Full Transcript

Recorded May 19, 2021

Hi, everyone. Welcome. Welcome.

I had some tech issues. I didn’t go live properly. It was talking to everyone as though you were here and yet you weren’t. Anyway. Sorry about that. So, yeah, please.

Hi Vivian. Hi guys. So, yes, please introduce yourselves. Tell me who you are, how many kids you have, where you live.

I’d love to get an idea of who’s joining us tonight. And as we do, when we host these, I’m happy to answer any questions you guys have about anything.

So yeah, just send it into this chat function here. And I will start going through the questions and get through as many as we can in the next hour that we have a lotted to us today.

I hope you guys are okay and well and safe and healthy. A lot of interest now in getting people’s first vaccines and people getting their second vaccines. I know there’s lots of scrambling to get it wherever people can find it. So happy to answer questions about anything you want to talk about a chorus and yeah, let’s, let’s jump in. Okay.

So we’ll try to get through as many as we can.

Let’s let’s dive in. Okay, Vivian. Hello. She’s a first time. Mom has a four month or sorry, nine month old son. All right.

 

So Vivian says:

Her nine month old baby often stops eating after getting frustrated from food. He doesn’t like he’s crushing his food or food. Buddha slipping out, having trouble chewing, et cetera, and worry he may not be able to have, you might be not be getting enough solids by the time he turns one, is this a legit concern or do they eventually learn in the meantime, is nursing frequently, okay. For this age, how do we encourage him to eat more or better? (01:17)

It’s a great question, Vivian. Thank you.

By nine months, I’m looking for kids to start taking much more food and start having less milk. So for babies that are still taking the breast very frequently, or they’re having a lot of milk in a bottle, I would start to decrease that in favor of more food, because we want them moving towards that skill, that oral motor skill of eating more solid. So I would start to offer the breast less frequently or the bottle less frequently.

So that babies that have a lot of hunger to eat that solid food. So that might look like, you know, giving milk before nap, but not giving it directly after an app so that they have appetite for lunch, for example, or for dinner, and then offering them milk after that. So essentially, you know, at the beginning, milk is primary and there’s no solid solid start to come up, but milk is still more.

And then around six to nine months, it starts to, to switch so that kids are then getting more solid food and less milk, whether that’s breast milk or bottle milk or formula. So if babies are not yet with developing those skills, not really as interested in solid, I would start to offer more solids in favor of more milk.

So they develop those oral motor skills. And by nine months, kids should be having a lot more solids versus mushy food. So I’d be moving away from mushed up vegetables or fruits or cereals in favor of actual pieces of food. Just like you’re eating as an adult safe for honey, which we wouldn’t be giving until 12 months of age. All right.

 

Jessica says:

Hey doc, what is your opinion on having vaccine, your relatives and friends visit unvaccinated and newborns and young children. Would you hope that certain preventive measures be taken such as mass granny distancing? We have family members who do not choose, sorry. I do not believe in getting the vaccine. And this is causing strain on our relationships. We want to protect our children, who we cannot protect yet through vaccination. (03:08)

This is a tough one. This is very very person specific.

And you know, it’s up to your family, of course. And it depends on the health of your family and the health of your children and your risk factors. I can tell you personally, my kids are seeing my relatives who are fully vaccinated and they’re were still doing so outdoors.

And with the distance, we’re not wearing masks, but we’re still keeping distance from them. You know, there are still people, not a lot of people, but some people that still get COVID even double vaccinated people. I have friends, who’ve had two vaccines being a month out and still gotten COVID albeit mild infection, but it is still possible.

And you’re right, that not everyone is going to get vaccinated. And our kids, most of our kids can’t get vaccinated yet. So personally I recommend being outdoors and keeping a distance. But again, I mean, everyone feels differently about this. The CDC goes back and forth about this, wear a mask.

Don’t wear a mask indoors, outdoors. There’s a lot. And plus in Canada, anyway, a lot of people have had one vaccine, not both. So they’re not fully vaccinated, not fully protected themselves either. So I’ve been really cautious and conservative, I would say throughout the pandemic. And I’m still living that way. I think it’s up to you. Of course, it’s up to you and your family, but I still think cautious is best while, you know, while we’re still on this, COVID, isn’t over, unfortunately.

We’re doing much, much better, but it certainly isn’t over yet. And with new VOC and stuff, it becomes still a bit, you know, there’s a, you know, potential rent share, which is new VOC. So I still think be cautious. That’s, that’s my perspective, right.

Anna says, Hey, I’ve had two kids five months in eight years. Nice to see you, Anna 15 says, thank you. You’re welcome to be in.

 

Lindsey says:

Hello. I’m a mom of two and a half-year-old boy and a 16-month-old girl. My five-year-old boy has developed separation anxiety this past year. He home all the time in virtual school and not going out often, whenever anyone in the house goes out, especially myself. He gets upset, begs the person not to go and cries once distracted after the person leaves, he settles, but asks where they are frequently until they’re back home.

So we’ve seen a lot of kids like this over the past year that has developed a lot more separation anxiety. So you’re, you’re not alone.

Your kid is not alone. It depends on how much it’s functionally impairing your child. So if your child really can’t get through the day, because he’s so nervous or stressed out with anxiety, that’s time to touch base with your clinician. And maybe think about working with a therapist or social worker or someone dealing with anxiety. There’s a lot more anxiety for kids right now and for adults as well.

But if we’re starting to have fears around people coming and going about us, leaving the home or a child leaving the home that can become functionally impairing. So that’s sort of like the teeter-totter there. How much is it impairing your life or your child’s life? And if you worry that it is impairing them, that’s when we just want to think about working with the therapist to work through those anxieties right now, hopefully as we move towards more normalcy and we’re out there more of we’re seeing people more and those kinds of things that, that anxiety will probably start to lessen.

But when kids see us nervous about the pandemic and they, they know that we’re staying home, we’re not going to school and work. We’re not seeing friends and family they’re of course going to absorb that.

And even if we’re not outwardly talking about being stressed out, they feel that kids are little sponges. They feel our emotions. So a lot of kids are much more stressed these days, not because of anything we’ve said, but because of the way that we’re acting, you know, our shoulders are by our ears. We’re stressed, we’re burdened and they get it.

They’re going to feel that too. So the more that you can relax and you as a family could go outside, you and your family can, can be outside, you know, play hopscotch or go dancing or go swimming or go for a walk around the block.

The more that your child sees that you’re doing these healthy things to be outdoors and not scared to be outdoors, it’ll make a world of a difference.

