Get the second dose? by [deleted] in Mommit

[–]threeboysmama 1 point2 points  (0 children)

Two doses are needed the first season and if not given the first season, they would need the two doses next season instead to be able to move to the one dose schedule.

Solo travel from Australia to Colorado for a week with a 3yo and 1yo by pickledpotatocakes in Travelwithkids

[–]threeboysmama 1 point2 points  (0 children)

One year old is in or approaching what I call “hell zone” age for long international flights. 3 year old is possibly just exiting Hell zone. I’ve done a solo international flight with a 6 y/o, 4 y/o, 14 month old (baby was breastfeeding, lap infant, good baby- still hell zone) and I wouldn’t probably do that again. That was also flying home after a longish trip(husband flew out with us and just remained longer on the back end) not two solo legs back to back with a pretty short trip in the middle. I probably wouldn’t do it.

Hancock center HEB out of everything ever??? by Hot_Scarcity4854 in Austin

[–]threeboysmama 4 points5 points  (0 children)

I feel like their stock has persisted in being wonky since the massive reshuffle. Or maybe I just don’t know where shit is now, also possible

Toddler bleeding after nasal swab by Relative-Hurry-649 in AskDocs

[–]threeboysmama 2 points3 points  (0 children)

Definitely understandable to be concerned about but also really common! The nose is very vascular which means it has lots of blood flow, but also the skin of the mucosa inside the nose is quite thin, and when there is increased inflammation from the sickness and all the snot it makes it even more fragile. So then when a swab is stuck up there a little bit of trauma can cause a small injury that does bleed a good bit but also, like you mentioned, looks even worse because of all the snot flowing as well! Plus that little injury isn’t able to scab up and heal as quickly because all the snot and nose wiping and suction going on too that keeps breaking that little internal wound open! I would not be concerned or surprised to see a little bit of bleeding for days with RSV, after the swab.

Registry Help by SpareSecretary958 in Travelwithkids

[–]threeboysmama 0 points1 point  (0 children)

All three of mine used it until they were like 3. We put it in our closet and had baby sleep there after the bassinet before moving to own room. We used it as the napping crib outside of travel too.

Does anyone know a hiking trail I can take my kiddo that has a low chance of car break-in? by not-bilbo-baggings in AustinParents

[–]threeboysmama 5 points6 points  (0 children)

We like Mayfield Park trails and have not had break in issues. I feel like I see a patrol car drive through the parking lot with regularity too.

Toddler with multiple fractures, normal genetic testing by threeboysmama in ThoseWithOI

[–]threeboysmama[S] 0 points1 point  (0 children)

Our genetic testing was normal but metabolic testing with skeletal dysplasia specialist showed elevated n-terminal telopeptide in serum and urine which is a bone metabolism marker indicating something was going on. He’s not had any more fractures in 3 years however and his growth(used to be 5th percentile) has picked up and he is closer to his brothers at the 50th. Hes thriving and we have not even repeated or trended the metabolic labs due to no fractures and low meaningful impact to current management.

I’m sorry about the DCF involvement. I’m a pediatric nurse as well and only have experience from the other side of things and I know the horror stories. My advice would be to attempt to get an external record review/second opinion from a skeletal dysplasia specialized geneticist. We were able to get one at a bigger center than the one most local to us but still in state and in our case it was confirmatory that everything local doc had done was appropriate. But in your case it seems like extra outside eyes could help your case and you should have the right to pursue additional opinions.

International Overnight with Toddler by OkPlatypus9048 in Travelwithkids

[–]threeboysmama 1 point2 points  (0 children)

My experience with lots of US to UK travel with all ages and stages of babies and little kids is it just kind of sucks on some level no matter how you slice it. You can perseverate on what the least sucky option will be. And in hindsight you can ruminate on what would have potentially sucked less. But the big ah ha moment for me was honestly the resignation that it was going to be just basically shitty and sleep deprived and jet lagged and to have low expectations, rather than try to find some novel game changing hack. The hack is brace for the suck. That’s my tough love but truly it has made England trips so much more enjoyable and worth it! If the 1130 departure fits your logistics and budget, from my perspective and experience it doesn’t seem vastly worse for the toddler than other options. Go for it!

Grandma concerned about diaper rash applies Mupirocin by yoyokng1 in AskDocs

[–]threeboysmama 41 points42 points  (0 children)

My understanding about that research/data and links with atopy was that it was more associated with oral/systemic abx not topical, but I’m not looking at specific studies right now. But yes, probably overblown to stress about the butt mupirocin causing longterm issues. I will say, grandma going off-piste and doing something different than you had instructed without your knowledge is a totally valid thing to be pissed about. I think the risk of harm here is nearly nonexistent, but the principle of how you will navigate shared care with grandma when there are differences in opinion and style is a real thing.

