PedsDocTalk Podcast

A podcast for parents regarding the health and wellness of their children.

share it >

Help Reduce Risk of Serious RSV Lung Infection for Your Baby

Did you know while hospitalization is uncommon, respiratory syncytial virus (RSV) is the leading cause of hospitalization for babies under 1? RSV season is typically fall – spring but can vary by local areas and today I’m sharing about a preventative antibody which can help protect against severe RSV lung infections. I’m joined by Shawn Johnson East and Dr. Natalie Barnett, Vice President of Clinical Research at Nanit, to discuss the importance of RSV protection for babies. They share personal experiences, including Shawn’s family’s journey with RSV, and offer expert insights on how parents can help protect their little ones during RSV season.

 

They join me to discuss:

  • How RSV is common and can be a serious virus for infants.
  • Beyfortus (nirsevimab-alip) 50mg and 100mg Injection, a preventative antibody that helps give babies an extra layer of protection against severe RSV lung infection for babies under age 1 born during or entering their first RSV season and certain kids up to 24 months. Your child should not take Beyfortus if your child has a history of serious allergic reactions to nirsevimab-alip or any of the ingredients in Beyfortus. Beyfortus may not protect all children.
  • That parenting can be scary but navigating the journey with monitors like Nanit, and knowledge of prevention measures for RSV can be empowering.

 

To connect with Shawn Johnson East follow her on Instagram @shawnjohnson. Visit Nanit.com to see their products and learn more about their research. For more about Beyfortus visit http://beyfortus.com.

 

Our podcasts are also now on YouTube. If you prefer a video podcast with closed captioning, check us out there and subscribe to PedsDocTalk TV.

 

We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the PedsDocTalk Podcast Sponsorships page of the website.

 

INDICATION

Beyfortus is a prescription medicine used to help prevent a serious lung disease caused by Respiratory Syncytial Virus (RSV) in:

  • Newborns and babies under 1 year of age born during or entering their first RSV season.
  • Children up to 24 months of age who remain at risk of severe RSV disease through their second RSV season.

IMPORTANT SAFETY INFORMATION

Your child should not take Beyfortus if your child has a history of serious allergic reactions to nirsevimab-alip or any of the ingredients in Beyfortus.

Before your child receives Beyfortus, tell your healthcare provider about all of your child’s medical conditions, including if your child:

  • has ever had a reaction to Beyfortus.
  • has bleeding or bruising problems. If your child has a problem with bleeding or bruises easily, an injection could cause a problem.

Tell your healthcare provider about all the medicines your child takes, including prescription and over-the- counter medicines, vitamins, and herbal supplements. Your infant should not receive a medicine called palivizumab if they have already received Beyfortus in the same RSV season.

Serious allergic reactions have happened with Beyfortus. Get medical help right away if your child has any of the following signs or symptoms of a serious allergic reaction:

  • swelling of the face, mouth, or tongue
  • difficulty swallowing or breathing
  • unresponsiveness
  • bluish color of skin, lips, or under fingernails
  • muscle weakness
  • severe rash, hives, or itching

The most common side effects of Beyfortus include rash and pain, swelling, or hardness at the site of your child’s injection. These are not all the possible side effects of Beyfortus. Call your healthcare provider if you have questions about side effects.

Full Prescribing Information: https://products.sanofi.us/beyfortus/beyfortus.pdf

Patient Information: https://products.sanofi.us/beyfortus/beyfortus_patient-info.pdf

00;00;00;04 – 00;00;21;10
Dr. Mona
This Sanofi sponsored episode is intended for informational purposes only and should not be considered medical advice. Patients should follow up with their health care provider for individual and personalized guidance for managing their health care needs. In addition, I want to note that during the course of our discussion today, speakers will be referencing their personal and professional experiences. These experiences and views are their own and experiences may vary.

00;00;21;12 – 00;00;39;05
Dr. Mona
Welcome back to the PedsDocTalk podcast. I’m your host, Doctor Mona, and this show continues to be a top parenting podcast because of you. And not only do I love it because I get to help educate and empower you through your parenting journey, I get to chat with the most amazing guests and have the coolest opportunities. Like this episode.

