Menu
Virtual Visit Request an Appointment ER Wait Times
Search
Back

Filter By

All Search Results

  • Powdered caffeine is risky business: Why parents should be concerned.

    Most of us look for a boost of energy in our morning (or afternoon) cup of coffee or tea. But what if I told you to just skip the regular cup of Joe and sprinkle some caffeine powder on your morning oatmeal or stir it in a fruit smoothie?

  • Tips from a pediatrician on how to have a successful school year

    Another school year has already started. Does your child gladly go to bed on time and jump up refreshed at 0-dark-thirty to pop into school clothes and get to school energized? Or are you fighting to get him to bed, dragging him out in the morning, getting him to the bus with no food in his tummy? If the second scenario is yours, I think I can help you. Even if you relate best to the first scenario, maybe there is something here for you, too!

    Sleep is more important than food!

    I tell my patients, and this is true, that you can go without food longer than you can go without sleep. Sleep supports so many body functions that without enough sleep, your child will not learn, play, or grow well. For starters, get the electronics (TV, phones, games) out of children’s bedrooms. Those should be used socially anyway, and they interfere with both falling asleep and staying asleep. Bedtime should be about the same time every night, even on weekends, and should be early enough to guarantee at least eight hours or so of uninterrupted sleep (up to ten hours for younger children). If your child’s summer bedtime has been ridiculously late, try moving bedtime up by 15 minutes or so every few nights, not allowing for naps or “sleeping in,” so that her clock will gradually reset to a healthy schedule.

    But food is important, too!

    Breakfast is, indeed, the most important meal of the day. Without breakfast, your child’s body will produce calories for the morning by breaking down muscle to release stored energy. This process also produces some chemicals that make your child crabby and groggy. Children who don’t eat breakfast don’t feel or think as well as those who do. That does not mean that your child needs to eat two eggs, bacon, toast, and juice at 6 AM. But it also does not mean that they should have a pop tart and call that breakfast. Even the grumpiest teenager can gag down an instant breakfast drink and a half a banana, or a smoothie made with fruit and yogurt, or a piece of toast with peanut butter and half an apple. A perfect breakfast should include a complex carbohydrate (like whole grain bread or cereal for example), some dairy source for calcium (milk, yogurt), some protein (meat, milk, legume like peanut butter), and a fruit and/or vegetable. A small glass of milk with half a turkey sandwich with lettuce and tomato is a great breakfast, and you could send the other half sandwich for lunch! If your child “is not hungry,” that makes sense, but it does not mean he does not need the fuel. He can eat on the bus or in the car.

    Refill the tank mid-day

    A slice of pizza, juice, and a bag of chips is not a good lunch. If your child buys lunch at school, he can be taught to eat smart; school lunches do provide fruit and vegetable choices. Drinks are healthier now, too; most children (including teens) should only drink milk and water. Everything else (juice, soda, sports drinks) is just sugar-water. Energy drinks are not only empty calories, but also potentially toxic chemicals that interfere with sleep, affect heart rate and blood pressure, and who knows what long term effects that we don’t know yet. Packing a lunch for your child is a great option. I have done it now essentially every day for 17 years. It takes me 15 minutes each morning and my kids leave with a healthy sandwich or hummus and pita, a whole fruit, a bag of berries or grapes, another bag of veggies (carrots, peppers, sliced cucumber, grape tomatoes), one treat (like a 100 calorie bag of cookies or crackers) and a flavored water beverage. When my older children were in high school they actually had friends ask if they could send me money each week so I could make them lunches, too! Children are smart people. If you teach them well, they will get it!

    Spend quality time, but don’t hover

    Your child needs you, but, honestly, not as much as you need her. Asking about school, offering to help with homework or personal issues, helping to set goals to do her best: that is your job. Living her life is not. Helicopter parents are harmful, not helpful. That said, help your child to set up a routine after school so that there is a quiet place to focus on homework, time for physical activity (at least an hour each day), very limited passive “screen time” (less than two hours a day). Be available if she needs help. A family dinnertime, even if it is late, is a great time to talk about the day, to listen and to plan. Organizing in the morning should be your child’s job. You can double check for a while that things are all being completed, packed and turned it, but let it be her job.

    Expect issues

    Listen to your child so that you can help him with what he really needs help with and not with what you want to help with. Don’t be afraid to be MOM (Mean Old Mom), setting limits or making rules that “other kids parents don’t…” Seek help, either from your pediatrician or from a counselor, if you don’t know what to do or say. They don’t come with instructions! Most important, be open and honest with your children. Ask them how they feel and tell them how you feel. You are not your child’s best friend, but you are her best ally. Have a happy and successful year!

  • Pediatricians can’t ask you about guns

    There’s been an ongoing court battle here in the state of Florida over whether physicians have the right to ask families about gun ownership in their home.

