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	<title>Getzwell Pediatrics &#187; breast feeding</title>
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	<description>GetzWell Pediatrics offers an integrative approach to health care based on modern western medicine and scientifically-grounded alternatives, including nutrition, behavioral pediatrics, and acupuncture.</description>
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		<title>From Superbugs to Super Weeds: Just How Safe are Genetically Modified Foods?</title>
		<link>http://getzwell.com/nutrition/nutritionkids/from-superbugs-to-super-weeds-just-how-safe-are-genetically-modified-foods/</link>
		<comments>http://getzwell.com/nutrition/nutritionkids/from-superbugs-to-super-weeds-just-how-safe-are-genetically-modified-foods/#comments</comments>
		<pubDate>Sun, 20 Nov 2011 01:37:02 +0000</pubDate>
		<dc:creator>jgetzelman</dc:creator>
				<category><![CDATA[Nutrition]]></category>
		<category><![CDATA[Nutrition for Kids]]></category>
		<category><![CDATA[allergies]]></category>
		<category><![CDATA[allergies in kids]]></category>
		<category><![CDATA[autism]]></category>
		<category><![CDATA[breast feeding]]></category>
		<category><![CDATA[children's health]]></category>
		<category><![CDATA[conventionally farmed meat]]></category>
		<category><![CDATA[corn and health]]></category>
		<category><![CDATA[genetic engineering]]></category>
		<category><![CDATA[genetically engineered food]]></category>
		<category><![CDATA[genetically modified food]]></category>
		<category><![CDATA[GMO]]></category>
		<category><![CDATA[going organic]]></category>
		<category><![CDATA[grass fed meat]]></category>
		<category><![CDATA[human health and genetic modification of food]]></category>
		<category><![CDATA[kids and eating]]></category>
		<category><![CDATA[KIWI magazine]]></category>
		<category><![CDATA[mono crops]]></category>
		<category><![CDATA[organic food]]></category>
		<category><![CDATA[processed foods]]></category>
		<category><![CDATA[soy and health]]></category>
		<category><![CDATA[superbugs]]></category>

		<guid isPermaLink="false">http://getzwell.com/?p=709</guid>
		<description><![CDATA[Last month we alerted you to the health hazards associated with conventionally farmed meat. In this post we’ll continue the conversation with a closer look at the role of genetic modification in farming methods and the potential health risks these practices have on your child’s health. How does genetic engineering impact our food? To put [...]]]></description>
			<content:encoded><![CDATA[<p>Last month we alerted you to <a href="../news/">the health hazards associated with conventionally farmed meat</a>. In this post we’ll continue the conversation with a closer look at the role of genetic modification in farming methods and the potential health risks these practices have on your child’s health.</p>
<p><strong>How does genetic engineering impact our food?</strong></p>
<p>To put it plainly, genetically engineered (GE) foods, aka Genetically Modified Organisms (GMOs), are produced by using biotechnology to change the DNA of plants and animals by adding genes that are meant to accelerate and modify physical growth. Other ways our food becomes genetically altered is by overexposing crops to harmful pesticides and herbicides, and also by injecting animals with growth hormones.</p>
<p>As we pointed out last time, an obvious sign of genetic alteration is the antibiotic-resistant superbugs produced from over treating animals with antibiotics. And <a href="http://www.guardian.co.uk/environment/2011/oct/19/gm-crops-insecurity-superweeds-pesticides">recent studies</a> reveal an increase in super weeds, weeds that have grown resistant to commonly used herbicides and pesticides. In reaction, farmers are forced to use even more herbicides to combat the resistant weeds.</p>
<p>Extensive research reveals that harmful bacteria, chemicals and hormones are present in our food supply. <a href="http://justlabelit.org/why-label/what-are-ge-foods">Just Label It</a>, an organization petitioning for the mandatory labeling of GE foods, estimates “…that <strong>60%-70% of processed foods in U.S. grocery stores likely contain some GE material</strong>.<strong>”</strong></p>
<p><strong>What health risks does GE food pose to your child?</strong></p>
<p>According to <a href="http://www.kiwimagonline.com/2011/08/genetically-engineered-food-what-parents-need-to-know/">an excellent article</a> in <a href="http://www.kiwimagonline.com/">KIWI Magazine</a>, Jeffrey Smith, author of <a href="http://www.amazon.com/Genetic-Roulette-Documented-Genetically-Engineered/dp/0972966528">Genetic Roulette</a>, asserts that GMOs may greatly increase a child’s susceptibility to food allergies and autoimmune disorders because of children&#8217;s rapid growth and vulnerable immune systems. Children (compared to adults) are also likely to consume more GE foods like, corn and soy-based products, which puts them at even greater risk.</p>
<p>The author even touches on studies concerning babies who suffered negative reactions to breast milk. The possibility of a mother passing along GE molecules through her break milk is not a far-fetched concept, having recently reported <a href="../nutrition/nutritionkids/a-world-of-flavor-within-the-womb/">on how what you eat greatly impacts your baby’s dietary tastes</a>.</p>
