tag:blogger.com,1999:blog-58649246941215975782024-02-19T13:11:19.751-05:00Pedimedica Health BlogThe best Pediatricians group in Bergen county, NJ
With 13 full-time board certified physicians, a nurse practitioner and a dedicated staff of over 30 employees, Pedimedica has 5 convenient locations in Bergen County. Each office is equipped with the latest technology and designed with comfortable “well” and “sick” reception areas.
www.pedimedica.comPedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.comBlogger38125tag:blogger.com,1999:blog-5864924694121597578.post-90679620448153262942015-10-30T06:21:00.001-04:002015-10-30T06:21:49.349-04:00SANOFI Allergy Injectors RECALLED!<div class="MsoNormal" style="background: white; line-height: 17.4pt; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="color: #202022; font-family: "Helvetica","sans-serif"; font-size: 16.0pt; mso-fareast-font-family: "Times New Roman";">SANOFI Allergy Injectors RECALLED!<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 17.4pt; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
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<span style="color: #202022; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Sanofi
is recalling hundreds of thousands of epinephrine injectors used to treat</span><a href="http://www.cbsnews.com/news/for-kids-early-food-introduction-reduces-allergy-risk/" target="_blank"><span style="color: #b12124; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">severe allergic
reactions</span></a><span style="color: #202022; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> because they may not deliver the correct amount of the
life-saving drug.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin-bottom: 11.25pt;">
<span style="color: #202022; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">The
recall includes all Auvi-Q injections currently on the U.S. market, or roughly
490,000 packs of the devices, the company said in a press release. Most packs
include two injectors.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin-bottom: 11.25pt;">
<span style="color: #202022; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Sanofi's
product competes with Mylan's <a href="http://www.cbsnews.com/news/cdc-unveils-food-allergy-guidelines-for-schools/" target="_blank"><span style="color: #b12124; text-decoration: none; text-underline: none;">EpiPen</span></a>, which is a staple of first-aid care. Both products are
used to treat </span><a href="http://www.cbsnews.com/news/food-allergies-could-be-cured-by-oral-immunotherapy/" target="_blank"><span style="color: #b12124; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">allergic reactions</span></a><span style="color: #202022; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> caused
by insect bites and stings, foods, medicines or other substances.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin-bottom: 11.25pt;">
<span style="color: #202022; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">About
200,000 people in the U.S. have Sanofi's injector, according to company
estimates.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin-bottom: 11.25pt;">
<span style="color: #202022; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">The
French drug and vaccine maker said it has received 26 reports of malfunctions
with the injectors. None involved patient deaths, according to the company
announcement.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin-bottom: 11.25pt;">
<span style="color: #202022; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Consumers
can call 1-866-726-6340 or visit the product's website for information on how
to return the injector. They should also contact their health provider to get a
prescription for an alternate device.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin-bottom: 11.25pt;">
<span style="color: #202022; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">"As
this is a life-saving device, it is important that consumers understand not
only to return the recalled device, but to get a replacement epinephrine
auto-injector first," said a company spokeswoman in an emailed statement.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin-bottom: 11.25pt;">
<span style="color: #202022; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Auvi-Q
auto injectors were distributed throughout the U.S. through pharmacies,
hospitals and wholesalers. The Paris-based company said it has kept the Food
and Drug Administration abreast of the recall. The agency approved Auvi-Q in
August 2012.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="background: white;">
<i><span style="color: #202022; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">© 2015
The Associated Press. All Rights Reserved. This material may not be published,
broadcast, rewritten, or redistributed.<o:p></o:p></span></i></div>
Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com1tag:blogger.com,1999:blog-5864924694121597578.post-60329654534632320852015-09-10T16:45:00.002-04:002015-09-10T16:54:41.934-04:00On Call with Dr. Azzariti<!--[if gte mso 9]><xml>
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<div class="separator" style="clear: both; text-align: center;">
<a href="http://www.pedimedica.com/pedimedica_rochelle_park/images/dr_george_azzariti.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://www.pedimedica.com/pedimedica_rochelle_park/images/dr_george_azzariti.jpg" height="200" width="164" /></a></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-size: 10.0pt; line-height: 107%;">September is the only
month of year that I get to ask all my patients the same question when they
come to the office…the infamous question is “How is school going this year?!!” <span style="mso-spacerun: yes;"> </span>Inevitably I get a full gamut of answers, from
great to “not so much,” to coin the popular phrase.</span></i></b></div>
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<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-size: 10.0pt; line-height: 107%;">I asked our editor
Donna Thomas to find our patients a great article that speaks directly to them,
not necessarily their parents, but they can share it with mom and dad of course!</span></i></b></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-size: 10.0pt; line-height: 107%;"><br />So parents, I would ask
you to share this article with your children, and please let them know that on
the home page of our website we have great resources for parents, teens and
kids. Donna tells me it’s full of informative articles written at every level. </span></i></b></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-size: 10.0pt; line-height: 107%;"><span style="mso-spacerun: yes;"><br /> </span>As parents, we need to understand that sometimes
our children are more comfortable reading about an issue they may be experiencing,g
rather than talking to a parent or a friend. That is why we rely on healthykids.org
as a primary source for topical articles in pediatrisc.</span></i></b></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-size: 10.0pt; line-height: 107%;"><br />I hope your kids will
find this article on returning to school helpful. It certainly has been a while
sinceI have had to deal with my daughters returning to school!<span style="mso-spacerun: yes;"> </span>But, I am very fortunate to have
grandchildren ranging from elementary school through college, so you can
imagine the variety of stories I hear! </span></i></b></div>
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<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-size: 10.0pt; line-height: 107%;"><br />I want to wish all our <span style="mso-spacerun: yes;"> </span>Pedimedica patients and the children of our
wonderful staff a happy and healthy school year!</span></i></b></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-size: 10.0pt; line-height: 107%;"><br />All the best,</span></i></b></div>
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<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-size: 10.0pt; line-height: 107%;"><br />Dr. “A”</span></i></b></div>
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<br /></div>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="35" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="1" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
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<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
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<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
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<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
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<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
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<w:LsdException Locked="false" Priority="21" QFormat="true"
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<w:LsdException Locked="false" Priority="31" QFormat="true"
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<w:LsdException Locked="false" Priority="32" QFormat="true"
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<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
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<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
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<div class="separator" style="clear: both; text-align: center;">
<a href="http://educationalliance.org/default/assets/File/GiveBack.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://educationalliance.org/default/assets/File/GiveBack.png" height="155" width="200" /></a></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">It's school time
again! You're probably feeling excited and maybe a little sad that summer is
over. Some kids feel nervous or a little scared on the first day of school
because of all the new things: new teachers, new friends, and maybe even a new
school. Luckily, these "new" worries only stick around for a little
while. Let's find out more about going back to school.</b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">The First Day</b></div>
<div class="MsoNormal">
Most teachers kick off the school year by introducing
themselves and talking about all the stuff you'll be doing that year. Some
teachers give students a chance to tell something about themselves to the rest
of the class.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
When teachers do the talking on the first day, they often go
over classroom rules so you'll know what's allowed and what's not. Pay close
attention so you'll know if you need to raise your hand to ask a question and
what the rules are about visiting the restroom.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
You might already know a lot of kids in your classes on the
first day. But it's a great day to make a new friend, so try to say hello to
kids you know and new ones that you don't. Make the first move and you'll be
glad you did and so will your new friend!</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Moving to Middle
School?</b></div>
<div class="MsoNormal">
Sixth grade often signals a move to middle school or junior
high, where you'll find lockers and maybe a homeroom. This is just what it
sounds like — a classroom you'll go to each morning, kind of like your home in
the school. In middle school, you might move from classroom to classroom for
each subject. Your teachers know that this is a big change from elementary
school and will help you adjust.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Most teachers let you pick your own seat on the first day,
but by the second or third morning, they'll have mapped out a seating plan. At
first, it's a good idea to write down where your seat is in your notebook so
you don't forget.</div>
<div class="MsoNormal">
Feeling Good on Day One</div>
<div class="MsoNormal">
Seeing friends you haven't seen in a while can make the
first day a good one. You also can make the day feel special by wearing an
outfit you like. Maybe you got a great T-shirt on vacation, or your new
sneakers put a spring in your step. If you wear a uniform, you might wear a
favorite watch, a new hair band, or a piece of jewelry to show your personal
style.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
It can make you feel good to be prepared and have all the
supplies you need. Some schools distribute supply lists before the year begins,
so you can come stocked up on pencils, folders, and whatever else you'll be
needing. Once you've covered the basics, you might tuck an extra few dollars in
your backpack for an emergency (like forgetting your lunch money). Or maybe
you'd like to bring along a book or magazine to read while you're on the bus.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Whatever you put in your backpack, make sure you pack it the
night before. This prevents the morning panic when you can't find your homework
or lunch box. Speaking of lunch, that's something else that can help you feel
good at school — whether it's the first day or the 100th day. Help your parents
pack it the night before if you don't like what's on the menu at the cafeteria.
Try to include a variety of foods in your packed lunch, especially fruits and
vegetables.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Get Oriented</b></div>
<div class="MsoNormal">
The first day of school is your first chance to find your
way around a new school, or learn the pathways to new classes in your old
school. It's a lot to learn in one day, so don't be surprised if you need a
reminder or two.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
It might help to write a few notes to yourself, so you'll
remember the important stuff, like your locker combination and that lunch
starts at 11:43, not 12:10. Before you know it, your fingers will fly as you
open your locker and you won't have to check your notes to know what time lunch
starts!</div>
<div class="MsoNormal">
<b><br />A Bad Start?</b></div>
<div class="MsoNormal">
What if you <b>hate</b> school by the end of day
one? Teachers recommend giving things some time to sort themselves out — once
you know your way around the building and get adjusted to the new routine,
you'll probably feel better. If those feelings don't fade, talk to your mom,
dad, teacher, or school counselor.</div>
<div class="MsoNormal">
Here are a few final tips for a fantastic school year:</div>
<ul style="margin-top: 0in;" type="disc">
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Get
enough <a href="http://kidshealth.org/kid/stay_healthy/body/not_tired.html"><span style="color: windowtext; text-decoration: none; text-underline: none;">sleep</span></a>.</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Eat a
healthy <a href="http://kidshealth.org/kid/stay_healthy/food/breakfast.html"><span style="color: windowtext; text-decoration: none; text-underline: none;">breakfast</span></a>.</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Try
your best.</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Use
good work habits, like writing down your assignments and turning in
your <a href="http://kidshealth.org/kid/feeling/school/homework_help.html"><span style="color: windowtext; text-decoration: none; text-underline: none;">homework</span></a> on
time.</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Take
your time with school work. If you don't understand something, ask the
teacher.</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Keep a
sense of humor. One teacher we know shows his new students a picture of
himself graduating high school — a grinning ape in a red graduation cap
and gown. This usually makes the kids laugh, and it's a good way to remind
them that school is <b>fun</b>!</li>
</ul>
<br />Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com1tag:blogger.com,1999:blog-5864924694121597578.post-30548685404124443032015-09-04T08:36:00.001-04:002015-09-04T08:36:42.627-04:00The doctors at Pedimedica bring you important news on NJ's first car seat law.<span style="-webkit-text-stroke-width: 0px; background-color: white; color: black; display: inline !important; float: none; font-family: 'Helvetica Neue', 'Segoe UI', Helvetica, Arial, 'Lucida Grande', sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 1; word-spacing: 0px;">The doctors at Pedimedica bring you important news on NJ's first car seat law.</span><br />
<br />
<div class="info" style="-webkit-text-stroke-width: 0px; background: rgb(255, 255, 255); border: 0px; color: #333333; font-family: Georgia, serif; font-size: 16px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 16px; margin: 0px; orphans: auto; outline: 0px; padding: 0px; text-align: start; text-indent: 0px; text-transform: none; vertical-align: baseline; white-space: normal; widows: 1; word-spacing: 0px;">
<div class="author by-line" style="background: transparent; border: 0px; color: #888888; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: normal; line-height: 1.5em; margin: 0px 0px 7px; outline: 0px; padding: 0px; vertical-align: baseline;">
By TAP INTO CHATHAM STAFF</div>
<div class="published-at" style="background: transparent; border: 0px; color: #888888; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 21px; margin: 0px 0px 10px; outline: 0px; padding: 0px; vertical-align: baseline; width: 526.391px;">
August 28, 2015 at 2:45 PM</div>
</div>
<div class="body" style="-webkit-text-stroke-width: 0px; background: rgb(255, 255, 255); border: 0px; color: #333333; font-family: Georgia, serif; font-size: 16px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 1.5em !important; margin: 0px; orphans: auto; outline: 0px; padding: 0px; text-align: start; text-indent: 0px; text-transform: none; vertical-align: baseline; white-space: normal; widows: 1; word-spacing: 0px;">
<div style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; margin: 0px 0px 1em; outline: 0px; padding: 0px; vertical-align: baseline;">
FLORHAM PARK, NJ - New Jersey's new car seat law for children that goes into effect Tuesday, Sept. 1, will reduce the leading cause of death and injury for children 14 and younger, which is car accidents, according to the AAA (American Automobile Association).</div>
<div style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; margin: 0px 0px 1em; outline: 0px; padding: 0px; vertical-align: baseline;">
New Jersey's new standards are the first of its kind to be signed into law in the nation.</div>
<div style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; margin: 0px 0px 1em; outline: 0px; padding: 0px; vertical-align: baseline;">
“These new regulations will ensure that New Jersey remains a leader in child passenger safety,” Cathleen Lewis, director of public affairs and government relations for AAA Northeast in New Jersey, said. “The new law, which requires parents to adhere to American Academy of Pediatrics recommendations for use of child safety seats, is the easiest way to keep New Jersey’s children safe on the road.”</div>
<div style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; margin: 0px 0px 1em; outline: 0px; padding: 0px; vertical-align: baseline;">
<strong style="background: transparent; border: 0px; font-weight: bold; outline: 0px; padding: 0px; vertical-align: baseline;">Under the new law:</strong></div>
<ul style="background: transparent; border: 0px; font-family: inherit; font-size: 16px !important; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; list-style-type: disc; margin: 0px 1.5em 1.5em; outline: 0px; padding: 0px; vertical-align: baseline;">
<li style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Children under age 2 AND weighing less than 30 pounds must be secured in a rear-facing child safety seat that is equipped with a five-point harness.</li>
<li style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Children ages 2 – 4 and weighing up to 40 pounds must be secured in a child-safety seat equipped with a five-point harness, either rear-facing (up to the height and weight limits of the seat) or forward-facing.</li>
<li style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Children ages 4 – 8 and less than 57” tall (4’9”) must be secured in a forward-facing seat equipped with a five-point harness (up to the height and weight limits of the seat) or in a booster seat.</li>
<li style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Children ages 8 – 17 must use the vehicles seat belt. The safest place for children under 13 is the back seat.</li>
</ul>
<div style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; margin: 0px 0px 1em; outline: 0px; padding: 0px; vertical-align: baseline;">
<a href="http://www.njleg.state.nj.us/2014/Bills/A3500/3161_R1.PDF" style="background: transparent; border: 0px; color: rgb(247, 159, 70) !important; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: 600 !important; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;">Click here to read the new law</a>.</div>
<div style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; margin: 0px 0px 1em; outline: 0px; padding: 0px; vertical-align: baseline;">
<strong style="background: transparent; border: 0px; font-weight: bold; outline: 0px; padding: 0px; vertical-align: baseline;">Amanda Norek</strong>, Chatham mother of three children ages 3, almost 2 and four months, says it is going to take some adjustment.</div>
<div style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; margin: 0px 0px 1em; outline: 0px; padding: 0px; vertical-align: baseline;">
"I feel like now that they've been facing forward, they're at the age where they like to look around, so it will take some time to get used to it," Norek said. "Especially now when they look around for trucks on the road. They'll know what they're missing, so turning them to backwards is going to be a change."</div>
<div style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; margin: 0px 0px 1em; outline: 0px; padding: 0px; vertical-align: baseline;">
Once they are turned to face forward, children must remain in 5-point harness car seats until they are 4-years-old or weigh 40 pounds. The new law also says that children must remain in booster seats until they reach the age of 8 or 57 inches in height.</div>
<div style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; margin: 0px 0px 1em; outline: 0px; padding: 0px; vertical-align: baseline;">
Fines for violation of the law will range from $50 to $75.</div>
<div style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; margin: 0px 0px 1em; outline: 0px; padding: 0px; vertical-align: baseline;">
"I've read online about how their necks are not developed at a young age, so if you're in an accident it's safer to have them facing the rear," Norek said. "I don't think a lot of people know about the new law."</div>
<div style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; margin: 0px 0px 1em; outline: 0px; padding: 0px; vertical-align: baseline;">
Lieutenant Brian Gibbons of the Chatham Borough Police Department has been reading up on the new law himself.</div>
<div style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; margin: 0px 0px 1em; outline: 0px; padding: 0px; vertical-align: baseline;">
"This makes some pretty significant adjustments to the law," Gibbons said. "It's going to make it safer for infants and children. It's clear from any information you read on the subject that rear-facing seats protect the neck and spinal chord. The longer children can sit in rear-facing seats, the safer they'll be."</div>
<div style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; margin: 0px 0px 1em; outline: 0px; padding: 0px; vertical-align: baseline;">
The Chatham Borough Police plan to launch an awareness campaign about the new law this month.</div>
<div style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; margin: 0px 0px 1em; outline: 0px; padding: 0px; vertical-align: baseline;">
"We'll work with the school district to make sure that parents are aware of the new law," Gibbons said.</div>
<div style="background: transparent; border: 0px; font-family: inherit; font-size: 16px; font-style: inherit; font-weight: inherit; line-height: 1.5em !important; margin: 0px 0px 1em; outline: 0px; padding: 0px; vertical-align: baseline;">
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Original Articles</div>
