Wednesday, August 31, 2011

Boxing

This one seems obvious to me, but now the AAP has made it official:


TEENS + BOXING = BAD IDEA



You can read more about it here.

Wednesday, August 24, 2011

Flu Shots

It feels like summer is just getting started, and bam, here it is almost fall. And after fall comes winter, and with winter comes...influenza. From year to year we never know how bad the flu season is going to be. Some years we hardly see any. But some years it is awful. And kids with influenza are miserable. 'Shoot me now!' kind of miserable. "But we've never gotten the flu before!" you say. As Dr. Buchanan says, "I've never been in a car accident, but I still wear my seatbelt." Do yourself a favor and protect your kids. 


Right now we have flu vaccine (mist and shot) for children 6 months and older with regular insurance. We currently do not have flu vaccine for children with Medicaid, CHIP, self pay or underinsured. We'll be getting more, and don't you worry--we'll keep you posted :)

Starting in September, flu clinic days will be on and by appointment only:
Tuesdays 4-7, Wednesdays 9-1, Fridays 2-4 and Saturdays 9-1


{a little info from the CDC}

The single best way to protect against the flu is to get vaccinated each year.



There are two types of vaccines:
·         The “flu shot” — an inactivated vaccine (containing killed virus) that is given with a needle, usually in the arm. The flu shot is approved for use in people older than 6 months, including healthy people and people with chronic medical conditions.
Flu Shot: Vaccination Information Statement (VIS)

·         “Flu-Mist” —a vaccine made with live, weakened flu viruses that do not cause the flu (sometimes called LAIV for “live attenuated influenza vaccine” or FluMist®). LAIV (FluMist®) is approved for use in healthy* people 2-49 years of age who are not pregnant.
Nasal Spray: Vaccination Information Statement (VIS)


The seasonal flu vaccine protects against three influenza viruses that research indicates will be most common during the upcoming season. The viruses in the vaccine change each year based on international surveillance and scientists' estimations about which types and strains of viruses will circulate in a given year. About 2 weeks after vaccination, antibodies that provide protection against influenza virus infection develop in the body.
Yearly flu vaccination should begin AS SOON AS VACCINE IS AVAILABLE and continue throughout the influenza season, into December, January, and beyond. This is because the timing and duration of influenza seasons vary. While influenza outbreaks can happen as early as October, most of the time influenza activity peaks in January or later.

Wednesday, August 17, 2011

Lunchtime Safety


If your kids are brown bagging it this year, here's something to think about. A new study showed that out of 700 pre-schooler's lunches, 98% of them were at an unsafe temperature for perishable meats, dairy and veggies. Surprisingly, 45% of these lunches had ice packs!

What's a health conscious mom to do? Add more ice packs, and use the refrigerator if it's available.

You can read more here. 

Monday, August 15, 2011

Giveaway Winner

Thanks to everyone who participated in our Back to School Giveaway. It was fairly close, but more people were excited for school starting than dreading it.

The winner is.....

Rochelle

Who said...

Our summer has already ended. Our boys have already started school. I am sad I feel that we had very little time to spend as a family doing fun summer family adventures. Now we just plan some of those on Saturdays. Could have used a few more weeks of summer vacation. Love spending time with my family.

Congrats! Send us an email to southpointpediatrics@gmail.com with your contact info so we can get you your gift card.



Wednesday, August 10, 2011

Time Out

Southpoint is incredibly lucky to have Nate Ridge, a child psychologist, working in our office. Nate specializes in depression, anxiety, ADHD and behavioral problems. Today we asked him to give us a run down of how to effectively use time outs. Thanks, Nate!



Have you ever wondered why it is that you can get a manual for a TV, but there
does not ever seem to be a manual for your child? More often than not, parents
will ask themselves this question at the height of their child’s NONCOMPLIANCE
or AGGRESSIVE behavior. For these particular situations, time out is often the
best choice for handling these types of difficulties.

So what is time out and how do you effectively implement this at home or even in
public. I want to go over the top ten tips for implementing time out in your home:

1. Choose an area: Before using time-out, decide where the time-out chair/
area will be. Make sure it is free from any potentially dangerous objects
(outlets, glass objects) and out of reach of shelves, furniture. It should be
in a place where the child cannot watch television or play with toys.

2. Identify behaviors: Choose before hand what behaviors you will use for
time out (example: hitting).

3. Explain rules: Before you begin using time-out, explain to the child where
the time-out chair is, what behaviors will have time out as a consequence,
and how to get out of time-out (sitting calm and quiet).

