kate Hom

 

Vitamins and supplements for:

Breastfeeding moms - https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School - https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune support - https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= 



 

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Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

609 - Nanny, Au Pair, or Babysitter?23 Sep 202600:45:21

Dr. Carole Keim explores the many ways families can build their childcare village right at home, from mother’s helpers and babysitters to professional nannies and au pairs. She begins with practical guidance for welcoming anyone into your home to care for your baby, including communicating family rules and boundaries, reviewing safe sleep practices, preparing for emergencies, and considering health precautions. Dr. Keim also explains why infant CPR and first aid training can be so valuable for parents and caregivers, especially as babies begin eating solid foods and becoming more mobile.

Dr. Keim then welcomes Carson Wagner, founder of Lifetime of Love Nannies, to explain how professional nanny care can be customized around a family’s schedule and needs. Carson discusses consistent and backup care, sick-child care, newborn overnight support, care for children with additional medical needs, and the ways nannies, family assistants, and household managers can take child-related and household tasks off parents’ plates. Later, former au pair and local childcare consultant Marion Marcotte joins Dr. Keim to explain how the au pair program works, including work-hour limits, living arrangements, childcare responsibilities, screening, and the matching process. Marion also shares why communication, family dynamics, cultural exchange, and realistic expectations are so important when choosing an au pair who will live with and become part of a family’s day-to-day life. 

Key Moments

00:00 Mother’s helpers, babysitters, and finding an extra set of hands

02:29 Setting family boundaries, safe sleep expectations, and household rules

03:42 Health considerations when caregivers and family visit your baby

07:23 Infant CPR, first aid, and preparing caregivers for emergencies

10:44 Meet Carson Wagner and learn how professional nanny care works

14:20 Creating consistent care for families with regular or changing schedules

15:57 How nannies, family assistants, and household managers can help

21:25 Newborn overnight care and support for children with additional needs

27:05 What is an au pair? Understanding live-in childcare and responsibilities

29:16 Deciding whether an au pair is a good fit for your family

31:22 Screening, driving, background checks, and au pair program requirements

35:13 Finding the right match through communication, expectations, and personality

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About Carson Wagner:

Carson previously worked in childcare and with special needs children, where she noticed a huge demand for childcare that accepts ALL children, no matter where they come from or what their capabilities are. She started Lifetime of Love Nannies to give families quality, consistent care they can trust through her team of highly trained nannies. She would like to implement the prior knowledge she gained through her background in behavioral therapy and take the term "nanny" to a whole other level. All of the Lifetime of Love Nannies have different backgrounds and qualifications to meet your family's needs and give your kiddos the best care. 

 

About Marion Marcotte:

Marion Marcotte is a former au pair and local childcare consultant who helps families navigate the au pair experience. Drawing on her own experience as an au pair and her work supporting host families, Marion offers insight into the matching process, childcare responsibilities, family expectations, and the importance of communication and cultural exchange. She helps families understand what to consider when deciding whether live-in au pair care is the right fit for their household.

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Resources discussed in this episode:

__

Contact Dr. Carole Keim MD

 

Vitamins and supplements for:

Breastfeeding moms - https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School - https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune support - https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= 

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

608 - Parenting Newborns with Jen Lumanlan09 Sep 202600:38:12

Dr. Carole Keim welcomes Jen Lumanlan, host of the Your Parenting Mojo podcast and author of Parenting Beyond Power, to The Baby Manual for a thoughtful conversation about respectful parenting and why parents can begin building a connected relationship with their child from the newborn period. Jen shares how her own parenting journey led her to study child development and education, and explains how RIE (Resources for Infant Educarers), an approach often associated with respectful parenting, helped her begin seeing babies as active participants in everyday caregiving rather than simply recipients of care. 

Together, Dr. Keim and Jen explore the difference between respectful or gentle parenting and permissive parenting, why both children’s and parents’ needs matter, and how everyday moments like diaper changes, feeding, crying, play, and bedtime can become opportunities for connection. They also discuss co-regulation, boundaries, natural consequences, scaffolding, parental triggers, and the importance of recognizing the needs underneath a child’s behavior. For expecting and new parents, this episode offers an encouraging framework for understanding their baby’s needs, recognizing their own needs, and building connection through everyday interactions from the very beginning. 

Key Moments

  • 00:00 Welcome and why parenting begins in the newborn period
  • 03:01 Gentle parenting vs. permissive parenting
  • 05:04 Seeing your baby as a whole person
  • 07:41 Turning everyday caregiving into connection
  • 09:49 Why babies don’t need to be happy or entertained all the time
  • 10:51 Baby crying and understanding parents’ emotional triggers
  • 13:23 Looking beneath challenging behavior to find the underlying need
  • 16:10 Babies are always changing: sleep, soothing, and development
  • 18:16 Why parenting was never meant to happen without a village
  • 21:46 Understanding needs, natural consequences, boundaries, and limits
  • 24:14 Preparing your parenting partnership before baby arrives
  • 27:23 Co-regulation and how babies “borrow” a parent’s calm
  • 30:27 Letting go of pressure around toys and child development
  • 34:28 Scaffolding skills and knowing when your child needs extra help

About Jen Lumanlan:

Jen Lumanlan brings a unique combination of deep research expertise and genuine understanding of what parents face every day.

With undergraduate degrees from UC Berkeley, a Master's from Yale, and later Master's degrees in both Psychology (Child Development) and Education, Jen doesn't just read the research - she understands how to translate it into approaches that actually work in real families.

Jen has reviewed more than 10,000 academic papers on parenting and child development for 250+ episodes of the Your Parenting Mojo podcast, and has interviewed the Who's Who in related fields.

Jen also knows that research alone isn't enough. That's why she's also a CoActive Coach and is trained in the Gottman Method. This means she listens in ways that help you discover what works for your unique family rather than imposing one-size-fits-all solutions.

Jen's background in corporate environmental strategy - as well as her late-diagnosed Autism - helps her to see patterns and connections that others often miss. She helps families to see patterns of behavior that indicate underlying needs, so you can navigate parenting challenges while staying true to your values.

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Resources from Jen Lumanlan:

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Contact Dr. Carole Keim MD

 

Contact Jen Lumanlan

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Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

607 - Sleep Without Training26 Aug 202600:40:41

Dr. Carole Keim welcomes internationally certified baby sleep consultant and founder of the Yawn Baby Sleep platform, Camille Jaramis, for an insightful conversation about baby sleep in the first two years of life. Together, they explore how newborn sleep differs from infant sleep, what really happens during the four-month sleep regression, and why developmental changes, like the Wonder Weeks, can temporarily disrupt even the best sleeper. Camille explains the difference between self-soothing and self-settling, and why flexibility and age-appropriate expectations are so important for both babies and parents.

Camille and Dr. Keim also explore the cultural pressures many families face around sleep schedules, maternity leave, and “sleep training,” offering reassurance that there is no one perfect way to help a baby sleep. Camille shares practical guidance on sleep environments, including light exposure, white versus pink noise, and safe sleep basics, along with insights into how her AI-powered sleep support tool, Yawn, helps parents personalize sleep plans based on their baby’s unique temperament and developmental stage. Most importantly, Dr. Keim and Camille remind parents to give themselves grace, because healthy sleep is a journey, and every family’s path looks a little different.

Key Moments

  • 00:00 Meet Camille Jaramis and her journey into baby sleep consulting
  • 04:20 Surviving the hospital phase and newborn sleep realities
  • 09:18 Understanding the Wonder Weeks and developmental leaps
  • 14:25 The four-month sleep regression explained
  • 16:01 Sleep environment basics: noise, darkness, and red light
  • 18:27 Overtired cycles and nap transitions (3 to 2 naps, 2 to 1 nap)
  • 23:34 Introducing Yawn: AI-powered personalized sleep support
  • 27:05 Wake windows explained and how they change with age
  • 33:56 Sharing the mental load between parents
  • 38:19 A final reminder to give yourself grace

About Camille Jaramis:

Camille Jaramis is an internationally certified baby sleep consultant and the founder of Ask Yawn, an AI-powered parenting support platform designed to provide personalized, research-informed sleep guidance. After building and leading a large global community focused on baby sleep, Camille recognized how overwhelming and conflicting parenting advice can be for families navigating the early years.

Drawing on her background in human-centered technology and her experience supporting hundreds of thousands of parents, Camille created Ask Yawn to deliver tailored, practical support that adapts to each child’s unique needs. Her work focuses on helping parents feel confident, informed, and supported as they navigate baby and toddler sleep.

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Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Contact Dr. Carole Keim MD

 

Contact Camille Jaramis

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

606 - Building Your Village12 Aug 202600:42:57

Dr. Carole Keim continues the It Takes a Village season with an encouraging solo episode focused on one of the biggest questions new parents ask: How do I build a village when I don’t already have one? Whether you're far from family, new to your community, or simply feeling overwhelmed, Dr. Keim shares practical ideas for creating a strong support network during pregnancy, the newborn period, and beyond. She explores how modern parenting has changed, why raising a child is truly a team effort, and how every family can build a village that fits their unique circumstances.

Dr. Keim discusses the different pressures often experienced by birthing and non-birthing parents, practical ways partners can support one another, and why asking for, and accepting, help is one of the healthiest things new parents can do. She shares realistic strategies for meeting parents' basic needs, including meal trains, meal preparation, sleep, household responsibilities, and protecting mental health during the postpartum period. Dr. Keim also offers practical ideas for finding community through friends, neighborhood groups, religious organizations, local parent groups, and trusted online resources, while reminding parents that genuine, in-person connection is an important part of building the village every family deserves.

Key Moments

00:00 Why every family needs a village in today's world

01:24 How modern parenting has changed—and why parents feel stretched so thin

02:48 Understanding the different pressures on birthing and non-birthing parents

05:18 Helping partners feel supported, capable, and connected

08:54 Resources that help parents feel informed and empowered before baby arrives

11:06 Postpartum mental health affects both parents

16:16 Meeting moms' basic needs with food, water, and practical support

22:24 Meal trains, meal prep, and making nutrition easier for new families

27:31 Sleep strategies and realistic expectations during the newborn period

32:12 Accepting help, lowering expectations, and building your village through community

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Resources discussed in this episode:

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim

__

Contact Dr. Carole Keim MD

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

605 - Diapers, Your Way29 Jul 202600:42:14

Dr. Carole Keim welcomes entrepreneur and innovator Miki Agrawal to The Baby Manual for a thought-provoking conversation about sustainability, parenting, and how caring for our children can also mean caring for the planet they will inherit. Best known for founding Thinx and TUSHY, Miki shares the inspiration behind her newest venture, HIRO Diapers, and explains how becoming a mother led her to rethink one of the biggest sources of household waste: disposable diapers. Together, Dr. Keim and Miki explore how innovation, nature, and practical parenting solutions can work hand in hand.

Miki explains the environmental challenges posed by disposable diapers and introduces the science behind HIRO Diapers, which pair reduced-plastic diapers with beneficial fungi designed to help accelerate biodegradation in landfills. She also discusses postpartum products, elimination communication, and ways families can make environmentally conscious choices without sacrificing convenience. Throughout the conversation, Dr. Keim and Miki encourage parents to remember that even small, thoughtful actions can add up to meaningful change for future generations.

Key Moments

00:00 – Why diapers deserve their own episode
Dr. Keim explains why she dedicated an entire episode to diapers and reviews disposable diapers, cloth diapers, and elimination communication before introducing today's guest.

12:59 – Meet Miki Agrawal and her entrepreneurial journey
Miki shares her background, from founding WILD, THINX, and TUSHY to becoming inspired by motherhood to rethink disposable diapers.

17:47 – The environmental impact of disposable diapers
Learn why billions of diapers end up in landfills, how long they last, and what motivated Miki to look for a better solution.

19:55 – The idea behind HIRO Diapers
Miki describes the inspiration that led her to fungi-based diaper technology and the years of research behind the product.

23:42 – How the fungi system works
Discover how the fungal pouch is designed to activate after disposal, why it stays separate from the baby, and the safety considerations behind it.

26:21 – Supporting parents beyond diapers
Dr. Keim and Miki discuss postpartum recovery, period underwear, bidets, and products that can make the postpartum period more comfortable.

27:40 – Elimination communication and using fewer diapers
The conversation explores early potty awareness, reducing diaper use, and balancing convenience with sustainability.

30:10 – Building an eco-conscious parenting community
Miki explains HIRO's broader mission of educating parents about elimination communication, non-toxic living, and environmentally conscious parenting.

31:00 – Small choices can make a big difference
The discussion turns to plastic pollution, ecosystem health, and how everyday parenting decisions can contribute to meaningful environmental change.

37:10 – Where parents can learn more
Miki shares where families can find HIRO Diapers, follow the company's work, and connect with her mission online.

About Miki Agrawal:

Miki Agrawal is the creative force behind acclaimed social enterprises TUSHY (the modern bidet brand), THINX (period-proof underwear), and WILD (NYC’s first gluten-free pizza concept), collectively valued at over $250 million. Miki is the author of best-selling books "DO COOL SH*T" and "DISRUPT-HER”.

Her next company, HIRO, is a revolutionary nature-based start-up harnessing ancient technology - fungi - to help solve the global plastic crisis. Their first product is a baby diaper that is designed to return to the earth with the help of friendly fungi. (They chose diapers to launch with because they’re the #1 household plastic waste item that takes 400+ years to decompose in a landfill - and each baby uses ~6,000 diapers in their lifetime. Wild, right?) HIRO Diapers’ mission is to return to the earth with the help of little HIRO Myco-pods that you add in during the diaper change. They’re soft, safe, unbleached (the only one!), high-performing, and ready to change the game. Check out HiroDiapers.com to learn more.

Recognized as one of Fast Company's "Most Creative People," a "Young Global Leader" by the World Economic Forum, and named one of INC's "Most Impressive Women Entrepreneurs," Miki brings a wealth of experience and expertise to the stage as a keynote speaker. Her authentic talks have been validated by audiences at MindValley, EO, and Capitalism.com, who have voted for her as the #1 best speaker among hundreds of speakers.

Miki's compelling presentations delve into her 20+ years of entrepreneurial adventures, from boldly inventing products in traditionally taboo categories to creatively launching and scaling them exponentially. She openly shares her authentic revelations, embracing the colorful journey that defines her.

When you experience Miki on stage, you'll witness more than a speaker; she's a dynamic, truth-telling performer delivering an unforgettable one-woman show. Combining her captivating presence with her profound insights into innovation and creative marketing, Miki's presentations have the power to drive any company towards innovative transformation. For more, go to mikiagrawal.com/speaking

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Resources discussed in this episode:

 

Check out all of Dr Carole Keim's must-haves and essentials for your little one: https://www.amazon.com/shop/drcarolekeim

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Contact Dr. Carole Keim, MD

Linktree linktr.ee/drkeim

Tiktok @dr.keim

Instagram DoctorAtYourDoor

Website CaroleKeim.com

 

Contact Miki Agrawal:

Website: MikiAgrawal.com

LinkedIn: MikiAgrawal

Instagram: MikiAgrawal

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

604 - Potty Train your Newborn15 Jul 202600:43:29

Dr. Carole Keim welcomes Andrea Olson, founder of Go Diaper Free, Tiny Undies, and Tiny Potty, for a fascinating conversation about elimination communication (EC), sometimes called potty learning from birth. Andrea shares how discovering EC with her first child transformed her experience of parenting and led her to help families around the world rethink infant toileting. Together, she and Dr. Keim explore the history of potty training, how cultural norms have changed over time, and why many families are becoming interested in introducing potty awareness much earlier than is typical in the United States.

Andrea explains how elimination communication focuses on observing and responding to a baby’s natural cues rather than waiting until the toddler years to introduce the toilet. She discusses practical ways families can get started, even part-time, including simple “easy catches” such as offering the potty after waking or feeding. Dr. Keim and Andrea also talk about daycare, siblings, developmental differences, potty learning during major family transitions, and the products and resources Andrea created to support families who choose this approach. This episode offers parents an encouraging look at an alternative approach to toileting that emphasizes communication, connection, and flexibility.

Key Moments

00:00 – Introduction to Andrea Olson and elimination communication

01:18 – Andrea’s journey from first-time parent to EC educator

03:44 – How elimination communication differs from traditional potty training

06:25 – Historical potty training trends and changing cultural expectations

14:03 – What elimination communication is and how it works

17:12 – Easy catches: wake-ups, feedings, and recognizing cues

21:24 – Making EC work with daycare, caregivers, and your village

28:01 – Potty learning, new siblings, and avoiding regressions during transitions

35:40 – Troubleshooting challenges and setting healthy boundaries

36:29 – Tiny Undies, Tiny Potty, and resources for early potty learners

About Andrea Olson:

Andrea Olson is the founder of Go Diaper Free, Tiny Undies, and Tiny Potty. She is an author, educator, and advocate for elimination communication who has helped families around the world explore infant potty learning. Through books, courses, podcasts, and practical products, Andrea provides resources for parents interested in reducing diaper dependence and building communication around toileting from an early age.

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Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Contact Dr. Carole Keim, MD

Contact Andrea Olson:

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

603 - Fed is Best for Newborns01 Jul 202600:42:08

Bringing home a new baby comes with so many questions, and feeding is often at the top of the list. In this solo episode, Dr. Carole Keim walks parents through the basics of newborn feeding with a reassuring message: fed is best. She explains what to expect during the first days of life, including how small a newborn’s stomach really is, how breastfeeding develops over time, and why feeding can feel challenging in the beginning. Parents will learn about colostrum, milk production, feeding frequency, and how to recognize signs that their baby is getting enough to eat. 

Dr. Keim also explores common breastfeeding challenges, practical tips for improving latch and milk supply, and the role of pumping, bottle feeding, donor milk, and formula. She discusses the benefits of breastfeeding while also emphasizing that there are many safe and healthy ways to nourish a baby. Whether you plan to breastfeed, formula feed, pump, or combine methods, this episode offers evidence-based guidance and encouragement to help you make feeding decisions with confidence during those important first weeks with your newborn. 