00;00;39;11 – 00;01;06;11
Dr. Mona
I recorded this episode in New York City with two very special and inspiring moms and leaders. Can’t wait for you to tune in to our conversation! So we are shaking things up today on the Stock Talk podcast as I’m recording from joining Bay Forces in New York City, an event hosted by Shawn Johnson East in collaboration with Sanofi, an innovative global health care company discovering, developing and delivering medicines and immunizations for millions of people around the world.

00;01;06;13 – 00;01;33;25
Dr. Mona
And Nanit, a leading provider of baby monitors and other products to help moms and dads navigate parenthood. Today, mom content creators have come together to talk parenting and baby health, make some new friends, which I saw was happening, and share some laughs. I like to think of it as kind of a sisterhood of parenthood, if you will. As part of our conversation, we will also be talking about something pretty timely, assuming you are tuning in between November and March.

00;01;33;27 – 00;01;59;26
Dr. Mona
Serious lung disease caused by respiratory syncytial virus, or RSV. We’ll also be opening up the conversation to the others in the room, so we can have a bit of a Q&A to leave you all, leaving a little more reassured. Before we introduce our guests, I want to provide some background on RSV, a topic that for many parents only came to the forefront as a result of recent surges and the approval of immunizations to help prevent it in babies.

00;01;59;28 – 00;02;24;08
Dr. Mona
RSV is a highly contagious virus that can lead to lung infections like bronchiolitis in babies and can be spread from kissing or even snuggling with a favorite person or a favorite toy. RSV is most common during the winter. Virus season usually fall through spring, but can vary by local areas. For example, in Florida, where I practice, our RSV season typically occurs a little bit earlier, and we’re actually in it right now.

00;02;24;11 – 00;02;42;28
Dr. Mona
Compared to other parts of the country, that means it is now circulating in Florida and other southern states, and will soon be affecting other parts of the country. Some listeners may be newly familiar with RSV, but it has been around for a long time, and it’s something I have dealt with for over a decade in my training and my clinical practice.

00;02;43;00 – 00;03;04;04
Dr. Mona
In my experience as a pediatrician, I’ve seen the full variety of symptoms. Most of the time RSV will be a mild, cold like illness, which we have talked about, and initial symptoms of RSV can include congestion, runny nose, irritability, decreased appetite and fever, so look similar to a common virus that you may experience like any other upper respiratory virus.

00;03;04;07 – 00;03;38;11
Dr. Mona
Symptoms which tell me that the infection has likely spread to the lungs and my patients need to go to the hospital or come see me in the office. Include short, shallow and abnormally fast breathing, a wheezing cough, nasal flaring, poor feeding, unusual tiredness, developing a blue tint in their fingernails or their lips. The classic presentation of a baby or toddler with RSV lung infection includes typical viral symptoms mentioned above, but around day 3 or 4 of illness, which a lot of the stories said, that baby had it on Friday.

00;03;38;11 – 00;04;02;21
Dr. Mona
By Sunday, they were in the hospital. They start developing shortness of breath and parents will report noisy breathing, a sign that they’re developing lung involvement, which we are trying to prevent. RSV is more common than you might think, and I don’t. Severe RSV is uncommon. It is the leading cause of hospitalization in babies under one, and 1 in 4 infants hospitalized with RSV are admitted to an intensive care unit.

00;04;02;23 – 00;04;24;03
Dr. Mona
Many are surprised to hear that babies are 16 times more likely to be hospitalized with RSV than the flu, and that severe RSV can impact babies that are healthy and born full term. I think there is a common misperception that RSV is only serious for babies that are premature or have underlying medical conditions, but that is unfortunately not true.

00;04;24;06 – 00;05;00;08
Dr. Mona
But the good news is, last year, the first and only long acting RSV prevention administered directly to babies became more available. And we’re going to hear more about that, including a firsthand experience with it later on. And as I mentioned, I’m sitting here with some extra special guests today that I couldn’t be more excited to chat with. We’re joined by Olympic gold medalist in gymnastics, mother to three kids and parenting content creator Shawn Johnson East, who has also partnered with Sanofi to help raise awareness for RSV prevention.

00;05;00;10 – 00;05;21;03
Dr. Mona
We’re also joined by vice president of clinical research at Nanit, doctor Natalie Barnett, also a mom to three boys. Thank you so much for joining me today. Thank you. I’m so excited to chat. And the first question I have is for both of you. And I’ll have Shawn go first. But before becoming a mom, how familiar were you with RSV and had you even heard of it?

