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All Articles tagged ‘video’

Why A Flu Shot Every Year?

We need a flu shot annually because influenza virus changes structure and shape as it moves around the globe each year. The strains that cause human disease are different from one year to the next, so we update and add to our protection annually by getting a shot or nasal flu spray. Children, especially those under age 5, are at higher risk for severe disease from influenza. In children and adults, influenza can cause a mild illness, but unfortunately, sometimes it can cause severe or even life-threatening complications. Children may have a more difficult time fighting off influenza partly because they don’t have years of exposure to other strains of flu and no real immunity built up. Therefore all children are considered a priority group for flu shots. Pregnant women, families with infants at home, and those with underlying medical problems like asthma, diabetes, or neurologic problems really need to get them, too.

It takes a well-orchestrated, worldwide effort to help predict which strains come to our country and which 3 strains are included in the annual flu shot or flu nasal spray here in The United States. The video explains more.

What You Need To Know About “Flu Season

How Experts Determine Flu Strains for Shots/Nasal Spray

Find A Flu Shot Clinic Near You

Every Year Is An Influenza Pandemic For Children (commentary)

BPOD: A New Acronym

This may be the best decision I’ve made in a decade. In August, we came up with a new acronym around our home and a tradition was born. Our boys take this very seriously now. Consider starting one at your home, too? Gratitude is powerful stuff.

Swim Lessons Before School

New data around the world has found that early swim lessons (between age 1 and 4) may confer added protection against drowning. Maybe a new rule should be swim lessons before the start of school?

Many parents tell me in clinic that they are terrified about their children drowning. If you’re one of those, arm yourself with information: read some of the links (below) and consider signing up for lessons. However, don’t use swim lessons as an excuse to decrease vigilance around the pool or lake or riverside. Young children between age 1 and 4 years of age drown the most. Drowning happens quickly, and sometimes it’s very quiet or even silent.

Information, Myths, Truths, And Opinion About Swimming Lessons And Water Safety

  • Never let an infant or toddler out of arm’s reach when swimming or playing in water. There is good data stemming from an article published in March of 2009 to suggest swimming lessons may prove to be protective against drowning. Drowning is the second most common cause of death from injury in kids less 14 or younger.
  • 6 myths about water safety  Read full post »

Surviving Tantrums: The Anger Trap

We survived one of the biggest tantrums of all time in June. At the Oakland, California airport check-in of all places. Did you happen to hear about it? I literally had to physically hold and restrain my son from running off into moving traffic. The tantrum caused for lots of staring and avoidance. It does feel like judgment sometimes, which only makes us feel worse. In a low moment, I explained to my 3 year-old that he was acting like an animal. I got progressively more and more embarrassed and progressively more and more frustrated. It was one of those moments we never expect and have a hard time forgetting. The forgiving, that comes easy. Have you read the book, How Do Dinosaurs Say I Love You? That helps, too.

Same thing happened this weekend. I missed a meeting when I got stuck in a tornado-like tantrum and spent a big part of the weekend trying to optimize ways to support my son to avoid tantrums. When it comes to tantrums, we all know we’re supposed to calm down, but it’s difficult to say the least. Our children find all of our hidden buttons and can escalate rapidly. You can’t avoid every tantrum, but some ideas to help you survive them more gracefully:

8 Tips To Survive A Tantrum

  • Giving your child enough attention and “catch them being good.” Provide specific praise in successful moments. However, don’t feel that if one child tantrums more than another that you aren’t providing enough attention. Personality is infused in behaviors, including tantrums.
  • During a tantrum give your child control over little things (offer small, directed choices with options rather than Yes/No questions). Read full post »

Why Broad Spectrum Sunscreen?

I’ve written about sunscreen before (Protecting Children From The Sun, 10 Tips on Tanning, & the video on Protecting Infants included below). More important and than any granular, scientific detail about a sunscreen ingredient, UVA/UVB radiation, or it’s vehicle– a spray or a lotion or an ointment–is how you use it. The best sunscreen is the one that is used early and often on children. No sunscreen is waterproof and no sunscreen is play proof. For infants and toddlers, I’ve found the best trick for easy application is to put it on while they are strapped into the car seat on your way to the beach! There’s no controversy that it’s best to apply sunscreen 20 minutes before sun exposure and repeat the application head to toe every 1-2 hours during active play/swim.