Key Moments

00:00 Welcome and why “Fed is Best” matters

01:18 Why breastfeeding can be harder than expected

02:43 Newborn stomach size and feeding volumes by day

03:56 The first nights of feeding and newborn hunger patterns

05:03 Pumping, storing colostrum, and building milk supply

06:19 Benefits of breastfeeding for moms and babies

10:33 Breastfeeding recommendations and realistic feeding choices

14:35 Latch basics and breastfeeding troubleshooting

18:37 Pacifiers, nipple care, and knowing if baby is getting enough

22:41 Tongue ties, milk supply tips, and common breastfeeding concerns

31:36 Bottle feeding, formula options, and choosing the right formula

39:21 Final encouragement: nourishing your baby with confidence

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Why Breastfeeding Matters 

Benefits for Baby

  • Nutrition tailored to infant needs
  • Antibodies and immune protection
  • Lower risk of ear infections, diarrhea, and some respiratory illnesses
  • Lower risk of SIDS
  • Possible long-term reduction in obesity and diabetes risk

Benefits for Parent

  • Uterine recovery after birth
  • Reduced postpartum bleeding
  • Convenience and lower cost
  • Possible reduction in breast and ovarian cancer risk

Positioning and Latch Basics 

Good Positioning

  • Baby’s ear, shoulder, and hip aligned
  • Baby brought to breast, not breast to baby
  • Nose to nipple alignment

Signs of a Good Latch

  • Wide-open mouth
  • Lips flanged outward
  • Deep latch, not shallow nipple sucking
  • Rhythmic suck/swallow pattern

Signs of Poor Latch

  • Significant pain
  • Clicking
  • Cracked nipples
  • Baby still hungry after long feeds

How to Know Baby Is Getting Enough Milk

Signs

  • Wet diapers and stools
  • Weight trends
  • Swallowing sounds
  • Baby seeming satisfied after many feeds

Typical Expectations

  • Initial weight loss can be normal
  • Pediatric follow-up is important in the first days after discharge

Red Flags

  • Poor urine output
  • Lethargy
  • Persistent jaundice
  • Dehydration signs

When to Seek Help 

Lactation Support

  • Lactation consultants
  • Pediatricians
  • Family physicians
  • Midwives
  • Postpartum nurses

Urgent Reasons to Seek Care

  • Baby not waking to feed
  • Fever
  • Signs of dehydration
  • Severe maternal breast pain/redness/fever
  • Poor weight gain

Giving bottles of formula

How to choose

  • regular, preemie, soy, anti-reflux, sensitive, hydrolyzed, goat, organic

How to mix

  • Follow the instructions on package closely
  • Do NOT make your own infant formula; use one that is commercially available
  • Mix with clean water; doesn’t need to be distilled or boiled
  • Any temp is ok; aim for cool to room temperature when you feed baby 
  • Can mix up to 1 day worth at a time in the fridge
  • Used bottles need to be finished within 2 hours or thrown away; can’t be put back in the fridge

Check out The Baby Manual on Amazon.  It will give you peace of mind when your new baby arrives.  

__ 

Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Contact Dr. Carole Keim MD

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

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602 - OB, Midwife, or Doula?17 Jun 202600:37:03

Dr. Carole Keim takes listeners through one of the earliest and most important decisions in pregnancy: choosing the right support team. In this solo episode, she explains the differences between obstetricians, certified nurse midwives, and doulas, helping parents understand the unique role each plays during pregnancy, labor, delivery, and postpartum recovery. Dr. Keim also walks through the typical timeline of prenatal visits, ultrasounds, testing, and vaccines, giving expectant parents a practical overview of what to expect from the first positive pregnancy test through delivery.

With her warm and reassuring approach, Dr. Keim also explores what labor and birth are really like beyond what’s often portrayed in movies. She discusses birth plans, labor support, cervical checks, fetal monitoring, inductions, C-sections, and postpartum healing, while emphasizing that every pregnancy and birth experience is different. Parents will come away with a clearer understanding of how to build a supportive birth team and how to prepare emotionally and physically for welcoming a new baby. 

Key Moments

  • 00:00 Introduction to OBs, midwives, and doulas
  • 02:17 Pregnancy tests and scheduling the first prenatal appointment
  • 03:35 The 8–12 week visit, ultrasounds, and viability checks
  • 05:35 The 20-week anatomy scan and fetal development
  • 07:53 Glucose tolerance testing and gestational diabetes screening
  • 10:16 Vaccines during pregnancy: Tdap, flu, COVID, and RSV
  • 12:29 Breech babies, turning procedures, and planned C-sections
  • 14:58 Routine late pregnancy visits and induction discussions
  • 16:15 Certified nurse midwives vs obstetricians
  • 20:07 What doulas do during pregnancy, labor, and postpartum
  • 24:23 Birth plans, labor positions, and creating a calming environment
  • 27:13 Labor monitoring, cervical checks, and delivery interventions
  • 31:59 Postpartum healing, recovery, and spacing pregnancies
  • 35:23 Final thoughts and additional resources for parents

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How to choose an OB or midwife 

  • OBs, family doctors, and midwives can deliver babies
  • Group practices are pretty standard nowadays; meet your main doctor/midwife but also meet the team who might be delivering (either other people in the office or a laborist)
  • Personality fit is a big deal
  • Obstetricians and family doctors are medical doctors.  Their training involves 4 years of undergrad, 4 years of medical school, and 4 years of residency (12 years total).
  • There are two types of midwives: lay midwives and CNMs.
    • Lay midwives are those who have experience delivering low-risk babies out of the hospital, typically at home.  They have no certification or licensure requirements, and no formal medical training.  Home births with a lay midwife are by far the most dangerous and I have seen some bad outcomes and cannot ethically support them.  When I speak about midwives during this episode, I am not including lay midwives.
    • CNMs are required to have a bachelor’s degree in nursing (4 years of undergrad), then 2 years of graduate-level nurse midwife training (6 years total).
  • The main differences are the knowledge base and the approach to care.
    • Doctors
    • Nurses
  • OBs, family doctors, and midwives can see you during your pregnancy and can deliver babies vaginally.
  • Only OBs can perform c sections and take care of high-risk pregnancies (moms under 18yrs or over 35 years, those with health conditions, those with prior c-section, twins/triplets
  • Birth location
    • OBs deliver in hospitals because it is the safest setting
    • Midwives can deliver at hospitals, birth centers, and/or at home depending on the local regulations

Timing of appointments  

  • In the US, the number of weeks starts at the beginning of your last period, so when you miss a period and test you are 4 weeks pregnant
    • Ovulation and fertilization happen at 2 weeks, so you aren’t actually pregnant until then, but we are counting from LMP
    • In the US, the due date is at 40 weeks
    • In other countries they may count dates starting at conception/ovulation, so the due date is at 38 weeks
  • Initial appt: 6-8 weeks or whenever you find out you’re pregnant, whichever is later
  • First trimester (until 12 weeks and 6 days): you’ll be seen 2-3x; initial confirmation appt, 6-8 weeks for dating, 10-12 weeks for NIPT. Blood testing and urine testing for STIs, drugs, ultrasound for dates, hear heartbeat, NIPT (check out the genetics episode 503)
  • Second trimester (13 0/7 to 27 6/7): appts about every other week, anatomy scan, testing for gestational diabetes, further genetic testing and/or ultrasounds if indicated.
  • Third trimester (28-40 weeks): appointments every 2 weeks, then weekly starting at 38 weeks.  Check urine for protein (a sign of pre eclampsia) at each visit.  GBS screen.  RPR on admission to hospital.
  • Postpartum: 2 weeks and 6 weeks
  • High-risk pregnancies will be seen more often.  A pregnancy can become high risk at any time.

Doula

  • What they can do: emotional support, physical comfort during labor and delivery.
  • What they can’t do: anything medical, including deliver babies.
  • Reasons you might want one: to keep you as comfortable as possible during labor; they can get you food/water/ice chips, rub your feet or neck if you want, call the nurse for you, crowd control, can articulate your preferences while you’re in labor, possibly also attending to partner during delivery
  • Reasons you might not want one: expense, privacy, not needed if you have a support person

Birthing options / Birth plans

Birth plans

  • How you want your birth experience to be
  • Birth is a very tenuous process and doesn’t always go according to plan.  A birth plan is a nice outline of preferences, if you have any.
  • If you are planning a vaginal delivery, keep in mind that your birth team has the main objective of having a healthy mom and baby.  If your provider says that something needs to change during labor or delivery, there is usually a medical safety reason for that change.

Scheduled C-Sections

  • Reasons you might be scheduled for a C-section: repeat, breech baby, twins/triplets, high risk for underlying medical conditions in you or the baby.  Scheduled C-sections typically have a shorter birth plan:
    • music in the operating room
    • one support person in there with you
    • will the support person go with the baby or stay with mom when the C-section is over?
  • Even if you’re scheduled for a C-section, you might go into labor early and need an urgent or emergent C-section before the scheduled date.

Scheduled inductions 

  • Reasons you might be scheduled: post dates, pre eclampsia, gestational diabetes, specific high-risk pregnancy reasons
  • There are a few ways to induce labor, including medication taken by mouth or placed in the vagina to help open the cervix, IV medication called pitocin which causes your uterus to contract, and placing something such as a stick that absorbs fluid and expands or a balloon that is placed by your provider in the cervix to help it open
  • Less to plan, but the same as for vaginal delivery.
  • Mixed evidence as to whether scheduled inductions are more or less likely to end in C-section

Vaginal delivery

  • If you fully go into labor naturally, meaning you have contractions every 3-5 minutes lasting 1 minute each and your water breaks, you may need no intervention at all.
  • Areas to plan:
    • People who will be there
    • Environment: music, smells, lighting, etc
    • Comfort measures / pain relief - birth ball, shower, tub, squat bar, etc
    • Words to use or to avoid
    • Position for labor/delivery
    • Mirror during delivery
    • Plans for the placenta
    • Newborn procedures: skin to skin, eye drops, vitamin K, Hep B, circumcision, timing of first bath, breast/bottle/both
    • Who is allowed after baby is born and how they will be notified

Check out The Baby Manual on Amazon.  It will give you peace of mind when your new baby arrives.  

__ 

Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Contact Dr. Carole Keim MD

 

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

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Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

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601 - Vitamins for Brain Development with Dr. Gupta03 Jun 202600:27:48

Dr. Carole Keim sits down with neurologist and Mama Bird founder Dr. Mika Gupta for an insightful conversation about baby brain development and the critical role nutrition plays from preconception through early childhood. As both a physician and a mom, Dr. Gupta draws on personal experience and explains the concept of the “first 1,000 days”. She explains why this window is so important for building a strong foundation for a child’s lifelong brain health. Together, Dr. Keim and Dr. Gupta explore how thoughtful nutritional choices can support mom and baby during this period of rapid growth and development.

Dr. Gupta and Dr. Keim discuss key nutrients that support brain development, including iron, DHA, choline, iodine, and methylated B vitamins, along with practical guidance on how to meet these needs through diet and supplementation. Dr. Gupta also breaks down common misconceptions about prenatal vitamins. She highlights the importance of ingredient forms like methylfolate and why one supplement may not cover everything. With Dr. Keim’s warm and relatable guidance, this episode empowers parents with knowledge to make informed, supportive choices for themselves and their growing babies.

Key Moments

  • 00:00 Meet Dr. Mika Gupta and her journey into neurology and nutrition
  • 02:19 What are the “first 1,000 days” and why they matter
  • 03:03 Why prenatal vitamins should start before pregnancy
  • 04:03 Understanding MTHFR and methylated vitamins
  • 06:22 Key nutrients for baby’s brain development explained
  • 08:22 Can you get enough nutrients from food alone?
  • 11:26 Nutrition needs during postpartum and breastfeeding
  • 12:48 Common mistakes when choosing prenatal vitamins
  • 16:44 Why one prenatal vitamin isn’t enough for everything
  • 18:38 What “brain-first” vitamins mean
  • 23:55 One key takeaway for supporting baby’s brain development

About Dr. Mika Gupta:

Dr. Mika Gupta is a double board-certified neurologist, MIT-trained, and founder of Mama Bird. She’s also a mother of two — a daughter training at the Royal Ballet School and a son with Down syndrome — two radically different brains that taught her more about human potential than any textbook ever could.

After her son was born, Dr. Gupta stopped trusting a system that was never built for women and started building what should have existed all along: evidence-based tools for brain health during the first 1000 days, the most critical window of development. She’s a brain activist — helping women see that the invisible architecture they build and sustain is the most neurologically important work in human life.

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Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

__

Contact Dr. Carole Keim MD

Contact Dr. Mika Gupta

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

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Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

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511 - Family Medicine with Dr. David Tusek03 Dec 202500:29:04

Dr. Carole Keim welcomes Dr. David Tusek, board-certified Family Physician and Founder of Cloud Medical, to the show to discuss early childhood development and the good habits that set children up for life. Dr. Tusek identifies the five pillars of health and discusses personalized and preventive childhood medicine with Dr. Keim. The conversation explores modern habits and their impact on children, the critical role of parents, and the idea of introducing a whole-person health framework into children’s growth to ensure emotional and physical well-being.

The five pillars of health identified by Dr. Tusek are hydration, nutrition, exercise, sleep, and stress reduction. He and Dr. Keim expand on each pillar, describing how sugar functions in nutrition, the glycemic index and its relation to prediabetes in children. The importance of movement and outdoor play is highlighted, especially as screens take priority in children’s lives, and they stress the need for better sleep hygiene. The conversation investigates how healthy whole-person habits can be fostered from a young age and how the right habits can help steer children away from chronic disease.   

Dr. David Tusek:

Dr. Tusek is a board-certified family physician who also has experience as an emergency room doctor.  He is a member of the American Academy of Anti-Aging Medicine and the Institute of Functional Medicine.

Dr. Tusek relishes the close connectivity with his Cloud DPC patient-members, whether they are training for the Olympics, dealing with an illness, or simply trying to lose a few pounds.  He believes that enhancing one’s quality of life is just as important as extending the quantity of our years.

Dr. Tusek combines expertise in advanced diagnostics and optimization of brain and body function using a broad-based approach, blending cutting-edge technologies with a natural orientation.  He uses a wide variety of gentle, needle-based therapies to treat musculoskeletal and neuromuscular conditions and injuries (including PRP and Botox).  He performs various office-based surgeries, cryosurgeries, and treatments of minor trauma.  In 2004, he became one of the first practitioners in Colorado to offer bio-identical hormone implants, and has been working closely with compounding pharmacies (those pharmacies that prepare personalized medications for patients), to provide the purest, most effective forms of natural therapies.

In 2009, Dr. Tusek founded one of the nation’s first DPC programs, which he sold in 2016.  He then went on to launch Cloud Medical DPC, and currently oversees several other healthcare ventures and projects related to health optimization, behavior change, and addiction medicine.

He believes that the soul of primary care medicine lies both in diagnosing and treating existing health problems with the most advanced technologies, as well as deeply considering what it means to be healthy and to heal as human beings, and how to most efficiently unlock our innate capacities for thriving and flourishing.  In the spirit of this pursuit, Cloud Medical has launched a variety of programs under the “School of Health” banner.

As a previous member of the steering committee of the Direct Primary Care Coalition based in Washington, DC, Dr. Tusek is a recognized leader in healthcare transformation and was invited to the White House to discuss the future of American medicine.  He was named among the “Top Doctors in Concierge Medicine” and is a former qualifier for the Ironman Triathlon World Championships in Kona, Hawaii.  He enjoys skiing, cycling, and spending time with his wife and two daughters in the playground that is Colorado.

__ 

Resources discussed in this episode:

__

Contact Dr. Carole Keim MD

linktree | tiktok | instagram

 

Contact Dr. David Tusek

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

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510 - Pediatric Cardiology with Dr. Tal Gospin MD19 Nov 202500:27:12

Dr. Carole Keim welcomes pediatric cardiologist Dr. Tal Gospin, MD, to The Baby Manual to talk about what pediatric cardiology is and how it differs from adult cardiology. Dr. Gospin explains how much of pediatric cardiology is concerned with congenital heart disease, abnormalities people are born with. She watches for the shape of an infant’s heart and the sounds it makes, even in utero, and discusses exactly what she looks for with Dr. Keim. They explore fetal echocardiograms, infant heart function, and what parents can watch for in newborns to see if a pediatric cardiologist needs to be consulted. 

Dr. Gospin and Dr. Keim discuss when a baby’s heart murmur should be referred to a pediatric cardiologist and the differences between an innocent murmur and a pathologic murmur. Innocent murmurs that appear in newborns typically disappear in infancy. Dr. Gospin shares that some types of pediatric cardiac issues will show up as a lack of weight gain in infants, and when to reach out to a pediatrician for a referral. They talk about echocardiograms and what to expect, whether the baby feels any discomfort or not from an EKG, and what the scans are looking for. They discuss breathholding episodes, fainting, and explain what’s happening and what a parent can do. This episode provides a lot of insight into pediatric cardiology and gives parents insight into the functioning of their infant’s heart.  

Dr. Tal Gospin, MD:

Dr. Tal Gospin graduated with honors from Washington University in St. Louis with her undergraduate degree in Psychology. She obtained a Masters in Physiology and her Medical Doctorate from Georgetown University School of Medicine, where she was elected into Alpha Omega Alpha, the National Medical Honor Society. Dr. Gospin continued on to pursue a pediatrics residency at New York Presbyterian Hospital/Columbia University in New York City. She then completed her fellowship in pediatric cardiology at Baylor College of Medicine/Texas Children's Hospital in Houston, Texas. Dr. Gospin’s fellowship training included caring for patients with a broad spectrum of cardiac conditions and working with leading experts in the field of pediatric cardiology and cardiac surgery. She concentrated her fellowship training on echocardiography, outpatient care for children with complex congenital heart disease, as well as fetal imaging and prenatal counseling.

Dr. Gospin is board-certified in Pediatrics and Pediatric Cardiology. She is a fellow of the American Academy of Pediatrics and the American College of Cardiology. Her clinical interests include transthoracic echocardiography, fetal imaging, evaluation and treatment of children with congenital and acquired heart disease, pediatric arrhythmias, as well as hypercholesterolemia and hypertension. Dr. Gospin brings her diverse knowledge base and training into the community to provide comprehensive medical care with a passion for personalized attention.

__ 

Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Contact Dr. Carole Keim, MD

linktree | tiktok | Instagram

 

Contact Dr. Tal Gospin, MD

website | Pediatric Cardiology Care Houston

---

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Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

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509 - Pediatric Neurology with Dr. Justin Rosati, MD05 Nov 202500:32:59

Dr. Carole Keim welcomes pediatric neurologist and Assistant Professor in the Department of Neurology at the University of Rochester, Dr. Justin Rosati, MD, to the show to talk about pediatric neurology. They explore what he sees in children as a pediatric neurologist and what parents can look for.  Dr. Keim and Dr. Rosati discuss febrile seizures, developmental delays, epilepsy, infantile spasms, and anything neurological that can affect babies and toddlers. 

