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  • When a vacation becomes an adventure

    This blog was originally posted November 2012.

  • Prepare Your Child for an Outpatient Procedure

    Children, like adults, get anxious about the unknown. When children learn they have an upcoming hospital procedure, they need -- and deserve -- developmentally appropriate information.

  • Does My Child Have an Upset Stomach or Appendicitis?

    You’re driving back from a family outing and each time your car rolls over the neighborhood speed bumps your youngest child cries out. When you ask what’s wrong, they whimper and struggle to explain. Then you recall how earlier that day when the kids were playing outside, your child abruptly stopped and complained of a sore belly. Is it an upset stomach or could these complaints point to something more serious – like appendicitis? 

  • An ounce of prevention is worth a pound of cure

    As a pediatrician, one of the most common questions I am asked this time of year is what I think about the seasonal flu vaccine.

  • What not to say to an adoptive parent

    I have the good fortune of knowing many families with children who have been adopted, and over the years I’ve been appalled at some of the conversations these friends have endured at the hand of strangers (and even non-strangers). Most adoptive parents will tell you that they know these offenses are not intentional, and they give a lot of grace as they try to educate the public on adoption one awkward conversation at a time. Many would probably tell you, though, that they wish they didn’t have to be blindsided by these uncomfortable and sometimes hurtful exchanges. So, if you know families with adopted children or if you happen to meet a mom at the park that appears to be an adoptive mother, here are some things NOT to say:

  • How to Make Time-out an Effective Discipline Strategy

    As a pediatric resident, I spend a lot of time discussing discipline with the parents of toddlers.  I have found that many parents struggle to find an effective method of disciplining their children; they often try various forms of discipline, but are unable to find a method that really works. I begin discussing discipline at a child’s 12-month checkup so that parents have the tools necessary to establish a discipline technique early and use it effectively as their child grows. 

  • Red Dye No. 3: Understanding the Danger to Kids

     

  • Can an Injection that Smooths Wrinkles Also Treat Serious Childhood Conditions?

    You may think that botulinum toxin, most commonly known by brand name Botox, is only used to smooth wrinkles and improve your appearance. But it also can treat some serious childhood conditions, such as cerebral palsy. And promising new therapies for children continue to be discovered.

  • Healthy skin habits: Dr. Davis explains why it's important to teach kids at an early age

    With our recent cold snap finally over, summer and warmer temperatures are just around the corner. As we spend more time outdoors in short sleeves and shorts, we need to remember how important it is to protect our skin! Although everyone loves “a tan” for the summer, this is actually a sign of skin damage. Protecting our skin by using sunscreen and other forms of sun block is the first (and most important step) in keeping our skin healthy and preventing the most deadly form of skin cancer, melanoma. Did you know that most of our sun exposure and skin damage from the sun happens before the age of 18? Developing healthy skin habits as children and maintaining these habits through adulthood is essential to keeping our skin healthy over our lifetime!

    How does the sun damage our skin?

    The sun produces invisible ultraviolet (UV) rays as part of the light it radiates to earth. These are the rays that are damaging to our skin and eyes. There are three different kinds of UV rays:  UVA, UVB, and UVC rays. UVA rays are responsible for skin aging, wrinkling and causing melanoma. These rays make up the majority of our daily sun exposure. UVB rays are responsible for causing sunburns and cataracts of the eyes. They also contribute to melanoma as this form of skin cancer is most common in adults who had several severe sunburns as children. What is concerning about melanoma is that we are seeing it in an increasing number of young adults and even teenagers. Both UVA and UVB rays pass easily through the earth’s protective ozone layer. UVC rays on the other hand are thought to be the most dangerous types of UV rays but are blocked by the ozone layer and never reach the earth’s surface.

    What about melanin in our skin?

    Melanin is a chemical in the skin that absorbs UV rays and causes our skin to tan. Everyone has a different level of melanin in their skin. Fair-skinned people have less melanin while darker complexions have higher concentrations of melanin. A common misconception is that darker skinned people do not “burn” or get skin cancer. Regardless of the concentration of melanin in the skin, anyone can get a sunburn or develop melanoma. Any amount of tan is damage to the skin whether you are fair skinned or not.

    So how do we protect our skin from the sun?

    Kids can get a sunburn just from playing in the backyard on a sunny day- not just during a day at the beach!  First and most importantly, all children (and adults) 6 months and older should always wear an SPF 30 before going outside for any length of time. SPF stands for sun protection factor and the number indicates the amount of time you can spend in the sun before getting a sunburn. For example, if you start to burn in 10 minutes without sunscreen, applying SPF 30 will allow you to stay in the sun 30x longer before starting to burn (ie-300 minutes). Other ingredients such as zinc oxide and titanium dioxide offer the greatest protection against the entire spectrum of UV rays. Sunscreen should be applied 15 minutes before going outside to allow for adequate absorption into the skin. For most kids, two ounces (a shot glass full) of lotion should be enough to cover the entire body. Spray-type sunscreen should still be rubbed in after applied to the skin to ensure there are no missed spots.  Don’t forget to apply to commonly neglected areas such as the scalp, lips, ears, back of neck, and tops of feet! Sunscreen should be reapplied every two hours while outside, especially if swimming or sweating.  Remember, there is no such thing as waterproof sunscreen! This means you may go through nearly an entire bottle of sunscreen during a full day at the beach. Children under 6 months of age have more delicate skin and underdeveloped levels of melanin. They should not have sunscreen applied to their skin at all. Keeping young babies out of the sun altogether is best. However, if this is not possible keep them completely covered up with clothing and under a covered stroller or tent while out in the sun.

  • Does your teen want a tattoo? Here’s another reason to say no.

    Whether it’s their favorite sports team, a tribal symbol or pretty little butterfly, teens have varying reasons for wanting tattoos. They crave self-expression, a way to assert independence from their parents, and tangible means to demonstrate their belonging to a group. Tattoos are a very visible way of achieving all of those things.