My Blog
By Charles H Geneslaw, MD
January 08, 2021
Category: Safety
Keeping Your Child Safe While TravelingWhether you’re simply taking a weekend trip to visit the grandparents, or you and the family are flying internationally, you must know how to keep everyone healthy and safe while on vacation. After all, the last thing you want to worry about is looking up local hospitals near your hotel in the middle of the night. Here are some tips for how to keep your little ones safe while traveling.
 
Bring all Medications with You…
And make sure you have enough. This is especially important if you are going to spend a couple of weeks on vacation. You will want to make sure that your child has access to their medications and that they don’t run out. If you’re flying, make sure to pack all medications in your carry-on, just in case the airline happens to lose your luggage.
 
Get the Appropriate Vaccinations
While travel throughout the US won’t typically require your child to get inoculated, traveling abroad may require certain vaccines ahead of time. You must schedule an appointment with your child’s pediatrician about a month in advance to make sure that they get all appropriate vaccinations before travel.
 
Depending on where you’re traveling, your pediatrician may recommend certain immunizations against typhoid, yellow fever, meningitis, or rabies. Your child may also require antimalarial drugs to protect against malaria.
 
Get Travel Insurance
While we never want to imagine a medical emergency happening while abroad, it is important to be prepared just in case your child breaks their arm or gets sick. In this case, having travel insurance can be a major stress-reliever and lifesaver. Most travel insurance covers kids under 17 years of age and also provides emergency care and 24/7 assistance.
 
Traveling During COVID-19
Of course, during the pandemic, medical officials highly recommend avoiding any travel unless essential. While we understand everyone’s desire to travel again and for life to return to normal, we must be doing our part to keep everyone safe during this time. If you do need to travel make sure to wear a mask, practice good hygiene and social distancing, and choose outdoor places such as parks where you can avoid crowds and other people.
 
If you do have questions about traveling with your child, or about getting them the proper vaccines before travel, talk with your child’s pediatrician. It’s important to talk with a pediatrician a month or more before your trip so that you can ensure that your child has everything they need before traveling.
By Charles H Geneslaw, MD
December 22, 2020
Category: Child Health
Tags: Broken Bone  
Does My Child Have a Broken Bone?Accidents happen. Perhaps your child hurt themselves falling off their bike or taking a rough tumble down the stairs. In these instances, the first thing you’ll probably do is check your child over for bumps, bruises, and possibly broken bones. It’s important to recognize whether your child could be dealing with a broken bone so that you can bring them in to see their pediatrician right away.
 
The warning signs of a broken bone include,
  • Pain
  • Swelling
  • Bruising
  • Tenderness
  • A popping or snapping sound at the moment of impact or injury
  • Trouble straightening out the limb or affected area
  • Unable to put weight on the area
  • Limited range of motion or unable to move normally
If the bone is visible through the skin, you must call 911 or head to your nearest emergency room for care. If there is no bone visible but your child is still experiencing the symptoms above, then call your pediatrician right away. This problem should be treated on the very same day by your child’s doctor.
 
The most common fractures that we see in kids often affect the bones of the elbows, ankles, and wrists. Falling off monkey bars and other injuries on the playground are incredibly common and can lead to wrist and elbow fractures.
 
How is a broken bone treated?

First, your pediatrician will run X-rays to determine the location and severity of the break. Your doctor will place a splint or cast around the broken bone to provide support and stabilization and to restrict certain movements that could impede healing.
 
Your doctor may also recommend certain exercises that your child should do at home every day to help ease symptoms such as pain, limited mobility, and swelling. Your doctor may also refer your child to a pediatric orthopedist for physical therapy, depending on the type and extent of the injury. You will also need to bring your child back into the office in a few weeks to see how the broken bone is healing.
 
A broken bone is considered a serious injury. If your child is displaying symptoms of a broken bone, it’s a good idea to call your pediatrician right away for a consultation.
By Charles H Geneslaw, MD
December 07, 2020
Category: Child Health
Signs of a Pediatric UTIA urinary tract infection isn’t just something that happens to adults. Children can also develop UTIs. Since children are more likely to suffer from kidney damage as a result of a UTI you must see your pediatric doctor right away if you suspect that your child may be dealing with a urinary tract infection. Signs and symptoms include,
  • Increased urgency to urinate, even if there is no output
  • Cloudy or strong-smelling urine
  • A decreased output of urine
  • Children may complain of a burning sensation when urinating
  • Older children may complain of lower stomach or back pain
  • Younger children may cry when urinating
  • Wetting the bed
We know that infants and young children can’t tell us what hurts and where, so we have to look for other signs that they could be dealing with a urinary tract infection. Young children may have a fever, loose stools, refuse to eat, and be more irritable than usual. When they wet their diaper, you may notice that the urine smells strong or bad.
 
