[NEW EPISODE] World Breastfeeding Week: August 1 - August 7

Fridays 10:00am - 11:00am (EDT)

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EPISODE SUMMARY:

About Allied Foundation:

We aim to raise awareness about breastfeeding and its advantages. Transitioning to parenthood can be overwhelming. It is a unique period for mother and baby. Hear from our breastfeeding experts, Lauren Macaluso, MD of Macaluso Medicine and Lena Edelstein, MD both breastfeeding medicine physicians offering lactation support. 

About Allied Physicians Group: 

The physicians at Allied Physicians Group provide comprehensive healthcare to families in the New York Metropolitan area. Our practice locations include Brooklyn, Queens, Staten Island, and Nassau, Suffolk, Westchester, Rockland, and Orange Counties. The physicians, clinicians, and staff of Allied take great pride in our care for children and families. Your family can expect unparalleled healthcare and compassionate service whenever you enter our doors.

Allied Foundation is a for-impact, 501C3 organization committed to improving the health and well-being of people in our communities. We focus on newborn support (Diaper Bank and Milk Depots), Period SupplyBank, Early Childhood Literacy, Community Education and Service. Service within the community is at the forefront of everything they do and those they are fortunate to help. 

Website: www.alliedfoundation.org - https://alliedphysiciansgroup.com/

Facebook: https://www.facebook.com/thealliedfoundation - https://www.facebook.com/AlliedPhysiciansGroup/

Instagram: https://www.instagram.com/allied_foundation/?hl=en - https://www.instagram.com/alliedphysiciansgroup/ 

LinkedIn: https://www.linkedin.com/company/alliedfoundation/ - https://www.linkedin.com/company/alliedpg/

#breastfeedingsupport #breastfeedingart #breastfeedinginpublic #breastfeedingisbeautiful #breastfeedingawareness

Tune in for this sensible conversation at TalkRadio.nyc

Show Notes

‍Segment 1
Tommy D initiates the show by introducing a significant topic that his agency aims to raise awareness about: breastfeeding. During the interview, he engages with Heather Edwards, discussing her valuable contributions in educating the public about breastfeeding. Subsequently, Tommy D delves into the professional backgrounds of Dr. Alena Edelstein and Lauren Macaluso, exploring the trajectory that has fueled their dedication to promoting breastfeeding education.

Segment 2

Tommy D initiates the segment by engaging in a conversation with Lauren regarding her perspective on the role of doctors in promoting breastfeeding education. Lauren elaborates on her website and expounds on the key objectives she aims to achieve through her initiatives. Dr. Lena shares insights into the significance of acquiring certifications related to breastfeeding knowledge. Additionally, Lauren emphasizes the importance of breastfeeding as a crucial aspect of maternal and infant health. 

Segment 3

Dr. Lena expounds on the significance of breastfeeding, shedding light on its considerable impact on infant health and health outcomes for mothers. She emphasizes the superior nutritional value of breast milk compared to baby formula, underscoring its profound benefits for both infants and mothers. Lauren delves into the health advantages associated with skin-to-skin breastfeeding and provides valuable insights into the optimal milk choices for infants, including the second and third options. Heather contributes by acknowledging and promoting milk banks where mothers can donate surplus breast milk, supporting infants in need.

‍Segment 4

Lauren elaborates on successful experiences she has had with breastfeeding banks, highlighting positive feedback from her patients who have taken part in milk donation. Dr. Lena underscores the significance of milk banks for mothers and their broader impact. Heather provides valuable information by directing listeners to relevant websites for further details on the topic.     

Transcript

00:00:20.250 --> 00:00:30.349 Tommy DiMisa: Oh, yeah, okay, baby, that's right. Your boy is back. That's what that sound means. It's a Friday morning I made that trek from the kitchen

00:00:30.470 --> 00:00:47.919 Tommy DiMisa: 2 flights of stairs. I'm just below the roof. K. That's right in my attic. Where else would Tommy D be on a philanthropy and focus Friday, you know. Philanthropy starts with a Ph. I might start spelling Friday

00:00:47.970 --> 00:01:16.980 Tommy DiMisa: with a Ph instead of an F. I'm thinking about it again. I'm thinking about it, you know, when you're the nonprofit sector connector. Apparently you get to write your own language. I guess that's bold. That is Bull. Talk about Bold. If you're watching, this shirt is so bright orange, I can't even look at myself, and one of my favorite things to do is look at how we need to be honest with you, but I keep looking in the little box on my zoom stream. And wow! I am super orange. It says amazing if you're not watching it. It says amazing. It was given to me at a Mets game.

00:01:16.990 --> 00:01:25.480 Tommy DiMisa: and my son said to me this morning, Dad, that sure as we sit here, stand here on August fourth, 2,023, he goes. That sure is a lie.

00:01:25.530 --> 00:01:43.650 Tommy DiMisa: The Mets are not amazing right now, and I said, well, look, you know, incredible, outrageous, amazing. All these words have multiple meanings doesn't mean you're gonna win the World series. If you're amazing, it could mean what the heck is going on, man, that's amazing. Anyway, let's not talk too much about the mets. That's a whole, not thing. But I did wear orange today.

00:01:43.650 --> 00:01:57.730 Tommy DiMisa: because every time I see my friend Heather Edwards from Allied Foundation she's rock and orange, and most of my gear is not orange. Most of my stuff is red, or the last night no see or su how to come out. I was actually Googling this morning.

00:01:57.730 --> 00:02:18.969 Tommy DiMisa: Pink Sears soccer suits, because I think if I take the pink linen suit and I cross it with the see, your soccer, I think that's what you get, and that's what I've been kind of those 2 have been like, go to all spring and summer, so I don't know why you're getting to hear about this, but if you pay attention to my show. You probably enjoy this stream of consciousness that just comes out in the beginning of the show. So let me tell you a story.

00:02:19.360 --> 00:02:31.660 Tommy DiMisa: First of all, let me say hello to my guest, because when I start storytelling I don't know if I'm going to get to my guest for another 10 min, so let me say hello to my guest, Heather Edwards, Dr. Lena Edelstein, and Dr. Lauren Macaluso. Hello.

00:02:31.730 --> 00:02:45.470 Tommy DiMisa: doctors and heather! What's going on? I'm excited to have you all here, and even if you tell me to call you Lauren or Lena, my mother would never let me, she would say, Thomas.

00:02:45.620 --> 00:02:47.080 Tommy DiMisa: their doctors.

00:02:47.500 --> 00:03:01.379 Tommy DiMisa: and that's how we would go. And I know she's listening to this show because I was talking to her about this last night, and it's funny because I was like a wise guy, Kid and I would come to the doctor. And I was like, What's up, Doc, you know, like like I, you know, because that's what you get, you know. But it was sort of like,

00:03:01.390 --> 00:03:13.320 Tommy DiMisa: well, it's money. It's a car. What's up, Doc? She's like Thomas. They're doctors, and I I I hear you. I hear what you say. Anyway, mom, I love you. We'll get back to that stuff later on. All right. So here's a story I want to tell you.

00:03:14.550 --> 00:03:29.740 Tommy DiMisa: Each month since February this year I decided that in tandem or in relationship and connection to our agency, vanguard benefits which is an employed benefits agency that I'm one of the partners in one episode of the month will be dedicated and in collaboration with the agency

00:03:30.510 --> 00:03:56.690 Tommy DiMisa: underly underlining or sh shining a spotlight on the work of a nonprofit specific to an awareness month. This particular week, right now, is World Breastfeeding week founded in 1,992. It's been a mission focus. It's a global campaign or raise awareness and galvanize action on themes related to breastfeeding. So here's the story of this right.