00;05;21;05 – 00;05;33;05
Shawn Johnson East
Not familiar at all. I had not, I don’t think I had even heard about RSV, let alone knew how common it was and how, risky it could be. But definitely I got to learn it firsthand.

00;05;33;08 – 00;05;34;07
Dr. Mona
And what about you?

00;05;34;09 – 00;05;54;28
Dr. Natalie Barnett
So when I was the new parent, I had heard of RSV, but did not know much about it at all. But now, today, it’s something that I’m, you know, very familiar with. And I know through our studies at Nanit lab and the research that we’ve done, how challenging it can be for parents to, to be dealing with, with any sickness.

00;05;55;03 – 00;06;10;12
Dr. Mona
So, yeah. And thank you so much. I like as a pediatrician, I just like to hear where people stand with all these things that I’m so familiar with. I’m like, this isn’t new. It’s been around. But it’s so exciting to be here with Sanofi to talk about all of this today. Shawn, you have a personal connection to RSV.

00;06;10;17 – 00;06;12;25
Dr. Mona
Can you tell us more about your family’s experience?

00;06;13;00 – 00;06;34;25
Shawn Johnson East
Yes. So we kind of got hit multiple times. My daughter, when she was 21 months old through she got RSV and I was pregnant with our second, and it presented as just a come. I thought it was a common cold. She handled it very well, but we had it diagnosed in the office because I was pregnant and there was a baby coming around.

00;06;34;27 – 00;07;01;17
Shawn Johnson East
She got through her RSV totally fine, but it was unfortunate because of jet. Six months later after he was born, got RSV and didn’t think much of it since drew handled it just fine. I didn’t go further into research and understanding how severe it could be. It was the third night. Third day I woke up in the middle of the night hearing my baby struggling and he he had a really hard time.

00;07;01;17 – 00;07;19;16
Shawn Johnson East
He couldn’t catch his breath. He was the noisy breathing is an understatement. It was. It was really scary. Ended up calling an ambulance for him and he was hospitalized for almost two days, but made it through that, well, with intervention and treatment. But it was it was definitely a scary experience.

00;07;19;22 – 00;07;26;14
Dr. Mona
And I’ll note that at the time your children were impacted, the two older RSV prevention was only available for high risk babies.

00;07;26;18 – 00;07;35;01
Shawn Johnson East
Yes. It wasn’t even a conversation. I had full term babies. So in my pediatrician’s office and with my ObGyn, it wasn’t something that got brought up.

00;07;35;04 – 00;07;56;26
Dr. Mona
Yeah. And for those of you wondering before, this is a prescription medicine. So we’ve spoken about the difference between vaccines and being a medicine or antibody used to help prevent a serious lung disease caused by RSV in babies under one born during or entering their first RSV season, and certain kids up to 24 months. Your child should not take before this.

00;07;56;27 – 00;08;13;26
Dr. Mona
If your child has a history of serious allergic reactions to their severe Mab, a lippie, or any of the ingredients in before this and before, this may not protect all children. Also before this is a preventative monoclonal antibody, and I love getting nerdy and talking about what that is because it is a little bit different than a vaccine.

00;08;13;28 – 00;08;36;08
Dr. Mona
A quick explanation on what this is and how it’s different from a traditional vaccine that induces immunity. Antibodies are made naturally by our immune system to fight illnesses, especially viruses. But a baby’s immune system might not be strong enough by itself to make enough antibodies to fight RSV. This is where preventative antibodies can come in. They give protection that a maturing immune system can’t yet provide for itself.

00;08;36;11 – 00;09;01;01
Dr. Mona
If your baby comes into contact with RSV, the preventative antibodies in before this stick to the surface of the virus to help prevent it from infecting the baby and causing more severe lung disease. So meanwhile, your traditional vaccine, which we’re hopefully all familiar with, that your children should routinely be getting, are like self-defense instructors. So they teach the immune system to create its own antibodies versus administering them directly.

00;09;01;08 – 00;09;18;13
Dr. Mona
So I describe it as like a self-defense instructor is teaching you how to protect yourself from future invaders. That’s awesome. That’s a vaccine. Whereas if you are getting cornered in an alley and Batman comes to save you, that is an antibody. They’re going to not teach you anything, but they’re going to protect you. So you can hopefully prevent severe lung disease.