Dr. Rosati says that children not meeting a developmental milestone is often why parents bring them in to see him. He works to answer the question of why the child misses or is behind on the milestone and explains what it is that he looks for to see if further testing is needed. He tells Dr. Keim what red flags parents can look out for in terms of neurological conditions. He and Dr. Keim discuss febrile seizures and genetic epilepsy syndromes, as well as when seizure medications might be useful. Dr. Rosati breaks down childhood migraines, how parents can help and identify them, and exactly what neurological disorders entail. It’s a wealth of information for parents wanting to know what red flags to keep in mind.

Dr. Justin Rosati, MD:

Dr. Justin Rosati is an Assistant Professor of Neurology at the University of Rochester. He specializes in Fetal & Neonatal Neurology as well as Clinical Neurophysiology. Dr. Rosati has a special interest in digital media and its use for education for students, residents, parents, and colleagues. He is an active medical content creator focusing on short-form videos for Instagram and TikTok. You can follow him across social media platforms @thebabybraindoc.

__ 

Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

 

Contact Dr. Carole Keim, MD

linktree | tiktok | instagram

 

Contact Dr. Justin Rosati, MD

linktree | instagram | University of Rochester Medicine

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

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Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

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508 - Pediatric Rheumatology with Dr. Cristina Saez, MD22 Oct 202500:23:00

Dr. Carole Keim welcomes Clinical Assistant Professor of Pediatric Rheumatology Dr. Cristina Saez, MD, to The Baby Manual to discuss what rheumatology is and how pediatric rheumatology works. She studies and has training in autoimmune diseases, specifically ones affecting bones, muscles, joints, or multiple organ systems,  in children. 

Dr. Saez tells Dr. Keim that though she sees children for different things, the most common is joint pain. Juvenile arthritis is likely the most common rheumatologic diagnosis seen in her clinic. Cristina details how joint pain presents in children and the method of assessment used in diagnosis. She also treats a lot of recurrent fevers and tells Carole how fevers can present in diseases that affect the immune system, which is what she works to assess. Practical information on how to identify joint pain, what grade of fever should prompt medical intervention, and the types of medication used in treatment are all explained by Dr. Saez in this insightful episode. 

Dr. Cristina Saez, MD:

Dr. Cristina Saez is the Clinical Assistant Professor of Pediatric Rheumatology at Stanford Medicine. She graduated from Rice University with a BA in Kinesiology with a focus on Health Sciences in 2015. 

After graduation, she started medical school at Baylor College of Medicine. While there, she was an active member of the Pediatric Student Association and participated in the Medical Ethics Track. Outside of class, she enjoyed mentoring younger students through the Anatomy Buddies tutoring program and the Peer Resource Network program. She still kept in touch with the Kinesiology Department and even helped teach undergraduate students in the gross anatomy course. During her later years, she helped develop a protocol within the Pediatric Rheumatology department at Texas Children’s Hospital to help adolescent patients prepare for the transition from pediatric to adult care.

__ 

Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Contact Dr. Carole Keim, MD

linktree | tiktok | Instagram

 

Contact Dr. Cristina Saez, MD

Stanford Medicine

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

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507 - Neonatology with Dr. Geoff Binney MD MPH08 Oct 202500:37:10

Dr. Carole Keim welcomes neonatologist and chair of pediatrics at Tufts Medical Center, Dr. Geoff Binney, MD, MPH, to The Baby Manual for a conversation about what expectant parents should know regarding newborn care and the NICU, the Neonatal Intensive Care Unit. Drs. Keim and Binney discuss the age of viability for premature babies, advances in neonatology such as surfactant therapy for Respiratory Distress Syndrome, and the different levels of NICU care available depending on gestational age and medical needs.

Dr. Binney and Dr. Keim talk about common newborn challenges, including breathing difficulties, infections, blood sugar monitoring for at-risk infants, and jaundice. Both doctors stress the importance of preventive care, such as antibiotics for Group B strep and vitamin K injections at birth. Dr. Binney shares that a neonatologist’s role is to provide a supportive environment for premature or ill infants so they can continue developing safely. He reassures parents that most children born early grow up healthy and indistinguishable from their peers. This episode gives parents-to-be information about what to expect if their child is born preterm and offers them comfort in knowing how far medical care for newborn infants has come. 

Dr. Geoff Binney, MD, MPH:

Dr. Geoffrey Binney is a neonatologist in Boston, Massachusetts and is affiliated with multiple hospitals in the area, including Boston Children's Hospital and Tufts Medical Center. He is the Chair and David And Leona F. Karp Professor of Pediatrics, and the Tufts University School of Medicine Pediatrician-in-Chief. He received his medical degree from the University of California, San Diego School of Medicine and has been in practice for more than 20 years.

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Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Contact Dr. Carole Keim, MD

linktree | tiktok | instagram

Contact Dr. Geoff Binney, MD, MPH

Boston Children’s Hospital | Tufts Medicine | linktree

---

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506 - Dentistry with Dr. Ian Kott, DDS24 Sep 202500:30:20

Dr. Carole Keim welcomes pediatric dentist Dr. Ian Kott, DDS, to The Baby Manual to talk about children’s oral hygiene, everything from brushing teeth to weaning kids off pacifiers. Dr. Kott explains when a child’s first dental visit should happen and what to expect from it, and gives tips on how to start brushing children’s teeth as soon as the teeth appear. Dr. Keim and Dr. Kott discuss cavity prevention, the importance of discouraging thumb sucking and pacifiers, and when to consider discontinuing bedtime bottle use. 

Dr. Kott explains that training toothpaste is useful, even when it doesn’t contain fluoride, because it teaches children the aspect of teeth brushing that involves spitting. He shares tips on how to make teeth brushing easier or more fun for children who fight it. The causes of cavities in kids are from anything that is a fermentable carbohydrate: milk, juice, and even breast milk, once a child is on solid food. One of the reasons to wean children off nighttime bottles of formula is to prevent tooth decay from the fermentable carbohydrate staying on their teeth too long, but also because pacifiers, bottles, and thumb sucking all change the swallowing patterns and shape of the palate in children over the age of two. There is a vast amount of very helpful practical advice, knowledge, and information about pediatric dental care contained in this episode.   

Dr. Ian Kott, DDS:

Originally from Michigan, Dr. Kott received his Doctor of Dental Surgery degree from the University of Michigan in 1999. As a Lieutenant Commander in the United States Public Health Service, Dr. Kott has completed several tours of duty as Senior Dental Officer in the United States Coast Guard and as Deputy Chief Clinic Administrator with the Indian Health Service, all stationed in Alaska. 

After gaining a variety of valuable experiences in general dentistry, Dr. Kott felt compelled to specialize in treating children. He completed his Postgraduate Residency in Pediatric Dentistry at Tufts University School of Dental Medicine in Boston in 2009. 

Dr. Kott is married with two young sons.

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Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Contact Dr. Carole Keim, MD

linktree | tiktok | instagram

Contact Dr. Ian Kott, DDS

website | linkedin

---

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505 - Dermatology with Dr. Teresa Wright, MD10 Sep 202500:32:24

Dr. Carole Keim welcomes pediatric dermatologist Dr. Teresa Wright, MD, to the podcast to talk about baby skin care, birthmarks, eczema, and anything to watch out for with a baby’s skin that could potentially be dangerous. Dr. Wright works at Le Bonheur Children’s Hospital in Memphis, Tennessee and is also faculty at the University of Tennessee Medical Center. She shares her journey into pediatric dermatology and explores all manner of common skin concerns, conditions, and questions regarding infants and their skin care with Dr. Keim, based on a wealth of experience and knowledge. 

Dr. Keim and Dr. Wright open by addressing the little pink or red spots in the middle of a newborn’s forehead that are sometimes called angel kisses. The medical term is nevus simplex, and Dr. Wright assures listeners that they’re nothing to worry about and will fade over time. They discuss types of newborn skin rashes, such as transient neonatal pustular melanosis, which are normal, before addressing conditions that might need a pediatrician’s attention. Baby moles are explained in detail, atopic dermatitis or eczema is described, and Dr. Wright offers insight on how to mitigate or improve child skin dryness, along with tips on avoiding exposure to known irritants and allergens. This episode is full of facts and advice on infant skin, offering a practical guide to what is normal and what might need additional attention.

Dr. Teresa Wright, MD:

Dr. Wright attended medical school at the University of Massachusetts in Worcester, Massachusetts. She went on to complete a residency in pediatrics at the University of Massachusetts Medical Center. Subsequently, she completed a dermatology residency at the University of Kansas Medical Center and a fellowship in pediatric dermatology at Children’s Mercy Hospitals and Clinics in Kansas City, Missouri. She joined the dermatology faculty at Baylor College of Medicine and Texas Children’s Hospital (TCH) in January of 2009. In January of 2012, she was promoted to Section Chief of Pediatric Dermatology at TCH. She also served as Co-Director of the Vascular Anomalies Program at TCH from October 2011 through March of 2015. In July of 2015, she returned to her hometown of Memphis, TN to join the dermatology faculty at the University of Tennessee and establish a pediatric dermatology division at LeBonheur Children's Hospital. She has special interests and expertise in the diagnosis and management of hemangiomas and other vascular lesions, as well as pigmented lesions and pediatric melanoma. She is board-certified in pediatric dermatology, dermatology, and pediatrics. She is a member of the American Academy of Dermatology, the American Academy of Pediatrics, and the Society for Pediatric Dermatology.

Dr. Wright has special interests and expertise in the diagnosis and management of hemangiomas and other vascular lesions, as well as pigmented lesions and pediatric melanoma.

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Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Contact Dr. Carole Keim, MD

linktree | tiktok | instagram

Contact Dr. Teresa Wright, MD

website | linkedin

---

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504 - Pulmonology with Dr. Jason Bronstein, MD27 Aug 202500:30:14

Dr. Carole Keim welcomes Dr. Jason Bronstein, a pediatric pulmonologist and sleep medicine specialist at Mount Sinai Hospital in New York City, to The Baby Manual. Dr. Bronstein shares his journey from general pediatrics to specializing in childhood asthma, sleep apnea in children, and other pediatric breathing issues. He explains the types of cases referred to a pulmonologist, such as persistent chronic cough, difficulty breathing, or repeated respiratory infections. Dr. Keim and Dr. Bronstein discuss how conditions like asthma or congenital lung disorders are diagnosed, and Dr. Bronstein also highlights how environmental asthma triggers, such as smoke, mould, and allergens, can affect a child's lung health. 

Dr. Keim and Dr. Bronstein explore how pediatric sleep studies are used to evaluate children for obstructive sleep apnea, especially those with snoring, ADHD-like symptoms, or conditions like Down syndrome or autism. Dr. Bronstein describes what to expect during a sleep study and outlines when it's appropriate. They also cover safe and effective cough remedies for children, including honey for cough, saline nebulizers, and tips for using humidifiers without causing mould exposure. This episode is all about actionable advice for parents concerned about their child’s breathing, sleep quality, or lung function. 

Dr. Jason Bronstein, MD:

Jason Bronstein, MD, is the Medical Director of the Mount Sinai Pediatric Sleep Medicine Program and Director of the Mount Sinai Children's Integrative Sleep Center.

He received his medical degree from New York University School of Medicine and he completed his Pediatrics Residency at Northwell Health, Cohen Children's Medical Center. Dr. Bronstein completed his Pediatric Pulmonology Fellowship at Nemours, Alfred I. duPont Hospital for Children. He completed fellowship in Sleep Medicine at the Children's Hospital of Philadelphia and jointly at the University of Pennsylvania.

He treats sleep disorders across the age spectrum, including obstructive sleep apnea, narcolepsy, insomnia, and other pulmonary, neurologic, and behavioral conditions of sleep. He performs advanced interpretation of polysomnography and associated sleep study testing.

Dr. Bronstein is dedicated to improving the diagnosis and management of sleep disorders in infants, children, and adolescents. His professional activities include clinical care, graduate medical education, and research. He also treats general respiratory disorders in children in the Division of Pediatric Pulmonology, delivers multidisciplinary care of children with complex medical disorders via various special programs, and works with the adult sleep medicine and adult sleep laboratory programs in the Department of Medicine.

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Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Contact Dr. Carole Keim MD

linktree | tiktok | instagram

Contact Dr. Jason Bronstein, MD

website

---

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503 - Genetics with Dr. David Tegay, DO13 Aug 202500:36:34

Dr. Carole Keim welcomes Dr. David Tegay, DO, to The Baby Manual to talk about genetics, the different types of testing and screening involved in genetics, and how it’s a key part of pediatric medicine. Dr. Tegay was in residency when he encountered a patient who required a consult from a clinical geneticist from Mount Sinai, and the experience fascinated him so much that he moved from his internal medicine residency to a fellowship in genetics. He discusses all aspects of his field with Dr. Keim. 

One of the first things Dr. Tegay explains about genetic testing is that most genetic tests are no different than other routine laboratory testing, using a blood sample or even a non-invasive cheek swab or saliva sample to do the testing. It’s the results that are different from other testing. He and Dr. Keim discuss how prenatal genetic testing has developed, what kind of screening might occur during pregnancy, and the types of conditions a geneticist may be looking for. Dr. Tegay sheds light on the truth of birth defects, or congenital anomalies, and how frequently they may occur, including how many are not necessarily significant. The conversation exploring DNA, genetics, and exome sequencing, and the diseases or conditions such testing may reveal, is both enlightening and informative, explaining methodology and treatment for fetal and newborn ailments.

Dr. David Tegay, DO, FACMG, FACOI:

Dr. David Tegay, DO, is a clinical geneticist in Great Neck, NY and has over 25 years of experience in the medical field. He specializes in the areas of Clinical Genetics and Genomics & Internal Medicine. Dr. Tegay graduated from New York Institute of Technology College of Osteopathic Medicine in 1997. He is affiliated with the medical facilities North Shore University Hospital and St. Mary's Hospital Amsterdam.

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Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Contact Dr. Carole Keim MD

linktree | tiktok | instagram

 

Contact Dr. David Tegay, DO, FACMG, FACOI

linkedin

---

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502 - Endocrinology with Dr. Lauren Kanner, MD30 Jul 202500:39:29

Dr. Carole Keim welcomes Dr. Lauren Kanner, MD, to The Baby Manual to discuss the wide-ranging field of pediatric endocrinology. Dr. Kanner is the Clinical Associate Professor of Pediatric Endocrinology at the University of Iowa Hospital and Clinics, and she shares how she got into the specialty before discussing the conditions she treats. She offers information and insights into thyroid disorders, growth hormone deficiency, early and delayed puberty, and Type 1 and Type 2 diabetes in children based on her knowledge and years of experience. 

Dr. Keim and Dr. Kanner talk about the signs and symptoms of diabetes in children, detailing what to look for, and Dr. Kanner explains how blood sugar testing and insulin therapy play crucial roles in treatment. Throughout the conversation, the doctors exchange practical insights for parents into childhood nutrition and normal growth patterns. Dr. Kanner addresses the challenges of toddlers with picky eating habits and emphasizes healthy routines such as reducing sugar-sweetened drinks and increasing physical activity, or ‘joyful movement’ as she calls it. The emphasis is on fostering positive eating habits and imparting information on the variety of conditions a pediatric endocrinologist can diagnose and treat.

 

Dr. Lauren Kanner, MD:

Dr. Lauren Kanner is the Clinical Associate Professor of Pediatric Endocrinology at the University of Iowa Hospital and Clinics. Dr. Kanner completed her medical school at Rush Medical College of Rush University in Chicago, IL, before continuing her training in pediatrics at North Shore Long Island Jewish Health System Cohen Children's Hospital. Dr Kanner completed a pediatric endocrinology fellowship at the University of Wisconsin and is currently part of the University of Iowa Endocrinology and Diabetes team. 

Dr Kanner has interests in both diabetes and care of endocrine conditions, with a special interest in female, adolescent endocrinology and quality improvement. She has recently joined the Member Board of Directors for the North American Society of Pediatric and Adolescent Gynecology (NASPAG).

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Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Contact Dr. Carole Keim MD:

linktree | tiktok | instagram

 

Contact Dr. Lauren Kanner, MD:

linktree | website

---

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501 - Gastroenterology with Dr. Victoria Martin, MD, MPH16 Jul 202500:32:12

Dr. Carole Keim talks with Dr. Victoria Martin, MD, MPH, a gastroenterologist, a specialist who focuses on everything related to the stomach and intestines in babies. Dr. Martin trained in pediatrics and became interested in what happens in baby intestines, especially early on, during training. She talks with Dr. Keim about things like blood in a baby’s stool, protein allergies, signs of food allergies in children, and what to look for at home for signs of intestinal distress. She differentiates between what might be cause for concern versus what is normal for infants regarding reflux, breastfeeding, constipation, and more.

Dr. Martin explains normal reflux in babies and what to try at home before getting to a doctor’s appointment in regards to concerns about too much spitting up. She and Dr. Keim discuss food allergies in infants, common concerns over what allergens are transferred from a mother’s breastmilk, and why there are things to consider before immediately eliminating foods from a mother’s diet if an allergy is suspected. Food allergies, causes, and substitute formulas are discussed, and Dr. Martin shares insights into possibilities for preventing the development of allergies, when to introduce solid foods, and what a baby’s poop reveals about the baby’s health. It’s an episode full of practical advice and in-depth knowledge from Dr. Martin about babies’ intestinal functions.    

About Dr. Victoria Martin, MD, MPH:

Dr. Martin graduated from Harvard University with a degree in Biology. She completed her medical school and residency training in Pediatrics at the University of Massachusetts Medical School. She then completed her fellowship training at the Massachusetts General Hospital for Children in the division of Pediatric Gastroenterology and Nutrition, during which she was awarded the Outstanding Teaching Award by the pediatric housestaff. She also completed a Master's degree in Public Health in Clinical Effectiveness at the Harvard School of Public Health.

Dr. Martin's clinical and research interests include the developing infant microbiome and its potential role in gastrointestinal food allergic diseases, including allergic proctocolitis and eosinophilic esophagitis.

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Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Contact Dr. Carole Keim MD

Linktree: linktr.ee/drkeim

Tiktok: @dr.keim

Instagram: @doctoratyourdoor

 

Contact Dr. Victoria Martin, MD, MPH

Workplace: Mass General Brigham for Children

LinkedIn: Victoria-Mackenzie-Martin-644337102

---

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410 - Apps and Electronics02 Apr 202500:13:28

Dr. Carole Keim discusses baby apps and electronics in this episode, exploring what is helpful and what isn’t necessary. Dr. Keim says that not much is really needed in terms of electronics for babies. The things she recommends include baby trackers, baby monitors, white noise machines, Kindle for mom, and aromatherapy diffusers to aid with sleep. She details what each app or electronic item does and highlights specific brands and best use practices.

