How to Have a Safe, Fa-Boo-less Halloween

As if 2020 weren’t exciting enough, Halloween falls on a Saturday this year AND we will have a full moon! Although a few Halloween traditions may look a little different because of the COV​ID-19 pandemic, there are still lots of ways families for families to have fun. Whether you and your family are trick-or-treating or quarantining, we have some fa-boo-less ideas for a safe and spooky holiday!

Trick-or-Treaters

Keep these social distancing best practices in mind to keep everyone safe.

• Stay home if you are sick
• Trick-or-treat with people you live with
• Remain 6 feet apart from people not in your household
• Wear a face mask covering BOTH your mouth and nose (even under/over your Halloween mask)
• Use hand sanitizer frequently while out and about, as well as before eating or after coughing/sneezing
• Wash your hands as soon as you return home

Dos and Don’ts of Giving Out Treats This Halloween

• Don’t hand out candy if you are sick
• Do wear a face mask covering your mouth and nose
• Do use glow-in-the-dark duct tape to mark 6-foot lines in front of your home and leading to your driveway/front door
• Don’t get closer than necessary to trick-or-treaters, no matter how cute they are!
• Do put a disinfected table between yourself and trick-or-treaters for distributing candy
• Wash or sanitize your hands frequently

Helpful Hints for Parents

• Anyone who is sick should stay home
• Talk with your children about maintaining safety and social distancing expectations
• Carry a flashlight after dark
• Make sure your children are wearing reflective clothing so drivers can see them at night
• Wear a face mask covering your mouth and nose
• Everyone should wash their hands as soon as you return home
• Always inspect the candy

Trick-or-Treating Alternatives

Virtual costume parties & parades

Use video chats for an online Costume party! Invite friends and family to show off costumes and play games. Outdoor costume parades are another option if everyone stays at least 6 feet apart. Masks over the mouth and nose are a must!

Spooky movie night

Celebrate with a Halloween-themed movie night as a family. Another option is to allow your child to watch a movie with their friends virtually, with everyone starting the movie at the same time.

Decorating pumpkins

Carve pumpkins as a family – just be careful to avoid pumpkin carving injuries! After carving, insert a battery-operated light rather than an open-flame candle to avoid burns. Or draw/decorate pumpkins with markers, paint, or other items.

​Halloween-themed treats​

There are loads of fun Halloween-theme treat ideas on Pinterest – healthy and not-so-healthy! Make sure the treats are not choking hazards if you have children under age 3.

Halloween scavenger hunt

A Halloween scavenger hunt across your neighborhood will get everyone out of the house and searching for all sorts of fun and spooky Halloween decorations! Have prizes for the winners – a little competition gets the family invested! This is an ideal way to get some exercise and still have some Halloween fun!

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Hand Sanitizers: Effectiveness and Risks for Children

The US Food Drug Administration (FDA) has recently issued an advisory alerting consumers against the use of hand sanitizer products manufactured by Eskbiochem SA de CV in Mexico. The FDA has also recommended Saniderm Products and UVT recall Saniderm Advanced Hand Sanitizer packaged in 1-liter plastic bottles and labeled with “Made in Mexico” and “Produced by Eskbiochem SA de CV.”

The advisory was issued due to the potential presence of methanol (wood alcohol). Methanol is a substance that can be toxic when absorbed through the skin or ingested. Consumers who have been exposed to hand sanitizer containing methanol should seek immediate treatment to address the potentially toxic effects of methanol poisoning, FDA advised.

The Centers for Disease Control and Prevention (CDC) has been recommending handwashing with soap and water to reduce the amounts of all types of germs and chemicals on hands. Due to the ongoing threat of the deadly coronavirus disease (Covid-19) worldwide, it is advisable for people, particularly the children and seniors, to keep their hands clean.

However, soap and water are not always available, especially in public places with no restrooms or washing facilities. As such, CDC has also advised the use of sanitizer with at least 60 percent alcohol to avoid getting sick and spreading germs to others.