00;09;18;13 – 00;09;36;22
Dr. Mona
So if you like an analogy like that, there you go. So it is important to know the difference. And we like to call it a preventative medicine immunization and not a vaccination because it’s technically not a vaccine. And I’ll share full important safety information about before this at the end of this podcast, which is so important to know.

00;09;36;25 – 00;09;56;02
Dr. Mona
And I know as moms, we would do everything in our power to support parents in helping to keep their babies healthy. And that responsibility can be stressful at times. So another question for both of you. What have you done to empower yourselves as parents or help to empower and support other parents? And I’ll ask you first.

00;09;56;02 – 00;10;18;15
Shawn Johnson East
Shawn talks to my pediatrician way too much. So much so that he’ll probably block my number soon. Truly, my pediatrician is like a lifeline. Yeah, he is a part of our family and I lean on him for every single thing. When we got pregnant with our third, of course he was due in the middle of RSV season. And we had we always host about 30 people at our house.

00;10;18;15 – 00;10;39;16
Shawn Johnson East
11 of those were kids under the age of six when he was born. And it’s something that’s very important to our family and we couldn’t miss. I couldn’t quarantine my baby enough to protect him. So having that conversation with my pediatrician about before this was huge. We talked through all the the potential side effects, such as like rash, hardness at the injection site.

00;10;39;18 – 00;11;01;06
Shawn Johnson East
And for us, it made sense having gone through that with jet, I really just tried to arm myself with a ton of education, ask my pediatrician the questions, go through all the side effects, and for us, we ended up, having bear immunized on his first visit with our pediatrician. And he did great. And it was just a comfort as a mom knowing that that was an option.

00;11;01;09 – 00;11;01;24
Dr. Mona
I love that.

00;11;02;01 – 00;11;37;28
Dr. Natalie Barnett
And I want to, you know, build on Sean’s point about, you know, helping new parents to feel more empowered, you know, and then we really focus on sharing information and offering products that can help support, you know, new parents during that new baby phase. And from my own experience that can feel, you know, very overwhelming. And as some of you are, you know, listening to this podcast may already know, the Nanit suite of products includes really, you know, a lot of amazing things, including our light and sound machine, as well as our baby monitors.

00;11;38;01 – 00;12;03;14
Dr. Natalie Barnett
That can really help parents navigate their baby’s sleep journey. And as much as baby sleep is important. So to his parents sleep. And I remember our sleep being, you know, a very big topic when I was a new mom. And I would encourage expectant and new moms to try and manage expectations about newborn sleep, but also learn about, you know, tools and tips and tricks to establishing good, you know, sleep practices over time.

00;12;03;19 – 00;12;22;27
Dr. Mona
And, you know, thank you both for all that you do to support parents. And you know, moms and dads as well. And Sean, it goes without saying that I love your platform, your podcasts, your social media to be able to speak so transparently about the stories that you share is so nice, because people feel less alone. I think every parent wants to do the best that they can, especially moms.

00;12;22;27 – 00;12;42;03
Dr. Mona
And sometimes we feel guilty when our kids get sick. Sometimes we feel like we’re not doing it enough. So when you have a large following and you’re sharing this real life mom life that things are good, but sometimes it’s not so good, sometimes you’re going to be hospitalized, sometimes you’re going to have this happen and sometimes your kids are not going to always do what you want.

00;12;42;03 – 00;12;45;12
Dr. Mona
It’s so refreshing. So thank you for doing that.

00;12;45;13 – 00;12;46;00
Shawn Johnson East
Thank you.

00;12;46;04 – 00;13;05;24
Dr. Mona
Yeah, I’m not going to make you cry, but it’s really important. Yeah. Thank you. It’s a you’re you’re helping the world I mean and I love following you for that. And Natalie, I know how nerve wracking early parenthood can be, and I think of all the information and offerings that Nanit has to be able to support parents and help them feel more empowered, because that’s literally what this is all about, right?

00;13;05;24 – 00;13;22;20
Dr. Mona
That is so important because there’s so many chapters that will happen in a parent’s life. And in that first few months, especially in that first year, we’re talking about, you know, something that’s going to help prevent severe lung disease. And before this, but, you know, the sleep concerns, the technology that’s out there to really help support and empower parents.