<p>With ongoing research consistently drawing connections between diet and well-being, it is difficult to deny that we are only as healthy as the quality of food we put into our bodies. Additionally, the rise of superbugs and super weeds and the steep increase in childhood diagnoses like asthma, allergies and even autism makes it nearly impossible to turn a blind eye  to the potential dangers of genetically modified food.</p>
<p><strong>How do you <em>really</em> know what you’re eating? </strong></p>
<p>Maintaining a healthy diet for your child isn’t about filling them full of just any old fruits and vegetables. Knowing <em>where</em> your food comes from and <em>how</em> it is produced is critical.</p>
<p>The tricky thing about GMOs is that you don’t always know that you’re buying them, and the terms used on labels can be misleading. This is why organizations like Just Label It are fighting to have all GE foods labeled for accurate identification. A report from the <a href="http://www.ewg.org/news/switching-over-pesticide-free-food">Environmental Working Group</a> helps to clarify some of the terms distributors use to promote sales, rather than awareness:</p>
<p>•            &#8220;Free range&#8221; doesn’t always mean animals were allowed to roam about freely</p>
<p>•            &#8220;Organic&#8221; = 95% of the ingredients are organic</p>
<p>•            &#8220;Made with organic ingredients&#8221; =  70% of the ingredients are organic</p>
<p>•            &#8220;100 percent organic&#8221; = must entirely contain organic ingredients</p>
<p><strong>How can you protect your child from GMOs?</strong></p>
<p>As KIWI Magazine details, there are ways you can limit your child’s exposure to GMOs.  Choose foods that are labeled as &#8220;100 percent organic&#8221;, “GMO-free”, and &#8220;USDA-certified organic.&#8221; You can also buy local; get to know organic farmers in your region to ensure you know where your food is coming from.</p>
<p>Overall, knowledge is the key. Stay up to date on the foods that are safe for you and your children to eat. Check out <a href="http://truefoodnow.files.wordpress.com/2010/11/cfs-shoppers-guide.pdf">The True Food Shopper’s Guide to Avoiding GMOs</a> published for FREE by the <a href="http://www.centerforfoodsafety.org/">Center for Food Safety</a>.</p>
<p>Please call us at 415.826.1701 to learn more about how to keep your child and family healthy.</p>
]]></content:encoded>
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		</item>
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		<title>Benefits of Breastfeeding</title>
		<link>http://getzwell.com/nutrition/nutritionkids/benefits-of-breastfeeding/</link>
		<comments>http://getzwell.com/nutrition/nutritionkids/benefits-of-breastfeeding/#comments</comments>
		<pubDate>Mon, 20 Jun 2011 07:42:05 +0000</pubDate>
		<dc:creator>jgetzelman</dc:creator>
				<category><![CDATA[Nutrition]]></category>
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		<category><![CDATA[Breast Milk Sugars Give Infants a Protective Coat]]></category>
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		<category><![CDATA[The Surgeon General’s Call to Action to Support Breastfeeding]]></category>
		<category><![CDATA[Varney’s Midwifery]]></category>

		<guid isPermaLink="false">http://getzwell.com/?p=646</guid>
		<description><![CDATA[This past January Surgeon General Regina M. Benjamin announced the The Surgeon General’s Call to Action to Support Breastfeeding.  Due to mounting evidence of breastfeeding’s myriad health benefits she declared its promotion a national priority.  Indeed, most people have heard about the passage of immunities from mothers to their breastfed infants, but few parents have [...]]]></description>
			<content:encoded><![CDATA[<p>This past January Surgeon General Regina M. Benjamin announced the <em>The Surgeon General’s Call to Action to Support Breastfeeding</em>.  Due to mounting evidence of breastfeeding’s myriad health benefits she declared its promotion a national priority.  Indeed, most people have heard about the passage of immunities from mothers to their breastfed infants, but few parents have been informed that formula-fed babies are at higher risk for developing lower respiratory infections, asthma, atopic dermatitis, obesity, necrotizing enterocolitis, type 1 and type 2 diabetes, childhood leukemia, and sudden infant death syndrome (SIDS).  In fact, the Surgeon General estimates that if 90% of mothers breastfed exclusively for 6 months, nearly 1,000 deaths among infants could be prevented annually!<sup>1</sup></p>
<p>What is it about breast milk that provides such a boost to babies’ health?  Researchers are still working to answer this question.  We know that newborns take approximately 6 months to develop their immune system, making them incredibly vulnerable to disease.  During the first 10 days of life, a breastfed newborn ingests <a href="http://www.llli.org/faq/colostrum.html" target="_blank">colostrum</a>, a yellowish fluid known as “first milk,” and breast milk, both of which contain more infection-fighting white cells (also known as leukocytes) per milliliter than there are in the same volume of blood.  Macrophages and neutrophils are types of <a href="http://www.youtube.com/watch?v=JnlULOjUhSQ" target="_blank">white blood cells</a> that comprise approximately 90% of the leukocytic load, and their job is to engulf and absorb harmful bacteria.  The remaining 10% of these disease-fighting cells are <a href="http://www.medterms.com/script/main/art.asp?articlekey=4220" target="_blank">lymphocytes</a>, primarily T-cells and B-cells, which identify and eliminate invaders while developing antibodies in the newborn.  These lymphocytes produce <a href="http://en.wikipedia.org/wiki/Immunoglobulin_A" target="_blank">Secretory IgA</a>, which protect the newborn against environmental exposures and interferon, an antiviral substance.  Mother’s <a href="http://en.wikipedia.org/wiki/Antibody" target="_blank">immunoglobulins </a>(IgA, IgG, IgM and IgD) are also found in breast milk, and they protect babies from pathogens by coating the superficial layers of the intestines and other mucosal surfaces that serve as points of entry into baby’s body.<sup>2</sup></p>
