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	Comments for Kindercare Pediatrics	</title>
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	<link>https://kindercare.ca/</link>
	<description>Toronto Pediatrician. Toronto Pediatric Practice. Toronto Multidisciplinary Child Health Center.</description>
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		Comment on The (Not So) Great Canadian Domperidone Debacle by Corina Vicol		</title>
		<link>https://kindercare.ca/the-not-so-great-canadian-domperidone-debacle-next-steps/#comment-1776</link>

		<dc:creator><![CDATA[Corina Vicol]]></dc:creator>
		<pubDate>Tue, 26 Jun 2018 23:15:00 +0000</pubDate>
		<guid isPermaLink="false">http://kindercare.flywheelsites.com/?p=809#comment-1776</guid>

					<description><![CDATA[In reply to &lt;a href=&quot;https://kindercare.ca/the-not-so-great-canadian-domperidone-debacle-next-steps/#comment-76&quot;&gt;Yev&lt;/a&gt;.

You are not alone, I experienced what felt like my heart was dancing in my chest almost up to my throat and when I felt my pulse, it felt like a skipped beat at the same time as the palpitation.  It jus wouldn&#039;t stop and I knew something was wrong and seemed to be worsening by the hour until I finally listened and did some research.  First I read the comparisons side effects on my pharmacy sheet and there was an entire section about heart palpitations and what to do if it happens.  It seemed as if this was a &quot;normal&quot; side effect.  

My heart began having an irregular heart beat after a few weeks of dimperidone.  I went to ER to get checked out and got cleared but had to get a heart monitor soon after the ER.  The triage doctors had never heard of domperidone  and on a quick Google search they found that it was likely that it could be causing my symptoms and told me to stop using it.  A few weeks later, after my first holter monitor, a cardiologist told me that my heart slows down or stops too often but it&#039;s not a huge concern that it would need any medication/surgery etc. He mentioned that I did, however, have some kind of abnormalities.  I wasn&#039;t sure how to take that information because he delivered it so passively but over the next two years they have come and gone many times.   

I have had another intense month of palpitations that led me to use another holster monitor, however, the appointment I booked was almost another month after my symptoms and it mostly just goes away after a few weeks so nothing too serious got recorded this time but I was really concerned about the intensity and how long it persisted.  The palpitations come and go, sometimes much worse than others and lasting on average for a couple weeks (several times throughout the day and ranging from a few seconds to about 10 minutes, at it&#039;s worst, it feels like I am getting constant palpitations with few breaks in between).  

