Tuesday, March 22, 2011

You're doing great

A few week ago I was in a well-child check with a darling 2 year old. I was checking developmental milestones and asked the mom how her daughter did with a spoon and a fork. Somewhat sheepishly the mom admitted that she great....because she hadn't had much practice. She made such a mess eating that the mom tended to spoon feed her in an effort to stay clean. I laughed and admitted that I did the same thing, and 2 1/2 year old Ella still asked me to feed her from time to time.

The role of the well-child visit is to make sure children are healthy, developing normally, and are safe. But with all that entails it can be a little overwhelming. And the truth is, most kids turn out okay because of (and sometimes in spite of) our best efforts. So Ella's not a whiz with her fork. She will be by the time it counts. And she's a whiz at lots of other things. So your child is still sleeping in your bed. He won't be when he's 16! Enjoy it while he still wants to be with you :)

Well-checks are an important part of growing up, but if you aren't doing everything "perfectly"....don't stress! Do your best and your kids will be just fine.

AAP Updates Car Seat Recommendation

For a few years now we've been telling parents that keeping kids rear facing as long as possible is the safest. This week the American Academy of Pediatrics made it official and changed their policy statement to say that children should be rear facing until 2 and in a booster until 8. While this can be hard to swallow, it's a good idea. This video gives an idea of what can happen in a crash.

Scary, right?

This short article gives a great overview of why the change was made. Basically, infant and toddlers have big heads compared to the rest of their body, and it is much safer for them to be rear facing.

My guess is that this over time everyone will adopt this recommendation and it will eventually become law. When car seats were initially introduced they were viewed as cumbersome and somewhat inconvenient, and they are obviously the norm now. Riding rear facing will likely go through a similar process. Yes, it's going to be a little bit painful. But keeping our kids safe is priority #1.

I'm just hoping my new baby Anna doesn't put up too much of a fight...

Monday, March 14, 2011

RSV and Influenza B starting to decrease

According to Primary Children's Hospital's Germ Watch website, RSV levels are starting to decline. Influenza B also appears to have peaked and is decreasing. We are still seeing both of these in the office, but they are definitely slowing down here as well.
We are seeing a lot of Group A Strep infections (Strep throat). Typical symptoms include fever, sore throat, stomach ache and/or headache. Because strep's symptoms can be similar to many viral infections, if you suspect your child has strep we should see him or her and test for it. Strep is treated with antibiotics since it is a bacterial infection. Antibiotic treatment decreases the spread in families and schools, helps children get better (a little) faster, and prevents the rare but serous complication of rheumatic fever.
Don't forget to wear green this Thursday!