The Legal Drug Dealer Podcast
Getting Pharmacy as a profession Closer to The Patient
March 31 2020
#16 Children over the counter medications and mom’s recommend
With Dr. Joanne Davis Jarret & Marilena Grittani, RPh
This episode is PACKED with useful information for you to take care of the kiddos under your supervisor. Your children, grandchildren, nieces and nephews, neighbors, etc.
So many details of stuff that you need to know or you wish you knew.
Some of the most relevant points she made are:
- When to call the pediatrician
- To keep poison controls phone number on hand.
- What tricks to remember when you are taking care of more than one sick child.
- Permission to freakout in certain situations, but keep calm.
- Tips of how to remember questions to bring to the doctor’s appointment.
- What medications you should never give to a child
- Among a ton more….
Joanne Davis Jarret Mom and Family Medicine Physician
Listen To The Episode Here
If you think that you or someone you know can benefit from the information shared in this episode, please share it with them.
And don’t forget that, if you are subscribed to our mailing list, you got the informational sheet that Dr. Joanne Davis Jarrett prepared for you. On this occasion is about Non-Prescription Medication For Your Children
As an attachment to our weekly email, but if you are not subscribed, make sure you subscribe to it, and you will get immediate access to it, and you will be up-to-date for future episodes.
Joanne is not only a physician that have helped all members of a family… She is also a podcaster. Her podcast is so much fun that you can count on it to relax you and get you some laughs!!!!
Her podcast name is Fancy Free Podcast.
Let me know what you think about our conversation and if you have any questions!!!
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Marilena Grittani, RPh 0:09
Hola! Welcome to The Legal drug dealer podcast. Marilena Grittani. Here. I’m registered pharmacist and also your host. Thank you for listening to this new episode number 16. That is called non prescription medications for your kids with dr. Joanne Davis Jarrett. She is a family physician that happens to also be a mom.
Marilena Grittani, RPh 0:30
So she knows this topic from two different standpoints. As a mom, and as a physician, she have talked in detail about medications that we can use those that don’t need a prescription, the ones that we buy at the grocery store without a prescription. Those are the ones that we’re talking about. I mean, acetaminophen, ibuprofen, stuff for diarrhea and achy stomachs and stuff like that. That’s what we’re going to be talking about. She’s going to also Be, she’s going to be very specific about dosages and the way that you need to calculate it, based on your child’s weight, as well as, what to use to measure. When the doctor says this many milliliters or the pharmacist gives you instructions, with that, I need you to pay close attention to that, because I’ve heard a lot of stuff that have gone wrong. So please pay attention to that part. And I think you’re gonna love it.
Marilena Grittani, RPh 1:26
She also prepared two different things for you and the links are in the website, so you will be able to see them. I hope you enjoyed. Here it is
Marilena Grittani, RPh 1:35
So Joanne, welcome to the legal drug dealer Podcast. I am very happy to have you here. We already started laughing. So this is this is promising.
Dr. Joanne Davis Jarrett, MD 1:45
Thank you so much. I’m so happy to be here with you.
Marilena Grittani, RPh 1:48
Thank you. I have to disclaim that she invited me to her podcast first. I don’t know if I want to link it because I said a couple of my secrets there. But I think about it, but it was a lot of fun. We were laughing A lot there too.
Dr. Joanne Davis Jarrett, MD 2:00
You will definitely laugh. Yes.
Marilena Grittani, RPh 2:02
Well, I wanted you to talk to us because as a family practitioner physician that you are and as a mom, we have a lot of things in common. And I think the way that you can communicate this with my audience is going to be a little bit more relatable than me that I don’t have little kids. So let’s just talk about stuff that are important for them. And this just answer some questions that they might have. But first of all, tell me why did you become a physician? When did that happen?
Dr. Joanne Davis Jarrett, MD 2:32
It’s actually really interesting. To me. Anyway, I didn’t decide to go to medical school until my junior year of college. I had been a physical therapy major for a while I was actually a farm tech major, not a farm tech major, a med tech major, all just all just different things, chemical engineering, this that the other thing. All I knew was I was really good at science. I loved helping people and I wanted to do something giving with my career. So I decided to go to medical school. I went to my counselor at the university and I threw out all the classes. I’d taken like a big set of scrambled dominoes and said, Get me out of here. I want to go to medical school, what’s my major? And he said, Well, the only thing you can do and still get out in four years at this point, is a Bachelor of Arts in zoology. So we laughed so hard. It’s like, I am one of the only people I know who has a Bachelor of Arts in a science. It’s like, I just gotta go, I gotta get out of here and go to medical school.
Dr. Joanne Davis Jarrett, MD 3:28
So I went to medical school, and I started in 1990, at the University of Nevada in Reno, because that’s where my parents lived at the time. And I decided that even though I’d gone away for college, I needed to go home for medical school so I could have the support of my family. My father is a neurosurgeon, and he actually just recently retired. So when I told him Dad, I want to go to medical school. He said, Oh, honey, but I want you to be happy. Good. I said, Oh, dad, but I’m not going to be a surgeon. I am not. I want to do something a little more basic than that, what I didn’t understand is that the pressures are different, but they’re there. They’re still there. So anyway, I, I just, I love medicine, I just genuinely interested in it. And I love looking people in the eye and saying, Let me, let me help you figure this out. So that’s why I did it.
Marilena Grittani, RPh 4:18
Very good. So that’s what the kind of decisions that we need. We don’t need those doctors that are there just to make money to think that that profession, it’s going to make the millionaires, but people that truly care about us. About a patient and helping them so thank you for that. So how long ago was that? How long did you graduate?
Dr. Joanne Davis Jarrett, MD 4:36
I graduated from medical school in 1998 and did a three year residency in family medicine. My third year I was the CO chief resident of my program and then after that… it’s not as prestigious as it sounds really, it’s like, okay, who’s gonna figure out the lectures… My Goodness Yeah, I was just basically extra work that third year but at first when they asked me I was like, no. And then they kept asking and I was like, okay, fine, but anyway, I’ll get it done.
Dr. Joanne Davis Jarrett, MD 5:11
Then after I graduated from residency, my husband decided he wanted to go back to a residency program. He’s a dentist, so we moved from Reno to Lincoln, Nebraska. And I practice there for two years. In an outpatient setting. I also followed patients in three hospitals, including ICU because we didn’t have a lot of sub specialists there. And I did Urgent Care nights and weekends, so I worked probably 90 hours a week for those two years.
Marilena Grittani, RPh 5:37
See! Your dad loved you. He didn’t want you to go through this.
Dr. Joanne Davis Jarrett, MD 5:40
I know. He’s like, what are you doing?
Marilena Grittani, RPh 5:41
You did not listen! There you go.
Dr. Joanne Davis Jarrett, MD 5:43
I didn’t. But I am now on my sixth 10th year of maternity leave. And they’re not paying me I don’t know why should gosh so I know some things have changed but the knowledge I’m going to lay on you today. is pretty unchanging. And it’s been has been filtered through my experience as a mom,
Marilena Grittani, RPh 6:06
Which is exactly what we want to talk about because none of my listeners are listening to this as physicians that want to know what you did with your kids. 100% of them are regular people like you and me are, but they have kids and they need to understand, what to do and how to do it. And some of them are also grandparents babysitting, they have to take over the kids because you know, things happen in life. And, or the parents go on a long vacation because they deserve it. I don’t know if you feel like it, but some of them do. And then the grandparents are the ones taking care of the babies and then they haven’t done it in forever. And they don’t remember and they don’t know what to do. So, then what I want to achieve today is to make sure that we’re giving them tools and information that they feel comfortable and more safe doing what they do for their kiddos, whether it’s their own or their grandchildren’s, or the neighbor that they had to babysit whatever it is, and the right thing, the professional right thing by a physician and pharmacist recommendations because we are the bosses today. Boom.
Dr. Joanne Davis Jarrett, MD 7:16
That’s right. Do what we say! And Don’t do what we say not to do.
Marilena Grittani, RPh 7:19
No, no, no, don’t do it. We say not to do it. Yeah. Well, let’s just think about it after we finish. And then you tell me what you think. So tell me about how many kids do you have?
Dr. Joanne Davis Jarrett, MD 7:29
I have two kids, two girls. They’re 14 and 16. But it seems like just yesterday, I was rocking them to sleep and wiping their noses. So it goes really fast. And that was not a popular thing for me to hear when they were little and I was in the trenches. But now that looking back on it, it’s a blur.
Marilena Grittani, RPh 7:45
And I never had kids but I have 2, my husband has two kids. And Abby, the youngest is 18 Okay, I’m here once you wanted to cuddle me in bed, cuddle with me in watching TV. And being the adorable super cute little girl. So yeah, the 16 and 14 era, were tough. We’re over that. Yeah. So I’m have compassion for you right now.