Diagnosing UTIs in Children

If your child is showing symptoms of a UTI you must see your pediatrician right away. A simple urine sample is all that’s needed to be able to detect the presence of bacteria. We can examine the urine sample under the microscope and provide results in a matter of minutes. The kind of bacteria that’s present will help us determine the type of antibiotics we will prescribe.
 
Treating Childhood UTIs

It’s important to seek treatment right away, as untreated UTIs can lead to more serious problems including kidney infections, abscesses, and sepsis. Your pediatrician can prescribe antibiotics. Your child should also be getting plenty of fluids during the course of their treatment to help flush out bacteria.
 
It’s also important that your child continues to take their medication even if they start to feel better (do not stop the medication). If symptoms do not improve within three days, or if they get worse, you must call your pediatrician immediately.
 
Our pediatrics team is here to make sure that your child gets the care they need, whenever they are dealing with everything from a fever or stomach upset to a UTI. If your child develops a UTI, talk to your pediatrician right away.
By Charles H Geneslaw, MD
November 16, 2020
Category: Safety
Keeping Your Child Safe in the CarYou may be surprised to learn that many car seats are not used properly. In fact, around 46 percent of car and booster seats are improperly used, which greatly impacts their efficacy. With car accidents being the leading cause of death in children in the US, parents must know how to keep their children safe while riding in the car. If you have questions about keeping your child safe, your pediatrician is here to answer all of your questions.

Types of Car Seats

Before your child can just start buckling up like a big kid, they need to use car seats. Children from birth until 3 years old will use a rear-facing car seat. From 3-7 years old children will upgrade to the forward-facing car seat. Then the booster seat is typically used anywhere from 5-12 years, depending on their height and manufacturer’s guidelines. Children should be at least five years old, weigh at least 40 pounds and be over the height and weight requirements for their forward-facing car seat to be ready to upgrade to a booster seat.

Choosing the Right Car Seat

When it comes to choosing a car seat, we know that it can be difficult to narrow it down. The National Highway Traffic Safety Administration (NHTSA) provides useful information to help you find the right car seat by comparing different ones on the market. You can also talk to your pediatrician, who can provide you with a wellspring of information and advice on choosing the right car seat for your little one.

Installing Your Child’s Car Seat

Before starting, it’s important to read the manufacturer’s installation guide so that you can better understand the car seat and how it should be installed. Along with following the installation guide that comes with the car seat, the NHTSA also provides some helpful safety tips for a successful installation.

Did you know that once you have your car seat in-place that you can have it inspected to make sure that it’s properly installed? This can provide families with the peace of mind that they need to know that their child is safe every time they buckle up.

From booster seats to booster shots, you must be doing everything possible to keep your child healthy and safe. This also means finding quality pediatricians that you trust to provide you with the tips, advice, and care to support your child’s health. 
By Charles H Geneslaw, MD
October 30, 2020
Category: Child Health Care
Tags: Chicken Pox  
Your Child and Chicken PoxYou just got the call from your child’s school: someone in your kid’s class has chickenpox. This highly contagious virus isn’t usually anything to worry about, but it can certainly cause some very unpleasant symptoms for your child, including a terribly red and itchy rash all over the body and face. If you’re concerned about chickenpox, your pediatrician can tell you everything that you should know about this common childhood infection.

How can I tell that it’s chickenpox?

Since chickenpox is caused by a viral infection, most children will develop common symptoms of an infection before the rash even develops. These symptoms include:
  • Sore throat
  • Fever
  • Stomach upset
  • Headache
  • Body aches
  • Loss of appetite
The rash will usually appear 1-2 days after your child has been exposed to chickenpox. This rash consists of itchy, fluid-filled blisters that crust over within 4-5 days. Some children may only develop a few blisters on their body while others may develop hundreds.

How is chickenpox treated?

It is incredibly important that you keep your child from scratching the rash, as this can lead to infection and make their symptoms worse. Several home remedies can ease discomfort and itching. Some of these include:
  • Applying calamine lotion
  • Making sure that your child is drinking enough water and staying hydrated
  • Soaking in a bath with baking soda for 20-30 minutes to reduce inflammation and pain
  • Applying cold compresses to the rash
  • Taking an over-the-counter antihistamine (talk with your pediatric doctor first before giving your child any medication)
Should my child see a doctor?

If your child is experiencing the typical symptoms of chickenpox, then chances are good that you won’t have to bring them into the office. The only thing you can do is wait. You should call your pediatrician if:
  • Your newborn is showing signs of chickenpox
  • Your child’s fever goes away and then comes back
  • Your child has a high fever
  • Some areas of the rash are getting larger or are painful (signs of infection)
Is there a way to prevent chickenpox?

The good news is that children today can be protected against chickenpox with a simple vaccine. The chickenpox vaccine is administered in two doses: the first vaccine is administered when your baby is 12 to 15 months and a second vaccine is administered at 4-6 years old.

If you want to protect your child against the chickenpox, then talk to your pediatrician about getting them vaccinated. Your child has enough to worry about, without chickenpox being one of them.




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