Friday, December 16, 2011

Changes in VFC vaccinations

The Vaccines for Children Fund (VFC) is changing the distribution of their vaccinations come January first. Previously our office was able to offer VFC vaccinations for people who had insurance but that insurance didn't cover vaccines (under-insured). Starting in January we can only give VFC vaccinations for children with Medicaid, Chip and those who don't have insurance (self-pay). For those families who are under-insured there is still a way to get the vaccines. They will be distributed out of a "Federally Qualified Health Center (FQHC)" or a "Medicare Certified Rural Health Center (RHC). The closest centers to our office are

Center City CHC
461 South 400 East
Salt Lake City, UT 84111
801-539-0993

or

Oquirrh View CHC
4745 South 3200 West
Salt Lake City, UT 84118
801-964-6214


Please call if you have any questions.

Thursday, December 15, 2011

Hit the Slopes



As Christmas Break approaches, and the snow begins to fall, here are a few safety tips for the upcoming ski and snowboard season. Check it out here. 

Friday, December 2, 2011

ADHD Work Shop

{I am really excited about this next class we are offering!! There is such a need for this, and it's a great deal.}

Dr. Ridge will be holding a Saturday workshop on December 10 at 2 pm for parents of children ages 2 to 5 who suspect their child has ADHD, or are struggling with  behavior such as:

  • anger and irritability
  • hyperactivity
  • impulsivity
  • temper tantrums/emotional outbursts
  • low frustration tolerance
  • oppositional and defiant behavior
The cost is $30. Call Kim at 801-565-1162 to reserve your spot. 


Monday, November 28, 2011

Cyber Monday

A reader asked this a few weeks ago:
With all of the electronic learning games that are available, how do you weigh the advantages of your child learning key concepts and being entranced by the games? 

Good question. I think like most things, the answer to this one is moderation. A little bit is good, but more is not necessarily better. I would adhere to the AAP policy of 2 hours of quality screen time a day. So mix and match your Blue's Clues, Sesame Street, PBSkids.com, Wi and LeapFrog. And then let them run outside, play with their friends and read some books.

Saturday, November 19, 2011

Shots for Parents

We are excited to now offer 2 vaccinations for parents.

  • The flu vaccine (mist or shot). Recommended for everyone 6 months and older.
  • Tdap, also known as Adacel, or the tetanus, diptheria and pertussis booster. Recommended for people ages 11 to 64. It is especially important for anyone who is in routine contact with newborns or infants, as they are at increased risk for pertussis (whooping cough). Pertussis in an infant can be extremely serious. 
If you are interested in these vaccinations you can call and schedule an appointment. Or just check-in with the front desk at your child's next visit. We will bill your insurance company or you can pay for them out of pocket. 

Tuesday, November 8, 2011

Moles

There's a new dermatologist in town, and she is fantastic. Allison Triplitt is incredibly well-trained. She did a pediatrics residency, a dermatology residency AND a pediatric dermatology fellowship. (Most dermatologists haven't done a fellowship, and I don't know ANY who have done a pediatrics residency to boot!) So when we had a reader request for mole info I knew where to turn. Thanks Dr. Triplitt!


Moles are collections of pigment-producing cells called melanocytes.  They can be present at birth (congenital) or acquired throughout life.  They differ from freckles because they have not only increased pigment, but also increased numbers of melanocytes.  Moles may slowly change over time, particularly moles present since birth.  Most moles will never cause a problem.  However, a small number of moles can develop into melanoma, a very serious form of skin cancer.  Therefore, it is important to monitor your mole once a month for rapid growth or change.  It is also important to pay attention to the development of itch, pain, or bleeding, as these can be concerning signs.  Another important concept is the “ugly duckling” rule.  If one of your moles does not look like the others, it too, can be a worrisome sign.

Risk factors for developing melanoma:
  • Blistering sunburns in childhood
  • Tanning beds. One tanning bed exposure increases your risk of melanoma 75 fold!!!
  • Family history of melanoma
  • Numerous moles (>100 in adults)
  • Red hair and/or fair skin

It is important to remember that childhood melanoma is quite rare, and only represents 2% of all melanomas, but it can occur.  Therefore, it is important to use the ABCDE rules of melanoma to follow your moles.