Effectivity of Hand Sanitizers

According to the CDC, while it can quickly reduce the number of microbes on hands in some situations, alcohol-based hand sanitizers do not eliminate all types of germs. Alcohol-based hand sanitizers can inactivate many types of microbes very effectively when used correctly, however, people usually do not use a large enough volume of the sanitizer or nake the error of wiping it off before it dried.

Hand sanitizers also cannot remove or inactivate many types of harmful chemicals and are less effective when hands are visibly dirty or greasy. When hands are heavily soiled or greasy (a result after people handle food, play sports, work in the garden or go camping or fishing), hand sanitizers have reduced effectiveness. Handwashing, the CDC said, is recommended in such circumstances. Soap and water are also more effective at removing certain kinds of germs such as Cryptosporidium, norovirus, and Clostridium difficile.

Risk factors in Children

Hand sanitizers are cheap, easy to carry around, and are generally readily available. However, some reports have emerged which call attention to the risk of using hand sanitizer with children.  “Many caregivers are unaware of the very high alcohol content present in alcohol-based hand sanitizers, which can contain up to 60% to 95% alcohol,” Cynthia Santos, MD, from CDC’s National Center for Environmental Health, said.

According to Santos, young children may inadvertently consume hand sanitizers because of their appealing scents, like apple, vanilla, and citrus.  The CDC reported that from 2011-2015, US poison control centers received nearly 85,000 calls about hand sanitizer poisoning among children.

In an article published by Pharmacy Today, Greene Shepherd, PharmD, clinical professor at the University of North Carolina Eshelman School of Pharmacy, said younger kids are more susceptible to adverse effects from these products because there is not as much glycogen in their liver. The most common type of adverse health effects for both alcohol- and non-alcohol-based hand sanitizers include ocular irritation, vomiting, conjunctivitis, oral irritation, cough, and abdominal pain. Rare effects, on the other hand, are coma, seizure, hypoglycemia, metabolic acidosis, and respiratory depression.

Things to consider when using alcohol-based hand sanitizers to children

In an article in healthyenvironmentforkids.ca, the author, Erica Phipps, enumerated some things that parents and guardians of children should consider when using alcohol-based hand sanitizer:

– A single squirt of hand sanitizer the size of a dime is all that is needed

– Parents or guardians should dispense the product into their hands, then rub the surfaces of their children’s hands between theirs until fully dry (usually 10 to 15 seconds)

– Make sure that children do not lick the wet product off their hands

– Scented hand sanitizers, particularly those with fruity scents that may entice a child to ingest the product, should be avoided

– Make sure that children’s hands are dry (the product has evaporated) before giving children food or drink

– For hands that are still visibly dirty, wash as soon as possible with soap and water

The CDC suggests that hand sanitizers be stored out of reach of young children and used with adult supervision.  Child-resistant caps can help reduce hand sanitizer-related poisoning among young children.  Health care providers, including pharmacists, should also inform patients, parents, and caregivers of the potential dangers associated with alcohol-based hand sanitizers.

Handwashing with soap and water is still the gold standard in keeping your hands germ-free and clean.  Apart from germs, dirt, and grease, harmful chemicals like pesticides and heavy metals can be washed off using soap and water. Handwashing helps prevent infections especially since people frequently touch their eyes, nose, and mouth (where germs can get into the body and make people sick) without even realizing it.

Handwashing also reduces the number of people who get sick with diarrhea by 23 to 40 percent; reduces diarrhea illness in people with weakened immune systems by 58 percent; reduces respiratory illnesses, like colds, in the general population by 16 to 21 percent; and reduces absenteeism due to gastrointestinal illness in schoolchildren by 29 to 57 percent.