00:03:57.910 --> 00:04:16.760 Tommy DiMisa: The spirit of Huntington Art Center is our outsource marketing department. Shout out to Michael Kentakis and the team over spirit of Huntington, I mean. Listen. I I met the spirit of Huntington through my connection with our family foundation, the Lindy Loo supply them with a number of Mac computers for their artworks program.

00:04:16.760 --> 00:04:39.399 Tommy DiMisa: And all these years later they did our rebrand for vanguard benefits. So I don't promote this. The brand that much here on the show, but go to vanguard benefits you. yo.com vanguard benefits you.com to see the story about vanc our benefits. We're benefits agency. We help nonprofits and businesses really focus on attracting or retaining talent, using benefits. That's the end of the commercial. We put that aside. Here's what I want you to know, though

00:04:39.740 --> 00:05:03.410 Tommy DiMisa: each month we do this where I do a show about a topic, and throughout the month the agency will continue to educate people on this topic. So I it's perfect, because it's early in the month to day, only being the fourth, that a lot of stuff that I'm going to learn from Dr. Macaluso, from Dr. Edelstein and from heather this morning will be stuff that we could put into educational pieces. I saw Dr. Michael Lisa. I saw something on

00:05:03.740 --> 00:05:25.580 Tommy DiMisa: actually, I I think it might have been Dr. I. I was trying to watch a video really quick this morning. It was an Allied video. It was like an hour and 2 min video, like a webinar. I want those types of resources that you all have. And when we get into the conversation, we'll do that, but that we can put out, because that's what this is. And that's a big part of what vanguard benefits is, it's about education that is paramount to what we do. All right. So

00:05:25.600 --> 00:05:27.500 Tommy DiMisa: I'm in the meeting with spirit of Huntington.

00:05:27.980 --> 00:05:33.540 Tommy DiMisa: and they say it's one of the things that's coming up is it's a world breastfeeding week. And I go.

00:05:33.730 --> 00:05:35.999 Tommy DiMisa: Yeah, that sounds like an interesting topic. But like

00:05:36.200 --> 00:05:44.919 Tommy DiMisa: man, I don't know anybody. And I'm the nonprofit sector connectors. So when I don't know anybody it's kind of funny I go. I I don't really know anybody in that space.

00:05:45.000 --> 00:05:59.079 Tommy DiMisa: So somebody on the team from spur to Huntington says, what about Heather Edwards like she's your buddy like, why did you and I go? Oh, yeah, it it takes diapers. you know, and that's the that. And they work on the the period poverty program, right?

00:05:59.350 --> 00:06:23.010 Tommy DiMisa: And I said, You know what I'm telling you so like, I don't have a lot of patience. So I said, Hang on, you guys keep having the meeting. I'm just gonna call heather. I think what I did was typical to me to like I texted heather. Are you available? And followed that up with like a 15 s time period between the text going out, and the time I called Heather, and it wasn't like I wasn't really waiting to see if she's available, and she picked up. So I guess you were available heather. And I said to you, Dude.

00:06:23.250 --> 00:06:27.590 Tommy DiMisa: what's the deal? The are you connected to breastfeeding and the whole thing? And

00:06:27.690 --> 00:06:42.749 Tommy DiMisa: and she's like, Yeah, it's hard to be sure, of course. And I said, What do you think? Can we do something? Maybe bring on some docs? And that's why we're here, and that's you know, we're 7 min into something, and I haven't really let any of you all speak, and that's really not fair. But I promise the remaining will be a whole value for it. So Heather.

00:06:43.370 --> 00:06:59.060 Tommy DiMisa: let's talk about Allied Foundation because I want to talk, you know, just basically the genesis of what I know of the organization, and then, if you could kind of bring us into Dr. Macaluso and Dr. Edelstein and some of the work they did, and then I'm going to dive into interviewing everybody. How's that sound?

00:06:59.150 --> 00:07:06.830 Tommy DiMisa: Let's do it. So when I called you the other day last week it was only week and a half, or whatever. And we made this happen super fast.

00:07:06.890 --> 00:07:16.970 Tommy DiMisa: The, the, the breastfeeding thing, the milk bank thing. We got into all these different things which we'll get into some of that today. But can you just set it up? Allied foundation? Why, why is there an Allied foundation?

00:07:17.280 --> 00:07:42.279 Heather Edwards-Allied Foundation: So Allied foundation was formed by the pediatricians of Allied physicians group who really wanted to make a difference in their community and improve their health and well being. And I think a lot of the what we're going to talk about today is really Allied foundation and our commitment to foster a healthier start to life for mom and baby breastfeeding has always been an important topic. we truly believe in it. I'm a former breastfeeding mom.

00:07:42.280 --> 00:08:01.750 Heather Edwards-Allied Foundation: I did breastfeed my babies. I know how important it is. And so we really wanted to bring in some experts from Allied physicians group who are breastfeeding medicine specialists to really talk about it more in detail and how we can share information. provide support, and hopefully give Mom some options.

00:08:01.750 --> 00:08:27.080 Tommy DiMisa: I love that I love it, and you know, look nothing better when you are the nonprofit sector connector which listen. It was a thing when I just called myself that. But when people call me that, and people make introductions via email like you got to me, my buddy tell me he's the nonprofit sector connector which I just love. But when when you are that nothing fires me up more in this sector than when you see businesses for profit organizations collaborate and partner off

00:08:27.080 --> 00:08:40.230 Tommy DiMisa: with the nonprofit sector. When you see an organization. That is a for profit organization that says, these babies have rashes, that what is the story? Here? We must figure out why. And they say, Well, you know what it is the moms and dads

00:08:40.230 --> 00:09:03.809 Tommy DiMisa: who who don't have the means to buy new diapers. We're leaving babies in soil divers, or we're reusing diapers, or we're keeping babies in doctors too long. That's a problem, right? Social determinants of health. Maybe we'll get into it, whatever Google it if you don't know what I'm talking about. But certain communities are affected differently right because of socioeconomic conditions. Look, if you're not buying into what I'm talking about on that, I'm

00:09:03.810 --> 00:09:26.370 Tommy DiMisa: I'm not sure if we can really connect. But that's real stuff. So let's talk about, you know, Heather, that was the organization that was the foundation of the organization. Right? So you talk about fostering the healthier start to life, which is super important, and I love it so I believe I'm going to get in trouble, and we're going to have to go to a break before I know it. So I want to dive into this conversation as soon as possible.

00:09:26.370 --> 00:09:41.909 Tommy DiMisa: can you, Doctor? Let's go in alphabetical order. Adolstein comes before Macaluso. So, Dr. Edelstein, please, Dr. Lena Edelstein, tell us about your background. Tell us what drew you to the work you're doing just in a quick nugget, and then we're going to do Dr. Macaluso, and then we'll dive into sort of the conversation.

00:09:42.170 --> 00:09:53.410 Dr. Lena Edelstein: Sure. So I first my first introduction to breastfeeding. I was actually a mother before I was a doctor. I had my first child while I was

00:09:53.510 --> 00:10:06.010 Dr. Lena Edelstein: in medical school, and a lot of what I was learning. I was learning on my own. I didn't really get the education from the medical training I was very much in in the moment.

00:10:06.100 --> 00:10:26.970 Dr. Lena Edelstein: Fast forward. 6 years! I'm a pediatrician. I care a lot about caring for my patients. And I found that as much as I was able to learn from my own experiences, there were still a lot of ways that I was falling short of helping the families who are entrusting me with the care of their babies.

