On 08/18/97 18:28:11 you wrote: > >Question 1. Mom had been told that she should >give the children aspirin to prevent against altitude related illnesses. I'd be more worried about Reye's and ASA. But, anyway, try NEJM 1988;319 for a great review of altitude sickness. I have seen several articles stating that ASA, Tylenol, ibuprofen, et al have been shown to offer NO benefit in prevnting altitude sickness. If I can find those references I'll forward. Meanwhile, acclimatization is more important. If possible thyey should spend some time at one or two lower altitudes first. If not, then TAKE IT EASY for the first 1-3 days. Drink extra fluids. Rest. Eat well. Standard good health care procedures. Kids are pretty resilient. Several friends of mine practice in CO at high altitudes and have told me they see very little problems with lowlander kids moving there. Adults are a different matter. >Question 2. A pregnant woman with silicone breast implants asks if it's OK >to breast feed her baby. Again my poor memory for references fails me. I'll see if I can find this too, but there is no concern with implants unless there is obvious leakage. By all means, BREASTFEED! >Question 3....her baby refuses the hypoallergenic formulas but will take goats milk. Don't be surprised if the infant begins reacting to goat's milk, too. But it is still OK to use PROVIDED extra Vit D, Fe, and folic acid are provided, AND it is a sterilized preparation or is boiled before use to kill Brucella. Actually, it has higer levels of linoleic and arachidonic acids (recently added to Ross's new Similac preparation - something I think they should have done years ago) and lower sodium. Many countries feed their infants goat's milk and do just fine if the above precautions are followed. P Prescott, MD Mesquite, TX