Thursday, 5 December 2013

Anja's fever

Anja started to feel a bit warm on Wednesday morning and she had been dealing with a runny nose and dry cough since Monday.  She was with my parents during the day (as she usually is while we work) and my mom reported that she has felt warm all day.

So, needless to say, her sleep was a bit restless that night.  She was nursing every 3 hours, which is quite typical for her.  We co-sleep so I know her sleep patterns very well since they become my patterns.  Her head felt hot and feet hotter.  She was awake for one hour whining and wanted to go downstairs.  So, we went downstairs and I danced her back to sleep.

Thursday morning she did not look well.  She was clearly fighting something.  Her eyes were a bit glazed over, her breath was "off" and her mood was down.  She wanted to be held.  She went to my parents again (mainly because I was also not feeling well otherwise I would have kept her home with me.  I was dealing with a mild case of body ache, headache and general weakness which in the end was mastitis) and slept most of the day.  My mom asked if I would like to give any medication to reduce the fever.  My answer was what most naturopaths would say, "No, but call me if she starts to vomit or looks like she's going downhill".   Luckily, I didn't get a call. She slept most of the day and came home looking about the same.

That night, I braced myself.  I knew it would be a rough night for both of us.  Luckily, after several doses of homeopathic medicine, Phytolacca 200 CH, extra immune support, Herbal first defence botanical tincture by Viriditas and lots of pumping and much needed rest, I was ready to take it on.  She woke every 1 - 2 hours to nurse or be held or just out of irritability or discomfort.  She never vomited.  She had slightly softer and more frequent bowel movements (which in traditional Chinese medicine is a good sign - bowel movements are a way to get rid of body heat and helping to naturally reduce a fever) .  She had only slightly drier diapers but was nursing so often, I knew she was well hydrated.  She felt hot all over, especially her head.  I gave her homeopathic medicine, Chamomilia 30 CH for the inconsolable irritability and lots of love and attention.  By the morning, we were both exhausted.  Her fever finally broke around 9 am Friday morning and she slept for 4 hours straight afterwards.

During the day, her eyes looked brighter and breath had gone back to normal.  Her body temperature felt normal again and her mood was much improved.  Our little Anja had battled her first fever at 17 months and it lasted for about 2 days and 2 nights.  A couple of days later she had a very mild rash on her trunk.  It was a slightly red, mottled looking rash.  A high fever followed by a day or two of no symptoms, then a rash with this appearance was surely Roseola.  A typical childhood viral infection with no long term consequences other than immunity against the viral infection again.  Esme also had Roseola when she was an infant and we dealt with it pretty much the same way.

I decided to share this story because so many of my moms ask me about how to handle a fever.  They want to know what is the best fever-reducing medication to give and what temperature they should give it at and how often it should be given.  My answer is simple:  No fever-reducing medication.  Don't even take their temperature.  Just look at your baby and respond to how they are handling the fever.  If they are whiney and irritable, nurse them if you are still nursing, comfort them by holding them (even if it means all day and all night long), hydrate them, be with them through it.  If you get exhausted, ask your partner to jump in.  But I ask parents to avoid taking the temperature for two reasons: One, most of my moms freak out as soon is they know their child has a fever or if they reach a certain temperature.  And two, it is rarely and accurate reading anyways.  So, avoid all that by responding to how they are handling it.  Look at your baby and comfort them.

The only time I would consider reducing it is if they were screaming in pain and I could not comfort them with homeopathic medicines which, luckily, has never happened in our household.

The only time I would take them to emerg is if they were feverish and vomiting, particularly projectile vomitting or feverish and very confused (speech slurred or saying strange things) or feverish and just going downhill fast (I don't know how else to describe this one) or if my gut was telling me to do it.  Follow your gut (one of my colleagues literally saved her daughter's life by just going to emerg on a gut feeling that her daughter Sadie was unwell).  Otherwise a fever is our friend.  It is our bodies innate immunity that is trying to fight off an infection by getting to that specific temperature that will make our bodies inhospitable to the virus or bacteria that is trying to find a home.  Our immune systems are so wise to be able to respond in this specific manner, please let it do it's job.  Don't suppress it.  Just support it.  Hydrate, rest and let it ride.  It will peak.  It will "break".  If we avoid suppressing it, it will probably break sooner than we think.  Usually in 1 - 3 days.  If we reduce the fever, our body keeps fighting back and trying to mount it again and we end up prolonging a 1 - 3 days process that is really very effective to a 2 - 7 or more day struggle that is getting them nowhere.  Also, when our child's fever is artificially reduced, they seem fine and we treat them as though they are fine.  We send them off to  school, we feed them sweets, we send them to that birthday party, all the while there is still a little battle going on in their little bodies and now they are defenceless.  This sets the stage for more complications.  Recurrent colds anyone?  A cough that lasts for a month anyone?  How about an ear infection?