Baby tracker apps are helpful because they track how many times babies are eating, peeing, and pooping to ensure they’re doing enough. Useful apps for moms include a Kindle or audiobook, so reading can be done while feeding. Dr. Keim breaks down all the types of baby monitors and sorts through the best to use in terms of convenience, expense, and video versus audio. She also explores electronic bulb suckers and why they can be more helpful than manual versions and the benefits of essentail oil diffusers. There are not a lot of electronics needed, which makes this episode so useful in sorting through the myriad of ads and options available.

In this episode:

Apps

  • Baby tracker - feeding, peeing, pooping
  • Wonder weeks
  • Solid starts app for baby led weaning 
  • Kindle app for mom 
  • Audiobooks or podcasts for mom 

Don’t need: owlet 

Electronics

Don’t need: special music for baby, humidifier, video monitor (though it can be nice to have in addition to a regular monitor), snoo bassinet 

As an Amazon Associate, I earn from qualifying purchases.

Dr. Keim has extensively researched the information presented in this episode. She is pulling on the knowledge of hundreds of thousands of new parents, other pediatricians, doctor moms, the Academy of Pediatrics, and breaking pediatrics news sites. Her insight and knowledge on alternative and holistic treatments can be found in her book Holistic Mamas Handbook, and her first book, The Baby Manual, covers year one of a baby’s life. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers. Join The Baby Manual podcast for next season, Season 5, which will feature interviews with specialists.

__ 

Resources discussed in this episode:

__

Dr. Carole Keim MD: linktree | tiktok | instagram

---

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409 - Teething and Feeding19 Mar 202500:18:24

Dr. Carole Keim talks all about teething and feeding needs for babies in this episode. Teething usually happens at around six months of age, but teeth can appear any time in the first 0 to 18 months of life. Dr. Keim shares all the best teething information to prepare new parents. She goes through everything from what to feed babies and when they start eating certain foods to high chairs, covering all the feeding needs.

Dr. Keim explains what Orajel and Anbesol teething ointments do, what type of toothbrush a baby needs, and shares advice on everything from teething crackers to drool rashes. She talks about when to use toothpaste and what kind of products are safest for teething babies to chew on. Once babies are six months old, they can start having foods, and Dr. Keim details what to start them on and how to feed it to them. Bibs, high chairs, plates, everything useful for feeding a baby (and some things that aren’t) are in this episode.

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim

In this episode:

Teething

Don’t need: homeopathic teething tablets, baby toothbrush, finger toothbrush, practice toothpaste (fluoride-free), dental floss, mouthwash, wooden teething toys, teething mitt, amber teething necklace 

Feeding

Don’t need: plastic bowls/plates/cups, kid-sized plastic utensils, pouches, baby food, rice/oat cereal 

As an Amazon Associate, I earn from qualifying purchases.

Dr. Keim has extensively researched the information presented in this episode. She is pulling on the knowledge of hundreds of thousands of new parents, other pediatricians, doctor moms, the Academy of Pediatrics, and breaking pediatrics news sites. Her insight and knowledge on alternative and holistic treatments can be found in her book Holistic Mamas Handbook, and her first book, The Baby Manual, covers year one of a baby’s life. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers. 

__ 

Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

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As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

408 - Health and Hygiene05 Mar 202500:24:55

Dr. Carole Keim addresses health and hygiene products in this episode. She details which hygiene items are actually necessary for newborn babies and then explains medications to keep on hand for newborns. She also recommends some medications useful to have for babies over 6 months of age. With each item Dr. Keim offers insight and advice, as well as identifying certain popular products not actually required for babies. 

Dr. Keim offers tips to help make cutting baby fingernails a less daunting task, what items make bathing babies easier, and explains why baby powder is no longer used. What medications are safe for babies and what is actually useful and necessary? Dr. Keim highlights exactly what vitamins and dosages to look for, what it is that antifungal creams treat and how to identify whether or not a baby’s diaper rash is fungal, and has practical teething advice and pain management options. This episode ensures parents have all key health information on hand for their infants.

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim

In this episode:

Newborn items

Don’t need: shampoo/conditioner (the baby wash works as shampoo), baby towel, baby washcloths, scented products, baby q tips, baby nail clippers, baby powder 

Medications to keep on hand

Don’t need: gripe water, benadryl, infant’s acetaminophen, homeopathic medications, baby vicks  

Ages 6 months and up 

Don’t need - infant ibuprofen, baby aspirin 

As an Amazon Associate, I earn from qualifying purchases.

Dr. Keim has extensively researched the information presented in this episode. She is pulling on the knowledge of hundreds of thousands of new parents, other pediatricians, doctor moms, the Academy of Pediatrics, and breaking pediatrics news sites. Her insight and knowledge on alternative and holistic treatments can be found in her book Holistic Mamas Handbook, and her first book, The Baby Manual, covers year one of a baby’s life. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers. 

__ 

Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

407 - Out and About19 Feb 202500:28:01

Dr. Carole Keim explores how to travel with your baby in this episode. What is best for going out and about or abroad with your baby? Dr. Keim starts right from the first trip of your baby’s life - going home from the hospital - and covers everything from safely riding in the car, diaper bag supplies, and longer-term travel necessities. There is a lot out there so Dr. Keim carefully narrows down all the products to highlight the most important items. 

Dr. Keim shares what to look for in a car seat and what your baby should and should not wear under the strap to ensure a secure fit. She covers how to keep an eye on your baby in the back seat, when to use blankets, and what exactly should be packed in a diaper bag to ensure you’re prepared for your baby’s needs while out of the house. She talks about different baby carriers, what to pack in a travel suitcase versus what to leave home and just buy on location, and also touches on travel vaccines. This episode will give parents peace of mind about heading out on adventures with a new baby.

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim

In this episode:

Hospital go-bag: 

For the car: 

  • Car seat and base - Doona: https://amzn.to/3CiOlZq | Evenflo (cheaper option, separate car seat and stroller) https://amzn.to/4hunybB
  • Stroller
  • Mirror to see baby
  • Seat protector (when they are walking)
  • Don’t need: all-in-one car seat, screen for child to look at, car seat cover, blanket, NO puffy jackets in car seats

Diaper bag: 

  • Diapers
  • Cream - Desitin: https://amzn.to/4aqXBat | Aquaphor: https://amzn.to/4hKRekX
  • Wipes
  • Ziplock bags (gallon size)
  • Baby clothes
  • Extra shirt for mom
  • Burp cloth
  • Changing pad / muslin blanket
  • Pacifier
  • Baby toys / teething toys
  • Hand sanitizer
  • Snacks
  • Sunscreen
  • Bandaids
  • Change purse / money
  • Pen
  • Chapstick
  • Water bottle

Travel: 

  • When it’s safe to travel
    • Breastfed babies - after the first round of vaccines
    • Formula-fed babies - 6 mos after the primary series is complete and they have flu/covid vaccines
    • in a car - any age, but remember car seats are not designed for safe sleep so you need to plan very frequent stops
  • Clothes: 1.5 outfits per day, socks, sleep sack (kaiya baby)
  • Feeding supplies: bottles, silicone bowl with suction back
  • Carriers - ring sling, clip carrier, boba wrap, carrier shirt - For mom: https://amzn.to/3EjucCX | For dad: https://amzn.to/3Wv1pBY
  • Travel vaccines, closed bottle of liquid medicine (tylenol/ibuprofen), vitamins (infant tri-vitamins, Emergen-C)
  • Don’t need: playpen (most hotels have them), high chair, too many consumables like diapers/formula/snacks, toiletries

As an Amazon Associate, I earn from qualifying purchases.

Dr. Keim has extensively researched the information presented in this episode. She is pulling on the knowledge of hundreds of thousands of new parents, other pediatricians, doctor moms, the Academy of Pediatrics, and breaking pediatrics news sites. Her insight and knowledge on alternative and holistic treatments can be found in her book Holistic Mamas Handbook, and her first book, The Baby Manual, covers year one of a baby’s life. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers.   

__

Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

__

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

406 - Diapering and Pottying05 Feb 202500:29:49

Dr. Carole Keim talks about diapers and potty training your babies and toddlers in this episode. She discusses disposable versus cloth diapers, and the benefits of both in terms of convenience, expense, and sustainability. She shares practical advice on potty training by highlighting which items are most useful in assisting your baby in the transition from diapers to the potty. The best things to buy are highlighted here for new parents.

Dr. Keim explains, in a quick summary, that the stuff that you'll need for diapering and pottying are probably some disposable diapers, some cloth diaper insides and outsides if you're using cloth, a diaper pail, some diaper creams, and then some potty training supplies. She details the best of each item, what to look for, and why it’s helpful. She also explains different kinds of diaper rash and how to treat and prevent rashes. Any questions you have will be answered here or discussed in depth in previous seasons of The Baby Manual.

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim

In this episode:

Disposable: 

Cloth: 

Diaper creams: 

  • Petroleum based (Vaseline, Aquaphor, A&D ointment)
  • Zinc-oxide based (Desitin)
  • Calendula creams - can be used instead of petroleum for cloth diapering
  • Antifungal creams/ointments - clotrimazole, terbinafine, nystatin
  • Antibacterial ointments - bacitracin, neosporin, mupirocin
  • Diaper cream spatula

Potty training: 

As an Amazon Associate, I earn from qualifying purchases.

Dr. Keim has extensively researched the information presented in this episode. She is pulling on the knowledge of hundreds of thousands of new parents, other pediatricians, doctor moms, the Academy of Pediatrics, and breaking pediatrics news sites. Her insight and knowledge on alternative and holistic treatments can be found in her book Holistic Mamas Handbook, and her first book, The Baby Manual, covers year one of a baby’s life. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers.   

Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

405 - Breast and Bottle Feeding22 Jan 202500:28:19

Dr. Carole Keim talks about breast and bottle feeding and what works to make both types of feeding more comfortable and efficient. She recommends listening to the information on both types of feeding even if one or the other method has already been decided on because babies can have a preference. Pumping is a good option to pursue in addition to breastfeeding so the baby can get used to bottle feeding in the first four months. It opens the option of going back to work or leaving the baby with a relative if needed.

Dr. Keim explains what works best for accessible clothing, breast pads, nipple covers, and nipple cream and what items aren’t really needed. She highlights the different kinds of pumps available and which options work best in which scenario. Her advice is focused on the products that truly help and make life with a new baby easier so time and money are not wasted on items that aren’t as useful overall. She shares practical tips with each product. This episode is a must for new and expecting parents.

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim

In this episode:

Breastfeeding

Pumping

Bottle Feeding (breast milk or formula)

As an Amazon Associate, I earn from qualifying purchases.

Dr. Keim has extensively researched the information presented in this episode. She is pulling on the knowledge of hundreds of thousands of new parents, other pediatricians, doctor moms, the Academy of Pediatrics, and breaking pediatrics news sites. Her insight and knowledge on alternative and holistic treatments can be found in her book Holistic Mamas Handbook, and her first book, The Baby Manual, covers year one of a baby’s life. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers.   

Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

404 - For Mom08 Jan 202500:22:13

Dr. Carole Keim talks about everything moms need in this episode. More specifically, everything that is needed for pregnancy, labor and delivery, the hospital, and post-partum. One of the most common questions asked is what to pack for the hospital. Dr. Keim answers that question, and many more, with insight, advice, and practical suggestions on which brands are the most useful to purchase. Expectant moms and new moms will find this episode invaluable, as will family members looking for purchases that can support moms.

Dr. Keim shares why moms need different clothing for each different stage of having a baby, from pregnancy to delivery, and offers suggestions on what to invest in and what not to bother with. She explains how breast sizes will increase, the differences in maternity pants, when compression socks are useful, what to expect during delivery in terms of what to wear, and how to deal with the immediate aftermath of the effects of having a baby. All the questions expectant moms have are addressed here.

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim

In this episode:

Pregnancy

  • Bras
  • Shirts
  • Pants
  • Don’t need: pajamas, swimsuit, dresses

Labor

  • Labor gown (Lyla delivery gown)
  • Slippers (crocs)
  • Don’t need: really anything, you will probably end up naked by the end anyway

Postpartum

  • Depends or overnight pads
  • Period undies
  • Sweatpants or dresses
  • Don’t need: pre-pregnancy clothing and bras (put them in a storage bin!)

Bring in the hospital bag: 

  • For mom: outfits with nursing access, nursing bra or tank tops, nipple cream, breast pump, hands-free pumping bra, super/overnight pads or depends, phone and charger, hard candies to suck on in labor, high-protein snacks and water bottle for after delivery, something to help pass the time like a book, slippers/socks, list of regular medications, toiletry bag, and a copy of The Baby Manual 
  • For baby: outfits size preemie (if baby is measuring less than 10th %ile or SGA or IUGR), newborn (if baby is 10-90th %ile), or 0-3 months (baby measuring over 90th %ile or LGA), a warm hat, velcro swaddle blanket, car seat

As an Amazon Associate, I earn from qualifying purchases.

Dr. Keim has extensively researched the information presented in this episode. She is pulling on the knowledge of hundreds of thousands of new parents, other pediatricians, doctor moms, the Academy of Pediatrics, and breaking pediatrics news sites. Her insight and knowledge on alternative and holistic treatments can be found in her book Holistic Mamas Handbook, and her first book, The Baby Manual, covers year one of a baby’s life. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers.   

Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

403 - Baby Furniture25 Dec 202400:28:21

Dr. Carole Keim talks about baby furniture in today’s episode. She summarizes the furniture needed for your baby as a place for your baby to sleep, a place to set your baby down in each room, some stuff to care for your baby’s everyday needs, stuff for travel, and some babyproofing items. But there are so many things on the market, how can you know what’s useful and what isn’t? That’s what this episode is about.

Dr. Keim talks about cribs and how 3-in-1 cribs are very useful but for the first 12 months of life, you don’t need that crib. You need a bassinet. So you can wait to buy the crib. She talks about what travel bassinets to invest in, what crib sheets work best, and even what kind of light works best in your baby’s room. For every one of your baby’s needs, Dr. Keim sorts through the furniture you need and when you actually need it, advising on what things can wait and what things aren’t even important. This guide will ensure you get the most useful things first and help you sort through all the furniture on offer.

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim

In this episode:

Newborn sleep

  • crib
  • bassinet
  • travel bassinet
  • sheets
  • Don’t get: any mesh for the crib, bumpers, pillows, blankets, white noise machine, blackout curtains, music for baby to fall asleep to, anything that hangs over the crib

Furniture parents will use

Places for baby to sit

Travel

Babyproofing items

As an Amazon Associate, I earn from qualifying purchases.

Dr. Keim has extensively researched the information presented in this episode. She is pulling on the knowledge of hundreds of thousands of new parents, other pediatricians, doctor moms, the Academy of Pediatrics, and breaking pediatrics news sites. Her insight and knowledge on alternative and holistic treatments can be found in her book Holistic Mamas Handbook, and her first book, The Baby Manual, covers year one of a baby’s life. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers.   

Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

402 - Baby Clothes11 Dec 202400:26:24

Dr. Carole Keim is a pediatrician, mom, and author who helps new parents all over the world understand their babies and navigate the challenges that arise daily. In season four she will guide listeners in sorting through pregnancy, baby, and toddler items that are useful versus those that are a waste of time and money. The focus of today’s episode is baby clothing. What do you really need to clothe your baby and what is helpful? And what clothes are really just cute but not that functional or useful?

Dr. Keim talks about onesies, shirts and pants, socks and scratch mitts, sleepwear and outerwear, covering clothes from newborn to one year of age. She explains what’s the best for nighttime diaper changes, getting babies to sleep, and why scratch mitts don’t work the way we want them to. In every category, she explores what styles and brands offer ideal design elements, what to consider about safety and comfort, and the reality of what a baby will truly wear without it falling off. Her guidance will show new parents exactly what to spend money on and what can be ignored for an easy first year of dressing your baby.

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim

In this episode:

Onesies

Separates (shirts/pants)

Feet/hands

Sleepwear

Outerwear

As an Amazon Associate, I earn from qualifying purchases.

Dr. Keim has extensively researched the information presented in this episode. She is pulling on the knowledge of hundreds of thousands of new parents, other pediatricians, doctor moms, the Academy of Pediatrics, and breaking pediatrics news sites. Her insight and knowledge on alternative and holistic treatments can be found in her book Holistic Mamas Handbook, and her first book, The Baby Manual, covers year one of a baby’s life. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers.   

Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

401 - What to Buy on Black Friday (or on sale)27 Nov 202400:36:58

Dr. Carole Keim is a pediatrician, mom, and author who helps new parents all over the world understand their babies and navigate the challenges that arise daily. The first year of a baby’s life is the focus of Season 1 of this podcast, ages one to three is the focus of Season 2, and holistic and supportive care is the focus of Season 3. Now Dr. Keim welcomes listeners to Season 4 where she will focus on talking about baby items that are actually needed. She will guide listeners in sorting through pregnancy, baby, and toddler items that are useful versus those that are a waste of time and money. 

In this first episode, Dr. Carole Keim shares a list of items that should be bought while they’re on sale. Black Friday is just around the corner and sales tend to pop up close to major holidays. These items are divided into categories from things for pregnant moms, items useful to have before a baby is born, items for toddlers, and general household items. Dr. Keim takes listeners through the basics to let us know which things should be purchased when they’re on sale, which things to get secondhand, which things to buy new, and which things the brand actually matters. 

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim

In this episode:

Pregnant mom items: 

Expecting baby items (stuff for your baby, if you’re still pregnant)

Toddler items (stuff for your baby, if your baby is already born and under 1 year old)

General household items (that will help the whole family and/or spouse gift ideas)

As an Amazon Associate, I earn from qualifying purchases.

Dr. Keim has extensively researched the information presented in this episode. She is pulling on the knowledge of hundreds of thousands of new parents, other pediatricians, doctor moms, the Academy of Pediatrics, and breaking pediatrics news sites. Her insight and knowledge on alternative and holistic treatments can be found in her book Holistic Mamas Handbook, and her first book, The Baby Manual, covers year one of a baby’s life. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers.   

Resources discussed in this episode:

  • The Holistic Mamas Handbook is available on Amazon
  • The Baby Manual is also available on Amazon

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

310 - Sleep13 Dec 202300:26:44

Dr. Carole Keim talks about the all-important subject of sleep in this episode. Sleep is a frustrating thing as a new parent which is why there is so much sleep advice and so many sleep books available. Dr. Keim will break down what sleep patterns are normal at different ages and give information on different ways to help babies (and parents, by extension) sleep well. 