00;13;22;20 – 00;13;23;21
Dr. Mona
I really appreciate that.

00;13;23;29 – 00;13;56;05
Dr. Natalie Barnett
Thank you. Yeah. And I am a mom of three teenage boys now, but, you know, but some of our new technology that where, you know, that we have developed, I just wish I, you know, could have had them was around, you know, when I was a new parent myself. But part of what I do it nanit is I lead our research team and oversee collaborations and, you know, and researchers at hospitals and universities all over the world to really help better understand pediatric sleep using the camera.

00;13;56;08 – 00;14;20;17
Dr. Natalie Barnett
And this work is done through our research program called Nanit Lab. And we really believe that the power of technology and data to help you, help you better understand your baby’s sleep and babies thrive when their lives are consistent and they know what to expect next. Next. And establishing good, healthy sleep habits from an early age can really help benefit them for the rest of their lives.

00;14;20;19 – 00;14;31;00
Dr. Natalie Barnett
And the insights on this can help, you know, parents, make sure their baby is following a routine that works best for them and, you know, works best for their family.

00;14;31;03 – 00;14;54;01
Dr. Mona
I appreciate that because everywhere a parent will look, especially at parenting in 2024, you’re going to find more information and new toys and new parenting styles. Do this, do that, new medical guidance. It is overwhelming, and I’m sure people in this room can feel the same way and it can be very stressful. You know, the never ending stream of opinions that people will get from grandparents or friends.

00;14;54;03 – 00;15;09;18
Dr. Mona
And we live in a time where we are connected to the world like never before. And I think it’s such a blessing. And I again, I love the technology, but it also everything’s in the palm of our hands and with that can really cause a lot of stress. And that’s kind of why I started my podcast in the first place.

00;15;09;22 – 00;15;31;26
Dr. Mona
And my platform, because there is a way to parent without the noise, you know, you got to get the information from the right places, use the products that are evidence based, which I know Nanit is involved with it with use and gravitate towards information that’s adequate and informed versus misinformation. You know, it’s I’m so grateful to be here with Bay for this incident, Sanofi, because there’s evidence to what we’re doing here.

00;15;31;26 – 00;15;50;24
Dr. Mona
You know, and same thing with what Nanit is doing. And I wanted to just break it all down and get to the bones of the issues at hand to help parents guide them through this never ending information and decision overload, because that is what causes parents, especially my fellow moms in my office, to lose sleep. They’re worrying about doing it right.

00;15;50;26 – 00;16;07;18
Dr. Mona
And the fact of the matter is, as moms, we’re all just trying to do the best that we can. And I genuinely believe this. For every mom that walks through my door and every mom that attended this event today, because we want to protect them from harm and especially protect them from illness, we don’t want to see our children hospitalized.

00;16;07;20 – 00;16;25;14
Dr. Mona
And as a pediatrician, I know that sometimes that happens, but that is what we all want. And in recent years, pediatric respiratory infections have taken a front seat in a lot of our minds. I know many of us have seen the headlines about RSV, especially two years ago when illnesses and hospitalizations from RSV were sadly on the rise.

00;16;25;14 – 00;16;50;19
Dr. Mona
And until last year, the only protection available was for high risk babies or behavioral interventions like handwashing and cocooning, which is where you protect your baby away from those that might be sick. But finally, there are preventions with before. It is, for example, that help provide your baby with an extra layer of protection, and a single dose can give your baby five months of protection against serious RSV lung infection.

00;16;50;21 – 00;17;14;20
Dr. Mona
An additional dose of before it is maybe needed for children up to 24 months if they are high risk, if they’re entering their second season in our high risk. And for children undergoing cardiac surgery with cardiopulmonary bypass, an additional dose of before this is recommended as soon as the child is stable after surgery. So the most important thing is always speaking to your child’s clinician if you’re unsure if they should get it, if they’re over the age of one.

00;17;14;22 – 00;17;30;19
Dr. Mona
If your baby is born during RSV season, which is now fall through spring before two should be given at birth, and all hospitals should be offering it. And if you don’t want to get it there, you can get it at your pediatrician’s office and they’re going to get it usually at their first doctor’s visit or whenever you decide to do it.