00:10:27.110 --> 00:10:41.000 Dr. Lena Edelstein: and I'm now having my third kid, and I'm trying to breastfeed her, and I am majorly struggling still, even though I have my toolkit of everything I had with my own experiences the

00:10:41.040 --> 00:10:52.600 Dr. Lena Edelstein:  countless encounters I've had with families in the primary care setting with their new babies, and I find myself a patient in Dr. Macaluso's office.

00:10:52.620 --> 00:11:00.780 Dr. Lena Edelstein: and my mind just explodes, and I'm like, Oh, my gosh! There's a position a pediatrician who could really

00:11:01.140 --> 00:11:09.689 Dr. Lena Edelstein: care for mothers and their new babies when it comes to the breast and lactation, and providing milk and feeding their babies.

00:11:09.700 --> 00:11:22.229 Dr. Lena Edelstein: and I looked up to her as a role model. And I'm like I want to be you. I want to figure out how to do what you do, and that kind of got me on the course for doing a lot more additional

00:11:22.420 --> 00:11:27.700 Tommy DiMisa: continuing medical education to learn more about breastfeeding and lactation.

00:11:27.700 --> 00:11:52.699 Tommy DiMisa: I love that I mean my goodness, you know what? Just to just the vulnerability and the real and truth and saying like I'm in this thing. I'm in this work, and I'm still struggling for it. How about the mom who's an attorney or works for the Mta. Right? She probably is going to have even more challenges because she's not in the work, so she needs the support. Dr. Lauren Mcleus, so tell us about kind of your journey, and as as as pediatrician, and the work you're doing, and then we're really going to

00:11:52.700 --> 00:11:54.940 go back and break. We're going to dive deep into all this

00:11:55.090 --> 00:11:55.790 Lauren Macaluso: cool.

00:11:56.020 --> 00:12:11.790 Lauren Macaluso: I was a general pediatrician for about 8 years. I was fortunate enough to get 2 lectures during pediatric residency training. just a little bit about how you you know you go through medical school for 4 years, and you pick your specialty, and then you do a residency in it.

00:12:11.790 --> 00:12:30.630 Lauren Macaluso: I was fortunate if it was. It's really rare still to have breastfeeding education go on within medical school and residency programs, even for pediatricians, obes family medicine physicians. You know those of us who are interacting with mothers and babies are going to be doing this. There is very little education in the medical system horrifying but true.

00:12:30.630 --> 00:12:55.509 Lauren Macaluso: I was fortunate enough to get 2 lectures from a lactation consultant during a new, more nursery rotation, which was more, you know, than than usually is given, and I just really really was interested in the information that I received. I've always been interested. I was a college athlete. I played field hockey at Cornell is always into preventive medicine. Nutrition, fitness has always been a piece of my world. so I pounced on that information and kind of new.

00:12:55.690 --> 00:13:25.630 Lauren Macaluso: This is what I should be doing with my kids, and I should be helping patients to do with their kids. So I was fortunate enough to breastfeed my 2 kids, after completing my residency, and then worked in a newborn nursery at a teaching hospital with such passion behind my personal experience and the little bit of education I got, I got more involved in the area, became a member of a group called the Academy of Breastfeeding Medicine. I instituted a breastfeeding curriculum at a teaching hospital and was doing a lot of hands on care for moms and baby

00:13:25.630 --> 00:13:49.529 Lauren Macaluso: in the breastfeeding space within my hospital pretty soon back then. This is 18 is 20 years ago you had a lot of shared hospital rooms with the curtain between 2 moms sharing the same room. I'd be in there with my gaggle of medical students and residents, examining babies, examining mothers, helping them to attach their baby at the breast, answering all their questions, getting them off your great start, and the mom on the other side of the curtain

00:13:49.530 --> 00:14:17.009 Lauren Macaluso: would consistently each day, say, my doctor isn't doing anything that you're doing. Can you be my doctor and recognized? Had a passion recognize an immense need for more, wanted to meet my community's needs, so went out and started to practice in 2,006. So I'm 18 years into diving full on into breastfeeding medicine, and helping moms and babies to succeed. And Lena joined me in May, and it's been outside.

00:14:17.010 --> 00:14:33.600 Tommy DiMisa: and we are growing and growing together.

00:14:34.150 --> 00:14:54.510 Tommy DiMisa: You heard that other patient in that room, and you sort an opportunity not necessarily entrepreneurial. Just an opportunity for a business, but an opportunity to serve the community. And that's like, you know, the thing about philanthropy and focus is program is. It's all about service. It's all about organizations that are doing service work right? So I don't often have on

00:14:54.510 --> 00:15:09.429 Tommy DiMisa: physicians to talk about these types of topics unless there's an affiliation of the connection with the nonprofit world. So this is like a the fun part for me is I get to play in the middle. And you know, when I, when I have to talk to my board of the Board of Directors of Philanthropy and focus, and make sure that

00:15:09.430 --> 00:15:22.739 Tommy DiMisa: you know the particular topic cuts the mustard it. The the one of us has a conversation, the whole board me. I have a conversation with myself, and I say, does this make sense? I'm trying to be cute and funny with you all? There is no board. It's my show. I do whatever I want.

00:15:22.740 --> 00:15:48.670 Tommy DiMisa: and I bring on whoever I want to have on this show. This is plan for being focused with Tommy Date. So I do what I want to do, and I really was excited to do this. But again, as a nonprofit sector connector, you know, without my relationships, and with that spirit of Huntington saying to me, Hey, what about this topic? And they're like, Oh, heather! This doesn't happen. So it is all about a community, and you all are certainly serving the community. We do have to serve somebody else and take a quick break and do some commercials. We'll be back in 90 s.

00:15:48.670 --> 00:16:01.330 Tommy DiMisa: It is world breastfeeding week 2,023, Dr. Lauren Macaluso, Dr. Lena Edelman, and Heather Edwards from Allied Foundation. I'm just not saying, Dr. Heather. It looks we'll be right back.

00:18:11.350 --> 00:18:19.439 Tommy DiMisa: love. That song I love it. That's my friend Brendan Levy singing. We wrote that song together, sort of like a Lenin and Mccartney thing. I like to say. I saw Brendan last night

00:18:19.440 --> 00:18:42.540 Tommy DiMisa: Brendan Levy, the Business Development Manager, the Queen's Chamber of commerce, and I call him Uncle Brendan because I love him like family, although we don't look anything to like him. You don't always look like your uncle's, so that's why Paul Michael Brendan. So all right. Look, let's jump back into this. Let's talk. We're talking about community. We're talking about connection. We're talking about caring. You know, the connection to caring is something that we talk about in vanguard a lot. Education is something we talk about in vanguard a lot I want to. I want to just say this

00:18:43.370 --> 00:18:47.380 Tommy DiMisa: 2 courses in your

00:18:47.670 --> 00:18:52.009 Tommy DiMisa: Medical school, Dr. Mcleuso in in laptation right now

00:18:52.840 --> 00:18:56.570 Tommy DiMisa: to me to here. You're in the room

00:18:56.730 --> 00:19:12.529 Tommy DiMisa: you have. You're doing the rotations. And and there's, you know, another patient in the room whose do is not serving in the same fashion. I think that's a lack of education. Right? Isn't that what this boils down to? So so can we talk about that and talk about how you know I. I pulled up

00:19:12.890 --> 00:19:21.429 Tommy DiMisa: breastfeeding benefits for both baby and mom from the Cdc website. And I want to talk about all that stuff. But so I want to know the benefits for everybody involved.