And of course, touch base with your, with your healthcare provider, if it’s ongoing.

 

So for instance, related to my earlier question regarding solids, when is it appropriate to introduce snacks and how frequently to offer where at nine months with five nursing sessions a day plus three solid meals, having a snack seems a bit, lot. (07:18)

Totally. Absolutely. So, you know, at nine months, the average parent is giving three to four feeds in 24 hours. So five is already a lot and there really isn’t time to give a snack in between personally. I don’t think kids really need snacks. This is something that’s happened in North America over the last several decades but didn’t use to exist.

People used to have three meals a day or less, depending on where you live, this idea that we need to be feeding our kids or ourselves eating every three hours came out of nowhere. I don’t know where it comes from. You know, most kinds of obesity specialists, endocrinologists, dieticians don’t necessarily recommend we eat so frequently.

So I don’t think it’s necessary to even snack our kids, even when they’re older or they’re having good meals, breakfast, lunch, dinner, you don’t necessarily need the calories. And those other times in the day, and in many cases, especially in toddlers, a lot of people will fill up on snack food, which is by and large, more carbohydrate, rich, and like lactose or dairy-rich, which are not bad foods in general.

They’re they, you know, they, they serve a purpose, but you know, kids don’t snack on a chicken breast, right. But if they have crackers and cheese for a snack and four o’clock, they’re much less likely to have that meal that has the healthy fats and proteins in it half an hour later, like at five 30. So I often tell parents to be mindful of, of snacking in between meals.

If they’re not eating that meal properly, that comes after that snack time. If you’re breastfeeding five times a day and having three meals a day, there’s no reason why you should have snacks. There’s just not any time for it really they’re sleeping otherwise and doing other things otherwise. But you can certainly start weeding down off of those breastfeeds during the day to give some milk, for example, or to give a snack, instead of those milk feeds.

 

Ana says,

Hey, hi there, I have an, almost a baby, almost nine months old. She has no teeth yet. It isn’t crawling. Should I be concerned also? I don’t know how to keep her busy, any suggestions. (09:05)

Okay. So at nine months I don’t need any teeth at all.

I need the kids to have at least one tooth by 18 months. That’s the cutoff point. And many kids have many teeth at nine months and some kids have no teeth at all until 18 months. Okay.

So again, touch base with your doctor. You know, they could take a look at the mouth and make sure the teeth are there in the gums, but even if they’re not breaking through the gums quite yet, it’s not a problem for me, certainly not at nine months of age.

And in terms of gross motor milestones at nine months, I’m looking for them to be able to sit up right, to be able to grab something in front, without falling. So in the office, I’ll often hand and I’m at the low-paid Popsicle stick.

I want them to grab it sitting up right on their own. And usually they bring it to their mouth as babies do. That’s like the upright gross motor milestone and on their bellies, they need to be crawling or doing some locomotion forward or backwards or side to side. So I say, can your baby get from point a to point B? Can they roll there?

Can they drag themselves there? I call that the wounded soldier, can they slither there? Can they bump scoot there? Can they properly crawl? Or can they army crawl where there’s kind of pulling themselves with their arms? As long as the baby can get from point a to point B at nine months, then I’m okay. And of course you want to make sure your doctor’s happy with their overall development and examine them in person, but that’s sort of what I’m looking for at nine months of age.

Christina. Hello.

So Christina says:

Our two month old has struggles with gas and we have done several formula changes. The lactose-free one, the powder constipated him. And when we, when we instructed to go to, to ready to feed, he definitely has a preference to taste and will reduce his intact. (10:38)

I’m not sure if I’m missing part of the story here, but lactose-free formula is basically a marketing ploy. Basically. No babies require lactose-free foam rat babies don’t have lactose intolerance. There’s almost no conditions in the world where babies have lactose issues. So it’s actually totally a marketing thing. Some babies do better on one formula versus another. And so really it’s just trial and error.

If you’re going to switch from a typical like normal cow’s milk formula to one, because your baby’s having difficulty with gas or belly pain or strange poops, I would usually normally go to like a more broken down formula, it’ll say partially digested or sensitive, that sort of thing. Basically you have like these whole proteins, then the formula companies will make it more broken down.

So your belly doesn’t have to do that work. And then even more broken down to like a hypo like allogenic formula, it’s even more broken down, just amino acids. That’s sort of how it go as a hierarchy. And very rarely does a baby need a true broken down formula or an amino acid based formula. But lactose formula lactose-free formula essentially has no role to play pretty much ever.

So that wouldn’t be something I’d even recommend in the first place.

 

Joyce says hi,

Hi Dr. Dina, I have a 15 month old currently taking two naps over the last two weeks. She’s been refusing the second app or ending up falling asleep for 30 minutes at four or four 30. That time is seven 30 or six to six 30 or 7:00 AM. Should I be working toward to transition to one nap or continue to offer the second app, even though it ends up being so late? (12:08)

Well, I think there’s a couple of things to unpack here. One is at 15 months, I’m looking for the week window to be not really more than three, three and a half hours. Some people will stretch it to longer, but I find that oftentimes that’s too long and kids get tired.

It’s the morning nap that we drop, not the afternoon one. So when I hear that babies are having a morning nap, happily and fighting the afternoon nap that tells me that they’re likely overtired, not, not tired enough, if a baby’s willing and happy to take the first nap, I would absolutely continue to offer the second nap.

And if you need to, I would shorten that first nap. Like I would cap that first nap so that you still could go three, three and a half hours and offer that second nap not doing it so late that a baby that has other very brief nap or they’re really overtired by the time they go down for that nap or that they’re not sleeping well at night time.

So a four o’clock nap is pretty late, especially if you have a morning nap as well. So a good example would be if a baby wakes up at seven, as is your example, I would put down for the morning nap, but like 10, 10 30, maybe cap it around 12 or so, and then offer that second nap in the afternoon.

It like maybe two, two 30. If you go too long, they tend to be over-tired and have a shorter nap. So when in doubt, where they think about the wake windows, we talk about this tons on, on the parent playbook. As you see before you it’s our membership sites dedicated to making things easier for parents, all the tricky parts of parenting, so sleep issues and feeding issues and behavioral issues.

Anyway, Rosalie, Hara, and I are big fans of wake windows, paying attention to how long kids are awake for. And if you really follow your child’s awake windows, it can make a dramatic difference in making sure that you’re getting them down for the naps and the bedtime they need without them being too overtired.

So pay attention. All right, hopefully that was helpful.