Bottom line, I have an ongoing issue with palpitations or an irregular heart rhythm that I know was caused by domperidone.  I have experienced what I would even call bullying from the lactation cconsulting  community and it&#039;s  quite sad that they all choose to turn a blind eye to the facts (yes it has happened to many people and yes it is banned in the US for a good reason).  My opinion is that new moms can be in a very fragile state (despite what others may say, we could be very depleted) and the medication could harm us even though it commonly harms seniors.  Lactation consultants use this medication as their last attempt so it is no surprise that their success sometimes depends  on this medication.  Therefore, it&#039;s common sense that they won&#039;t listen and most often try to argue and put down the horrible experiences. Side note: I got more milk by using it but I had to keep up with taking the pills (if I stopped, I lost my milk).  After the heart issues, I couldn&#039;t take the pills and within a few weeks I completely lost my milk because of all the stress/worry and deteriorated health.]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://kindercare.ca/the-not-so-great-canadian-domperidone-debacle-next-steps/#comment-76">Yev</a>.</p>
<p>You are not alone, I experienced what felt like my heart was dancing in my chest almost up to my throat and when I felt my pulse, it felt like a skipped beat at the same time as the palpitation.  It jus wouldn&#8217;t stop and I knew something was wrong and seemed to be worsening by the hour until I finally listened and did some research.  First I read the comparisons side effects on my pharmacy sheet and there was an entire section about heart palpitations and what to do if it happens.  It seemed as if this was a &#8220;normal&#8221; side effect.  </p>
<p>My heart began having an irregular heart beat after a few weeks of dimperidone.  I went to ER to get checked out and got cleared but had to get a heart monitor soon after the ER.  The triage doctors had never heard of domperidone  and on a quick Google search they found that it was likely that it could be causing my symptoms and told me to stop using it.  A few weeks later, after my first holter monitor, a cardiologist told me that my heart slows down or stops too often but it&#8217;s not a huge concern that it would need any medication/surgery etc. He mentioned that I did, however, have some kind of abnormalities.  I wasn&#8217;t sure how to take that information because he delivered it so passively but over the next two years they have come and gone many times.   </p>
<p>I have had another intense month of palpitations that led me to use another holster monitor, however, the appointment I booked was almost another month after my symptoms and it mostly just goes away after a few weeks so nothing too serious got recorded this time but I was really concerned about the intensity and how long it persisted.  The palpitations come and go, sometimes much worse than others and lasting on average for a couple weeks (several times throughout the day and ranging from a few seconds to about 10 minutes, at it&#8217;s worst, it feels like I am getting constant palpitations with few breaks in between).  </p>
<p>Bottom line, I have an ongoing issue with palpitations or an irregular heart rhythm that I know was caused by domperidone.  I have experienced what I would even call bullying from the lactation cconsulting  community and it&#8217;s  quite sad that they all choose to turn a blind eye to the facts (yes it has happened to many people and yes it is banned in the US for a good reason).  My opinion is that new moms can be in a very fragile state (despite what others may say, we could be very depleted) and the medication could harm us even though it commonly harms seniors.  Lactation consultants use this medication as their last attempt so it is no surprise that their success sometimes depends  on this medication.  Therefore, it&#8217;s common sense that they won&#8217;t listen and most often try to argue and put down the horrible experiences. Side note: I got more milk by using it but I had to keep up with taking the pills (if I stopped, I lost my milk).  After the heart issues, I couldn&#8217;t take the pills and within a few weeks I completely lost my milk because of all the stress/worry and deteriorated health.</p>
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		Comment on Sorry Kid. Spend The School Day In Your Soiled Soggy Underwear; We Don&#8217;t Do Dirty Bums by KindieTeach		</title>
		<link>https://kindercare.ca/sorry-kid-spend-the-school-day-in-your-soiled-soggy-underwear-we-dont-do-dirty-bums/#comment-1774</link>

		<dc:creator><![CDATA[KindieTeach]]></dc:creator>
		<pubDate>Wed, 25 Apr 2018 13:58:00 +0000</pubDate>
		<guid isPermaLink="false">http://kindercare.flywheelsites.com/?p=1734#comment-1774</guid>

					<description><![CDATA[As a Kindergarten teacher, it is not really my place to physically wipe a child, that is too intimate of an action and I do not feel comfortable performing such tasks. I do help children by talking them through anything that happens when they need help, we help students know when they may need to change their clothing so that they are clean, and we do whatever else is needed to ensure the safety of the students in the classroom, and our own. My job is to deliver the curriculum that the ministry has set out, not to toilet students. Remember that day cares are completely different in how they are set up (1 to 8 ratio vs the 1 to 15+ in a Kindergarten classroom), the workers are specifically trained in how to deal with such issues, and have different insurance coverage than we do at a school. I never received training on how to assist students who have had a BM and can&#039;t wipe appropriately. I can empathize with those families who encounter this situation but to blame the teachers is completely inappropriate and immoral.]]></description>
			<content:encoded><![CDATA[<p>As a Kindergarten teacher, it is not really my place to physically wipe a child, that is too intimate of an action and I do not feel comfortable performing such tasks. I do help children by talking them through anything that happens when they need help, we help students know when they may need to change their clothing so that they are clean, and we do whatever else is needed to ensure the safety of the students in the classroom, and our own. My job is to deliver the curriculum that the ministry has set out, not to toilet students. Remember that day cares are completely different in how they are set up (1 to 8 ratio vs the 1 to 15+ in a Kindergarten classroom), the workers are specifically trained in how to deal with such issues, and have different insurance coverage than we do at a school. I never received training on how to assist students who have had a BM and can&#8217;t wipe appropriately. I can empathize with those families who encounter this situation but to blame the teachers is completely inappropriate and immoral.</p>
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		Comment on The (Not So) Great Canadian Domperidone Debacle by Celsus		</title>
		<link>https://kindercare.ca/the-not-so-great-canadian-domperidone-debacle-next-steps/#comment-1766</link>