00:19:21.550 --> 00:19:23.389 Tommy DiMisa: My my question, though, is.

00:19:23.950 --> 00:19:31.909 Tommy DiMisa: you must see opportunity for more education for physicians and and practice managers and people to really get out there. Is that right

00:19:32.290 --> 00:19:33.270 Lauren Macaluso: for sure?

00:19:33.740 --> 00:20:02.060 Lauren Macaluso: And one of the other. I know we are on so excited because, as the non, you know, nonprofit sector connector. I really thrilled to see if you can help us, because I I'm on the the board of directors of another nonprofit group, and I'm going to hold up my little sticker, because it always helps to have be able to have a visual at the same time, but it's called. It's called the North American Board of Breastfeeding and Lactation Medicine.

00:20:02.370 --> 00:20:23.980 Lauren Macaluso: And we're a group of passionate seasoned, this breastfeeding, medicine and lactation physicians who have been out there practicing this specialty which is hard to come by in our country. Now, to find physicians. With this knowledge, base and practicing this type of care, we came together as really during during covid. And we're creating a board certification process to have

00:20:23.980 --> 00:20:33.120 Lauren Macaluso: breastfeeding and lactation medicine become a board certified medical specialty in not just the Us. But in Canada as well. This is across North America.

00:20:33.120 --> 00:20:38.590 Lauren Macaluso: We've been working diligently on this meeting at night, and

00:20:38.620 --> 00:20:42.170 Lauren Macaluso: thank you.

00:20:42.200 --> 00:20:56.809 Tommy DiMisa: We happen to be len.org Nick Collins. I already saw you do some stuff for me on Facebook. So one out there as well. N. A. B, B, lm.org, the North American Board of Breastfeeding and Lactation Medicine. Please, Dr. Macalus will continue.

00:20:57.040 --> 00:21:21.999 Lauren Macaluso: Thank you. This is really thrilling. Just to have you put this up there and get this going is really thrilling. We literally just had a meeting last week this week about how to look for more funding, because you have 14 really busy physicians that are trying to do patient care, take care of our own children, find some self care time for ourselves, and really move this forward. So we're in the process of. I literally just submitted 14 questions

00:21:22.000 --> 00:21:33.609 Lauren Macaluso: for the board exam. As a subject matter expert to a lot of us are doing multi roles to get the exam going to get this out there, and the main goal of it is right. If we can get

00:21:33.610 --> 00:21:57.470 Lauren Macaluso: a board certification process going. We can try to put this in to academic centers and medical schools and have medical students have teaching in breastfeeding and lactation. Medicine have residency programs, pediatricians, obstetricians, family medicine, physicians, those of you that are coming across most moms and babies in this realm and provide high quality.

00:21:57.470 --> 00:22:10.819 Lauren Macaluso: evidence-based care which once again really tough to come by. I worked this in today. Okay. between book-patient hours and the patient that just left the office before I jumped on before this.

00:22:10.820 --> 00:22:35.809 Lauren Macaluso: when I told her. You know what was happening, she said. It's so hard to find someone like you. I'm so glad I found you, but it shouldn't be this difficult and and the goal of this is really to improve the quality. Get the spread throughout our continent throughout, you know hopefully throughout the world, and and have this happen. So there's anyone who shares our passion. We are in need of a funds to further this, because we are doing secretarial work. We are doing marketing ourselves.

00:22:35.810 --> 00:22:40.789 Tommy DiMisa: We are doing everything which is challenging.

00:22:41.400 --> 00:22:47.950 Tommy DiMisa: How can I help? It's going to be the question. We don't have to talk too deep into that now, because we have another mission to hand. But the thing about it is.

00:22:48.070 --> 00:23:13.069 Tommy DiMisa: let's get you connected to my friends at the spirit of Huntington Art Center, because we can maybe help with the website to help with some social media and do some things as a as you know, as a friend of Tommy. We'll talk about that offline. But it was funny when we did our practical the other night. You know I I share with everybody, and I'll share it right here, because I think it's very I I think it's important that I share where I'm at. So I have the Adhd. I call it v adhd. So I got Adhd gang. Maybe

00:23:13.070 --> 00:23:23.329 Tommy DiMisa: you knew already I I was the last one to find out, apparently, but the funny part about it. I was in this meeting with these these 3 incredible women on a zoom call the other night while I was at another event, doing something. And

00:23:23.510 --> 00:23:47.519 Tommy DiMisa: at Mcaloosa, Dr. Mckalu. So he scored you, Mac, a loose all this. So with like, Hey, there's going to be like a thing I want to share another about another nonprofit with you, right, and I was like, hold it till Friday morning, because it's going to be even more exciting for me, and the dopamine will be firing, because it's something brand new that I didn't know about. Now I know about it, and that's super exciting. So now it's like, what do we do with these things? Well, let's see how we can help out. So okay, here's my question.

00:23:47.520 --> 00:23:54.149 Tommy DiMisa: Your goal. There is to have this correct correct my language, if I'm wrong, make this a board certified

00:23:54.550 --> 00:23:59.989 Tommy DiMisa: focus area profession. How do you call that? What is the goal about any Bblm?

00:24:00.330 --> 00:24:23.620 Lauren Macaluso: Yeah. Well, within medicine right? There's medical specialties. So you know how. Yeah, you can be a board certified cardiologist. there's more and more boards coming about on that haven't been created. Yet, like, there's a board of obesity medicine. There's a board of lifestyle medicine. you know, more specialties that are getting recognized where there are underserved areas that

00:24:23.740 --> 00:24:31.349 Tommy DiMisa: correct. So all right. So that's what we can work on. But guess here's my question, Dr. Edelstein, Dr. Michaeluso Heather.

00:24:31.720 --> 00:24:54.600 Tommy DiMisa: Why is this even important like great. I understand that you want to have a new specialty. But like, why? Like, what's the reason? Like, I'm playing devil's advocate of being cute. So go ahead, which help help me out. I'll I'll take this one. So I think the like. Going back to Dr. Macaluso's initial experience where she was in the hospital, and people and other patients were saying.

00:24:54.600 --> 00:25:06.100 Dr. Lena Edelstein: my pediatricians not doing what you are doing, and my own experiences working as a general pediatrician being looked to as a source of

00:25:06.300 --> 00:25:20.020 Dr. Lena Edelstein: complete knowledgeable information and not having that knowledge base be available. It's so important to know from the patient perspective that when you are going to

00:25:20.220 --> 00:25:35.200 Dr. Lena Edelstein: seek medical care or seek assistance with something that's so important and and so foundational that you are getting the best, most comprehensive, evidence-based good medical care.

00:25:35.460 --> 00:25:39.609 Dr. Lena Edelstein: and having that certification really standardizes it across the board.

00:25:39.630 --> 00:25:44.360 Tommy DiMisa: Oh, I love that, I, you know, like anything else. Like. yeah.

00:25:44.500 --> 00:25:58.959 Tommy DiMisa: you're scientists. Right? You are doctors. But your scientists, we're learning. It's evolving right? It's like, we don't have all the answers, can we? We're learning. And so I want to know the importance of breastfeeding, like, you know, because,

00:25:59.140 --> 00:26:00.350 Tommy DiMisa: I I you know.