All babies are different and what works for one baby’s sleep may not work for another. But there are normal sleep patterns for different ages and Dr. Keim clears up confusion around those necessary patterns. She explains why babies crave the rocking and contact of being held as opposed to being laid in a bed to sleep and offers advice on how to slowly get them accustomed to the change. From night feeding to sleep positions to not using your phone in your baby’s room to all the different alternative healing modalities that have been shown to be helpful in promoting sleep, Dr. Keim gives the key information parents need on the topic of sleep. 

In this episode:

Sleep  (00:27)

  • Intro: helping babies sleep at night is one of the most difficult and frustrating things as a new parent.  All babies are different.  What’s normal at different ages: 
    • Newborns cluster feed and wake at least once every 2-3 hours 
    • For the first 2 months of life, a baby can’t sleep more than 4 hours 
    • From 2-6 months it’s ok to let them sleep longer, but most still wake 2-3x at night to feed
    • From 6-9 months, allowed to sleep as long as they want, typically wake 1-2x per night, worse when teething
    • From 9-12 months, can start offering water at night. Feeding higher fat/protein meals at dinner time can help them sleep better.
    • After 12 months, they don’t need milk at night, only water if they wake up, and reassure for night waking.  Cosleeping will make you both get worse sleep, and remember a thin blanket is ok, but no thick blankets and no pillows til age 2. Sleeping with a tight shirt can help curb breastfeeding at night.  
  • Western -  graduated or progressive extinction method.  “Cry it out” is not recommended due to emotional trauma.  Melatonin is not recommended on a regular basis; can be used intermittently when traveling (jet lag) but not more than 2-3 days.  Also a consistent bedtime routine helps - run/play, brush teeth, bath, reading/singing, low lighting, avoid screens x 2h before bed.  
  • TCM - pediatric acupuncture (shonishin) and Chinese herbs can both help with sleep.  Speak to a pediatric acupuncturist for specific recommendations.
  • Chiro - pediatric chiropractic and craniosacral therapy can help your baby or child sleep better.  Chiropractic is built around relaxing and resetting the nervous system, so regular adjustments tend to be really helpful for sleep.  
  • Nutrition/supplements - Eating a dinner high in fat and protein and low in sugar at least 2 hours before bedtime, magnesium supplements (check with a doctor for dosing), chamomile tea over age 1 or for breastfeeding moms; can give a spoonful of chamomile tea under age 1 (no honey!) 
  • Homeopathy - aconitum napellus, arsenicum album, belladonna, china officinalis, chamomilla, calcarea carbonica, and pulsatilla.  Note: not supported by western science; speak to a CCH for specific recommendations.  
  • Aromatherapy - Can diffuse oils or dilute in a carrier oil and rub onto baby’s back and feet.  The best oils for sleep are Roman chamomile, German chamomile, neroli, tangerine, pettigrain, and lavender.  Lavender can be stimulating in children; if this seems to be the case, try chamomile oil instead.

End of season; stay tuned for more in the future!

Dr. Keim has extensively researched the information presented in this episode. Her insight and knowledge on alternative and holistic treatments come together in her new book, Holistic Mamas Handbook, which can be ordered here. Her first book, The Baby Manual, covers year one of your baby’s life and is the subject of the first two seasons of this podcast. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers. And remember, it’s always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

  • There is more information like this in the Holistic Mamas Handbook.  You can order the Holistic Mamas Handbook on Amazon
  • The Baby Manual is also available on Amazon
  • Dr. Keim’s Supplement/vitamins link for 10% off

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

309 - Baby Acne and Diaper Rash06 Dec 202300:20:06

Dr. Carole Keim talks about baby’s skin today, specifically baby acne and diaper rash. She explains what causes each irritation as well as how they typically present. She then goes through Western and alternative medicines that offer relief or healing. 

Baby acne often starts in the first month or so of a baby’s life. There are several causes for baby acne and it will typically cover the face and upper chest. There are ways to soothe it or help it heal faster but, as Dr. Keim says, it’s “self-limited” and goes away on its own. Diaper rash is extremely common and there isn’t just one type that babies can get. The redness and irritation can get colonized with yeast or it may be one of two types of bacterial infections worsening the rash. Dr. Keim details what to look for with each type of diaper rash, when to contact a doctor, and all of the prevention and curative measures offered by healing modalities.

In this episode:

Baby Acne (00:45)

  • Symptoms: pimples on face and upper chest. Caused by a combination of hormones, dryness, and irritation.  Hormones cause increased oil production, dryness causes sebaceous glands to produce more oil to moisturize skin, oil gets trapped in the pores and becomes acne.  Being overheated or sweaty will do the same thing.  Dirt, too much lotion, and regurgitated milk can irritate the skin and block the pores, making acne flare up more.  
  • Western -  typically no treatment; keep baby clean but don’t wash too often (1-2x per week) so skin doesn’t get too dry.  Keep room temp 68-72 degrees so they don’t overheat.  No need to change diet.  Call your doctor if your baby has pimples that are larger than 2mm across, if the lesions are filled with clear fluid or yellow pus, if the pimples are in clusters, or if you aren’t sure if it’s baby acne or something else.
  • Acu/traditional Chinese medicine - acupuncture doesn’t specifically treat baby acne, but can decrease overall inflammation, and someone certified in Chinese herbalism may be able to recommend topical treatments
  • Chiro - n/a
  • Nutrition/supplements - can put breastmilk on baby’s skin 
  • Homeopathy - calendula cream topically; no oral remedies 
  • Aromatherapy - Calendula oil, lavender oil, oregano oil, and tea tree oil may be mixed into a carrier oil and applied topically 

Diaper Rash (08:19)

  • Symptoms: caused by moisture + friction; most babies will have one at some point. Starts with redness/irritation of skin but can get colonized / super infected with yeast or bacteria.  Candida rash (yeast) has satellite lesions.  Bacterial has boils.  Strep butt (perianal strep infection) is a bright red circle around the anus and happens in older children.  
  • Western -  prevention (decreased likelihood, sometimes you can’t prevent it!) involves changing diaper as soon as it’s wet/poopy, use water wipes after each poop, apply diaper cream (zinc oxide based vs petroleum), air it out, don’t use baby powder.  If not improving within 2-3 days with these treatments, it might be colonized/infected.  Nystatin cream for candida, mupirocin for bacterial - both are used 3x per day; use regular cream in between.  Oral amoxicillin for perianal strep.  
  • Acu/TCM - acupuncture doesn’t treat diaper rash; chinese herbs may be helpful, check with a pediatric acupuncturist
  • Chiro - n/a
  • Nutrition/supplements - acidic foods make it worse (strawberries, citrus, tomatoes).  Probiotics can help.  
  • Homeopathy - calendula cream topically; borax veneta, calendula officinalis, cantharis, merc sol, nitric acid, and sulphur can be given by mouth, or dissolved in water and applied topically.  
  • Aromatherapy - nothing for regular/irritant rash.  For candida, can use oregano, geranium, or tea tree in a carrier oil.  For bacterial, can use tea tree or lemongrass in an oil on the boils.  

Also in the Holistic Mamas Handbook: ringworm, cradle cap 

Refer to last week’s episode about eczema 

Next week: Sleep!

Dr. Keim has extensively researched the information presented in this episode. Her insight and knowledge on alternative and holistic treatments come together in her new book, Holistic Mamas Handbook, which can be ordered here. Her first book, The Baby Manual, covers year one of your baby’s life and is the subject of the first two seasons of this podcast. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers. And remember, it’s always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

  • There is more information like this in the Holistic Mamas Handbook.  You can order the Holistic Mamas Handbook on Amazon
  • The Baby Manual is also available on Amazon
  • Dr. Keim’s Supplement/vitamins link for 10% off

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

308 - Allergies and Eczema29 Nov 202300:35:38

Dr. Carole Keim explores the topics of allergies and eczema in this episode. She defines what each disease is and what typically causes their appearance. All your questions about what symptoms to look for in your infant or child as well as how you can treat allergies and eczema when discovered will be answered by Dr. Keim.  

Allergies, eczema, and asthma are called atopic diseases and tend to run in families. So if there’s a family member that has either allergies or eczema or asthma, or multiples of these, your child is at higher risk of developing them. Dr. Keim explains the science behind the reactions and symptoms before detailing exactly what types of medicines or interventions are safe and effective. While there are many Western medicine treatments available, holistic alternatives do exist and Dr. Keim explains which are safest to pursue.

In this episode:

Allergies (01:10)

  • Symptoms: allergic cascade: antigen binds to IgE (produced by B cells which are white blood cells), IgE binds to mast cells, and mast cells degranulate and release histamine and other cytokines (cellular chemicals) that cause blood vessels to dilate and leak fluid into surrounding tissue, which causes symptoms of nasal congestion, watery eyes, runny nose, and mucus in airways / cough; histamine also causes itching, rashes/hives, and spasm of airways causing wheezing. Severe allergic reactions can make the blood pressure drop dangerously low from the blood vessels dilating and can cause severe airway spasm and swelling - this is known as anaphylaxis.  Parents who have allergies/asthma/eczema (atopic diseases) are more likely to have a child with allergies, but it’s often to different things than the parents are allergic to.
  • Western - avoid allergen (keep the house clean, use HEPA filters, avoid pets, wash off after being outside, avoid foods and medications you’re allergic to); we work backwards / up the allergic cascade: antihistamines, steroids, mast cell stabilizers, anti-IgE injections, allergy shots (which contain small amounts of what your child is allergic to and are gradually increased to retrain the immune system into recognizing it as ok); epinephrine for anaphylaxis to reverse the vasodilation and bronchospasm
  • Acu - decreases overall inflammation, great for environmental allergies 
  • Chiropractic - can help with overall wellness and inflammation, but doesn’t specifically treat allergies.  
  • Nutrition/supplements -  none in the US other than avoiding foods you’re allergic to (nuts, fish, and shellfish will cross-react with others in the same group, and milk will cross-react with soy); outside the US they do sublingual immune therapy which is kind of like allergy shots but the antigen is given orally, but this has a risk for anaphylaxis. 
  • Homeopathy - whatever the allergen is 
  • Oils - eucalyptus/peppermint in a diffuser, lavender and tea tree topically (anti-inflammatory) 

Eczema  (23:01)

Symptoms: dry skin, rash, itching; more common on surfaces that rub (cheeks and extensor surfaces in babies, flexor surfaces in older children) 

  • Western - keep skin moisturized (emollients like vaseline or aquaphor for dry skin, unscented lotion on a daily basis), avoid scented lotions/soaps/detergents, wash new clothes before wearing them, steroid cream
  • Acu - decreases overall inflammation and can help 
  • Chiropractic -  can help with overall wellness and inflammation, but doesn’t specifically treat eczema 
  • Nutrition/supplements -  avoid allergenic foods (wheat, dairy, eggs, nuts, fish), consider hydrolyzed formula, limit sugar in older children, add more fresh fruit/veggies/fiber to decrease inflammation, vitamin C, Vitamin D.  
  • Homeopathy -  calendula cream, pine tar soap, antimonium crudum, graphites, sulphur 
  • Oils -  can try topical oils in a carrier - lavender, chamomile, oregano, tea tree - sometimes topical oils or the carrier oil will make eczema worse 

Also in Holistic Mamas Handbook: asthma, nosebleeds (can be related to allergies) 

Next week: baby acne and diaper rash! 

Dr. Keim has extensively researched the information presented in this episode. Her insight and knowledge on alternative and holistic treatments come together in her new book, Holistic Mamas Handbook, which can be ordered here. Her first book, The Baby Manual, covers year one of your baby’s life and is the subject of the first two seasons of this podcast. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers. And remember, it’s always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

307 - Constipation and UTI22 Nov 202300:31:58

Dr. Carole Keim talks about constipation and urinary tract infections (UTIs) in this episode. Dr. Keim details how to tell if your infant or child is truly constipated and what can be done to help alleviate the discomfort, as well as what to look for if you suspect a UTI. Her advice includes all holistic options that are applicable to alternative care.  

The rate of true constipation in infants under a year old is very rare, roughly 3% of babies. But that changes when children are older than a year. Constipation can become a lot more common as children age. Dr. Keim explains all the science, medical information, and care options for constipation and she also explains that children who are constipated are more likely to also get UTIs, which is why this episode is about both topics. UTIs tend to be more common in summer and in girls, but Dr. Keim explains that they can happen throughout the year and to boys as well. The information in this episode will ensure you are prepared to assist your child through either condition, should they arise.

In this episode:

Constipation (00:32)

  • Symptoms: poorly defined; decreased number of poops with harder texture. Pellets in the diaper.  Note: discoordinate stooling happens at 4-6 weeks of age and is a normal phase they go through; your baby isn’t constipated at this age!  
  • Western - in first 6 months just increase amount of feeds (don’t add water until they are eating foods) and talk to your doctor about possible food allergy/intolerance; when they start solids start offering 1oz of water for each 1oz of food; avoid milk at 1 year of age; increase water intake in children 6 months and older, prune juice as a medicine, increase fiber, P foods (pears, plums, peaches), polyethylene glycol (miralax), belly massage, tummy time, warm compresses to abdomen.  
  • Acu - acupuncture and herbs can help 
  • Chiro - yes 
  • Nutrition/supplements - high fiber foods, fiber supplements, psyllium, dried apricots, prebiotics, probiotics 
  • Homeopathy - speak with a CCH, they need to look at the constellation of symptoms 
  • Aromatherapy - Ginger, fennel, peppermint, rosemary, lemon, and lavender oil may help - in a diffuser or mixed with a carrier oil and rubbed onto the abdomen.  Also any of these, or castor oil on a warm wet washcloth on the abdomen can help.  Don’t give EOs or castor oil by mouth; EOs are potentially poisonous and castor oil is very irritating to the gut and no longer recommended.
  • Yoga can also help with constipation - check out videos on youtube! 

UTI  (21:00)

  • Symptoms: urinary frequency, urgency, and dysuria (pain with urination), bed wetting in a potty trained child, fever in infants (warrants immediate medical intervention). There shouldn’t be blood; if there is blood in the urine that also warrants immediate medical check.  Test is urinalysis.  Constipation can lead to UTIs in children; also being in a wet diaper or swimsuit too long, tight clothing/sweating in the summer, and bubble baths.  
  • Western -  antibiotics, increase fluids, phenazopyridine / pyridium / AZO in older children, plain water baths 
  • Acu - acupuncture and herbs can help 
  • Chiro - no 
  • Nutrition/supplements - limit sugar and dairy, low acidity foods (limit citrus and tomatoes), cranberry juice or supplements, probiotics 
  • Homeopathy - not recommended
  • Aromatherapy - not recommended

Also in Holistic Mamas Handbook: pinworms (the most common cause of itchy butt in children!)

Next week: Allergies and eczema!

Dr. Keim has extensively researched the information presented in this episode. Her insight and knowledge on alternative and holistic treatments come together in her new book, Holistic Mamas Handbook, which can be ordered here. Her first book, The Baby Manual, covers year one of your baby’s life and is the subject of the first two seasons of this podcast. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers. And remember, it’s always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

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As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

306 - Vomiting and Diarrhea15 Nov 202300:20:30

Dr. Carole Keim discusses vomiting and diarrhea in this episode, explaining the causes and symptoms of each. Beyond Western medicine treatment, Dr. Keim dives into alternative and holistic options for the treatment of both vomiting and diarrhea in babies and toddlers.  

Vomiting and diarrhea can often appear together, caused by viral infections, but vomiting alone can be a red flag for issues beyond infection, especially in older children. Dr. Keim details what to look for if your child is vomiting and how best to treat the symptoms. While the medical community isn’t fully in agreement on how to define diarrhea, it is essentially looser and more frequent stools. Dr. Keim explains the various colors that can appear in a baby’s stool and when they should see a doctor versus when holistic options may be useful.

In this episode:

Vomiting (02:38)

  • Symptoms: Forceful expulsion of stomach contents; different than spitting up. Note: if vomit is green that indicates bile and may be a sign of obstruction and warrants immediate medical attention. 
  • Western -  we typically don’t treat vomiting in children as it keeps the infection in longer; focus on liquids (small sips at a time - broth, tea, watered-down juice, oral rehydration solution), popsicles, smaller light meals of bland foods 
  • Acu - acupuncture and herbs can help
  • Chiro - can help with overall wellness and inflammation, but doesn’t specifically treat this. 
  • Nutrition/supplements - ginger, small sips of liquids, bland foods; for viral infections, supplements such as Vitamin C, Zinc, Echinacea, Vitamin D, and Elderberry can help boost the immune system and heal the body faster.  
  • Homeopathy - antimonium crudum 
  • Aromatherapy - ginger, peppermint, lavender, fennel seed, lemon, rose - either in a diffuser or diluted in a carrier oil and rubbed on the abdomen

Diarrhea (11:25)  

  • Symptoms: poorly defined but more frequent and looser stools; poop that soaks into the diaper.  Note: normal baby poop is very loose and yellow or green but sits on top of the diaper lining.  
  • Western -  typically no medications as this can make the infection worse; BRAT diet (bananas, rice, applesauce, toast), bland foods, limit juices or only give watered-down juice
  • Acu - acupuncture and herbs can help
  • Chiro - can help with overall wellness and inflammation, but doesn’t specifically treat this.
  • Nutrition/supplements - for babies with green poop can do block feeding (twice on one breast, twice on the other) or mix pumped milk in the fridge to get more hind milk and less fore milk; older children avoid dairy and sugar, avoid fruits, give probiotics; For viral infections, supplements such as Vitamin C, Zinc, Echinacea, Vitamin D, and Elderberry can help boost the immune system and heal the body faster.  
  • Homeopathy - china officianalis, arsenicum album, podophyllum peltatum 
  • Aromatherapy - anise, fennel, peppermint, coriander, lemon balm, cardamom, cinnamon - either in a diffuser or diluted in a carrier oil and rubbed on the abdomen. 

Next week: constipation and UTI!

Dr. Keim has extensively researched the information presented in this episode. Her insight and knowledge on alternative and holistic treatments come together in her new book, Holistic Mamas Handbook, launching on November 15, 2023. Pre-orders are available here. Her first book, The Baby Manual, covers the year one of baby’s life and is the subject of the first two seasons of this podcast. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers. And remember, it’s always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

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As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

305 - Colic and Reflux08 Nov 202300:17:40

Dr. Carole Keim talks about colic and reflux in this episode. She explains what they are and explores how different modalities can help alleviate your baby’s discomfort. There are supportive and alternative care options that Dr. Keim doesn’t often get a chance to address in the office but can present here.    