00;17;30;19 – 00;17;52;01
Dr. Mona
But sooner is better so that you can be protected for the season. If your baby is born in the spring or summer, your baby can get before this at a regular checkup, typically just before RSV season, and they get their injection at the same time as other routine childhood vaccinations. So no special visits, no more car, car seat, you know, trying to get them in the car seat for other trips, just do it all at one time.

00;17;52;01 – 00;18;14;14
Dr. Mona
And as a pediatrician who knows all too well the impact of RSV and what it can have on babies, their parents and fellow providers, I feel hopeful that there’s now an option recommended by the CDC, as well as the American College of Obstetricians and Gynecologists and the American Academy of Pediatrics, and supported by a growing, incredible body of evidence before.

00;18;14;14 – 00;18;33;09
Dr. Mona
This has also been added to the approved immunization schedule. This means that before this may be available to your baby at no cost. As part of the vaccines for children or VFC program, VFC is a federally funded program that provides vaccines to children at no cost for those who might not be vaccinated because of an inability to pay.

00;18;33;12 – 00;18;53;15
Dr. Mona
I do want to note to some that some providers may charge an administration fee, but the goal here is to get as many babies protected so that we can prevent severe lung disease. And I hope that parents will feel encouraged by this conversation and visit before the scheme as well as speak to their doctor to determine what’s best for you and your family.

00;18;53;17 – 00;19;14;29
Dr. Mona
And I did want to open up the conversation to everyone here today. And if anyone has any questions, we would love to answer those for you. What advice do you have for new parents when it comes to analysis paralysis? Sometimes it’s so hard to know what the right choice is for our babies. So how would you recommend navigating that?

00;19;15;06 – 00;19;41;25
Dr. Natalie Barnett
Look at Moana. That’s a great question. And look, you know, parents are really trying to make the right everyone wants to make the right choice for their for their baby. And that we want to we want to empower parents with the data that we’re giving them. We want we don’t want to be overwhelming them. We want them to feel empowered that they can make decisions about their, you know, about their babies.

00;19;41;26 – 00;20;02;06
Dr. Natalie Barnett
You know, wellness and sleep through the data that we’re providing them. Of course, we always want, you know, folks to be going to their pediatrician or their health care provider for any, you know, for any, you know, medical concerns they may have. But we really want to we don’t want them to be feeling overwhelmed or have analysis paralysis.

00;20;02;06 – 00;20;26;15
Dr. Natalie Barnett
We want to simplify all of, you know, all of the data that they’re getting. And we try and, you know, we try and do that every day by trying to, you know, we analyze their their sleep data, their milestone data, their movement data and are able to sort of simplify that and present that to parents in a, in a way that they can understand and feel, you know, empowered by, not feel overwhelmed by.

00;20;26;22 – 00;20;27;27
Dr. Mona
I love that I do have.

00;20;27;27 – 00;20;40;01
Shawn Johnson East
To say we’re a family three times over. I love it the only thing we’ve ever used. She I was geeking out with her. I’m like, this is the greatest thing ever created for parents. I was watching my baby sleep year earlier.

00;20;40;03 – 00;20;44;18
Dr. Mona
Well, you showed it to me and I was like, this is amazing. And I’m going to be coming in at family two now.

00;20;44;18 – 00;20;46;13
Shawn Johnson East
I think I still use it with my five year old.

00;20;46;13 – 00;20;56;17
Dr. Mona
I love it. Yeah. And then another question that had come up was for you, Sean, what is one thing that helped you feel supported and calmer in the transition from pregnancy to parenthood?

00;20;56;20 – 00;21;15;00
Shawn Johnson East
Oh my goodness, I know have three. But yes, I would just say it our my community. I feel like my husband and I have tried really hard, just I feel like it’s a common theme through all of these. There’s there’s so much information out there that you can get really scared as a new parent about whether you’re making the right choice or not.

00;21;15;02 – 00;21;45;27
Shawn Johnson East
And I think something my pediatrician and my OB really reiterated to me early on when I had my first baby was this idea and this this fact. I think that you are your child’s best parents. Not grandma, not the internet, not your followers or commenters or anything. It’s truly you and your your best advocate for your your children and remembering if you can remember that and keep your kind of close circle small when it comes to those decisions for you and your your babies.

