Thursday, June 30, 2011

Pool Safety

Now that summer is finally here, we are all ready to cool off. The kiddie pool seems like the perfect solution: cheap, easy, quick and portable. But use it with caution. A new study in Pediatrics reports that about 2 dozen children drown each year in the portable pools. The pools are so easy to set up that the amount of scrutiny and care that goes into a full-sized pool often isn't there. Fences aren't set up to keep unsupervised kids out, and the pools are often not drained completely when the fun is over.  Children can drown in as little as two inches of water, and it only takes a few minutes of submersion for their breathing and heart to stop.

You can read more here.

We're not out to rain on anyone's pool party, but when you break out the kiddie pool use the same caution you would when you go to the pool. Make sure kids are supervised at all times and empty the pool when you're done with your fun.

Tuesday, June 28, 2011

Menactra Booster

The AAP is recommending that teens and those without a spleen get a 2nd Menactra shot.
The Menactra vaccine is an immunization against a bacteria that causes meningitis and other serious bacterial infections. Typically, the vaccine has been given at the 11-12 year old visit.  But a recent study showed that the protection gained from the shot starts to decrease sooner than originally thought.
Starting this year (2011), the AAP now recommends that all teens receive a 2nd Menactra shot ("booster") after their 16th birthday, or 5 years after their initial vaccination.  Side effects from Menactra have been quite minimal.  We recommend this booster for everybody!

Thursday, June 23, 2011

Tylenol Dosing

Currently Tylenol and other acetaminophen containing products come in two liquid doses: infant and child. The infant product is approximately 3x more concentrated than the children's. The dosing for the two is different, and it can cause some confusion. Over the next 6 months to a year makers of acetaminophen containing products will phase out the infant formulation and only have the child version. This will mean that when you give your baby Tylenol, you will give her a larger volume (but the same amount of medication because it is less concentrated) than you previously did. 

Just to be clear, DO NOT give your infant a larger volume of the current Infant drops (80 mg/0.8 ml) than what you usually do. This would overdose the child. But once the changes occur, the amount of Children's Tylenol you will give will be different. We will let you know when the changes start rolling out.

This is a pretty good chart for Tylenol dosing. It differentiates between Infant and Children.

Tuesday, June 21, 2011

I Love You Now, I Loved You Then

One of our patients just published a children's book entitled "I Love You Now, I Loved You Then." We think it's fantastic. We will have some copies in the office, but if you want to get your own you can get it here from Amazon. Way to go, Kate!!!

When Jake was born with a cleft lip and palate, there were a lot of of unknowns. Suddenly, the perfect childhood we had imagined for our son would be filled with multiple surgeries, countless doctor visits, and years of therapy. Would he recover easily? Would he be happy? Would he be teased? The questions were endless. But my husband and I decided from the very beginning to treat him just the same as his twin sister. He was never "our poor little guy with a cleft." He was and always will be "our son, Jake." The twins being our first kids, we didn't have a pediatrician yet. At the hospital, someone mentioned that Southpoint Pediatrics was a good place to go. So for our first check-up, we had the good fortune to land an appointment with Dr. Lash. About half-way through the appointment, he said "You know, I had a cleft just like that." We were so surprised! We'd barely even noticed that Dr. Lash had a scar. It was such a relief to hear about his experiences, and to see that he'd grown up into a happy, successful person. But, in passing, he mentioned that he'd never seen a picture of himself before his cleft was repaired. I've since heard the same thing from several people. I couldn't imagine that for my son. I wanted him to know that we were every bit as proud of him with a cleft as we are now that it's been repaired. I didn't ever want him to think that his cleft was repaired because it was ugly or something to be ashamed of. So, as he and his sister wiggled in their baby swings, I sat down and wrote "I Love You Now, I Loved You Then." And, because in other countries children born with clefts are often hidden away in shame, we donate the proceeds from Jake's book to Operation Smile. All I meant to do was make my son smile. But through the love and support of family, friends, and the amazing cleft community here in Utah, we're working towards bringing smiles to lots more kids! 
                                                                                                           -Kate Isles

Wednesday, June 1, 2011


Try some water. It has 0 calories, no potentially harmful additives and best of all it's a whole lot less expensive than the alternatives. Sports drinks or energy drinks are not necessary for the exercise that most kids are doing, and can potentially cause problems. Many of these drinks are loaded with unnecessary calories and are contributing to the obesity epidemic. When I see a child who has weight issues the first thing I have them do is cut out all juice, soda and sugary drinks and replace them with water and low-fat milk.

So before you hit the summer heat (hopefully soon!) fill up those bottles with some H2O.

You can read more about the new AAP guidelines regarding sports and energy drinks for children here.