A=Asymmetry.  Does one side look like the other?
B=Border.  Is the border even? Or is is blurred, notched, or jagged?
C=Color.  Is the color homogenous and even? Or are there multiple colors such as black, blue, red or white?
D=Diameter.  Is it larger than 5mm? 
E=Evolving.  Is it slowly changing as the child grows? Or is it rapidly changing over a period of a few months?

If you have questions about your moles, you may contact your pediatrician or dermatologist for an evaluation. 


Allison Triplitt, MD

**Dr. Triplitt works with the University of Utah and sees patients at both ends of the valley. If you have any skin mysteries pay her a visit. 801-581-2955

Monday, October 31, 2011

Halloween, 2011

Happy Halloween



Hope your ghouls and goblins (or Supermans and Rapunzels as the case may be) are ready for the big night. Here are some tips from the American Academy of Pediatrics (AAP) to help ensure they have a safe holiday.

All Dressed Up:

  • Plan costumes that are bright and reflective. Make sure that shoes fit well and that costumes are short enough to prevent tripping, entanglement or contact with flame.
  • Consider adding reflective tape or striping to costumes and Trick-or-Treat bags for greater visibility.
  • Because masks can limit or block eyesight, consider non-toxic makeup and decorative hats as safer alternatives. Hats should fit properly to prevent them from sliding over eyes.
  • When shopping for costumes, wigs and accessories look for and purchase those with a label clearly indicating they are flame resistant.
  • If a sword, cane, or stick is a part of your child's costume, make sure it is not sharp or too long. A child may be easily hurt by these accessories if he stumbles or trips.
  • Obtain flashlights with fresh batteries for all children and their escorts.
  • Do not use decorative contact lenses without an eye examination and a prescription from an eye care professional. While the packaging on decorative lenses will often make claims such as “one size fits all,” or “no need to see an eye specialist,” obtaining decorative contact lenses without a prescription is both dangerous and illegal. This can cause pain, inflammation, and serious eye disorders and infections, which may lead to permanent vision loss.
  • Teach children how to call 9-1-1 (or their local emergency number) if they have an emergency or become lost.

Carving a Niche:

  • Small children should never carve pumpkins. Children can draw a face with markers. Then parents can do the cutting.
  • Consider using a flashlight or glow stick instead of a candle to light your pumpkin. If you do use a candle, a votive candle is safest.
  • Candlelit pumpkins should be placed on a sturdy table, away from curtains and other flammable objects, and should never be left unattended.

Home Safe Home:

  • To keep homes safe for visiting trick-or-treaters, parents should remove from the porch and front yard anything a child could trip over such as garden hoses, toys, bikes and lawn decorations.
  • Parents should check outdoor lights and replace burned-out bulbs.
  • Wet leaves should be swept from sidewalks and steps.
  • Restrain pets so they do not inadvertently jump on or bite a trick-or-treater.

On the Trick-or-Treat Trail:

  • A parent or responsible adult should always accompany young children on their neighborhood rounds.
  • If your older children are going alone, plan and review the route that is acceptable to you. Agree on a specific time when they should return home.
  • Only go to homes with a porch light on and never enter a home or car for a treat.
  • Because pedestrian injuries are the most common injuries to children on Halloween, remind Trick-or Treaters:
  • Stay in a group and communicate where they will be going.
  • Carry a cell phone for quick communication. 
    Remain on well-lit streets and always use the sidewalk.
  • If no sidewalk is available, walk at the far edge of the roadway facing traffic.
  • Never cut across yards or use alleys.
  • Only cross the street as a group in established crosswalks 
  • Never cross between parked cars or out driveways.
  • Don't assume the right of way. Motorists may have trouble seeing Trick-or-Treaters. Just because one car stops, doesn't mean others will!
  • Law enforcement authorities should be notified immediately of any suspicious or unlawful activity.

Healthy Halloween:

  • A good meal prior to parties and trick-or-treating will discourage youngsters from filling up on Halloween treats.
  • Consider purchasing non-food treats for those who visit your home, such as coloring books or pens and pencils.
  • Wait until children are home to sort and check treats. Though tampering is rare, a responsible adult should closely examine all treats and throw away any spoiled, unwrapped or suspicious items.
  • Try to ration treats for the days following Halloween.