4. Remember IMMEDIACY and CONSISTENCY. The child should be
placed in time-out each time the challenging behavior occurs.

5. IF and WHEN. Following the challenging behavior, tell the child what they
did and guide them to time out. For example, “You hit, time out.” Say this
phrase calmly and only once.

6. Never reason, negotiate, give explanations, or apologize: Remove any
toy in the child’s hands. If the child does not go willingly, take the child to
time-out, using as little physical guidance as necessary. Do not make eye
contact with the child, argue with, or reason with the child while they are
in time out. Remember, once you say time out, time out must happen so
your words mean something.

7. TIME: Generally use 1 minute per age of the child. However, remember
that time out begins when you child is cooperating and staying still and
quiet, not when the child is throwing a tantrum. The first few times you
implement time-out, your child may scream, kick, hit, or even try to leave
time out. IGNORE the tantrum and DO NOT allow the child leave time-
out. The child must learn that they will ALWAYS return to time out until
they cooperate.

8. Stay in Control: Never use an egg timer or tell you child “You can come
out when you’re ready.” You are always in control.

9. Stay Calm: Take a deep breathe and use positive self talk to remain calm.

10. Remember the relationship: While all of the above steps help make time-
out effective, what makes time-out extremely effective is that the child
realizes that there is a rift in your relationship. So it is important to find
something to praise once your child comes out of time out to let them
know that “We’re okay."

While time out can be effective, there are many parenting tools at your disposal.
Remember, time out should be use infrequently and only out of necessity. If you
find yourself having questions, feeling that it is not working, or that you are using
time out too liberally or frequently, please do not hesitate to give me a call.

Sincerely,

Dr. Nate

Monday, August 8, 2011

Back to School GIVEAWAY


We had so much fun with our last giveaway, we thought we'd do it again...just in time for last minute back-to-school shopping. The question this time:
Do you look forward to school starting/summer ending with dread or excitement?

Three ways to enter (you can do all three!):
  1. Leave a comment
  2. Put a link to the giveaway on your blog 
  3. Put a link to the giveaway on Facebook
The prize:
$75 gift card to Target

For our last giveaway the winner sent me this sweet email:
"So my grandma trained me to tell her everything I purchase when she sends me a giftcard so I feel obligated to do the same with you. I bought myself a cute pair of Mossimo capris, a cute green shirt, Maizy got a new pair of shorts with a matching shirt, I needed a bottle of hairspray, and I bought Jen Ostrander the first book of the Hunger Games because she is too stinking cute AND I had $17 leftover. Thank you so much, I had a blast!!!"
Fun, fun. We'll close it in a week, Sunday at midnight, and announce the winner Monday the 15th.

Wednesday, August 3, 2011

got milk?

The first two weeks of a baby's life are precious and wonderful and awesome...but they are also hard. Really hard. Dead tired, hormonal, overwhelmed hard. And nursing, one of those things that seems like it should be natural and easy and intuitive, can also be really hard. One of the common complaints is that there's not enough milk. While the quantity of your milk supply is in part genetic, there are a few things you can do to shift the tide in your favor.

  • Start nursing right away. I know it seems like initially your baby isn't getting enough from your measly colostrum, but she is! Her stomach is the size of a marble those first few days, and colostrum is incredibly good for her. So let her nurse on demand, and hold off on formula unless your doctor recommends it (for jaundice or weight issues). Your body is only going to make as much milk as it thinks your baby needs, and by nursing frequently you'll make more milk.
  • Drink plenty of water and eat, eat, eat. In the midst of taking care of a new baby and the other kids it is so easy to forget to take care of yourself. But if you aren't hydrated with plenty of calories (500-1000 extra per day) you won't make as much milk as you could.
  • Trust yourself and your baby. Nursing is harder than bottle feeding for the first 2 months (for most women, not all). But it is so much easier for the next 10. Your body will start to make enough, and your baby will start to latch. You just need a little time. 
  • There are a few medications/herbs that can help increase your supply. One or two of these is usually enough; you don't need to do all of them:
    • Mother's Milk Tea. 3 cups a day.
    • Fenugreek. 2 capsules three times a day.
    • Blessed Thistle. 2 capsules three times a day.
    • Reglan. I'm not a huge fan of this one because it's a little bit of a "dirty" medication. There are rare side effects that can be bothersome.
    • Domperidone. This is a medicine similar to Reglan, but without the side effects because it doesn't cross the blood/brain barrier. It is not approved in the US, however. Talk to your OB about it.
We also have a wonderful lactation consultant in our office who is great in helping you and your baby figure it out. You can call our office at 801-565-1162 and schedule an appointment with Teresa McNaught.

Good luck! 

Monday, August 1, 2011

Dear 16-year-old me

This video is really well done and worth watching. Lather those precious babes up with sunscreen.