The Baby Manual

Dr. Carole Keim welcomes Dr. David Tusek, board-certified Family Physician and Founder of Cloud Medical, to the show to discuss early childhood development and the good habits that set children up for life. Dr. Tusek identifies the five pillars of health and discusses personalized and preventive childhood medicine with Dr. Keim. The conversation explores modern habits and their impact on children, the critical role of parents, and the idea of introducing a whole-person health framework into children’s growth to ensure emotional and physical well-being.
The five pillars of health identified by Dr. Tusek are hydration, nutrition, exercise, sleep, and stress reduction. He and Dr. Keim expand on each pillar, describing how sugar functions in nutrition, the glycemic index and its relation to prediabetes in children. The importance of movement and outdoor play is highlighted, especially as screens take priority in children’s lives, and they stress the need for better sleep hygiene. The conversation investigates how healthy whole-person habits can be fostered from a young age and how the right habits can help steer children away from chronic disease.   
Dr. David Tusek:
Dr. Tusek is a board-certified family physician who also has experience as an emergency room doctor.  He is a member of the American Academy of Anti-Aging Medicine and the Institute of Functional Medicine.
Dr. Tusek relishes the close connectivity with his Cloud DPC patient-members, whether they are training for the Olympics, dealing with an illness, or simply trying to lose a few pounds.  He believes that enhancing one’s quality of life is just as important as extending the quantity of our years.
Dr. Tusek combines expertise in advanced diagnostics and optimization of brain and body function using a broad-based approach, blending cutting-edge technologies with a natural orientation.  He uses a wide variety of gentle, needle-based therapies to treat musculoskeletal and neuromuscular conditions and injuries (including PRP and Botox).  He performs various office-based surgeries, cryosurgeries, and treatments of minor trauma.  In 2004, he became one of the first practitioners in Colorado to offer bio-identical hormone implants, and has been working closely with compounding pharmacies (those pharmacies that prepare personalized medications for patients), to provide the purest, most effective forms of natural therapies.
In 2009, Dr. Tusek founded one of the nation’s first DPC programs, which he sold in 2016.  He then went on to launch Cloud Medical DPC, and currently oversees several other healthcare ventures and projects related to health optimization, behavior change, and addiction medicine.
He believes that the soul of primary care medicine lies both in diagnosing and treating existing health problems with the most advanced technologies, as well as deeply considering what it means to be healthy and to heal as human beings, and how to most efficiently unlock our innate capacities for thriving and flourishing.  In the spirit of this pursuit, Cloud Medical has launched a variety of programs under the “School of Health” banner.
As a previous member of the steering committee of the Direct Primary Care Coalition based in Washington, DC, Dr. Tusek is a recognized leader in healthcare transformation and was invited to the White House to discuss the future of American medicine.  He was named among the “Top Doctors in Concierge Medicine” and is a former qualifier for the Ironman Triathlon World Championships in Kona, Hawaii.  He enjoys skiing, cycling, and spending time with his wife and two daughters in the playground that is Colorado.
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Resources discussed in this episode:
The Holistic Mamas Handbook is available on Amazon
The Baby Manual is also available on Amazon
“Heartful Kitchen: A Cookbook for Every Body” by Chef Maria Cooper
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Contact Dr. Carole Keim MD
linktree | tiktok | instagram
 
Contact Dr. David Tusek
Website: CloudMedical.io
Blog: CloudMedical.io/blog
LinkedIn: drtusek