Friday, October 28, 2011

Feedback Friday

Lately I've had a hard time coming up with interesting, meaningful blog topics. I've had a few ideas, but then thought, "Would people really find that useful?" and second guessed myself.

So I'm going to throw it back at you, faithful readers. Any topics you've been dying to hear about? We want this blog to be useful and meaningful to you and your family, so have at it. Let us know what you'd like, or things you find less helpful.

Thanks!

-Dr. Packer

Wednesday, October 26, 2011

Free Parenting Workshops


 Experiencing TROUBLE with your child’s behavior?
     Looking for FREE education about what to do?


Help is available…

 As part of our continuing commitment to helping you improve your child’s well-being,
 Willow Creek Pediatrics in Draper together with Southpoint Pediatrics in West Jordan is pleased to offer a free series of three educational sessions for parents and caregivers of children.


Behavioral Specialist- Marion Hunt MEd and Rian Jensen LCSW from TKJ will present the latest in positive parenting/ behavior management techniques and will be available to answer your questions on the first three Tuesdays evenings in November(11/1; 11/8; 11/15). Each session will be from 7-9pm. Each session contains different information/intervention ideas so if possible plan to attend all three.


 Feel free to bring tough examples, questions, ideas and your spouse/partner…
(but no children please)…
and  join us at the Willow Creek Pediatrics in Draper  114 East 12450 South, Suite #100 Draper, Utah 84020.


Again, this event is free of charge, just RSVP to Melissa White, RN, Care Coordinator at 801-576-5941 no later than October 28, 2011.

Come learn how to help your child succeed! Looking forward to seeing you there.


  


Topic: Behavior Management
Date: November 1, 8, and  15, 2011
Time: 7-9pm
Place: Willow Creek Pediatrics in Draper
 114 East 12450 South # 100   Draper, Utah 84020

RSVP: By October 28 to Melissa White, RN @ 801-576-5941


{Can you believe these classes are free? I am still a little shocked that we are pulling it off!}

Monday, October 24, 2011

Frog Mask Recall

If your little one was planning on being a froggy for Halloween, and you bought your mask at Target...it's time for a costume change. Target is recalling this mask because it doesn't have adequate ventilation and can pose a suffocation hazard. 




A UPC code with 06626491474 is printed on a label attached to the mask. For additional information, contact Target Guest Relations at (800) 440-0680 between 7 a.m. and 6 p.m. CT Monday through Friday, or visit the firm’s website at www.target.com

Friday, October 21, 2011

It starts...

We saw the first case of documented influenza this week here in Utah. So come on in and get your flu shot (or mist!) before the craziness is in full swing.

Wednesday, October 19, 2011

Back to Sleep

Since the American Academy of Pediatrics (AAP) recommended all babies should be placed on their backs to sleep in 1992, deaths from Sudden Infant Death Syndrome have declined dramatically. But sleep related deaths from other causes have increased.  The AAP recently updated their policy statement, giving advice on creating a safe sleep environment. More information can be found here


Some of the key points:
  • Breastfeeding is recommended and is associated with a reduced risk of SIDS. 
  • Infants should be immunized. Evidence suggests that immunization reduces the risk of SIDS by 50 percent. 
  • Bumper pads should not be used in cribs. There is no evidence that bumper pads prevent injuries, and there is a potential risk of suffocation, strangulation or entrapment. 
  • Always place your baby on his or her back for every sleep time. 
  • Always use a firm sleep surface. Car seats and other sitting devices are not recommended for routine sleep.  
  • The baby should sleep in the same room as the parents, but not in the same bed (room-sharing without bed-sharing). 
  • Keep soft objects or loose bedding out of the crib. This includes pillows, blankets, and bumper pads. 
  • Wedges and positioners should not be used. 
  • Pregnant woman should receive regular prenatal care. 
  • Don’t smoke during pregnancy or after birth. 
  • Breastfeeding is recommended. 
  • Offer a pacifier at nap time and bedtime. 
  • Avoid covering the infant’s head or overheating. 
  • Do not use home monitors or commercial devices marketed to reduce the risk of SIDS. 
  • Supervised, awake tummy time is recommended daily to facilitate development and minimize the occurrence of positional plagiocephaly (flat heads)