 

Hi. I live in Toronto and have a one-year-old daughter. Her daughter is into everything and loves what she’s not allowed to touch. When she’s prevented from doing something, getting into the kitchen, she will quickly protest with a loud wail, have recognized this is her voice. So I want to answer her, but I don’t want to reinforce this behavior. Rather. We’re likely to ask to do something without wailing. Relatedly, how do we effectively teach her no? (14:15)

So this is hard. I mean, I don’t know if she’s one as in she’s 12 months old or she’s one is in like 15 months old or 18 months old, but the closer we get to 18 months, the more I’m willing to kind of push it with kids in a way to make them have proper behavior.

So I was liking it too, like two categories of behaviors. So you have the calm behavior playing a depends, oddly, you know, communicating with you. Well eating nice meals going through. Yeah. Without a fuss at bedtime, et cetera, that’s calm behavior.

And then you have what I call the crazy behavior. So temper tantrums, you know, negotiate, sitting with you, not eating well, throwing stuff to delaying bedtime, all that stuff. So calm and crazy and well, what I, what I suggest is to pay a lot of attention to the calm, give lots of attention, positive reinforcement, high fives, praise all that for the calm behavior.

And I tend to turn my attention away from what I call them crazy behavior. So at 12 months old, from what I described, what you’re describing your trauma though, understands kind of what is expected and what’s not, and what’s proper behavior and what’s not from your description typically 15 months and later kids do totally understand when they’re being naughty.

They’re being well-behaved. So when they’re being naughty, I typically turn my attention away from them. When they’re 18 months or older, the line I use is I say eyes to eyes. I want to connect with them. I want them to look me in the eye view. You look at them in the eyes. I’m really focused. I’m not distracted.

And I say, when you’re ready to talk, I’m ready to talk poker face unemotional, not aggressive, not, you know, in their face, calm when you’re ready to talk, I’m ready to talk. Even if they’re escalated, even if they’re having a meltdown, even if they’re freaking out, when you’re ready to talk, I’m ready to talk.

And then I literally turned my back and I walk away. And then yeah, usually when the seconds or minutes, kids start to figure this pattern out and they run up, do they say, talk, talk, talk are ready to talk.

This is what happened with all my kids, four kids from three to 10 years of age. And they really truly had very few meltdowns because I just didn’t give them a lot of attention for the meltdowns.

Right? So I want my kids to understand I’m here for you. I understand you’re feeling something. I mean, I understand that you have a big emotion or you want to express something and you’re totally welcome to have those emotions, right? I never want to tell my kids don’t cry or, you know, stop doing that because we all sometimes have strong emotions and I want to validate that for them.

But I also don’t want them to learn freak out. If I have a meltdown, if I’m aggressive, if I yell at you, if I bite you that they’re going to get what they want out of it scenario, right? We all learn. I do acts and I get why. And if they do X and X is a naughty behavior and they get Y, which is your attention, it’s going to reinforce them doing X again. Right? So I turn my attention away. And when they come to me down, that’s when I turned all my attention back to them. Again, I go eyes to eyes and I really connect with them to really find out what it is they’re looking for. You know, it’s a situation of a meltdown, a temper tantrum.

When they’ve calmed, then I praise them for calming. So I don’t want to tell them they were naughty or bad boy or bad girl, rather. Good job. You calmed down. Now let’s talk about it. Right? So again, you’re turning your attention from the calm, sorry, from the crazy to the calm. Okay.

And so the same example would be here. So you just want to, you know, if they’re being naughty or whatever it turn your attention away, turn it back when they’re being calm and then talk about what your child wants to do. Now, again, if the kid’s 12 months old, you need a few more months of this for them to get older and really understand these concepts.

But once they are, it really kind of goes quite quickly.

Fabian says, thanks again for the clarification. You’re very welcome.

Hi Adriana.

 

So Jana says, Hello, thank you for your time. You’re very welcome. My baby is 7.5 months. I love what people say. 7.5 or 7.75. Like, yeah, it’s very cute.  Only, only parents of young kids do this. But anyway, I digress.

My baby is 7.5 months and he is having to sell and meals. And he’s breastfeeding eats every two hours. Is that okay? Total during the day is two solids and four to five breastfeeds. (18:14)

Yeah, this is fine. If this is what you know, your child’s wants. Typically after six months, I’m starting to offer three meals a day, three solid meals a day. So instead of one of those breastfeeds, you could offer salads for example.

And I always suggest you guys talk to your primary care providers because every child is different and your, your doctor knows your child’s weight. I don’t of course, but in general, by seven and a half months,

I’m typically looking for three solid meals a day. Ideally, what parents are eating or other kids are eating in the family except for honey. But again, we’re working towards pieces of food now.

 

Hello, Ms. Liz says,

I have a five-year-old daughter who’s recently become curious, but our sexual part, I understand that curiosity, budget, Italian, young children are in some to some extent, normal. However, I like to know your panel where we draw the line, particularly if it appears to be repetitive behavior and how exactly has to be your response as parents. (19:04)

It’s a great question. I’m asked this very, very often. So yes, little kids absolutely become fascinated by their genitalia. Little boys. You know, you take off their diaper sometimes even nine or 12 months.

And they start pulling on their penis, little girls, same thing. They often rub their vulva. This is normal, right? These areas are more sensitive than other parts of their body. Some kids play with their belly buttons. Some kids play with their nipples. A lot of kids play with your lobes. These are all sensitive areas of the body.

So by the time a child is three or four, I start to tell them if they’re interested in these body parts that I understand that it’s normal, that I understand that area feels good to them and they want to touch it and they want to explore. So I normalize it because it’s normal. I don’t want them to feel shame or that, you know, they’re being bad or they’re being naughty.

I don’t want that because it’s not it’s normal. But I also want to tell them that there’s a time and a place. So I suggest to kids, you can touch your penis. You can touch your vulva. And I personally recommend strongly to use the words. I want kids to know what their body parts are, right?

Just as you would teach your kid the word for nose and the word for finger, the body parts are penis and vulva or penis in vagina or whatever you want to call it. But I suggest using real words because as they get older, if your child trying to tell you or trying to tell another adult that something is bothering them or hurting them or whatnot, you want you and other people to understand what they’re talking about. Right?

And again, if we, I find, and you know, this, this comes down to kind of pediatric practice, that if we use kind of funny words, if that, if you will, it can actually make it seem like it’s, you know, a body part that is maybe funny or shameful or, you know, dirty.

