August 27th, 2014
The following Opinion Piece appeared in The Washington Post on August 8, 2014. This article brings up some very important points about parenting in today’s electronic world and was written by Dr. Jane Scott, a pediatrician in Highlands Ranch, Colorado. Each of us should read the words below with a critical eye to our own use of electronic media in the presence of our children, spouses and friends.
“I’ve been a pediatrician for 20 years, and I thought I’d seen it all. But not long ago when a father brought his 2-year-old into my clinic, something happened that has me deeply concerned.
Upon entering my examining room, I found father and son sitting together, eyes downcast, each silently scrolling and tapping on smartphones. During my initial exam, the father directed most of my questions to his frowning toddler, who indicated that his ears hurt, and I quickly discovered that both eardrums were red and inflamed.
“Guess what?” I said to my small patient. “Your ears hurt because you have an ear infection. But we can give you medicine and make you better.” I smiled at the little boy and his father. Immediately, the child picked up his phone and pushed a button. “Siri,” he asked carefully. “What is an ear infection?”
At age 2, a few minutes on a smartphone isn’t a big deal; screen time is a part of growing up today, and most parents try to set appropriate limits. But when a child so young turned to a machine for information instead of to his father, it made me wonder: Just how limited was his parents’ screen time? What I saw was modeled behavior — a child who’s learned that when he has a question, Siri, and not Dad, is most readily available with an answer.
It’s hard to say for sure based on this one moment, but there can be no doubt about the larger trend: Parents today are probably the most informed and involved generation in history. And, yet, in the company of their children, they often act as though they’d rather be someplace else. That’s what they’re saying when they break eye contact to glance at their push notifications or check Facebook when they think their child’s distracted. The parents are present, their attention is not.
In my practice, I see evidence every day of how such inattention affects kids. It’s expressed in temper tantrums and separation anxiety, and older children who resist discipline. Most parents are taught that this is all normal, that children are biologically wired this way. Not exactly. Yes, all of this is normal attention-getting behavior, but it often is preventable.
Consider the results of a March study by researchers from Boston Medical Center who carefully observed caregivers and children at fast-food restaurants. Out of 55 caregivers, 40 used their mobile devices, and their absorption was such that their “primary engagement was with the device, rather than the child.” In many cases, the caregivers expressed irritation when the children tried to get their attention. One observer watched a woman push a small boy away as he took her face in his hands in an attempt to get her to look up from her tablet.
It’s possible all those adults were following an urgent work e-mail thread. More likely, they were on Facebook, Twitter or Pinterest. A 2011 Nielsen poll found that people with children use social media more than those without. Maybe these adults were reading an article shared by another parent. Maybe they were making plans with friends and family. But they were definitely communicating to their children that they were less important than whatever was on those devices.
This might seem absurd to today’s parents, who feel like they give themselves to their children in ways previous generations never imagined. But the undivided attention that children need from us is in jeopardy. Most people just don’t realize how much time they’re spending online; what feels like a few minutes is often a half hour or more. When we are with our children, we need to be with our children — not with them except for the part of us that’s reading e-mails, tweeting and checking Facebook.
Another reason for parents to put down their phones: Though Facebook may provide community, it can also promote competition and unreachable standards of perfection. Through Facebook, we read an endless litany of our friends’ boasts about their children. It’s enough to make a person wonder what she’s doing wrong because her child prefers plain pasta over the curry special, or “Old MacDonald” to Chopin. Though most parents would say they’re not competitive in this way, many worry privately that they might be short-changing their kids.
Social media has a place and a purpose, but too many parents are creating unnecessary stress by trying to be in two places at once, while modeling to their children that online relationships take precedence over real ones. In an era of constant distraction, we must decide what’s more important: heeding the constant ping of our devices, or telling our children, in word and deed, “I am listening. I am here. And there’s nowhere else I’d rather be.””
Submitted by David Roos, MD
Posted in General Information, News and Updates, Parenting | No Comments »
July 25th, 2014
What is HPV?
HPV stands for Human Papillomavirus. HPV is a sexually transmitted virus. There are approximately 79 million persons in the United States infected with HPV, and approximately 14 million people will become newly infected with HPV each year. Each year, it is estimated that 26,000 cancers are attributable to HPV; about 17,000 in women, and 9,000 in men. Cervical cancer is the most common HPV associated cancer among women, and oral cancers are the most common among men.
The HPV vaccine is a cancer prevention vaccine.
There are 2 vaccines available to protect against HPV types 16 and 18, the types that cause most cervical, anal, genital, and oral cancers.
The Advisory Committee on Immunization Practices (ACIP) recommends routine vaccination of girls and boys, ages 11-12 years old. Vaccination is recommended for females through age 26 years and males through age 21 years who were not vaccinated at an earlier age.
There have been nearly 60 million doses of HPV vaccine given in the US, through 2013. Safety monitoring and surveillance has not identified any new safety concerns. More than 7 years of post-licensure vaccine safety monitoring in the US provide continued evidence of the safety of the vaccine.