<p>Gut ecology is of special interest to those in the field of functional pediatrics because a healthy gut is typically indicative of over all health.  Research has shown that approximately 75-80% of immune function originates in the gastrointestinal tract.  Breastfed babies receive beneficial bacteria from the <a href="http://en.wikipedia.org/wiki/Bifidobacterium" target="_blank">bifidus family</a> that produce Gram-positive bacilli in the gut flora and discourage the multiplication of pathogens.  In contrast, babies who consume cow’s milk formula develop Gram-negative (potentially pathogenic) bacilli.  We know that complex sugars in breast milk help to feed the bifidus strains of beneficial bacteria in the infant’s gut.  Just last year researchers at UC Davis revealed that these same <a href="http://www.nytimes.com/2010/08/03/science/03milk.html" target="_blank">complex sugars are not digestible</a> and mimic the surfaces of other cells.  This surface similarity encourages viruses and bacteria to dock with the indigestible complex sugars and not the infant’s gut cells, and this allows babies to flush out viruses and bacteria from their bodies!<sup>3</sup></p>
<p>Breast milk has had approximately 200 million years of mammalian evolution to develop systems to protect the most vulnerable members of the species.  <a href="http://www.getzwell.com" target="_blank"><strong>GetzWell Pediatrics</strong></a> supports the Surgeon General’s initiative and acknowledges that whenever possible “breast is best.”  We are a Breastfeeding Friendly Business and have a host of resources available to support breastfeeding mothers.  If families are unable to breastfeed, we are also prepared to provide individualized supplement programs to best protect their children.</p>
<p>To learn more about the benefits of breast milk and/or breastfeeding alternatives, give us a call at <strong>415.826.1701</strong>. We also invite you to check out our <a href="http://getzwell.com/news/breastfeeding-reduces-risk-of-fever-after-vaccines/" target="_blank">previous post</a> on how breastfeeding reduces risk of fever after vaccines.</p>
<p>****</p>
<p><sup>1</sup> <a href="http://www.surgeongeneral.gov/topics/breastfeeding/calltoactiontosupportbreastfeeding.pdf" target="_blank">http://www.surgeongeneral.gov/topics/breastfeeding/calltoactiontosupportbreastfeeding.pdf</a></p>
<p><sup>2 </sup>Varney, Helen, et al.  <em>Varney’s Midwifery</em>: <em>Fourth Edition</em>.  Jones and Bartlett Publishers, Inc.  2004.</p>
<p><sup>3 </sup>Wade, Nicholas.  “Breast Milk Sugars Give Infants a Protective Coat.”  <em>New York Times</em>.  August 2, 2010.</p>
]]></content:encoded>
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		<title>Complimentary Resources from Dr. Getzelman&#8217;s &#8216;How Healthy Aging Begins In Utero&#8217; at UCSF&#8217;s 2011 Integrative Medicine Forum</title>
		<link>http://getzwell.com/news/complimentary-resources-from-dr-getzelman%e2%80%99s-how-healthy-aging-begin-in-utero-at-ucsf-may-21-2011/</link>
		<comments>http://getzwell.com/news/complimentary-resources-from-dr-getzelman%e2%80%99s-how-healthy-aging-begin-in-utero-at-ucsf-may-21-2011/#comments</comments>
		<pubDate>Sat, 21 May 2011 06:07:50 +0000</pubDate>
		<dc:creator>jgetzelman</dc:creator>
				<category><![CDATA[News]]></category>
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		<guid isPermaLink="false">http://getzwell.com/?p=624</guid>
		<description><![CDATA[Morgan, Hugh D. et al. “Epigenetic Inheritance at the Agouti Locus in the Mouse.” http://www.genetics.wustl.edu/bio5488/wp-content/uploads/2011/02/Morgan1999.pdf Barker, D.J.P. “Fetal Origins of Coronary Heart Disease.” http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2550226/pdf/bmj00601-0037.pdf Giscombe, C. L. &#38; Lobel, M. (2005). Explaining disproportionately high rates of adverse birth outcomes among African-Americans: The impact of stress, racism, and related factors in pregnancy. Psychological Bulletin, 131(5), 662-683. [...]]]></description>
			<content:encoded><![CDATA[<p>Morgan, Hugh D. et al. “Epigenetic Inheritance at the Agouti Locus in the Mouse.” <a href="http://www.genetics.wustl.edu/bio5488/wp-content/uploads/2011/02/Morgan1999.pdf" target="_blank">http://www.genetics.wustl.edu/bio5488/wp-content/uploads/2011/02/Morgan1999.pdf</a></p>
<p>Barker, D.J.P. “Fetal Origins of Coronary Heart Disease.” <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2550226/pdf/bmj00601-0037.pdf" target="_blank">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2550226/pdf/bmj00601-0037.pdf</a></p>
