Parent FAQs: When should I change my baby's feeding bottle?

Q: When should I change my baby's feeding bottle?
A: As per this babycenter article

Signs a nipple should be tossed

Check your nipples often (at least every two to three months) for these signs of wear and tear:

• Breast milk or formula pours out in a stream. Liquid should drip steadily out of the nipple — if it comes rushing out, the hole is too big and the nipple should be replaced.
• Discoloration — this could be a sign that the nipple is deteriorating.
• Thinning — this an early sign that the nipple is weakening. To test a nipple's strength, pull hard on the bulb. The nipple should rebound into its original shape. If it doesn't, throw away the nipple.
• Stickiness or swelling — this could be a sign that the nipple is deteriorating.
• Cracks, tears, or breaks — pieces of the nipple could break off and become a choking hazard.

Signs a bottle should be tossed

You should replace your baby's bottle if you notice:

• Cracks, chips, or breaks — Your child could cut, pinch, or otherwise injure himself. This is especially dangerous if you use glass bottles.
• And remember, if you use bottles with disposable liners, you should throw away the liner after each use.

Source

Can I breastfeed my baby during / after I have dengue fever?

Q: I had high fever, and I continued to breastfeed my 9 month baby, as my medical doctor told me to. Later I was diagnosed as Dengue, and my pediatrician is not happy with the fact that I breastfed the baby. Now my baby has some cold, and I am worried that he may get dengue from me/ the breast feed?

A: Your pediatrician is probably wrong on this one. this article says that "Anti-dengue activity was found in the lipid component of human milk and colostrum. This suggests that breast feeding will protect the infant from the dengue virus in the endemic area of dengue infection." The study found that breastmilk can contain anti-dengue antibodies. This can help to protect your baby from the infections. 

How to treat a pulled elbow in Pediatic OPD practice ? Youtube to the rescue !

I reach the clinic at 9 AM in the morning, and I see this cute 3 year old girl whose parents complain that she has been not moving her left arm since last evening, when her grandfather accidentally picked her up by one arm. 
Clinical Diagnosis : Pulled Elbow
Problem: I do approximately 1 reduction every few months, so I need to review the technique before I do it again. During our student days, we used to send these kids routinely to the orthopedician, however, in practice I found that I could do the closed reduction successfully in about 75 % of the cases.
So I sent the kid outside with a couple of candies to keep her busy, and immediately googled the video from youtube !
2 minutes later, VOILA ... I have a set of happy baby, satisfied parents & a really happy & relieved pediatrician :)

Here is the video 
with detailed tips on how to do this reduction at your pediatric office practice.
Of course, if you are in doubt, not comfortable, I would suggest that you visit your orthopedician colleague once with the patient, and see how simple the procedure really is.
I just found an excellent parent focused study done in the US, published in April 2014, that talks about nurses doing the reduction in pediatric emergency departments as well.
You can read the article in Medscape here (requires free registration)