Prescriptions Too Expensive? We have regular calls from parents about the high cost of their prescription medicines. Due to high deductible insurance plans, the costs of prescriptions are being shifted to the patients.
The following are tips to reduce rx costs:
1. There are many discount cards and programs. We have found one discount program to be superior to the others, Goodrx.com. You can go to their website, enter the medication and it will direct you to the lowest cost local pharmacy. We have seen differences of over $100 from one pharmacy to another.
2. Ask the pharmacy to match the lowest price. Pharmacies such as Smith’s and Walmart offer price matching, if you ask.
3. $4 prescriptions. Pharmacies often offer a list of low cost medications. Sometimes switching from a liquid to a pill, or switching to a similar medication can save $$$.
4. Most insurance companies have a formulary, or list, of medications that they prefer. It is not possible for a doctor to know the detailed preferences of hundreds of formularies. You can learn the formulary of YOUR insurance company for your medication. The pharmacy can also suggest which medications are appropriate alternatives. Choosing an alternative medicine may or may not be a good solution.
5. You can ask for a “cash price” from the pharmacy, if it is cheaper than your insurance contracted price.
Daily Butter Lowers Diabetes Risk
Nine studies covering 600,000 people were analyzed. Consuming butter did not increase stroke, coronary heart disease or cardiovascular disease. Eating one tablespoon of butter daily led to a 1% increase in mortality risk and 4% lower risk of diabetes. They concluded that “the low-fat diet craze was misguided.”
There is NO BAD FOOD.
Chronic Migraines Due to Vitamin D Deficiency
The Annual Scientific Meeting of the American Headache Society has reported that those with chronic migraines and headaches have significant deficiencies of Vitamin D, Riboflavin (B-2) and Coenzyme Q10. Seventy percent of those with chronic migraines had moderate to severe Vitamin D deficiency and were more likely to have low Coenzyme Q10 levels. Girls and young women were more likely low in Coenzyme Q10 and boys and young men low in Vitamin D.
A report in Pediatrics says, ” Researchers found that preschoolers with involved fathers were less likely to have mental health symptoms such as aggression or anxiety, while older youths whose fathers were involved had a lower likelihood of developing behavioral problems and depression symptoms and had lower teen pregnancy rates.” AAP News
Teething gets blamed for more problems than it causes. In my experience, the average age for the first tooth erupting is about 9 months. This is different than the ages that I have seen reported in other sources. Other than a baby who is born with a tooth, the earliest first tooth I have ever seen was 4 months of age. That is rare. Usually early teething starts at 6 months of age. Many babies don’t get any teeth until after 12 months.
Babies begin putting things in their mouths, chewing and drooling at 4 months. This is independent of teething and is called the oral stage of development.
It can take days to weeks for a tooth to erupt. It is painful and causes an increase in drooling, mildly elevated temperature of less than 100F, maybe a runny nose and ear pulling.
Tylenol and Ibuprofen are the best treatments for teething pain. Chewing on teething rings can help. Cold teething rings feel good on painful gums also. Frozen items to chew should be avoided because they can and have caused frostbite in babies. I do not recommend “teething drops” other than the pain relievers listed already. I do not know of any benefit from them. Pain relievers can be continued for days or weeks.
Once a baby has teeth, they should see a Dentist. Pediatric Dentists will examine a baby at any age and discuss proper tooth care. Adult Dentists usually won’t see children until they are at least 2 years old.
Teeth continue to erupt until about 15-18 months, before there is a break. If you are not sure if the symptoms are from teething, you can have the baby examined for other causes, such as an ear infection.
When Should I Worry about a Stomachache?
This is a question we get daily. A stomachache is something that everyone has had or will have. Stomachaches are a symptom of so many illnesses and conditions, that it would be almost impossible to list them all. The question then is which ones should worry you as a parent.
Most stomachaches come and go, get better and get worse. If a stomachache lasts for 2 hours without a break, then you should have the child seen by a doctor. If the pain comes in waves and then goes away, that is the usual pattern for most common infections. Pain that is constant or increasing over a 2 hour time period needs evaluation and may be something serious.
Stomachaches can be from infections that are not in the belly, such as strep throat. If the stomachache is accompanied by diarrhea, then it is almost always an intestinal viral infection. The same is true for vomiting with diarrhea, almost always a viral illness.
If the stomachache is accompanied by hard stools or difficulty passing stools without other symptoms of an illness, then it is likely due to constipation. Constipation is something that we see on a daily basis. It might be beneficial to try a laxative to see if that gives relief of the pain.
Stomachaches that continue to recur beyond 1-2 weeks are not typical of a simple viral illness. Stomachaches that are getting worse instead of better are not good. Those kids should be evaluated for other causes.
How Much Formula or Milk Does My Baby Need?
The answer depends on age and size. In general, a newborn will only take 10-15ml (1/3-1/2 ounce) every 2-4 hours for the first few days. After a few days of age, then they will usually take about 1-2 ounces a feeding. They need to eat every 2-4 hours until they regain their birth weight. They are expected to do this by 14 days of age.
I do not recommend feeding more than 2 ounces a feeding until about 2 months of age, more than 4 ounces per feeding until 4 months of age. After that, they can take up to 6-8 ounces a feeding. They need formula or breast milk, a minimum of 24 ounces a day, maximum of 32 ounces a day-for all ages.
Babies should only drink breast milk or formula, from birth to 6 months of age. Nothing else.
At 6 months of age, they can have up to 6 ounces of juice a day, after they get their 24-32 ounces of milk or formula. Only then, if they are still thirsty, should they be given water.
At 1 year of age, they should have whole milk (not 1%, 2%, skim, almond milk, rice milk, etc.) until they are 2 years old, in order to get the recommended amount of fat and calories in their diet. After 2 years of age, they can drink whatever milk the family drinks. Note: The AAP recommends whole milk until 3 years of age. There is no recommendation for formula beyond the first birthday, but breast feeding can be continued.
These are general rules and there are exceptions based on individual circumstances, etc.