Friday, October 14, 2011

BOB jogging stroller recall

The drawstring on the BOB jogging stroller can detach and pose a choking or strangulation hazard for young children. You can get more information here

Monday, October 10, 2011

ADHD, inattentive type

We are into the school year about a month now. And hopefully it is going great. But if it's not, consider the possibility of ADHD. ADHD has three types: hyperactive, inattentive and combined. The hyperactive and/or combined are pretty easy to spot. These are the kids that are always on the go, talking non-stop, jumping out of their seat. If you don't notice it the teacher will. But kids with the inattentive type can fly under the radar. They are the ones who do their homework (and often do it perfectly) but don't turn it in. They don't hear what the teacher says, not because they are causing a ruckus, but because they are silently staring out the window thinking about something else. Because they don't make a fuss they can go undiagnosed and don't live up to their potential. With proper treatment, however, children with ADHD can excel.

If you are concerned that your child may have ADHD, give us a call to schedule an appointment.  We want to make this the best school year yet.

Wednesday, September 28, 2011

Civil War and Living History Weekend, Sept 30-Oct 2

Looking for something different this weekend? Want to bring history to life for your kids? Head up to the Heber Valley and visit their Civil War and Living History Weekend. All of the events are free, and they have all kinds of activities. A mock skirmish, artillery demonstration, quilt show, music, dancing and a cavalry demonstration. Should be a great time.

You can get more information at www.hebervalleycivilwarlivinghistory.com

Wednesday, September 21, 2011

Asthma Education Class


Fall is coming! School days, football, leaves changing, and a chill in the air. It’s also the time when asthma attacks seem to come more frequently and last longer. As part of our continuing commitment to helping you improve your child’s well-being, Southpoint and Willowcreek-Draper Pediatric Clinics are pleased to offer a free education session for parents and caregivers of children asthma and other airway diseases. Dr. Darin Bosworth and Tim Bluth, Certified Respiratory Therapist, will present the latest in asthma management techniques and will be available to answer your questions. Feel free to bring your child’s peak flow meters, spacers and inhalers for individual consultation as well. 



Join us at the Southpoint Pediatric Clinic (9071 S. 1300 W. Ste. 301, West Jordan) on Thursday October 6 from 7 to 9 pm. Again, this event is free of charge, just RSVP to Rick Gordon, RN, Patient Care Coordinator for Southpoint Pediatrics, at 801-565-1162 x103 no later than September 30, 2011. Looking forward to seeing you there!

Date: October 6, 2011
Time: 7-9pm
Place: Southpoint Pediatric Clinic, 9071 S. 1300 W. Ste. 301, West Jordan, UT 84088
RSVP: By September 30 to Rick Gordon, RN, Patient Care Coordinator, 801-565-1162 x103

Monday, September 19, 2011

Sponge Bob Square Pants in Hot Water

You may have heard about a recent study that looked at children and their reaction to certain television shows. The researchers took 60 four-year-olds and let them either draw or watch 9 minutes of Caillou or Sponge Bob. Immediately after their activity they gave the kids a short test. The children who watched Sponge Bob did measurably worse than the Caillou or drawing group.

Although Sponge Bob may be annoying to some, it's the pace of the show more than the content that is the problem. It is fast paced with many different voices, pictures and scenes to help keep the child's attention. It was created for the early school age child, but typically watched by the preschool crowd and may not be appropriate for their young minds.

There was a great interview last week with one of the leading experts on children and TV that you can listen to here. It's about 5 minutes long, and very interesting. One of the points he makes is that we need to assess our purpose with watching TV. Is it for education? For learning? For entertainment? For babysitting? (Dora has done her fair share of babysitting at my house) All of those are valid reasons to turn on the tele. TV is not inherently bad--we should just be aware of what we are watching and why.

Friday, September 16, 2011

National Play-Doh Day--Today


So break out your Play-Doh and enjoy!

