My Blog
By Charles H Geneslaw, MD
January 17, 2019
Category: Child Health Care
Tags: Newborn   Newborn Care  

There is a lot of care and work that goes into raising a newborn, and your pediatrician is here to help right from the beginning. Your pediatrician typically sees your newborn for their very first appointment within a few days of being discharged from the hospital. Your pediatrician is here for you to ask any questions or address any concerns you may have about your newborn and caring for your newborn. Some of the topics that your pediatrician may discuss in that first visit are:

Feeding- Your pediatrician will watch your baby’s feeding habits during this period and make sure that their growth is right on schedule. During the first six months of your newborn’s life, you’ll feed them formula or breastmilk. Breastfed babies tend to eat more frequently than babies who are fed formula.

Sleep- Every baby has different sleep schedules and needs. Most newborns tend to sleep sixteen to seventeen hours a day, but only sleep a few hours at a time. Sleep cycles don’t tend to normalize until your baby is about six months old. The American Academy of Pediatrics recommends that healthy infants should sleep on their backs until they are able to roll over on their own.

Bathing- Infants do not usually require daily bathing, as long as the diaper area is thoroughly cleaned during changes, because daily bathing dry out their skin. Instead, it’s recommended to sponge bathe areas as needed.

Umbilical Cord Care- An infant’s umbilical cord should eventually dry up and fall off on its own by the time your baby is two weeks old. Until then, make sure to keep the area clean and dry by using sponge baths instead of submerging your baby in the tub. Small drops of blood are normal around the time that the umbilical cord is supposed to fall off. If you notice any active bleeding, foul-smelling yellowish discharge, or red skin around the stump, contact your pediatrician.

Your newborn should see their pediatrician at 2 weeks, 2 months, 4 months, 6 months, 9 months, 12 months, and regularly throughout their life. Call your pediatrician for any questions on newborn care today!

By Charles H Geneslaw, MD
January 10, 2019
Category: Child Health
Tags: Vision   Sight  

Does Your Child Have Vision Problems?



Does your child have vision problems? Children learn through their eyes. Healthy vision is critical for children to see the computer and chalkboard, read, write, and even play. Children's eyes should be examined regularly, as many eye conditions and vision problems can be detected and treated early. Here are six signs that your child may have a vision problem.

1. Squinting eyes. If your child is nearsighted then squinting his eyes helps him make his vision a little clearer and can clear up any distorted vision. Nearsighted just means that they can see things that are near them but have a harder time with objects that are far away. Squinting is a coping mechanism to help relieve their blurry vision.

2. Sitting close to the TV. While it's a myth that sitting close to the television will damage your eyes, this habit may be a sign of a vision problem. If your child can't see televised images clearly or always holds a book too close, it could mean she or he is nearsighted.

3. Frequent eye rubbing. Yes, kids often rub their eyes when they're upset or tired. But if your child rubs her eyes while she's trying to concentrate on something, or while she is being active, it could mean that she has a vision problem. Frequently rubbing their eyes can be a sign of eye strain in children. It can be a sign of a focusing issue that causes the eyes to tire easily.

4. Losing place while reading. When children learn to read and are sounding out words, they will frequently use their finger to track which word they're on. But eventually children should be able to focus without losing their place. If after a while your child still uses his finger, ask him to try reading without pointing. If he has trouble, he may have a vision problem.

5. Sensitivity to light. Are your child's eyes sensitive to sunshine or indoor lighting? Many common eye conditions can make people more sensitive to light. If your child's light sensitivity is caused by an eye condition, then treatment for their condition can mean that his eye becomes less light sensitive.

6. Receiving lower grades. If your child is having a hard time seeing what her teacher writes on the board because of poor vision, she may not tell you about it. As a result, her grades can suffer. Most of what kids learn in schools is taught visually. That means if your child has an untreated vision problem, it could affect his or her development.

Yearly eye exams are as important as visits to the pediatrician. If you think your child may have a vision problem, schedule an appointment with a doctor. Early detection and treatment provide the best opportunity to correct a vision problem so your child can learn to see clearly.

By Joshua@officite.com
December 21, 2018
Category: Uncategorized
Tags: Untagged

A “disciple” is a student, and “discipline” is “teaching”–not “punishment.”  Doing it properly is straightforward, but hard.  Implementing effective methods vary with a child’s age, development, and temperament.  Support for the statement “a good hard spanking is sometimes necessary to discipline a child” has dropped from 84% in 1986 to below 70% in 2012, and <50% of parents <36 years report EVER having spanked their child.

This is a positive trend.    The American Academy of Pediatrics officially opposes all forms of corporal punishment(CP)–parents should NEVER hit, slap, threaten, insult, humiliate, or shame their child.  There is sound reason for this.  A 2016 study found no evidence of long term benefit to the child from CP and only one study from 1981 could demonstrate any short term advantage.  A 1998-2000 study of >5000 children showed increased aggressiveness among 3 year olds subjected to CP with increased externalized behaviors and lower vocabulary scores by 9–they acted out more and communicated less.  Other studies associate depression in either parent with more negative appraisals and increased frequency of CP.  And there were these increased risks:

  • physical injury
  • more negative parent/child interactions
  • increased–not decreased–levels of defiance
  • mental health and learning disorders
  • child abuse
  • conduct problems in adolescence
  • adverse events(suicide, substance abuse) in adults

There were even biologic consequences–decreased brain volume(both white and gray matter) as well as higher cortisol levels (toxic stress hormones).