Don’t be fooled– sunscreens marketed for children may not provide any increased safety or protection. You’ll see and hear conflicting reports on ingredient safety, particularly as differing groups discuss concerns about chemical ingredients versus physical/mineral ingredients. Trouble is, groups now warn about the physical/mineral ingredients (previously felt to be the safest) due to their particle size. And although the FDA warns against using spray sunscreen with children (concerns about inhalation of the fumes) most families love the convenience. Here’s a comprehensive, current review on ingredients & safety.

Good thing is, most everyone agrees that the ingredients in sunscreen are less risky than any significant sun exposure or burn in childhood.

The video above explains the need for broad spectrum protection. You’ll need to look for a sunscreen that has 2 or 3 ingredients to cover all the range of UVA and UVB rays that damage our skin. Here’s the American Academy of Dermatology’s tips.

A Little Science About UVA/UVB Light & Sunscreen:

  • UVA radiation causes Aging and deeper skin damage. To protect against the entire spectrum of UVA rays, you’ll likely need two ingredients in the sunscreen–most commonly you will see oxybenzone or avobenzone coupled with another (zinc oxide, titanium dioxide, for example) to cover the entire UVA spectrum of light. Although some people report concerns about oxybenzone’s irritation to sensitive skin, recent research finds when it’s only at typical 1-6% concentrations, skin reactions are unlikely. If using a sunscreen for the first time, apply a small patch of sunscreen to your child’s leg as a test before using it elsewhere. UVA radiation is constant throughout the year, regardless of season or heat index. Read full post »

Understanding Risks For SIDS

New research helps clarify ways we can reduce risks for Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Death in infancy. A recent Pediatrics study found that the convergence of risks (see diagram below & listen to video) for infants is meaningful–reducing number of risks may reduce SIDS deaths. Avoiding multiple and simultaneous SIDS risks may help– especially for babies who are vulnerable due to family history, genetics, prematurity or prenatal exposures. Further, research published the same month in The American Journal of Public Health (April 2012) confirms that sleep environment hazards (co-sleeping, soft sleeping surfaces, shared sleep surfaces with people or animals) contribute to SIDS. 70% of infants who died from SIDS were sleeping in a surface not intended for infant sleep (adult bed, couch, chair) and 64% of infants who died were sharing a sleep surface, with half sharing with an adult. We can decrease SIDS risk by controlling our baby’s environment, knowing their vulnerabilities, and sharing what we know. Put babies on their backs without soft bedding (bumpers/pillows/blankets) in their own crib until 1 year of age.

Read full post »

How Do Doctors Screen For Autism?

Pediatricians, nurse practioners, and family doctors start screening your baby or toddler for signs of developmental or communication challenges like autism from the very first visit. As a pediatrician, how your baby responds to you (and to me) during the various visits during infancy and toddlerhood guide me in their screening. In the office I get to observe how a baby giggles, how they look to their parents for reassurance, how they try to regain their mom’s attention during our conversation, how they point or wave, how they respond to their name, and even how and why they cry when I’m around. Those observations in combination with family history, health exams, and parental perspectives remain extremely valuable for me in helping identify children at risk for autism.

However, more formalized screening is recommended at both the 18 month and 24 month well child check. In most offices, clinicians use the M-CHAT, a 23-point questionare parents fill out. Often, I have to help parents answer one question in particular, (“Does your child make unusual finger movements by their face”) but other than that, most families find it easy to fill out. Using this standardized screening, pediatricians can pick up children at risk for autism and will be prompted to start conversations about language delay, concerns about behavior, or possible next steps for a toddler at risk with additional genetic, neurologic, or developmental testing.