Dr. Keim defines a baby with true colic as one who cries for “three hours per day, three days per week, for three weeks”, or the rule of threes. The cause of colic is still largely unknown but common understanding links it to gas in the intestines. Dr. Keim lays out all the options for alleviating your baby’s colic distress. Reflux, or when stomach contents come up into the esophagus of young babies, is mainly treated with non-medicinal measures, a variety of which Dr. Keim explains.    

In this episode:

Colic (00:52)

  • Symptoms: Rule of 3s: 3 hours per day, 3 days per week, for 3 weeks. Peaks at 4-6 weeks of age.
  • Western -  Nonmedical: burp baby every 5 minutes if breastfeeding or after each 1oz if bottle feeding, tummy time, bicycle legs / up and downs, belly massage (clockwise) or back massage (counterclockwise). Medicines: probiotics, simethicone (OTC).
  • Acu - both acupuncture and chinese herbs can help with colic; check with a pediatric acupuncturist
  • Chiro - helps with colic
  • Nutrition/supplements - probiotics, prebiotics (increase fruit/veggies if breastfeeding; formula and breastmilk have prebiotics in them), gripe water (not FDA regulated), chamomile/licorice/ginger/mint tea (mom can consume if breastfeeding; can make it 1/2 to 1/4 strength and give a spoonful 1-2x per day to baby).
  • Homeopathy - chamomilla vulgaris, colocynthis, and lycopodium clavatum
  • Aromatherapy - can use fennel, star anise, marjoram, ginger, roman chamomile, rosemary, and/or bergamot topically - mix the essential oil with a carrier oil and massage in a clockwise direction on the abdomen. Breastfeeding moms can consume 2-5 drops of peppermint, ginger, or chamomile oil in water and drink it; don’t give oral essential oils to babies

Reflux (09:19)

  • Symptoms: spitting up (sometimes through the nose too), arching the back.  GERD is when the reflux is so bad that it causes other problems like severe pain, inability to gain weight / weight loss, or aspiration (choking).  All babies have reflux for 6-12 mos as the lower esophageal sphincter (LES) matures.
  • Western -  Nonmedical approaches: burp often, keep upright for 20-30 mins after feeds, avoid swinging/rocking/laying baby flat/belly massage for those 20-30 mins.  Can consider thickening feeds; check with your doctor first.  Medicine: ranitidine will decrease the acidity of stomach contents but doesn’t stop the reflux from happening, so still use supportive measures.
  • Acu - both acupuncture and Chinese herbs can help
  • Chiro - can help with reflux and spit ups
  • Nutrition/supplements - thickened feeds, breastfeeding moms can decrease acidity by eating less acidic foods and avoiding chocolate, caffeine, alcohol, spicy foods; ginger tea, chamomile tea, (only a spoonful of dilute tea for babies less than 1 year, or mom can drink the tea if she’s breastfeeding and it will get into breastmilk; can allow children over 1 year with reflux to drink ginger or chamomile tea, can use honey or sugar to sweeten it over 1 year of age)
  • Homeopathy - antimonium crudium, chelidonium majus, nux vomica
  • Aromatherapy - ginger, chamomile - mix in carrier oil, apply topically for babies under 1 year, can give a few drops of diluted oil orally for children over 1 year

Next week: vomiting/diarrhea!

Dr. Keim has extensively researched the information presented in this episode. Her insight and knowledge on alternative and holistic treatments come together in her new book, Holistic Mamas Handbook, launching on November 15, 2023. Pre-orders are available here. Her first book, The Baby Manual, covers the year one of baby’s life and is the subject of the first two seasons of this podcast. For additional tips and advice on babies and toddlers, follow Dr. Carole Keim on her TikTok and YouTube channels. And remember, it’s always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

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304 - Teething01 Nov 202300:15:53

Dr. Carole Keim talks about teething, a subject that comes up a lot and that parents have many questions about. She explains all about what to expect in terms of your baby’s teething discomfort and what modalities can help alleviate some of the pain.    

Teething happens to babies and then again to older children and is uncomfortable both times, though the experiences are slightly different. Dr. Keim discusses how teething can take place at varied intervals for each child, what sort of symptoms might show up in babies and younger children, and how Western medicine treats teething pain. She also explores what acupuncture, chiropractic treatment, and nutrition and supplements have to offer your baby.  

In this episode:

Teething  (00:34)

  • Symptoms: pain/fussiness/clinging/crying, drooling, diarrhea, low-grade fever, tooth buds (eruption cysts)
  • Western - tylenol, ibuprofen (over 6 mos), orajel, frozen washcloths, frozen fruit in mesh teethers, teething toys (list in email series!) 
  • Acu - acupuncture / acupressure points on hands and feet, herbs for teething
  • Chiro - adjustments can help - upper neck (very gently with pinkies only) and/or skull bones (craniosacral therapy).  Soft tissue techniques - move swelling out of the jaw /neck 
  • Nutrition/supplements - soft cold foods (yogurt, applesauce, jello, mashed fruit, pureed baby food), teething foods (teething crackers), calcium (dairy, soy, dark green veggies), vitamin D (sunlight, supplements), magnesium (green veggies, nuts, legumes), phosphorus (meat), Vit A (eggs, dairy, yellow/orange veggies), Vit C (citrus fruits, strawberries), fiber (fruit, veg) 
  • Homeopathy - Hylands tablets - cautious
  • Aromatherapy - lavender and chamomile oil on jawline (under 6 mos), 6-24 mos can use ginger oil on gums and marjoram on jawline, over 24 mos can use clove bud oil on gums 

Next week: colic/reflux!

Dr. Keim has extensively researched the information presented in this episode. Her insight and knowledge on alternative and holistic treatments come together in her new book, Holistic Mamas Handbook, launching on November 15, 2023. Pre-orders are available here. Her book, The Baby Manual, covers the first year of baby life and is the subject of the first two seasons of this podcast. For additional tips and advice on babies and toddlers, follow Dr. Carole Keim on her TikTok and YouTube channels. And remember, it’s always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

303 - Ears25 Oct 202300:27:29

Dr. Carole Keim discusses ears and two main issues that your baby can experience. Ear infections, also called otitis media, and ear wax. Dr. Keim explains the many symptoms of an ear infection, what causes them, and explores the holistic options for treating the pain and infection. She also talks about how best to clear ear wax from a baby’s ears.   

While Dr. Keim doesn’t talk about swimmer’s ear in this episode, she covers it in the Holistic Mamas Handbook for those who want that info. But for ear infections and wax, you’re going to learn a lot in this episode. What do you look for in terms of ear infection symptoms in an infant? What modalities offer the most help? What supplements can be given to babies? Are Q-Tips really as bad as people say? Carole answers all these questions related and more.

In this episode:

Otitis media (ear infection)  01:09

  • Symptoms: ear pain, sometimes also fever.  Pain is worse with pressure on canal and tragus, and a little worse with pulling on pinna.  Typically occurs along with (or just after) congestion/URI symptoms/allergies - anything that causes swelling in the nasopharynx.  More common in babies who lie down with a bottle and those who are formula fed.  If untreated, can cause ruptured eardrum, mastoiditis, and rarely meningitis.  Recurrent AOM can cause scarring of the eardrum, and persistent fluid can cause verbal delays.  
  • Western - ibuprofen x 48h.  Antibiotics for bacterial AOM - high dose.  Ear tubes for recurrent AOM.  Decongestants for symptoms (ginger, steam, nasal saline, spicy foods), fluids, rest.  
  • Chiro - neck adjustments and craniosacral therapy help fluid to drain; can treat the active infection and/or prevent future infections.  Definitely recommended for children at risk of needing ear tubes.
  • Acu - acupuncture and/or herbs can help 
  • Nutrition/supplements -  avoid sugar and dairy as these feed bacterial infection.  Can use immune boosting vitamins like vit C, vit D, zinc, echinacea, elderberry for viral infections.  Most AOM is viral.   
  • Naturopathy - onion earmuffs / garlic oil, NAC or mucinex to thin secretions, eustachian tube massage / fascial manipulation, wet socks 
  • Homeopathy - allium cepa, pulsatilla, belladona, calcarea carbonica
  • Oils - 
    • Pain mix: 1/2 oz vegetable oil, 10 drops lavender, 5 drops german chamomile, 6 drops palmarosa, 3 drops cardamom; mix and put 1-2 drops into ear for pain. 
    • Infection mix 1: 1/2 oz vegetable oil, 3 drops thyme, 3 drops lavender, 10 drops roman chamomile, 3 drops palmarosa; mix and put 1-2 drops into affected ear.  
    • If the ear is very painful, you can wet a washcloth with warm water, put 1/2 teaspoon on the washcloth, and use as a warm compress outside the ear.  

Earwax  19:30

Symptoms: often asymptomatic, sometimes hearing loss / verbal delay, wax leaking from ears, sometimes discomfort.

  • Western - q-tips / cotton swabs daily or for yellow wax (medical community is split on this, some recommend doing nothing); for brown wax use debrox, hydrogen peroxide, ear wash (irrigation) with warm water and dish soap, curette removal, baby oil, colace drops.  
  • Chiro - n/a
  • Acu - no acupuncture but chinese herbal drops, ear candling 
  • Nutrition/supplements -  garlic mullein oil or olive oil drops in the ears can help break up wax and make it flush out more easily 
  • Naturopathy - fish oil (po) (mom can take if breastfeeding), food intolerances if chronic, ear lavage with hydrogen peroxide (syringe with dull needle)
  • Homeopathy - not really, would need to be as part of a constellation of symptoms 
  • Oils - no EOs, can use olive oil or garlic mullein 

Check out Holistic Mamas Handbook for swimmer’s ear!  

Next week: teething!

Dr. Keim has extensively researched the information presented in this episode. Her insight and knowledge on alternative and holistic treatments come together in her new book, Holistic Mamas Handbook, launching on November 15, 2023. Pre-orders are available here. Her book, The Baby Manual, covers the first year of baby life and is the subject of the first two seasons of this podcast. For additional tips and advice on babies and toddlers, follow Dr. Carole Keim on her TikTok and YouTube channels. And remember, it’s always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

302 - Eyes18 Oct 202300:14:53

Dr. Carole Keim talks about two conditions that can affect your baby’s eyes. The first is lacrimal duct stenosis and the second is pinkeye. She explains what causes each condition, how they typically present in your child, and ways each modality of medicine can help with treatment. All this information will also be found in her new book, Holistic Mama’s Handbook.   

Lacrimal duct stenosis is often called a blocked tear duct but it’s not the tear duct that is blocked, it’s the lacrimal duct located in the corner of the eye on the bottom eyelid. Dr. Keim details what it looks like and how long it might last. Pinkeye can be caused by viruses or by bacteria. Viral infections are more common than bacterial ones. Dr. Keim outlines the differences in each, what symptoms to watch for, and how western and alternative medicines can help. 

In this episode:

Lacrimal duct stenosis  00:33

  • Symptoms: watery discharge, light crusting on lashes, buildup of what can look like pus in the eyes but is just skin cells, whites of eyes stay white.  No long term effects, goes away typically before 1 year of age.  
  • Western - massage the duct during diaper changes, wipe with clean washcloth, wait until 1st birthday, can consider surgical dilation. If eyes get infected, can add antibacterial eyedrops. 
  • Acu - point near the lacrimal duct can be used and has shown great results in studies 
  • Chiro - craniosacral / skull bones 
  • Nutrition/supplements - none specifically.  
  • Naturopathy - fascial manipulation, Can put breastmilk in eyes.
  • homeopathy - Pulsatilla, Merc Sol, Apis Mellifica, or Stannum Met may be tried.
  • Aromatherapy - none 

Pinkeye  06:27

  • Symptoms: watery/purulent discharge, crusting, redness of the whites of the eyes. Viral bilateral, bacterial usually unilateral.  Viral is self-limited with the illness, can last 1-2 weeks, and can sometimes get a bacterial superinfection if kids rub eyes.  
  • Western - Viral: supportive care, cool compresses to eyes, avoid rubbing/touching.  Bacterial: antibiotic eye drops 
  • Acu - viral: treat underlying cause/imbalance.  Bacterial: n/a.
  • Chiro - nonspecific but can help with overall wellness 
  • Nutrition/supplements - viral: Vitamin C, Vit D, zinc, echinacea, elderberry.  None for bacterial.
  • Naturopathy - breastmilk, topical eyedrops (western), some can make herbal tincture eyedrops (need to be sure it’s very sterile), wet socks 
  • Homeopathy - There are homeopathic eye drops to help with symptoms of pinkeye.  Euphrasia can be used orally for viral conjunctivitis. Oral Pulsatilla and Calcarea Sulph may be tried for bacterial conjunctivitis, but you should see a doctor for antibiotic eyedrops if it’s not helping within a day.
  • Aromatherapy - not recommended topically, but can use decongestant oils such as eucalyptus or peppermint in a diffuser 

More like this in the Holistic Mamas Handbook. Next week: ears!

Dr. Keim has extensively researched the information presented in this episode. Her insight and knowledge on alternative and holistic treatments come together in her new book, Holistic Mamas Handbook, launching on November 15, 2023. Pre-orders are available here. Her book, The Baby Manual, covers the first year of baby life and is the subject of the first two seasons of this podcast. For additional tips and advice on babies and toddlers, follow Dr. Carole Keim on her TikTok and YouTube channels. And remember, it’s always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

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As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

301 - Overview of supportive and alternative care11 Oct 202300:19:20

Welcome to Season 3 of The Baby Manual podcast with Dr. Carole Keim - pediatrician, mom, author of The Baby Manual and the upcoming Holistic Mamas Handbook. In this new season Dr. Keim will take parents through things like teething, colic, constipation, and allergies. This first episode explores what types of modalities are available, from Western medicine to acupuncture to naturopathy and more.   

In visiting alternative practitioners, interviewing them, and going through the research, Dr. Keim has learned how many things are available to parents to help children feel better when they’re ill. Western medicine, our traditional medical system in the US, has great advantages but is not always the best at improving quality of life. So Carole explains the options for a multifaceted approach, what to look for, and how each can help children thrive. 

In this episode:

Why CAM? 00:26

  • Many modalities of healthcare 
  • Western medicine does a lot of things well, but nobody does everything the best
  • Kids under age 3 can’t take most OTC medications, but still suffer from many ailments
  • A multifaceted approach is often the best one
  • Treat symptoms and underlying disease at the same time
  • Important to know which ones might interfere with others, and what’s safe for babies
  • Writing HMH to help parents through this time; let you know what’s safe, what will actually help 
  • Stay tuned because this season we will cover teething, colic, constipation, allergies, and more

Practitioners

  • Western
  • Chiropractic 
  • Acupuncture
  • Nutrition
  • Massage
  • Homeopathy
  • Aromatherapy
  • Naturopathy 
    • These are in the Holistic Mamas Handbook
    • The most common ones used in the US are chiropractic, acupuncture, homeopathy, and naturopathy

Western med  02:03

  • Philosophy: Body = collection of independent systems.  Treat the underlying cause when possible.  Prolong life.  
  • Tools: Physical examination, lab testing, imaging, medications whose direct action is well understood 
  • Training: 4 years of college, 4 years of medical school, 3-5 years of residency, additional years of fellowship to subspecialize
  • How to spot a good one: MD or DO, open minded, offers more than one solution, works with you on the treatment plan 

Acupuncture  04:19

  • Philosophy: stimulating points along specific channels can affect nerves and muscles, releases chemicals into the bloodstream, and triggers the body’s natural healing mechanisms to bring about homeostasis.  Shonishin dates back to the late 1600s 
  • Tools: shonishin is the technique used for children - observe the child, ask questions, feel pulses, and treat.  Blunt tools are used to stroke, tap, and press on the points.  Should be painless and not scary.  Sometimes also use cupping and/or indirect moxibustion.  Moxa is made from mugwort. 
  • Training: 4 years of college, plus 3 years of acupuncture school for LAc, 4 years for DACM.  
  • How to spot a good one: certified in shonishin, has pediatric experience, DACM vs LAc.

Chiropractic  07:21

  • Philosophy: body has an innate ability to heal itself.  Nerves control everything, and pressure on those nerves from bones being out of alignment causes dysfunction.  
  • Tools: adjustments - manual, clicker, drop table vs flat
  • Training: 3-4 years undergrad, 3-4 years of chiropractic school, earn DC 
  • How to spot a good one: Webster certified, icpa4kids.com, gentle, listens to the child

Naturopathy  09:40

  • Philosophy: the body has the inherent nature to heal itself, the whole person is treated (mental, emotional, genetic, environmental, and social components), first do no harm, identify and treat the cause (not just the symptoms), prevention is the best cure, and the ND is a teacher whose main role is to educate, empower, and motivate patients to take responsibility of their own health
  • Tools: nutrition, homeopathy, herbal remedies, hydrotherapy, massage, fascial manipulation, acupuncture, fasting, breathing.  Since naturopathy is so broad, few studies have been done on it as a discipline, but there are many studies about the specific techniques used.  
  • Training: 4 years of undergrad, 4 years of ND school.  Curriculum includes many of the same classes as western medical doctors, but less pharmacology and more training on herbal and alternative remedies and modalities.
  • How to spot a good one: certified by AANMC, knows when to refer to western medicine for pharmacologic interventions 

Homeopathy  12:54

  • Philosophy: like cures like, and the more dilute a preparation is, the stronger it is.  
  • Tools: observation of a person’s constitution, remedies that are made from an herb or pathogen and are diluted until no longer detectable and made into pellets with sugar 
  • Training: 2-4 years undergrad, 3-4 years homeopathic school 
  • How to spot a good one: CCH = certified classical homeopath 

Essential oils / Aromatherapy  15:05

  • Philosophy: strengthen the self-healing process by stimulating the immune system.  Inhaled scent molecules travel along the olfactory nerves to the amygdala (emotional center of the brain)
  • Tools: essential oils are extracted by steam distillation or cold pressing.  Oils are either inhaled, ingested, or applied topically.  Children should not ingest essential oils because they’re not regulated and very concentrated.  If you’re using them on your child’s skin, always use a carrier oil to dilute them so they don’t get irritation or a chemical burn.  
  • Training: none required
  • How to spot a good one: someone with a range of experience who isn’t tied to one brand in particular.  Good oils will come in dark glass bottles, will list the plant name in latin, and won’t have other chemicals added.  

Dr. Keim has extensively researched the information presented in this episode. Her insight and knowledge on alternative and holistic treatments come together in her new book, Holistic Mamas Handbook, launching on November 15, 2023. Pre-orders are available here. Her book, The Baby Manual, covers the first year of baby life and is the subject of the first two seasons of this podcast. For additional tips and advice on babies and toddlers, follow Dr. Carole Keim on her TikTok and YouTube channels. And remember, it’s always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

210 - Supportive Care for Colds11 Jan 202300:41:51

Dr. Carole Keim discusses all the supportive care options available for your child’s cold, beyond the over-the-counter medications. She details alternative medicines and things you can do to alleviate your child’s cold symptoms.