Dr. Joanne Davis Jarrett, MD 8:11
Thank you. My sister in law says, Joanne, they have to act up. Otherwise when they are ready, we’re ready to leave. You wouldn’t want them to leave. You want to be like, go, GO
Marilena Grittani, RPh 8:20
Please get out of here yet. No, I don’t want it. I didn’t want none of my kids to live. I just I love them very much. And I want them to be close to me because I got them late. So I didn’t get to enjoy.
Dr. Joanne Davis Jarrett, MD 8:31
You are not finished!!!
Marilena Grittani, RPh 8:33
That’s what I think. But they, somehow want to go away. I don’t know why. I cooked and everything but still they do. So mean! How rude!
Marilena Grittani, RPh 8:42
So yeah, so tell me about how easy or how difficult it was for you to raise your girls being a physician. Whenever they need it. They got a cold or a cut or anything that any mom would think I need a doctor to take care of my baby. How hard was that?
Dr. Joanne Davis Jarrett, MD 9:02
Oh my gosh, it was such a gift to me because I tend to be kind of an anxious person. And so being armed with knowledge, really backed down my anxiety, and I wouldn’t I’ll never forget one time when I was in residency before I had kids. I was at a girlfriend’s house and her she had a couple of toddlers at the time. We just finished dinner and she put her son down, and then he woke up with a fever of 104. And she came running out she was completely panicked, what do I do? What do I do? And I saw such emotion and this is a smart woman, she, you know, she knows she’s, she knows what to do. But in that moment, she was emotional and looking to me for guidance but and so I what I came to understand after I had my kids is that there’s so much emotion that goes into the situation that we’re needing to deal with that we can’t just go to our logic place because that’s being clouded by emotion.
Dr. Joanne Davis Jarrett, MD 9:51
So for me as a super anxious mom anyway, being armed with all that knowledge was wonderful, but you know what I say to my kids, especially my oldest because She’s kind of strong willed and she’s really has strong opinions. She’ll say something to me, and I’ll say, Oh, no, honey, this or that or the other thing. No, Mom, I don’t think so. And then I’ll say, Honey, who went to medical school and is a physician, and who is a child in the fifth grade? You know, I gotta pull rank on that kid sometimes. And my whole family benefits from it, because I never mind answering a medical question. If I don’t know, I’m the first one to say, Gosh, I don’t know. But if I do know, I can be so helpful. And I can be so available and I can be an understanding ear. So I love that.
Marilena Grittani, RPh 10:35
Well, good. Good, because most of the first time parents are like, oh, what do I do? And they call the pediatrician for everything and anything. And then when they really need to call they don’t because they’re embarrassed because they call 1000 times.
Dr. Joanne Davis Jarrett, MD 10:48
Oh, yes, yes, yes, yes. And I have some, I have some tips today on how to use over the counter medications safely and effectively. And I have some tips on what are the red flags. When do you wake up the doctor? I want to give you permission to wake up your doctor, when you need that permission. So and I yeah, when I take my kids, and here’s another coup. So I’m a family physician, but I took my kids to a pediatrician and my family physician friends are like, what are you doing? And I said, here’s the thing. I know what a family physician Yes, yep, I want I want as many perspectives as I can get. But we were one of the favorites because now. Don’t feel bad. If your kid has a thick chart, some kids just have medical issues. And ours my kids had the thinness charts because I didn’t take them in unless they really needed to be seen. And that’s really very infrequently. However, I never felt bad when I did need them to be seen. Like this was what’s going on. We need to get in there. And you know, then we were so well.
Marilena Grittani, RPh 11:42
I remember a situation that one of my friend’s brother had a baby and I went to see the baby. You know, the baby was like, four days old and adorable. And that happened to be his youngest brother, which was a baby To me because he’s my friend is the oldest is the little one. So it was like my little brother having a baby and I was so into Auntie mode, to go see the baby. So the baby sleeping, and we’re talking with his wife and yada, yada and then the baby wakes up, and she’s changing him. And I see his eyes: yellow.
Dr. Joanne Davis Jarrett, MD 12:22
Oh, Mm hmm.
Marilena Grittani, RPh 12:24
So I panicked, but I didn’t say anything. Because I went to the pharmacist mode, not the Auntie’s mode, right? And I I started. Okay, so how many diapers Do you use today? Not that many. This baby’s great. Maybe two or three diapers a day with a six day old baby?! But I was I was asking questions, right and clinical questions without her noticing. And I said and how much is he eating? And she goes, Well, he doesn’t need that much, and I’m hurting. So that’s good. Are you giving him a bottle? Well, you know He doesn’t like it that much. And we don’t want to give him a bottle. So I say, Can I Can I grab the baby and she gave him to me. And I started looking at the baby, examining the baby…
Dr. Joanne Davis Jarrett, MD 13:12
On the sly,…
Marilena Grittani, RPh 13:13
His eyes were bright yellow. And I said, you know, the sun is up. The windows are closed, I’m going to get the baby a little son because he needs that. And I started covering him, even his skin was yellow. So I said, Okay, this is not gonna work. So, I need you to call your pediatrician. And she’s like, why the baby’s fine? And if no, no, the baby’s not fine. We have at least 8 diapers a day, minimum, and they need to be heavy, maybe is the way that they take out everything that is bad, and it’s not used in their bodies by peeing and pooping. And if he’s not peeing his he’s keeping it in, and that’s why I love the color of the urine. So that’s why we need to take you need to talk to the pediatrician.
Marilena Grittani, RPh 13:57
And then his face was my kid. It’s not sick. My kid doesn’t have anything. And she’s like, I don’t know, you never met you, I don’t care. And I’m like, well, that’s my recommendation, you do it or no. And then he looked at her and he said, she is my oldest sister. Let’s called the pediatrician. The baby was taken to the emergency room, they gave him you know, the lamp and everything , you know, give him and the sun bath and stuff that she simply didn’t know, being a first time parent. And they both were very young. He was the youngest, so he didn’t have younger siblings that he would look up to. And he would remember and nobody had that place because nobody in their family would be able to help and she didn’t have a mom, and her Auntie’s were not there. So it was, it was a bad situation that I’m so grateful…
Dr. Joanne Davis Jarrett, MD 14:49
Oh my goodness they’re so fortunate that you were there that you know, I want to tell moms and grandparents that even as a family physician, Who is fully educated and then had been married for six years completely ready for children? those first couple days home with my first baby, I was terrified. And I was planning on declining the home at the hospital where I delivered offered a home health visit. I was planning on declining that I was like, Where is that nurse? I need help! Because it’s just you just want so badly for somebody else to look at your baby and go she’s okay. She’s okay.
Marilena Grittani, RPh 15:24
Is she breathing?
Dr. Joanne Davis Jarrett, MD 15:25
Yeah, I mean, I had so much knowledge, so much experience. I had been babysitting my whole life practically. Always wanted a baby loved babies, trained family physician treating children, you know, all through residency and in my years of practice, and yet still, I felt so insecure and ready for a little bit of confirmation. So don’t feel like you’re gonna reveal yourself as unfit just because you want somebody who knows what they’re talking about to look at your baby and say, yeah, this is good. Or, gosh, this is something that needs to be addressed. And so even the doctors feel that way when they bring their babies home.
Marilena Grittani, RPh 15:58
Absolutely. And then You have so many other factors that are affecting your mind at that point that hormones…
Dr. Joanne Davis Jarrett, MD 16:06
oh my goodness, yes. And then sleep deprivation hormones and probably a little bit of anemia and they’re just so many things.
Marilena Grittani, RPh 16:14
Yes. Yes. So so it is, as you said earlier, that they need to have that permission to be scared, anxious and wanting to call the doctor. And you know what, hint: maybe nobody knows this. But pediatricians know what they’re signing in for.
Dr. Joanne Davis Jarrett, MD 16:31
Oh, there you go. That’s right. They do and they haven’t. There’s no question weirder than the one that you’re going to ask that they haven’t heard already. Okay, so just put it out there. They’re fine with answering that. That’s what they want to do.
Marilena Grittani, RPh 16:47
And if this weirder, weirder, they will learn. There you go. Yeah, that’s not a bad thing. It’s not a bad thing. Yeah. Just ask questions because you never know when something could be really bad. So basically, what the baby I’m talking about how the baby was in pain. The baby wasn’t eating enough and he was accumulating a lot of waste within his body and then so bad that his eyes and his skin was turning yellow. So he needed to start exceating that and start paying that out. And they gave him the imagine this, they gave him fluids. and the pediatricians tell you don’t give, don’t give the baby water but he needed water. So there you go. So it’s not that because everybody does this, your kid or your situation is the same. We are all individuals and that’s something that I’m trying to, you know, insist on this podcast that is that ,, it doesn’t matter. If you we are the same age and we’re both female and we have the same income. We are different. We could even be twin sisters.