<p>Giscombe, C. L. &amp; Lobel, M. (2005). Explaining disproportionately high rates of adverse birth outcomes among African-Americans: The impact of stress, racism, and related factors in pregnancy. <em>Psychological Bulletin, 131</em>(5), 662-683. Retrieved from PubMed database.</p>
<p>Glynn, L. M., Hobel, C. J., Sandman, C. A., Schetter, C. D. (2008). Pattern of perceived stress and anxiety in pregnancy predicts preterm birth. <em>Health Psychology</em>, 27(1), 43-51. Retrieved from PubMed database.</p>
<p>PVC shower curtains:  <a href="http://www.chej.org/showercurtainreport/documents/VV%20national%20final.pdf" target="_blank">http://www.chej.org/showercurtainreport/documents/VV%20national%20final.pdf</a></p>
<p>Paul, Anne Murphy.  <em>Origins: How the Nine Months Before Birth Shape the Rest of Our Lives.</em> <a href="http://www.anniemurphypaul.com/" target="_blank">www.anniemurphypaul.com/</a></p>
<p>Steingraber, Sandra.  <em>Having Faith, An Ecologist&#8217;s Journey To Motherhood. </em><a href="http://www.steingraber.com" target="_blank"><span style="color: #888888;">www.steingraber.com</span></a></p>
<p>Center for Environmental Health: <a href="http://www.ceh.org/" target="_blank">www.ceh.org</a></p>
<p>Making Our Milk Safe: <a href="http://www.safemilk.org/" target="_blank">www.safemilk.org</a></p>
<p>Campaign for Safe Cosmetics: <a href="http://www.safecosmetics.org/" target="_blank">www.safecosmetics.org</a></p>
<p>Physicians for Social Responsibility[SF chapter]: <a href="http://www.sfbaypsr.org/" target="_blank">www.sfbaypsr.org</a></p>
<p>Breast Cancer Fund: <a href="http://www.breastcancerfund.org/" target="_blank">www.breastcancerfund.org</a></p>
<p>Pesticide Action Network: <a href="http://www.panna.org/" target="_blank">www.panna.org</a></p>
<p>Childbirth Connection: <a href="http://www.childbirthconnection.org/" target="_blank">www.childbirthconnection.org</a></p>
<p>Children’s Environmental Health Network: <a href="http://www.cehn.org/" target="_blank">www.cehn.org</a></p>
<p>Coalition for Improving Maternity Services: <a href="http://www.motherfriendly.org/" target="_blank">www.motherfriendly.org</a></p>
<p>Collaborative on Health and the Environment: <a href="http://www.healthandenvironment.org/" target="_blank">www.healthandenvironment.org</a></p>
<p>TEDx The Endocrine Disruption Exchange: <a href="http://www.endocrinedisruption.com/" target="_blank">www.endocrinedisruption.com</a></p>
<p>Environmental Working Group: <a href="http://www.ewg.org/" target="_blank">www.ewg.org</a></p>
<p>Healthy Child Healthy World: <a href="http://www.healthychild.org/" target="_blank">www.healthychild.org</a></p>
<p>Natural Resources Defense Council: <a href="http://www.nrdc.org/breastmilk" target="_blank">www.nrdc.org/breastmilk</a></p>
<p>Science and Environmental Health Network: <a href="http://www.sehn.org/" target="_blank">www.sehn.org</a></p>
<p>Sandra Steingraber: <a href="http://www.steingraber.com/" target="_blank">www.steingraber.com</a></p>
<p>UCSF Report: Shaping Our Legacy: <a href="http://www.prhe.ucsf.edu/prhe/pubs/shapingourlegacy.pdf" target="_blank">www.prhe.ucsf.edu/prhe/pubs/shapingourlegacy.pdf</a></p>
<p>Women to Women Discussion on Endocrine Disruptors: <a href="http://www.womentowomen.com/detoxification/endocrinedisruptors.aspx" target="_blank">www.womentowomen.com/detoxification/endocrinedisruptors.aspx</a></p>
<p>Washington Toxics Coalition’s Early Exposure Study: <a href="http://www.watoxics.org/publications/earliest-exposures" target="_blank">www.watoxics.org/publications/earliest-exposures</a></p>
<p>Dr. Mark Hyman: <a href="http://www.drhyman.com/" target="_blank">www.drhyman.com</a></p>
<p>Institute for Functional Medicine: <a href="http://www.functionalmedicine.org/" target="_blank">www.functionalmedicine.org</a></p>
<p>** A special thanks to EcoBirth for helping to compile resource links! **</p>
]]></content:encoded>
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		<item>
		<title>Online Breast Feeding Resource</title>
		<link>http://getzwell.com/resources/online-breast-feeding-resource/</link>
		<comments>http://getzwell.com/resources/online-breast-feeding-resource/#comments</comments>
		<pubDate>Fri, 14 May 2010 03:11:01 +0000</pubDate>
		<dc:creator>jgetzelman</dc:creator>
				<category><![CDATA[Resources]]></category>
		<category><![CDATA[breast feeding]]></category>
		<category><![CDATA[breast feeding support]]></category>
		<category><![CDATA[feeding baby]]></category>
		<category><![CDATA[lactation]]></category>
		<category><![CDATA[lactation consultant]]></category>
		<category><![CDATA[newborn]]></category>
		<category><![CDATA[nursing mom]]></category>
		<category><![CDATA[sore nipples]]></category>
		<category><![CDATA[thrush]]></category>

		<guid isPermaLink="false">http://getzwell.com/?p=235</guid>
		<description><![CDATA[Dr. Jack Newman&#8217;s website provides excellent information for nursing mothers.  He has tips on everything from thrush and sore nipples to breast feeding the toddler.]]></description>
			<content:encoded><![CDATA[<p><a href="http:///www.drjacknewman.com/breastfeeding-help.asp" target="_blank">Dr. Jack Newman&#8217;s website</a> provides excellent information for nursing mothers.  He has tips on everything from thrush and sore nipples to breast feeding the toddler.</p>
]]></content:encoded>
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		</item>
		<item>
		<title>Common New Parent Questions</title>
		<link>http://getzwell.com/news/common-new-parent-questions/</link>