		<dc:creator><![CDATA[Celsus]]></dc:creator>
		<pubDate>Fri, 25 Nov 2016 21:19:00 +0000</pubDate>
		<guid isPermaLink="false">http://kindercare.flywheelsites.com/?p=809#comment-1766</guid>

					<description><![CDATA[As a type 1 diabetic suffering from severe gastroparesis, I would simply starve to death if I had to stop taking domperidone, of which I need at least 60 mg. daily.  What am I supposed to do if the drug is banned, resort to continual parenteral nutrition?]]></description>
			<content:encoded><![CDATA[<p>As a type 1 diabetic suffering from severe gastroparesis, I would simply starve to death if I had to stop taking domperidone, of which I need at least 60 mg. daily.  What am I supposed to do if the drug is banned, resort to continual parenteral nutrition?</p>
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		Comment on The Most Powerful Antivaccinationist of Them All by cecilia		</title>
		<link>https://kindercare.ca/the-most-powerful-antivaccinationist-of-them-all/#comment-1765</link>

		<dc:creator><![CDATA[cecilia]]></dc:creator>
		<pubDate>Tue, 20 Sep 2016 21:04:00 +0000</pubDate>
		<guid isPermaLink="false">http://kindercare.flywheelsites.com/?p=3145#comment-1765</guid>

					<description><![CDATA[please don&#039;t let this shithead near the WHITE HOUSE]]></description>
			<content:encoded><![CDATA[<p>please don&#8217;t let this shithead near the WHITE HOUSE</p>
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		Comment on My Family&#8217;s Visit to Canada&#8217;s (Food) Blunderland by Leticia Prospero		</title>
		<link>https://kindercare.ca/my-familys-visit-to-canadas-food-blunderland/#comment-1762</link>

		<dc:creator><![CDATA[Leticia Prospero]]></dc:creator>
		<pubDate>Mon, 20 Jun 2016 01:17:00 +0000</pubDate>
		<guid isPermaLink="false">http://kindercare.flywheelsites.com/?p=1181#comment-1762</guid>

					<description><![CDATA[I love this article. True reflection of my thoughts. The food is gross and non healthy at all, let alone the line you usually have to stand before taking your order. Not many parks these days still have &quot; no outside food policy&quot;, I guess due to allergies and special diets. I am surprised that CW still going strong about this and not following the bigger parks trend. It is horrible that we are limited to their choice of foods, and also their prices. I didnt know about the water, so I&#039;ll be bringing bottles myself. What I cannot believe is how some people actually got offended or made rude comments about you, it is more upsetting than CW food policy, to see there is still some very rude people in this world that hide behind a screen to throw an insult at you with no reason at all, just for the pleasure of being rude. It is obvious this policy is WRONG in all ways, no matter how many signs they have, no matter if they let me go out to eat, what if I come with TTC?. I dont understand this people defending this policy.... whats their gain? Thank you for your wonderful article. We are heading tomorrow with my nine year old and pizza will be for lunch...]]></description>
			<content:encoded><![CDATA[<p>I love this article. True reflection of my thoughts. The food is gross and non healthy at all, let alone the line you usually have to stand before taking your order. Not many parks these days still have &#8221; no outside food policy&#8221;, I guess due to allergies and special diets. I am surprised that CW still going strong about this and not following the bigger parks trend. It is horrible that we are limited to their choice of foods, and also their prices. I didnt know about the water, so I&#8217;ll be bringing bottles myself. What I cannot believe is how some people actually got offended or made rude comments about you, it is more upsetting than CW food policy, to see there is still some very rude people in this world that hide behind a screen to throw an insult at you with no reason at all, just for the pleasure of being rude. It is obvious this policy is WRONG in all ways, no matter how many signs they have, no matter if they let me go out to eat, what if I come with TTC?. I dont understand this people defending this policy&#8230;. whats their gain? Thank you for your wonderful article. We are heading tomorrow with my nine year old and pizza will be for lunch&#8230;</p>
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		Comment on Have We Been Overstating The Benefits of Breastfeeding? I Don&#8217;t Think So And Here&#8217;s Why by Jimo		</title>
		<link>https://kindercare.ca/have-we-been-overstating-the-benefits-of-breastfeeding-i-dont-think-so-and-heres-why/#comment-1755</link>