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Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com1tag:blogger.com,1999:blog-5864924694121597578.post-58640052182145937952015-06-24T16:34:00.000-04:002015-06-24T16:34:11.317-04:00On Call... with Editor Donna Thomas<div class="separator" style="clear: both; text-align: center;">
<a href="http://fusion.ddmcdn.com/kids/uploads/avoiding-sunburn-400.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://fusion.ddmcdn.com/kids/uploads/avoiding-sunburn-400.jpg" height="240" width="320" /></a></div>
<br />
With all the sunscreens available these days (organic or mineral? water-resistant or sweat-resistant? lotion or spray?), choosing the right one for your kids can be tricky. But what matters most when picking a sunscreen is how well it protects skin from UV rays. Donna shares valuable information from Kidshealth.com on what you should know.<br />
How to Choose<br />
<br />
Look for SPF (sun protection factor) numbers on the labels of sunscreens. Select an SPF of 30 or higher to prevent sunburn and tanning, both of which are signs of skin damage. Choose a sunscreen that protects against both UVA and UVB rays (usually labeled as a "broad-spectrum" sunscreen).<br />
<br />
Sunscreen sprays are convenient but should be used with caution. For starters, sprays are easy to breathe in, which can irritate the lungs. Some sprays also are flammable, so you need to avoid sparks or flames when applying them and wearing them. And, sprays make it hard to tell if you have applied enough sunscreen, which increases the risk of sunburn.<br />
<br />
Other things to consider:<br />
<br />
<br />
<ul>
<li>Don't use sunscreens with PABA, which can cause skin allergies.</li>
<li>For sensitive skin, look for products with the active ingredient titanium dioxide.</li>
<li>If your teen or preteen wants to use a self-tanner sunscreen, be sure to get one that also has UV protection (many offer little or none).</li>
<li>Babies younger than 6 months should be kept out of the sun. When going outside, dress your baby in lightweight clothes that cover arms and legs — and don't forget a hat. If you can't avoid the sun, you can use a small amount of sunscreen on your baby's exposed skin, like the hands and face.</li>
</ul>
<br />
<b>How to Use</b><br />
<br />
For sunscreen to do its job, it must be used correctly. Be sure to:<br />
<br />
<br />
<ul>
<li>Apply sunscreen whenever your kids will be in the sun. For best results, apply sunscreen about 15 to 30 minutes before kids go outside.</li>
<li>Don't forget about ears, hands, feet, shoulders, and behind the neck. Lift up bathing suit straps and apply sunscreen underneath them (in case the straps shift as a child moves). Protect lips with an SPF 30 lip balm.</li>
<li>Apply sunscreen generously — dermatologists recommend using 1 ounce (enough to fill a shot glass) to cover the exposed areas of the body.</li>
<li>Reapply sunscreen often, about every 2 hours. Reapply after a child has been sweating or swimming.</li>
<li>Apply a water-resistant sunscreen if kids will be around water or swimming. Water reflects and intensifies the sun's rays, so kids need protection that lasts. Water-resistant sunscreens may last up to 80 minutes in the water, and some are also sweat-resistant. But regardless of the water-resistant label, be sure to reapply sunscreen when kids come out of the water.</li>
<li>Don't worry about making a bottle of sunscreen last. Stock up, and throw out any sunscreen that is past its expiration date or that you have had for 3 years or longer.</li>
<li>Every child needs sun protection. The American Academy of Dermatology (AAD) recommends that all kids — regardless of their skin tone — wear sunscreen with an SPF of 30 or higher. Although dark skin has more protective melanin and tans more easily than it burns, tanning is a sign of sun damage. Dark-skinned kids also can get painful sunburns.</li>
</ul>
<br />
<br />
And remember to be a good role model. Consistently wearing sunscreen with SPF 30 or greater and limiting your sun exposure will reduce your risk of skin damage and teach your kids good sun sense.<br />
<br />
<br />
Photo source link : Discovery Channel (http://discoverykids.com/articles/avoiding-sunburn/)Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com1tag:blogger.com,1999:blog-5864924694121597578.post-30382973356031356322015-05-21T15:12:00.000-04:002015-05-21T15:12:34.872-04:00On-Call… with Editor Donna Thomas<div class="MsoNormal">
<em><b><span style="border: none windowtext 1.0pt; color: blue; font-family: "Verdana","sans-serif"; font-size: 10.0pt; font-style: normal; mso-bidi-font-style: italic; mso-border-alt: none windowtext 0in; padding: 0in;">Parents it is that dreadful time
of year when all you hear is….<o:p></o:p></span></b></em></div>
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<em><b><span style="border: 1pt none windowtext; font-family: Verdana, sans-serif; font-size: 9pt; font-style: normal; padding: 0in;">Ah-choo!"</span></b></em><span class="apple-converted-space"><b><i><span style="background: white; font-family: Verdana, sans-serif; font-size: 9pt;"> </span></i></b></span><b><i><span style="background: white; font-family: Verdana, sans-serif; font-size: 9pt;">It's your son's third sneezing fit of the morning, and as you
hand him another tissue you wonder if these cold-like symptoms — the sneezing,
congestion, and runny nose — have something to do with the recent weather
change. If he gets similar symptoms at the same time every year, you're likely
right: seasonal allergies are at work.<o:p></o:p></span></i></b></div>
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<b><span style="background: white; color: blue; font-family: "Verdana","sans-serif"; font-size: 9.0pt;">The following article from KidsHealth.com is very informative
regarding seasonal allergies. However, please make an appointment for your
child, with your Pedimedica physician for an allergy check-up if signs and
symptoms appear.<o:p></o:p></span></b></div>
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<strong><span style="border: 1pt none windowtext; font-family: Verdana, sans-serif; font-size: 9pt; padding: 0in;">Seasonal allergies</span></strong><span style="font-family: Verdana, sans-serif; font-size: 9pt;">, sometimes called "hay
fever" or seasonal allergic rhinitis, are allergy symptoms that occur
during certain times of the year, usually when outdoor molds release their
spores, and trees, grasses, and weeds release tiny pollen particles into the
air to fertilize other plants.<o:p></o:p></span></div>
<div style="background: white; line-height: 16.8pt; margin-bottom: .25in; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; vertical-align: baseline;">
<span style="font-family: Verdana, sans-serif; font-size: 9pt;">The
immune systems of people who are allergic to mold spores or pollen treat these
particles (called allergens) as invaders and release chemicals, including
histamine, into the bloodstream to defend against them. It's the release of
these chemicals that causes allergy symptoms.<o:p></o:p></span></div>
<div style="background: white; line-height: 16.8pt; margin-bottom: .25in; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; vertical-align: baseline;">
<span style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 16.8pt;">People
can be allergic to one or more types of pollen or mold. The type someone is
allergic to determines when symptoms occur. For example, in the mid-Atlantic
states, tree pollination is February through May, grass pollen runs from May
through June, and weed pollen is from August through October — so kids with
these allergies are likely to have increased symptoms at those times. Mold
spores tend to peak midsummer through the fall, depending on location.</span></div>
<div style="background: white; line-height: 16.8pt; margin-bottom: .25in; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; vertical-align: baseline;">
<span style="font-family: Verdana, sans-serif; font-size: 9pt;">Even
kids who have never had seasonal allergies in years past can develop them.
Seasonal allergies can start at almost any time, though they usually develop by
10 years of age and reach their peak in the early twenties, with symptoms often
disappearing later in adulthood.<o:p></o:p></span></div>
<h3 style="background: white; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: 0in; margin-top: 15.6pt; vertical-align: baseline;">
<span style="font-family: Verdana, sans-serif; font-size: 9pt;">Signs
and Symptoms<o:p></o:p></span></h3>
<div style="background: white; line-height: 16.8pt; margin-bottom: .25in; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; vertical-align: baseline;">
<span style="font-family: Verdana, sans-serif; font-size: 9pt;">If your
child develops a "cold" at the same time every year, seasonal
allergies might be to blame. Allergy symptoms, which usually come on suddenly
and last as long as a person is exposed to a particular allergen, can include:<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin-left: 15.0pt; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in; vertical-align: baseline;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: Verdana, sans-serif; font-size: 9pt;">sneezing<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin-left: 15.0pt; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in; vertical-align: baseline;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: Verdana, sans-serif; font-size: 9pt;">itchy nose and/or throat<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin-left: 15.0pt; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in; vertical-align: baseline;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: Verdana, sans-serif; font-size: 9pt;">nasal congestion<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin-left: 15.0pt; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in; vertical-align: baseline;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: Verdana, sans-serif; font-size: 9pt;">clear, runny nose<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin-left: 15.0pt; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in; vertical-align: baseline;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: Verdana, sans-serif; font-size: 9pt;">coughing<o:p></o:p></span></div>
<div style="background: white; line-height: 16.8pt; margin-bottom: .0001pt; margin: 0in; vertical-align: baseline;">
These symptoms often come with itchy, watery, and/or
red eyes, which are called allergic<span class="apple-converted-space"><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt;"> </span></span><a href="http://kidshealth.org/parent/infections/eye/conjunctivitis.html"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 1pt none windowtext; font-family: Verdana, sans-serif; font-size: 9pt; padding: 0in;">conjunctivitis</span></a>.
If your child has wheezing and shortness of breath in addition to these
symptoms, the allergy may have progressed into<span class="apple-converted-space"><span style="font-family: Verdana, sans-serif; font-size: 9pt;"> </span></span><a href="http://kidshealth.org/parent/asthma_basics/index.html"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 1pt none windowtext; font-family: Verdana, sans-serif; font-size: 9pt; padding: 0in;">asthma</span></a>.</div>
<div style="background: white; line-height: 16.8pt; margin-bottom: .25in; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; vertical-align: baseline;">
<span style="font-family: Verdana, sans-serif; font-size: 9pt;">Seasonal
allergies are fairly easy to identify because the pattern of symptoms returns
from year to year following exposure to an allergen.<o:p></o:p></span></div>
<div style="background: white; line-height: 16.8pt; margin-bottom: .25in; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; vertical-align: baseline;">
<span style="font-family: Verdana, sans-serif; font-size: 9pt;">Talk
with your doctor if you think your child might have allergies. The doctor will
ask about symptoms and when they appear and, based on the answers and a
physical exam, should be able to make a diagnosis. If not, the doctor may refer
you to an allergist for blood or allergy skin tests.<o:p></o:p></span></div>
<div style="background: white; line-height: 16.8pt; margin-bottom: .25in; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; vertical-align: baseline;">
<span style="font-family: Verdana, sans-serif; font-size: 9pt;">To
determine an allergy's cause, allergists usually do skin tests in one of two
ways:<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin-bottom: .25in; margin-left: 15.0pt; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo2; tab-stops: list .5in; text-indent: -.25in; vertical-align: baseline;">
<!--[if !supportLists]--><span style="font-family: Verdana, sans-serif; font-size: 9pt;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: Verdana, sans-serif; font-size: 9pt;">A drop
of a purified liquid form of the allergen is dropped onto the skin and the area
is pricked with a small pricking device.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin-bottom: .25in; margin-left: 15.0pt; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo2; tab-stops: list .5in; text-indent: -.25in; vertical-align: baseline;">
<!--[if !supportLists]--><span style="font-family: Verdana, sans-serif; font-size: 9pt;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: Verdana, sans-serif; font-size: 9pt;">A small
amount of allergen is injected just under the skin. This test stings a little
but isn't extremely painful. After about 15 minutes, if a lump surrounded by a
reddish area appears (like a mosquito bite) at the injection site, the test is
positive.<o:p></o:p></span></div>
<div style="background: white; line-height: 16.8pt; margin-bottom: .0001pt; margin: 0in; vertical-align: baseline;">
<span style="font-family: Verdana, sans-serif; font-size: 9pt;">Even if a skin test or a blood test shows an allergy, a child must
<strong><span style="border: none windowtext 1.0pt; font-family: "Verdana","sans-serif"; mso-border-alt: none windowtext 0in; padding: 0in;">also</span></strong><span class="apple-converted-space"> </span>have symptoms to be definitively
diagnosed with an allergy. For example, a child who has a positive test for
grass pollen<span class="apple-converted-space"> </span><strong><span style="border: none windowtext 1.0pt; font-family: "Verdana","sans-serif"; mso-border-alt: none windowtext 0in; padding: 0in;">and </span></strong>sneezes
frequently while playing in the grass would be considered allergic to grass
pollen.</span><span style="font-family: Verdana, sans-serif; font-size: 9pt;"> </span></div>
<h3 style="background: white; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: 0in; margin-top: 15.6pt; vertical-align: baseline;">
<span style="font-family: Verdana, sans-serif; font-size: 9pt;">Treatment<o:p></o:p></span></h3>
<div style="background: white; line-height: 16.8pt; margin-bottom: .0001pt; margin: 0in; vertical-align: baseline;">
<span style="font-family: Verdana, sans-serif; font-size: 9pt;">There is no real cure for seasonal allergies, but it<span class="apple-converted-space"> </span><em><span style="border: none windowtext 1.0pt; font-family: "Verdana","sans-serif"; mso-border-alt: none windowtext 0in; padding: 0in;">is</span></em><span class="apple-converted-space"> </span>possible to relieve symptoms. Start </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt;">by<span class="apple-converted-space"> </span><a href="http://kidshealth.org/parent/general/body/environ_control.html"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 1pt none windowtext; padding: 0in;">reducing or eliminating exposure to allergens</span></a>. During allergy season, keep windows closed, use air
conditioning if possible, and stay indoors when pollen counts are high.<o:p></o:p></span></div>
<div style="background: white; line-height: 16.8pt; margin-bottom: .25in; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; vertical-align: baseline;">
<span style="font-family: Verdana, sans-serif; font-size: 9pt;">Have
your child wash hands or shower and change clothing after playing outside. And
a child with seasonal allergies should not mow the lawn (this tends to kick up
pollen and mold spores).<o:p></o:p></span></div>
<br />
<div style="background: white; line-height: 16.8pt; margin-bottom: .0001pt; margin: 0in; vertical-align: baseline;">
<span style="font-family: Verdana, sans-serif; font-size: 9pt;">If reducing exposure isn't possible or is ineffective, medicines
can help ease allergy symptoms. These may include decongestants,
antihistamines, and nasal spray steroids. If symptoms cannot be managed with
medicines, the doctor may recommend taking your child to an allergist or
immunologist for </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt;">regular<span class="apple-converted-space"> </span><a href="http://kidshealth.org/parent/medical/allergies/shots.html"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 1pt none windowtext; padding: 0in;">allergy shots</span></a> (immunotherapy), which
can help desensitize kids to allergens.<o:p></o:p></span></div>
Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-9077961487990229042015-03-31T20:40:00.001-04:002015-04-01T12:17:33.569-04:00On Call with Editor Donna Thomas<!--[if gte mso 9]><xml>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_pbN2Vk3XnXtMuxbJYr5bfMFEhzpu-PgaM3BTOif-OiZz7O-uq6LfDW67StPoBzKpZ7Ygg2_jG3TAwjhou9ZikUsks5P2fnJbbuiEgqALRS83y2w-Z5lb-N6eQxiYEzEfDVKK0aIVFF0/s1600/IMG_0632.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_pbN2Vk3XnXtMuxbJYr5bfMFEhzpu-PgaM3BTOif-OiZz7O-uq6LfDW67StPoBzKpZ7Ygg2_jG3TAwjhou9ZikUsks5P2fnJbbuiEgqALRS83y2w-Z5lb-N6eQxiYEzEfDVKK0aIVFF0/s1600/IMG_0632.JPG" height="177" width="320" /></a></div>
Do you have a teenager who just got their license, or do
they have friends who have just gotten their and your child is now a frequent
passenger? It all starts to happen in their junior year in High School in NJ.</div>
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In March the AAA report was all over the media reporting the
significant rise in numbers of teens texting while driving, resulting in
accidents. </div>
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<br /></div>
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It’s never too early or too late to engage in conversation
with your children about the dangers of texting and driving. As a matter of
fact, it needs to be an ongoing conversation, gentling reminding them of the
danger and consequences.</div>
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<br /></div>
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It can often be awkward for your teen to speak to a friend
about texting while driving, so you need to be able to give them ways they can open
up the conversation with their friend who is the culprit.</div>
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<br /></div>
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There was an excellent article on aboutkidshealth.com that I
would suggest you all read. As well as the many other well written related
articles linked to this article, which I am happy to share with our readers:</div>
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<h1 style="background: white; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: 0in; margin-top: 15.6pt; vertical-align: baseline;">
<span style="color: black; font-family: "Verdana","sans-serif"; font-size: 17.0pt;">5 Ways
to Get Drivers to Stop Texting</span></h1>
<div style="background: white; line-height: 16.8pt; margin-bottom: .25in; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; vertical-align: baseline;">
<span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt;">More and
more passengers are speaking up about texting and driving. If a texting driver
is making you nervous but you're not sure how to bring the topic up, here are
some ideas:</span></div>
<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin-left: 15.0pt; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-indent: -.25in; vertical-align: baseline;">
<span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt; mso-bidi-font-family: Verdana; mso-fareast-font-family: Verdana;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b><span style="border: none windowtext 1.0pt; color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt; mso-border-alt: none windowtext 0in; padding: 0in;">The direct approach.</span></b><span class="apple-converted-space"><span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt;"> </span></span><span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt;">Say, "I'm sorry, but I get really nervous when people text
and drive." Wait to see how the person responds. Most people will admit
it's probably not a good idea or they'll at least put down the phone.</span></div>
<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin-left: 15.0pt; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-indent: -.25in; vertical-align: baseline;">
<span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt; mso-bidi-font-family: Verdana; mso-fareast-font-family: Verdana;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b><span style="border: none windowtext 1.0pt; color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt; mso-border-alt: none windowtext 0in; padding: 0in;">The subtle approach.</span></b><span class="apple-converted-space"><span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt;"> </span></span><span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt;">If you don't feel comfortable telling a driver to quit texting
outright, try hinting:"Would you like me to type for you since you're
driving?" Or, since more states are handing out tickets for texting and
driving, you could say, "I've seen a lot of cops out today, you might not
want to text right now." Or point out things the driver has missed seeing
(or narrowly missed hitting). As in, "Did you see that dog/kid/overturned
bank truck?"<br />
<br />
If you know the person your driver is texting, ask the driver to hand over the
phone so you can say something. Then send a message that says, "Driving,
talk to you later."<br />
<br />
If your driver teases you about being nervous, it's the perfect opener to say,
"Yeah, texting and driving freaks me out. You never know if the person in
front or behind is doing it too."</span></div>
<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin-left: 15.0pt; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-indent: -.25in; vertical-align: baseline;">
<span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt; mso-bidi-font-family: Verdana; mso-fareast-font-family: Verdana;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b><span style="border: none windowtext 1.0pt; color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt; mso-border-alt: none windowtext 0in; padding: 0in;">The "Wow, look at that bad driver!"
approach.</span></b><span class="apple-converted-space"><span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt;"> </span></span><span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt;">Point
out drivers who wander into the next lane, drive 45 on the highway, run a stop
sign, or stop at a green light. Then make guesses about who they're texting. Or
make up a variation on the punch buggy game, awarding points each time you see
a driver who seems to be texting (this has the added benefit of forcing your
own driver to focus on the surroundings, not the screen).</span></div>
<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin-left: 15.0pt; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-indent: -.25in; vertical-align: baseline;">
<span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt; mso-bidi-font-family: Verdana; mso-fareast-font-family: Verdana;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b><span style="border: none windowtext 1.0pt; color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt; mso-border-alt: none windowtext 0in; padding: 0in;">The group approach.</span></b><span class="apple-converted-space"><span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt;"> </span></span><span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt;">If your whole group thinks a driver is a hazard, make a plan together.