Dr. Joanne Davis Jarrett, MD 17:52
Marilena Grittani, RPh 17:53
We are different individuals and drugs and situations and everything is different in each one of us. So when you Say What did work for you, I want to do the same. Don’t do that…
Dr. Joanne Davis Jarrett, MD 18:04
And even between your children, you know, you’ll have one child you think you have it all wired and figured out, then this other one pops out and nothing works with them, you know, that you did was your first so some you just have to kind of reinvent the wheel every time
Marilena Grittani, RPh 18:15
Because you’re a physician and i, you are the first position in our podcast. WHOOOP WHOOOP!,
Dr. Joanne Davis Jarrett, MD 18:20
Marilena Grittani, RPh 18:24
Okay, I want to ask you about that particular point that I made, because what my example is always been Don’t tell me that you’re taking this because your friend that has a neighbor that is married to a doctor that told her one day to do this is doing it and then she decided to do the same. Tell us a little bit more about that. And why is that not a good idea?
Dr. Joanne Davis Jarrett, MD 18:44
Well, you know, it reminds me of a point that I recently made in an article I wrote called 13 things good doctors wish their patients knew and then I did a follow up article 13 more things and I’ll be happy to give you the links for those. But one of the points that I make in that article is Google Sometimes randomly Google is right. Just like sometimes randomly the thing that your neighbors wife’s girlfriends brothers uncle is taking would be right for you. But there’s much more likely chance that it is not the right thing for you. So you need to come to the practitioner with an open mind and say I have this issue I’d had been, you know, I heard from a friend that this thing works, but I’m wondering what you know, your opinion is, and you know, very often, if you google a problem, it will either make you falsely secure and not address something that needs to be addressed, or it will alarm you regarding something that doesn’t really require alarm. So advice from people without medical knowledge is dangerous, whether it’s Google or your neighbor. So but you take those things your doctor wants you to be well informed.
Marilena Grittani, RPh 19:47
Dr. Joanne Davis Jarrett, MD 19:47
It is not. You will not offend your doctor by coming in and saying I don’t want to research on this. I have these questions. This is what I may be thinking that to me is a really refreshing thing because then we can start the conversation at that time. That place instead of way at the beginning, yes, but every person is different. I have really, I mean, I don’t even know how many prescriptions I wrote in my time as a family physician, but I never had the same reaction twice. I mean, every single person will have their own set of side effects and their own set of interactions and their own set of sensitivities. And those things really need to be monitored by a professional.
Marilena Grittani, RPh 20:24
I remember having somebody asking me, because she knew I was a pharmacist, she said, hey, my friend here, is telling me that I need to take this what do you think? And I said, number one is your friend a doctor?
Dr. Joanne Davis Jarrett, MD 20:37
Marilena Grittani, RPh 20:38
Because it’s illegal to order medications for people if you’re not not a physician or a prescriber. So that is against the law to start with. Number one, number two, what do you have in common that you think it could do the same? Well, she used to for her knee? My problem is in my shoulder, but you know, I thought it could help. And I said, Have you looked at yourself in the mirror? She is 20 pounds heavier than you, you are way taller than she is. You have totally different metabolisms. You’re not even related. Why do you think that something that worked for her will work for you? Now, I applaud you for asking. But I’m telling you, you, lady, don’t recommend anything, on there unless you have a medical degree that you are by law, entitled to do so. Number one, and number two, don’t listen to what other people have to say and take it by a fact.
Dr. Joanne Davis Jarrett, MD 21:28
Right? You can write it down as a question.
Marilena Grittani, RPh 21:31
Yeah, you can come over and say how about this because I heard this and that and then we will clarify whether it’s the pharmacist or whether there’s a physician, wherever it is, it’s a PA, whoever you’re talking to. What I just think is that everybody needs to be mindful of what they ask not to be disrespectful to the physician or the pharmacist because as I said, I’m the kind of pharmacists that if you, if you tell me something, I’m like, Oh, this person is a little bit more educated. It’s easier for me to explain this or that as well. I will not get offended by it. But if you tell me I’m not gonna take what you told me because Google said…
Dr. Joanne Davis Jarrett, MD 22:06
Hahahaha… Yeah, that’s a real dangerous stance.
Marilena Grittani, RPh 22:08
Yeah, not only that, it’s very disrespectful. True. Yes. You How many years did you go to school to become a family practitioner?
Dr. Joanne Davis Jarrett, MD 22:15
Well, it is for all the years of high school than four years of college, four years of medical school and three years of residency. So…
Marilena Grittani, RPh 22:23
Only, 12 years at least specifically on this right.
Dr. Joanne Davis Jarrett, MD 22:27
Yeah. So I’ve been through the 19th grade, basically.
Marilena Grittani, RPh 22:29
There you go. And then Dr. Google.
Dr. Joanne Davis Jarrett, MD 22:31
No, no, no, not 19 23rd grade. Math is not my forte. Always have a calculator by any chance. What am I good pieces of advice? I know.
Marilena Grittani, RPh 22:40
Me too. And I calculate doses all day long, and I use my calculator. Why do you think that somebody that went to school to learn something this deep, and with this many hours and years of education will be equal to what Google says, right? It’s just disrespectful. Number two, What did you read on Google? Is this posted by somebody that is selling that product? Is this posted by a physician? Is this posted by who? These days the internet says so many things, people listen or read stuff on Facebook and whatever social media they follow, and they take that as a fact. And I argue that so much because you don’t know who that person is with this
Dr. Joanne Davis Jarrett, MD 23:25
Yet, take your source, that’s the very first thing you need to do is look at your source and your right not just the qualifications of your source, but the motivations of your source. Because if even if somebody is qualified, if they’re motivated by money or they’re motivated by status, they might not be giving you the information that you need.
Marilena Grittani, RPh 23:43
I’m gonna say this is a real quick comment that has nothing to do with what we were supposed to be talking about. I had to talk about it. CBD now are the kind of stuff that works for everything. Oh, you have a tooth ache? CBD. You have arthritis? CBT you have depression? CBD, you have seizures? CBD
I’m like, hold on. I am not an expert on that subject, but I am an expert on medications and I know that none of that indications are studied number one, right have enough data number two and number three is so new. Why would you think it works like that? And who is giving you the advice to us?
Dr. Joanne Davis Jarrett, MD 24:27
Why would you risk that when we have tried and true treatments
Marilena Grittani, RPh 24:31
and then when you go and see who said it is somebody that is selling it? Yes. So if you go around the shopping center anywhere that you leave, I don’t care which state in the US is because I haven’t been overseas to see that yet. But in the US wherever you go CBD dispensary, whatever. Do you think that that is because there are good people and they want to help you or do you think it’s because there’s a big business and they’re making big money
Dr. Joanne Davis Jarrett, MD 25:00
Yeah, I just learned that Missoula, Montana where I live has the most dispensaries per capita of any town or city in the United States. And I thought, well, that explains it because it really is what it seems like when you go downtown, there’s practically one on every corner and it’s money. It’s just money driven.
Marilena Grittani, RPh 25:16
YES! And you understand that I’m not against the drug itself. If you want to use it for recreational purposes. I’m okay with that as your life you do whatever you want to do with your life. But my problem is with those people that are not medical trained, and they’re saying, Oh, you have this use it because my product works works great for that the same way that other you know MLM people do.
Oh, my shake will help will fix your diabetes. No! Are you a doctor, you are an endocrinologist, what are you talking about?
And it’s not only that these people are responsible enough to say their stuff. The problem is that people believe them.
Dr. Joanne Davis Jarrett, MD 25:57
Yes. Those are unfounded claims by someone that isn’t educated. In the area and it’s really dangerous.
Marilena Grittani, RPh 26:01
Yes. So go to your primary source what we call the medicine primary source, which is Who is the one that knows? Who is the one that said this? So if you stated that if you said you can cure diabetes with my shake, okay, show me the clinical studies explained to me what it is, or tell me that you just want to make money and then who will be clear enough to make a decision Oh, I don’t want to give this person money because this is not going to help me or this is going to help me tremendously. I will give you my money because I need that help. What it is just do your research. Just don’t listen to anybody just like that because it’s your health.