		<dc:creator><![CDATA[Jimo]]></dc:creator>
		<pubDate>Tue, 01 Mar 2016 22:14:00 +0000</pubDate>
		<guid isPermaLink="false">http://kindercare.flywheelsites.com/?p=1984#comment-1755</guid>

					<description><![CDATA[I have come to this discussion late but I have a very important question specifically about the maternal health benefits of breastfeeding you raised. Breastfeeding advocates often tout these but I find them the least convincing of all.

Is it not entirely possible these are mostly a correlation and not causation? Ie, that a mother&#039;s health problems hinder her ability to breastfeed and not the other way around?

For example, emerging research seems to indicate insulin resistance could be a major contributor of primary low supply. That would go a long way to explaining the purported link between diabetes and obesity in mothers who don&#039;t breastfeed. 

Other links might be more indirect. For example, many mothers with persistent hyperemesis gravidarum take high doses of B6 until birth to treat nausea and vomiting. High doses of B6 may inhibit prolactin and increase levels of progesterone, which in turn suppresses prolactin. (In my case for example I was taking doses of B6 safe for pregnancy but 2400% higher than had been established in one study as appropriate for lactation.) If combined with any nutritional deficiencies the HG mother is suffering (especially iron deficiency - another known cause of primary low supply) then it is possible these mothers may go on to have great difficulty making breastmilk. They may also go on to experience long-term adverse effects from HG or conditions associated with it (I have no idea what these might be as HG is severely underresearched). This would then appear in the data as if they were due to not breastfeeding when in fact that was not the case.

Others here have already spoken about the impact difficulties with breastfeeding have on mental health, so that could be another example where correlation is mistaken for causation.

Your feedback would be most appreciated. ]]></description>
			<content:encoded><![CDATA[<p>I have come to this discussion late but I have a very important question specifically about the maternal health benefits of breastfeeding you raised. Breastfeeding advocates often tout these but I find them the least convincing of all.</p>
<p>Is it not entirely possible these are mostly a correlation and not causation? Ie, that a mother&#8217;s health problems hinder her ability to breastfeed and not the other way around?</p>
<p>For example, emerging research seems to indicate insulin resistance could be a major contributor of primary low supply. That would go a long way to explaining the purported link between diabetes and obesity in mothers who don&#8217;t breastfeed. </p>
<p>Other links might be more indirect. For example, many mothers with persistent hyperemesis gravidarum take high doses of B6 until birth to treat nausea and vomiting. High doses of B6 may inhibit prolactin and increase levels of progesterone, which in turn suppresses prolactin. (In my case for example I was taking doses of B6 safe for pregnancy but 2400% higher than had been established in one study as appropriate for lactation.) If combined with any nutritional deficiencies the HG mother is suffering (especially iron deficiency &#8211; another known cause of primary low supply) then it is possible these mothers may go on to have great difficulty making breastmilk. They may also go on to experience long-term adverse effects from HG or conditions associated with it (I have no idea what these might be as HG is severely underresearched). This would then appear in the data as if they were due to not breastfeeding when in fact that was not the case.</p>
<p>Others here have already spoken about the impact difficulties with breastfeeding have on mental health, so that could be another example where correlation is mistaken for causation.</p>
<p>Your feedback would be most appreciated. </p>
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		Comment on My Family&#8217;s Visit to Canada&#8217;s (Food) Blunderland by shepd		</title>
		<link>https://kindercare.ca/my-familys-visit-to-canadas-food-blunderland/#comment-1018</link>

