
Hosted by Dr. Carole Keim MD · EN

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 __ Resources discussed in this episode: The Baby Manual is available on Amazon The Holistic Mamas Handbook is available on Amazon Meal kit services: Sunbasket Purple Carrot Daily Harvest HelloFresh Blue Apron Hungryroot Grocery delivery options: Instacart Restaurant delivery services: DoorDash Uber Eats Household Support TaskRabbit Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim __ Contact Dr. Carole Keim MD Linktree linktr.ee/drkeim Tiktok @dr.keim Instagram DoctorAtYourDoor Website CaroleKeim.com ---AmazonShop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.FullScript VitaminsUse this link to get 10% off and free shipping for orders over $50.HIRO DiapersUse code DRCAROLEKEIM for a discount at checkout. Click here. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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 __ Resources discussed in this episode: The Holistic Mamas Handbook is available on Amazon The Baby Manual is also available on Amazon TUSHY: HelloTushy.com Thinx: Thinx.com HIRO: HiroDiapers.com Check out all of Dr Carole Keim's must-haves and essentials for your little one: https://www.amazon.com/shop/drcarolekeim __ 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 ---AmazonShop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.FullScript VitaminsUse this link to get 10% off and free shipping for orders over $50.HIRO DiapersUse code DRCAROLEKEIM for a discount at checkout. Click here. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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. __ 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 Website CaroleKeim.com Contact Andrea Olson: Website: GoDiaperFree.com Website: TinyUndies.com Podcast: The Go Diaper-Free Podcast Instagram: @TinyUndies ---AmazonShop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.FullScript VitaminsUse this link to get 10% off and free shipping for orders over $50.HIRO DiapersUse code DRCAROLEKEIM for a discount at checkout. Click here. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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 __ 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 Website: CaroleKeim.com Linktree TikTok Instagram ---AmazonShop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.FullScript VitaminsUse this link to get 10% off and free shipping for orders over $50.HIRO DiapersUse code DRCAROLEKEIM for a discount at checkout. Click here. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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 __ 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 Website: CaroleKeim.com Linktree TikTok Instagram ---AmazonShop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.FullScript VitaminsUse this link to get 10% off and free shipping for orders o...

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. __ 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 Website: CaroleKeim.com Linktree TikTok Instagram Contact Dr. Mika Gupta Website: DrBrainMom.com Website: LoveMamaBird.com Dr. Mika Gupta on LinkedIn Instagram: @drbrainmom ---AmazonShop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.FullScript VitaminsUse this link to get 10% off and free shipping for orders over $50.HIRO DiapersUse code DRCAROLEKEIM for a discount at checkout. Click here. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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:The Holistic Mamas Handbook is available on AmazonThe Baby Manual is also available on Amazon“Heartful Kitchen: A Cookbook for Every Body” by Chef Maria Cooper__Contact Dr. Carole Keim MDlinktree | tiktok | instagram Contact Dr. David TusekWebsite: CloudMedical.ioBlog: CloudMedical.io/blogLinkedIn: drtusek ---AmazonShop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.FullScript VitaminsUse this link to get 10% off and free shipping for orders over $50.HIRO DiapersUse code DRCAROLEKEIM for a discount at checkout. Click here. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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 AmazonThe Baby Manual is also available on Amazon__Contact Dr. Carole Keim, MDlinktree | tiktok | Instagram Contact Dr. Tal Gospin, MDwebsite | Pediatric Cardiology Care Houston ---AmazonShop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.FullScript VitaminsUse this link to get 10% off and free shipping for orders over $50.HIRO DiapersUse code DRCAROLEKEIM for a discount at checkout. Click here. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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 AmazonThe Baby Manual is also available on Amazon__ Contact Dr. Carole Keim, MDlinktree | tiktok | instagram Contact Dr. Justin Rosati, MDlinktree | instagram | University of Rochester Medicine ---AmazonShop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.FullScript VitaminsUse this link to get 10% off and free shipping for orders over $50.HIRO DiapersUse code DRCAROLEKEIM for a discount at checkout. Click here. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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 AmazonThe Baby Manual is also available on Amazon__Contact Dr. Carole Keim, MDlinktree | tiktok | Instagram Contact Dr. Cristina Saez, MDStanford Medicine ---AmazonShop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim.FullScript VitaminsUse this link to get 10% off and free shipping for orders over $50.HIRO DiapersUse code DRCAROLEKEIM for a discount at checkout. Click here. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.