Unknown Speaker 26:35
Marilena Grittani, RPh 26:37
We’re not talking about you know, a piece of clothing. We’re talking about health. So would you do that to your kids? That’s example would you kid whatever somebody that is selling CBD will tell you to do? Maybe not? Or maybe that is that is something that I wanted to talk to you about because parents and that’s my experience. Okay, when I did retail, which wasn’t that But I did see it, that parents will come to the pharmacy and think that their kids are just like them. And they would come and get well, if I have a fever, we just go to the pharmacy, grab whatever is there that says fever on it, buy it and take it. And they want to do the same thing for their kids. And then this is the funny part when they can’t find it. They come to me and say, Where are you hiding this and that? And then my answer is behind the counter because that is not the way that you use them. You need a prescription, what is happening with the baby, was the baby’s been had diarrhea for four days, and I just said you need to go to the ER.
If you’re going to ask for an appointment to have you call the doctor. So explain to us why am I saying all that and why I’m so passionate about it and and what is the set the mindset that they need to get to treat their babies that way that they know that they deserve but they’re ignorant about
Dr. Joanne Davis Jarrett, MD 27:57
So children are not miniature adults. Children have different physiology, they have different development. They’re, you know, they have so many different developmental stages. And they have particular metabolic functions that are that are specific to childhood. So what was the scenario that I came to understand once I, once I had my own kids was okay, you wake up in the middle of the night your child has a fever, or this or that symptom, ABC, you decide you don’t have what you need at home, you run to the pharmacist, you run to the pharmacy, you’re exhausted, you’re stressed, you’re worried and you walk in, and there’s an entire wall of medication, all of brightly colored flavored this flavor that this symptom that’s something so overwhelming.
So, the first thing that I want to say and this is just I think most people know this now, but I’m just going to put it out there in case somebody doesn’t. Those grandparents, maybe they’re taking care of grandkids. Yeah, first time. Never give a child aspirin unless it’s been specifically prescribed and there are very few things Things that a doctor will prescribe aspirin for a child for that. So that because that if there is a viral illness, it puts the child at risk for Reye syndrome, which is a rare disease that can cause swelling in the liver in the brain very dangerous. And you can’t tell by looking at a kid if they have a virus or not. You just kind of have to assume they have one. Okay. Kids pretty much have the virus a lot of the time if seen
Marilena Grittani, RPh 29:21
Several kids in the ER with Reye Syndrome, harmed by their parents because they didn’t know. Oh, it’s so so awful.
Dr. Joanne Davis Jarrett, MD 29:27
Just no aspirin, no aspirin, no aspirin.
Marilena Grittani, RPh 29:31
Pepto bismol Oh, yes,
Dr. Joanne Davis Jarrett, MD 29:34
yes, there you go. Thank you. That is yes. And that is one thing that that a lot of doctors including, I just did forget to say is that there are medicines that have the ingredient of aspirin that you also also should avoid. The second point I want to make is that you need to avoid unnecessary medications by using single ingredient over the counter medications. Please do not buy combination medications. There are very few exceptions and I will tell you what those Exceptions are. If your child has a fever or is having some pain that you think is mild enough that you want to just treat without talking to your doctor. Then the two medications that I think you need to focus on are ibuprofen, ie Advil or Motrin, and acetaminophen, Tylenol. These medications need to be dosed by weight, not by age, and even the brackets I think are too large for what the boxes a lot of times will give you. So what you need to do is you need to figure out how many kilograms your child is today. The way you do this is you hold your child on the scale, and then you get on the scale without holding your child and then you subtract, that’s how many pounds your child is most likely, unless you’re in Europe, and then you divide that number by 2.2. And that’s how many kilograms they are. ibuprofen is dosed 10 milligrams per kilogram every six hours, and acetaminophen is just 50 milligrams per kilogram every four hours. Please do not exceed that. If you multiply that by how many hours are in a 24 hour period. Do you have to stay under that total? The second thing to do when you’re done before you continue
Marilena Grittani, RPh 31:05
I just want to say that is what we do every day we pharmacist. So when you don’t know and you got confused with what Joanne just said, or you are not trusting your calculation methods because it’s your baby’s life, come to the pharmacy. And say My baby is 12 pounds, and he has fever because he is teething. And it’s normal. The baby’s not sick, right? But you want to give the baby a little bit of ibuprofen or Tylenol, So then my baby is this many pounds, what do I need to do? And then yes, assist will do a professional calculation of the dose and the pharmacist is going to tell you this is what you could do. And then you’re going to be sure that what you’re giving the baby is exactly what needs to be yes.
Dr. Joanne Davis Jarrett, MD 31:52
The other thing that pharmacy needs to know is they need to know what you have at home. They need to know the concentration of the medication and preparation that you have at home. So you have to have the bottle in your hand when you call the pharmacist to give them all the information they need.
Marilena Grittani, RPh 32:06
But if you go then you can show it because well, yes. Let me just make another parenthesis there because you’re opening a Pandora’s box here. And I’m geeking out because I’m a geek, I’m sorry, I can help it if you use infant drop, which is what is the sign for toddlers, for babies that don’t take that much liquid? They are very concentrated because you have no way to give a tablespoon to a baby that small. So that’s why they’re super concentrated. And then you have liquid or syrup that are less concentrated, right? That is for the bigger kids that they can swallow better. Now, if you give a tablespoon or a teaspoon of drops of a bigger kit, do concentration drug. Yes, please ask questions. As you said specify what you have that you have. They will ask you the concentration. So you look in the back of the box and it says I said a 50 milligrams For five milliliters or four, whatever it is, you read it exactly. Trust me, if you don’t know what you’re talking about, the pharmacist does!
Unknown Speaker 33:07
yes, they can interpret what you’re saying.
Marilena Grittani, RPh 33:09
Yep. So just be clear, have the bottle of the box with you, and then continue the conversation. Thank you for that.
Dr. Joanne Davis Jarrett, MD 33:14
And then what I what I want you to always have at home and actually most over the counter medications for kids these days come with them. So you probably have more than you even want at home. But just in case you don’t, you need to have a dosing syringe at home so that you can dial in that dose very closely to what’s appropriate for the weight of your child. Because please, instead of alternating ibuprofen and acetaminophen, which is very confusing and very hard to do, just dose appropriately and you probably won’t need anything in addition and to know your dosing appropriately and you need a very specific container in which to draw up that dose. So not only do you need a syringe but and this came up in my last conversation with Marilena and I don’t think we ever said what it means what it really is called. So you need to get one of those rubbery Christmas tree things that you can stick in the top of the line. So that you do that, turn it upside down and draw out exactly how much medication you want flip it back over and remove the Christmas tree thing. That way you’re not trying to juggle liquid pouring out of the top of the bottle and you can really get the dose you’re looking for. So what is that thing called?
Marilena Grittani, RPh 34:15
It’s a stopper is basically a word that is for those. So basically, you just put it inside of a bottle opening, and it looks like a Christmas tree because that way he did that to the to the width of the opening of the bottle. Yeah, so you can do it for very, very narrow openings or very thick ones. That’s why it looks like an upside down Christmas tree. Right.
Dr. Joanne Davis Jarrett, MD 34:33
So it’s a graduated stopper.
Marilena Grittani, RPh 34:35
And then in the middle, it has a hole, that deadlift where you put your syringe and there’s where you turn it upside down and draw, draw it. I recommend that Well, I was working in compounding pharmacist, and then I would do that for any liquid, including adults, but some because sometimes it’s hard to do it and I didn’t want them to drop it and then pour it all over the place. Yeah, you’re dosing for pets or for kids. That’s what you use. One thing that people don’t realize is that when it says and I hate it when physicians do that, sorry doctors I need to give it to you. A teaspoon of the drug… Do not do that because if you bring your teaspoon to my place, you my listener do that. And then Joanne brings her teaspoon to my place, and then I show mine, guess what? They’re going to be completely different. There’s not a standardized way to measure how much does it have and as we talked about earlier, is based on concentration of volume, so this is going to be wrong. The best and only way that you should dose the baby a child is with a syringe, which is an oral syringe that every pharmacy will give it to you for free. The medication over the counter comes with it but the ones that we have bottles you need to ask for it and I told you your your podcast. I believe that the same way that they should demand that you you have a car seat to drive away with a baby You should have at least 1000 syringes, car so make sure that you never ever, ever, ever use a spoon or a tablespoon to measure anything for your child.
Dr. Joanne Davis Jarrett, MD 36:10
Yes, hallelujah and Amen. I agree with that. 100% Okay, so I did say that I don’t want you to use combination medications. The reason they’re so tempting is because if kids don’t like to take them, you can give them everything they need in one dose. But what you need to do is you need to look at all of the symptoms that your child is having, and decide what they need for each and every one of those symptoms, and never give them something that they don’t need a lot of these combination medications for whatever reason, and maybe you can explain this to me you have anti histamines in them if I’m treating somebody for cough and cold, or you know it’s a really stuffy nose and cough Okay, maybe I want a cough suppressant and maybe I want a decongestant. I don’t want it in a histamine that’s just going to that may even make them you know, drowsy and it clouds the clinical picture. It’s just not something why why Marlena? Why do they put me histamines in these things? It’s not the baby’s out. Please, please Did you see my face? Yes.