And I don’t want that. I don’t want kids to think that because they’re perfectly normal body parts. They serve very many purposes and they are more sensitive than other parts of their body. So when I tell kids, once they’re old enough, usually around three and older is you can touch that body part, but with clean hands and when you’re by yourself, because I don’t want them to be making other people feel uncomfortable, right?

So they might feel a lot of comfort and a lot of soothing by playing with their genitalia. Right? So some kids will do it and send a thumb second. Right? It’s not comforting for them, but I don’t want them being in school and touching their genitalia. Right.

It can make other people uncomfortable. So there’s a time and a place. So you want to normalize it with clean hands when you’re by yourself. Totally normal. All right.

And Claire says, Her daughter is 12 months and two weeks. Yeah. So it sounds to me like your, your child understands what’s going on. So I think it’s very reasonable to start, you know, emphasizing this attention to calm and not attention for naughty or crazy behavior.

And certainly every single week that comes by. You’ll notice that she understands this morning. Christina says story’s formula. Isn’t lactose-free my mother-in-law wrote it wrong. He’s on what you said. A hypoallergenic one that is making a very hard stool is doing what else to do. I think it’s best to review the intricacies of the diet with your doctor who understands your child.

 

Okay. Sarah. I hope I said that properly.

Hello, my baby’s eight months. So look, he’s exclusively breastfed. I have noticed that my milk is decreasing and I’m trying to ween slowly as I’m planning to go back to work. When he turns one year old, I’m trying to introduce this formula, but he’s refusing. I tried different brands of formula, but he’s not interested in any of them. He’s taking breast milk four to five times a day and three solid meals a day, please help. (22:20)

So at nine months we can start introducing cow’s milk or any kind of other alternative milk. So you’re almost there at eight months of age, many babies are not interested in taking a formula or bottles for that matter, especially if you’ve been breastfeeding ongoing.

So what I typically recommend is if a baby’s not wanting a bottle, don’t force the bottle, you could offer an open cup, a sippy cup, a straw cup. It doesn’t have to be a bottle whatsoever. And if the baby doesn’t want formula and in a month had nine months of age, if the baby doesn’t want milk, then just offer more food. Right.

It provides an opportunity for someone to feed them something else. It could be solid food, or it could be water, right? And then you continue to breastfeed if you want, when you want. At those other times in the day, of course, baby needs to have some sort of calcium containing food, right?

So you would want to make sure they’re getting enough yogurt or soy protein or cheese or broccoli or chia or spinach. There’s lots of things with calcium, but you want to make sure there’s some kind of calcium source in the diet, but if there’s less interest in formula at this point, I don’t care at all. I mean, some kids are dairy allergic, and don’t get any, you know, typical formulas or even cows milk at all, but we make sure they get calcium in other ways. All right.

Have we done? Let’s see, let’s see how many questions we got. Okay.

Claire says, thanks so much. Makes sense. Very helpful. You’re very welcome.

 

So Dalia says, hi,

I have a 13 month old daughter. She walks already and she is nonstop. Baby. Her bedtime is at 8:00 PM, but she still wakes up at 2:00 AM and wants to eat. She drinks eight ounces of homo milk. What should I do? That’s most likely a behavioral issue and not one of calories. (24:12)

So again, a question of your doctor, he is my child growing well, are they growing? Are the right part of the curve? Are they thriving in that way? Right. So while it’s true that when kids are really active, they’re burning more calories. They still should be getting enough calories during the daytime and not at nighttime.

So for babies that are more than nine months of age, if they’re waking at night and there’s not a caloric difference or difficulty like they’re gaining weight while and developing well, and your doctor’s happy, it’s usually just a habit for your child.

So just because a child will take the milk in the middle of the night, doesn’t mean they need milk in the middle of the night. It’s probably just a habit, especially if it’s at a particular time of the night. So that’s something that I would either just get rid of or weed off of slowly, instead of offering eight ounces, maybe offering seven, six, five, four, but in general, a baby doesn’t need to feed anymore at night I’m after your age and it’s not good for their teeth, right?

So the last thing we want in a baby’s mouth before bed is a toothbrush. And the first thing the morning should be a toothbrush or some milk, and then a toothbrush.

But if a baby’s feeding overnight, they have sugar from the milk bottle or the breastfeed in their mouth, on their teeth over nighttime. And it’s been sitting there until the morning time. So it’s not ideal. Once kids have teeth to have any milk overnight.

 

Jenna said, sorry, I think I heard this. 

Did you say we can start giving milk?

And nine months I did. Yeah. So anywhere between nine and 12 months, babies can start having homo milk to want it to be full fat milk, 3.2, 5% or more. And they can start having that at nine months of age, unless there’s a particular concern for your baby. But in general, nine months of age, kids can tolerate milk.

 

Hi Cecilia, Cecilia says,

My daughter is two and a half years. She sleeps for 12 hours at night, but she skipping nap at the middle of the day. She ends the day exhausted. Is this okay? Should I push her to midday nap? (26:05)

I am a very big fan of siesta or rest time as we call it at our house. I’m a big, big fan.

So for me, even if a child doesn’t want to nap anymore, I still very strongly suggest having quiet time. So all my kids from age three to 10 have Nacht every single day, every single day, even school days when they finished school at three or three 30, they then have quiet time in our rooms until dinner at five and on the weekend from two 30 or so till five they’re by themselves.

So of course the big ones are not napping. Sometimes they do actually, oftentimes they don’t, they’re reading, they’re doing Lego, they’re drawing, they’re doing something quiet.

Even my three-year-old almost four-year-old often will talk to the stuffed animals and sing quietly and do kind of role playing games in his crib by himself. But he’s by himself on his own. And often we’ll have a bit of a snooze.

I’m a big fan of quiet time. It’s a reset button, right?

If kids don’t have that time by themselves, even my ten-year-old, I find that dinner time is much more challenging. Bedtime’s much more challenging. The behavioral issues become an issue. And I think it’s really important to have that reset. A lot of people think, well, we need to be go, go, go and learning and doing and moving and all that stuff. And I personally do not believe that at all.

We know very well that we consolidate our knowledge when we’re resting and when we’re sleeping. So I strongly suggest having quiet time every day. And for kids that are resistant to it, I don’t force sleep. I don’t call it nap time.

Even I call it time by yourself or quiet time or siesta. It’s about time by yourself. It’s recuperative reset time. It didn’t have to go to sleep. It’s just independent time by yourself. And I think it’s really important too, for kids to learn how to be a bit bored. I find now that we’re so invested in entertaining them, or they’re watching screens or we’re doing stuff with them.

