Tags
Parentelligence Blog

'parenting' Parentelligence posts

Flu vaccine for children

A lot of parents have questions about the flu vaccine and many parents refuse the vaccine as they feel it does not very effective. Some parents are concerned about vaccines in general and refuse vaccinating their child as they don’t want to administer “another vaccine” to their child. The best way to prevent getting flu is by vaccination.

What is flu (Influenza)?

Flu (influenza) is not just a common cold or a stomach virus as most people think. Influenza usually occurs during the winter in our region although it can occur all year around in other parts of the world. It can be a serious respiratory illness that can lead to complications especially in children and older adults. Symptoms are generally similar to any other common cold infections and can vary from fever, runny nose, nose congestion, cough, body aches and headaches. The body aches and headaches are mostly reported by older children and adults. Children may not be able to explain their symptoms and may just be fussy.

Most children get over the flu without any complications. In some children and adults, however, it can lead to serious complications including pneumonia.

How to prevent the flu:

Influenza is ...

Hernias: why are some watched while others are repaired?

The most common thing that I see as a pediatric surgeon is a child with a lump that is thought to be a hernia. A hernia is a bulging of tissue through an opening in the muscle layers that isn’t normally present. In children, these openings are usually the result of a developmental process that just didn’t quite reach completion. Some hernias need surgery emergently, while others are observed for years with the expectation that they will close on their own.

Here are some pointers to help understand this wide range of approaches to hernias:

Location is very important in considering how aggressive to be with hernias. Belly button (umbilical) hernias are...

Constipation during infancy

As a pediatric surgeon with a special interest in intestinal issues, I am often contacted by worried parents regarding their baby's infrequent bowel movements. This can be caused by a variety of
problems such as blockages of the intestines or abnormal intestinal function (including a condition called Hirschsprung's disease); but most frequently babies are just efficiently absorbing and thus not needing to poop very often. This is especially true for breastfed babies. So, how can a parent tell the difference?

I would offer the following "red flags" as issues that may indicate a problem needing further medical evaluation:

Vomiting in the newborn: when is spit-up something to worry about?

I have never met a baby that didn't on occasion spit-up. Many perfectly healthy babies can even spit-up quite a bit. Reflux is often the label given to babies who vomit, and this rarely amounts to a significant problem.

However, there are a few things that a parent should watch out for:

The most important thing is the color of what a baby is throwing up. Dark yellow and especially green vomit is never normal in a baby and demands immediate medical evaluation as this could represent a dangerous twisting of the intestines (midgut volvulus), which is linked to abnormally positioned intestines (intestinal malrotation).

Another consideration is quantity. If a baby is throwing up...

How to avoid and care for cuts

It happens so quickly. You’re innocently chopping up vegetables for dinner when you find yourself on the receiving end of a cut — ouch! “Cuts are very common,” says Steven Rittenberg, M.D., who specializes in Internal Medicine at the Swedish Issaquah Primary Care Clinic. “However, there are some practical ways to prevent them, and some specific steps for treating them that can save you a trip to the doctor.”

Avoiding The “Ouch!”

Preventing cuts in the home is largely common sense, but life gets busy and we get careless, so here are a few reminders:

  • Keep knives sharp. Although this may sound counter-intuitive, a sharp knife slides more easily through an item avoiding a slip that may cut something you didn’t intend to cut, like your finger.
  • Pay attention. Resist the temptation to become distracted while using a knife.
  • Cut away from, not toward, yourself.
  • Don’t hold food that you are cutting; use a cutting board.
  • Don’t leave knives in dangerous places — loose in a drawer, in the sink, on the counter or facing up in the dishwasher — especially if you have children.
  • When handing someone a knife or sharp scissors, hold the flat part of the knife blade or closed blades of the scissors so they can grasp the handle.
  • Don’t pick up broken glass; sweep or vacuum it up thoroughly.

Treating It Right

When a cut does occur, the proper treatment will help to avoid infection or other complications:

The Practice Argument

 Practice, practice, practice...all kids are involved in something they have to practice. They all practice spelling and math equations. They might practice their soccer drills, or their cello. The old saying “practice makes perfect” is true.

So, did you know that arguing with your kids is also practice? Practice for what? What possible good could come from arguing? Just like any other skill, when you argue with your kids you’re developing their ability to stand up for themselves. This is crucial in standing up to peer pressure and bullies.

No one person is right 100% of the time, including parents, but parents often don’t want to admit when they’re wrong. When our kids make mistakes, and we tell them 'it’s okay, everyone makes mistakes' and yet, some parents refuse to admit when they make mistakes. Is it a matter of pride, or do we believe that if we admit we made a mistake that it will appear as though we’re weak?

Preventing Pertussis

We currently have a pertussis (whooping cough) epidemic occurring in Washington State. Infants under 6 months of age are particularly vulnerable but anyone, even if you are fully vaccinated, could potentially contract the disease and spread it.

(Is it really an epidemic? Yes: an epidemic (of a disease) affects many persons at the same time, and spreading from person to person in a locality where the disease is not permanently prevalent.)

Pertussis (whooping cough) is a very contagious disease caused by a type of bacteria called Bordetella pertussis. Among vaccine-preventable diseases, pertussis is one of the most commonly occurring ones in the United States (CDC).

What are the symptoms of whooping cough?

The early signs for pertussis are ...

Results 78-84 of 100