		<dc:creator><![CDATA[shepd]]></dc:creator>
		<pubDate>Mon, 25 May 2015 04:50:00 +0000</pubDate>
		<guid isPermaLink="false">http://kindercare.flywheelsites.com/?p=1181#comment-1018</guid>

					<description><![CDATA[There are signs as you drive in informing you you cannot bring food into the park (and they also inform you that you may picnic on the front lawn).  There are signs telling you that you may not bring food into the park at the gates.  It&#039;s clearly stated on their website in multiple places.  I&#039;m not sure how much more effort CW can put into informing you that no, you may not bring outside food into the park.  As an adult, I expect that you&#039;d be smart enough to take advantage of the place you were asked to eat at multiple times.  But, instead, you chose to sneak food into a place you were told you can&#039;t.  You were caught.  Sucks to be you.  Take advantage of their picnic court next time.  The food there is terribly overpriced anyways, so I completely understand why people don&#039;t want to eat there, and they clearly get a lot of people wanting to bring their own food, which would explain the 10 signs posted as you drive into the place telling you where you&#039;ll need to eat.

Obviously it&#039;s run a lot like a theatre where they&#039;d rather you buy expensive food inside (so they ban you bringing your own).  However, unlike a theatre, Canada&#039;s Wonderland will let you leave, eat your picnic, and come back in at no extra charge.  It seems like a fair policy to me, and it&#039;s pretty much standard at all theme parks that aren&#039;t in Orlando or Anaheim.

Also, having known an employee from the park who worked prior to 2007 (and having been there myself 15 years ago) the no outside food policy is long standing.  The National Post would do well to dig a little deeper as Canada&#039;s Wonderland was actually more strict back then---that employee found out that picnics weren&#039;t allowed at that time on the front lawn, they required patrons to vacate the premises (including the parking lot) entirely to eat outside food.]]></description>
			<content:encoded><![CDATA[<p>There are signs as you drive in informing you you cannot bring food into the park (and they also inform you that you may picnic on the front lawn).  There are signs telling you that you may not bring food into the park at the gates.  It&#8217;s clearly stated on their website in multiple places.  I&#8217;m not sure how much more effort CW can put into informing you that no, you may not bring outside food into the park.  As an adult, I expect that you&#8217;d be smart enough to take advantage of the place you were asked to eat at multiple times.  But, instead, you chose to sneak food into a place you were told you can&#8217;t.  You were caught.  Sucks to be you.  Take advantage of their picnic court next time.  The food there is terribly overpriced anyways, so I completely understand why people don&#8217;t want to eat there, and they clearly get a lot of people wanting to bring their own food, which would explain the 10 signs posted as you drive into the place telling you where you&#8217;ll need to eat.</p>
<p>Obviously it&#8217;s run a lot like a theatre where they&#8217;d rather you buy expensive food inside (so they ban you bringing your own).  However, unlike a theatre, Canada&#8217;s Wonderland will let you leave, eat your picnic, and come back in at no extra charge.  It seems like a fair policy to me, and it&#8217;s pretty much standard at all theme parks that aren&#8217;t in Orlando or Anaheim.</p>
<p>Also, having known an employee from the park who worked prior to 2007 (and having been there myself 15 years ago) the no outside food policy is long standing.  The National Post would do well to dig a little deeper as Canada&#8217;s Wonderland was actually more strict back then&#8212;that employee found out that picnics weren&#8217;t allowed at that time on the front lawn, they required patrons to vacate the premises (including the parking lot) entirely to eat outside food.</p>
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		Comment on Sorry Kid. Spend The School Day In Your Soiled Soggy Underwear; We Don&#8217;t Do Dirty Bums by HappyMommy188		</title>
		<link>https://kindercare.ca/sorry-kid-spend-the-school-day-in-your-soiled-soggy-underwear-we-dont-do-dirty-bums/#comment-927</link>