Injection site discomfort is the most common adverse reaction. Syncope (fainting) is the most common safety concern. Syncope can occur among adolescents who receive any vaccines. The ACIP recommends that all adolescents be observed for 15 minutes after they receive any vaccination.
Please ask your health care provider about the HPV vaccine at your teen’s next physical exam.
Submitted by Vona M. Lantz, CPNP
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July 8th, 2014
Healthy teeth and gums begins with taking proper care of your infant’s gums, and modeling appropriate dental care to children every day. Parents can demonstrate to their children every day the importance of brushing their teeth consistently, and teaching the importance of flossing their teeth on a regular basis.
Children need to have regular dental visits, every 6 months, starting by the age of 18 months to 24 months. During infancy, begin healthy dental habits by wiping your infant’s gums with a soft, clean cloth after each feeding. Once, their teeth begin to come in, wipe your infant’s teeth and gums after each feeding, especially along the gum line, with a soft, clean cloth, or a soft bristled toothbrush, or a finger brush.
By the age of 18 months to 24 months, brush your child’s teeth twice daily, once in the morning and once before bedtime. Use a small smear of toothpaste with fluoride, like the size of your child’s pinky finger nail. When finished, wipe off your child’s teeth with a soft cloth, until they can spit out the toothpaste on their own.
It’s important to begin to wean your child from the bottle after 12-15 months old. Do not put your child to bed with their bottle. If you are transitioning from a bottle at bedtime to no bottle at bedtime, only put water in the bottle if the child takes their bottle to bed.
Healthy habits start at a young age. When you begin to feed your child solid foods, make sure to provide healthy choices. Avoid sugary foods such as candy, sticky fruit roll-up snacks, fruit juice, sugary cereals, soda. Remember, even gummy vitamins and raisins can lead to tooth decay.
Submitted by Vona M. Lantz, CPNP
Posted in Dental Health | No Comments »
April 24th, 2014
National Infant Immunization Week (NIIW) is set for April 26-May 1, 2014. NIIW is an annual observance to highlight the importance of protecting infants from vaccine-preventable diseases and to celebrate the achievement of immunization programs and their partners in promoting healthy communities.
Since 1994, hundreds of communities across the United States have joined together to celebrate the important role vaccination plays in protecting our children and communities.
We, here at Crown Point Pediatrics, highly recommend immunizations for everyone from infancy through adolescence and adulthood. We encourage you to talk with your health care provider about your child’s immunizations and discuss any questions or concerns you may have. You may also visit the CDC website (Centers for Disease Control) for accurate an reliable information about all immunizations. (cdc.gov/vaccines)
Submitted by Vona M. Lantz, CPNP
Posted in Babies, General Information, Immunizations, News and Updates | No Comments »
March 4th, 2014
High school and middle school students who consume energy drinks and soft drinks are more likely to abuse other substances like cigarettes, tobacco and illicit drugs than students who don’t regularly drink these beverages. This makes sense in many ways because students who like the buzz they get from energy drinks might be more prone to find other substances to find that high or buzz.
A study from the University of Michigan recently showed that 8th, 10th and 12th grade students across the country, in self-reported surveys, showed a link between using energy drinks and soft drinks and using illegal substances like alcohol, cigarettes and illicit drugs. In this large group of teens, 30% drank energy drinks or shots, 40% consumed daily amounts of regular soft drinks and 20% used diet soft drinks on a daily basis. Consumption of these beverages was strongly associated with the use of alcohol, cigarettes or illicit drugs within the 30 days before the survey was taken.
The FDA requires that soft drinks contain no more than 71 mg of these substances per 12 oz. serving which is almost 6 mg per oz. Energy drinks may contain from 2.5 to 171 mg per oz. There may be more than 30 times the stimulant concentration in energy drinks compared with stimulant containing soft drinks. The FDA is examining the safety of caffeine in foods and beverages because there have been reports of hospitalizations and deaths after consuming energy drinks or shots containing high concentrations of caffeine. The risk of harm is highest for children and teens.
Parents need to monitor the amount of caffeine and other stimulants that their children and teenagers consume. Currently the most common source for caffeine is soft drinks but more and more children and teens are consuming energy drinks and coffee.
Submitted by David B. Roos, M.D.
Posted in General Information, Teens | No Comments »
February 27th, 2014
Champ camp turns 34 years old this year. Every year the American Lung Association in Colorado holds Colorado’s only wee long camp for children with asthma. At camp, children get to be physically active and challenged, while learning how to correctly manage their asthma.
Champ camp is for children 7-14 years old with asthma. There are day to day outdoor group activities such as swimming, canoeing, rock climbing, high and low rope courses. There will be asthma education and management of asthma there. Champ camp is July 20-26. It is at Glacier View Ranch in Ward, Co, near Boulder.
There are volunteers around the clock that include doctors, nurses, respiratory therapists, cabin counselors, and activity assistants who are dedicated to creating a fun and safe camp experience.
Every child has a chance to have an adventure and attend the Champ Camp no matter their financial status. If you have a child with asthma between the ages of 7 and 14 years old and you think they would enjoy this camp please call 303-847-0267 or 303-847-0279, or visit www.champcampcolorado.org.