00:26:00.550 --> 00:26:07.620 Tommy DiMisa: I remember leaving the hospital. I I have 4 children, and it's always that funny joke where you leave it, your first child, and they're like you kind of look at your spouse and like

00:26:07.660 --> 00:26:20.149 Tommy DiMisa: dude wide like they're letting us leave with this small person, and like I can barely handle taking care of myself like that 32 years old at the time, and I know that that little girl will talk about 13. But It's like

00:26:20.710 --> 00:26:45.430 Tommy DiMisa: you don't know what you don't know right? So they start to, and I'm not going to call out brands, but they start to give you little bottles. Take this bottle home, take this sample home. Here's like these, the tiniest little diapers. Here, take these little diapers. But heather, those diapers are so small like I have big like I human beings like I've seen my nephew, and he's like he's like a little. I don't even know. He's like like a like a little babe. He's a baby. He's like a little baby, Tommy, exactly what he has to me.

00:26:45.430 --> 00:26:51.929 Tommy DiMisa: but he's like just so tiny. And I have human beings that like a rough and tumble, my youngest being 8. So

00:26:52.970 --> 00:27:01.429 Tommy DiMisa: Why is breastfeeding so important. We're going to run out of time before a break. But, Dr. Macalou, so I see you with me. So why is it? What's the important to do.

00:27:01.580 --> 00:27:17.000 Lauren Macaluso: You know, Tommy, we've been trying to really be thoughtful, and how we were these responses, because it really sets a precedent for how people interpret it. So we look at breastfeeding as producing risk, reduction, not benefit, and

00:27:17.000 --> 00:27:41.480 Lauren Macaluso: breastfeeding is plain, old, simple, normal. It is what nature intended. It is why we have breast. It is why, normally vaginal delivery, you deliver a baby. They can actually, on their own, without intervention, do a breast crawl and use their sense of smell and sight of seeing contrast. You know there's all these, as you say, all this stuff going on around you. A lot of people are given black, white.

00:27:41.480 --> 00:28:04.579 Lauren Macaluso: red toys because Baby C contrasts best. So the dark circle around nipple aerial area aerial. It gets darker from hormone pormonal changes, and it's a a big bull's eye of like eat here, and babies instinctually can self attach, and normal brings a heck of a lot of goodness with it, with normal physiology such that

00:28:04.580 --> 00:28:15.659 Tommy DiMisa: let me pose you 1 s because it's in that. Just the basics right there like this is like before there was a hospital right? And when when when moms were delivering babies

00:28:15.740 --> 00:28:21.699 Tommy DiMisa: without in not inside a building, right? And you know, talk about evolution. And I talk about evolution sometimes, but like you

00:28:21.830 --> 00:28:44.229 Tommy DiMisa: in the animal kingdom like this. Stuff goes on. There is no, you know. Look, I'll tell you a funny story. I show up when my I don't do this anymore, because we don't. We're not having any more children, but I show up in red scrubs at the hospital and to deliver my children alongside. I don't know if I his name is Matthew. I don't know if I should shout him out, but I love you, Matthew, or my wife's Ob, who? Who delivered all 4 of my kids what I said to him, Matt.

00:28:44.340 --> 00:28:45.140 Tommy DiMisa: look

00:28:45.520 --> 00:29:04.579 Tommy DiMisa: after we already had 2 children. When we go from my third, I said, look, I don't even think I need you in the room this time. I mean, I've been there. I've wore my red scrubs. I've seen what goes on. The nurses do a lot of the work, anyway, and this delivery thing, so I think I could handle it. I don't think you I was kidding everybody. I'm not a doctor. I was not going to deliver my own child. I'm not. I'm

00:29:04.590 --> 00:29:10.589 Tommy DiMisa: crazy, but I'm not insane. So the point of that that was just a little levity. But the point of this is

00:29:10.640 --> 00:29:40.450 Tommy DiMisa: in in. Nor you, said, plain, old, simple, normal. I wrote that down like this is the biology of the whole thing. So like, if we just went back to the basics and let things happen as they do, you know, the baby would find the the nutrition, the baby would find the cell in it right? So I love what you said risk reduction. So I we do have to take a quick break. I was going to blow off the break and just go real long. But let's take a quick one, because then we can have a whole really substantive conversation around the risk reduction. Because, you know.

00:29:40.990 --> 00:29:46.990 Tommy DiMisa: I I'm looking at breast breast milk shares, antibodies from the mother to the baby. Wow!

00:29:47.080 --> 00:30:08.809 Tommy DiMisa: That sounds important. That sounds important for the baby's health. Right? That sounds like risk reduction. Let's take a break. We'll come back. We're going to dive into this topic a little further, and if you just got a visual of your boy to me, D. And Red Scrubs, the funny thing about it is, there is no specialty in the hospital that wears red scrubs. So it's funny when you do it, because you walk through the hospital, or it was like

00:30:08.820 --> 00:30:13.649 Tommy DiMisa: that. We don't even have anybody who has a red script. I go. You got one guy. We're going to a break. We'll be right back

00:32:12.530 --> 00:32:24.900 Tommy DiMisa: and we are back. I was gonna sing the theme song, but it's saying for itself. So I would thought I would sing this. It is world breastfeeding week, and it is

00:32:24.900 --> 00:32:32.370 Tommy DiMisa: since 1,992. This has been celebrated this week, and the importance of risk reduction by doing what

00:32:32.370 --> 00:32:56.829 Tommy DiMisa: plain, old, simple normal. There's a hashtag there, Dr. Bacalus, so plain, old, simple, normal. Let's go back to basics. I say this stuff all the time. Let's go back to basics and everything. Let's show compassion. Let's love each other. Let's to treat people as individuals, not in any sort of groups. I love groups like hanging out with them. But when you've met one, fill in the blind, you've met one fill in the blank. So treat everybody as individuals.

00:32:56.850 --> 00:33:14.719 Tommy DiMisa: And here's what I tell you about plain, old, simple, normal hug, more freaking people, I freaking, long, longing people right now ask first, say, Hey, are we hugging again? We, you know it's called with old Deal, but I don't think I asked a lot before Covid, but I hang with people who are huggers, anyway. So it was like really mutual hug thing. Anyhow.

00:33:15.120 --> 00:33:28.419 Tommy DiMisa: I want to talk about some facts, some statistics and things like that. Really, if you can drive some of that home. But Dr. Edelstein, Dr. Back, and L. So I'd like to just take. I'd like to just take the change. The rules of the show for a second. It's my show I get to do that

00:33:28.420 --> 00:33:51.189 Tommy DiMisa: yell at me. Say, Tommy, I want to tell you this to me. I want to tell you that this doesn't have to be a formal interview process. I just want you to drop the knowledge on on me and my audience. So we can do a lot of things. So I can go to find people to bring in some money for that organization that we are talking about. So we can go to find people who can bring in money for Allied foundation and support Allied Foundation. I don't know if you know this, this will be the last stroke, for at least the next 2 min. I don't know if you know this.

00:33:51.190 --> 00:34:06.550 Tommy DiMisa: but I went to the U-haul van and filled it up with diapers and wipes with heather and drove the way out to the Hamptons one day because I wanted to, because I'm crazy like that. So I know we can help with the new organization to talk about. So let's hit me with the stories. Hit me with with the importance of breast meeting, please.

00:34:06.550 --> 00:34:19.569 Dr. Lena Edelstein: Whoever wants to take it away. Dr. M. Dr. E. Dr. E. We're pointing at you. I think it's you.

00:34:19.590 --> 00:34:41.009 Dr. Lena Edelstein: I feel like a lot of people know more about the benefits to the babies when it comes to them receiving breast milk. We know that being breast fed reduces the risk of sudden infant death, syndrome, overall infant and neonatal mortality.