		<dc:creator><![CDATA[HappyMommy188]]></dc:creator>
		<pubDate>Fri, 24 Apr 2015 02:54:00 +0000</pubDate>
		<guid isPermaLink="false">http://kindercare.flywheelsites.com/?p=1734#comment-927</guid>

					<description><![CDATA[That is a mean thing to say. Every child learns at a different pace. Also, we didn&#039;t pay day care so they can come home with a rash and smell like feces. A caring teacher would guide the child to wiping themselves. Often, kids learn better with other children.  My LO was potty trained in TWO weeks by hanging around his older cousins when he was 2.5 years old.  Yes, 2 weeks.  The kid refused to use the potty for over a year but hanging around the cousins - even trained to use the regular toilet at the same time. The LO is still learning to wipe and when he is ready, he will let me know. Forcing a child doesn&#039;t speed the process. If the child is trying then that is all we can ask.]]></description>
			<content:encoded><![CDATA[<p>That is a mean thing to say. Every child learns at a different pace. Also, we didn&#8217;t pay day care so they can come home with a rash and smell like feces. A caring teacher would guide the child to wiping themselves. Often, kids learn better with other children.  My LO was potty trained in TWO weeks by hanging around his older cousins when he was 2.5 years old.  Yes, 2 weeks.  The kid refused to use the potty for over a year but hanging around the cousins &#8211; even trained to use the regular toilet at the same time. The LO is still learning to wipe and when he is ready, he will let me know. Forcing a child doesn&#8217;t speed the process. If the child is trying then that is all we can ask.</p>
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		Comment on Measles in Toronto &#8211; Tips for Concerned Parents by Lily Cheng		</title>
		<link>https://kindercare.ca/measles-toronto-tips-concerned-parents/#comment-809</link>

		<dc:creator><![CDATA[Lily Cheng]]></dc:creator>
		<pubDate>Tue, 03 Feb 2015 05:10:00 +0000</pubDate>
		<guid isPermaLink="false">http://kindercare.flywheelsites.com/?p=2739#comment-809</guid>

					<description><![CDATA[This is very interesting. It talks about vaccine cocooning...but it&#039;s not very realistic if a mom wants to go out with her baby and not live in isolation. You can&#039;t get vaccine clearance from everyone at playgroups or Early Years Centres. This is scary as someone who is about to welcome a newborn into her life.]]></description>
			<content:encoded><![CDATA[<p>This is very interesting. It talks about vaccine cocooning&#8230;but it&#8217;s not very realistic if a mom wants to go out with her baby and not live in isolation. You can&#8217;t get vaccine clearance from everyone at playgroups or Early Years Centres. This is scary as someone who is about to welcome a newborn into her life.</p>
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		Comment on Measles in Toronto &#8211; Tips for Concerned Parents by Abby Cook		</title>
		<link>https://kindercare.ca/measles-toronto-tips-concerned-parents/#comment-807</link>

		<dc:creator><![CDATA[Abby Cook]]></dc:creator>
		<pubDate>Tue, 03 Feb 2015 03:18:00 +0000</pubDate>
		<guid isPermaLink="false">http://kindercare.flywheelsites.com/?p=2739#comment-807</guid>

					<description><![CDATA[Are you suggesting that my infant (10 mo) stay home? What exactly do you mean by &quot;in contact with&quot;?  Can they accompany me to pick up my preschooler? What about taking them grocery shopping?]]></description>
			<content:encoded><![CDATA[<p>Are you suggesting that my infant (10 mo) stay home? What exactly do you mean by &#8220;in contact with&#8221;?  Can they accompany me to pick up my preschooler? What about taking them grocery shopping?</p>
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