Take away the driver's car keys: It's what you're supposed to do with drunk
drivers, and studies show that texting drivers are even more dangerous. Or
agree not to ride with that person. If several people boycott a driver, he or
she will get the message.</span></div>
<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin-left: 15.0pt; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-indent: -.25in; vertical-align: baseline;">
<span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt; mso-bidi-font-family: Verdana; mso-fareast-font-family: Verdana;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b><span style="border: none windowtext 1.0pt; color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt; mso-border-alt: none windowtext 0in; padding: 0in;">The life-saving approach.</span></b><span class="apple-converted-space"><span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt;"> </span></span><span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt;">If someone continues to text and drive or mocks you for worrying
about it, avoid riding with that person. Let texting drivers know you're
cutting them off (if you feel comfortable doing so) — a little shame makes
people think twice about bad habits. Or say something like, "My dad told
me I can't ride with you because he says you text and drive."<br />
<br />
Speaking of parents: As we all know, it's not just young drivers who text. If
you're stuck in a car with an adult who is texting (or tweeting or emailing)
behind the wheel, be direct and tell them to stop. Most adults know that
parents are constantly telling kids not to text and drive, so they should feel
embarrassed enough to put down the phone.</span></div>
<div style="background: white; line-height: 16.8pt; margin-bottom: .25in; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; vertical-align: baseline;">
If a driver
absolutely won't stop texting or laughs at you for being nervous, don't argue.
The last thing anyone needs is a road-raging, texting driver. Get out the car
as soon as you can. Next time that driver offers to give you a ride, say,
"no, thanks."<span style="color: black; font-family: "Verdana","sans-serif"; font-size: 9.0pt;"></span></div>
Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-8687098080890601012015-02-12T15:49:00.003-05:002015-02-12T15:49:42.614-05:00On Call with Editor Donna ThomasIn recent months the media has reported a spike in Measles outbreaks in the U.S. Although there has only been only one suspected case in NJ, released by the New Jersey Department on Health last week, it is currently being investigated. The one year old child, who resides in Jersey City had not been vaccinated. The doctors at Pedimedica do not feel parents should become alarmed, however they stress the importance on having your child properly vaccinated for all recommended immunizations at the appropriate ages.<br /><br />To learn more about the Measles and recommended vaccinations, we share with our readers an informative article from kidshealth.org, the #1 most-trusted source for physician-reviewed information on children's health and parenting issues.<br /><br /><b>About Measles</b><br />Measles, also called rubeola, is a highly contagious respiratory infection that's caused by a virus. It causes a total-body skin rash and flu-like symptoms, including a fever, cough, and runny nose. Though rare in the United States, 20 million cases happen worldwide every year.<br />Since measles is caused by a virus, there is no specific medical treatment for it and the virus has to run its course. But a child who is sick should drink plenty of fluids, get lots of rest, and be kept from spreading the infection to others.<br /><br /><b>Signs and Symptoms</b><br />While measles is probably best known for its full-body rash, the first symptoms of the infection are usually a hacking cough, runny nose, high fever, and red eyes. Children who get the disease also may have Koplik's spots, small red spots with blue-white centers that appear inside the mouth.<br /><br />The measles rash breaks out 3-5 days after symptoms start, and can coincide with high fevers up to 104°F (40°C). The red or reddish-brown rash usually first shows up as flat red spots on the forehead. It spreads to the rest of the face, then down the neck and torso to the arms, legs, and feet. The fever and rash gradually go away after a few days.<br />Measles is highly contagious — 90% of people who haven't been vaccinated for measles will get it if they are near an infected person. Measles spreads when people breathe in or have direct contact with virus-infected fluid, such as the droplets sprayed into the air when someone with measles sneezes or coughs. A person who is exposed to the virus might not show symptoms until 8-10 days later.<br /><br />People with measles are contagious (can spread the disease) from 5 days before the rash appears until about 4 days after that, and are most contagious while they have a fever, runny nose, and cough.<br /><br /><b>Recent Outbreaks</b><br />Measles is very rare in the United States. Before measles vaccination became available in the 1960s, more than 500,000 cases were reported every year. Back then, about 500 people died of the disease each year, and around 4,000 people a year had encephalitis (swelling of the brain) from the disease.<br /><br />Due to widespread immunizations, the number of U.S. measles cases declined steadily to a low of 37 people in 2004. From 2000 to 2007, only about 63 cases per year were reported.<br />But recent years have seen spikes in measles outbreaks, including 131 cases in the first half of 2008 and 644 cases in 2014. Most U.S. outbreaks begin with people who were infected outside of the country, with the disease spreading quickly in areas where too few people have received the vaccine. About 85% of people infected with measles were not immunized or their immunization status was unknown, although they were eligible to receive the vaccine.<br /><br />The people at highest risk of getting measles during these outbreaks are infants (who aren't old enough to get the vaccine), pregnant women, and people with poor nutrition or weakened immune systems.The most important thing you can do to protect your kids from measles is to have them vaccinated according to the immunization schedule prescribed by your doctor.<br />Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-41454791662376393802015-01-19T16:15:00.000-05:002015-01-19T16:15:02.166-05:00On Call with Editor Donna Thomas<div class="separator" style="clear: both; text-align: center;">
<a href="https://www.blogger.com/" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"></a><br /></div>
In last months issue of On Call, Pedimedica addressed the need for children and adults to get the flu shot if they hadn't yet been vaccinated. Although the vaccine doesn't guarantee that you won't get the flu, it does reduce your risk, and in some cases can lessen the severity of your symptoms if you do become infected. <br /><br />
Editor Donna Thomas turned to KidsHealth.org, the most-visited site devoted to children's<br />
health and development, to answer some frequently asked questions that parents have regarding the Flu. If you have any further questions or concerns don't hesitate to call your Pedimedica doctor. <br />
<br /><b>Is It a Cold or the Flu</b>?<br />
Your child is sent home from school with a sore throat, cough, and high fever — could it be the flu that's been going around? Or just a common cold?<br />
Although the flu (or influenza) usually causes symptoms that make someone feel worse than symptoms associated with a common cold, it's not always easy to tell the difference between the two.<br />
<br />
<b>Symptoms Guide</b><br />
The answers to these questions can help determine whether a child is fighting the flu or combating a cold:<br /><br />
<b>Flu vs. Colds</b>: <b>A Guide to Symptoms</b><br />
<br />
Questions Flu Cold<br />
Was the onset of illness ... sudden? slow?<br />
Does your child have a ... high fever? no (or mild) fever?<br />
Is your child's exhaustion level ...severe? mild?<br />
Is your child's head ... achy? headache-free?<br />
Is your child's appetite ... decreased? normal?<br />
Are your child's muscles ... achy? fine?<br />
Does your child have ... chills? no chills?<br />
<br />
If most of your answers fell into the first category, chances are that your child has the flu. If your answers were usually in the second category, it's most likely a cold.<br /><br />
But don't be too quick to brush off your child's illness as just another cold. The important thing to remember is that flu symptoms can vary from child to child (and they can change as the illness progresses), so if you suspect the flu, call the doctor. Even doctors often need a test to tell them for sure if a person has the flu or not since the symptoms can be so similar!<br />
<br />Some bacterial diseases, like strep throat or pneumonia, also can look like the flu or a cold. It's important to get medical attention immediately if your child seems to be getting worse, is having any trouble breathing, has a high fever, has a bad headache, has a sore throat, or seems confused.<br />
While even healthy kids can have complications of the flu, kids with certain medical conditions are at more of a risk. If you think your kid might have the flu, contact your doctor.<br />
<br /><b>Treatment</b><br />
Some kids with chronic medical conditions may become sicker with the flu and need to be hospitalized, and flu in an infant also can be dangerous. For severely ill kids or those with other special circumstances, doctors may prescribe an antiviral medicine that can ease flu symptoms, but only if it's given within 48 hours of the onset of the flu.<br />
Most of the time, you can care for your child by offering plenty of fluids, rest, and extra comfort.<br />
And if the doctor says it's not the flu? Ask whether your child should get a flu shot.<br />
<br />
<b>Tips for Treating the Flu</b><br />
The flu can make someone feel pretty miserable for up to a week, but it usually won't need medical treatment unless a person develops complications.<br /><br />
Some people are at high risk for serious complications if they get the flu, including children younger than 5 years old, pregnant women, people with asthma, and those with weakened immune systems. If they get the flu and their symptoms are reported within the first 2 days of the illness, a doctor might prescribe an antiviral medicine. But these medicines usually only shorten the course of the infection by 1 or 2 days.<br />
<br /><b>If your child gets the flu</b>:<br />
<br />
<ul>
<li>Offer plenty of fluids (fever, which is common with the flu, can lead to dehydration). If your child is tired of drinking plain water, try ice pops, icy drinks mixed in a blender, and soft fruits (like melons or grapes).</li>
<li>Encourage your child to rest in bed or on the couch with a supply of magazines, books, quiet music, and perhaps a favorite movie.</li>
<li>Give acetaminophen or ibuprofen for aches and pains (but do not give aspirin unless your doctor directs you to do so).</li>
<li>Dress your child in layers so you can add and remove layers during bouts of chills or fever.</li>
<li>Ask a close relative or faraway friend to call and help lift your child's spirits.</li>
<li>Take care of yourself and the other people in your family! If you haven't done so, ask your doctor whether you (and other family members) should get a flu vaccine. Also, wash your hands well and often, especially after picking up used tissues.</li>
</ul>
<br />
If your doctor prescribes medicine to ease symptoms, be sure to call the pharmacist before you go to pick it up. The flu can strongly affect many areas of the United States, so some pharmacies might have trouble keeping the medicines in stock.Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-76571823183075621812014-12-01T16:53:00.001-05:002014-12-01T16:53:54.779-05:00On call with Dr. Kolsky <div class="separator" style="clear: both; text-align: center;">
<a href="http://www.pedimedica.com/pedimedica_teaneck/images/dr_Neil_Kolsky.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://www.pedimedica.com/pedimedica_teaneck/images/dr_Neil_Kolsky.jpg" /></a></div>
<span style="font-family: Helvetica;">Although it's important to get vaccinated early in the fall, it's
not to late to get your children vaccinated for the Flu. Dr. Kolsky recommends
parents read this article from Kids Health, the most-visited site on the Web
for information about health, behavior, and development from before birth
through the teen years.</span><br />
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">Dr. Kolsky believes it's important for parents to become educated
on the vaccine and how it can help keep your family healthy through the
holidays and into the new year. </span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<b><i><span style="font-family: Helvetica;">Is it too late to get the Flu vaccine? </span></i></b></div>
<div class="Body" style="margin: 0in 0in 0pt;">
<strong><em><span style="font-family: Helvetica;"></span></em></strong> </div>
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">Flu season runs from October to May, with most cases happening
from late December to early March. But the flu vaccine is usually offered from
September until mid-November. Getting vaccinated before the flu season is in
full force gives the body a chance to build up immunity to (protection from)
the virus.</span><o:p><span style="font-family: Helvetica;"> </span></o:p></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">Even though it's best to get vaccinated as soon as the flu
vaccine is available, getting the vaccine later can still be helpful. Even as
late as January, there are still a few months left in the flu season, so it's
still a good idea to get protected.</span></div>
<br />
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;"><strong><em>Who Should Get the Flu Vaccine?</em></strong></span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">The flu vaccine is recommended for everyone age 6 months and
older. It's especially important for people who are at greater risk of
developing health problems from the flu to get vaccinated. They include:</span><o:p><span style="font-family: Helvetica;"> </span></o:p></div>
<br />
<ul>
<li><div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">all kids 6 months through 4 years old (babies younger than 6 months are also considered high risk, but they cannot receive the flu vaccine)</span></div>
</li>
</ul>
<ul>
<li><div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">anyone 65 years and older</span></div>
</li>
</ul>
<ul>
<li><div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">all women who are pregnant, are considering pregnancy, have recently given birth, or are breastfeeding during flu season</span></div>
</li>
</ul>
<ul>
<li><div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">anyone whose immune system is weakened from medications or illnesses (like HIV infection)</span></div>
</li>
</ul>
<ul>
<li><div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">residents of long-term care facilities, such as nursing homes</span></div>
</li>
</ul>
<ul>
<li><div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">anyone (adults, teens, and kids) with a chronic medical condition, such as asthma</span></div>
</li>
</ul>
<ul>
<li><div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">kids or teens who take aspirin regularly and are at risk for developing Reye syndrome if they get the flu</span></div>
</li>
</ul>
<ul>
<li><div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">caregivers or household contacts of anyone in a high-risk group (like children younger than 5 years old, especially those younger than 6 months, and those with high-risk conditions)</span></div>
</li>
<li><div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">Native Americans and Alaskan Natives</span></div>
</li>
</ul>
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">Kids under 9 years old who are getting the flu vaccine for the first time will receive two separate doses at least a month apart. Those under 9 who have received the flu vaccine before still might need two doses if they did not receive at least two vaccines since July 2010, or if the number of doses they've received since July 2010 is unknown. This is to ensure that all kids are vaccinated against the H1N1 flu strain that surfaced in 2009. Kids older than 9 years old only need one dose of the vaccine.</span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">It can take 1 to 2 weeks for the flu vaccine to become effective,
so it's best to get vaccinated as soon as possible.</span></div>
<o:p><span style="font-family: Helvetica;"> </span></o:p><br />
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;"><strong>Listen</strong></span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;"><strong><em>Types of Flu Vaccine</em></strong></span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">Different types of vaccines are available. One type (called
trivalent) protects against three strains of the flu virus (usually, two types
of influenza A viruses and one influenza B virus). Another (called
quadrivalent) protects against four strains.</span><o:p><span style="font-family: Helvetica;"> </span></o:p></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">The vaccine can be given to kids in two different ways: by
injection with a needle (the flu shot), or sprayed into the nostrils (nasal
spray or nasal mist).</span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">Both ways of delivering the vaccine are effective, but recent
studies show that the nasal spray may work better in younger children. So
experts recommend that healthy kids 2 to 8 years old get the nasal spray
vaccine when available. If it's not available, the flu shot should be given
(kids should not wait for the nasal spray to get vaccinated). The nasal spray
isn't recommended for kids with certain medical conditions or pregnant women.</span><o:p><span style="font-family: Helvetica;"> </span></o:p></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">Some vaccines are approved only for adults at this time, such as
egg-free vaccines and intradermal shots, which are injected into the skin
(instead of muscle) with a smaller needle.</span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;"><strong><em>Those Who Should Not Get the Vaccine</em></strong></span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">Certain things might prevent a person from getting the vaccine.