And you know, they’re always kind of organized and I want kids to learn to like be bored and be by yourself and to be independent and have independent play.

I think that’s very, very important for our kids. So I’m a big fan of SIA. Yeah. Right.

 

So Lara says

I have a seven month old daughter, she’s waking three times a night and getting up at 5:00 AM or 5:30 AM or waking four times a night and sleeping until 6:30 AM. I feed her each time she wakes up and she’s hungry. We’ll feed for over 10 minutes. I hear that. You said over 12 months, they don’t need to be fed overnight, but before there’s anything we can do to reduce the weeks. (28:20)

So this amazing question, actually, to bring to Rosalie next week, she’s doing another Q and a just about sleep.

She’s a sleep expert. She’s amazing. She’s like co-founder. And the parent book where we provide all sorts of advice about this, you know, a lot of information about sleep because sleep is so important. And in my opinion, and you know, my professional and personal experience is the most stressful thing for parents waking. So cost and lead. So exhausting.

So tiring, overwhelming anxiety provoking all the rest. So it’s seven months of age. Most babies are waking once a night, if that. And so at that point again, making sure the child is healthy, growing well, developing well, for me personally, I would recommend starting to wean off of those, those feeds at nighttime.

And by seven months, I would recommend the vast majority of kids need zero feeds at night and should be sleeping 12 hours straight. So if your baby’s waking up much more frequently than that, there’s a lot more to unpack here. Thank keep awake windows. That’s important. I wouldn’t be doing more than two hours, maximum two and a half hours before bed from that last nap to bedtime.

But there’s lot more to unpack here that they should discuss with your clinician or come with that question to, to the next Q and a with, with Rosalie.

She’ll be really helpful for that, but definitely no, you don’t need four at four, four feeds or three feeds at night, seven months, for sure. You don’t. That would be very, very atypical unless there’s a growth problem.

 

Okay. Lindsay says,

Thank you so much. Dr. Dina has been so helpful. I’m so glad. So I have slept train my 16-month-old daughter at four months, and she’s now been sleeping through the nights and six months. So they go exactly what I’m just saying. She sleeps through the night majority, majority of the time, but goes through short periods of sleep up to one and a half weeks where she wakes up crying at night for up to two hours. Any advice on what to do when she does this at this stage? Is it appropriate to let her cry out for so long? Or should I be checking in on her? (30:04)

This is a tough one.

Right? So a lot of kids are having a lot more separation, anxiety and stranger anxiety after 15 months of age. So typically between 15 months and 18 months, there are a lot more fearful of being by themselves. They’re starting to realize the world isn’t perfect and they have more anxieties themselves.

Most typically when a baby is waking up in the night and it’s pretty repetitive or predictable, I typically recommend leaving them. Now there’s a lot of caveats to that, right? Is your baby teething? Is your baby sick? Is there something up? Right?

But usually what I’m looking at then is what’s happening during the daytime. You know, if a baby’s perfectly happy during the day, eating well, napping, well interactive, all the good stuff, no fever, et cetera.

And then periodically they’re waking up at night, had pretty predictable times. I’m tempted to leave them.

Now. I always recommend having a baby monitor. You can kind of see what’s going on, but typically I would leave them. That being said, if your kid during the day has a fever, they’re unwell, they’ve been vomiting. Something’s up.

Then I’d be more likely to care for my Kindle, the nights, you know, your parents, you have to care for your child, but if you’re finding like every day for a week or two, your child’s waking up at 2:00 AM. You go in and you soothe them, they go back to bed. All good. Next day, 2:00 AM. Again, that’s probably more of a repetitive kind of break in the sleep cycle that I would suggest typically thank you so much.

And you’re very welcome. Silly assist. Thank you, Dr. Dina. You’re very welcome. Okay.

 

So Claire says

Our one-year-old daughter was very slow to start solids, but is now having three meals a day, as well as snack. She’s a good eater with food. She’s comfortable with pieces of fruit and cheese and yogurt and toast and pass and chicken, but turns down most other foods, she won’t share our family dinners or tries dishes that have several ingredients, any suggestions of how to support her to try more. (31:53)

Yeah. So I’m glad that your things are getting better with that. And she’s eating food.

Well, I suggest a family meal, a family social time, and I don’t suggest at all to make separate foods for kids that are picky because the more times the kids are exposed to those foods, the more likely they are to accept them. So a lot of parents think there’s kids that are comfortable and safe foods for their kids and foods that are not.

So, you know, plane passed up plain toast, plain fruits, things without sauces, things fed a lot of flavor. These are kind of like the foods that people parents think are like kid friendly. And then there’s other things like everything else we eat, right? Things with mixed sauces and stews and curries and things.

A lot of flavor, I don’t really buy into that.

Kids around the world will learn to eat with their parents. Like if that’s what they’re offered. But if we offer a stew, for example, and the child’s like, no, I don’t want that has a temper tantrum throws the food on the floor, refuses that or whatnot. And then we go and make them plain pasta or anything that they really like.

They’re learning again. They do acts that naughty behavior. And we do Y which is positive for them. We don’t want them to learn. I do this negative behavior and therefore they get what they want. Right? You don’t want that match. So if a baby is, or child is growing well, developing while your doctor’s happy, all the rest of it,

I personally do not battle or negotiate ever at the meal table. I think that there there’s no role for any negative behavior or negative emotions at the dinner table or breakfast table or lunch table. I am poker face on emotional about it. Here’s a plate of food. I’m going to eat it. My partner is going to eat it. The other kids are gonna eat it.

And if you want it, that’s awesome. And if you don’t want it, that’s okay, but I don’t fight. I don’t negotiate and I’m not bribing them, but I’m not saying if you eat this, I’ll give you this. Or if you want, I’ll give you dessert.

Or if you don’t eat this, you lose this.

No bottling, no negotiating. A lot of this is very controlled-based toddlers and kids want control over their lives. That’s part of growing up and that’s where the important, but I think one of our roles as parents is to decide what are the important things for us to control and what are things that we can relinquish control for our kids because they want control. And I think that’s important for them to have.

So I’m all about kids deciding lots of things for themselves. So they have control.

Do you want broccoli or cauliflower?

Do you want this cereal or this cereal?

Do you want these undies or these undies or these socks are these socks?

Tons of choices because that’ll make them feel powerful and independent. I’m all about choice.

However, what is the child going to eat?