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Dr. Carole Keim welcomes pediatric cardiologist Dr. Tal Gospin, MD, to The Baby Manual to talk about what pediatric cardiology is and how it differs from adult cardiology. Dr. Gospin explains how much of pediatric cardiology is concerned with congenital heart disease, abnormalities people are born with. She watches for the shape of an infant’s heart and the sounds it makes, even in utero, and discusses exactly what she looks for with Dr. Keim. They explore fetal echocardiograms, infant heart function, and what parents can watch for in newborns to see if a pediatric cardiologist needs to be consulted. 
Dr. Gospin and Dr. Keim discuss when a baby’s heart murmur should be referred to a pediatric cardiologist and the differences between an innocent murmur and a pathologic murmur. Innocent murmurs that appear in newborns typically disappear in infancy. Dr. Gospin shares that some types of pediatric cardiac issues will show up as a lack of weight gain in infants, and when to reach out to a pediatrician for a referral. They talk about echocardiograms and what to expect, whether the baby feels any discomfort or not from an EKG, and what the scans are looking for. They discuss breathholding episodes, fainting, and explain what’s happening and what a parent can do. This episode provides a lot of insight into pediatric cardiology and gives parents insight into the functioning of their infant’s heart.  
Dr. Tal Gospin, MD:
Dr. Tal Gospin graduated with honors from Washington University in St. Louis with her undergraduate degree in Psychology. She obtained a Masters in Physiology and her Medical Doctorate from Georgetown University School of Medicine, where she was elected into Alpha Omega Alpha, the National Medical Honor Society. Dr. Gospin continued on to pursue a pediatrics residency at New York Presbyterian Hospital/Columbia University in New York City. She then completed her fellowship in pediatric cardiology at Baylor College of Medicine/Texas Children's Hospital in Houston, Texas. Dr. Gospin’s fellowship training included caring for patients with a broad spectrum of cardiac conditions and working with leading experts in the field of pediatric cardiology and cardiac surgery. She concentrated her fellowship training on echocardiography, outpatient care for children with complex congenital heart disease, as well as fetal imaging and prenatal counseling.
Dr. Gospin is board-certified in Pediatrics and Pediatric Cardiology. She is a fellow of the American Academy of Pediatrics and the American College of Cardiology. Her clinical interests include transthoracic echocardiography, fetal imaging, evaluation and treatment of children with congenital and acquired heart disease, pediatric arrhythmias, as well as hypercholesterolemia and hypertension. Dr. Gospin brings her diverse knowledge base and training into the community to provide comprehensive medical care with a passion for personalized attention.
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Resources discussed in this episode:
The Holistic Mamas Handbook is available on Amazon
The Baby Manual is also available on Amazon
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Contact Dr. Carole Keim, MD
linktree | tiktok | Instagram
 
Contact Dr. Tal Gospin, MD
website | Pediatric Cardiology Care Houston

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Dr. Carole Keim welcomes pediatric neurologist and Assistant Professor in the Department of Neurology at the University of Rochester, Dr. Justin Rosati, MD, to the show to talk about pediatric neurology. They explore what he sees in children as a pediatric neurologist and what parents can look for.  Dr. Keim and Dr. Rosati discuss febrile seizures, developmental delays, epilepsy, infantile spasms, and anything neurological that can affect babies and toddlers. 
Dr. Rosati says that children not meeting a developmental milestone is often why parents bring them in to see him. He works to answer the question of why the child misses or is behind on the milestone and explains what it is that he looks for to see if further testing is needed. He tells Dr. Keim what red flags parents can look out for in terms of neurological conditions. He and Dr. Keim discuss febrile seizures and genetic epilepsy syndromes, as well as when seizure medications might be useful. Dr. Rosati breaks down childhood migraines, how parents can help and identify them, and exactly what neurological disorders entail. It’s a wealth of information for parents wanting to know what red flags to keep in mind.
Dr. Justin Rosati, MD:
Dr. Justin Rosati is an Assistant Professor of Neurology at the University of Rochester. He specializes in Fetal & Neonatal Neurology as well as Clinical Neurophysiology. Dr. Rosati has a special interest in digital media and its use for education for students, residents, parents, and colleagues. He is an active medical content creator focusing on short-form videos for Instagram and TikTok. You can follow him across social media platforms @thebabybraindoc.
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Resources discussed in this episode:
The Holistic Mamas Handbook is available on Amazon
The Baby Manual is also available on Amazon
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Contact Dr. Carole Keim, MD
linktree | tiktok | instagram
 
Contact Dr. Justin Rosati, MD
linktree | instagram | University of Rochester Medicine

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Time to get those allergy symptoms under control.