Marilena Grittani, RPh 37:03
So I was making faces because that’s what mothers want and because that’s what they sell because they just want to make money. That’s what it is available. So an antihistamine is medication for allergies, that maybe the most likely the kid the kid or even the adult is not going to have any need for it. Because right knocks them down. They put him to sleep.
Dr. Joanne Davis Jarrett, MD 37:26
Yeah. And then you’re confused. Okay. She is she lethargic? Yes, but I gave her this medicine that can cause drowsiness. That clouds the clinical picture. But while we’re talking about anti histamines, let me tell you, there are so many different names. If you’re if there’s a name on the bottle and you’re not sure what it is, you can call your pharmacist or take it in ask them what it is. There’s korfin I mean, there’s diphenhydramine there’s all these non drowsy anti histamines that have different names even. I do want you to have an anti histamine on hand, but I don’t want to ever use it unless you’ve been told by poison control or your doctor to use it and that in history that I think you need to have on hand is liquidity. In a drill, this is because that will come in handy if you’re if your child is having an acute allergic reaction. Now don’t give it unless you’ve been unless you’ve been instructed because the primary medication for an acute allergic reaction where there’s trouble breathing or hives is epinephrine. And if your child has a known allergy, then you’re going to have an EpiPen at home. So but I want you to have the Benadryl in your in your medicine cabinet. I’ve thrown perfectly full bottles of Benadryl away
Marilena Grittani, RPh 38:24
just because they’re $5. Who cares?
Dr. Joanne Davis Jarrett, MD 38:26
Yes. And then because also you want to make sure it’s not an expired Benadryl because that will confuse the picture too. Okay, so we talked about medicine for pain and fever. Let’s talk about medicine for decongestant. It’s a little bit harder to buy decongestants now that people who are making sneeze screwed it up for us. Yeah, mess. Oh, yeah, man. But in my experience, pseudoephedrine or phenol, Efrain work really well. Those are big awful names, but these are meant to dry up mucus and decrease nasal stuff Enos. So if you have lots of mucus production or you have really clogged passages, nasal passages, then You’ll want to use a decongestant by a single ingredient decongestant.
Marilena Grittani, RPh 39:04
I think I want to say some of them are gonna wake you up. So
Dr. Joanne Davis Jarrett, MD 39:07
yeah, they’ll be stimulating. Yes, some who
Marilena Grittani, RPh 39:10
then so then if you decide to buy one, you need to find out what is it that it’s going to do. If you see one that has a yellow color on it or bright orange, it means that it’s going to be for today. So don’t give that at night. If you have one that has a blue color or dark color in it, it means that is for the night. So it’s going to put you to sleep. Don’t take that during the day. Yeah, it you it’s so much and and my goal with this is for people to understand that drugs are dangerous.
Dr. Joanne Davis Jarrett, MD 39:37
Yes, they are.
Marilena Grittani, RPh 39:38
And you think they are because you can buy like if you buy ketchup at the grocery store. They are so scary. Yeah, that’s why you have pharmacists in your side to tell them to tell you what it is. So just ask questions and make sure you understand what they need to give but it is true. And if you give Benadryl to somebody that needs to go to school and have a test,
Dr. Joanne Davis Jarrett, MD 39:58
that’s gonna be not gonna work well. So the end while we’re talking about decongestants, we also need to talk about cough suppressants, the cough suppressant that I like is dextromethorphan. There’s a 12 hour
Marilena Grittani, RPh 40:09
delta omega brand. Yep, yep.
Dr. Joanne Davis Jarrett, MD 40:11
And I’ll go over what I have in my medicine cabinet. Delson is definitely one of them. It tastes fine and it lasts for 12 hours. It’s wonderful. But no, please do not give decongestants or cough suppressants to patients under two unless specifically instructed by a physician. I can’t tell you how many times I’ve had babies come in and I said, What are you giving them in this? You know, six or eight month old baby I gave him this. I gave him that I give him the rubber test. And I give him and it’s like, oh, my
Unknown Speaker 40:35
goodness, from Oh, so
Dr. Joanne Davis Jarrett, MD 40:38
yeah. So no, it’s like I said it can it can be very, like we both said it can be very dangerous. It can also cloud the clinical picture. We’re looking at your baby and trying to make a decision based on the condition. But if you’ve if you’ve affected the condition by these medications that were unnecessary, it just clouds the picture.
Unknown Speaker 40:54
We want to see what it is.
Dr. Joanne Davis Jarrett, MD 40:55
Oh, yeah, that’s right. Okay, what what did I have in my medicine cabinet? when my kids were young and probably still have, I mean, you know, they’re still pretty young. I really like dye free children’s Motrin. I don’t. We could go on a whole soapbox about why in the world dyes are being added to medications, but we won’t we won’t do that today. I probably not but I also like children’s Tylenol and I like children’s Sudafed, and I like Adele so so the matron and the Tylenol are for fever and pain. The Sudafed is for congestion, you’ll need to get that from your pharmacist, you’re not going to be able to grab that from the shelf, you’ll need to grab a card and take it to your pharmacist and give them your information so they can keep track and make sure you’re not making mess with it. And then I like Delta for a cost depressive. Now there’s another medication we haven’t talked about yet. And that is an expectorant. That is for thinning mucus. If there’s a thick, thick mucus, you can in addition to a decongestant maybe help symptoms by fitting that mucus and that medication is called gwai finessin. And that is the major ingredient in the different robot tested and formulated It tastes disgusting. So you only want to give this to your kids if they absolutely have to have it because they’re gonna This is the fastest way to turn your kids off to medication is it’s it’s the only thing worse than it is oral steroids which also you have to give sometimes Of course you won’t be buying that over the counter so we won’t need
Marilena Grittani, RPh 42:18
to talk about that today. One comment about the wife venison, it will not work if the child is not well hydrated.
Dr. Joanne Davis Jarrett, MD 42:26
Yes, if your kid is dehydrated, it has no reason to give this medication it has to have fluid available to hydrate that mucus very good.
Marilena Grittani, RPh 42:34
So that’s basically what it does. It brings water inside of that mucus to make it more slippery. So when he coughing or she coughs it out, it can be either vomited, or swallowed and then they take it out in the book. So then this is one thing that I want to say if you’re given unexpect on to your kid, and the kid has been coughing it and swallows it. If you see it in the poop, don’t freak out. That is what you normally want. We’ll see when you take it out when you cough it out. But because they’re babies, they can’t do it. So they cough, they swallow it and goes to their tummies and then they poop it out. So don’t freak out with that. Don’t freak out with that because that’s normal. Now you can call and ask, but that’s normally that’s mainly what it would be. And the water is important. I normally recommend my patients to take the tape with venison to take extra calf or quarter glass of water every time that you give the medication because that’s basically what the drug needs. needs water to put it inside of that phlegm or that mucus to make making more liquid ish more slimy, easier for it to flow and get it out. Yeah, very good. See, we need to work together we have yes
Dr. Joanne Davis Jarrett, MD 43:41
because ultimately that is so good. Yes. So the one combination medication that I sometimes had in my medicine cabinet was robot testing cough and cold pediatric drops, that has dextromethorphan in it which can suppress cough and has quite venison and Sudafed, but it is better if I mean That that was my shortcut that I took because I kind of knew what I was doing. I feel like I feel pretty strongly that it’s best to have single ingredient medications for one thing and you if the wife is and makes it taste awful and if you don’t need my fitness and don’t give it Okay, then we talked about always having some liquid Benadryl on hand please do that make sure it’s not expired. We used to recommend that everybody have a cat at home No longer do we recommend that is that your experience my lane Okay, good. The other thing that I love, love is melted ice. They if your child can’t quite take pills, but they don’t want that big mouthful of nasty syrup, then maybe melt away is a right for them. And some of these medications come in toys. Now those are a little bit older kids ages six to 11.
Marilena Grittani, RPh 44:43
So it also we have the compounding version of it. So if the kid has an aversion or allergies or simply can’t take it because the smell just freaks them out. There’s compounding medicine or pharmacy in this case. That is actually we talked about it in detail. In episode number six with Angela solace, she has a compounding pharmacy they mix everything exactly in the portions that they need it for kids that will refuse to take otherwise even if you will, if it’s if it’s Tylenol they will profit that is not recommended but if you have a child that needs does or has a chronic disease like seizures or any cardiac in the type of diseases that they need to take this medications all the time and they cannot tolerate the dope the smell or the taste component is an alternative because they will make it the taste and the flavor and the smell that that the child will get and I’m laughing because they do that for pets to that Episode Episode Number Six with Angela she’s talking about that she has a kitty that she puts whatever seizure medications that the cat needs with triple fish flavor. I almost puked when she was saying that I was nasty and she said but the kitty loves it and she takes out the medication That is the goal. So that’s an alternative.
