Friday, October 10th, 2014
Thursday, October 2nd, 2014
We will continue to add additional dates over the course of the new couple of months. Currently the Flu clinics are scheduled based upon the type of insurance you have as we receive different flu vaccines depending upon whether or not you have Medicaid insurance or other insurance plans.
Thursday, October 2nd, 2014
There have been many respiratory infections across more than half the U.S. involving children and caused by an epidemic of Enterovirus D68. The epidemic has drawn national attention to Colorado.
Enteroviruses often cause summer time infections resulting in diarrhea and vomiting but can cause respiratory infections as we are now experiencing with Enterovirus D68. A well-known enterovirus, the polioviurus, can sometimes cause muscle weakness and paralysis. Experts from Children’s Hospital Colorado and the CDC are now exploring whether Enterovirus D68 is the cause of 10 cases of muscle weakness and paralysis here in Colorado. Children’s Hospital and our office have seen a large number of kids in the past 6 weeks with coughs and fever most likely associated with the Enterovirus D68. The children at highest risk seem to be those with asthma or other chronic respiratory problems.
Please call Crown Point Pediatrics if you have any questions about your child and cough, fever, wheezing, difficulty breathing, muscle weakness or paralysis. See the information below describing when to call 911 or go to the nearest Pediatric Emergency Department.
Read the latest update from Children’s Hospital Colorado that is presented below with information for parents regarding the current epidemic.
David Roos, M.D.
“UPDATE ON CURRENT RESPIRATORY VIRUSES AT CHILDREN’S HOSPITAL COLORADO Sept. 30, 2014
Children’s Hospital Colorado has seen an unusual influx of patients with respiratory illness at its emergency and urgent care locations, and at the same time has also seen a rare occurrence of neurologic illness, including limb weakness and cranial nerve dysfunction, in a small number of children.
Cranial nerve dysfunction is weakness related to cranial nerves that includes symptoms like facial droop, difficulty swallowing and double vision.
“At present, we can say this is a relatively rare occurrence,” said Samuel Dominguez, M.D., PhD, microbial epidemiologist at Children’s Colorado. “The way this neurologic illness presents itself in children is usually not subtle; in most cases, parents will be able to recognize the rare symptoms.”
The Centers for Disease Control (CDC) is actively investigating this cluster of neurological cases, and has not yet confirmed an association between these cases and enterovirus D68 or any other respiratory pathogen.
Below are questions and tips for concerned parents.
Reviewed by Chris Nyquist, M.D., epidemiologist at Children’s Hospital Colorado
When should I call 911 or go to my nearest emergency department?
If your child has any of the following symptoms:
• The child is having serious trouble breathing (chest retracts and lips and/or fingers turn blue)
• Child’s skin or lips have turned blue
• The child is unresponsive or difficult to arouse
• Paralysis or unexplained slurred speech
• Severe headache accompanied by blurred vision, difficulty speaking, numbness, tingling or paralysis
(These are guidelines; if at any point you believe your child needs immediate emergency care, take him or her to the emergency department or call 911)
Call your doctor if your child shows signs of neurologic illness, including:
• Unexplained weakness in his or her limbs • Unexplained cranial nerve dysfunction
What is causing it?
The Centers for Disease Control (CDC) is actively investigating this development and has not yet confirmed an association between neurologic illness and enterovirus D68 or any other respiratory illness.
How long will this neurologic illness last?
At this time clinicians do not know how long this neurologic illness will last.”
Tuesday, September 9th, 2014
We now have the FluMist and injectable influenza vaccines for patients with commercial insurance or who are private pay. FluMist is the nasal-spray flu vaccine for healthy patients 2 years and older. This year we have plenty of flu vaccine for all of our patients.
We have not yet received our flu shots for our patients with Medicaid insurance. These flu shots are supplied to us by the state’s VFC Program and the state requires that Medicaid patients receive their flu shots from that supply. Please check our website regularly as we will update it as soon as the VFC Program flu shots are received. We want to make sure that everyone gets their flu shot.
The flu shot, which helps protect against the influenza virus, is especially important for those at higher risk of developing complications due to an influenza infection. This includes:
Infants under 6 months are especially vulnerable because they are not old enough to get a flu shot. For this reason, parents and caregivers should also receive the vaccine and may do so at our office. Let us know if you are interested.
Keep watching our website – we will provide updates of the dates of the upcoming Flu Clinics.
Crown Point Pediatrics Staff
Wednesday, 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
Thursday, 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
Thursday, 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
Tuesday, 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.
Article by St. Louis Post-Dispatch/The Associated Press
David Roos, M.D.
Monday, 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
Monday, 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.
David B. Roos, M.D., FAAP
© 2014 American Academy of Pediatrics. This Parent Plus may be freely copied and distributed with proper attribution.