		<comments>http://getzwell.com/news/common-new-parent-questions/#comments</comments>
		<pubDate>Tue, 04 May 2010 06:17:22 +0000</pubDate>
		<dc:creator>jgetzelman</dc:creator>
				<category><![CDATA[News]]></category>
		<category><![CDATA[24/7 pediatric care]]></category>
		<category><![CDATA[25-OH-D]]></category>
		<category><![CDATA[breast feeding]]></category>
		<category><![CDATA[Dr. Getzelman]]></category>
		<category><![CDATA[environmental working group]]></category>
		<category><![CDATA[GetzWell]]></category>
		<category><![CDATA[infant constipation]]></category>
		<category><![CDATA[infant diarrhea]]></category>
		<category><![CDATA[newborn constipation]]></category>
		<category><![CDATA[newborn diarrhea]]></category>
		<category><![CDATA[newborn sneezing]]></category>
		<category><![CDATA[pediatrician]]></category>
		<category><![CDATA[pediatrician san francisco]]></category>
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		<category><![CDATA[pregnancy]]></category>
		<category><![CDATA[pregnant women]]></category>
		<category><![CDATA[sick newborn]]></category>
		<category><![CDATA[vitamin D]]></category>
		<category><![CDATA[Vitamin D Council]]></category>

		<guid isPermaLink="false">http://getzwell.com/?p=211</guid>
		<description><![CDATA[Q:  My baby is 5 days old and she has diarrhea. A:  After the first few days of life when your baby has meconium bowel movements that are very dark and sticky, it’s normal for your newborn’s poop to begin to be very watery and seem like diarrhea.  Breast fed infants, in particular, have BMs [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Q:  My baby is 5 days old and she has diarrhea.</strong></p>
<p>A:  After the first few days of life when your baby has meconium bowel movements that are very dark and sticky, it’s normal for your newborn’s poop to begin to be very watery and seem like diarrhea.  Breast fed infants, in particular, have BMs that are loose and seedy and range in color from brown to mustard yellow to green.  A typical newborn’s poop looks a lot like grainy mustard&#8211;think Grey Poupon country style!</p>
<p><strong>Q:  My newborn must have a cold because he keeps sneezing.</strong></p>
<p>A:  It’s very unlikely that your baby is sick.  Newborns often sneeze quite a bit and we think of it as nature’s way of allowing your baby to blow his nose.  New babies have very small nasal passages and usually make a little bit of mucus which can produce some degree of nasal congestion.  This usually isn’t a problem, but because newborns don’t know they can breathe through their mouths, you may hear your newborn’s breathing and think it means he is having difficulty.  As long as your baby is feeding well, is content, doesn’t seem to be struggling to breathe or crying a lot (which forces babies to mouth breathe) he is likely just fine.</p>
<p><strong>Q:</strong> <strong>We want to take our baby girl to a party but she is only 2 weeks old.  Is this OK?</strong></p>
<p>A:  The immune system of a newborn is immature and the more people she is exposed to the greater the likelihood she may catch something which could cause her to become quite sick.  We generally stress being very careful regarding hand hygiene and potential exposure to germs for the first 60-90 days of life, when pediatricians consider a fever a sign that an infection may be serious.  Hand washing is the best way to prevent introducing illness-causing germs to your newborn; proper cleaning of your hands involves rubbing them together for 15 seconds (or 3 rounds of “Row Row Row Your Boat”) with good old soap and warm water or the use of an alcohol based hand sanitizer.</p>
<p><strong>Q:  Which hand sanitizers are best?</strong></p>
<p>A:  Generally we recommend an alcohol based product which is rated 0-2 on the Environmental Working Group (EWG) cosmetics database toxicity scale (<a href="http://www.cosmeticsdatabase.com" target="_blank">http://www.cosmeticsdatabase.com</a>) so that you’re sure to purchase something effective while avoiding highly toxic ingredients.  This is an important factor when considering what to buy for you and your baby.  EWG is a tremendous resource available to guide purchasing decisions.  Babies and small children have very thin skin and immature detoxification systems, and thus are vulnerable not only to what we feed them but also to what we use on their skin, what we clothe them in, and what they breathe.</p>
<p><strong>Q:   Do I need to give my 2 month old baby Vitamin D drops?  There is not much sun in our San Francisco neighborhood and we spend most of our time indoors.</strong></p>
<p>A:  Vitamin D is important to our health and many of us have insufficient levels due to lack of adequate sunlight exposure or supplementation.  The American  Academy of Pediatrics (AAP) recommends all children receive a vitamin D supplement starting in the first few days of life because evidence has shown this could have life-long benefits.  Furthermore, because of the growing body of evidence that a pregnant woman’s vitamin D status is important to her developing fetus, the AAP has recommended that physicians caring for pregnant women consider vitamin D testing during pregnancy.</p>
<p>At GetzWell we test all new mothers’ vitamin D levels and often find they are lacking.  This is critical both for mothers’ health and directly impacts the breast feeding baby.  Once we have these results, we can tailor our recommendations to each mother and baby as part of our effort to optimize the health of our patients and families.</p>