Dr. Joanne Davis Jarrett, MD 46:02
So cute. Yes, I love it. Okay, now let’s talk about some red flags. When is it okay to wake up your doctor and then I will also talk about some helpful tidbits and dealing with sick kids that they don’t teach doctors in medical school that I learned as a as a mommy. Okay, the red, the red flags when to wake up the doctor. If you have a child three months old or younger, and that child has a rectal temperature of 100.4 or higher. This is a medical emergency, you need to probably the doctor is just going to tell you to take the child to the emergency room. So a fever in a child three months age or younger of 100.4 are over rectally. And that’s the way you should be taking a child’s temperature at that age. That is a medical emergency they’re going to want to work that child up for sepsis, which is an infection in the blood is very dangerous and the blood brain barrier is not developed in the immune system is not developed enough until three months old to for the body to properly combat infection. So we take it very seriously if your child has a temperature over 103 This would most likely be if you’re taking it by the skin or the armpit, then it’s okay. You can call your doctor. They may want to, they may have some questions for you. Anytime your child has, has suffered a head injury, you need to have a conversation with your doctor. If your child is lethargic and you do not have explicit explanation for that, like they stayed up all night or something, please call and talk about that. Any trouble breathing, any exposure to something that you know that they’re allergic to, if they will not eat or drink that is time to call the doctor. If they’re vomiting frequently or having severe diarrhea. The thing is, kids are not like we are, they don’t have as much reserve. So you need to respond more quickly than you would, for yourself or another adult. If your child complains of a severe headache, especially if it’s accompanied by a stiff neck. Then you have got any severe headache but Lord have mercy. If it’s accompanied by a stiff neck that’s that’s worse. And then you absolutely need to seek immediate medical care. If your child has a seizure or you think your child might have had a seizure, absolutely do not wait on that do not wait until they’re well child checks and mentioned that and when in doubt, call your doctor. Like Marilena said, they signed up for that. And that is their job. And their primary goal is to have your child as healthy as possible. So that is. They want to help you get there. Okay, a few helpful tidbits and dealing with sick kids at home that I didn’t learn in medical school.
Marilena Grittani, RPh 48:24
One second before you go there. Don’t you love that She’s given us all these tips?! This is awesome.
Dr. Joanne Davis Jarrett, MD 48:30
Oh, thank you. Okay, what thermometer did I use as, a as a doctor mom of little kids, I really like the temporal artery thermometer that goes on the skin and goes across the forehead. Of course, you wouldn’t use that in less than three months old. You need a rectal thermometer for that. And if you’re confused about what to buy, Ask your pharmacist they’ll be able to guide you as to what to buy there.
Marilena Grittani, RPh 48:51
Dr. Joanne Davis Jarrett, MD 48:51
We already drove home the point that you have to have syringes at home and a graduated stopper. See now I know what it’s called.
Marilena Grittani, RPh 49:01
I went on there if the most of the pharmacies have that too and if you have a compounding pharmacy for sure they will have it but it is important.
Dr. Joanne Davis Jarrett, MD 49:09
Yes. Okay. When your child is sick and coughing or vomiting, even if they are potty trained, put them in a pull up. Ask me how I know this. Because what time my two and a half year old daughter was sick and she was sick. My husband and I are like real old people even back then because he has a bad back. So we have we each have our chair, right? So the kids love to sit in mommy or daddy’s chair. So she’s sitting in my chair and she cough cough cough, so hard that she is incontinent of urine so we have pee all over the chair. And I’m like, Oh my goodness. Okay, honey, I changed her I get her all cleaned up. I put her in her dad’s chair. I’m cleaning up the chair and then she cough cough coughs and then she vomits all over Scott’s chair. So I was like, wow, rookie! I mean, this was a this was not a banner day as a mom or a doctor but so what did I learn? I learned two things. Number one Put a pull up on your child if they are coughing or vomiting because they might pee and you just don’t need to be dealing with anything other than what you’re already dealing with. It’s okay. And just have a conversation with them about how sometimes our bodies don’t function properly. When we have these other things going on. There’s nothing to be ashamed of.
Dr. Joanne Davis Jarrett, MD 50:16
Okay. The other thing that I came up with as a child, and it was so funny, if we had this going on, as soon as my husband walked in from work, he’s like, Oh, no, I call it the barf zone. And here’s what the barf zone is. Okay, when your kids are so young that they don’t know they’re gonna vomit and they can’t run to the toilet and make it into the toilet then oh, my goodness, they’re gonna barf all over your house. So are vomit. Is that…
Marilena Grittani, RPh 50:37
the technical term?
Dr. Joanne Davis Jarrett, MD 50:41
But you know, we’re not technical people here necessarily in Yeah, so you need to figure out ahead of time before your first child has a has a vomiting illness. What are you going to do about a barf stone and this is what I did. You could use a tarp or you can use a trash bag and cut it open. Now of course, you need to make sure your child doesn’t have direct access to plastic When they’re not being supervised because you don’t want suffocation hazard, but something that is waterproof, you could even use like a mattress cover that’s waterproof we know that would be safe put that over wherever they’re going wherever you’re going to park them for the day, but then that isn’t comfortable, right? So over that you need to put a quilt or something that you don’t mind getting steamed that you keep in a specific area of your house. This is the quilt that you use for your barf zone then you need to have extra of both of these things because they’re going to barf or they’re going to pee or they’re going to cough and throw up so you need to have another setup for your persona in reserve so I promise this will save you a headache and and this will save you having to call the upholstery cleaner guy so oh my goodness. I was like Scott I’m sorry. You’re gonna have to sit on the couch. Both of the chairs are contaminated.
Marilena Grittani, RPh 51:45
Dr. Joanne Davis Jarrett, MD 51:46
So Okay, then what one of the things that I love to use for my kids when they have a runny nose is a bit you can even put it on and backwards because I don’t know for some reason or or like a baby washcloth. You can wipe their nose and then you can throw it in the laundry. Because I just got so tired of having to keep track of the clean x’s and I think they’re too hard on their nose something soft and fabric is better. So if you just buy a big ol stack of those baby wash cloths at Walmart and have those on hand they are so useful for runny nose so good and you can just like tuck it in the waistband of their pants or whatever, then you always have it when you need it. You definitely need to have a bulb section usually the nursery will send you home with one, because you know kids when they’re babies when they’re really young, they can’t sniffer clear their excretions very well and it’s always handy to have a bulb sucction on him. The other thing to have and to really use is that is a cool Mist Humidifier because this is actually going to help keep your child hydrated, keep the mucous membranes highly hydrated and, it will help with cold symptoms. I really didn’t want this to be true when I was a baby mama babies because there’s so much going on. There’s so much to deal with. I’m like as if I need to be pulling out something else and getting it full of water and making sure the filter is clean and it just seemed like such a headache to me but it’s so worth Your child will feel better, they will get better
Marilena Grittani, RPh 53:02
And they will sleep that way. And one thing now they make it in such a cute designs
Dr. Joanne Davis Jarrett, MD 53:07
Looks like they have this cute little teddy bear
Marilena Grittani, RPh 53:10
Dr. Joanne Davis Jarrett, MD 53:11
Yeah, it will be beautiful. Oh, okay, that one of the other tips that I recommend is to keep something that you can write on and a pin in the cabinet where the medicine is kept, of course, you need to keep it up and out of the reach of the kids. That’s for their safety. But also because you’re going to be dosing your kids, you might be dosing multiple kids, you might be dosing multiple medications for multiple kids, you have absolutely got to keep track of what you’re giving them when you gave it and when the next dose is do promise you will not be able to remember this on your own I promise.
Marilena Grittani, RPh 53:44
Much less at 3 AM!!!
Dr. Joanne Davis Jarrett, MD 53:46
Yes at 3am. When you’re exhausted and your kids are calling you it’s just you have got to write this down so I actually have a freebie for you. This is really easy. You can just print it out and tape it to the inside of the cabinet door where you keep your medication. Thank you Yeah, the link is b i t dot L y Bitly slash cabinet chart, and that’ll just take you to a little document that I’ve made for your listeners that they can print out we’ll help them keep track of what they’ve given, when they’ve given it and, when it’s due again so so so important as a as a home where we had a physician and a dentist as parents. We still did this it’s not a crutch, it’s a necessity.