00:34:41.040 --> 00:35:04.959 Dr. Lena Edelstein: We know that it decreases the risk of respiratory viral illnesses, very severe diarrhea that can lead to dehydration and really compromise and infant's health, less ear infections. a decreased risk of asthma, decreased risk of eczema, and even some more

00:35:05.240 --> 00:35:15.549 Dr. Lena Edelstein: chronic diseases that don't even develop until later in life, whether it's autoimmune disease, obesity,

00:35:15.890 --> 00:35:30.259 Dr. Lena Edelstein: and and autoimmune diseases, you could throw in diabetes, Crohn's disease and even cancer risk reduction for the infants and Less well known is the risk reduction?

00:35:30.450 --> 00:35:42.279 Dr. Lena Edelstein: for maternal health. We know that breastfeed or lactating in general it even if it's not direct breastfeeding, but just the production of milk

00:35:42.620 --> 00:35:59.129 Dr. Lena Edelstein: for the mother. It decreases her risk of developing type 2 diabetes. it improves it. It decreases the risk of developing hypertension, cardiovascular health overall. it

00:35:59.560 --> 00:36:16.990 Dr. Lena Edelstein: decreases the risk of the cancers, most notably breast cancer, ovarian cancer, endometrial cancer and thyroid cancer. So there's so many health benefits to both mother and baby and

00:36:17.150 --> 00:36:22.130 Dr. Lena Edelstein: back to my times in the nick, you as arrested and rotating through the nick you

00:36:22.390 --> 00:36:41.390 Dr. Lena Edelstein: Luckily I worked in a a hospital where one of the nicky attendings he was like the he was a breast milk. Guru. He was very, very much about providing breast milk to those most young, most vulnerable babies. His name is Dr. Shanler.

00:36:41.650 --> 00:36:43.550 Dr. Lena Edelstein: and

00:36:43.630 --> 00:36:55.059 Dr. Lena Edelstein: What we saw in the Nikki was that the babies who were being fed with breast milk as opposed to formula these very, very premature babies.

00:36:55.100 --> 00:37:15.089 Dr. Lena Edelstein: 26 weakers, 2728 week, baby infants, and a term baby is 40 weeks. they had a decreased risk of developing this condition called necrotizing androcalitis, which sounds like a big scary name. it's basically the gut

00:37:15.170 --> 00:37:17.650 Dr. Lena Edelstein: necrotize as it did.

00:37:17.820 --> 00:37:22.429 becomes very damaged, and these babies become horrifically sick.

00:37:22.590 --> 00:37:38.299 Dr. Lena Edelstein: those who were fed brass milk did so much better they didn't. They didn't develop this condition nearly as much, and it was because of those wonderful properties of the breast milk that they were getting in terms of

00:37:38.460 --> 00:37:43.990 Dr. Lena Edelstein: he maturing their gut healing. They're going to be a more appropriate nutrition for them.

00:37:44.020 --> 00:38:07.600 Tommy DiMisa: It was almost medicine.

00:38:07.730 --> 00:38:17.649 Tommy DiMisa: Pretty good hair, although we started to lose hair in the middle of its head. But anyway, I'm just that guy, so I don't have any. I can't really say this with any authority other than the authority I was given.

00:38:17.980 --> 00:38:29.190 Tommy DiMisa: I know that many diseases are a result of our nutrition, of our microbiome and things that we do right things we put in our body and how we treat our body so. What I'm hearing, though, is that

00:38:29.360 --> 00:38:33.810 Tommy DiMisa: by the babies having the the national, the breast mill from mom

00:38:33.900 --> 00:38:42.520 Tommy DiMisa: or I guess in the nick you not always, mom? Not always their mom. I guess there's some right. There might be some which I'd like to ask about in a second. a, you know

00:38:42.910 --> 00:38:45.310 Tommy DiMisa: they're better off for it gang.

00:38:45.320 --> 00:38:57.829 Tommy DiMisa: That sounds like risk reduction to me. We're not going to see benefits, but sounds pretty. Sounds like we're reducing some risks. I mean that that's very, very important stuff. So can we talk about that? I I did think of the

00:38:58.020 --> 00:39:10.530 Tommy DiMisa: the. The thing that just blew my mind is the risk reduction for the mom. By the by, the sheer act of lactated and like, as you say, you know, it may not mean that it's breastfeeding. It might mean because again, I

00:39:10.650 --> 00:39:12.199 Tommy DiMisa: not to get, you know, like

00:39:12.490 --> 00:39:35.489 Tommy DiMisa: to out there. But the thing is not. Everybody either has the capacity, the resources to actually breastfeed. Some. Some moms have to go back to work pretty soon, and so the logistic situation there. So I'm sure there's more professional work for what I'm about to say. But some moms pumped. I understand right? So maybe you could speak to that. you know just I well speaks if you could like

00:39:35.600 --> 00:39:41.479 Tommy DiMisa: the the situation, even in the nick. You I have a story about the nick you 1 s, maybe I get to, but like

00:39:42.080 --> 00:39:49.810 Tommy DiMisa: just the access to the milk, because some moms can't provide their own milk and things like that. So can you speak to that? Either Dr. Edelson or Dr. Michael?

00:39:50.380 --> 00:40:09.759 Lauren Macaluso: Yeah, I I can chime in here, Tommy. I think. Yeah. Great job, Lena, on on all that nice risk reduction for mom and baby and other things I was thinking of in that realm is just the presence of what we call skin to skin like delivering your baby. And then we talk about the golden hour of having your baby on your chest.

00:40:09.760 --> 00:40:34.430 Lauren Macaluso: and right another cool facts of breastfeeding like we know, skin to scan, and baby being on mom helps to stabilize their temperature, their stress hormone response, their blood pressure. They have lower cortisol level stress hormone response. It's it's normal. It's where they're supposed to be. it is bonding. It is right. We know.

00:40:34.430 --> 00:40:38.799 Lauren Macaluso: it can impact mental health for the mother in terms of

00:40:38.800 --> 00:40:56.109 Lauren Macaluso: getting true help, evidence-based high quality, care to help her to get this done? so you know you're affecting really her mind, her body, her soul, by being there with the family throughout this process. As you said.

00:40:56.110 --> 00:41:18.389 Lauren Macaluso: Unfortunately, it doesn't come easy to everyone. There are medical psycho social impacts that we're going on at people's worlds that are going to make it challenging to have this happen. We have people that have had breast surgery. We have moms that have had like we one of the good examples of our practices. If someone has a low milk production going on.

00:41:18.390 --> 00:41:42.479 Lauren Macaluso: we will do a full, thorough history of mom and baby and a workup to determine. Are we missing something going on? Is there a history of breast surgery? Is, is there a piece of her? Does she have retained placental fragments that are making it difficult for her hormonal flux to occur for her prolactin to come in and milk to come. Does she? Haven't a hormonal abnormality? Does she have a thyroid abnormality?

00:41:42.480 --> 00:42:08.959 Lauren Macaluso: is something going on, you know, once again, with her pituitary client, with her thyroid, with with other pieces of her body and hormones that impact the milk production process, and with love and time, intensive visits and hearing people and learning their whole psychosocial medical birth, delivery history. What happened with your previous kids? Really loving and spending time with people with high quality medicine.