00;21;45;27 – 00;22;02;01
Shawn Johnson East
I think that’s really important because it is very specific to you and your circumstance and your family and don’t let your net get too wide. Yeah, because it can be really intimidating and scary. So we truly just try to lean on the people that we have in our close community.

00;22;02;06 – 00;22;20;29
Dr. Mona
And I can tell you do that, and it’s a great piece of advice, because when I have families come in that are telling me they read this, and then someone saying this, I’m like, well, who’s that most trusted person besides me? Hopefully because I know your child’s health, who is that person for you? And so I love that you guys do that, because it could get so easy to listen to every single opinion.

00;22;20;29 – 00;22;28;06
Dr. Mona
And does it mean that every single opinion is a good one? Or they may not know what’s really going on in your family. And so that’s, that’s such useful advice.

00;22;28;07 – 00;22;40;24
Shawn Johnson East
Thank you. We work really hard. And I don’t want to say that I haven’t had massive failures where I go to Google and I’m like, what’s wrong? And then I freak out and call my pediatrician in the middle of the night, and he’s like, get off the internet, you’re fine.

00;22;40;28 – 00;23;01;18
Dr. Mona
And thank you so much for your love for your pediatrician. You said it a few times, but as I even though I’m not your pediatrician, like to hear people talk so positively about the modern medical system and pediatricians, it’s so reassuring because this is, again, what we’re trying to do here. And really support modern medicine, support the advancements in technology, in science, in evidence based research.

00;23;01;18 – 00;23;24;21
Dr. Mona
And so when, you know, content creators or celebrities are saying, I love my doctor, my doctor is my go to, he’s not going to block your calls, okay. We really appreciate that. I love it if anyone’s thinking of one, I’m just going to say one that I often get asked as well, which was reiterated or was said before is Doctor Mona, when do I know I need to see my doctor if they have RSV?

00;23;24;21 – 00;23;42;01
Dr. Mona
Or do I need to go when they just have a stuffy nose and the answer is you do not need to go if your child has a stuffy nose. Okay, the hope is that you’re going to get this preventative antibody and that is going to prevent or reduce the risk of severe lung infection. So before this is not going to reduce your chance of getting RSV.

00;23;42;01 – 00;24;00;29
Dr. Mona
But the beauty of it is that if your child contracts it, it can really significantly reduce their chance of getting the bronchiolitis and the pneumonia. That is the thing that I’m seeing. I’m not seeing patients for a runny nose. Well, I do, but I’m more concerned of the lung involvement, the bronchiolitis, the involvement of the lower, airway, the pneumonias.

00;24;01;02 – 00;24;16;04
Dr. Mona
So if your child has a runny nose, I need you to protect your piece and not go into panic mode thinking that, oh my God, they’re going to be in an ICU. It’s over. I can’t believe this. You’re going to say, I got this. We’re going to take this day by day. My kid is sick right now. I’m going to love them.

00;24;16;04 – 00;24;37;12
Dr. Mona
I’m going to support them. And if you do see on that day 3 or 4 of illness, you start to see that difficulty breathing. So this is being recorded. But the lungs tugging the the chest tugging in and out your sternal notch, which is right above your call, like right by your collarbone tugging in and out your nostrils of your baby’s flaring in and out.

00;24;37;19 – 00;24;55;06
Dr. Mona
You will not miss respiratory distress. I know I’ve never seen a parent be unsure of respiratory distress, but if you see any of the signs, whether it’s RSV or not, you’re going to seek medical attention. You can call your doctor’s office. If they’re not open, you’re just going to go to the hospital. Another thing you’re going to look out for is dehydration.

00;24;55;06 – 00;25;19;10
Dr. Mona
So your baby, your toddler not drinking, not urinating, really sunken eyes, lips are super dry. That is another sign of medical necessity that we need to evaluate. And then your third thing is they’re just off listless. They’re not your normal baby. They may have a fever and you just can’t get them cancelable you’re going to want us to take a look at them so we can provide, even if it’s just reassurance.

00;25;19;12 – 00;25;34;07
Dr. Mona
And then with fever, persistence, any time a child has a fever over the age of three months, we would, You know, if your child is dehydrated, difficulty breathing. We want to know if you do have an infant under the age of three months or a newborn, you’re going to want to let us know right away if they have a fever.