Marilena Grittani, RPh 54:27
I will puta link on the show notes as well as the site page so you can have it there.
Dr. Joanne Davis Jarrett, MD 54:32
Awesome. Okay, the other thing is and maybe it This isn’t quite as relevant, now that we all have phones in our pockets everywhere we go but make sure you know how to call poison control and you guys call poison control when you have a question. They don’t care. One time I squirted medication in my daughter’s eye, I forgot I don’t even remember what it was but I freaked out because I didn’t know if this was harmful to an eyeball. It didn’t say on the on the thing I call poison control and I gave the guy Great laughs. She’s like, Oh, she she had access to exactly the information I needed. She was able to British Army. She told me what to do and it was fine.
Marilena Grittani, RPh 55:10
And that’s what they’re there for. They get paid to be there for you. Please use them.
Dr. Joanne Davis Jarrett, MD 55:14
Yes, absolutely. Okay. The last tip that I have is that you need to make a list whether it’s in your phone or on paper and pencil of the questions you have for your doctor before you go to the doctor. I get tongue tied. When I go to the doctor, I am a doctor. I am a doctor who interviews patients, interviewed patients for a living I still get tongue tied, freaked out and stressed when I go to the doctor, you’re keyed up. And we all know that when you’re keyed up, you’re not at your best mentally; just do yourself a favor and when it’s you know, that morning before you heading out, sit down and just think of what are all the questions I have for my doctor. Your doctor may say you know what this question or that question is going to need to be addressed in a future visit today. Let’s focus on this. But they will they may write make note of it or they may say please keep note of that. Let’s make appointment two weeks for you to come back we’ll discuss these two questions. Every question that you have is a fair question for your physician. But just be ready that especially in this day and age when they don’t have a lot of time, they may delay answering some of them but they’re definitely going to address everything that’s relevant to that visit that day.
Marilena Grittani, RPh 56:17
And if you have a medicine question Remember to use your pharmacist becauseThat is what we do.
Marilena Grittani, RPh 56:23
Anytime you just call those will come to the pharmacy and then we can we might just save you a doctor question or time that you can use my goodness you’re dealing with the kid and undressing the kid and doing all that while the doctor is talking to you. And then the examiner she’s examine the baby, you will forget. So write it down.
Dr. Joanne Davis Jarrett, MD 56:43
Absolutely. Write it down. And also…
Marilena Grittani, RPh 56:45
Well, I am in this in this business, and I forget to ask doctors stuff.
Dr. Joanne Davis Jarrett, MD 56:49
Yes! We are all human. And that’s the thing we can’t get around it. We’re human. No, but none of us are going to be perfect. And the other thing that Oh shoot, and I forgot I was gonna say one Another important thing to remember when you’re talking to your doctor, but now I don’t remember, oh, well, maybe it’ll come back to me. Maybe it won’t.
Marilena Grittani, RPh 57:07
But it’s true about the time because you the physician, or the practitioner does not have that much time to be there for you. So they have a lot of patience to see and the time might not be perfect for everything. So if you have the questions ahead, and you just list them for them; use your phone, get the notes on your phone and start writing them. If you remember Wednesday, and then the appointment is Monday. It’s okay, it’s already there. You just added up.
Dr. Joanne Davis Jarrett, MD 57:31
Yep. Perfect!. Just the very first time you think of a question to ask your doctor just start a memo. And then this is just like when I am I have a podcast where I interview people about their funniest, most embarrassing moments.
Marilena Grittani, RPh 57:43
Oh my gosh! Oh, it’s so good. So let’s go on find mine. Because I was on it, interviewed a few weeks ago.
Dr. Joanne Davis Jarrett, MD 57:51
Okay, gosh. So I have this podcast, right? I interview people about the most embarrassing funny moments because I think it’s so therapeutic to laugh at ourselves, and it’s even more fun to do it together. Oh, we laugh our heads off. But what I tell people sometimes like girlfriends that I want to have on the podcast, oh, Joanne, I can’t remember any of my embarrassing moments. And I’ll say start a list in your phone because then every time you think of one, they’ll come back to you. When you’re when you’re living your life, then right then you just drop a note in your phone, and you’ll remember and don’t you hate it when you leave somewhere and you go, Oh, my gosh, I didn’t ask this one question. I waited six months for this appointment. And this is the one question I really wanted to ask. And I got all frazzled, and I forgot. So do yourself a favor and prevent that situation.
Marilena Grittani, RPh 58:29
Yeah. And that’s a smart way and effective way to do it. So you get, make sure everything gets responded and you have the information that you need, and don’t doubt to use other healthcare providers to get those answers. It doesn’t necessarily have to be the physician. Now, if you ask the pharmacist something that we’re not capable to answer we will say you need to talk to your doctor about that. And when we say that, we’re not saying that lightly.
Dr. Joanne Davis Jarrett, MD 58:53
Don’t get your feelings hurt and don’t get offended. It means you need to talk to your doctor.
Marilena Grittani, RPh 58:57
It doesn’t mean that I don’t want to help. It doesn’t mean that we are not capable. It doesn’t mean that we just want to get rid of you, we think is important. And you most likely if I tell you, which I have done very few times, but if I tell you you need to go to the emergency room now, trust me on that RUN. I have called I have had to call ambulances for people used to go to the, to the emergency room when they had blood sugar, so 700
Dr. Joanne Davis Jarrett, MD 59:26
Oh, my goodness. Scary
Marilena Grittani, RPh 59:28
Like they were about to be on a coma?
Dr. Joanne Davis Jarrett, MD 59:31
Yes, yes, yes, any minute. Don’t please don’t get behind the wheel. So the one one last thing that I have to say is all of the information in this probably ought to go at the beginning to in some form. as sort of a disclaimer, all of the information I’m giving you is as a friend and a mother. I’m not your physician and I am not treating your child. These are all guidelines and generalities. If you have any question you need to talk to your pharmacist or your child’s physician before you take my advice. These are guidelines and generalities. I am not your practicing physician.
Marilena Grittani, RPh 1:00:03
And even though she has access, you have access to her through her podcast. She’s not going to answer any questions about your baby because she needs to know a lot of information before she does. And she’s not practicing anymore. We’re having her as a perk. Yes, especially for us because she patients anymore. So be sure that you follow those recommendations. And we should you have direct communication with your physician office, as well with your pharmacist because you are talking about chemicals that can harm you or your kids or your adults or your elder family members that can harm really bad. So yes, one thing just wanted to say one of every five ER visits are caused by medication problems.
Dr. Joanne Davis Jarrett, MD 1:00:48
Oh my goodness
Marilena Grittani, RPh 1:00:49
And people don’t realize like that. Make sure that you know where you’re giving yourself and you give it to others before you do it because you don’t want to cause a problem when you’re trying to help.
Dr. Joanne Davis Jarrett, MD 1:00:59
An also remember that when you call your pharmacist or your doctor, the all of the diagnoses or the illnesses that the person in question has are relevant. So you’ll say to your pharmacist, my child has pediatric hypertension, they have this symptom of cough cold, can I give them decongestant? No, this is the answer, because they have that, that pediatric hypertension, those are relevant. So if your child carries a chronic diagnosis, you need to make sure you bring that up every time a medication is being purchased for over the counter or given prescription. Don’t trust that whoever is providing the medication will know this. You need to remind them every single time so if there’s a chronic diagnosis, keep it tip of tongue.
Marilena Grittani, RPh 1:01:41
Same thing with allergies. If you have an allergy to whatever, if the patient is diabetic, if the patient has any conditions, just grab the box that you want to buy in the pharmacy and then just ask I just want to make sure this is okay. For this situation. Yes,
Dr. Joanne Davis Jarrett, MD 1:01:55
given the fact that there’s other things going on
Marilena Grittani, RPh 1:01:57
and it will be a very quick answer. We will not take that long. We will help you because the last thing that you want to do is to hurt them when you’re trying to help. With happened, unfortunately,
Dr. Joanne Davis Jarrett, MD 1:02:06
this Yeah. Oh, that brings me to one more thing. Oh my gosh, I’m so sorry Marlene, I have one more point Please go ahead. Okay. mommies and daddies. Antibiotics can hurt if they don’t help. Okay? If they can’t help, they will hurt. Please do not pressure your doctor to prescribe antibiotics. If they don’t think it’s necessary. This will harm your child. Antibiotics will hurt, if they can’t help. They’re unnecessary unless they are necessary. It’s not just that let’s throw back at this and see if it helps. No, no, no, no, unless we know it’s going to help. It can hurt not only that individual, but humanity as a whole.