]]></content:encoded>
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		</item>
		<item>
		<title>Lactation Consultations in the Office</title>
		<link>http://getzwell.com/services/lactation-consultations-in-the-office/</link>
		<comments>http://getzwell.com/services/lactation-consultations-in-the-office/#comments</comments>
		<pubDate>Wed, 24 Mar 2010 18:26:39 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Glossary]]></category>
		<category><![CDATA[Services]]></category>
		<category><![CDATA[blocked milk ducts]]></category>
		<category><![CDATA[breast feeding]]></category>
		<category><![CDATA[breast feeding consultant]]></category>
		<category><![CDATA[breastfeeding]]></category>
		<category><![CDATA[breastfeeding support]]></category>
		<category><![CDATA[candida]]></category>
		<category><![CDATA[cracked nipples]]></category>
		<category><![CDATA[insufficient breast milk production]]></category>
		<category><![CDATA[inverted nipples]]></category>
		<category><![CDATA[lactation]]></category>
		<category><![CDATA[lactation consultant]]></category>
		<category><![CDATA[lactation support]]></category>
		<category><![CDATA[latch problems]]></category>
		<category><![CDATA[mastitis]]></category>
		<category><![CDATA[nursing your baby]]></category>
		<category><![CDATA[thrush]]></category>

		<guid isPermaLink="false">http://getzwell.com/?p=158</guid>
		<description><![CDATA[Lactation Consultations in the Office &#8211; GetzWell Pediatrics is committed to helping new mothers breastfeed successfully. Our physicians and our board certified Lactation Consultant, Mary Janowitz, are available to address your breastfeeding questions or challenges. Whether you have an issue with cracked or inverted nipples, thrush, latch problems, blocked milk ducts, mastitis or insufficient milk [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Lactation Consultations in the Office</strong> &#8211; GetzWell Pediatrics is committed to helping new mothers breastfeed successfully.  Our physicians and our board certified Lactation Consultant, Mary Janowitz, are available to address your breastfeeding questions or challenges.  Whether you have an issue with cracked or inverted nipples, thrush, latch problems, blocked milk ducts, mastitis or insufficient milk production, GetzWell Pediatrics can help!</p>
]]></content:encoded>
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		<title>Lactation Consultations in Your Home</title>
		<link>http://getzwell.com/services/lactation-consultations-in-your-home/</link>
		<comments>http://getzwell.com/services/lactation-consultations-in-your-home/#comments</comments>
		<pubDate>Wed, 24 Mar 2010 18:26:05 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Glossary]]></category>
		<category><![CDATA[Services]]></category>
		<category><![CDATA[24/7 pediatric care]]></category>
		<category><![CDATA[breast feeding]]></category>
		<category><![CDATA[breast feeding consultant]]></category>
		<category><![CDATA[breast feeding support]]></category>
		<category><![CDATA[house calls]]></category>
		<category><![CDATA[house calls for newborns]]></category>
		<category><![CDATA[integrative pediatrics]]></category>
		<category><![CDATA[lactation]]></category>
		<category><![CDATA[lactation consultant]]></category>
		<category><![CDATA[lactation support]]></category>
		<category><![CDATA[Laurel Heights]]></category>
		<category><![CDATA[laurel village]]></category>
		<category><![CDATA[Marina]]></category>
		<category><![CDATA[newborn]]></category>
		<category><![CDATA[newborn house calls]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nursing mom]]></category>
		<category><![CDATA[nursing your baby]]></category>
		<category><![CDATA[pacific heights]]></category>
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		<category><![CDATA[Potrero Hill]]></category>
		<category><![CDATA[West Portal]]></category>

		<guid isPermaLink="false">http://getzwell.com/?p=156</guid>
		<description><![CDATA[Lactation Consultations in Your Home &#8211; GetzWell Pediatrics is committed to helping new mothers breastfeed successfully. Our board certified Lactation Consultant, Mary Janowitz, is available for visits in the comfort of your home in order to address your breastfeeding questions or challenges. Whether you have an issue with painful, inverted or flat nipples, latch issues, [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Lactation Consultations in Your Home</strong> &#8211; GetzWell Pediatrics is committed to helping new mothers breastfeed successfully.  Our board certified Lactation Consultant, Mary Janowitz, is available for visits in the comfort of your home in order to address your breastfeeding questions or challenges.  Whether you have an issue with painful, inverted or flat nipples, latch issues, blocked milk ducts, mastitis, or insufficient milk production, GetzWell Pediatrics can help!</p>
<p><em>*House Calls are only available in San Francisco and Pacifica.</em></p>
]]></content:encoded>
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		<title>Alternative Vaccine Schedules</title>
		<link>http://getzwell.com/services/alternative-vaccine-schedules/</link>
		<comments>http://getzwell.com/services/alternative-vaccine-schedules/#comments</comments>
		<pubDate>Wed, 24 Mar 2010 18:20:36 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Glossary]]></category>