00:42:08.980 --> 00:42:28.730 Lauren Macaluso: We're doing so much to help these people to be as successful as they can. And I feel like that's what so many of them want. Even the people who are having a hard time making this happen fully. They don't want someone to tell them to just get their baby formula. They want to know that they've been fully heard, and had a true medical work up

00:42:28.730 --> 00:42:53.099 Lauren Macaluso: with love and listening and care to make this happen as close as they can to getting as much breast milk as possible. And as you ask, Tommy, there are, there is resource out there for people to get milk from other babies. Thus, the the New York Milk Bank. So a lot of that milk is going to be premature babies. It's going to babies where Mom doesn't have enough. It's another area where passionate is to try to get

00:42:53.170 --> 00:43:00.969 Lauren Macaluso: human milk for all human babies. Right? So if you don't have enough of your own. our order of events that we recommend are Mom's own milk

00:43:01.100 --> 00:43:15.039 Lauren Macaluso: save pasteurized donor milk when accessible, and then formula, if we don't have that. And I think this is another huge area that we need to work on in our communities is affordable, accessible, safe, pasteurized donor milk

00:43:15.040 --> 00:43:34.029 Lauren Macaluso: to even, you know, of course, premature fragile babies, and then they you hugely important, and and, you know, very huge priority. But I can't tell you how many people who have had breast surgery or other issues that are going on medically once again, that they need milk, and they are really wanting to give their babies as well.

00:43:34.030 --> 00:43:52.990 Lauren Macaluso: Human milk. For all of this risk reduction in reasons. And and it's another way that I'm hoping with more recognition. Right of this is a specialty with more of us as physicians going into this work that we will be able to foster more save human milk sharing and have human milk be the norm for supplementation affordably

00:43:52.990 --> 00:44:09.350 Tommy DiMisa: for everyone. Yeah, I'm sorry to cut you off at the end. There, I mean, that is so critical. All that because I think it's like it's it's all about focus, right? As human beings, we can only have like as with your spell with it after you spell it. A Ph focus is a situation where, like.

00:44:09.670 --> 00:44:10.450 Tommy DiMisa: you know

00:44:10.580 --> 00:44:26.719 Tommy DiMisa: I if I was to go to bring my baby to the pediatrician, and that pediatrician is not educated in this type of work, you know, similar like to the organization that we're talking about, you know. Yes, we're talking about Allied Foundation. We're also talking about the North American Board of Breastfeeding and lactation medicine.

00:44:27.360 --> 00:44:36.449 Tommy DiMisa: That's a long name, man woof and a bb, yeah, let's do that. But we're just, you know it. It it's education thing. And

00:44:37.160 --> 00:45:03.729 Tommy DiMisa: you know. I I think from experience and just things I know about life. You know that maybe they go to, for a physician might be. I'm not. I'm trying not to use names of brands, but like, Hey, here, take these samples because such and such drop these samples often take these samples of this formula, home with you, and like I feel like the Go-to is in that direction quicker than it again. Only experience my life. Whereas had with this order of operations as you talk about Mom's milk, human milk pasteurized

00:45:03.730 --> 00:45:05.850 Tommy DiMisa: from another mom, and then

00:45:05.850 --> 00:45:33.860 Tommy DiMisa: the formula, Not not will be no formula. But whatever listen in this in his world. This is a capitalist society gang, and sometimes things happen because companies have power and strength and pop up up. I'll do a whole other show about it. Just text me. We'll talk about it. before we go to a break which will way overdo, on which I do on the show as part of the show heather. You had made it connection to me to a milk bank. And you know, there's emails back and forth, and we're going to get them on the show. Can you shout? Shout out that group, if you don't mind

00:45:34.050 --> 00:45:43.029 Heather Edwards-Allied Foundation: absolutely. The New York Milk Bank Allied Physicians group has milk depos where moms can donate their excess breast milk

00:45:43.030 --> 00:46:07.940 Heather Edwards-Allied Foundation: to give life to babies who are most vulnerable. So we're thrilled to have 4 locations within Allied. We have one out in Riverhead. Dr. Macalus was practice in New Hyde Park. We have Dr. Sats out in Rockland County and in Brooklyn. We have allied pediatrics of Cobble Hill, where we collect excess breast milk. It is then sent up to the New York Milk Bank and Valhalla, where we

00:46:07.940 --> 00:46:18.229 where they clean it, pasteurize it and get ready for distribution. So great partnership. we have options here on Long Island for moms, and it's this very quick process.

00:46:18.240 --> 00:46:24.330 so we're we're happy to share that information on how moms can become donors if they have access milk.

00:46:24.400 --> 00:46:43.149 Tommy DiMisa: good any. And this there's an 800 number. Well, it's (866) 621-2769. That's Allied physician, for how is that the best way? Or they call Allied foundation what you know for that type of stuff. we have a breastfeeding medicine division, so we can share that information separately.

00:46:43.160 --> 00:46:55.250 Lauren Macaluso: If they go on the New York Milk bank website, then they list the depots there and they list the the phone numbers and the contacts to to how they there's like how to donate. And then

00:46:55.250 --> 00:47:19.640 Lauren Macaluso: I can give you an example of our office. The best is like, we all have freezers, and you want to make sure there's freezer space. So once you are an approved donor, you've been screened and you get a donor id number. Then you call the office, and Tracey, who shout out to the receptionist and our office tracing, and those at the other sites that are doing a lot of the hands on work of receiving it and packaging it and shipping it to the.

00:47:19.780 --> 00:47:37.930 Tommy DiMisa: But usually it's best. You call ahead the location and make sure they have space, and then, and then you bring your milk in once you're approved as a donor. All right, New York Milk Bank. Check it out. I'm coming up for a visit. I want to come for a tour. I want to get you on for land to be in focus. Maybe Heather comes up with me, will wear orange scrubs. I don't know why, but we are in scrubs.

00:47:37.930 --> 00:47:52.940 Tommy DiMisa: so we'll have to go to work in gear. You ever see that your work in gear you ever see that store like? Did that work in the letter and gear? What, anyway? Yeah, I mean, I I maybe they should sponsor from the this, apparently. What over do you want to break, Logan? I appreciate you, Buddy.

00:47:52.940 --> 00:48:08.159 Tommy DiMisa: Let's take this to a break, Logan. We'll be right back to close out to show when we do close out the show. What do you need? Who can we connect you with? How can we help? And also, how do they get in touch with your practice because it I would refer all my friends who are new moms and dads to your practice.

00:48:08.210 --> 00:48:09.759 Tommy DiMisa: We'll be right back. I'm out of breath

00:50:12.430 --> 00:50:16.890 Tommy DiMisa: you think of a a boxer, or I remember

00:50:17.050 --> 00:50:26.230 Tommy DiMisa: I remember the movie days of thunder. Tom Cruise was cold trickle in the movie days of thunder. What is Tommy D talking about now? Hold on, guys. Cold trickle

00:50:26.230 --> 00:50:51.599 Tommy DiMisa: days of thunder. Jean Hackman, if I'm not mistaken or yeah, it was Gene. Hackman was his like crew chief and Gene hackman would talk to Tom cruise as he was driving around the track right? So I got a guy who does stuff for me while I'm here on the show. My buddy, Mick Collins heather. Ed, would you put Ny milkbank org in the chat here for me to put it out there? Mick Collins already has it out on Facebook because we were talking about it, shout out to Mick College, my buddy, my PAL

00:50:51.600 --> 00:51:14.430 Tommy DiMisa: doing the paid forward pay it forward. Processing is a credit card Processing Company Merchant Service Company that gives back all their net proceeds to nonprofit organizations. So you should check out. Pay forward, Mick. You should know the team over and Allied will make that happen later on. so we will get right back into the conversation. We got a short time to finish off the show.

00:51:14.430 --> 00:51:23.670 Tommy DiMisa: So let's so a hundred 35,000 heather I'm looking at. I'm trying to go back to the chat, 135 ounces collected for the for the milk bank, and I

00:51:24.830 --> 00:51:30.880 Tommy DiMisa: and I know Dr. Macaluso, has a patient story she wants to share with us about the build bank as well.