Marilena Grittani, RPh 1:02:42
Yes. Okay. And on that, on that note, the corona virus is a virus, No antibiotic will help. No, not keep any antibiotics that you make for your child at home. If it says discard the rest. That’s what you should do. Because it means that the bottles are not made for your child’s weight, so you have extra. And if you give more you can harm your kid. And it’s not necessary. Plus, because it doesn’t have any preservatives, which is what we want to do for kids, then it will go bad; and you can get some bacteria on it. And guess what you’re gonna do to your child?
Dr. Joanne Davis Jarrett, MD 1:03:17
Make your child sick?
Marilena Grittani, RPh 1:03:18
Yes, there you go. Have your goal there. So be extra careful with that.
Dr. Joanne Davis Jarrett, MD 1:03:23
Yeah. Oh my gosh. So we could talk about this all day. I didn’t we did like a three hour long podcast. Anybody tolerate that?
Marilena Grittani, RPh 1:03:29
We need to do a series! Yeah, because my gosh, too long. But that’s how nerdy I am and how much I love my profession and how passionate We both are about what we do. Because Yeah, people…The problem is that we know too much.
Dr. Joanne Davis Jarrett, MD 1:03:43
Yeah, yeah. And we have a heart for people. We we want to prevent harm, and we want to maximize health. Those and because there are so many roadblocks in this world to preventing harm and maximizing health with like, Oh, we need to make sure nobody knows All this stuff, and it’s amazing how often people don’t?
Marilena Grittani, RPh 1:04:02
Yeah, well, I think that that implies that you’re gonna have to come back and then we will think about the other stuff.
Dr. Joanne Davis Jarrett, MD 1:04:08
Awesome, because this is fun.
Marilena Grittani, RPh 1:04:10
And number two is because what we’re doing is a service to the public. We’re not we’re not training you to become a pharmacist or a doctor, we’re just training you to be a human being to understand what can help unhurt. And what do you need to keep in mind in case of whatever.
Marilena Grittani, RPh 1:04:26
The same way that I have all the infographics that I have made for you all the documents that I have sent for you, if you’re in the mailing list, or if you went to the podcast episode page and download them, that is information that is important for you to know, at the moment that you need it, whenever you need it. So save it in your computer whenever you are like oh, I have a friend that is having a problem with diabetes who might be a pre diabetic; go find out what there is more wrote about it. If you have a kid if you’re going to babysit your grandkids, and you need to refresh your mind of what we talked today with Joanne, go check out that in that document that have prepared for you that I’m going to give you for you to download. And then you have in your back, just in case you need it. Because when you have this situation you’re so stressed out, and so worried that you will forget. So get ready, get prepared and have it there. My only objective with this is to help him to support you.
Dr. Joanne Davis Jarrett, MD 1:05:19
Yes. Yes, absolutely. I love it. So I will provide a recap of the red flags, the toolkit and some pearls of wisdom about over the counter medication. That you can have on hand.
Marilena Grittani, RPh 1:05:32
There you go, And then you email me to firstname.lastname@example.org, What do you want me to talk to jJoanne the next time; I already have an idea but let’s see what you guys want to hear because it’s not what I want is what do you need because she’s fun. She’s pretty. So I could be here for hours but we have stuff to do so before we say goodbye, is there anything else that you want to add to the community just for them to think about medications, babies, or kids in general, and what they can get over the counter?
Dr. Joanne Davis Jarrett, MD 1:06:13
I think we covered it. The only other thing we didn’t talk about is medication ads. And you and I could probably do a whole episode on that. But please take anything you hear on a medication ad with a grain of salt, if you want. If you think your child needs the medication that is recommended on an advertisement, hightail it to your doctor and sit down and have a conversation with them about it. That’s that’s what you need to do.
Marilena Grittani, RPh 1:06:32
They’re doing that to make money. They’re not doing that to benefit your child. Remember that! That is a very good point. It was so much fun. Thank you for coming. I love that.
Dr. Joanne Davis Jarrett, MD 1:06:43
Oh, my gosh, it was I had a great time. Thank you so much for having me. I can’t wait to come back.
Marilena Grittani, RPh 1:06:48
Well, there you go. So we will have to make arrangements and again, send me an email to email@example.com to tell me what you want us to talk. And yes, it’s okay. I’m going to give it to you. If you want. Want to listen to her podcasts? They’re just not done. Look for mine because it’s embarrassing. And it happened in a pharmacy. Remember?
Dr. Joanne Davis Jarrett, MD 1:07:09
I’m clapping my hands. I can’t wait for you to listen.
Marilena Grittani, RPh 1:07:13
I know they will. So go for it. It’s fine. And if you want to make fun of me, that’s okay. I’m here because it did happen. And it was hilarious.
Dr. Joanne Davis Jarrett, MD 1:07:19
It was oh my gosh, so I’m so cute. Oh, we laugh. It was hilarious. Yeah, we need to laugh. This is that, you know, we’re just highlighting our human sides. And we all have them. And it makes us all feel a little more relatable to each other, that we’ve all had our foibles.
Marilena Grittani, RPh 1:07:33
The interviews that she made are mainly females, right? And then they talk about stuff that you’re like, Oh my God, that’s hilarious. I’m so sorry happened to you, but funny. So if you need a laugh, a genuine laugh that you’re not making fun of that person because that person is laughing with you actually, right?
Dr. Joanne Davis Jarrett, MD 1:07:52
Yes, we’re all laughing along together. Like I tell my guests. Please don’t tell me an embarrassing moment that you’re not ready to laugh about. I don’t want to tell people those. We’re not trying to shame you…
Marilena Grittani, RPh 1:08:01
Because you’re gonna laugh.
Dr. Joanne Davis Jarrett, MD 1:08:02
Yes, we’re trying to release shame. Let’s laugh together, let’s realize how much we have in common. And so that podcast is called the fancy free podcast because there’s nothing fancy about me. And no one is as fancy as they look.
Marilena Grittani, RPh 1:08:15
It was , it was awesome. And yeah, gave me permission to listen to mine whenever I will, could relate there. There you go. Okay. Well, thank you so much, john, for everything. It was fun. It was informative. It was relaxing, and thank you for sticking with me today.
Marilena Grittani, RPh 1:08:32
So that’s it. What do you think? It was very informative. She was very specific about stuff that We need to know whether it is because we are the parent of babies or the little kids or were the grandparents or the Auntie’s or God parents so we understand the details because most of the time, we adults thing that the kids get the same that we do, and that is not actually the way that it is So we need to be mindful about that.
Marilena Grittani, RPh 1:09:02
Make sure you download both the guide that she created for you, as well as the chart that is for your medicine cabinet. I think it’s going to be very useful. And the links on the show notes on the part that put links for stuff that the guest talked about is going to be also the episode that Joanne interviewed me is a lot of fun, you will laugh with it, I absolutely recommend it. It is very good for those females that just want to understand the other side like them, that it’s okay to be quirky and funny and make mistakes and, and laugh about it. So I truly, truly recommend for you to listen to her podcast. Again. I’m going to put the link of the podcast episode where I was interviewed by her and then you can decide if you want to do it for other episodes.
Marilena Grittani, RPh 1:09:55
So that’s it for this episode. Thank you so much for listening. Please subscribe To the podcast, give us a review. And if you have a question, please send them to me at comments@thelegaldrugdealercom, I will respond to you directly, or I would make it part of one of the solo episodes that I record every three episodes. Also visit the legal drug dealer calm. look around and see what I have there for you. Last of stuff by the way, follow us on Instagram and join our private Facebook group community. Because from this week, you’re going to have some live videos that I’m going to be dropping some “pills” of information for all of you. I will wait for you there. It’s going to be current information stuff that you’re interested on, any questions and any situations that presents in the health area for you.
Marilena Grittani, RPh 1:10:48
Don’t forget to subscribe to our mailing list so you will receive an email with the episodes that are live every week every Tuesday as normal.
Marilena Grittani, RPh 1:10:57
Next week, I will be doing a solo episode. Where I will be updating you about the current situation of Corona virus. And also talk to you about some personal stuff. And when I’m planning to do with a book that I promised I was going to talk about the last time but I didn’t because the episode was super long, but I will tell you next time, I hope that you are interested and you can help me as well.
Marilena Grittani, RPh 1:11:22
I am done.
Marilena Grittani, RPh 1:11:23
But before I go on, just in case no one has told you today I wanted to take a minute to remind you of how awesome you are. And how lucky are those that have you in their lives. Thank you for being the awesome you that you are. Have a wonderful rest of your day.
Marilena Grittani, RPh 1:11:39
This is Marilena Grittani, the legal drug dealer .
Marilena Grittani, RPh 1:11:42
Bye for now.
Transcribed by https://otter.ai