		<category><![CDATA[Services]]></category>
		<category><![CDATA[24/7 access]]></category>
		<category><![CDATA[24/7 pediatric care]]></category>
		<category><![CDATA[ADD]]></category>
		<category><![CDATA[ADHD]]></category>
		<category><![CDATA[alternative medicine]]></category>
		<category><![CDATA[alternative vaccination schedule]]></category>
		<category><![CDATA[alternative vaccines]]></category>
		<category><![CDATA[autism]]></category>
		<category><![CDATA[autistic]]></category>
		<category><![CDATA[autoimmune disease]]></category>
		<category><![CDATA[autoimmune illness]]></category>
		<category><![CDATA[breast feeding]]></category>
		<category><![CDATA[Dr. Sears]]></category>
		<category><![CDATA[holistic medicine]]></category>
		<category><![CDATA[homeopathic pediatrician]]></category>
		<category><![CDATA[homeopathy]]></category>
		<category><![CDATA[immnization]]></category>
		<category><![CDATA[immunizations]]></category>
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		<category><![CDATA[positive parenting]]></category>
		<category><![CDATA[The Vaccine Book]]></category>
		<category><![CDATA[vaccines and aluminum]]></category>
		<category><![CDATA[vaccines and autism]]></category>
		<category><![CDATA[vaccines and mercury]]></category>

		<guid isPermaLink="false">http://getzwell.com/?p=138</guid>
		<description><![CDATA[Alternative Vaccine Schedules &#8211; We offer alternative vaccine schedules. Whether you choose to immunize on a conventional or alternative schedule, GetzWell Pediatrics is prepared to meet all of your child’s vaccine needs. We support childhood vaccination. However, we acknowledge that childhood immunization is one of the first major health related decisions that parents make for [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Alternative Vaccine Schedules</strong> &#8211; We offer alternative vaccine schedules. Whether you choose to immunize on a conventional or alternative schedule, GetzWell Pediatrics is prepared to meet all of your child’s vaccine needs.  We support childhood vaccination.  However, we acknowledge that childhood immunization is one of the first major health related decisions that parents make for their children and should be carefully considered.  We respect our families’ choices regarding vaccines and can provide in depth consultations upon request. Our board certified pediatricians accept Dr. Robert Sears’ alternative vaccination schedule and can help to formulate an individualized vaccination approach based on your family’s unique risk profile and other relevant considerations.  For an extra fee, GetzWell pediatricians will provide vaccine only consultations to non members of the practice.</p>
]]></content:encoded>
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		<title>Newborn House Calls</title>
		<link>http://getzwell.com/services/newborn-house-calls/</link>
		<comments>http://getzwell.com/services/newborn-house-calls/#comments</comments>
		<pubDate>Wed, 24 Mar 2010 18:18:39 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Glossary]]></category>
		<category><![CDATA[Services]]></category>
		<category><![CDATA[24/7 access]]></category>
		<category><![CDATA[24/7 medicine]]></category>
		<category><![CDATA[24/7 pediatric care]]></category>
		<category><![CDATA[breast feeding]]></category>
		<category><![CDATA[breast feeding support]]></category>
		<category><![CDATA[family]]></category>
		<category><![CDATA[house calls]]></category>
		<category><![CDATA[house calls for newborns]]></category>
		<category><![CDATA[integrative medicine]]></category>
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		<category><![CDATA[lactation consultant]]></category>
		<category><![CDATA[lactation support]]></category>
		<category><![CDATA[Laurel Heights]]></category>
		<category><![CDATA[Marina]]></category>
		<category><![CDATA[Mission]]></category>
		<category><![CDATA[newborn]]></category>
		<category><![CDATA[newborn care]]></category>
		<category><![CDATA[newborn constipation]]></category>
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		<category><![CDATA[Noe Valley]]></category>
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		<category><![CDATA[positive parenting]]></category>
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		<category><![CDATA[pregnancy]]></category>
		<category><![CDATA[West Portal]]></category>

		<guid isPermaLink="false">http://getzwell.com/?p=133</guid>
		<description><![CDATA[Newborn House Calls &#8211; Transitioning to your role as new parent can be both exciting and daunting. In order to help your family ease into its new rhythms, GetzWell Pediatrics offers newborn house calls* within 2 – 3 days of your child’s birth. House calls allow our board certified pediatricians to spend unhurried time (usually [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Newborn House Calls</strong> &#8211; Transitioning to your role as new parent can be both exciting and daunting.  In order to help your family ease into its new rhythms, GetzWell Pediatrics offers newborn house calls* within 2 – 3 days of your child’s birth.  House calls allow our board certified pediatricians to spend unhurried time (usually 75 minutes) to complete a thorough history and exam, assist with breastfeeding, answer questions and begin the education process that is at the heart of our  integrative medicine approach, all in the comfort of your home.</p>
<p><em>*House Calls are only available in San Francisco.</em></p>