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Dr. Carole Keim welcomes Clinical Assistant Professor of Pediatric Rheumatology Dr. Cristina Saez, MD, to The Baby Manual to discuss what rheumatology is and how pediatric rheumatology works. She studies and has training in autoimmune diseases, specifically ones affecting bones, muscles, joints, or multiple organ systems,  in children. 
Dr. Saez tells Dr. Keim that though she sees children for different things, the most common is joint pain. Juvenile arthritis is likely the most common rheumatologic diagnosis seen in her clinic. Cristina details how joint pain presents in children and the method of assessment used in diagnosis. She also treats a lot of recurrent fevers and tells Carole how fevers can present in diseases that affect the immune system, which is what she works to assess. Practical information on how to identify joint pain, what grade of fever should prompt medical intervention, and the types of medication used in treatment are all explained by Dr. Saez in this insightful episode. 
Dr. Cristina Saez, MD:
Dr. Cristina Saez is the Clinical Assistant Professor of Pediatric Rheumatology at Stanford Medicine. She graduated from Rice University with a BA in Kinesiology with a focus on Health Sciences in 2015. 
After graduation, she started medical school at Baylor College of Medicine. While there, she was an active member of the Pediatric Student Association and participated in the Medical Ethics Track. Outside of class, she enjoyed mentoring younger students through the Anatomy Buddies tutoring program and the Peer Resource Network program. She still kept in touch with the Kinesiology Department and even helped teach undergraduate students in the gross anatomy course. During her later years, she helped develop a protocol within the Pediatric Rheumatology department at Texas Children’s Hospital to help adolescent patients prepare for the transition from pediatric to adult care.
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Resources discussed in this episode:
The Holistic Mamas Handbook is available on Amazon
The Baby Manual is also available on Amazon
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Contact Dr. Carole Keim, MD
linktree | tiktok | Instagram
 
Contact Dr. Cristina Saez, MD
Stanford Medicine

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Time to get those allergy symptoms under control.

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Dr. Carole Keim welcomes neonatologist and chair of pediatrics at Tufts Medical Center, Dr. Geoff Binney, MD, MPH, to The Baby Manual for a conversation about what expectant parents should know regarding newborn care and the NICU, the Neonatal Intensive Care Unit. Drs. Keim and Binney discuss the age of viability for premature babies, advances in neonatology such as surfactant therapy for Respiratory Distress Syndrome, and the different levels of NICU care available depending on gestational age and medical needs.
Dr. Binney and Dr. Keim talk about common newborn challenges, including breathing difficulties, infections, blood sugar monitoring for at-risk infants, and jaundice. Both doctors stress the importance of preventive care, such as antibiotics for Group B strep and vitamin K injections at birth. Dr. Binney shares that a neonatologist’s role is to provide a supportive environment for premature or ill infants so they can continue developing safely. He reassures parents that most children born early grow up healthy and indistinguishable from their peers. This episode gives parents-to-be information about what to expect if their child is born preterm and offers them comfort in knowing how far medical care for newborn infants has come. 
Dr. Geoff Binney, MD, MPH:
Dr. Geoffrey Binney is a neonatologist in Boston, Massachusetts and is affiliated with multiple hospitals in the area, including Boston Children's Hospital and Tufts Medical Center. He is the Chair and David And Leona F. Karp Professor of Pediatrics, and the Tufts University School of Medicine Pediatrician-in-Chief. He received his medical degree from the University of California, San Diego School of Medicine and has been in practice for more than 20 years.
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Resources discussed in this episode:
The Holistic Mamas Handbook is available on Amazon
The Baby Manual is also available on Amazon
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Contact Dr. Carole Keim, MD
linktree | tiktok | instagram
Contact Dr. Geoff Binney, MD, MPH
Boston Children’s Hospital | Tufts Medicine | linktree

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Use this link to get 10% off and free shipping for orders over $50.
Time to get those allergy symptoms under control.

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