Talk to your doctor to see if the vaccine is still recommended if your child:</span></div>
<br />
<ul>
<li><div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">has ever had a severe reaction to a flu vaccination</span></div>
</li>
</ul>
<ul>
<li><span style="font-family: Helvetica;">has Guillain-Barr</span><span style="font-family: "Arial Unicode MS","sans-serif";">é </span><span style="font-family: Helvetica;">syndrome (a rare condition that affects the immune system and nerves)</span></li>
</ul>
<span style="font-family: Helvetica;"></span><div>
<span style="font-family: Helvetica;">In the past, it was recommended that anyone with an egg allergy
talk to a doctor about whether receiving the flu vaccine was safe because it is
grown inside eggs. But health experts now say that the amount of egg allergen
in the vaccine is so tiny that it (but not the nasal mist) is safe even for
kids with a severe egg allergy. This is especially important during a severe
flu season.</span></div>
<div class="Body" style="margin: 0in 0in 0pt;">
<o:p><span style="font-family: Helvetica;"></span></o:p> </div>
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">Still, a child with an egg allergy should get the flu shot in a
doctor's office, not at a supermarket, drugstore, or other venue. And if the
allergy is severe, it might need to be given in an allergist's office.</span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">If your child is sick and has a fever, talk to your doctor about
rescheduling the flu vaccine.</span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;"><strong><em>Are There Side Effects?</em></strong></span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">Most people do not have any side effects from the flu shot. Some
have soreness or swelling at the site of the shot or mild side effects, such as
headache or low-grade fever.</span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">Some people who get the nasal spray vaccine may develop mild
flu-like symptoms, including runny nose, headache, vomiting, muscle aches, and
fever.</span></div>
<br />
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;"><strong><em>Where Can My Family Get the Vaccine?</em></strong></span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">The flu vaccine is available at:</span></div>
<ul>
<li><div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">many health care settings, including doctors' offices and public, employee, and university health clinics</span></div>
</li>
<li><span style="font-family: Helvetica;">some pharmacies</span></li>
<li><span style="font-family: Helvetica;">some supermarkets</span></li>
<li><span style="font-family: Helvetica;">some community groups or centers</span></li>
<li><span style="font-family: Helvetica;">some schools</span></li>
</ul>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">If you have an HMO insurance plan, be sure to check with your
primary care doctor before having your kids vaccinated outside the office,
since most HMOs will pay for shots only if they're given through. </span></div>
Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-84746908548326942982014-09-11T16:04:00.002-04:002014-09-26T07:54:41.722-04:00On Call with Dr. Basil Bruno<div class="separator" style="clear: both; text-align: center;">
<a href="http://www.legacyofhope.com/WEB%20MATERIALS/Newsletter_Photos/2011-04/Parents_and_disgusted_teen_copy.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://www.legacyofhope.com/WEB%20MATERIALS/Newsletter_Photos/2011-04/Parents_and_disgusted_teen_copy.jpg" /></a></div>
<span style="font-family: Helvetica;">Raising teens is both rewarding and challenging from a social and
academic perspective. It is also a very important time for teens to learn how
to take charge of their health care. Dr. Bruno shares this very informative
article from </span><a href="http://kidshealth.com/"><span class="Hyperlink0"><span style="color: black;"><span style="font-family: Helvetica;">kidshealth.com</span></span></span></a><span style="font-family: Helvetica;"> on how to guide your teens
through this process. </span><br />
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">Please feel free to reach out at any time to ask any of the
doctors or staff for assistance in educating your family on important health
matters. We are there to support you. </span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">Helping Teens Take Charge of Their Health Care</span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">Preparing kids for independence and adulthood brings many
challenges for parents </span><span style="font-family: "Arial Unicode MS","sans-serif";">—
</span><span style="font-family: Helvetica;">teaching teens to drive, negotiating later curfews, researching
colleges, discussing tough topics, to name just a few.</span></div>
<o:p><span style="font-family: Helvetica;"> </span></o:p><br />
<span style="font-family: Helvetica;">Among these hurdles is helping teens start managing their own
health care. It can be hard to let go </span><span style="font-family: "Arial Unicode MS","sans-serif";">—
</span><span style="font-family: Helvetica;">after all, mom and dad have been handling the doctors' appointments,
prescriptions, immunizations, and countless other medical concerns since their
kids were born.</span><br />
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">But it's important to guide teens toward taking on this
responsibility. After all, parents won't always be around to manage their
children's health care </span><span style="font-family: "Arial Unicode MS","sans-serif";">—
</span><span style="font-family: Helvetica;">and in most cases, once their kids become adults, legally they won't be
allowed to.</span></div>
<o:p><span style="font-family: Helvetica;"> </span></o:p><br />
<span style="font-family: Helvetica;">And keep in mind that the decisions made in the teen years about
things like alcohol, drugs, healthy eating, exercise, sex, and smoking can have
long-term consequences </span><span style="font-family: "Arial Unicode MS","sans-serif";">—
</span><span style="font-family: Helvetica;">even if teens feel invincible. Becoming more invested in their own
health care lets teens learn more about and understand the potential outcomes
of choices they make now.</span><br />
<o:p><span style="font-family: Helvetica;"> </span></o:p><br />
<span style="font-family: Helvetica;">At what age are teens able to start taking some control? It can
vary: factors like a teen's maturity level, health issues, and ability to keep
track of the details all play a role, as does a parent's willingness to
relinquish control.</span><br />
<div class="Body" style="margin: 0in 0in 0pt;">
<o:p><span style="font-family: Helvetica;"> </span></o:p></div>
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">So, how can parents start handing over the reins? It can begin by
talking about medical topics in age-appropriate ways with their kids; for
instance, discussing medications they take and why, or teaching kids with
chronic conditions ways to help care for their medical equipment. Maybe your
teenage son or daughter is ready to handle filling and refilling his or her own
prescriptions.</span></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">It's important for moms and dads to let their adolescents have
some private time to talk with the health care provider. During puberty and the
teen years, kids are likely to have questions or issues that they're not
comfortable discussing with a parent in the room. (But be assured that a doctor
who feels that a patient who might be at risk for self-harm or harming another
will alert a parent.)</span><o:p><span style="font-family: Helvetica;"> </span></o:p></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">If you think your child might need additional help with teen
issues, consider having your son or daughter meet with an adolescent medicine
specialist. These doctors not only are well-versed in the care of teens'
physical health problems but also have additional training in helping their
patients deal with risky behaviors and mental health concerns.</span><o:p><span style="font-family: Helvetica;"> </span></o:p></div>
<br />
<div class="Body" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;">It's also wise to talk about health insurance and medical records
to older teens. Although young adults can stay on their parents' plan until age
26 under the health care reform bill, many will be on their own well before
that </span><span style="font-family: "Arial Unicode MS","sans-serif";">— </span><span style="font-family: Helvetica;">and
eventually all will have to know how to navigate the insurance system and keep
track of their records.</span></div>
Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-72829860710303037642014-06-23T22:23:00.004-04:002014-06-23T22:23:36.175-04:00On Call with Dr. Molly Thomas
<span style="font-family: Calibri;"><span lang="EN" style="font-size: 16pt; line-height: 115%; mso-ansi-language: EN; mso-bidi-font-family: Calibri;">Vaccines
and Your Teen</span><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><o:p></o:p></span></span><br />
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<span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><span style="font-family: Calibri;">Most teens, at this time of year are thinking more about
the end of school, graduation, and going to the beach.<span style="mso-spacerun: yes;"> </span>As parents, however, what we think about most
is keeping them safe.<span style="mso-spacerun: yes;"> </span>As you plan the
summer and think about your teen's visit for a school physical and forms, keep
in mind that teen vaccines are one of the most important ways to keep our
children safe.<span style="mso-spacerun: yes;"> </span>The following is a
summary of some of the most common questions and answers that come up during
visits with my teen patients.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></span></div>
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<span style="font-family: Calibri;"><b><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;">What are the vaccines necessary for teens and pre-teens?</span></b><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><o:p></o:p></span></span></div>
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<span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><span style="font-family: Calibri;">There are 4 vaccines that are recommended by the American
Academy of Pediatrics (AAP) as well as by the Center for Disease Control (CDC).</span></span></div>
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<span style="font-family: Calibri;"><b><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;">HPV Vaccine</span></b><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;">:<span style="mso-spacerun: yes;"> </span>Human
papillomavirus (HPV) vaccines help protect both boys and girls from both
cancers caused by HPV as well as the virus itself.<span style="mso-spacerun: yes;"> </span>Girls and boys should begin and finish the
vaccine when they are 11 or 12 years old.<span style="mso-spacerun: yes;">
</span></span></span></div>
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<span style="font-family: Calibri;"><b><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;">Meningococcal Conjugate Vaccine</span></b><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;">: MCV protects against
the bacteria that causes meningitis as well as bacterial sepsis.<span style="mso-spacerun: yes;"> </span>Meningitis is a very serious and sometimes
fatal condition that includes swelling of the brain and spinal cord.<span style="mso-spacerun: yes;"> </span>Pre-teens need this vaccine at age 11 or 12
as well as a booster when they are 16.<span style="mso-spacerun: yes;"> </span></span></span></div>
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<span style="font-family: Calibri;"><b><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;">Tdap Vaccine</span></b><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;">:<span style="mso-spacerun: yes;"> </span>This
vaccine protects against 3 serious infectious diseases; Diptheria, Tetanus and
Pertussis.<span style="mso-spacerun: yes;"> </span>Pre-teens should get a
booster at age 11 or 12. If your teen did not get one as a pre-teen they should
have one now.<span style="mso-spacerun: yes;"> </span></span></span></div>
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<span style="font-family: Calibri;"><b><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;">Flu Vaccine</span></b><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;">: The annual flu vaccine not only protects
against the flu virus; it also protects against the health issues that flu
causes such as dehydration, worsening of asthma or diabetes for those who
suffer those diseases, and even pneumonia.</span></span><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
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<span style="font-family: Calibri;"><b><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;">Are vaccines safe?</span></b></span></div>
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<span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><span style="font-family: Calibri;">These vaccines are very safe.<span style="mso-spacerun: yes;"> </span>Many parents and patients are accustomed to
researching information on the internet and can be put off by the unreliable
literature that is published there.<span style="mso-spacerun: yes;"> </span>It
is important to always research medical information at a reputable site that
relies on research and scientific data to report findings.<span style="mso-spacerun: yes;"> </span>Great sites include </span><a href="file:///C:/Users/w7/Desktop/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.IE5/UVOZXHOA/www.cdc.gov"><span style="color: blue;"><span style="font-family: Calibri;">www.cdc.gov</span></span></a><span style="font-family: Calibri;"> and </span><a href="file:///C:/Users/w7/Desktop/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.IE5/UVOZXHOA/www.healthychildren.org"><span style="color: blue;"><span style="font-family: Calibri;">www.healthychildren.org</span></span></a><span style="font-family: Calibri;">.<span style="mso-spacerun: yes;"> </span>Side effects caused by vaccines are
minimal.<span style="mso-spacerun: yes;"> </span>Some children may have mild
effects such as redness or soreness in the arm.<span style="mso-spacerun: yes;">
</span>Some teens may feel light headed or even faint after vaccines or other
medical procedures.<span style="mso-spacerun: yes;"> </span>Lying down for a few
minutes after shots can help preven this.<span style="mso-spacerun: yes;">
</span>Side effects are quite mild compared to the serious disease that they
prevent.<span style="mso-spacerun: yes;"> </span></span></span></div>
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<span style="font-family: Calibri;"><b><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;">Why do I need to give my teen vaccines and do they really
need boosters?</span></b></span></div>
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<span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><span style="font-family: Calibri;">Your child is still not protected from an illness until
he or she gets a full course of vaccines.<span style="mso-spacerun: yes;">
</span>As our kids go off to camp and to college it is important to realize
that they will be living in close quarters with large numbers of people and are
very at risk for catching communicable diseases and so we do not want to leave
them unprotected.<span style="mso-spacerun: yes;"> </span></span></span></div>
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<span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><span style="font-family: Calibri;">Missing a shot or a booster may not seem like a big deal
but that little two second "ouch" protects you from illness that have
major side effects.<span style="mso-spacerun: yes;"> </span>For example, older
teens and adults who get mumps can become infertile.<span style="mso-spacerun: yes;"> </span>Those who get chickenpox as older teens are
more at risk for pneumonia, as well as serious skin infections such as
MRSA.<span style="mso-spacerun: yes;"> </span>Shots do save lives.<span style="mso-spacerun: yes;"> </span>Hepatitis attacks the liver and can
ultimately kill.<span style="mso-spacerun: yes;"> </span>HPV infection can cause
cancer.<span style="mso-spacerun: yes;"> </span>1 in 10 people with
meningococcal disease will die from it.<span style="mso-spacerun: yes;">
</span>The good news is that if you have missed a booster or even a whole
series of shots you can simply pick up right where you left off.<span style="mso-spacerun: yes;"> </span>Its never too late.<span style="mso-spacerun: yes;"> </span></span></span><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
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<span style="font-family: Calibri;"><b><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;">What if I need help paying for vaccines?</span></b></span></div>
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<span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><span style="font-family: Calibri;">Most insurance plans cover the cost of vaccines.<span style="mso-spacerun: yes;"> </span>If you do not have insurance coverage, the
Vaccines For Children (VFC) program may be able to help.<span style="mso-spacerun: yes;"> </span>Our offices participate in VFC and the
program provides vaccines for children up to 18 years who are not insured,
underinsured on Medicaid or are American Indian.<span style="mso-spacerun: yes;"> </span></span></span></div>
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<span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><span style="font-family: Calibri;">As a final thought, it is important to remember that it
is normal to be nervous about getting shots.<span style="mso-spacerun: yes;">
</span>If your teen has this problem try to suggest techniques such as deep
breathing or coughing as the shot goes in.<span style="mso-spacerun: yes;">
</span>The pinch lasts for only a second but the protection lasts a long, long
time.</span></span><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
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<span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><span style="font-family: Calibri;">References:</span></span></div>
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<span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><span style="font-family: Calibri;">1. Vaccines for Pre-teens and Teens:<span style="mso-spacerun: yes;"> </span>What Parents Should Know.<span style="mso-spacerun: yes;"> </span>US Department of Health and Human Services</span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 10pt; mso-layout-grid-align: none; mso-pagination: none;">
<span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"></span><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><span style="font-family: Calibri;">2. Your Preteens and Teens Need Vaccines Too! CDC Website
</span></span></div>
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<span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><span style="font-family: Calibri;">3. </span><a href="file:///C:/Users/w7/Desktop/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.IE5/UVOZXHOA/www.healthychildren.org"><span style="color: blue;"><span style="font-family: Calibri;">www.healthychildren.org</span></span></a></span></div>
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<span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><span style="font-family: Calibri;">4. </span><a href="http://www.teenshealth.org/"><span style="color: blue;"><span style="font-family: Calibri;">www.teenshealth.org</span></span></a></span></div>
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<span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri;"><o:p></o:p></span> </div>
Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-18192411402854795612014-05-06T11:46:00.000-04:002014-05-07T09:08:58.715-04:00It's time to schedule check-ups now! <strong>It's time to schedule check-ups now!</strong> <br />Its almost summer! Time to make appointments for camp and school physicals for June and July. It's important to schedule now as appointments fill up quickly by August!<br /><br /><strong>Attention: Important health news for all travelers!</strong> <br />Under the travel advisory all children 6-11 months of age need MMR vaccine for international travel. Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-71716802059322177662014-04-29T16:46:00.002-04:002014-04-29T16:47:19.081-04:00A Word about Measles by Dr Suldan<span lang="EN"></span><div class="separator" style="clear: both; text-align: center;">
<span lang="EN"><a href="http://www.pedimedica.com/pedimedica_teaneck/images/dr_dora_suldan.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://www.pedimedica.com/pedimedica_teaneck/images/dr_dora_suldan.jpg" /></a></span></div>
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There has been recent concern regarding announcements of measles outbreaks in our area. Indeed measles is one of the most contagious viral diseases, spread by respiratory droplets and contact. It can cause high fever, rash, conjunctivitis, pneumonia, and seizures, and can be fatal. Each case carries with it a real risk of a devastating neurological disorder, called Subacute Sclerosing Panencephalitis that can develop years after the initial case of the disease. As of January of this year, there have been total of 25 cases of measles in New York (12 children and 13 adults). Thus-far in 2014, there have been a total of over 120 confirmed cases of the measles in the United States. Compare that to 37-140 cases per year, or less than 1 per million in the population with good vaccination rates.</div>
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The infection is most contagious 4 days prior to onset of the rash and up to 4 days after the rash appears. This means that measles can easily spread before the initial patient even realizes he or she is sick. Prior to the vaccine, there were over 500,000 cases of measles infection yearly with 500 deaths per year. The recent upsurge in measles cases has been attributed to lack of vaccination for various reasons.</div>
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What are we as parents and those who care for children to do to protect our children? It should not surprise you to know that the vast majority of cases of the measles have been in unvaccinated and under vaccinated patients, some due to philosophical objections to vaccines and some due to a medical or age related reason for not vaccinating. The vaccine is normally given soon after the first birthday, but if there is planned travel or an epidemic, it can be given at as young an age as 6 months. Unfortunately, 5% of first time vaccine recipients will not develop enough immunity with one dose, and that is why a second measles (MMR) vaccine is recommended, indeed required for full protection. </div>
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There have been objections to the vaccine, unfortunately based on incorrect data and assumptions. Look on "the internet" and you will find a myriad of blogs and "informative sites" that warn you of the hazards of the vaccine. Actually, the vaccine is extremely safe and claims of its causing autism have been discredited by responsible scientific studies. What the recent outbreaks show, however, is that we are not keeping our children safe by not vaccinating or even by delaying their vaccines! If you have concerns regarding your child’s vaccine status or level of protection, feel free to call you doctor at Pedimedica to answer your questions and update any vaccines that are needed. We are there for you. Together, we can protect our kids.</div>
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Dora Suldan, M.D.</div>
</span><br />Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-91577318899493412342014-03-04T14:03:00.002-05:002014-03-04T14:26:16.150-05:00On- Call… with Editor Donna Thomas<div class="separator" style="clear: both; text-align: center;">
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<span style="color: black; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">As cold as it is outside spring is
right around the corner, and for many families that means spring break
vacation, or at least getting in shape up for the warmer months ahead.<span style="mso-spacerun: yes;"> </span>Donna Thomas asked expert fitness trainer Brian
Hernandez to share his thoughts on how your family can prepare to feel fit and
healthy whatever your plans may be. It’s going to get warmer soon, so get up
and move!<o:p></o:p></span></span><br />
<br />
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<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: Calibri;">Does your upcoming vacation have you worried
about your waistline? You should be!<o:p></o:p></span></i></b></div>
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<span style="font-family: Calibri;"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Brian Hernandez, Personal Trainer and Owner
of VIP 1-1 Fitness, Fort Lee, NJ <br />
</i></b><br />
<span style="mso-bidi-font-family: Arial;">The average person gains almost a
pound a day while on vacation. But that doesn’t have to be you. Most of the
time extra pounds sneak up on you when you least expect it, so decide right
here and now that your vacation will leave you slimmer than when you left. <o:p></o:p></span></span></div>
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<span style="color: black; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">All you have to do is have a plan. As
you embark on your next vacation adventure, use these 7 tips to come home
fitter than when you left. <br />
<br />
<b>Trick #1: Cut Your Carbs</b><br />
Vacation days are notorious for carbohydrate rich meals, and it’s a well-known
fact that too many carbohydrates will quickly add up to unwanted pounds. Combat
this fat-trap by choosing one meal per day to go carb-less.<o:p></o:p></span></span></div>
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<li class="MsoNormal" style="color: black; line-height: 13.5pt; margin: 0in 0in 10pt; mso-list: l0 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span style="mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">Breakfast: This may be the most effective meal to use the carb-less
trick, since breakfast often involves breads, pastries or pancakes. Skip
the toast and fill up on egg whites and lean breakfast meats.<o:p></o:p></span></span></li>
<li class="MsoNormal" style="color: black; line-height: 13.5pt; margin: 0in 0in 10pt; mso-list: l0 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span style="mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">Lunch: A great carb-less lunch is a salad with lean meat. It’s so
filling and satisfying that you won’t even miss the bread.<o:p></o:p></span></span></li>
<li class="MsoNormal" style="color: black; line-height: 13.5pt; margin: 0in 0in 10pt; mso-list: l0 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span style="mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">Dinner: Since you’re on vacation, you don’t want to feel deprived,
so dinner is the hardest meal to go carb-less. But if you’ve indulged at
breakfast and lunch then make it a point to cut the carbs at dinner. Stick
with veggies and lean meats.<o:p></o:p></span></span></li>
</ul>
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<b><span style="color: black; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">Trick #2: Be Active</span></span></b><span style="color: black; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";"><br /><span style="font-family: Calibri;">
If your travels keep you too busy for a workout, or if your hotel does not have
an exercise room, make a conscious effort to be active every day. Go on a brisk
walk after your day’s activities. This is a great way to see a new city, and
also a great way to burn off extra calories. Take the stairs instead of
elevator in your hotel and any other buildings you visit. Go on a short jog in
the mornings or evenings of your stay. If your hotel has a pool, swim a few
laps each morning or evening. <o:p></o:p></span></span></div>
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<b><span style="color: black; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">Trick #3: Create a Vacation Exercise
Plan if You Have the Option</span></span></b><span style="color: black; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";"><br /><span style="font-family: Calibri;">
Have your fitness instructor develop a unique exercise program to take on
vacation or on the road if you need to go out of town. It can be an abbreviated
workout that you can do in the hotel gym or even in your hotel room. The
routine should be simple to perform and should compliment your current work out
program<o:p></o:p></span></span></div>
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<span style="color: black; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";"><br /><span style="font-family: Calibri;">
<b>Trick #4: Indulge with Control</b><br />
Eating out is a must while on vacation. Whether you’re visiting 5 star
restaurants or fast food diners, you are faced with the same problem: large
portions. While the easiest thing to do with a large portion meal is to simply
eat it all - you are on vacation after all...right? That isn’t the best
decision for your waistline. <br />
<br />
When you order your meal ask the waiter or waitress to bring you a to-go box.
Take half of your meal and place it safely into the box before you even begin
to eat. This gives you no choice but to eat a healthy portion. If you would
rather not carry around a to-go box then ask that your entrée be made into a
smaller portion. If it is dinnertime ask for the lunch-sized entrée. <br />
<br />
<b>Trick #5: Don’t Eat Late</b><br />
One of the easiest tricks for preventing weight loss is to simply stop eating 3
hours before you go to bed. This is especially effective while on vacation. So
skip that late night indulgence and wake up looking and feeling great. <br />
<br />
<b>Trick #6: Snack Healthy</b><br />
Have you ever noticed how travel days create the perfect opportunity for
snacking? A coffee and muffin before your flight, a snack on the plane and then
before you know it - it’s lunch time! Taking a road trip? This opens up even
more opportunities for regrettable snacking...rest stop vending machines, gas
station quickie marts and of course the never ending string of fast food
restaurants along the highway. <br />
<br />
This summer cut unhealthy snacking off at the pass by bringing along your own
healthy options. Dried or fresh fruit, unsalted nuts, health bars, cut veggies
and low fat crackers are a good start. By filling up on these healthy snacks
between meals you will end up eating less when presented with a
less-than-healthy meal. <br />
<br />
<b>Trick #7: Avoid Fried Foods</b><br />
Fast food restaurants are definitely convenient, with their low prices and
quick service, but the convenience is not worth the additional pounds brought
on by chips and fries. As you enjoy your vacation keep this in mind: avoid
fried foods. While this is always good advice to follow, it is even more
important to abide by while traveling. <br />
<br />
While vacationing you will likely burn fewer calories each day than you would
burn at home, and you are consuming more calories due to your schedule of
eating out. You are walking a fine line, and eating fried foods would throw you
right over the edge. A gram of fat contains 9 calories as compared to the 4
calories that proteins and carbohydrates carry - so you can see that consuming
fried foods will drastically increase your caloric intake. <br />
<br />
If I still haven’t convinced you to pass on the curly fries, keep in mind that
heartburn and indigestion are never fun...especially while on vacation!