When is a kid going to go to bed? Okay. You know, issues around potty training. Once we get to that stage, temper tantrum kind of behaviors and leaving the home. Oh. And brushing them teeth.

Those are things that I just do not relinquish control, but I don’t fight about it because there’s really no value in fighting with kids and toddlers in particular at a certain things, because it becomes this like tug of war.

And in the moment when your toddler is feeling very strong emotions, and you’re likely feeling very strong emotions, because you’re frustrated by your, by your kid fighting you, you’re not getting anywhere. You know, it’s just not a good time to be fighting about it. So I say poker face unemotional, here’s a plate of food, heated or don’t.

And if you don’t that’s okay. The next meal is breakfast. If it’s dinner, for example.

But I would, we strongly recommend not giving any, giving something else. They want very many parents are like, yeah, but they’re going to be hungry. They won’t sleep that night. They’re going to lose weight. All these things.

They’re not gonna lose weight over time. They’re just not kids will get with the program in what you’re offering. That’s one, two, they may wake up and I’d be hungry. And I still wouldn’t feed them because you’re trying to teach them a point.

And if we do this consistently after two or three meals, it’s over. But if your child throws the food on the floor and you make them plain toast, plain Pasa, et cetera, they’re not getting the nutritional value they need.

And that’s important for their health, right? So it comes down to like, not only do you not want behavioral battles, every mealtime forever, because it doesn’t stop. It continues, which is not good. You know? So I say like, it’s crummy now. It’s a terrible time with fine with them oatmeals.

Now, yes, it will be crummy for a few days when you kind of lay down the law. So it’ll be a different kind of crummy, but then it’ll be over, right. That battling will be over if you’re poker face and consistent and assertive about it. So that’s what I would suggest. So by the time the kids were 15 months old, same as I was talking about with temper tantrums and stuff, they do understand like, this is the expectation.

And so that’s when I would definitely say, here’s a food, eat it. Or don’t, I’m not going to fight about it. And then truly they get with the program quite quickly. All right.

 

Ashley says,

Hello for the last couple of weeks, my command a half year old is showing signs of seasonal allergies, itchy eyes, throat clearing, and sneezing. Is it recommended to give a kid that young daily anti-histamines or is there something else that might help relieve the symptoms? (36:45)

Great questions now, right now there’s so many seasonal allergies, lots and lots of kids are uncomfortable.

Itchy, watery eyes, sneezing, runny nose, coughing throat clearing. Exactly. As you said, congestion, it is safe to give a kid an anti-histamine daily, always touch base with your doctor though, because they’re rarely there’s reasons not to give antihistamines. And I would give daily, anti-histamines not like diphenhydramine or Benadryl. So Benadryl is an anti-histamine, but it is sedating. And we have to give it multiple times a day.

We don’t recommend that ongoing. If you need an anti-histamine every day, we look at daily ones. So when it’s like Arius or Claritin or react in, and there’s a prescription one called RuPaul, that’s the ones that we do. And typically for most kids, seasonal allergies plague them. Now in the spring, maybe into the summer, some kids into the fall with ragweed season.

Most kids though, it’s a short window, a few months, so that your child is safe for most children to have a daily anti-histamine there’s other things you could do too. So has saline spray, saltwater spray can help using an air purifier in your house can help removing things that are going to be full of dust mites.

And polen’s like, you know, rugs and drapery and carpeting. Sometimes kids benefit from moving that on the bed or the crib putting covers on top of the mattress covers on top of pillows. If they have those to block dust mites, dust mites are a problem.

And then of course, talk to your clinician because it might be that they’re allergic to something specific that you can avoid, that if you avoid, could actually minimize the symptoms where they’re having to take the ideas of right.

 

Vivian asks,

At what age do most kids eat meat efficiently? My Nan with all, its still struggles with me except for fish. He can’t break it down. And even with ground meat, he can’t seem to swallow it efficiently. (38:38)

Well, if somebody just practicing, right, just like riding a bike. So the more you offer it, the better children were get. And it’s a great thing that you offer ground needs. Same thing with ground Turkey or chicken. Other options include things like tofu.

So I products and of course fish and eggs, but it’s really just trial and error. So I do like giving things like meatballs or meatloaf or patties, things like that at this age, because you’re quite right. Especially if they don’t have teeth, it’s challenging for a nine month old to really break, like break the protein up from meat or chicken sometimes even fish.

So yeah. So I think it’s a good idea to keep trying it. They can in different forums and offer a pieces that your child can actually play with. And a lot of kids at nine months are sucking on things, right?

They’re like sucking on a piece of chicken and they spit it out. That is still practice. I still think that the value of lecture size to.

 

Celia says;

Two and a half year old. She’s potty trained. But after a month we still have some accidents where we’re outside of the house. I carry the potty in the car. She goes before we leave the car. But when she’s playing, does it care or feel comfortable when she pees herself? Any tips? (39:32)

I think you got to give her some slack two and a half years is very young. I personally kept my kids in pull-out diapers where diapers, when we left the house until they were three, even three and a half, even though they were very much toilet trained because I knew that it would become something that was stressful for us.

I don’t personally think that if you’re out of diapers, most of the time that wearing diapers or pull up diapers sometimes detracts from it. You know, kids want to stay dry once they’re dry. So I don’t believe it gives them free reign to like start peeing in the diaper again or meeting a diaper during the day.

I don’t believe that I’ve not had that with my own children. I’ve not seen that in practice. So when we traveled there, we were in a long car drive or we took an airplane or we were out and about getting groceries or something. I very regularly put my two and a half year olds in pull-on diapers and they may not have peed in it, but I knew that if they needed it, it was there.

I took away a lot of the stress of trying to get out of the potty and clean the potty and go behind a tree and all that kind of stuff. So that’s an option. Otherwise it’s a matter of practice and making sure that you remind your child to go regularly because we’re all distracted.

Your kids playing you’re out and about somewhere or you’re at a friend’s house, all these things it’s very distracting. So also access to the potty or the toilet is different. When you’re at home. Your child knows exactly where the potty is, how far it is, how long it takes to get there.

Whereas when you’re out and about, it could be more scary and kids will kind of delay because they don’t like their foreign, you know, that potty, they don’t know where the toilet they don’t know. So it’s easier sometimes when you have that backup, I can meal.

 

So Camille says,

Hi Dina. At what point you formula intake be reduced. My 11 month old takes three bottles, a day of eight ounces, five ounces and eight ounces before bed? (41:14)

That’s a great question.

So I addressed this a bit earlier after nine months of age, my expectation is that the food intake for a baby is quite a bit higher or starting to be higher than the milk intake.