So what does work? Basic principles for younger children, but with applicability across the age spectrum include:

  1. “Show and tell”–explain “good” behaviors.  Note that this should be done at a “calm time”–when parent and child’s tempers are under control–NOT when the offense has just occurred and everybody is upset.
  2. Consequences should be clear, relevant, and explained at the same time and in the same way–calmly, when things are under control.  Emphasize the situation and not the child (“if things go well/badly”–NOT “if you are good/bad”)
  3. Appropriate intervention–“the punishment should fit the crime”(so to speak).  Don’t overdo.  If the child breaks something they must make restitution–simple. The intervention should have a beginning, middle, and END. Adjust attitude and MOVE ON.
  4. Say what you mean and mean what you say.  Threats are counterproductive, especially when not fulfilled.  “If you don’t hurry we aren’t going to Grandma for Christmas.” STUPID–you ARE going to Grandma’s, of course.  So you cannot back up that statement.  You just lost the battle, and the war. The kid now KNOWS he can call your bluff. And threatening the same thing repeatedly without desired result is similarly foolish–if that intervention did not produce success before, time to think of a new strategy, not just repeating the same thing LOUDER.
  5. Never lose an argument: don’t start something you cannot finish. Example–you cannot make her eat, so don’t endlessly argue over it.  But she cannot make you give her dessert, so when she melts down just ignore her, saying “tomorrow if you eat a good dinner you can have dessert.”
  6. Be prepared–many adverse behaviors are predictable.  You often know when/where they will misbehave.  Yelling and hitting is usually a tantrum on the parent’s part. Know what you are going to do when it happens, explain it (as above) and then calmly implement it when necessary. This is CONTROL.
  7. Ignore tantrums–NEVER try and”get them out of it.”  You cannot–they are unreachable then.  Put the child in a safe place(playpen, bedroom)–“when you calm down we will talk.” Let it blow over.  Then deal with the problem.
  8.  Nobody is perfect about discipline, and everyone will do better and worse at times.  It’s a daily process. So do your best, every day.

Finally–perspective, and humility.  They are children; misbehavior happens. They’ll NEVER be as perfect as we were back then, right? Just ask Grandma!

Thanks for following.

By Charles H Geneslaw, MD
December 17, 2018
Category: Child Health
Tags: Child Care   Weight  

Maintaining an optimum weight is important for the health of your little one.

It’s never too early to make sure that your child is adopting the best habits for maintaining a healthy weight. After all, with obesity on the rise among our children and teens, it’s so important that we are doing everything we can to keep kids healthy and to prevent serious health problems that can arise as a result of obesity. These habits, along with visiting a pediatrician for regular care and advice on maintaining a healthy lifestyle, can keep your child feeling their best.

If your child is overweight there are certain things you can do to help them lose the weight and to maintain a healthy BMI (body mass index),

 

Lead by Example

Children pick up a lot of their habits from their parents, and it’s certainly much easier to eat in an unhealthy fashion if everyone in the family is. This is the time to truly evaluate the family’s eating habits as a whole. Are your meals healthy, balanced, and nutritious or do you find yourself going out for fast food or heating up prepared meals? If parents make healthier eating choices children are more likely to, as well.

 

Get Active

While we all seem to be glued to electronics these days, it’s important to power down and to get some regular physical activity. This can include joining a school sports team, community sports, or even going out in the backyard and kicking a ball around. Children should get at least 60 minutes of physical activity a day.

 

Choose Healthy Snacks

When your child comes home from school are they rushing to grab cookies, potato chips, or other unhealthy snack items? While these foods can certainly be fun and enjoyable in moderation, they shouldn’t be the norm. Instead of stocking the house with junk food, opt for things like peanut butter or hummus on apples or veggies. If you aren’t sure which kinds of healthy snacks to get, talk to your child’s pediatrician for recommendations and advice.

 

Get Some Shut Eye

It’s important that your child is getting enough sleep each and every night. In fact, children that don’t get enough sleep may actually be more likely to become overweight or obese. Making sure that your child regularly receives eight hours a night is a great way to set them towards a healthy lifestyle.

 

Concerned? Give Us a Call!

If your child is having challenges with their weight it’s important to turn to a pediatrician who can provide you with the most effective and safest methods to help shed the excess weight and to maintain a healthier lifestyle.

By Charles H Geneslaw, MD
December 07, 2018
Category: Child Health
Tags: Sick Child   Urgent Care  

When To Take Your Child To Urgent Care

 

As a parent, you want to always do everything you can when your child is sick, but sometimes it’s hard to tell exactly how sick your child is, especially when they’re very young and can’t communicate what is bothering them. Urgent care or a trip to the hospital isn’t always needed for simple problems such as a cold, mild diarrhea, or mild fevers. So, when is it necessary to take your child to urgent care?

 

Urgent Care

 

Not all illnesses need an immediate visit with your pediatrician and it’s important for you to know what symptoms to look out for. Some symptoms that may require urgent care are:

 

  • Vomiting and diarrhea that lasts more than a few hours

  • Rash, especially with a fever

  • High fever

  • A cough or cold that lasts several days

  • Large cuts or gashes

  • Limping or the inability to move an arm or leg

  • Ear pain with fever

  • Ear drainage

  • A severe sore throat or swallowing problems

  • Sharp and persistent stomach or abdomen pain

  • Blood in urine

  • Blood in stool

  • Not being able to drink for more than 12 hours

  • Rectal temperature of 100.4 F or higher in a baby younger than 2 months old

  • Fever and vomiting

  • Any pain that gets worse and doesn’t go away after several hours

 

While many illnesses may go away with love and nurturing after a few days, there are times when it is necessary to see your pediatrician as soon as possible. If your child has any of the symptoms listed above, be sure to call your pediatrician right away to find out if it is necessary for your child to go in for an appointment so that your child can get well as soon as possible.





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