00;25;34;15 – 00;25;53;06
Dr. Mona
But those are the big things you want to look out for. And I like to be clear about this because many times with the RSV education out there or the news stories, people here like get a letter from their daycare, there’s RSV circulating, and they look at their newborn, and then every breathing change, they think it’s like they need to go to the hospital.

00;25;53;11 – 00;26;10;18
Dr. Mona
My cousin just had a baby and she sent me ten videos. And I’m like, you’re so lucky that I’m your cousin, because I will tell you. And she’s like, thank you so much. I heard about RSV and I’m like, no, that’s just normal newborn breathing. I got you send me another message. But I think it’s really important to know what things look like.

00;26;10;22 – 00;26;32;06
Dr. Mona
And if you’re ever unsure, go to your pediatrician, make an appointment. I rather have y’all come in and say, we say y’all are good. Go home. Then you Google searching things in the middle of the night because knowledge is power and it can give you a guidance on what do I need to look out for? I want to thank you all for joining us today.

00;26;32;08 – 00;26;44;01
Dr. Mona
This was such an amazing conversation. Natalie and Sean, thank you for joining me. Thank you and for this really cool experience of this live podcast. So thank you for your time and for this beautiful event. Sanofi. Thank you.

00;26;44;03 – 00;26;46;05
Dr. Natalie Barnett
Yeah, pleasure. Thank you.

00;26;46;07 – 00;27;12;04
Dr. Mona
Whether it’s your first child or your fourth, having a new baby is overwhelming, especially with all of the competing opinions and information overload out there. So I truly hope that I help break down the information around RSV infection and a preventative measure that may be available to you. Since RSV season has already started in many parts of the country, don’t wait to talk to your Ob-Gyn, pediatrician, or health care provider about RSV prevention.

00;27;12;10 – 00;27;48;24
Dr. Mona
Please listen to full, important safety information at the end of this podcast and see full Prescribing Information in the link in the description. You can also visit before to SI.com to learn more important safety information. Your child should not take before us. If your child has a history of serious allergic reactions to a map, a lip, or any of the ingredients in Bay Fortis before your child receives Bei Fortis, tell your health care provider about all of your child’s medical conditions, including if your child has ever had a reaction to B Fortis has bleeding or bruising problems.

00;27;48;26 – 00;28;13;17
Dr. Mona
If your child has a problem with bleeding or bruises easily, an injection could cause a problem. Tell your health care provider about all of the medicines your child takes, including prescription and over-the-counter medicines, vitamins and herbal supplements. Your infant should not receive a medicine called poorly vis a Mab if they have already received Bei Fortis in the same RSV season.

00;28;13;19 – 00;28;50;19
Dr. Mona
Serious allergic reactions have happened with Bei Fortis. Get medical help right away. If your child has any of the following signs or symptoms of a serious allergic reaction. Swelling of the face, mouth or tongue. Difficulty swallowing or breathing. Unresponsiveness. Bluish color of skin, lips or under fingernails. Muscle weakness. Severe rash, hives or itching. The most common side effects of bei fortis include rash and pain, swelling or hardness at the site of your child’s injection.

00;28;50;22 – 00;29;15;05
Dr. Mona
These are not all the possible side effects of Bei Fortis. Call your health care provider if you have questions about side effects. Indication Bay Fortis is a prescription medicine used to help prevent a serious lung disease caused by respiratory syncytial virus. RSV in newborns and babies under one year of age born during or entering their first RSV season.

00;29;15;07 – 00;29;22;06
Dr. Mona
Children up to 24 months of age who remain at risk of severe RSV disease through their second RSV season.

Please note that our transcript may not exactly match the final audio, as minor edits or adjustments could be made during production.

Search for your next binge-worthy topic:

Subscribe to the PedsDocTalk Newsletter

The New Mom’s Survival Guide

Course Support

Need help? We’ve got you covered.

All information presented on this blog, my Instagram, and my podcast is for educational purposes and should not be taken as personal medical advice. These platforms are to educate and should not replace the medical judgment of a licensed healthcare provider who is evaluating a patient.

It is the responsibility of the guardian to seek appropriate medical attention when they are concerned about their child.

All opinions are my own and do not reflect the opinions of my employer or hospitals I may be affiliated with.