]]></content:encoded>
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		</item>
		<item>
		<title>Omega-3s during pregnancy and while breast feeding</title>
		<link>http://getzwell.com/nutrition/nutritionadults/nutrition-for-adults/</link>
		<comments>http://getzwell.com/nutrition/nutritionadults/nutrition-for-adults/#comments</comments>
		<pubDate>Mon, 06 Apr 2009 18:22:30 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Nutrition]]></category>
		<category><![CDATA[Nutrition for Adults]]></category>
		<category><![CDATA[24/7 pediatric care]]></category>
		<category><![CDATA[Bi Rite]]></category>
		<category><![CDATA[breast feeding]]></category>
		<category><![CDATA[DHA]]></category>
		<category><![CDATA[Dr. Getzelman's Favorite Fish Tacos]]></category>
		<category><![CDATA[EPA]]></category>
		<category><![CDATA[fish oil]]></category>
		<category><![CDATA[fish oil and breast feeding]]></category>
		<category><![CDATA[fish oil and lactation]]></category>
		<category><![CDATA[fish oil and pregnancy]]></category>
		<category><![CDATA[health benefits of fish oil]]></category>
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		<category><![CDATA[lactation consultant]]></category>
		<category><![CDATA[newborn]]></category>
		<category><![CDATA[nursing mom]]></category>
		<category><![CDATA[omega-3 fats and pregnancy]]></category>
		<category><![CDATA[omega-3 fatty acids]]></category>
		<category><![CDATA[omega-3s]]></category>
		<category><![CDATA[organic]]></category>
		<category><![CDATA[pediatrician noe valley]]></category>
		<category><![CDATA[SF integrative pediatrician]]></category>
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		<category><![CDATA[sushi]]></category>
		<category><![CDATA[sushi and pregnancy]]></category>
		<category><![CDATA[sushi during pregnancy]]></category>
		<category><![CDATA[Whole Foods]]></category>

		<guid isPermaLink="false">http://getzwell.com/news/nutrition-for-adults/</guid>
		<description><![CDATA[Wild, cold water fish like salmon, mackerel, anchovies, herring, and sardines are the best source of the essential fatty acids called omega-3s.  These fats are not only important for a baby&#8217;s developing brain and visual system, but also keep mother&#8217;s immune system and that of the developing baby functioning optimally.  As long as pregnant women [...]]]></description>
			<content:encoded><![CDATA[<ul>
<li>Wild, cold water fish like salmon, mackerel, anchovies, herring, and sardines are the best source of the essential fatty acids called omega-3s.  These fats are not only important for a baby&#8217;s developing brain and visual system, but also keep mother&#8217;s immune system and that of the developing baby functioning optimally.  As long as pregnant women eat small, wild (not farm raised) cold water fish they will minimize exposure to mercury which can be harmful to developing infants.  Three (3-4 ounce) servings per week of these small wild fish provide the omega-3s mom and baby need.  (Try canned wild salmon which can be prepared like tuna salad and is delicious.)  While pregnant, women should never eat raw fish.  No sushi during pregnancy!</li>
<li>Because omega-3 fatty acids are not produced by our bodies, it is important to supply these <strong>essential</strong> oils, if not by eating fish then by taking a fish oil supplement.  A pharmaceutical grade fish oil supplement will have no detectable heavy metals and will cause no fishy burps, even in pregnancy.  It is important to purchase a reputable brand such as Nordic naturals, Carlson&#8217;s or Pharmax and to take at least 300mg of DHA and 500mg EPA daily.</li>
<li>It&#8217;s important that a breast feeding mother&#8217;s diet include small cold water fish and/or fish oil in order for her breast milk to pass adequate amounts of the essential fatty acids to baby.  If she doesn&#8217;t eat fish or supplement with fish oil, her milk will have very low quantities of the omega-3s.  Infant formulas add these omega-3s because they are so widely recognized to be essential to optimal brain growth, a reminder that all breast feeding women need omega-3s in their diets.</li>
<li><strong>Dr. Getzelman&#8217;s Favorite Fish Taco Recipe </strong>
<ul>
<li>3-4 oz per person of sole or other white fish&#8211;cook for about 2 minutes on each side in olive oil and chopped garlic (season to taste with a pinch of sea salt).  Be careful not to overcook and cause fish to dry out.  Set aside, keeping fish warm.</li>
<li>warm up corn tortillas (preferably organic which are available at Bi-Rite or Whole Foods) in tin foil in the oven at 325 F for 15 minutes</li>
<li>quarter sweet cherry tomatoes using a sharp knife (Del Cabo brand is organic and these tomatoes are delicious); cut a ripe avocado into bite size pieces; wash and chop several sprigs of fresh cilantro; finely chop half of a medium size red onion</li>
<li>combine the tomatoes, avocado, cilantro, and onion and squeeze the juice of a lime on the mix; add a pinch of sea salt (and a small sprinkle of cayenne for a kick!) and toss these salsa ingredients; put in the fridge to keep cool</li>
<li>place 1 to2 warm tortillas on each plate, cover with fish, and generously spoon fresh salsa on top</li>
<li>serve with lime wedges, and rice, beans or a green salad and VOILA&#8211; it&#8217;s a meal in under half an hour!</li>
</ul>
</li>
</ul>
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