So, my take home message is simple.  No fever reducing medication.  Don't even take their temperature.  Comfort your child and respond to how they are handling the fever.

What about febrile seizures?  I have never had one in our household but have several patients with little ones who are proned to them so let's discuss this another time.  I think there is a lot to digest already.

Good night everyone and I hope you found this story helpful.


Anja watering our herbs on our front balcony.

Friday, 1 November 2013

Esme's lunches


So many of my patients ask what I send Esme to school with so I decided to share two weeks worth of healthy, delicious, balanced and doable lunches.  I generally wake up around 6:30 - 7 am with Anja so I have time to make Esme's lunches the morning of school.  Most of the items are either leftovers that have been re-heated or pretty simple meals to make the morning of.

Since Esmé started kindergarten, she has noticed that other kids are getting "treats" in their lunches and so she has requested for treats.  What I have agreed to his a juice box on Fridays and I have been baking a bit more so that she can have a baked good once in a while.  Her other "treat" would been dried fruits, such as dried apricots, dates and figs.

 Ricotta and spinach ravioli (Rowe Farms) with steamed green beans
Snacks:  Apple slices and organic cheese with dried figs

 Baked white fish with boiled corn off the cob and cucumber slices
Snacks:  Peaches and gluten-free strawberry bread

 Pan fried pork chops with baked brussels sprouts and turnips,  cucumber slices and carrot sticks
Snacks:  Grapes and clementines with gluten-free banana bread (with chocolate chips!)

 Fried chicken breast with coleslaw and kale salad
Snacks:  Apple slices and clementines and gluten-free banana bread (with chocolate chips!)

 Spaghetti and beef balls (Rowe Farms) and steamed broccoli
Snacks:  Carrot and steamed green beans with hummus and orange slices
Kiju juice box (on Fridays!)

 Steamed broccoli with boiled egg and breakfast sausauge (Rowe Farms)
Snacks:  Cucumber slices, cherry tomatoes and carrot sticks with organic cheese and Dr. Krackers

 Baked white fish with beets, celery root and parsnips with steamed green beans
Snacks:  Clementines and cucumber slices

 Chicken and vegetable soup 
Snacks:  Baked rice crackers and organic cheese, banana and clementines

 Baked white fish, steamed broccoli and baked sweet potato
Snacks:  Grapes and clementines, cucumber slices and carrot sticks

Chicken ravioli (Queen's Pasta) with fresh parmigiano-reggiano with steamed brussel sprouts and yellow beans
Snacks:  Strawberries and grapes, Fig bar and Friday Kiju juice box

To end this blog, I just want to remind parents that we have A LOT of control over our kids eating habits, whether they are "picky eaters" or not.  They will eat what we give them and develop a palette for healthy, REAL food if that is what is offered.  We have to model good eating habits and they will pick up these habits.  It is a slippery slope, once they eat more "treats", they want more so be mindful to moderate it.  

Saturday, 19 October 2013

Riverdale Park

Living across from Riverdale Park, we are graced with a pretty incredible view.  
It keeps me motivated to jog in the morning so I can get a really good look at the city while working out all my mental chatter.  Running for me is a great way to "meditate".  I am familiar with Buddhist monks who practice mindful walking but I like to think I practice mindful running.  I have just started running again and it feels so good.


Where's Esmé?




Mornings are always a bit hectic.  Getting a healthy breakfast in, getting dressed in the right style for the day, walking to school by the bell…I rushed to get Esmé to school just in time to find out...it was a PA day!  Mommy fail!  We ended up at Riverdale park, running down the big hill and playing on mounds of dirt instead.  It turned out to be a day to remember.

Wednesday, 16 October 2013

Jonah and I...


Waiting for Anja...

Princess Goldenrod



Jonah and I decided over the Thanksgiving weekend that we would start a blog together.  It would be a place where we could share a bit of ourselves and how we strive to find balance in our lives.  I have to admit, balance doesn't come naturally.  We work at it.  We are mindful of not over-scheduling ourselves and our kids.   We are mindful of not multi-tasking when unnecessary.  We are mindful of being as present as we can, with our patients (we are both Naturopathic Doctors), with each other, and with our girls, Esmé and Anja.

This weekend was a great example of being present.  We went for a walk with our girls, and Jonah's dad, Maris.  It was splendid.  We did not rush.  We had no agenda.  We just walked and let the girls explore... 

I hope you have a chance to explore being present today.

Du