Most viruses don’t have specific treatments in Western medicine. We have COVID and flu vaccines, but beyond that, there isn’t much medically to be done for a cold. Dr. Keim not only explains what alternative options are available, she breaks down exactly what each virus does and what symptoms manifest in your child. This is a truly valuable resource episode.

In this episode:

  • Overview of colds 
  • Fever  
  • Congestion and ear pain 
  • Runny nose
  • Cough 
  • Immune boosters 
  • Sample regimens 

Overview 00:51

  • Viral infections - no specific treatment for most 
  • Many types and subtypes of viruses
  • Typical course: illness lasts 7-10 days, peak on day 4, cough can linger for up to 2 weeks after
  • Red flags: respiratory distress, dehydration (dry lips/tongue, decreased urine output, lethargy), fever for 5 or more days in a row, fever that goes away for more than 24 hours and then comes back (can indicate a secondary infection such as UTI/AOM/pneumonia)

Fever 04:40

  • Acetaminophen / paracetamol 
  • Ibuprofen
  • These will also help with systemic symptoms - pain, body aches, lack of energy, lack of appetite, trouble sleeping.
  • These do NOT treat cough, congestion, or runny nose 
  • Magic socks - wet cotton socks, cover with wool socks before bed 
  • I don’t recommend potatoes, garlic, or onions on feet - I’ve seen some burns 

Congestion and ear pain 09:01 

  • Eustachian tubes drain at the back of the nasopharynx, so congestion leads to fluid buildup in ears, so decongestants treat both
  • Medications for adults and children over age 6: pseudoephedrine by mouth, oxymetazoline nose spray
  • Children under age 6: nothing for congestion; ibuprofen for ear pain (x48h before abx)
  • Saline nose spray or sinus wash - hypertonic saline
  • Ginger, spicy foods, steam, vick’s 
  • Oils -  eucalyptus, peppermint, menthol, breathe blend 
  • Sinus drain/massage - OMT or chiropractic - tapping on sinuses and pressing along lymphatic channels
  • Acupuncture 
  • Onion earmuffs for ear pain 

Runny nose 18:43

  • Antihistamines DO NOT work.  
  • Use saline spray to keep the mucus cleared out.  Can use bulb sucker if boogers are stuck.
  • Wash your hands every time you wipe their nose 
  • Color of mucus has to do with the amount of inflammation and not necessarily whether it’s a bacterial or viral infection 
  • If mucus is very thick and seems to be stuck, can use guaifenesin (Mucinex) to help them clear it out.  Kids almost never need this and it works by causing them to cough, so many parents avoid it because it makes their child seem worse.

Cough 21:45

  • Mucinex causes more cough
  • Dextromethorphan, codeine, and similar anti-cough agents work by decreasing respiratory drive and can cause children under age 6 to stop breathing 
  • Antihistamines only work if it’s allergies, not for infections
  • The only thing that has been shown to be both safe and effective in Western medicine trials is honey (and only for children older than 1 year because of the risk of botulism!) 
  • Teach children to cough in their elbow 

Immune boosters 23:45

  • Vitamin D - 400 units
  • Vitamin C - 1000mg for adults; 100mg per 10 lbs 
  • Zinc - 30-60mg for adults
  • Echinacea - after exposure or at the onset of symptoms 
  • Elderberry - syrup or gummies 
  • Garlic
  • Lemon juice 
  • Fruits and veggies - 10 servings per day, or supplement 
  • The vitamins and supplements my family takes is in my link tree 

Sample regimens 29:10

  • RSV and/or common cold 29:13
    • Tylenol/ibuprofen, saline nose spray/drops before eating and sleeping, can bulb suck after each time (or not), bring them into the bathroom when you shower so they can breathe the steam, put vicks or essential oils on yourself or the shower floor before getting in, use a nighttime humidifier if you live in a dry climate, give vitamin C and D, zinc, echinacea, elderberry, consider chiropractic and acupuncture 
    • Keep baby hydrated - it’s fine if they don’t eat anything at all for days, but they need to be drinking water and have at least a little sugar and salt each day.  If they have breastmilk or formula that is plenty, they don’t need food on top of that.  It’s VERY hard to eat with RSV because of the congestion.
    • If breastfeeding, take immune boosters and keep breastfeeding as much as possible.  If you’re sick, wear a mask so you don’t cough or sneeze onto your baby.  
    • Do NOT allow children with “just a little runny  nose” around your baby - RSV causes very mild symptoms in children and adults, but can cause about 1% of babies to end up hospitalized 
    • Do NOT share bulb suckers or pacifiers between children
  • COVID 34:51
    • As for RSV; there might be specific treatment in the future but right now only for adults.  
    • Adults in the household should be vaccinated 
  • Flu 35:27
    • Acetaminophen/ibuprofen for fever and body aches, can also help with sleep and appetite
    • Saline drops/spray for congestion, honey for cough (over 1 year), ginger for congestion and to settle the stomach
    • For vomiting and diarrhea, keep them hydrated with small sips of water, watered-down juice (50% water or more), oral rehydration solution, popsicles, jello, or commercial drinks like pedialyte/gatorade.  If they are unable to keep down fluids you need to bring them to the ER.  
    • Tamiflu is sometimes helpful and sometimes causes GI upset.  It’s approved for ages 6mos and up.  
    • Adults and children over 6 months of age can be vaccinated 

Holistic Mama’s Handbook 39:43

  • I am in the midst of writing HMH
  • Collaborating with pediatric acupuncturists, chiropractors, dietitians, naturopaths, etc
  • For parents of young children 
  • Release date Fall 2023 

Dr. Keim has extensively researched the information presented in this episode. Her insight and knowledge on alternative and holistic treatments will come together in her new book, “The Holistic Mama’s Handbook”, due out Fall of 2023. For additional tips and advice on babies and toddlers, follow Dr. Carole Keim on her TikTok and YouTube channels. Her book, “The Baby Manual”, covers the first year of baby life and is the subject of Season One of this podcast. And remember, it is always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

209 - Daycare and Preschool28 Dec 202200:17:45

Dr. Carole Keim gives parents information on daycare and preschool - from the different types of preschools available to how they operate - so you can find the best fit for your child, but also for you in terms of community. 

There is a lot to consider when choosing a preschool: in the United States there are three main types of preschools and they would each suit specific child needs or parent desires differently. Dr. Keim breaks down what to expect and what to look for in preschools. She also explains the frequency of illnesses that children are more likely to get in school, how they circulate, and how you can avoid germs at home.

In this episode:

  • Daycare 
  • Montessori
  • Waldorf
  • Reggio Emilia 
  • Considerations
  • Illnesses at school
  • Avoiding germs at school

Daycare 00:33

  • Wide range, often regulated by health and safety organizations 
  • Sometimes mixed ages, sometimes separate ages
  • Ratio of children to teachers can vary 
  • Setting can vary - can be in a classroom, in home, at a public building, etc.

Montessori 01:34

  • Layout: furniture is child sized, wooden shelves along the walls, low educational pictures/diagrams, shelf layout increases in difficulty as you move left to right and top to bottom (children are meant to move through them sequentially)
  • Atmosphere: Children move around freely, do what they want when they want, adults are there to give presentations or to intervene only when needed, children of various ages help each other
  • Teachers: certified in Montessori, observe
  • Children: free thinkers, helpers/cooperative, self-sufficient, creative 

Waldorf 03:48

  • Layout: natural, decorated with things from nature, plain wooden toys (encourage creative play), few distractions
  • Atmosphere: simplicity, goodness, beauty, wonder; free play, nature exploration, projects / handcrafts, classroom functions like a home. Reading/writing/math introduced later than in public school
  • Teachers: accredited, masters degree or certificate, stay with the children their whole time at the school, i.e. K-5 or K-8
  • Children: creative entrepreneurs, problem solvers, self-directed learners, imaginative thinking 

Reggio Emilia 06:59

  • Layout: child-based, colorful, activity/theme stations, children’s artwork on the walls
  • Atmosphere: play-based learning, teachers play with the children, learning by theme, some structured activities, plenty of play time and child-directed time
  • Teachers: certified in early childhood education 
  • Children: learn to follow their passion, creative thinkers, well-rounded children, problem solvers 

Things to consider 09:33

  • Hours
  • Cost
  • Location
  • Ratio of children to teachers 
  • Teaching style 
  • Community 
  • Tour the school to get a feel for it 

Illness at school 11:14

  • Average 4-6 illnesses per year for the first 2-3 years (sick enough to come to the doctor), plus some milder ones 
  • Tend to cluster in winter months
  • Can spread between family members

Avoiding germs at home 12:31

  • There’s a chapter in my book, The Baby Manual
  • Wash hands as soon as you get home
  • Use separate hand towels
  • Keep toothbrushes apart (not in a cup with other people’s)
  • Sleep in a different bed than the sick person 
  • Don’t share utensils or food, blow on children’s food if you’re sick, or touch their food to your lips to see if it’s hot 
  • If anyone is sick, they should not come within 6 feet (and ideally in the same room) as anyone at high risk, such as babies under a year, people with medical conditions, etc.

Dr. Keim’s information here is designed to help you make daycare and preschool choices for your children a bit easier. For additional tips and advice on babies and toddlers, follow Dr. Carole Keim on her TikTok and YouTube channels. Her book, “The Baby Manual”, covers the first year of baby life and is the subject of Season One of this podcast. Remember, it is always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

208 - Toddler Behavior14 Dec 202200:30:08

Dr. Carole Keim explains all the toddler behavior you can expect at different ages between ages one and three. She goes through all main behavior and ability changes and gets to the heart of why toddlers are acting in the way they are. 

The more understanding you have of why children are behaving in a certain way, the easier it is to see things from their point of view. Dr. Keim offers tips and tricks for navigating the word no, the repeated question why, three year old defiance, and other notable toddler behaviors. It will be difficult, they tend to push all your buttons while learning boundaries, but Dr. Keim will make you feel more confident in your navigation. 

In this episode:

  • 1-1.5 yo
  • 1.5-2 yo
  • 2 yo
  • 3 yo
  • Resources

1-1.5 yo  00:37

  • Starting to be able to do things for themselves
  • Just starting to walk/talk, can feed themselves
  • Don’t have a lot of opinions/preferences yet 
  • Stranger anxiety - most will stay within sight of a parent
  • Fairly easy behavior
  • Parents: this is an ideal time to take a parenting class together

1.5-2yo  07:03

  • Can walk, use some words, pick things up off the floor / get things for themselves 
  • Separation anxiety, strong attachment to parent - explores with a parent nearby
  • Mimicking
  • Want to try things for themselves, show off 
  • Trying out their independence 
  • Learn how to use the word “no”
  • Advocate for themselves
  • Most wants are actually needs
  • Start having some opinions and preferences but can’t express them yet 
  • Offer 2 suitable choices 
  • Empathy

2yo  13:21

  • Run / run away 
  • Say no
  • Like attention (any kind) - spend 10 mins/day in child-led play 
  • Struggle with transitions, have no sense of time 
  • Can understand sequence a little bit - when/then statements 
  • Want to experience things for themselves - natural consequences 
  • Empathy, choices still 

3yo  18:30

  • Drama - know about emotion, how to tell stories, have very active imaginations, are egocentric 
  • Start expressing a wide range of emotions 
  • Understand that their actions impact others but don’t understand empathy/theory of mind yet 
  • Ask “why?” repeatedly - attempt to connect 
  • Test boundaries to see where they are
  • Test consequences to look for cause-and-effect 
  • See how much they can get away with (testing that you still love them)
  • As above (when/then statements, natural consequences, empathy, choices) plus modeling how to handle anger/frustration, anger wheel of choice, logical consequences

This guide is all about toddlers and why they behave in the way they do. For additional tips and advice on babies and toddlers, follow Dr. Carole Keim on her TikTok and YouTube channels. Her book, “The Baby Manual”, covers the first year of baby life and is the subject of Season One of this podcast. Remember it is always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

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As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


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207 - Picky Eaters30 Nov 202200:29:45

Dr. Carole Keim talks all about picky eaters in this episode. Is it normal when your toddler reaches a point of only eating five beige foods? Yes. Dr. Keim covers this and everything to do with development, child nutrition, tempting picky eaters, and when to see a doctor about food concerns.

Dr. Keim also addresses why the old food pyramid is out of date and explains the actual nutrients your child needs and which foods they appear in. She shares why eating an actual apple is healthier than processed apple sauce, why processed foods aren’t good for kids, and how to keep kids interested in trying new things. Toddler palates and pickiness are de-mystified in this episode. 

In this episode:

  • Normal development
  • Macronutrients
  • Micronutrients
  • Food pyramid
  • Green/yellow/red light foods
  • Talking with children about nutrition 
  • Tips for new foods 
  • When to see the doctor 

Normal development 00:25

  • 0-6 mos: only eat one thing 
  • 6-12 mos: they only eat what you give them, simple palate (1-3 ingredients, no spices)
  • 12-24 mos: tend to be great eaters and willing to try most things 
  • Around age 2-3 they go through a phase of eating 5 foods
  • Eating pattern: eat one meal, pick at one meal, skip one meal
  • Most outgrow this within a year

Macronutrients 03:03

  • Carbohydrates
  • Protein / complete proteins (9 essential AAs)
  • Fat

Micronutrients 07:12

  • vitamins A, B, C, D, E, K
  • Iron and other minerals
  • Omegas 
  • Probiotics and prebiotics 
  • Fruits and veggies 

Food pyramid 11:20

  • outdated; developed in 1992 
  • became my plate in 2011 
  • 2020 guidelines focus on limiting processed foods, increasing nutrient-dense foods, and limiting added sugar to <10% of daily calories, Saturated fat to <10%, sodium to less than 2.3g, and alcohol to 2/day for men and 1/day for women

Green/yellow/red light foods 13:55

  • another way to think about it; easy for kids to understand
  • Still puts food into the “good vs. bad” spectrum 

Talking about nutrition with young children 16:49

  • Focus on benefits - fiber, vitamins, nutrients, keeps you full, fuels your body, helps you grow strong, etc.
  • Talk about flavors and textures - fresh fruit and veggies often crunch
  • Eat the rainbow; color = vitamins/nutrients
  • Put all food on the plate at the same time (including treats)
  • Don’t use dessert as a reward, or other 
  • Avoid the “clean plate club” - puts a lot of stress on children.  Can let children serve themselves or tell you how much they want.  

Tips for trying new foods 21:03 

  • Eat together as a family
  • You provide the food, they decide whether to eat it
  • No pressure to taste new foods
  • Keep offering 
  • Offer a variety
  • Make it look fun / fun utensils
  • Let kids help with shopping and meal planning
  • Let kids help prep food
  • Once your child likes a new food, offer similar foods
  • Pair new foods with preferred foods
  • Use “we” statements 

When to see the doctor 24:55

  • Poor weight gain or weight loss 
  • Lack of variety longer than 1 year 
  • Avoidance of certain textures
  • Gagging or vomiting after eating
  • Stomachaches associated with food 
  • Chronic abnormal poops 

This guide will help you navigate nutrition for your toddler, letting you know what’s normal pickiness and when to worry. For additional tips and advice on babies and toddlers, follow Dr. Carole Keim on her TikTok and YouTube channels. Her book, “The Baby Manual”, covers the first year of baby life and is the subject of Season One of this podcast. Remember it is always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

206 - 3 Years Old16 Nov 202200:22:39

In Episode 6 of Season 2, Dr. Carole Keim walks us through what to expect from three year olds. This can be a difficult age because children experience a lot of emotional growth and often become oppositional. Dr. Keim offers guidance on what to expect and how to handle it.

Three year olds have a lot of big feelings and drama, they often ask “why” a lot, they do the opposite of what is asked to test boundaries. They are trying to see exactly where the boundaries lie and that they’ll still be loved if they push limits. They have more refined motor skills, are more independent, and their speech has become more coherent. Dr. Keim advises on everything from behavior to nutrition and how best to handle certain patience-testing behaviors.

In this episode:

  • Social development
  • Motor skills
  • Behavior
  • Parenting
  • Nutrition
  • Potty training
  • Safety
  • 3 year checkup

Social development 02:04

  • Imaginative play, often elaborate
  • Can put on a shirt, coat, or jacket by themselves
  • Plays with others and can share 
  • Able to follow a multi-step command (when they want to!)
  • 3-word sentences 
  • Speech 75% intelligible to strangers
    • When they speak, repeat back with correct grammar and pronunciation
  • Tells you a story from a book or TV; make up great stories 
  • Can compare things with words like bigger/smaller 
  • Understands simple prepositions like on/under
  • Asks “why” repeatedly 
  • Many children start preschool around age 2-3
    • Types of preschools - Montessori, Waldorf, Reggio Emilia
    • Preschool vs daycare 

Motor skills 05:51

  • Eats independently
  • Typically potty trained for urine - can enter bathroom and pee by themselves 
  • Pedal a tricycle
  • Climb on and off chairs, couches
  • Jump forward
  • Draw a circle
  • Draws a person as a face with arms or legs 
  • Can cut with scissors

Behavior 08:31

  • Test boundaries
  • Lots of defiance
  • Praise/notice good behavior 
  • Offer two reasonable choices as often as possible 
  • Teach them what is ok to do when they are angry 

Parenting 12:17

  • Maintain routines and limits - meals, bedtime
  • Encourage fantasy play 
  • Play games that require taking turns 
  • Teach your child about empathy (but don’t expect them to fully grasp it yet)
  • Rhyme together
  • Let your child pretend to read books to you 
  • Limit TV to 1 hour of high quality programming that you watch together
  • Avoid TV during meal times and in bedrooms
  • Be aware of your own screen use around child

Nutrition 16:51

  • Pattern: eat 1 meal, skip 1 meal, pick at 1 meal
  • Often picky at this age; try to offer a variety and avoid falling into the trap of beige foods and sweets.  Have healthy snacks ready to go for them - cut up fruit/veggies, healthy dips like hummus / soy sauce
  • Water is the best thing they can drink and can/should be the only thing they drink; limit milk to 24oz per day and juice to 4oz per day 

Potty training 17:42

  • Daytime dryness comes 6-12 mos before nighttime
  • Encourage frequent sitting to avoid constipation; can become a vicious cycle when they have a painful BM
  • Dress them in clothing that is easy for them to remove 

Safety 18:35

  • Car seat - can be forward facing
  • Use helmet for anything with wheels
  • Remove firearms from home
  • Supervise around dogs, cars and start teaching them about safety 
  • Touch supervision near water - pools, toilet, bathtubs 
  • Move furniture away from windows
  • Use door locks and window locks 

3-year checkup 20:22

  • No vaccines other than flu/covid until age 4
  • Ok to allow child to answer questions, but expect that they will give wrong answers 
  • They typically feel comfortable during the physical exam; time to start talking about safety around adults / private parts  
  • Ask your doctor if you have any specific questions about preschool, behavior, tantrums, nutrition, vitamins, potty training, constipation, and sleep routines 
  • Regular dental visits 1-2x per year 

This guide aims to help you with your “threenager”, guiding you through the three years old development stages. For additional tips and advice on babies and toddlers, follow Dr. Carole Keim on her TikTok and YouTube channels. Her book, “The Baby Manual”, covers the first year of baby life and is the subject of Season One of this podcast. Remember it is always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

205 - 2.5 Years Old02 Nov 202200:14:51

In this episode, Dr. Carole Keim talks about what to expect from your two and a half year old. Your child is getting older, is super cute, and is now talking more, so Dr. Keim explains everything from motor skills to nutrition, and offers some parenting advice.