00:51:31.660 --> 00:52:01.419 Lauren Macaluso: Yeah, I I I know, leading up to this. I you know we knew this was coming like a week ago, is with a little rest meeting week and and speaking with you. Tommy and I had a patient come in on, follow up, and she was one of my mom's that she donated milk to the New York Milk Bank through our depot, and she also has been a patient here, and I was like what a great person on on our way out. I told her I was doing this, and I was like, Can you give me some feedback to share? I'm doing this podcast and you're like my perfect person who's kind of had both experiences that I'm going to be talking about.

00:52:01.420 --> 00:52:23.359 Lauren Macaluso: I'm talking about. And she looked at me, and she's like, well, first of all, she's like, let me really stop and think is this, I feel like I'm under some pressure. I said, no, never! Pressure, never pressure hugs. Only, Tommy, I am with you. I am a hunger, too. I can't wait to give you a hug, Dr. Mackalus, so I with you. So the first thing she shared was like

00:52:23.610 --> 00:52:43.030 Lauren Macaluso: at first. It's really immensely gratifying to be able to share my milk with other babies. I can't tell you how meaningful that is to me to be able to do that. And I said, That is huge. So right? There's like, you know, immenseness going to these premature babies, and the nick is in the hospital. But there's also such a sense of

00:52:43.130 --> 00:52:57.649 Tommy DiMisa: gratitude, right and and and giving back to others, and such a great mental health benefit on behalf of the mom as well in the world. A better freaking place like, what are we talking about? Oh, my God, what is this. What is this coffee, Mark? Say

00:52:57.700 --> 00:53:24.220 Tommy DiMisa: no big deal just changing the world. That's what we're talking about. Gang. There's a plan, Tommy. You have to come to our office because Dr. Edelstein and I my hobby. That's what we do here. I'm just trying to change world, too. I cannot practice, I said. I'm not allowed to practice medicine in this country. Just so, you know. Okay, because I know that's a degree. But I would be a promoter. I'm a great brand Ambassador, as you can imagine, I'm happy to stand out and and like like the thing in front of the car wash.

00:53:24.220 --> 00:53:35.969 Tommy DiMisa: You know that that that's sock in the car. Wash it just waves. If you're only sitting on this podcast just imagine that being the waves in front, of the car wash. But no, I'm happy to out. We're running out of time.

00:53:35.970 --> 00:53:41.820 Tommy DiMisa: I want to get everything in. So, Dr. Mcalu, so give me your last 30 s. Then we'll go to Dr. Edelson, and we'll go to Tommy.

00:53:41.820 --> 00:54:06.820 Lauren Macaluso: Yeah, just that medical piece. She also shared that. It was so hard for me to some find someone, a lot of moms who donate or mom that what we call our over producers, or can hyperlactate and make a lot of milk, and that brings its own medical conditions with it you're more prone to inflammation and potential affections. So it was really difficult for her to find this is her second baby. Now most of them have a history of it before with a previous baby, and you can make even more milk with each subsequent.

00:54:06.820 --> 00:54:30.430 Lauren Macaluso: She had a hard time finding help to truly assess that treat. It diagnosed it, embrace her so she was so thankful to be able to find a medical practice where she could get her needs met that weren't being met at the urgent care or the Ob office, and that could embrace this normalize. It, help her to do this long periods of time comfortably meet her medical needs and also meet her mental health needs as well.

00:54:30.460 --> 00:54:46.450 Tommy DiMisa: Because that's specialization gang. That's what I talk about all the time when I network specialization. Right? That's what this practice is specializing in. And that's why you should also check out n, a, B B l, m.org, the North American Board of Breastfeeding and Laptation. That is it, Dr. Lena Edelstein?

00:54:46.660 --> 00:54:48.209 Tommy DiMisa: What do you got? Leave us with something?

00:54:48.940 --> 00:55:16.879 Dr. Lena Edelstein: Yeah. So sorry if I missed this while my daughter jumped in and kind of crashed our our needed. That's how it goes. This is, we gotta be ready. That's our goals. It's all so every year the we're breastfeeding week has a new theme to it right? And this year the theme is, let's make breastfeeding and work work, meaning that when you have these lactating parents who are going

00:55:16.990 --> 00:55:40.810 Dr. Lena Edelstein: back to work, they're separating themselves from their baby. Let's give them the supports to continue to provide milk to their children, which the World Health Organization and the American Academy pediatrics are all recommending exclusively feeding babies, breast milk for the first 6 months, and then continuing to offer breast to feed them breast milk through

00:55:40.810 --> 00:55:47.470 Dr. Lena Edelstein: the first 2 years of life or beyond, for as long as mutually desired by mom and baby and

00:55:48.060 --> 00:55:58.499 Dr. Lena Edelstein: in our practice. I see so many parents coming in with concerns about what's going to happen when I go back to work. And I'm like, Am I going to have enough? And there's this need to

00:55:58.860 --> 00:56:15.939 Dr. Lena Edelstein: develop a stash and feed the freezer in anticipation of this catastrophe that they anticipate occurring. and I kind of see a a tie in here to the milk bank and milk donation milk donation, because if we

00:56:16.070 --> 00:56:36.519 Dr. Lena Edelstein: make parents feel like that. They're going to have those supports in place, and they don't need to worry about providing milk in the future. I feel like that could encourage further donation to milk banks with any extra production that they have, because they're not worried about their own situation.

00:56:36.530 --> 00:56:41.840 Tommy DiMisa: All right, we gotta leave it there, heather real quick! Give me something, heather. This is an incredible show. Give me Allied real quick

00:56:41.840 --> 00:57:10.270 Heather Edwards-Allied Foundation: thanks. So much for shining a light on breastfeeding. We are so happy to have this discussion today. If you need some information. Allied physicians group.com breastfeeding medicine, Allied foundation.org. If we can help connect you, and we can connect you with the New York Milk Bank. breastfeeding. Your baby is literally giving life saving milk. They do call it liquid gold for a reason, and thank you for shining a light. We really appreciate it.

00:57:10.270 --> 00:57:38.959 Tommy DiMisa: That's what we do. We shine a light. And here's some of my takeaways from the show. Plain, old, simple, normal back to Basics, baby. Well, the doc didn't say that. I said that part, and I said, Doc, mom is going to be mad at me for that one. What is Ally foundational about fostering a healthier start to life? Because if we got a great foundation. And we got a strong building right? And I mean that the the risk reduction, I mean, come on, neonatal mortality sits. Rsv diary.

00:57:38.960 --> 00:57:41.300 Tommy DiMisa: Yeah, right? mom

00:57:41.630 --> 00:58:06.739 Tommy DiMisa: risks go down. And what are we talking about? This sounds like this makes a lot of sense. And guess what it's natural like. That's how it happened in the beginning. Okay, so let's just follow the old school stuff. I am your boy, the nonprofit sector connector. If you are listening here on talk radio dot. Nyc stay tuned for my guy, the Smb guy, Steve Fry always Friday. He's gonna have some crazy conversation about business and Smb, small medium sized businesses.

00:58:07.200 --> 00:58:32.349 Tommy DiMisa: We're in the 100 thirtys of a show. That was just an idea in my head that I made up. And now we're in the 100 thirtys heather Edwards is the first guest to ever make 3 episodes heather. You are a champion. We're not going to retire your number just yet, because I'm going to need you to come back. Dr. Mcalooser, Dr. Leader Edwards, and all our other guests who joined us at different points during the show today. Make it a great day, everybody. We'll see you later. Have a good phone. Bye