My goal like 12 months of age is not to have more than 16 ounces, a day of formula or milk. Okay? So for a 12 months of age, 16 ounces of milk or formula a day. And so it’s much more food. So if at 11 months your child is taking 21 ounces a day, I would start to be decreasing that anyway, in favor of more food.

 

Jessica , hello,

She has a two-year-old. So her two year old transitioned into her new room and new bed. About a month ago, we’re still working on having her stay in her bed and wake up later in the morning. Would it be wishful thinking to have her begin potty training in June? Any tips on when toddlers are ready? I baby two coming in August. (41:58)

Congrats. Hopefully you’re feeling well. Okay. A couple of things here. So I personally do not switch kids to beds.

Typically at two, I hold on to three and a half to four years of age because kids at two are typically not kind of responsible enough and mature enough to stay in their beds. Kind of overnight, that being said, you transitioned. It is what it is, right?

But if you guys are having toddlers at home or soon to be toddlers, and you’re thinking about transitioning, I personally don’t transition until kids are coming out of their crib and it’s unsafe and you’ve already lowered the mattress to the floor. You’ve already made me charge around the crib.

If the back of the crib is higher than the front of the crib, I will often turn it. So the front is now higher, even though kids can still climb out the sides, which are usually lower a lot don’t they just don’t realize they’re thinking only the front they can get out. And then I also lower it, lower it, lower it.

Even I take the metal thing that holds the mattress and drop the mattress to the floor. So they, they literally have a few more inches where they’d have to climb. So until you’ve done those things and your child is still climbing out and being dangerous only then do I consider switching?

Okay. When kids are having more issues in their crib at night and saying they want a big bed, big bed, you know, they want to be bigger. Usually that’s a time not to switch because those kids are already having sleep issues.

And we never want to be switching to a bed that they have access to you now access to their toys, access to leave access to the washroom accents to the stairs if they’re already having sleep issues. Okay. So I’m going to repeat that because I think it’s really important. A lot of parents switch their kids from cribs because their kids are having sleep issues. And they think if I give them a big boy bed or a big girl bed, the sleep issues will stop.

That is not the case. It’s the complete opposite.

If your child’s already having sleep issues, the last thing you want is from to have instant access to you. Okay?

Rarely when kids are having sleep issues to switching to a big bed, make the issues better. It usually makes them much worse. Okay. I think about a crib as you know, a cage.

If you will read it as a cage and it’s safe when a kid is young and not mature enough yet, and they can leave their room, it isn’t safe. Right?

Has it emerged off I’ve unfortunately taken care of kids that have fallen down the stairs, gone to the washroom, played with things, got into trouble, got hurt.

Okay. So for a lot of reasons, I think they should stay in that cage.

Right?

And so similarly, if a kid is no longer in the crib as a cage, I will often put up a gate on their door if they’re not being safe. Right. Of course, if your child is sleeping well, staying in their room, they’re being safe.

That’s great. But if you are worried that your kid is leaving at risk of falling at risk of playing with things, as was the case with my second kid, my now eight year old, he would go to the wash. He would play with things. He was turning on faucets seats. He was really scary and he wasn’t being a jerk. He was just super curious.

So we actually had a lock on his door for about a year and a half for safety, right? So a lot of people think, well you’re so mean you’ve locked your kid in the room. It wasn’t safe that he was leaving. Right? So something to think about, but once a kid has left their, their crib, I suggest using some form of visual timing for them and a reward with that.

So I’m a big fan of products like the grow clock, which is a clock that has the hours on it, but also has a son when you determined it could be morning. So let’s say you to type the morning is going to be 7:00 AM. You don’t want your child to get out of bed until seven. Am you set the timer on the grow clock?

And it looks blue with stars and a moon. And it kind of counts down with a little kind of arrow towards when the sun comes up. When it turns yellow at the predetermined time, we need to set up for naps as well. Now, the grill clock or other products like it are it’s magic in themselves because that is just a visual reminder for them, right?

Your child does not know what time it is. So if they wake up at five and you think they’re being naughty, they may not know what time it is. Right. They don’t know if it’s five o’clock or seven o’clock. So the visual reminder to them can be very, very helpful. And then you want to reward them for listening and paying attention to the clock.

So maybe they get a special treat or a high five or a special time with mommy or daddy, whatever you want to use that is very rewarding for your child. That’s what I would use for paying attention to the grow clock. And you know, when in doubt, you can always use the crib. Again, some kids are being too naughty.

They’re just not mature enough yet to, to deal with that. And so they go back into the crib and I don’t see any harm in that as long as you’ve tried and it’s just not working a lot of parents, they’re having a second kid and they think, well, I’m going to move the big kid to the bed.

So I have, I free up the crib for the baby, but most babies are not in cribs for the first few months anyway. Right. Many of our babies are in bassinets or pack and plays or other things like that. So there isn’t a rush and I don’t think that most parents should rush it just for the sake of the crab. Many of us have extra cribs.

You know, you probably have friends that can lend you an extra Kip if you need it, or you could buy a cheap crib if you can afford it. But I wouldn’t be switching just because there’s a baby on the way, because usually you won’t need it for a few months anyway, probably several months plus the sleep issues that can ensue. So something thinks about all right,

 

Beth says;

First time, parent of a toddler, any suggestions for reading material to prepare for PI training? (47:10)

It’s a good question. Actually, I’m just finishing, editing a book. I’ve written a few books. One of which is about potty training. I’m literally just finishing my adding touches. So hopefully it’ll be out quite soon, probably a few months from now.

There’s a few books out there. I think there’s a few different resources and it’s kind of a bigger conversation than just talking about this here.

But for me, what I do is very simple. I call it routine and reward based training. I just make it part of your routine. A lot of practice, essentially. So particularly after mealtimes, after breakfast, after lunch, after dinner, when we eat and drink, it’s a strong stimulus to pee and poo. Okay. It’s called the gastrocolic reflex.

You eat your stomach goes, oh, I want to empty. That makes sense. Right?

We often ignore this for like, we’re too busy to pee. We’re too busy to poop. We’ll wait later. But if we can get our kids used to that pattern, we can quite easily actually train them to go with those dedicated time, which is so valuable because if you know, with predictability, your kid is going to poo after lunch or after dinner, it could kind of plan your day around it, right?

It becomes much less stressful that they might, you know, pu you know, on the go to daycare or they might poo when you’re going to get groceries or whatnot. So after breakfast, after lunch, after dinner, and any other time that you ate or drank, I purposely put them on the potty and I don’t fight about it.