A child at two and a half will have enough language to communicate basics with you but their lack of full verbal skills can frustrate them and cause acting out. Their motor skills are more developed, they can run pretty well and wash and dry their hands. But they still don’t have proper awareness of dangers like cars, dogs, and especially water. Dr. Keim walks through all the ways in which two and a half year olds are advancing and all the things they need help with and that you may need patience for. It can be a tricky age but you’ve got this.

In this episode:

  • Social development
  • Motor skills
  • Behavior
  • Parenting
  • Nutrition
  • Potty training
  • Safety
  • 2.5 year checkup

Social Development 00:30

  • Starting imaginary play
  • Says “look at me!” to parents
  • Starting to play with others 
  • Phrases of 2-3 words
  • Speech 50% intelligible to strangers
    • When they speak, repeat back with correct grammar and pronunciation
    • They can use pronouns correctly
  • Many children start preschool around age 2-3
    • Types of preschools - Montessori, Waldorf, Reggio Emilia
    • Preschool vs daycare 
    • Expect them to play with other children but not be able to share or take turns yet
    • They may start to follow older children around and copycat them 

Motor Skills 03:02

  • Stabs food with a fork 
  • Walks up stairs alternating feet
  • Runs well without falling
  • Washes and dries hands
  • Catch a beach ball 

Behavior 04:13

  • Start testing boundaries and setting their own
  • Praise/notice good behavior 
  • Offer two reasonable choices as often as possible 

Parenting 05:55

  • Maintain routines - meals, bedtime
  • Have fun outings together - museums, zoos, library 
  • Make time for learning through reading, talking, singing, exploring together
  • Limit TV to 1 hour of high quality programming that you watch together
  • Avoid TV during meal times and in bedrooms
  • Be aware of your own screen use around child

Nutrition 08:09

  • Pattern: eat 1 meal, skip 1 meal, pick at 1 meal
  • Might graze throughout the day
  • May start to get picky at this age; try to offer a variety and avoid falling into the trap of beige foods and sweets 

Potty Training 09:25

  • plan for frequent potty breaks (up to 10x per day), relax during potty time by reading or singing to them 
  • Teach them to wash hands with soap and dry with towel 
  • Dress them in clothing that is easy for them to remove 
  • For independence, must be able to remove/replace clothing, get on/off toilet

Safety 10:28

  • Car seat - can be forward facing
  • Use helmet for anything with wheels
  • Remove firearms from home
  • Supervise around dogs, cars
  • Touch supervision near water - pools, toilet, bathtubs 

2.5 Year Checkup 12:43

  • No vaccines other than flu/covid until age 4
  • Ok to allow child to answer questions, but be ready to jump in if they feel nervous or give wrong answers (which they often do at this age)
  • They typically feel comfortable during the physical exam 
  • Ask your doctor if you have any specific questions about preschool, behavior, tantrums, nutrition, vitamins, potty training, constipation, and sleep routines 
  • Regular dental visits 1-2x per year 

This guide should ideally help you enjoy time with your two and a half year old. For additional tips and advice on babies and toddlers, follow Dr. Carole Keim on her TikTok and YouTube channels. Her book, “The Baby Manual”, covers the first year of baby life and is the subject of Season One of this podcast. Remember it is always okay to call your doctor or emergency services if you have concerns about your child’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

 

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

204 - 2 Years Old19 Oct 202200:15:14

In this episode of Season Two, Dr. Carole Keim discusses two year olds. Dr. Keim explains exactly what developmental and behavioral milestones to expect, offers potty training and safety advice, and touches on preschool and checkups for your two year old.

This age is often called “the terrible twos” largely because children have learned the word ‘no’ and have started advocating for themselves. They’re exploring their environments with increased motor skills and speech but not as many words as they’d like to express things. They’re also exploring boundaries. Dr. Keim explains how to navigate their frustrations and tantrums from a place of understanding where they’re at.

In this episode….

  • Social development
  • Motor skills
  • Behavior
  • Potty training
  • Safety
  • Preschool
  • 2 year checkup

Social 00:33

  • Parallel play 
  • 50+ words
  • Combines 2 words
  • Follows 2-step command
  • Speech 50% intelligible to strangers
  • Names at least 5 body parts
  • Likes familiarity - might want the same book every night
  • Many children start preschool around age 2-3
    • Types of preschools - Montessori, Waldorf, Reggio Emilia 
    • Preschool vs daycare 

Motor 05:31

  • Scoop with a spoon
  • Kick a ball
  • Hop with 2 feet
  • Runs well
  • Climb a ladder at a playground
  • Removes clothing - esp socks
  • stacks objects
  • turns pages in book
  • draw a line

Behavior 06:31

  • exploring boundaries 
  • Starting to advocate for themselves
  • Praise/notice good behavior 
  • Help them express joy, anger, sadness, frustration
  • You’ll start to notice their personality around people/situations
  • Encourage free play up to 1 hour per day
  • Make time for learning through reading, talking, singing, exploring together
  • Limit TV to 1 hour of high quality programming that you watch together
  • Avoid TV during meal times and in bedrooms
  • Be aware of your own screen use around child

Potty training 09:19

  • plan for frequent potty breaks (up to 10x per day)
  • Teach them to wash hands
  • For independence, must be able to remove/replace clothing, get on/off toilet

Safety 11:12

  • Car seat - can change to forward facing
  • Use helmet for anything with wheels
  • Remove firearms from home

Preschool 12:45

  • Can help with social interactions, sharing

2-year checkup 13:13

  • No vaccines other than flu/covid until age 4
  • Ok to allow child to answer questions, but be ready to jump in if they feel nervous or give wrong answers (which they often do at this age)
  • They typically feel comfortable during the physical exam 
  • Ask your doctor if you have any specific questions about behavior, tantrums, nutrition, vitamins, potty training, constipation, and sleep routines 

Hopefully this helps you enjoy time with your two year old with less worry. For additional tips and advice on babies and toddlers, follow Dr. Keim on her TikTok and YouTube channels. Her book, “The Baby Manual”, covers the first year of baby life and is the subject of Season One of this podcast. Remember it is always okay to call your doctor or emergency services if you have concerns about your baby’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

203 - Potty Training05 Oct 202200:23:16

In this episode, Dr. Carole Keim talks all about potty training. While potty training usually involves toddlers - the common age is between two and four years - it can be started as early as infanthood with what’s called elimination communication. Dr. Keim walks parents through all the major questions and issues about potty training. 

Dr. Keim first explains how to identify when your toddler is ready to start training. She then talks about how to potty train and explains various methods of working with a reluctant toddler or what she calls “secret poopers”. In addition she addresses various things that could go wrong, such as constipation or diarrhea, and how to take care of your toddler if one of these issues should arise. Dr. Keim imparts sound and thorough advice to prepare parents for the journey of getting toddlers to use the toilet.

In this episode….

  • Elimination communication
  • Signs your toddler is ready
  • Secret poopers 
  • Resistant children
  • Constipation
  • Diarrhea
  • UTIs

Elimination communication 00:42

  • Can start at any age
  • Pre-verbal children
  • You indicate when it’s time to potty and make noises while holding them over a potty, adult toilet, or sink
  • Times to take them : after they eat, when they wake up

Toddler potty training 01:45

  • Dry for 2+ hours at a time
  • They indicate when they’ve gone or you can tell when they’re going
  • Start anticipating these times (after meals, upon waking) and/or use a schedule
  • Sit them on the potty / toilet seat with adapter 
  • They don’t have to be fully independent with moving/removing clothing, pulling up pants, getting on and off the toilet, and washing hands.  Use scaffolding.
  • It can take a while for them to get the hang of it
  • Don’t punish them for accidents
  • Don’t use treats unless you need to 
  • Daniel Tiger episode 

Children who don’t mind sitting in a dirty diaper 04:51

  • aka “secret poopers” 
  • Can try the “oh crap” book
  • Allow them to run around without diaper or pants on, especially outside
  • Try nature pees/poops
  • Can try the potty training in a weekend method
  • Have a potty in each room so it’s easy

Children who fight using the potty 05:56

  • Try nature pees/poops
  • Have a potty in each room to get them used to it
  • Let them sit on the potty fully clothed and play while siting there
  • Have fun potty time - read a special book together, play with a toy on the potty
  • If using potty treats: sticker charts are often too delayed of a reward except in children 4 and up.  I suggest a treat for trying, and a treat if anything comes out.  Food treats tend to motivate children more but are also associated with more performance anxiety.  
  • It is ok to praise attempts to use the potty and success in using it, but excessive praise can also cause performance anxiety
  • Becoming angry at child for refusing to use the potty can backfire on parents, as this is one of the only things a child can control

Constipation 09:17

  • Decrease in frequency or size of bowel movements, harder stools, pain with stooling
  • Can be acute or chronic
  • How chronic constipation happens
  • Avoiding it: choose high fiber and low processed foods - fresh fruit and veggies for more than 50% of each meal / 10 fistfuls per day.  Avoid dairy products.  Make sure child is drinking 1/2oz per pound of weight in water each day (so a 25 lb child should drink at least 12.5oz of water).  Try to establish positive associations with sitting on the toilet.
  • Treating it when it’s acute: can try prune juice as a laxative, a glycerin suppository if stool is very hard, or an enema for a one-time cleanout.
  • Chronic constipation: first disimpaction - enema of hypertonic saline or a suppository x1, followed by a stimulant laxative x 2-3 days, and a stool softener for several weeks.  At the same time, increase fiber and water, decrease processed foods, and eliminate dairy.  Encourage frequent and prolonged sitting on the toilet.
  • How stimulant laxatives work and why they are addictive and shouldn’t be used more than a few days
  • How miralax and psyllium work as stool softeners and why they can be used long term

Diarrhea 16:32

  • Teething - symptoms, why it happens
  • Viral - tend to have no or low-grade fever, no blood, can be foul smelling and green 
  • Bacteria - can have fever, can have blood, can have it for over a week, can be profuse or just a few times per day.  Requires test to determine type of bacteria to guide treatment; sometimes antibiotics help, sometimes they make it worse.
  • After antibiotics
  • From juice
  • From food
  • When to be concerned
  • Treatment - more water, BRAT diet x 1 day, bland foods, avoid dairy, probiotics, avoid dehydration 
  • Why we can’t use diarrhea medicines in children
  • Avoiding spread to family members
  • Rotavirus vaccine

UTIs 19:48

  • Symptoms: pain with urination, urinary frequency, urgency, accidents in a potty trained child, sometimes bad smell of urine. Fever is a late sign.
  • Caused by constipation, staying in wet clothing/swimsuit too long, poor hygiene (not bathing enough, staying in dirty diaper too long), tight clothing/sweat, bubble baths 
  • Treatment: antibiotics.  
  • Prevention in those who get more than 1 UTI: increase water intake, more frequent voiding, avoid risk factors, decrease sugar intake.  Also they should get an ultrasound of the kidneys to determine risk for pyelo.

These are the major things to do with potty training. For additional tips and advice on babies and toddlers, follow Dr. Keim on her TikTok and YouTube channels. Her book, “The Baby Manual”, covers the first year of baby life and is the subject of Season One of this podcast. Remember it is always okay to call your doctor or emergency services if you have concerns about your baby’s health.   

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

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Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

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202 - 18 Months Old21 Sep 202200:41:34

In this second episode of Season 2, Dr. Carole Keim discusses what to expect at the 18 month stage. Your baby is a toddler now, and showing ever more personality, and Dr. Keim has advice on everything from tantrums to sleep.

Dr. Keim addresses what social and motor development looks like at this age. Your baby will want to play with you and they understand a lot more language than their few words would have you believe. She talks about the “terrible twos” and shares ways to avoid tantrums. She addresses sleep and what bed your baby should sleep in at 18 months. How should teeth brushing go? How do you navigate potty training? What are major safety concerns to address? Dr. Keim has insight on all these questions and more in this episode.

In this episode….

  • Social development and language
  • Motor development
  • Behavior
  • Digital media
  • Sleep
  • Nutrition
  • Teeth
  • Elimination
  • Safety
  • Skin care, bathing, sun protection
  • 18mo Checkup

Social development: 00:40

  • Engaging with others for play
  • Help with dressing and undressing
  • Points at pictures in books
  • Shows things to parents by pointing or bringing objects
  • Looks at parent if something new happens
  • Can scoop with spoon
  • Starts using words to ask for help
  • Can identify 2 body parts
  • Can name 5 objects 
  • Stranger anxiety starts getting better, but separation anxiety starts getting worse
  • Follow simple instructions and love to help out
  • Parents: encourage use of language by naming what you see, talk and sing to child, use words to describe feelings and emotions

Motor development: 04:30

  • Can run, kick a ball
  • Walks up stairs by doing step-together and while holding a hand
  • Can sit in a small chair
  • Walks around with toys
  • Scribble
  • Throw a ball 

Behavior: 06:10

  • Terrible two’s start now - they know how to use “no”
  • Offer 2 suitable choices as often as possible throughout the day.  Let them choose how things get done.
  • They have a hard time expressing preferences; pretty good with needs 
  • Modify their environment to avoid conflict; plan ahead for new and difficult situations
  • Hitting and biting are attempts to communicate - teach them how to communicate effectively 
  • Anticipate anxiety/clinging in new situations
  • Spend at least 10-15 minutes in child-led play
  • Prepare child for new sibling by reading books, getting them a doll

Digital media: 14:14

  • Promote reading, physical activity, and play with non-electronic toys
  • Make time for play every day
  • No screens for at least 2 hours before bedtime; instead plan on tech-free play, bath, reading
  • Use methods other than screens to calm them down: distraction, removing trigger, going outside, addressing needs like hunger/sleep
  • If you do use digital media, choose high quality programs/apps and use them together: PBS kids, Daniel Tiger
  • Limit viewing to less than 1 hour per day
  • Be mindful of your own screen use; make a plan for family media use
  • Avoid having TV on in the background, especially during meals 

Sleep: 17:55

  • 10-14h at night, 0-1 nap per day.  
  • In crib in their own room; consider moving to toddler bed when it’s ok for them to get out of bed (walking independently, able to safely get to your room and wake you up)
  • Night waking is normal; reassure briefly, offer stuffed animal or blanket so they can self-console
  • Lifehack while potty training: layer sheets and chucks 
  • Blankets ok; no pillows til age 2
  • No food or drinks in bed
  • No electronic devices in the bedroom (TV, tablet)

Nutrition: 20:57

  • 3 meals and 2-3 snacks per day at the same time as the family
  • Offer a variety of foods and textures 
  • Encourage self feeding and use of utensils 
  • Use a cup for water; offer water with all meals and snacks
  • Should be eating greens daily; ok to have meat; supplement with iron if not eating greens daily or red meat 3x per week
  • You determine when child eats and what is offered, but allow child to decide how much to eat (many toddlers graze).  They are typically not picky and want to try new foods at this age.
  • Less than 24oz of milk per day, less than 4oz juice (ideally NO juice)

Teeth: 25:10

  • Brush teeth BID with small smear of fluoride toothpaste
  • They should see a dentist 1-2x per year

Elimination: 26:09

  • Typical age to start potty training - start noticing them hiding to poop or anticipate when they will go, they know and tell you when they’ve peed/pooped, they can pull pants up/down
  • Typically voiding at least 6x per day, stooling 1-2x per day
  • If baby is constipated: first increase water intake, increase fiber (fruit and veggies), then consider prune juice or pear juice 2oz 1-2x per day.  If not enough, talk to your doctor about miralax.
  • Can start potty training by putting toddler on potty after eating and upon waking
  • If toddler is resistant to potty training, can start with sitting while clothed and entertain them with a book or toy, then sitting with pants and diaper off
  • Read books about using the potty
  • Can keep the potty in your bathroom and try going at the same time - they love to mimic adults at this age
  • Start boys sitting on the toilet; they can stand later.  Standing too early can lead to constipation.  
  • Potty signal: songs

Safety: 33:13

  • Childproof the house - outlet covers, stairway gates, barriers around space heaters, cleaning products locked away, electrical cords out of reach, gates around pools, small and sharp objects out of reach
  • Don’t take medicines in front of children - they will learn that you’re supposed to open those bottles and put things in your mouth out of them
  • Set water temp to 120’F 
  • Avoid secondhand smoke
  • Rear facing car seat until age 2, make sure everyone in the car is using a seat belt
  • Don’t leave heavy objects or hot liquids on tablecloths or coffee table 
  • Save poison control number in your phone 
  • Remove guns from the home or keep them locked and unloaded in a safe
  • Make a fire escape plan with the family, check smoke detectors often 

Skin care: 37:38

  • Bathe as often as they get dirty (daily)
  • Can use lotion; many have started outgrowing eczema by now
  • Use sunblock if spending more than 30 mins outside, apply 30 mins before you go outside, and use SPF 30 or higher.  Also use a hat, sun protection clothing (long sleeve swim shirts)
  • Insect repellant that is safe for babies 

18mo Checkup: 39:05

  • Expect them to be clingy and sad if you leave them on the table
  • Full head-to-toe exam
  • Routine vaccines at this visit; should be all caught up now until age 4!
  • Next checkups at age 2, 2.5, and 3 years

Resources discussed in this episode:

--

Dr. Carole Keim MD: linktree | tiktok | instagram

---

Amazon

Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.

FullScript Vitamins and Supplements

Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM=

Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg=

Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=

Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop

HIRO Diapers

Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim

As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases.


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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