It’s important to note that screening isn’t diagnosing. If your child has a positive screen for autism, it doesn’t mean they will be diagnosed on the spectrum. And further, if your child screens normally but you continue to worry about autism, don’t be shy. Read full post »

Reassuring Infant And Toddler Communication: When Not To Worry About Autism

Many parents worry about their child’s development at one point in time. With each of my boys, I had worries about their communication and thought their language delays or behaviors signaled something serious. That might just be the “worrier” in me, but it might just be the “mom” in me, too. Competitive parenting makes us all a little nuts…

Here’s a few signs that your child is developing great communication skills on time. However, if at any time you worry that your child isn’t expressing joy, communicating thoughts, or reflecting an understanding of your language, visual cues, and behavior talk with your child’s doctor. If you don’t feel heard or continue to worry, schedule another visit. If you still worry, contact another doctor for a second opinion. Instincts serve us very well when it comes to parenthood. Further, find some peace of mind if your child is doing many of the behaviors listed below!

Reassuring Developmental Milestones For Infants & Children

  • Responds to her name between 9-12 months of age.
  • Smiles by 2 months, laughs and giggle around 4-5 months, expresses great joy to your humor around 6 months.
  • Plays and thinks peek-a-boo is funny around 9 months of age.
  • Makes eye contact with people during infancy.
  • Tries to say words you say between 12 and 18 months of age.
  • Your toddler uses 5 words by 18 months of age.
  • Copies your gestures like pointing, clapping, or waving.
  • Imitates you — ie pretends to stir a bowl of pancake mix when you give them a spoon and bowl or pretends to talk on the phone with a play cell phone.
  • Shakes head “no.”
  • Waves “bye-bye” by 15 months of age.
  • Points to show you something interesting or points to get your attention by 18 months of age.

Flying With Toddlers: Tips For Distraction, Tips For Tantrums

Flying with toddlers is far more difficult than flying with an infant in my opinion. It’s the need to get up, run the aisles, move around, have another snack, read a different book, take an abbreviated nap, go pee, and that minute-attention span that makes it not only exhausting but nerve-racking for most of us. Although the challenge is real, success comes with having a good plan, allowing extra time, and packing the right snacks, toys, and books to keep your toddler occupied. That 3,000 mile flight at 30,000 feet can be a ton of fun! The above tip came from a friend years ago. Prepare for the worst and expect the best when flying with toddlers–hopefully this blue tape idea sticks. (ha)

Now dealing with tantrums while up in the air is another challenge in and of itself. Many of us heard about the toddler kicked off an airplane, and have also heard about the opinion for commercial airline children-free flights. Although I wholeheartedly disagree that we should segregate flights by age, I do think these stories in the news media elevate our anxiety for flying with our children. Don’t let it. You’re always the best one to support and help your child on the ground or up in the air. Don’t let the public shake that truth. My tips for dealing with tantrums at 35,000 feet aren’t very different from those on the ground: provide consistency, provide distraction, and provide comfort. But more, set yourself up for success by clearing the tension with passengers sitting next to you ahead of time. Acknowledge the challenge. I’ve found it not only decreases my own anxiety, it allows for a much better reception when things don’t go as planned.  Click to read full post for my additional 1-minute video explanation and a few ideas. What are yours? Read full post »

When Is It Okay To Fly With My Newborn Baby?

I think it’s okay to fly with your newborn baby straight away. After 1 week of age the Federal Aviation Association (FAA) says it’s okay, as does the AAP, but always recommends a separate seat for your infant whenever possible.

The biggest risk flying with a healthy newborn is exposure to infection. So, like any decision in life, you have to weigh the risks and benefits of a decision. Because we take fever very seriously in babies under 3 months of age, we want to avoid infections when possible. Take precautions, wash your hands frequently, and wipe down seat backs, tray tables, and seatbelts on board.

All that being said, I flew with O when he was just 6 weeks old. It was important for us to travel to see family in California for the holidays. I took precautions, loaded up on hand sanitzer, and backed extra diapers. It was a wonderful Christmas…

For more on traveling with children, check out:

TSA Tips For Traveling With Children

Is Air Travel Safe For an Infant (the short answer is “yes”)