Submitted by Vona Lantz, CPNP
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February 4th, 2014
Recall affects B-Agile, B-Agile Double and BOB Motion single and double strollers.
WASHINGTON • Britax is recalling about 216,000 strollers because of a risk to partially amputate fingertips, break fingers or cause severe lacerations, among other injuries, when pressing the release button while pulling on the release strap.
Britax Child Safety Inc. of Fort Mill, S.C., has received eight reports of incidents including one partial fingertip amputation, one broken finger and severe finger lacerations.
The B-Agile, B-Agile Double and BOB Motion single and double strollers were sold in various colors including black, red, kiwi, sandstone, navy and orange at major retailers and juvenile products stores nationwide and online retailers from May 2011 to June 2013 for $250 to $450.
Consumers should stop using the strollers immediately and contact Britax for a free repair kit at (866) 204-1665, or visit www.britaxusa.com or www.bobgear.com .
Article by St. Louis Post-Dispatch/The Associated Press
David Roos, M.D.
Posted in General Information, News and Updates, Safety Guidelines | No Comments »
January 20th, 2014
Influenza (Flu) season is here in full force. Hopefully, all family members have received their flu vaccines. If you still need a flu vaccine, call the office today and schedule an appointment to get your flu vaccine.
What other measures can you do to increase your families’ protection from the flu?
Always practice good hand washing! Remember to keep your children home if they have a fever, and make sure to schedule an appointment to have your children checked if they have the following symptoms: fever, cough, bodily aches, a fussy and irritable infant, or an infant that is not feeding well.
You can boost your body’s immune system with these natural flu-fighting foods:
1-Black-eyed peas, which include pinto beans, peanuts, roasted pumpkin seeds, and wheat germ, These nutritious legumes are rich in zinc, a mineral that keeps your immune system in working order.
2- Carrots, which are rich in beta-carotene, helps your body to ward off respiratory infections. Other good sources are dark green vegetables, sweet potatoes, pumpkin and winter squash.
3- Tea, green, black, and oolong teas all contain naturally occurring compounds that reduce the risk of the flu, including quercetin, a powerful anti-oxidant , and L-theamine, an amino acid found naturally only in tea. Decaffeinated teas also contain the amino acid, but herbal teas do not.
4-Yogurt, which includes probiotics, the beneficial bacteria, that strengthen the immune system. Cottage cheese and sauerkruat also contain probiotics too.
5- Tomatoes, contain Vitamin C which helps your body to fight colds and flu by boosting the body’s natural defense system in the same way their “citrus relatives” do. One medium tomato provides 40% of your daily vitamin C. Don’t forget tomato juice or natural tomato sauce on pasta dishes!
6-Mushrooms, are nutritional powerhouses that heighten the body’s resistance to viral infections by increasing the activity of your body’s immune fighting process. They are also rich in selenium; Low levels of this element has been linked to an increased risk of developing more severe influenza.
7- Almonds, are a rich source of Vitamin E, a powerful anti-oxidant, which helps your body to fight off infections.
Submitted by Vona M. Lantz, NP
Posted in General Information, News and Updates | No Comments »
January 6th, 2014
Infants, children and pregnant women should not drink raw milk or eat products made with raw milk because they can cause illness or death, according to a recent report from the American Academy of Pediatrics.
Milk, cheese, yogurt and ice cream that are not pasteurized are considered raw milk products. Two people died and 195 went to the hospital after eating or drinking raw milk products between 1998 and 2009, according to the Centers for Disease Control and Prevention. Infants and young children are especially at risk for getting sick after eating these products. Pregnant women also are at greater risk of problems such as miscarriage and infection.
People often consume raw milk products because they want unprocessed foods. But research studies have not shown any benefits to drinking raw milk, and products made with unpasteurized milk can be the source of various infections.
Pasteurization is the process of raising the temperature of milk to at least 161 degrees for more than 15-20 seconds, followed by rapid cooling. Pasteurization kills dangerous bacteria and reduces the risk of getting sick. The process first was used in the United States in the 1920s. Before pasteurization, raw milk contributed to a large amount of food-related illness.
Claims linking pasteurized milk to health problems have not been backed up by scientific data, according the report. In addition, strong scientific evidence shows that pasteurized milk is just as nutritious as raw milk.
The sale of raw milk products is legal in 30 states, but shipments between states are not allowed. About 1% to 3% of all dairy products eaten in the United States are not pasteurized.
The Food and Drug Administration and Centers for Disease Control and Prevention also recommend against consuming raw milk products.
For more information, visit www.cdc.gov/foodsafety/rawmilk/raw-milk-index.html or http://www.fda.gov/food/foodborneillnesscontaminants/buystoreservesafefood/ucm277854.htm.
David B. Roos, M.D., FAAP
© 2014 American Academy of Pediatrics. This Parent Plus may be freely copied and distributed with proper attribution.
Posted in Babies, General Information, News and Updates, Well Care | No Comments »
December 11th, 2013
J. Hobbs! Congratulations to our first winner of the mini Ipad give away contest! We want to thank all those who took time to write a review of Crown Point Pediatrics on Facebook, Google and ZocDoc. Be on the lookout for a future give away.
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