My archives might be a little outdated especially the older blogs. My links above are all new and current.

I have only positive things to say about Permission to Mother, an autobiographical account of a thoughtful mother and clinician who courageously writes from her heart, soul, brain, and personal experience; who is open to change in her views and opinions and is not guided by the safety of rules of any group or the status quo; she is guided by love and openness to the experiences life brings her and her family. Her process benefits her and those around her and those who read her words. And to add to that, the writing style and story telling ability here make it a very enjoyable read speckled with both the humor and seriousness of life. ~Laura Keegan RN FNP, author of Breastfeeding with Comfort and Joy

Readers enjoy your feedback and Reviews (82!) on amazon. Kindle Version Available!

Please Join me on Facebook at Punger Family Medicine.

Saturday, August 27, 2011

Feedback From a Midwife

"Your book is the most borrowed book in my library."

I know women in my area enjoy Permission to Mother because they get to know my practice and family better and read stories about mothers they recognize, but that I appreciated her feedback knowing that it has been a good resource in her area, too.

"I live in a very conservative area and these women were sometimes surprised at first by the book's candid approach (as well as mine) but I've enjoyed the various "reviews" when they return the book:  

"Sure does make you think"

"It helped me to laugh about everything instead of being as worried," 


"It's about time someone said it like it really is."

Julia Swart, LM, CPM
Southwest Idaho

Tuesday, August 9, 2011

Dr. Punger's Informal Vitamin D Study on Breastfed Babies, Toddlers, and Children

"The American Academy of Pediatrics is recommending 400IU of Vitamin D to breastfed babies starting soon after birth. Breastfeeding is the ideal form of infant feeding, but supplementation with Vitamin D, starting soon after birth, is recommended because breastfed infants generally do not obtain adequate Vitamin D from other sources.  Pediatricians should encourage parents of infants who are either breastfed or consuming less than 1 liter (just under 1 quart, or 33.8 ounces) of infant formula per day to give their infants an oral Vitamin D supplement to meet the current AAP recommendation."
Vitamin D is a hot topic. It's a potent anti inflammatory and antioxidant. Up  to this point, I have not routinely recommended Vitamin D supplementation of the exclusively breastfed baby living in South Florida. I would prefer that babies consume only breastmilk to protect the optimal development of a healthy sealed gut and natural flora. I have been making recommendations to get indirect sunlight in the morning and late afternoon.
Are we giving our babies, toddlers, and children enough sunlight?
With the enthusiasm and interest of a diverse group of mothers I would like to check Vitamin D levels  in mother and baby (toddler and children).
Your participation is voluntary. I can give you a the script to get you and your breastfed child's levels checked. Results will be kept anonymous, but will be made available to other mothers via Internet and possibly formal research. I will ask each participant to fill out a brief questionnaire regarding ethnic background, diet (vegan, vegetarian, wholefoods, junk food)  and 

The lab test will be at your lab and you will responsible for for any portion not covered by insurance. I will provide you with the best diagnosis codes and results of your test.

I am looking for self-motivated, volunteers(mothers and breastfed baby), enthusiastic about furthering our understanding about Vitamin D deficiency in South Florida.

Kelly Mom

Starting Thursday AM, if you have contacted me to participate, you can pick up your script for lab work.
You may contact me here to express interest: email Use Vitamin D as your subject.
I will confirmed that your lab requisition is ready before picking it up from my office.

An example of how I may share anonymous results on my blog would be:

1. 2 month old Latin male exclusively breastfed -- suboptimal levels.

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