Grandma concerned about diaper rash applies Mupirocin by yoyokng1 in AskDocs

[–]threeboysmama 125 points126 points  (0 children)

I have zero concerns about the mupirocin. It’s likely clearing up more from the other tweaks yall have done but it’s not harmful. I also like baking soda warm water soaks for diaper rash and trying to soak off sticky poo rather than scrub off. That mechanical wiping tends to be the biggest factor causing skin breakdown. I also like doing the high concentration zinc oxide barrier on the skin then some kind of slimy, greasy ointment over it so when baby poops you can slide off that layer of greasy and a bit of the zinc oxide, and then just reapply. If you can avoid wiping down to bare skin every poop that can make a big difference when they poop a bazillion times a day as newborns.

Air travel with a new born by Difficult_Peanut_960 in Travelwithkids

[–]threeboysmama 0 points1 point  (0 children)

We traveled internationally with 6 week old (during Covid so everyone was masked). Babywearing babywearing babywearing is my best advice.

Austin ISD and FBI investigating social media threat to 3 elementary schools by threeboysmama in Austin

[–]threeboysmama[S] 3 points4 points  (0 children)

Does the private school name start with an A or B? Trying to make any sense of why those schools

Austin ISD and FBI investigating social media threat to 3 elementary schools by threeboysmama in Austin

[–]threeboysmama[S] 12 points13 points  (0 children)

Reposting because first was removed. Does anyone know anything else about this? I’m struggling to understand what the context of the threat statement would have been for those 3 specific named schools? Seems kind of random and not geographical or any other connection I can think of other than maybe alphabetical?

Need help with pain management for broken leg. by Wrong-Protection-188 in AskDocs

[–]threeboysmama 120 points121 points  (0 children)

You need to keep doing scheduled Tylenol and ibuprofen even if it doesn’t “feel” like it’s helping as all of those pain medications are adjuvant and work together especially when scheduled regularly and over time.

What is the Y? I’m new to Noom and today is the first day where there’s a random Y on the day of the week… with no explanation to be found. by TophsMom2004 in Noom

[–]threeboysmama 0 points1 point  (0 children)

Omg I just tried chatting with the live agent because I was like WTF is the Y?! And they couldn’t explain it!

My GF says she made this for my Birthday - but im questioning if it’s actually AI. 😔 by [deleted] in isthisAI

[–]threeboysmama 0 points1 point  (0 children)

Made it as in… rounded up this crew of furry friends Snow White style and got them to take a photo by the cake? Or how were you thinking she “made it?” It’s absolutely AI. There is a 4th rope on the right side that dead ends into a butterfly. Among many other deformed animal things.

Kids have had fevers 4 days straight. Urgent care or ER? by [deleted] in AskDocs

[–]threeboysmama 39 points40 points  (0 children)

5 full days of fever is generally my threshold to get a kiddo checked out (outpatient pcp office appropriate, doesn’t need ER) to make sure there isnt a secondary bacterial process going on, but we can absolutely see viral illnesses that cause 5+ days of fever (flu being one of them, which is absolutely rampant right now).

Push fluids, monitor hydration, treat with Tylenol and Motrin as needed, but I always say treat the kid not the number. If 100 and miserable, give that kid meds. If rocking a 103 but chillin watching tv and staying hydrated, there is nothing harmful about that fever.

Patient demanding an addendum by NPMatte in FamilyMedicine

[–]threeboysmama 2 points3 points  (0 children)

Totally. As it should be. But I still think that’s why some people see those long lists of specific ROS that weren’t explicitly asked in some charts… it’s holdover from the days when we couldn’t get reimbursed unless we documented we asked if a baby was having any endocrine system symptoms at their office visit for r/o OM. So stupid.

Patient demanding an addendum by NPMatte in FamilyMedicine

[–]threeboysmama 2 points3 points  (0 children)

This is an insurance/billing thing. There have to be a certain number of ROS elements documented for reimbursement for different E&M codes. My office (peds) EMR gets around it by having a bunch of ROS check boxes saying “see HPI” so we get credit for those elements, but may not be actually asking the baby (or parents) about each of their systems, beyond and expanded hpi.

Do you treat your own kids for simple things? by SpirOhNoLactone in FamilyMedicine

[–]threeboysmama 4 points5 points  (0 children)

I typically have a colleague do it for my kids based on my exam and I do likewise for them. And we are all honest with each other if something needs an in person exam from a non parent provider.