Welcome your Royal Highness Prince (name to come) and congratulations to new parents Prince William and Duchess Kate.
A new study just published in the August online edition of Pediatrics confirms what I see in my practice.
If you look at a baby's legs it is easy to see how they were folded so that they fit inside the uterus. Those little legs don't get unfolded until after delivery.
I still get a lot of questions about starting solid foods in a baby.
Summertime in the pediatrician's office means lots of check ups, and often this includes those tweens/teens/and college students who were too busy to schedule their doctor's appointments during the school year. The next three months will be busy indeed.
With HPV back in the news after Michael Douglas revealed that his throat cancer was due to HPV, what better time to remind parents and young adults of the need for the HPV vaccine. The HPV vaccine has been available in the U.S. for over seven years, but statistics from the CDC continue to show that the HPV vaccine is still not being given at the same rate as other recommended vaccines. In other words, we doctors need to ensure that every person between the ages of 11-26 who we see is offered the vaccine, this also means we need to educate.
HPV causes CANCER! This is truly the first anti-cancer vaccine, and I am hopeful that I will see more vaccines to prevent cancer while I continue to practice. I am sure that there will be more anti-cancer vaccines in our children's lifetime. This is exciting news as research continues on ways to combat cancer.
But.....for some reason (that is difficult for me to understand both as a parent and a physician), some parents are refusing to have their children vaccinated despite ongoing evidence that HPV is widely prevalent and causes numerous cancers. The fact that this virus is transmitted sexually seems to be the root cause of parental concern. Do parents not assume that their own children will become parents one day as well? Dont they want to be grandparents one day? Well, that means having sex with a partner. At some point in time, our children do become sexually active and shouldn't they all be protected as much as possible?
Giving adolescents the HPV vaccine does not promote sexual activity. In fact, I think that by having a discussion abou
Parents, you know you can say all sorts of funny things and now here come cute, clever kids comments. This has been a week of kids say the darndest things.
A verbal little 3 year old came in this week and while I was getting his chart opened on the computer, I asked him what's the matter? He is the third child in the family and is quite comfortable coming to the doctor and is always chatty. His response was,I have the God bless you's. Now I admit that I was not quite sure what he meant? Then it hit me! He was sneezing a lot and that was what the God bless you''s meant. How smart is that!
He then proceeded to tell me that he had been sneezing and coughing. He also happens to have asthma, so I asked him if he had been wheezing as well. His response to all of these questions was equally bright. He said , I haven't had to use my puffer, my breaving is okay.
I examined him (by this time he is watching a cartoon on his iPad) and he was spot on. His lungs were clear as a bell, he had a clear watery runny nose and his nasal mucosa was swollen. He also had allergic eyes. He was using an antihistamine but not his steroid nose spray.
So I tweaked his allergy medicines a bit and reminded his mom to have him bathe or shower after he had been playing outside. I also suggested that they use a nasal saline rinse on him as well, as this would help to get the pollens out of his nose after he had been outside, and may be one of the best cures for the God bless you's.
Who says children can't give a good history? I often find that the young patient is a great communicator and may open a doctor's eyes to different ways of relaying a new symptom. Whether is from a 3 year old, a tween or a teen, having a patient that you know and that is comfortable talking to the doctor is the key to a good history. This is was a great remind
Did you know that May is National Teen Pregnancy Prevention Month? I really think that this should be a topic of interest to parents year round, but this is a good month to be reminded of the importance of educating our children about their sexuality.
The good news is that the teenage pregnancy rate is going DOWN! The bad news is that 750,000 teens in the United States experience a pregnancy each year and 400,000 will give birth. That means that 70 young women out of every thousand become pregnant. To continue to reduce these statistics requires improved education and continued dialogue about the risk of teen pregnancy.
Although some teens think that becoming pregnant is a way to escape their own situation, the reality is that teens who become pregnant are less likely to finish high school or enter college, and are more likely to experience poverty. Being a parent is a hard job for any one, but trying to be a teen parent is almost impossible, even with good support systems. The effects of teen pregnancy are far reaching for all of society.
Studies show that teenagers who receive comprehensive sex education are 50% less likely to experience teen pregnancy compared to those who were taught abstinence only sex education. Other studies have recently shown that the decline in teen pregnancy rates are due to increased contraception use. But, 39% of sexually active teens did not use condoms when they last had sex, and only 23% of teen reported that they or their partner used hormonal birth control.
Parental involvement in sex education should occur in every home. This begins with that first, birds and bees talk with your child. A comment from a recent young patient after reading Where Did I Come From with her parents DISTURBING ! (cue my laughter).
The conversation needs to continue during the tween years an
I am going to start right off by saying, I don't have daughters, so maybe that is why this seems strange to me, but, why are little girls already getting mani/pedi's with their moms? I don't mean teen girls, I am referring to the 3-12 year old crowd.
I see these little girls in my office with painted fingers and toes, and I often ask them, who painted your fingernails?. I thought the typical answer would be my mom, or my big sister, but it is quite often I hear, I had them painted at the nail salon. Of course, I then have to ask, oh, was this for your birthday?, and many of them do say it was, but many also say, I go with my mom all the time.
WHAT? I can remember my first manicure was on the day before I was married. It was a big deal, and i think my parent's agreed to it because in those days we all had a picture of our hands with the new wedding bands on. Do you have one of those, husband and wife with hands overlying one another? I still love that picture, and yes my nails were perfect. i also remember that it took me the 6 months prior to finally stop biting my fingernails, in order to even have nails to manicure! Nail biting is one habit that took me years to break, but out of necessity for wedding pictures I stopped and never went back.
I watched several little girls getting mani/pedi's the other day. They sat there, perfectly still at the age of 4 (my boys would have played in the pedi bowls I am sure), enjoying picking out polish and choosing flowers to be painted on their toes (to which I overheard one mother saying, do you know how much this is costing?). Odd comment considering the fact that the mother had obviously brought her daughter and how can a 4 year old understand how much professional nail care costs?
I just think that parents need to show a bit of restraint in indulging their children in such
What are the words that a child first speaks that changes everything?
How many times have you cooked dinner only to have your child tell you, I don't like that! It is a common theme in many families...it doesn't matter whether Mom or Dad fixed the meal.. our children don't hesitate to tell us their true feelings. I can remember that many times I had even prepared dinner thinking I was fixing my children's favorite foods. But, guess what.....they didn't agree.
Dinner is one of the most important times in a family's day. It is the time to gather together for a meal, but more importantly it is a time to just be together. Whether you child eats the meal is really not the important part....I know may be shaking your head in disagreement, but it really is not about the food, it is about being together.
The longer I think about it.. the more I have come to understand this. One of my patients recently told me that she had made her child's favorite, macaroni and cheese. When he (all of 3 years old) sat down for the meal he looked at his parents and announced....I prefer Panera. (that should be a TV ad). How can that not devastate you the parent that fixed the meal? But, don't let it. Tell your child that you are just happy to be together to talk and enjoy one another....don't let their food choices ruin the meal or turn the meal into a food argument. It is not worth it, and we parents all need to remember that our children will not starve if they miss a meal.
I think meal preparation for a family is somewhat analogous to having a dinner party. When you invite guests to dinner they don't ask you what you are cooking or planning on serving before they accept your invitation. They come to dinner and if by chance they don't like what you have prepared, they don