</span></span></div>
<br />
<div class="MsoNormal" style="line-height: 13.5pt; margin: 0in 0in 10pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: Calibri;">Brian Hernandez is a dedicated fitness professional and his mission in
life to educate and motivate ordinary people to achieve extraordinary health
and fitness results.<span style="mso-spacerun: yes;"> </span>Brian coaches and
trains individuals for weight loss, lean muscle gain, holistic wellness, and
sports performance.<span style="mso-spacerun: yes;"> </span>Brian’s background
is in food science and has personal training certifications from the nationally
recognized AFAA and ISSA. <o:p></o:p></span></i></b></div>
Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-52762698710258802592014-01-15T20:59:00.001-05:002014-01-15T21:02:51.516-05:00The Collateral Damage of a Teenager<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhr1VuBDIdc8NOH1_sXM6fcvBvnqjwVkB5miyUJeai_HKYk-WYnc8SUH7CScHiq3D25MBpa4dOwSVXMwMgoRA1Kci7uIePwCohB0lctMsBlL00nXtbuLI8XagAvL6YS2aNJ2yrbEVA7BRE/s1600/donna-thomas.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhr1VuBDIdc8NOH1_sXM6fcvBvnqjwVkB5miyUJeai_HKYk-WYnc8SUH7CScHiq3D25MBpa4dOwSVXMwMgoRA1Kci7uIePwCohB0lctMsBlL00nXtbuLI8XagAvL6YS2aNJ2yrbEVA7BRE/s1600/donna-thomas.jpg" /></a></div>
<span id="yui_3_7_2_1_1389834053923_1833" style="font-size: small;"><span id="yui_3_7_2_1_1389834053923_1832">What adolescence does to adolescents is nowhere near as brutal as what it does to their.</span></span><br />
<h3 class="yiv1055187750deck" style="margin: 0.4em 0px 8px;">
<span style="font-size: small;"><span><span id="yui_3_7_2_1_1389834053923_1738">On call Editor Donna Thomas shares an interesting and very relevant article that recently appeared in NewYork Magazine last week. We all understand the trials and tribulations of raising children, but when they enter adolescents parenthood can feel like a life sentence! </span></span></span></h3>
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<span><br />
For Full Article, Click here <a href="http://nymag.com/news/features/adolescence-2014-1/">The Collateral Damage of a Teenager</a></span><div class="yiv1055187750deck" style="margin: 0.4em 0px 8px;">
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<br />It’s a warm evening in Lefferts Gardens, Brooklyn, and six mothers, all connected through the usual ties (work, kids, community groups), are clustered around a kitchen table, discussing their adolescents. Beth, a public-school teacher and the youngest of the lot, mentions that her 15-year-old, Carl, has lately “been using his intelligence for evil.”<!--end paragraph--> <br />
<!--begin paragraph-->The women all stop talking and look at her.<!--end paragraph--> <br />
<!--begin paragraph-->“Instead of getting good grades, he figures out how to get around the administrator,” she says, referring to the software she’d installed to regulate his computer use. “And then I see, like, three inputs for ‘Russian whore.’ ”<br />
<!--end paragraph--> <!--begin paragraph--><br />
Or so I thought she said when I first transcribed the tape. When I followed up with Beth sometime later, she informed me that I’d misheard: It was “<i>three-input</i> Russian whore.”<br />
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Excerpted from <i><a href="http://www.amazon.com/All-Joy-No-Fun-Parenthood/dp/0062072226">All Joy and No Fun: The Paradox of Modern Parenthood</a></i>, by Jennifer Senior, to be published on January 28 by Ecco, an imprint of HarperCollins Publishers. © 2014 by Jennifer Senior. All rights reserved. The parents and teenagers in this excerpt are referred to with pseudonyms. </div>
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<!-- /end div.inset --> <br />
<!--begin paragraph-->At any rate, Samantha, who also teaches at a public school, dives in at this moment with the force of a cannonball. “Take the freaking computer, Beth!” she cries. “Take it!”<br />
<!--end paragraph--> <br />
<!--begin paragraph-->“He has to use it. They turn things in online.” <br />
<!--end paragraph--> <br />
<!--begin paragraph-->“Put a desktop in the kitchen,” suggests Deirdre, the hostess of the evening. <br />
<!--end paragraph--><br />
“That’s what we did,” says Beth. “We put it in the living room.”<br />
<!--end paragraph--> <br />
<!--begin paragraph-->“But if he flunks out of school, Beth,” says Samantha, “what’s going to happen?”<br />
<!--end paragraph--> <br />
<!--begin paragraph-->“He’s not going to flunk out.” Then she pauses and considers. “Though when I called his therapist and said, ‘I found hours’ worth of porn on his computer,’ the therapist had no idea.”<br />
<!--end paragraph--> <!--begin paragraph--><br />
“Yeah, but I’ve had that too,” says Gayle, a substitute teacher, quite suddenly. She has, until now, said little. All heads swing her way. “Mae”—her daughter and the best friend of Samantha’s oldest, Calliope—“was in therapy and spent a year’s worth of my money not talking to the therapist about the real issue, which is that she was cutting herself.”<br />
<!--end paragraph--> <br />
<!--begin paragraph-->Samantha finally gives in. She puts her elbows on the table, bows her head, and rests her brow in her hands. “Everyone’s in the same club,” she says. “Everyone has the same stories.” She looks up at the group. “I mean, please. I have <i>police</i> stories.”<br />
<!--end paragraph--> <br />
<!--begin paragraph--><i>Police stories? </i>All along, as Samantha’s friends had been speaking, I’d been under the impression that she’d been spared these misadventures and was even a tad scandalized by them. Yet it turned out to be the opposite. She’d been identifying from the start.<br />
<!--end paragraph--><!--begin paragraph--><br />
<span class="drop">W</span>hen prospective mothers and fathers imagine the joys of parenthood, they seldom imagine the adolescent years, which Nora Ephron famously opined could only be survived by acquiring a dog (“so that someone in the house is happy to see you”). Gone are the first smiles and cheerful games of catch. They’ve been replaced by 5 a.m. hockey practices, renewed adventures in trigonometry (secant, cosecant, <i>what the—?</i>), and middle-of-the-night requests for rides home. And these are the hardships generated by the <i>good</i> adolescents.<br />
<!--end paragraph--> <br />
<!--begin paragraph-->But here’s the truth of the matter. The children of these women at Deirdre’s table? Also the good adolescents. Almost all attend either fine universities or competitive public high schools; all have well-developed interests and talents. All, in person, come across as self-confident and considerate. These aren’t the kids who flunk out, run away, or get expelled.<br />
<!--end paragraph--> <br />
<!--begin paragraph-->Yet their parents are still going half-mad. Which raises a question: Is it possible that adolescence is most difficult—and sometimes a crisis—not for teenagers as much as for the adults who raise them? That adolescence has a bigger impact on adults than it does on kids? <br />
<!--end paragraph--> <br />
<!--begin paragraph-->Laurence Steinberg, a psychologist at Temple University and one of the country’s foremost authorities on puberty, thinks there’s a strong case to be made for this idea. “It doesn’t seem to me like adolescence is a difficult time for the kids,” he says. “Most adolescents seem to be going through life in a very pleasant haze.” Which isn’t to say that most adolescents don’t suffer occasionally, or that some don’t struggle terribly. They do. But they also go through other intense experiences: crushes, flirtations with risk, experiments with personal identity. It’s the parents who are left to absorb these changes and to adjust as their children pull away from them. “It’s when I talk to the parents that I notice something,” says Steinberg. “If you look at the narrative, it’s ‘My teenager who’s driving <i>me</i> crazy.’ ”<br />
<!--end paragraph--> <br />
<!--begin paragraph-->In the 2014 edition of his best-known textbook, <i>Adolescence,</i> Steinberg debunks the myth of the querulous teen with even more vigor. “The hormonal changes of puberty,” he writes, “have only a modest direct effect on adolescent behavior; rebellion during adolescence is atypical, not normal.”<br />
<!--end paragraph--> <br />
<!--begin paragraph-->For parents, however, the picture is a good deal more complicated. In 1994, Steinberg published <i>Crossing Paths,</i> one of the few extensive accounts of how parents weather the transition of their firstborns into puberty, based on a longitudinal study he conducted of more than 200 families. Forty percent of his sample suffered a decline in mental health once their first child entered adolescence. Respondents reported feelings of rejection and low self-worth; a decline in their sex lives; increases in physical symptoms of distress. It may be tempting to dismiss these findings as by-products of midlife rather than the presence of teenagers in the house. But Steinberg’s results don’t seem to suggest it. “We were much better able to predict what an adult was going through psychologically,” he writes, “by looking at his or her child’s development than by knowing the adult’s age.”<br />
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For Full Article, Click here <a href="http://nymag.com/news/features/adolescence-2014-1/">The Collateral Damage of a Teenager</a></div>
Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-41535190616564973012014-01-06T19:46:00.001-05:002014-01-06T19:46:01.423-05:00On-call with Editor Donna Thomas<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhr1VuBDIdc8NOH1_sXM6fcvBvnqjwVkB5miyUJeai_HKYk-WYnc8SUH7CScHiq3D25MBpa4dOwSVXMwMgoRA1Kci7uIePwCohB0lctMsBlL00nXtbuLI8XagAvL6YS2aNJ2yrbEVA7BRE/s1600/donna-thomas.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhr1VuBDIdc8NOH1_sXM6fcvBvnqjwVkB5miyUJeai_HKYk-WYnc8SUH7CScHiq3D25MBpa4dOwSVXMwMgoRA1Kci7uIePwCohB0lctMsBlL00nXtbuLI8XagAvL6YS2aNJ2yrbEVA7BRE/s1600/donna-thomas.jpg" /></a></div>
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Happy new
year readers from the doctors and staff at Pedimedica! We all know January is a
time for resolutions. Why not make a family resolution to get a healthy start
on the new year! </span></span><br />
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="font-family: Helvetica;"><u><a href="http://kidshealth.org/"><span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="color: black;">kidshealth.org</span></span></a></u><span style="mso-hansi-font-family: "Arial Unicode MS";"> reports that family meals are
making a comeback. And that's good news for a couple of reasons:</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Shared
family meals are more likely to be nutritious.</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Kids who
eat regularly with their families are less likely to snack on unhealthy foods
and more likely to eat fruits, vegetables, and whole grains.</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Teens who
take part in regular family meals are less likely to smoke, drink alcohol, or
use marijuana and other drugs, and are more likely to have healthier diets as
adults, studies have shown.</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Beyond
health and nutrition, family meals provide a valuable opportunity to reconnect.
This becomes even more important as kids get older.</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Making
Family Meals Happen</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">It can be
a big challenge to find the time to plan, prepare, and share family meals, then
be relaxed enough to enjoy them.</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Try these
three steps to schedule family meals and make them enjoyable for everyone who
pulls up a chair.</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
</div>
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">1. Plan</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">To plan
more family meals, look over the calendar to choose a time when everyone can be
there.</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Figure out
which obstacles are getting in the way of more family meals </span></span><span style="font-family: "Arial Unicode MS","sans-serif"; mso-ascii-font-family: Helvetica; mso-bidi-font-family: "Times New Roman";">—</span><span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;"> busy schedules, no supplies in the house, no time to cook.
Ask for the family's help and ideas on how these roadblocks can be removed. For
instance, figure out a way to get groceries purchased for a family meal. Or if
time to cook is the problem, try doing some prep work on weekends or even
completely preparing a dish ahead of time and putting it in the freezer.</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<o:p><span style="font-family: Helvetica;"> </span></o:p></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">2.
Prepare</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Once you
have all your supplies on hand, involve the kids in preparations. Recruiting
younger kids can mean a little extra work, but it's often worth it. Simple
tasks such as putting plates on the table, tossing the salad, pouring a
beverage, folding the napkins, or being a "taster" are appropriate
jobs for preschoolers and school-age kids.</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Older
kids may be able to pitch in even more, such as getting ingredients, washing
produce, mixing and stirring, and serving. If you have teens around, consider
assigning them a night to cook, with you as the helper.</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">If kids
help out, set a good example by saying please and thanks for their help. Being
upbeat and pleasant as you prepare the meal can rub off on your kids. If you're
grumbling about the task at hand, chances are they will too. But if the
atmosphere is light, you're showing them how the family can work together and
enjoy the fruits of its labor. </span></span></div>
<o:p><span style="font-family: Helvetica;"></span></o:p><br />
<o:p> </o:p><br />
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">3. Enjoy</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Even if
you're thinking of all you must accomplish after dinner's done (doing dishes,
making lunches, etc.), try not to focus on that during dinner. Make your time
at the table pleasant and a chance for everyone to decompress from the day and
enjoy being together as a family.</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">They may
be starving, but have your kids wait until everyone is seated before digging
in. Create a moment of calm before the meal begins, so the cook can shift
gears. It also presents a chance to say grace, thank the cook, wish everyone a
good meal, or to raise a glass of milk and toast each other. You're setting the
mood and modeling good manners and patience.</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Family
meals are a good time to teach civilized behavior that kids also can use at
restaurants and others' houses, so establish rules about staying seated,
passing items instead of grabbing them, putting napkins on laps, and not
talking with your mouth full.</span></span></div>
<br />
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">You can
gently remind when they break the rules, but try to keep tension and discipline
at a minimum during mealtime. The focus should remain on making your kids feel
loved, connected, and part of the family.</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Keep the
interactions positive and let the conversation flow. Ask your kids about their
days and tell them about yours. Give everyone a chance to talk.</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<o:p><span style="font-family: Helvetica;"> </span></o:p></div>
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Need some
conversation starters? Here are a few:</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">If you
could have any food for dinner tomorrow night, what would it be?</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Who can
guess how many potatoes I used to make that bowl of mashed potatoes?</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">What's
the most delicious food on the table?</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">If you
opened a restaurant, what kind would it be?</span></span></div>
<br />
<div class="Body1" style="margin: 0in 0in 0pt;">
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Who's the
best cook you know? (We hope they say it's you!)</span></span></div>
Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-33603361243029523462013-11-22T08:00:00.000-05:002013-11-22T08:00:10.378-05:00On-Call with Editor Donna Thomas<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhr1VuBDIdc8NOH1_sXM6fcvBvnqjwVkB5miyUJeai_HKYk-WYnc8SUH7CScHiq3D25MBpa4dOwSVXMwMgoRA1Kci7uIePwCohB0lctMsBlL00nXtbuLI8XagAvL6YS2aNJ2yrbEVA7BRE/s1600/donna-thomas.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhr1VuBDIdc8NOH1_sXM6fcvBvnqjwVkB5miyUJeai_HKYk-WYnc8SUH7CScHiq3D25MBpa4dOwSVXMwMgoRA1Kci7uIePwCohB0lctMsBlL00nXtbuLI8XagAvL6YS2aNJ2yrbEVA7BRE/s1600/donna-thomas.jpg" /></a></div>
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="font-family: Helvetica;">Oral Well Being
and Overall Health have a stronger link than you think. Read on to learn how</span></span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Arial Unicode MS","sans-serif"; mso-ascii-font-family: Helvetica; mso-bidi-font-family: "Times New Roman";">…</span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: Helvetica;"><span style="mso-hansi-font-family: "Arial Unicode MS";">.</span><o:p></o:p></span></i></b><br />
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<span style="mso-fareast-font-family: "Arial Unicode MS";">We
tend to underestimate the importance of oral health to our overall wellness and
physical condition.<span style="mso-spacerun: yes;"> </span>When most people
think of oral health, the first thing that typically comes to mind is
appearance.<span style="mso-spacerun: yes;"> </span>After all, no one ever
wants yellowed or otherwise imperfect teeth.<span style="mso-spacerun: yes;">
</span>Ideally, we all want a winning smile.<span style="mso-spacerun: yes;">
</span>Farther down the list are more tangible oral health issues, like gum disease
and traditional dental issues like wisdom teeth and impacted molars.<span style="mso-spacerun: yes;"> </span>But generally, when we think about oral
health issues, we don’t group them in the same category as chest pains or
stomach pains.<span style="mso-spacerun: yes;"> </span>We just don’t take them
as seriously as other issues. We are wrong to do so.<o:p></o:p></span></div>
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<span style="mso-fareast-font-family: "Arial Unicode MS";">Oral
health is far more important than we realize.<span style="mso-spacerun: yes;">
</span>For example, it’s a statistical fact that people with gum disease are
far more likely to have some type of chronic condition associated with it.<sup>
</sup><span style="mso-spacerun: yes;"> </span>As the American Academy of Periodontology
points out, destructive conditions such as diabetes are more prevalent in
people with periodontal issues than it is with people who don’t have gum
problems.<span style="mso-spacerun: yes;"> </span>And the problem works both
ways: diabetes patients are more likely to develop periodontal problems, while
periodontal disease makes the treatment of diabetes more difficult.</span><span style="mso-fareast-font-family: "Arial Unicode MS"; mso-hansi-font-family: Helvetica;"><o:p></o:p></span></div>
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<span style="mso-fareast-font-family: "Arial Unicode MS";">Heart
disease is also correlated to gum problems, according to the Academy.<span style="mso-spacerun: yes;"> </span>Studies show that periodontal issues increase
the risk of heart disease.<span style="mso-spacerun: yes;"> </span>The cause and
effect relationship has not yet been fully established, but the statistical
reality is that it clearly exists.<span style="mso-spacerun: yes;"> </span>And
the list of cardiovascular ailments linked to gum disease does not stop with
heart issues: strokes are also more prevalent with those suffering from
periodontal disease.<o:p></o:p></span></div>
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<span style="mso-fareast-font-family: "Arial Unicode MS";">And
the linkages don’t stop with cardiovascular problems and diabetes.</span><span style="mso-fareast-font-family: "Arial Unicode MS"; mso-hansi-font-family: Helvetica;">
</span><span style="mso-fareast-font-family: "Arial Unicode MS";">Cancer, perhaps
the most dreaded of all illnesses, is also correlated to gum disease.<span style="mso-spacerun: yes;"> </span>According to the Academy, researchers have
found that men with gum disease are 49% more likely to develop kidney cancer,
54% more likely to develop pancreatic cancer, and 30% more likely to develop a
blood related cancer. <o:p></o:p></span></div>
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<span style="mso-fareast-font-family: "Arial Unicode MS";">Gum
disease can also lead to other illnesses.<span style="mso-spacerun: yes;">
</span>Respiratory conditions like pneumonia can be caused and aggravated by
the bacteria that grow in the oral cavity, which can be breathed into the
lungs.<span style="mso-spacerun: yes;"> </span>Researchers have also found
linkages between osteoporosis and bone loss in the jaw.<span style="mso-spacerun: yes;"> </span>Such bone loss may eventually lead to loss of
teeth as well.<o:p></o:p></span></div>
<span style="mso-fareast-font-family: "Arial Unicode MS";"><span style="mso-spacerun: yes;"> </span></span><span style="mso-fareast-font-family: "Arial Unicode MS"; mso-hansi-font-family: Helvetica;"><o:p></o:p></span><br />
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<span style="mso-fareast-font-family: "Arial Unicode MS";">As
such, with all these linkages researchers have found, we need to be mindful of
good oral health.<span style="mso-spacerun: yes;"> </span>Gum disease, as the
Academy notes, is often silent and stealthy, and may not truly manifest until
it is in an advanced state.<span style="mso-spacerun: yes;"> </span>But this
does not mean that periodontal problems don’t leave some clue.<span style="mso-spacerun: yes;"> </span>We should be on the lookout for red, swollen
or tender gums, or other types of pain.<span style="mso-spacerun: yes;">
</span>The presence of blood while brushing or flossing is also a signal, as is
loose or separating teeth.<span style="mso-spacerun: yes;"> </span>Even
something as apparently harmless as persistent bad breath could indicate a more
disturbing problem.</span><span style="mso-fareast-font-family: "Arial Unicode MS"; mso-hansi-font-family: Helvetica;"><o:p></o:p></span></div>
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<span style="mso-fareast-font-family: "Arial Unicode MS";">All
in all, modern medical research shows us that the body is a giant, complex and
highly integrated system.<span style="mso-spacerun: yes;"> </span>What happens
in one area can easily impact another.<span style="mso-spacerun: yes;">
</span>Proper dental care and attentiveness to our oral health, can not only
lead to having that winning smile, but It can also help us detect and deal with
the health issues that can hurt us the most.<span style="mso-spacerun: yes;">
</span></span><span style="mso-fareast-font-family: "Arial Unicode MS"; mso-hansi-font-family: Helvetica;"><o:p></o:p></span></div>
Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-23666933271276406562013-11-18T18:46:00.004-05:002013-11-18T18:55:50.468-05:00On-Call with Editor Donna Thomas<span style="font-family: Calibri;"><i style="mso-bidi-font-style: normal;"><span style="font-size: 12pt; mso-fareast-font-family: "Times New Roman";">Please join me on congratulating Dr. Azzarit</span></i><i style="mso-bidi-font-style: normal;"><span style="color: black; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">i<b> </b></span></i><i style="mso-bidi-font-style: normal;"><span style="mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">for his recognition by New
Jersey Monthly Magazine’s Top Doctors award</span></i><span style="mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 13.5pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"><o:p></o:p></span></span><br />
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<span style="font-family: Calibri;"><b><span style="color: black; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">HackensackUMC Physicians
Selected as </span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 13.5pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"><o:p></o:p></span></b></span></div>
<div style="text-align: center;">
<span style="font-family: Calibri;"><b><span style="color: black; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">Top Doctors in <i>New
Jersey Monthly </i>Magazine</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 13.5pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"><o:p></o:p></span></b></span></div>
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<span style="mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">We
are proud to announce that 84 HackensackUMC physicians have been recognized as
Top Doctors, according to <i>New Jersey Monthly </i>magazine. A total of 23,713
New Jersey-based physicians were invited to submit their recommendations for
this year’s list. It yielded 974 top doctors in 68 medical specialties.<o:p></o:p></span></span></div>
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<span style="mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">The following
HackensackUMC physicians are listed as <i>New Jersey Monthly</i> Top Doctors: <o:p></o:p></span></span></div>
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<span style="font-family: Calibri;"><b><span style="color: black; mso-fareast-font-family: "Times New Roman";">Allergy & Immunology: </span></b><span style="color: black; mso-fareast-font-family: "Times New Roman";">Mary Ann Michelis, M.D.; <b>Cardiac
Electrophysiology: </b>Grant Simons, M.D.; <b>Cardiovascular Disease: </b>Dusan
Knezevic, M.D., Domenic Mariano, D.O., Sanjeev Patel, M.D.; <b>Clinical
Genetics – Pediatric: </b>Helio Pedro, M.D.; <b>Dermatology – Pediatric: </b>Helen
Shin, M.D.; <b>Endocrinology,</b> <b>Diabetes & Metabolism:</b> Joseph
Schwartz, M.D., Mark Wiesen, M.D.; <b>Family Medicine: </b>Mark Dombrowski,
M.D., Michael Giuliano, D.O., George Leipsner, M.D.; <b>Gastroenterology: </b>Eric
Avezzano, M.D., Anthony DeLillo, M.D., Robert Levine, M.D.; <b>Geriatric
Medicine: </b>Lisa Tank, M.D.; <b>Gynecologic Oncology: </b>Karen Houck, M.D.,
Babak Litkouhi, M.D., Ami Vaidya, M.D.; <b>Infectious Disease: </b>Steven
Sperber, M.D.; <b>Internal Medicine: </b>Allen Griggs, D.O.; <b>Nephrology: </b>Benjamin
Aronoff, M.D., Rosy Joseph, M.D., Jeffrey Kozlowski, M.D., Thomas Salazer,
M.D., Howard Weizman, M.D.; <b>Oncology & Gynecology: </b>Kamal Dutta,
M.D., Andrew Rubenstein, M.D., Michael Sbarra, M.D.; <b>Otolaryngology: </b>David
Henick, M.D., Rakesh Patel, M.D., Christopher Shaari, M.D.; <b>Pediatrics,
Critical Care: </b>Mark Siegel, M.D.; <b>Pediatrics, Endocrinology: </b>Javier
Aisenberg, M.D.; <b><span style="background: yellow; mso-highlight: yellow;">Pediatrics,
General:</span> </b>Russell Asnes, M.D., <span style="background: yellow; mso-highlight: yellow;">George Azzariti, M.D.</span>, Jeffrey Bienstock, M.D.,
Ruth Borgen, M.D., Lynn Sugarman, M.D., Edward Zajkowski, M.D., Scott Zucker,
M.D.; <b>Pediatrics, Infectious Disease: </b>Aryeh Baer, M.D., Jeffrey Boscamp,
M.D., Julia Piwoz, M.D.; </span><span style="mso-fareast-font-family: "Times New Roman";">Kevin
Slavin, M.D. ; <b><span style="color: black;">Pediatrics, Nephrology: </span></b><span style="color: black;">Kenneth Lieberman, M.D.; <b>Pediatrics,
Oncology/Hematology:</b> Michael Harris, M.D.; <b>Pediatrics, Orthopedics:</b>
Douglas Avella, M.D.; David Konigsberg, M.D.; <b>Pediatrics, Pulmonology: </b>Donna
Lee, M.D.; <b>Pediatrics, Rheumatology: </b>Kathleen Haines, M.D., Yukiko
Kimura, M.D., Jennifer Weiss, M.D.; <b>Pediatrics, Surgery: </b>Frederick
Alexander, M.D., David Friedman, M.D.; <b>Pediatrics, Urology:</b> Jeffrey
Stock, M.D.; <b>Pulmonary Disease:</b> Renuka Mapitigama, M.D.; <b>Radiation
Oncology: </b>Glen Gejerman, M.D., Anthony Ingenito, M.D.; <b>Radiology,
Interventional: </b>George Ferrone, M.D.; <b>Surgery, Bariatric:</b></span><b><span style="color: #1f497d;"> </span></b><span style="color: black;">Amit Trivedi, M.D.;
<b>Surgery, Colorectal: </b>Gregory Gallina, M.D.; <b>Surgery, General: </b>Joseph
Manno, M.D., Stephen Pereira, M.D.; <b>Surgery, Hand: </b>Frederick
Fakharzadeh, M.D., Richard Kim, M.D., Roger Rosenstein, M.D.; <b>Surgery,
Neurological: </b>Hooman Azmi Ghadimi, M.D., George Kaptain, M.D., Patrick
Roth, M.D.; <b>Surgery, Oncologic: </b>Donald McCain, M.D., Ph.D.; <b>Surgery,
Orthopedic: </b>Dante Implicito, M.D., Sivaram Rajan, M.D.; <b>Surgery, Plastic
& Reconstructive: </b>Anthony Berlet, M.D., Rick Winters, M.D., Luis
Zapiach, M.D., <b>Surgery, Vascular: </b>Peter Kagan, M.D., Massimo Napolitano,
M.D., Gregory Simonian, M.D.; <b>Urology: </b>Mutahar Ahmed, M.D., Michael
Esposito, M.D., Debra Fromer, M.D., Gregory Lovallo, M.D., Ravi Munver, M.D.,
Ihor Sawczuk, M.D.</span><o:p></o:p></span></span></div>
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<span style="font-family: Calibri;"><span style="color: black; mso-fareast-font-family: "Times New Roman";">Congratulations to all of our Top Doctors and thank you for
providing such world-class care to our patients. </span><span style="mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></span></div>
Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-64995271999298326942013-05-18T09:57:00.002-04:002013-05-18T09:59:29.183-04:00On-Call with Editor-in Chief, Donna Thomas<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBHYmJMXfXmK4cdAfNG5RJ6QESRkuYb3x-vcdtViteAz7LURBFfDXFQQBW2MeVulewdr6cV380-NNrXt7f203FZUVdU1GzkGAZLcsPyRBVMKhoF2Y8Wgb0L7wMqnMHExkbvMlAP4IjdpA/s1600/donna-thomas.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBHYmJMXfXmK4cdAfNG5RJ6QESRkuYb3x-vcdtViteAz7LURBFfDXFQQBW2MeVulewdr6cV380-NNrXt7f203FZUVdU1GzkGAZLcsPyRBVMKhoF2Y8Wgb0L7wMqnMHExkbvMlAP4IjdpA/s1600/donna-thomas.jpg" /></a></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">It is thast time of the year when we can wait
to spend as much time outdoors as possible! However, those lazy, hazy days of
summer, can cause significant health issues if prevention is not in your beach
bag!<o:p></o:p></span></b><br />
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">I hope you will find this
detailed article informative. Of course any questions you may have, consult
with your doctor.<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">May is Skin Cancer Awareness Month<a href="http://www.plasticsurgery.org/"></a><o:p></o:p></span></u></b></div>
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<span lang="EN" style="font-family: "Cambria","serif"; font-size: 12pt; mso-ansi-language: EN; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">May is Skin
Cancer Awareness Month and it is very important to have your dermatologists examine
your skin for any unusual moles. Melanoma screening is vital, as it can
diagnose cancer at the earliest stage.<o:p></o:p></span></div>
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<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin: 0in 0in 6pt 18.75pt; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN" style="font-family: Symbol; font-size: 10pt; mso-ansi-language: EN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN" style="font-family: "Cambria","serif"; font-size: 12pt; mso-ansi-language: EN; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">Skin cancer is the most common
form of cancer in the United States. More than 3.5 million skin cancers in over
two million people are diagnosed annually.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin: 0in 0in 6pt 18.75pt; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN" style="font-family: Symbol; font-size: 10pt; mso-ansi-language: EN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN" style="font-family: "Cambria","serif"; font-size: 12pt; mso-ansi-language: EN; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">Each year there are more new
cases of skin cancer than the combined incidence of cancers of the breast,
prostate, lung and colon.<o:p></o:p></span></div>
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<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin: 0in 0in 6pt 18.75pt; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN" style="font-family: Symbol; font-size: 10pt; mso-ansi-language: EN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN" style="font-family: "Cambria","serif"; font-size: 12pt; mso-ansi-language: EN; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">Over the past three decades,
more people have had skin cancer than all other cancers combined<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="background: white; line-height: 16.2pt; margin: 0in 0in 6pt 18.75pt; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN" style="font-family: Symbol; font-size: 10pt; mso-ansi-language: EN; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN" style="font-family: "Cambria","serif"; font-size: 12pt; mso-ansi-language: EN; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">Of the seven most common
cancers in the US, melanoma is the only one whose incidence is increasing.
Between 2000 and 2009, incidence climbed 1.9 percent annually.<o:p></o:p></span></div>
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<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">The
good news is that you can do a lot to protect yourself and your family from
skin cancer, or to catch it early enough so that it can be treated effectively.
Most skin cancers are caused by too much exposure to ultraviolet (UV) rays.
Most of this exposure comes from the sun, but some may come from man-made
sources, such as indoor tanning beds.<o:p></o:p></span></div>
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<span style="font-family: "Cambria","serif"; font-size: 12pt;">You don’t need any x-rays or blood tests
to find skin cancer early, – just your eyes and a mirror. If you have skin
cancer, finding it early is the best way to make sure it can be treated
effectively.<o:p></o:p></span></div>
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<b><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;">Are some people more likely to get sun damage?<o:p></o:p></span></b></div>
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<span style="font-family: "Cambria","serif"; font-size: 12pt;">Everyone’s skin and eyes can be affected
by the sun and other forms of UV rays. People with light skin are much more
likely to have sun damage, but darker-skinned people, including African Americans
and Hispanic Americans, also can be affected.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">The skin tans when it absorbs UV
radiation. The tan is caused by an increase in the activity and number of
melanocytes, the cells that make the pigment melanin. Melanin helps to block
out damaging UV rays up to a point, which is why people with naturally darker
skin are less likely to get sunburned, while people with lighter skin are more
likely to burn. Sunburns are thought to increase your risk of skin cancer,
including melanoma. But UV exposure can raise skin cancer risk even without
causing sunburn.Aside from skin tone, other factors can also affect your risk
of damage from UV light.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">You
need to be especially careful in the sun if you:<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Had skin cancer
before<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Have a family history
of skin cancer, especially melanoma<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Have lots of moles,
irregular moles, or large moles<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Have freckles and
burn before tanning<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Have fair skin, blue
or green eyes, or blond, red, or light brown hair</span><span style="font-family: "Cambria","serif"; font-size: 12pt;"><o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Live or vacation at
high altitudes (the strength of UV rays increases the higher up you are)<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Live or vacation in
tropical or subtropical climates<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Work indoors all week
and then get intense sun exposure on weekends<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Spend a lot of time
outdoors<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Have certain
autoimmune diseases, such as systemic lupus erythematosus (SLE, or “lupus”)<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Have had an organ
transplant<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Take medicines that
lower your immunity<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Take medicines that
make your skin more sensitive to sunlight</span><span style="font-family: "Cambria","serif"; font-size: 12pt;"><o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">Ask your doctor, nurse, or pharmacist if
you are taking any medicines that could increase your sensitivity to sunlight.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<b><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;">How do I protect myself from UV rays?<o:p></o:p></span></b></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">You don’t have to avoid sunlight
completely, and it would be unwise to reduce your level of<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">activity by avoiding the outdoors,
because physical activity is important for good health. But too much sunlight
can be harmful. There are some steps you can take to limit your exposure to UV rays.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">Some people think about sun protection
only when they spend a day at the lake, beach, or pool. But sun exposure adds
up day after day, and it happens every time you are in the sun.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">Simply staying in the shade is one of the
best ways to limit your UV exposure. <span style="background: yellow; mso-highlight: yellow;">If you are going to be in the sun, “Slip! Slop! Slap! and Wrap” is a
catch phrase that can help you remember some of the key steps you can take to
protect yourself from UV rays:<o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Slip on a shirt.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Slop on sunscreen.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Slap on a hat.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Symbol; mso-highlight: yellow;">· </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Wrap on sunglasses to
protect the eyes and sensitive skin around them.</span><span style="font-family: "Cambria","serif"; font-size: 12pt;"><o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;">Seek shade. </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">An obvious but very
important way to limit your exposure to UV light is to avoid being outdoors</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">in
direct sunlight too long. This is particularly important between the hours of
10 am and 4 pm,</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">when UV light is strongest. If you are unsure about the
strength of the sun’s rays, <span style="background: yellow; mso-highlight: yellow;">use
the shadow</span></span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;"> </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">test: if your shadow is shorter than you are, the sun’s
rays are the strongest, and it is important to </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">protect
yourself.</span><span style="font-family: "Cambria","serif"; font-size: 12pt;"><o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">UV rays reach the ground all year, even
on hazy days, but the strength of UV rays can be different based on the time of
year and other factors. The UV rays become more intense in the spring, even before
temperatures get warmer. People in some areas may get sunburned when the
weather is still cool because they may not think about protecting themselves if
it’s not hot out. Be especially careful on the beach or in areas with snow
because sand, water, and snow reflect sunlight, increasing the amount of UV
radiation you receive. UV rays can also reach below the water’s surface, so you
can still get a burn even if you’re in the water and feeling cool.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">Some UV rays can also pass through
windows. Typical car, home, and office windows block most of the UVB rays but a
smaller portion of UVA rays, so even if you don’t feel you’re getting burned your
skin may still get some damage. Tinted windows help block more UVA rays, but
this depends on the type of tinting. UV radiation that comes through windows
probably doesn’t pose a great risk to most people unless they spend long
periods of time close to a window that receives direct sunlight.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">If
you plan to be outdoors, you may want to check the UV Index for your area
first. The UV Index usually can be found in local newspaper, TV, radio, and
online forecasts. It is also available on the EPA’s web site at
www.epa.gov/sunwise/uvindex.html and in a variety of smartphone apps.</span><span style="font-family: "Cambria","serif"; font-size: 12pt;"><o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;">Protect your skin with clothing </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">when you are out in the sun, wear clothing to protect as
much skin as possible.</span><span style="font-family: "Cambria","serif"; font-size: 12pt;">
Clothes provide</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">different levels of UV protection, depending on many
factors. Long-sleeved shirts, long pants, or</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">long skirts cover the
most skin and are the most protective. Dark colors generally provide more</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">protection
than light colors. A tightly woven fabric protects better than loosely woven
clothing.</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">Dry fabric is generally more protective than wet fabric.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">Be aware that covering up doesn’t block
out all UV rays. If you can see light through a fabric, UV rays can get
through, too. Some companies now make clothing that is lightweight,
comfortable, and protects against UV exposure even when wet. It tends to be
more tightly woven, and some have special coatings to help absorb UV rays.
These sun-protective clothes may have a label listing the UV protection factor (UPF)
value – the level of protection the garment provides from the sun’s UV rays (on
a scale from 15 to 50+). The higher the UPF, the higher the protection from UV
rays. Some children’s swim suits are now made from sun-protective fabric and
are designed to cover the child from the n</span><span style="font-family: "Cambria","serif"; font-size: 12pt;">eck to the knees.<o:p></o:p></span></div>
<span style="font-family: "Cambria","serif"; font-size: 12pt;"><o:p> </o:p></span><br />
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">Newer products, which are used in the
washing machine like laundry detergents, can increase the UPF value of clothes
you already own. They add a layer of UV protection to your clothes without changing
the color or texture. This can be useful, but it’s not exactly clear how much
it adds to protecting you from UV rays, so it is still important to follow the
other steps listed here.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;"><o:p> </o:p></span></div>
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;">Use sunscreen</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Cambria","serif"; font-size: 12pt;"><o:p></o:p></span></b></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">A
sunscreen is a product that you apply to your skin for protection against the
sun’s UV rays. But</span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;"> </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">it’s important to know that sunscreen does not provide
total protection against all UV rays.</span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;"> </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Therefore, a sunscreen should not be
used as a way to prolong your time in the sun. Even with</span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;"> </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">proper
sunscreen use, some rays get through, which is why using other forms of sun protection,
is</span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;"> </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">also important.</span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;"> </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Sunscreens are available in many forms
– lotions, creams, ointments, gels, sprays, wipes, and lip </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">balms,
to name a few.</span><span style="font-family: "Cambria","serif"; font-size: 12pt;"><o:p></o:p></span></div>
<br />
<div style="text-align: center;">
<b><span style="font-family: "Cambria","serif"; font-size: 12pt;">Read the
labels<o:p></o:p></span></b></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">When choosing a sunscreen product, be
sure to read the label before you buy. Sunscreens with broad spectrum
protection (against UVA and UVB rays) and with sun protection factor <span style="background: yellow; mso-highlight: yellow;">(SPF) values of 30 or higher are
recommended. The SPF number is the level of protection the sunscreen provides
against UVB rays − a higher number means more protection. When using an SPF 30
sunscreen and applying it thickly, you get the equivalent of 1 minute of </span></span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">UVB
rays for each 30 minutes you spend in the sun. So, 1 hour in the sun wearing
SPF 30 </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">sunscreen
is the same as spending 2 minutes totally unprotected. People often do not
apply enough sunscreen, so the actual protection they get is less.</span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;"><o:p> </o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Sunscreens
labeled with SPFs as high as 100+ are now available. Higher numbers do mean
more protection, but many people do not understand the SPF scale. SPF 15
sunscreens filter out about 93% of UVB rays, while SPF 30 sunscreens filter out
about 97%, SPF 50 sunscreens about 98%, sunscreen protects you completely.