Same as I was saying before, I don’t fight about it, but I’m assertive. And I offer it. I think role modeling is really important too. So I get into the process even months before we start to train of saying, Hey, Johnny, go, you want to join me?

And then just P and make it like a normal thing. This is where the toilet is. Here’s where the flusher is. Can you get me some pieces of toilet paper, please? Let’s wash our hands together. We wash our hands after we pee or poo, right?

Having them get used to the process.

You use the place so that they’re not scared about it. And then having them join you particularly after meal times. And it could be more frequent than that. Personally, I don’t remove diapers in favor of like a three-day method or four-day method. I find these very stressful for a lot of kids. I don’t force it this way because I’ve seen dozens, hundreds of kids have an accident, feel pressure to hold it in, get constipated, at least a bunch of issues.

I don’t personally recommend it three or four day method, unless you have a trial.

That’s very easy going very easy to please very confident. If a trial anxious more emotionally driven, more stressed out, more overwhelmed type of child. Those 3d methods can be very challenging for kids confidence.

So I don’t, I don’t typically like those. So I do practice. I practice practice, practice, practice, and then I reward for trying and I reward for success. So routine and reward, things like that. Or I might give a sticker for trying. I might give a highlight. I might sing a favorite song. I might read a favorite book.

It has to be something special for the child, but it has to be something where they feel motivated to please you, in addition to their self kind of pleasure, like the happiness of trying and feeling good about that. And then you want to up the ante for success.

Okay? So at the beginning, when kids are first learning to pee or poo on the potty, they typically have what I call accidental successes.

They don’t actually know how to peer poo, right? A lot of kids will bear down and cry and scream. And you know, that is not how we pee or poo, right. It is a passive process. It’s relaxation that helps to pee or poo. Right?

And so usually an accidental where they’re distracted, you’re talking to them. You’re saying to them, bubbles is a very good one.

Blowing a pinwheel was very good one because it relaxes the bladder and the bowel and it distracts them. So it’s a really good trick. I find to get kids to relax enough, to actually empty when they have that accidental success.

Oftentimes they look at you like, oh, and they look down. I peed, or I pooed. Like they got it. Like they just felt that thing happened. And then you want to reward them even more so you can give a sticker. Or if you had into a sticker last time, you can give a small treat.

I almost never recommend treating. Actually, this is the only example where I recommend treating kids for good behavior.

Two of my kids, I gave one M and M to my kids. I gave one chocolate chip. I rarely treat with treats. I just don’t because I don’t want to make those trees seem too important to have too much value. We know that that can lead to obesity, but for the very brief period where kids are learning to toilet train, I want them to be really, really motivated.

So they can be really motivated to try because I’m giving them a sticker or I’m singing them that favorite song. I’m really comforting them enjoying our time together.

When they have success, though, I want to up the ante already, they’re going to feel super proud of themselves and you’re going to be super proud of them. So already they’re already going to feel really great, but that extra special treat makes it. So they push back on you less frequently. And that’s really important because you don’t want battling about it.

So routine and reward and book coming soon. All right. I think I’ll answer one more question group was speeding and all of this.

By the way is being videoed and we will transcribe it and we will put it out when we’re done. So if you missed part of it or you want to watch all again, or you want to read the transcript, all that will be available to you, it’ll be in your inbox. And so you can also share it if you want as well.

Then I’ll mention, of course, you know, a lot of people don’t know what the parent playbook is, but this is a membership site that I co-founded with a sleep expert Rosalee Lahaie Hera. And we have 14 health experts that provide tons of evidence-based approaches and tips and tricks to everything around parenting, feeding issues, behavioral challenges, breastfeeding success, you know, movement from our kid’s speech for our kids, all kinds of realms of parenting and health.

And our team of experts provides evidence-based information in the form of a library of content, videos, audio, things to read live Q and A’s just for our members and a Facebook group where people can ask their questions in real-time  and get expert answers in real time. So that’s the parent playbook. If you’re wondering what that is. All right. Tell best is thank you so excited for the book.

Thank you. I’m very excited too. All right, let’s do one more question. Okay. I’m just gonna go down to the banner at the bottom. Okay. So only a hundred says related to COVID.

 

What are the risks for a six month old baby to travel in a transatlantic flight need advice as a trip cannot be postponed. (53:10)

Oh, this is such a hard one to end on.

I don’t know. I mean, look, if you have to travel, you got to travel is a six month old gonna wear a mask. Definitely not. I mean, it’s not going to happen. You really can’t keep a six-month-old covered nor would it be safe.

At the end of the day, babies are not where they getting sick with COVID.

They are staying healthy. Very rarely will a baby or young child get very sick from COVID like almost never. So I’m not really worried that babies are going to get sick with COVID certainly they can get COVID, which usually is a very mild illness adults, of course, in the echo. But again, usually a mild illness.

I would suggest now, given where we’re at in the world, if you’re going to travel, I would suggest to get at least one vaccine, but from a baby perspective, there’s nothing really magical to do. Now. There is some evidence that babies that are getting breast milk from a parents that have been vaccinated, do get some antibodies which potentially could prevent infection.

We don’t know exactly how much breast milk is needed and how frequently, but if you happen to be breastfeeding and you get a vaccine, baby will probably get some antibodies from you. So that’s something short of that.

There’s something really magical to do. All right, guys, nice to see you. All Cynthia says what’s the best book to read for a new mother. I’m about to drop a book for new parents, actually.

So very, very soon I will announce that very soon, but probably in about a month, my first book will come out. It’s done being edited and it’s already, so that might be helpful for you. And there’s always so many books out there. You know, what to expect when you’re expecting is a very popular one. There’s lots, but my book is dropping very soon.

So I’m happy to share that with you guys by email as well, Lindsay. You’re welcome. Thank you so much, Dr. Dina. She said Jessica, says you’re a rock star. Thank you. You’re very welcome. I’m so happy to help you guys and you know, keep you guys on track and hopefully decrease your stress, decrease your overwhelm.

That’s the goal of the membership as well. So if anyone is interested, you can certainly head over to parentplaybook.co learn all about us, happy to provide you lots of more content as well. And I hope you guys are healthy and safe and have an amazing rest of the week. Kathy says, can’t wait for the book. I’m so excited for you to it says thank you so much.

You’re very welcome guys. Thank you for joining. Thank you for bringing your questions. Thank you for being awesome and have an amazing rest of the week.

Bye everyone.