Thursday, September 15, 2011

Flu Vaccine Supply



We received a limited supply of VFC flu vaccines today (mist and shot) for children with Medicaid, CHIP, self pay and underinsured. We have flu vaccines (mist and shot) for all ages and all insurances.

Please call our office to set up an appointment in one of our flu clinics.

Flu Clinic days:
Tuesdays: 4 pm -7 pm
Wednesdays: 9 am - 1 pm
Fridays: 2 pm - 4 pm
Saturdays: 9 am - 1 pm

Tuesday, September 13, 2011

Help Your Child Succeed, Tonight!

This event  is tonight at Willowcreek Draper Pediatrics (114 E 12450 S, Ste. 100 Draper, UT 84020) from 7-9. If your child has an IEP or a 504 come and get help navigating these often confusing waters. Please call our office with any questions.

Monday, September 12, 2011

Bath Time 101



At first glance, bathing a baby seems a breeze. How hard can it be, right? But once you are actually holding your precious newborn, filling the tub and plopping them in it can be a little intimidating.  Here are a few tips to help you out.

Until the umbilical cord falls off sponge baths are the rule. It's pretty much like it sounds. You use a sponge, or a clean wash cloth, to wash the baby instead of immersing her in a tub. Start with the face (no soap yet) and gently clean her off with the wet cloth. Keep her covered and warm while you are bathing her, only exposing the area you are cleaning. Next use some soapy water to dip your cloth in and clean the rest of her body, paying attention to the crevices. You can finish up with lotion if you like. But beware, for the first week or so she is going to look like she is peeling and all the lotion in the world won't help.

Once the cord has fallen off bathe her around 3 times a week. You can use whatever area works best for you. A kitchen sink, a baby bath or the regular tub. Just fill the water (not too hot--make sure your water heater is set no higher than 120 degrees) up to the depth of your elbow. Support her head and put her in the tub. Then it's just like before. A little soap, a soft cloth, and clean the body, remembering those darn hidden spots like under the neck and in the diaper area. Cup your hand over her forehead to keep soapy water out of her eyes. Since the water won't completely cover her, pour some water over her occasionally to keep her warm. When you are done dry her off with a towel. The ones with the hoods work well to keep her from getting too cold.

One important point: NEVER leave your baby. Let the phone ring, the people at the door wait, the other children dump flour on the floor. Stay with your baby.

Initially bath time might not be her favorite activity, but she'll love it with time. As she gets older she can splash around and even play with toys. And there's nothing better than snuggling your clean baby when you get done.

Friday, September 9, 2011

Talking to kids about 9/11


Here are a few ideas about taking to your kids about the upcoming anniversary.

Monday, September 5, 2011

How many flu shots do I need?


This year’s policy contains a simplified dosing algorithm for administering the influenza vaccine to children depending on the child’s vaccine history and age at the time of the first administered dose:

  • Infants younger than 6 months are too young to be immunized.
  • Children 9 years of age and older need only 1 dose of influenza vaccine.
  • Children 6 months through 8 years of age need only 1 dose of the 2011-2012 influenza vaccine if they received at least 1 dose last season.
  • Children 6 months through 8 years of age should receive 2 doses if they did not receive any vaccine last season. The second dose should be administered at least 4 weeks after the first.

Friday, September 2, 2011

Helping Your Child Succeed in School: IEP and 504 Help


It’s Back-to-School time! For parents with children who have special health care or education needs, it’s also time to evaluate and update the Individual Education Plan (IEP). Southpoint and Willowcreek Draper Pediatrics will be co-sponsoring a family group meeting at Willowcreek Draper to help you navigate this complex process. Mandy Bennett, a special education teacher and mother of a special needs child, will be giving a presentation on managing the IEP/504 process and being an effective advocate for your child. This event is free of charge, just RSVP to Melissa White, Care Coordinator at Willowcreek Draper (801-576-5941) no later than noon, September 9, 2011. Please join us on September 13, 2011 at the Willowcreek Draper office at 114 E 12450 S, Suite 100, Draper, Utah 84020 (801-523-3001). See you there!


Family Group Activity
IEP and 504 issues: Helping your child succeed in school
September 13, 2011
7:00-9:00pm
Willowcreek Draper Pediatrics
114 E 12450 S, Ste. 100
Draper, UT 84020