  • The “thigh gap:” A skinny rule reigning social media sites frequented by teenage girls

    The thigh gap. Have you heard of it? No? Perhaps your teenage daughter has. This “rule” for skinny is permeating social media sites: tumblr, facebook, instagram, to name a few. Even though this seems like a relatively new trend, women have been using their thighs as a way to measure their body image for years. I know, because a particular Oprah show is forever engrained into my mind. A few years back, as I was watching this show, I recall a vivid image of Oprah, standing with her feet touching, looking at the space between her legs and proclaiming that “skinny” women strive to have at least two gaps showing (a gap between the ankles and a gap just below the knees), and if they are lucky, three – the gap between the thighs. I’m even embarrassed to say that I catch myself every now and then looking at my thighs to see if I have “the gap.”

    What exactly is the thigh gap?

    The thigh gap is a one to two inch gap between the thighs when the feet are touching together. However, this “gap” is almost impossible to attain, and the process of obtaining a thigh gap is risky, oftentimes sparking unhealthy fitness and eating behaviors. This trend has also raised concerns among eating disorder experts, as they recognize that in order to obtain a thigh gap, one would most likely take on some form of disordered eating.

  • What we do now may affect our future children’s genetics

    We are all aware that mothers who smoke while they are pregnant run a higher risk of having children who are premature, smaller than they should be, or stillborn. This is likely due to reduced oxygen supply to the baby through mom’s diseased body and to toxins shared by mom with baby. We also know that children who are exposed to second-hand smoke have a higher risk of developing respiratory diseases like asthma, chronic lung disease and even cancer due to direct lung damage from inhaled smoke.

    What you do with your body early in life can affect future generations

    But recent data suggests that a father’s behavior even years prior to conception may affect the health of his children and future generations. For example, early paternal smoking has been associated with increased body mass in children. Paternal alcoholism has been associated with smaller birth weights in babies, and hyperactivity in children. Most recently, smoking even early in life has been found to be associated with an increased risk of certain forms of asthma in a man’s children. A study which was recently presented at the European Respiratory Society International Congress looked at 13,000 men and women and found that non-allergic asthma was significantly more common in children whose fathers smoked before the age of 15. In addition, the longer the father smoked, the higher the risk of his child having this kind of asthma. Interestingly, the same link was not found in children whose mothers smoked before they conceived.

  • What's your food allergy IQ?

    When my daughter was younger, she started attending a Mom’s day out program. When we attended orientation, the school informed us that they are a “peanut-free” school. That means, when packing lunches, we are to avoid all peanut products for all of the children. This is my first foray into the world of school lunches, and I have to admit, I was a bit annoyed. Peanut butter and jelly sandwiches are a staple food in our house. It is my go-to, in-a-hurry food choice. If my child isn’t allergic, shouldn’t I be able to give it to her?

  • How I’m teaching my child to treat others with special needs

    I was with my two kids recently at an indoor play place when a teaching moment happened upon us. We saw a little boy there with his mom, and he was sitting in a wheelchair. My 4-year-old looked at him curiously and then asked (in a rather loud voice), “Mom, why is he sitting in that chair instead of walking?”

  • The HPV Vaccine: Questions, Facts, and Misconceptions

    What is HPV?

    HPV stands for human papillomavirus, and these viruses are the most common sexually transmitted viruses in the United States. Most of the people who are diagnosed with HPV are young and sexually active. The rates of HPV infection are high because most people who have HPV do not know they are infected because sometimes the virus shows no symptoms. Most HPV infections show no symptoms, and resolve within two years. However, there are many different strains of the HPV virus, and there are high-risk strains (HPV types 16 and 18) that are associated with cervical, anal, mouth, and throat cancers.

    What is the HPV vaccine?

    The HPV vaccine is a vaccine that can help protect your child against the high-risk forms of HPV that can cause cancer. It does not protect against every HPV strain (since there are more than 100), only 4 high-risk strains of HPV. The American Academy of Pediatrics recommends that girls AND boys receive the vaccine starting at ages 11-12. The vaccine is given three times over a period of six months. To receive the maximum amount of protection, your preteen should receive all three doses. The HPV vaccine can be given at the same time as other vaccines.

    Why should my child start receiving the HPV vaccine now? She’s so young!

    Many parents ask this question, because they are unsure about giving their preteen a vaccine that protects them against a sexually transmitted infection when he or she is not engaging in sexual activity. Parents will ask if the vaccine can be delayed until their child decides to start having sex. HPV vaccines offer the maximum amount of protection for your child when they are given in all three doses BEFORE your child begins to have any sexual activity with somebody else. One study has shown that almost 80% of infected teenagers have contracted HPV within 2 to 3 years of the first time they engaged in sexual activity.

  • Are we parenting from the rear view mirror?

    Over the past couple of weeks, the back-to-school rush has been in full swing. New schools, new milestones, new sports activities- it’s the beginning of lots of new things for our kiddos and for us as parents. My Facebook feed has been filled with first-day-of-school photos displayed by proud parents (me included). But, along with those proud and joyful moments, there’s often a hint of bittersweet regret. Our kids are growing up too fast. Where did the time go? They aren’t babies anymore. I hear and see those phrases a lot.

  • Blessed with tiny treasures: Carson and Kendall’s story

    Written by Heather Shields