Regardless of the SPF, sunscreen should be reapplied often for maximal
protection.</span><span style="font-family: "Cambria","serif"; font-size: 12pt;"><o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">The SPF number indicates protection
against UVB rays only. Sunscreen products labeled “broadspectrum” provide some
protection against both UVA and UVB rays, but at this time there is no standard
system for measuring protection from UVA rays. Products that contain avobenzone
(Parsol 1789), ecamsule, zinc oxide, or titanium dioxide can provide some
protection from UVBand most UVA rays.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">Check the expiration date on the
sunscreen container to be sure it is still effective. Most sunscreen products
are effective for at least 2 to 3 years, but after a long time in storage you
may need to shake the bottle to remix the sunscreen ingredients.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">Some sunscreen products can irritate your
skin. Many products claim to be hypoallergenic or dermatologist tested, but the
only way to know for sure if a product will irritate your skin is to try it. <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<b><span style="font-family: "Cambria","serif"; font-size: 12pt;">Be sure
to apply the sunscreen properly<o:p></o:p></span></b></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">Always follow the label directions. <span style="background: yellow; mso-highlight: yellow;">Most recommend applying
sunscreen generously. When </span></span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">putting
it on, pay close attention to your face, ears, neck, arms, and any other areas
not covered by clothing. If you’re going to wear insect repellent or makeup,
put on the sunscreen first. <b>Be generous</b> Ideally, about 1 ounce of
sunscreen (about a palmful) should be used to cover the arms, legs, neck, and
face of the average adult.</span><span style="font-family: "Cambria","serif"; font-size: 12pt;"> For best results, most sunscreens must be reapplied at
least every 2 hours and even more often if you are swimming or sweating.
Products labeled “waterproof” may provide protection for at least 80 minutes
even when you are swimming or sweating. Products that are “water resistant” may
protect for only 40 minutes.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">Remember that sunscreen usually rubs off
when you towel yourself dry, so you will need to put more on. Sunless tanning
products, such as bronzers and extenders (described in the section, “What about
tanning pills and other tanning products?”), give skin a tan or golden color.
But unlike sunscreens, these products provide very little protection from UV
damage.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;">Wear a hat. </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">A hat with at least a 2-
to 3-inch brim all around is ideal because it protects areas such as the ears,</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">eyes,
forehead, nose, and scalp that are often exposed to intense sun, such as the
ears, eyes,</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">forehead, nose, and scalp. A dark, non-reflective underside
to the brim can also help lower the amount of UV rays reaching the face from
reflective surfaces such as water. A shade cap (which</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">looks
like a baseball cap with about 7 inches of fabric draping down the sides and
back) also is</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">good, and will provide more protection for the neck. These
are often sold in sports and outdoor</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">supply stores.</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"><o:p></o:p></span></div>
<span style="font-family: "Cambria","serif"; font-size: 12pt;"><o:p> </o:p></span><br />
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;">Wear sunglasses that block UV
rays </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">UV-blocking sunglasses are important
for protecting the delicate skin around the eyes, as well as</span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;"> </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">the
eyes themselves. Research has shown that long hours in the sun without
protecting your eyes</span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;"> </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">increase your chances of developing some eye diseases.</span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;"><o:p></o:p></span><br />
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;"><span style="background: yellow; mso-highlight: yellow;">Children need smaller versions
of real, protective adult sunglasses – not toy<o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">sunglasses.
Ideally, all types of eyewear, including prescription glasses and contact
lenses, should absorb the entire UV spectrum.</span><span style="font-family: "Cambria","serif"; font-size: 12pt;"><o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;">Avoid tanning
beds and sunlamps. </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">Many
people believe the UV rays of tanning beds are harmless. This is not true.
Tanning lamps</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">give out UVA and usually UVB rays as well. Both UVA and UVB
rays can cause long-term skin</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">damage, and can contribute to skin
cancer.</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"><o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;">Protect children from the sun </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Children need special attention, since they tend to spend
more time outdoors, can burn more easily,</span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;"> </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">and may not be aware of the dangers.
Parents and other caregivers should protect children from</span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;"> </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">excess
sun exposure by using the steps above.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;"><span style="mso-spacerun: yes;"> </span>Older children need to be cautioned about sun</span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;"> </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">exposure
as they become more independent. It is important, particularly in parts of the
world</span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;"> </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">where it is sunnier, to cover your children as fully as
is reasonable. You should develop the habit</span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;"> </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">of using sunscreen on exposed skin for
yourself and your children whenever you go outdoors and</span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial; mso-highlight: yellow;"> </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">may
be exposed to large amounts of sunlight. If you or your child burns easily, be
extra careful to </span><span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">cover
up, limit exposure, and apply sunscreen.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="background: yellow; font-family: "Cambria","serif"; font-size: 12pt; mso-highlight: yellow;">Babies
younger than 6 months should be kept out of direct sunlight and protected from
the sun using hats and protective clothing. Sunscreen may be used on small
areas of exposed skin only if adequate clothing and shade are not available.</span><span style="font-family: "Cambria","serif"; font-size: 12pt;"><o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
</div>
<div align="center" class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none; text-align: center;">
<b><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;">Skin exams<o:p></o:p></span></b></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">Most skin cancers can be found early with
skin exams. Both regular exams by your doctor and checking your own skin
frequently can help find cancers early, when they are easier to treat. </span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;">Get your skin checked by your doctor</span><span style="font-family: "Cambria","serif"; font-size: 12pt;">. As part of a routine cancer-related checkup,
your doctor should check your skin carefully. They should be willing to discuss
any concerns you might have about this exam.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;">Check your own
skin. </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">It’s
important to check your own skin, preferably once a month. A skin self-exam is
best done in a</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">well-lit room in front of a full-length mirror. You can use
a hand-held mirror to look at areas that</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">are hard to see. A
spouse or close friend or family member may be able to help you with these</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">exams,
especially for those hard-to-see areas like your back or scalp.</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">The
first time you examine your skin, spend time carefully going over the entire
surface. Learn the</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">pattern of moles, blemishes, freckles, and other marks on your
skin so that you’ll notice any changes next time. Be sure to show your doctor
any areas that concern you.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;"><o:p> </o:p></span><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Cambria","serif"; font-size: 12pt;">*Copyright American cancer Society at cancer.org
2013</span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"><o:p></o:p></span></i></b></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<b><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;">Additional resources<o:p></o:p></span></b></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;">More
information from your American Cancer Society. </span><span style="font-family: "Cambria","serif"; font-size: 12pt;">The following information may also be
helpful to you. These materials may be ordered through their toll-free number,
1-800-227-2345.</span><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;"><o:p></o:p></span></div>
<br />
<ul style="margin-top: 0in;" type="disc">
<li class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2;"><span style="font-family: "Cambria","serif"; font-size: 12pt;">A
Parent’s Guide to Skin Protection (also available in Spanish)<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2;"><span style="font-family: "Cambria","serif"; font-size: 12pt;">Melanoma
Skin Cancer (also available in Spanish)<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2;"><span style="font-family: "Cambria","serif"; font-size: 12pt;">Skin
Cancer: Basal and Squamous Cell (also available in Spanish)<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2;"><span style="font-family: "Cambria","serif"; font-size: 12pt;">Sun
Basics: Skin Protection Made Simple (brochure for children aged 8 to 14)<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2;"><span style="font-family: "Cambria","serif"; font-size: 12pt;">Why You
Should Know About Melanoma (also available in Spanish)<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2;"><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-bidi-font-family: Arial;">National organizations and Web sites*<o:p></o:p></span></li>
</ul>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">In addition to the American Cancer
Society, other sources of information and support include:<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<b><span style="font-family: "Cambria","serif"; font-size: 12pt;">American Academy of
Dermatology<o:p></o:p></span></b></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">Toll-free number: 1-888-462-3376
(1-888-462-DERM)<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Cambria","serif"; font-size: 12pt;">Web site: <a href="http://www.aad.org/"><span style="color: #5d776d;">www.aad.org</span></a><o:p></o:p></span></div>
Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-4793129581569701252013-04-17T10:12:00.001-04:002013-05-13T21:16:51.262-04:00On-Call with... Editor, Donna Thomas<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBHYmJMXfXmK4cdAfNG5RJ6QESRkuYb3x-vcdtViteAz7LURBFfDXFQQBW2MeVulewdr6cV380-NNrXt7f203FZUVdU1GzkGAZLcsPyRBVMKhoF2Y8Wgb0L7wMqnMHExkbvMlAP4IjdpA/s1600/donna-thomas.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBHYmJMXfXmK4cdAfNG5RJ6QESRkuYb3x-vcdtViteAz7LURBFfDXFQQBW2MeVulewdr6cV380-NNrXt7f203FZUVdU1GzkGAZLcsPyRBVMKhoF2Y8Wgb0L7wMqnMHExkbvMlAP4IjdpA/s1600/donna-thomas.jpg" /></a></div>
Even though the flu season is coming to a close, your children will still have to be careful in preventing the spread of germs in the months to come. Adopting these simple guidelines from and oral health perspective can become a good habit to adopt for next flu season. Donna shares with Pedimedica important tips recommended by Dr. Joe Kavitz on why...<br />
<br />
A Healthier mouth = A Healthier You!<br />
<br />
1.Each member of your family should use their own tube of toothpaste. Sharing the same tube spreads the virus as it can reside on the outside edge of the tube. Germs can sit on the outside surface of the toothpaste container and thereby spread to your toothbrush as well. *Toothbrushes should be changed every 3 months!<br />
<br />
2.Wash your hands before brushing your mouth. The hands can carry germs that infect your mouth and spread throughout your body. <br />
<br />
3.you do get sick, replace your toothbrush immediately. It is likely to host the virus. We find it useful to keep spare toothbrushes to supply to you and your family as needed. <br />
<br />
4.Do not keep family toothbrushes together in a cup. The colds and viruses can spread to the other toothbrushes transferring the infection from one person to another. <br />
<br />
5.Rinse with a mouthwash after brushing. Brushing your mouth only removes some of the bad germs. Rinsing with mouthwash has been shown to reduce bacterial and virus counts on the oral cavity. <br />
<br />
6.Refrain from kissing others. As soon as you, your family, spouse, or friend can detect the a cold, do not kiss them or allow them to kiss others. The flu virus in particular is very contagious and can easily spread through mouth to mouth contact. <br />
<br />
7.Do not share food or drink. Just as kissing is contagious, so is sharing food and drink.<br />
<br />
8.Eat foods from the garden. Fruits and vegetables can boost your immune system naturally. There are nutrients in garden foods that help in resisting viruses.<br />
<br />
For more information go to <a href="http://www.discoveryfit&health.com/">www.discoveryfit&health.com</a>.<br />
Dr. Joe Kravits, DDS, 2013Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-82949452492610362612013-03-20T19:58:00.002-04:002013-03-20T19:59:54.690-04:00On-Call with… Martha Miqueo, DDS, Vizstara Dental<br />
<div style="border-color: currentColor currentColor rgb(79, 129, 189); border-style: none none solid; border-width: medium medium 1pt; mso-element: para-border-div; padding: 0in 0in 4pt;">
<div align="center" class="MsoTitleCxSpFirst" style="margin: 0in 0in 0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;"><span style="color: #17365d;"><span style="font-family: Cambria;">The
importance of teaching your child good <o:p></o:p></span></span></span></b></div>
<div align="center" class="MsoTitleCxSpLast" style="margin: 0in 0in 15pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;"><span style="color: #17365d;"><span style="font-family: Cambria;">oral hygiene
from a young age!<o:p></o:p></span></span></span></b></div>
</div>
<br />
<div style="clear: both; text-align: center;">
<a href="http://www.vizstaradental.com/doctors/images/Dr2.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://www.vizstaradental.com/doctors/images/Dr2.jpg" /></a><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: Calibri;">Since Children’s Dental Health Month just passed, here are some
important tips to keep in mind all year long! Dr. Miqueo, DDS, Pediatric
Dentist and Orthodontist shares her recommendations with Pedimedica parents.</span></i></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">New parents should seek a pediatric dentist soon
after their child’s birth.<span style="mso-spacerun: yes;"> </span>A pediatric
dentist</span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in;">
<span style="font-family: Calibri;">can show you how to care for your infants
gums after every feeding and can discuss breast feeding, bottle feeding,
pacifier use, suckling habits and their effects on the developing oral cavity.</span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Fluoride toothpaste should be introduced soon
after the child has learned to rinse properly.</span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Toothbrushes should be replaced every two months
or sooner if the bristles are worn out.</span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Remember, a child typically has the full primary
dentition by the age of 3 and the permanent dentition begins to erupt by age 6.</span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Have your child evaluated for sealants when they
turn 6 years old.</span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Bring your child to an orthodontist to evaluate
the craniofacial growth by the age of 7.</span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in;">
<span style="font-family: Calibri;">Sometimes early orthodontic intervention
can prevent extractions of permanent teeth and can yield better results
preventing orthognathic surgery.</span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Make sure your children have a dental check up
and cleaning every 6 months to maintain good oral health.</span></div>
<br />
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: Calibri;">Early prevention practices help your child
develop confidence in caring for their smile and avoids pain and suffering
associated with dental emergencies.</span></i></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in;">
<o:p><span style="font-family: Calibri;"> </span></o:p></div>
<br />
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Calibri;">Wishing you a beautiful Smile and lifelong
savings!</span></b><span style="color: #333333; font-family: "Arial","sans-serif"; font-size: 14pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: KO;"><o:p> </o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<i style="mso-bidi-font-style: normal;"><span style="color: #333333; font-size: 10pt; line-height: 115%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: KO;"><span style="font-family: Calibri;">Dr. Miqueo is
Co-Founder and VP of VIZSTARA, a Multispecialty Dental Facility. She is
Director of Family Practice, Pediatric Dentistry, and Orthodontics. Dr. Miqueo
is an expert in the management of pediatric patients with cleft lip and palate,
as well as in the application of the laser technique for both soft and hard
tissue. Dr. Miqueo graduated from New York University College of Dentistry
where she also served on the faculty. <o:p></o:p></span></span></i></div>
Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com1tag:blogger.com,1999:blog-5864924694121597578.post-62509124167852179582012-12-13T10:43:00.000-05:002012-12-13T10:43:06.917-05:00On-Call with Dr. Nyiri Grigorian, LCSW, Phd<div align="LEFT">
<b><i><span style="color: #484847; font-size: x-small;"><span style="color: #484847; font-size: x-small;"><div align="LEFT">
<br /></div>
<b><i><span style="color: #484847; font-size: medium;"><span style="color: #484847; font-size: medium;">College kids are back for the holidays! </span></span></i></b><br />
<b><i><span style="color: #484847; font-size: medium;"><span style="color: #484847; font-size: medium;"></span></span></i></b><i><span style="color: #484847; font-size: medium;"><span style="color: #484847; font-size: medium;"></span></span></i><span style="color: #484847; font-size: medium;"><span style="color: #484847; font-size: medium;"></span></span></span></span></i></b><b><i><span style="color: #484847; font-size: x-small;"><span style="color: #484847; font-size: x-small;">This is the 3</span></span><span style="color: #484847; font-size: xx-small;"><span style="color: #484847; font-size: xx-small;">rd </span></span><span style="color: #484847; font-size: x-small;"><span style="color: #484847; font-size: x-small;">blog in a special series on sleep</span></span><span style="color: #484847; font-size: small;"><span style="color: #484847; font-size: small;">. </span></span></i></b></div>
<b><i><span style="color: #484847; font-size: small;"><span style="color: #484847; font-size: small;">
</span></span><span style="color: #484847; font-size: small;"><span style="color: #484847; font-size: small;"></span></span></i></b><br />
<b><i><span style="color: #484847; font-size: small;"><span style="color: #484847; font-size: small;">Last month Dr. Grigorian shared with our readers’ her insight to understanding sleep habits at college. In her final blog on sleep she focuses on the issues parents face when their children return for holiday break. </span></span></i></b><span style="color: #484847; font-family: Arial,Arial; font-size: x-small;"><span style="color: #484847; font-family: Arial,Arial; font-size: x-small;"><span style="color: #484847; font-family: Arial,Arial; font-size: x-small;">Nyiri has been in private practice for twenty-five years treating children, adolescents, and adults, as well as families and couples. Dr. Grigorian not only specializes in anxiety and depression, but has treated couples in Parent Guidance for decades. She supervises a wide range of therapists professionally who are in the mental health field. Dr. Grigorian has lectured and conducted workshops on a wide range of topics, including sibling therapy, early intervention in childhood development, and prevention in mental health. She has also served as a consultant to many school districts and non-profit organizations identifying high-risk children and families. She has contributed to the body of research on treating siblings together as an alternative to traditional individual treatment. She has been part of long-term research group studying trauma. </span></span></span><br />
<span style="color: #484847; font-family: Arial,Arial; font-size: x-small;"><span style="color: #484847; font-family: Arial,Arial; font-size: x-small;"><span style="color: #484847; font-family: Arial,Arial; font-size: x-small;">
</span></span></span><b><span style="color: #5a5a5a; font-family: Arial,Arial;"><span style="color: #5a5a5a; font-family: Arial,Arial;"><span style="color: #5a5a5a; font-family: Arial,Arial;">They're Baaa-ack! </span></span></span></b><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://www.bedtimenetwork.com/media/k2/items/cache/4f411c7dd400d8cc3ebd00031ff0e07d_M.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://www.bedtimenetwork.com/media/k2/items/cache/4f411c7dd400d8cc3ebd00031ff0e07d_M.jpg" /></a></div>
<b><span style="color: #5a5a5a; font-family: Arial,Arial;"><span style="color: #5a5a5a; font-family: Arial,Arial;"><span style="color: #5a5a5a; font-family: Arial,Arial;">
</span></span></span></b><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;">When the kids are home and living under your roof, life tends to be status quo. But what happens when they go off to college (or boarding school), and come home for winter break? For a month, they are back in your life. Be honest. You're happy, but not </span></span></span><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><br /></span><i><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;">that </span></span></span></i><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"></span></span></span><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;">happy. </span></span></span><br />
<span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;">
</span></span></span><br />
<span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;">Relationship expert Nyiri Grigorian is here with some </span></span></span><i><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;">undercover </span></span></span></i><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"></span></span></span><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;">insight on the bumpy days (and nights) ahead. </span></span></span><br />
<span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;">
</span></span></span><br />
<span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;"><span style="color: #5a5a5a; font-family: Arial,Arial; font-size: small;">They're baa--ack..... <br />
<br />
You think they're gone. You even cried; but dry those tears. Your college kid is home for a month. <br />
<br />
Why is this so dramatic? <br />
<br />
You are in a new rhythm, they are in a new rhythm and the music is out of tune. <br />
<br />
They are still your babies, but functioning on their own. <br />
<br />
You have experienced new found freedom and are thinking of reinventing yourself. <br />
<br />
The lay of the land has been unearthed with boundaries taking on a new configuration. <br />
<br />
This dynamic is played out in many ways. <br />
<br />
They want to come and go as they please, but still have you, somehow, one hundred percent available. <br />
<br />
Alone time with them is mutually desired, but often misfires and creates disappointment when it doesn't happen. <br />
<br />
They need money; a lot of money. <br />
<br />
Somehow, being home from college means eating in every restaurant, for every meal. Meanwhile you have stocked the house with all of their favourite foods. <br />
<br />
Your new style is cramped. You have to reorganize your time and space. <br />
<br />
It is a scene out of a movie: visitors coming and going as if they have been gone for years. <br />
<br />
You tread lightly, as the parenting style has shifted. <br />
<br />
You try to refrain from being overly intrusive or heavy-handed with advice. <br />
<br />
They have formed a new life, with a new set of friends and a new self-identity. <br />
<br />
You need to suspend judgment and it's difficult at best to hide your feelings. <br />
<br />
And bedtime is disrupted. <br />
<br />
The tenor of the whole house is changed when our college kids come home. <br />
<br />
They seem to reset the tone of the bedtime atmosphere. <br />
<br />
Simply put; you are up again, worried when they are out. <br />
<br />
Siblings are ignited and think it is party time for them too. <br />
<br />
And as if it's not disruptive enough you may now have strange kids sleeping in strange places in your home...get out the blankets and lock your bedroom door. </span></span></span>Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-57497573952504932092012-09-24T14:58:00.001-04:002012-09-24T14:58:33.282-04:00On-Call with Dr. Nyiri Grigorian, LCSW, Phd....
<br />
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-GB" style="color: #494948; font-family: "Arial","sans-serif"; font-size: 14pt; mso-ansi-language: EN-GB;">College and Sleep habits” </span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-GB" style="color: #494948; font-family: "Arial","sans-serif"; font-size: 11pt; mso-ansi-language: EN-GB;">2<sup>nd</sup> blog in a special series on sleep.</span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="color: #494948; font-family: "Arial","sans-serif"; font-size: 14pt; mso-ansi-language: EN-GB;"><o:p></o:p></span></b><br />
<br />
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-GB" style="color: #494948; font-family: "Arial","sans-serif"; mso-ansi-language: EN-GB;">Last month Dr. Grigorian shared with our readers’ techniques to use with
youngsters and bedtime stories. This month she offer insight to understanding
sleep habits at college<span style="mso-spacerun: yes;"> </span></span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="color: #494948; font-family: "Arial","sans-serif"; mso-ansi-language: EN-GB;"><o:p></o:p></span></b><br />
<br />
<span lang="EN-GB" style="color: #494948; font-family: "Arial","sans-serif"; font-size: 10pt; mso-ansi-language: EN-GB;">Nyiri has been in private practice for
twenty-five years treating children, adolescents, and adults, as well as
families and couples. Dr. Grigorian not only specializes in anxiety and
depression, but has treated couples in Parent Guidance for decades. She
supervises a wide range of therapists professionally who are in the mental
health field. Dr. Grigorian has lectured and conducted workshops on a wide
range of topics, including sibling therapy, early intervention in childhood
development, and prevention in mental health. She has also served as a
consultant to many school districts and non-profit organizations identifying
high-risk children and families. She has contributed to the body of research on
treating siblings together as an alternative to traditional individual
treatment. She has been part of long-term research group studying trauma. <o:p></o:p></span><br />
<br />
<b style="mso-bidi-font-weight: normal;"><i><span lang="EN-GB" style="font-size: 16pt; mso-ansi-language: EN-GB;">You just dropped your kid at college and are
awake worrying if they will ever sleep again.</span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-size: 16pt; mso-ansi-language: EN-GB;"><o:p></o:p></span></b><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">The college student faces
many challenges when it comes to sleep. The first few months are the hardest
adjustment.<o:p></o:p></span><br />
<br />
<em><span lang="EN-GB" style="mso-ansi-language: EN-GB;">Why?</span></em><span lang="EN-GB" style="mso-ansi-language: EN-GB;"><o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">The nocturnal environment
of college life is not just stimulating; it’s also about not being isolated.<o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">Distraction and noise are
only the simple problems.<o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">Sleeping in a room with a
roommate/possible stranger presents an emotional as well as physical challenge.<o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">The initial snap judgments
made in the beginning of a roommate relationship take time to season.<o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">But, your kid may not know
this and will lose sleep over worrying about the stranger beside them.
Balancing a schedule with this stranger is difficult at best.<o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">Negotiating a shared
bathroom or dormitory hallway bathroom will disrupt sleep with worry and
confusion. Some kids plan this and will rise early to shower; some go in late at
night for privacy, and some suffer over urinating in the middle of the night.<o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">There is a phenomenon that
has been coined, “FOMO,” which means <i>fear of missing out. </i>Students are
so afraid of missing opportunities to meet and greet friends and be part of what
they believe is important to construct a social life. Like toddlers, they do
not want to sleep and miss out on the fun.FOMO is especially prevalent amongst
freshmen college students. This alone will change the sleep life of every
college kid.<o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">Erratic sleep schedules are
created by class schedules as well as day-to-day changes of where and when to
be at school.For example, if Wednesday and Friday contain a class that is held
only in the afternoon, <i>sleeping in</i> might work for that morning but not
for the others.<o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">Sleep deprivation amongst
college kids is an actual human experiment. Like sex and drugs, it is a time in
life to push the limits of cognitive and emotional health standards and to
learn self-regulation.<o:p></o:p></span><br />
<br />
<i><span lang="EN-GB" style="mso-ansi-language: EN-GB;">What can you do as a
parent?</span></i><span lang="EN-GB" style="mso-ansi-language: EN-GB;"><o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">Well, try to remember that
they are away at school for a reason. Perhaps in this instance, unless you
receive an SOS or other smoke signal from the university’s powers that be, rest
assured, your kid will figure out his/her new circumstances. Besides, you know
they will not listen to your advice. What they need most now is the chance,
just like a baby, to soothe himself or herself under duress and most
importantly, as an autonomous person.<o:p></o:p></span><br />
<br />
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-GB" style="color: #494948; font-family: "Arial","sans-serif"; font-size: 10pt; mso-ansi-language: EN-GB;"><span style="mso-spacerun: yes;"> </span>As a
relationship specialist for the Bedtime Network (www.bedtimenetwork.com) Nyiri contributes
weekly stories providing advice on a variety of sleep topics. Pedimedica found
the following published article to be beneficial to their readers and wanted to
share her perspective on dealing with the difficulties of getting their
youngsters to bed! <o:p></o:p></span></i></b><br />
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="mso-ansi-language: EN-GB;"><span style="font-family: Calibri;">Dr. Nyiri Grigorian, LCSW, Phd.<o:p></o:p></span></span></b></div>
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="mso-ansi-language: EN-GB;"><span style="font-family: Calibri;">Copyright Bedtimenetwork.com<span style="mso-spacerun: yes;"> </span>published 9/1/12 issue<o:p></o:p></span></span></b></div>
Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-65685654562990879902012-08-06T11:37:00.002-04:002012-08-06T12:04:48.762-04:00On-Call with Dr. Nyiri Grigorian, LCSW, Phd<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="color: #494948; font-family: "Arial","sans-serif"; font-size: 14pt; mso-ansi-language: EN-GB;"><i style="mso-bidi-font-style: normal;">"Can
I Have One More Book Mom?” and</i> other bedtime issues!<o:p></o:p></span></b><br />
<br />
<span lang="EN-GB" style="color: #494948; font-family: "Arial","sans-serif"; font-size: 10pt; mso-ansi-language: EN-GB;">Nyiri has been in private practice for
twenty-five years treating children, adolescents, and adults, as well as
families and couples. Dr. Grigorian not only specializes in anxiety and
depression, but has treated couples in Parent Guidance for decades. She
supervises a wide range of therapists professionally who are in the mental
health field. Dr. Grigorian has lectured and conducted workshops on a wide range
of topics, including sibling therapy, early intervention in childhood
development, and prevention in mental health. She has also served as a
consultant to many school districts and non-profit organizations identifying
high-risk children and families. She has contributed to the body of research on
treating siblings together as an alternative to traditional individual
treatment. She has been part of long-term research group studying trauma. <o:p></o:p></span><br />
<br />
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-GB" style="color: #494948; font-family: "Arial","sans-serif"; font-size: 10pt; mso-ansi-language: EN-GB;">As a relationship specialist for the Bedtime Network
(bedtimenetwork.com) Nyiri contributes weekly stories providing advice on a
variety of sleep topics. Pedimedica found the following published article to be
beneficial to their readers and wanted to share her perspective on dealing with
the difficulties of getting their youngsters to bed! <o:p></o:p></span></i></b><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">“One of the most frequently
asked questions in clinical practice with parents of young children revolve
around BEDTIME strategies and difficulties. Sleep and how to get more of it is
the number one question on parents’ minds! It can be at the root of parent
fatigue, guilt, anger, and marital strife. Very often, for example, when
treating couples in marital therapy, the theme of putting children to bed at
night comes to the fore as a central focus. In some families, there is the dread
over the impending bedtime and, it is often viewed as another chore at the end
of a long day.<o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">In the same way adults
frequently feel it is never a good time to get married, get pregnant, buy a
house, move, change jobs, or go back to school, they feel too, that there is
never a good time to tackle a child’s bedtime issues. In a like manner to adult
concerns, children are teething, sick, having separation anxiety, coping with
the birth of a sibling; starting nursery school coping with a new babysitter
etc…There never seems to be a good time.<o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">One of the things most
helpful to acknowledge before tackling bedtime problems is: always REMEMBER
that when you are putting your child to sleep at the end of the day, you are at
your most fatigued and vulnerable. Your mind could still be on the toys that
are all over the floor downstairs, laundry that is undone, and…bills. Although
it sounds simplistic, one of the most dramatic things a parent can do (if
married or with a partner) is to be in AGREEMENT about the bedtime approach.
For example, that means that one parent isn’t angry at the other while they are
playing airplane and wrestling 20 minutes prior to bed or resentful that their
partner jumps at every whimper, sound and move their child makes.<o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">How can we create a stress-free
bedtime? How young children sleep at night very often is connected inextricably
to what goes on during the day. We need to remember that toddlers,
preschoolers, and latency age children sleep dramatically better when they are
tuckered out from plenty of exercise, fresh air, and activity during the day.
Since children are consuming many hours of television a day and are involved
with electronics at a VERY young age, they are exercising less and less.
Passive activities have replaced playing at the park and playground, running
and playing in the fresh air.<o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">Napping can also be a major
culprit when identifying difficulties at bedtime with young children. Parents
can be reluctant to shorten naps or eliminate them altogether thereby enabling
them to have more time to themselves. After all, who wants a cranky child on
their hands? Phasing out naps slowly and shortening them can have a major
impact on how easily and what time your child goes to sleep. One must work
hard, for example, keeping your child awake in the car in the later afternoon
so that he doesn’t go to sleep.<o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">Consistent bedtime routines
are KEY to a smooth transition at bedtime. Setting the same time every night is
the single most helpful bedtime ritual and the addition of a soothing bath,
brushing teeth with a special toothbrush, a small stack of books to choose
from, or a short song can all make the pleasure and safety of bedtime better
for children.<o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">Since bedtime for children
can summon up separation issues and fears, it is crucial for them to feel in
CONTROL. For example, one can give them a choice of books to read, which
stuffed animal to sleep next to and which “night-night” song to sing.<o:p></o:p></span><br />
<br />
<span lang="EN-GB" style="mso-ansi-language: EN-GB;">If children are frightened
to be alone, one can sit in the room with them and leave for brief intervals,
checking in every five, ten and fifteen minutes. Let them know you’ll be back
to check on them. Don’t attempt any long-winded explanations of why they have
to sleep. Keep everything loving, comforting, simple and short. Don’t forget to
verbally and physically reward your child when for several nights in a row,
they have gone to bed well. Three nights become one week, and one week becomes
two weeks. Simple rewards and treats, for example, even a new colourful pack of
markers or stickers, can show your appreciation. Before you know it, your child
will be in the land of Nod.”<o:p></o:p></span><br />
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-GB" style="mso-ansi-language: EN-GB;"><span style="font-family: Calibri;">Dr. Nyiri Grigorian, LCSW, Phd.<o:p></o:p></span></span></i></b></div>
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-GB" style="mso-ansi-language: EN-GB;"><span style="font-family: Calibri;"><a href="http://bedtimenetwork.com/" rel="nofollow" target="_blank">Bedtimenetwork.com</a> <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>published 10/1/11 issue<o:p></o:p></span></span></i></b>Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0tag:blogger.com,1999:blog-5864924694121597578.post-19482409404868847202012-05-14T11:54:00.001-04:002012-05-14T11:54:02.886-04:00On Call with Dr. Lori Rosenberg<div class="separator" style="clear: both; text-align: center;">
<a href="http://www.pedimedica.com/pedimedica_closter/images/dr_Lori_Rosenberg.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://www.pedimedica.com/pedimedica_closter/images/dr_Lori_Rosenberg.jpg" /></a></div>
<span style="font-family: Calibri;"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-size: 14pt; line-height: 115%;">Dr. Rosenberg has all
the answers to the questions you may have on what to expect when your newborn
arrives and will provide you with prenatal advice as well, in her BABY PREP 101
seminar!</span></i></b><i style="mso-bidi-font-style: normal;"><span style="font-size: 14pt; line-height: 115%;"><o:p></o:p></span></i></span><br />
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Calibri;">Are you
having a baby?<span style="mso-spacerun: yes;"> </span>Are you excited?
Nervous?<span style="mso-spacerun: yes;"> </span>Scared?<span style="mso-spacerun: yes;"> </span>Have no idea what to expect?<span style="mso-spacerun: yes;"> </span>Getting advice from your mother,
mother-in-law, father, even father-in-law and from every friend who’s been
pregnant?<span style="mso-spacerun: yes;"> </span>Don’t know which book to
buy, which friend to listen to and which side to sleep on (when you’re not
waking up to use the bathroom every three hours)?<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></span><br />
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Calibri;">To find the
answers to all of your questions, come to <b style="mso-bidi-font-weight: normal;">BABY
PREP 101</b>.<span style="mso-spacerun: yes;"> </span>Some of the questions that
will be discussed are….<o:p></o:p></span></span><br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Calibri;">Q:<span style="mso-spacerun: yes;">
</span>How do I choose a Pediatrician?<o:p></o:p></span></span></b></div>
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Calibri;">A:<span style="mso-spacerun: yes;"> </span>Choosing the right pediatrician for your baby
is very important.<span style="mso-spacerun: yes;"> </span>You want to find a
doctor that you can trust and feel comfortable with because for the first few
years, the relationship will be between you and the doctor.<span style="mso-spacerun: yes;"> </span>Most doctor practices will allow expectant
parents to set up prenatal consults to find out more about the practice,
hospital affiliations, on call hours, how appointments are scheduled and phone
calls are handled, etc.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></span><br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Calibri;">Q:<span style="mso-spacerun: yes;">
</span>What do I need to bring with me to the hospital for the baby?<o:p></o:p></span></span></b></div>
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Calibri;">A:<span style="mso-spacerun: yes;"> </span>Not much initially.<span style="mso-spacerun: yes;"> </span>All hospitals put your baby in diapers and
t-shirts.<span style="mso-spacerun: yes;"> </span>Some hospitals even provide
pacifiers.<span style="mso-spacerun: yes;"> </span>You can bring a pacifier from
home if you desire.<span style="mso-spacerun: yes;"> </span>Anything that you
forget to bring, you will have at least a day or two to retrieve.<span style="mso-spacerun: yes;"> </span>On the day of discharge, the baby will
certainly need a fully assembled car seat and clothes to travel home (bring a few
outfits, as one might get soiled prior to departure).<o:p></o:p></span></span><br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Calibri;">Q:<span style="mso-spacerun: yes;">
</span>When does my baby get his or her first shot?<o:p></o:p></span></span></b></div>
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Calibri;">A:<span style="mso-spacerun: yes;"> </span>Hepatitis B is offered in the hospital;
however, it is not given without parental consent.<span style="mso-spacerun: yes;"> </span>Some pediatricians choose to have the
hospital administer it, others opt to self-administer at the first office
visit. <o:p></o:p></span></span><br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Calibri;">Q:<span style="mso-spacerun: yes;">
</span>How soon after birth will the pediatrician see my baby?<o:p></o:p></span></span></b></div>
<span style="font-family: Calibri;">A:<span style="mso-spacerun: yes;"> </span>Pediatricians come
within twenty four hours to make rounds.<span style="mso-spacerun: yes;">
</span>They typically arrive in the morning prior to office hours.<span style="mso-spacerun: yes;"> </span>If there is a complicated delivery or
emergency, there will always be a pediatrician at the scene (some hospitals
have residents, some have house doctors and others will call in the private
pediatrician).<span style="mso-spacerun: yes;"> </span>Regardless whether the
baby is seen at delivery or not, the pediatrician makes rounds daily as long as
mom and the baby are in the hospital.</span><br />
<span style="font-size: 12pt; line-height: 115%;"><o:p><span style="font-family: Calibri;"> </span></o:p></span><br />
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Calibri;">Q:<span style="mso-spacerun: yes;">
</span>What can I do in my last trimester to prepare for my baby?<o:p></o:p></span></span></b><br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Calibri;">A:<span style="mso-spacerun: yes;"> </span>Sleep as much as you can!<span style="mso-spacerun: yes;"> </span>It might be difficult to do so with a newborn
at home.<span style="mso-spacerun: yes;"> </span>There are no books to buy or
magic tricks to learn that can teach you as much as ‘on the job’ training will.<o:p></o:p></span></span></div>
<span style="font-family: Calibri;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 12pt; line-height: 115%;">AND</span></b><span style="font-size: 12pt; line-height: 115%;"> …come to my class:<span style="mso-spacerun: yes;">
</span><b style="mso-bidi-font-weight: normal;">Baby Prep 101</b>, where you can
find out the answers to all of your pre and postnatal questions.<o:p></o:p></span></span><br />Pedimedicahttp://www.blogger.com/profile/08183970954113155866noreply@blogger.com0