Sources:

https://www.fda.gov/drugs/drug-safety-and-availability/fda-advises-consumers-not-use-hand-sanitizer-products-manufactured-eskbiochem

https://www.cdc.gov/handwashing/show-me-the-science-hand-sanitizer.html

https://www.pharmacytoday.org/article/S1042-0991(17)30602-3/pdf

https://www.healthyenvironmentforkids.ca/qa/should-i-use-alcohol-based-hand-sanitizer-my-child#:~:text=To%20be%20effective%2C%20alcohol%2Dbased,these%20products%20are%20being%20used.

https://www.cdc.gov/handwashing/why-handwashing.html

 

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Keeping Your Child Healthy During the Covid-19 Quarantine and Beyond

Schools have moved online, businesses are closed, and social distancing rules are in effect all over the country. Stopping the spread of the Covid-19 virus has been on the forefront of everyone’s minds. With all of the upheaval in our society over the last month, it’s understandable that many of us would have let well-visits slip a bit. Some may even fear the potential exposure of their child to Covid-19 during a visit. Here’s why it’s very important to get back on track.

Increased Risk of Contracting Other Diseases

Due to the success of immunizations, we don’t tend to hear about certain diseases as often as we once did. Unfortunately, lower incidence of them doesn’t make those diseases less of a threat to your child. Some diseases, common in other countries, are frequently carried back into the country by international travelers. If children are not vaccinated, exposure to these diseases can put your child at significant risk. Complications of these diseases can include amputation of limbs, paralysis of limbs, hearing loss, convulsions, brain damage, and death. Measles, mumps, polio, and whooping cough – as well as others – result in hospitalizations and deaths every year.

What is Immunity?

The immune system recognizes viruses that enter the body as foreign. These germs are called antigens. The immune system then produces proteins called antibodies to fight the antigens. When a child is first infected with a specific antigen, their body may not be able to produce the antibodies in time to ward off the disease. The child still becomes ill and hopefully recovers. For years afterward, if the body encounters that antigen again, it will produce antibodies to prevent becoming ill a second time. This protection is called immunity and immunity is what vaccines offer.

The fact is that a vaccine is a safer substitute for your child’s first exposure to a disease. Immunizations provide protection to a child without the child having to experience the sickness. By being vaccinated, children are able to develop immunity without contracting the diseases that the vaccines prevent.

“The legacy of COVID-19 must not include the global resurgence of other killers like measles and polio.”  – Dr Seth Berkley on COVID-19: massive impact on lower-income countries threatens more disease outbreaks

Our world does not need to see an increase of vaccine-preventable diseases in the aftermath of Covid-19. If your child is due for vaccination, please don’t postpone your appointment due to Covid-19 concerns. Our office has strict sanitation and infection-prevention measures in place:

• All appointments that can be conducted via telemed are scheduled as such to decrease foot traffic in the office. We are mainly seeing well-child appointments and very few sick appointments.
• In addition, appointments are being spaced out to also help decrease the amount of people in the office at one time.
• Parents are welcome to call us when they arrive in the parking lot to notify us they have arrived, and we can inform them whether they can come in immediately or wait in the car until they can be brought back to a room.
• Exam rooms are cleaned thoroughly after every patient visit.

At this time, we strongly recommend that children 2 years and younger keep their well-child visit schedule, as children in this age group are the ones to be most affected by missed immunizations and delayed monitoring of growth and development.

Growth and Developmental Issues Need to be Addressed Sooner, Rather than Later

“Well-child visits aren’t just about immunizations. We also monitor a child’s growth and development, so delayed or missed well-child visits may result in missed opportunities to detect growth and developmental issues.” – Dr. Danielle Leung

The American Academy of Pediatrics recommends well-child visits as vital support to children’s health and well-being. Well-child visits for infants and children up to five years of age allow physicians to screen for medical challenges and emotional health in addition to growth and developmental issues. These visits also foster a relationship between the child’s physician and the parents or caregivers, creating a team of support for the child’s well-being.

Schedule of Well-Child Visits:

The first week visit (3 to 5 days old)	1 month old	2 months old
4 months old	6 months old	9 months old
12 months old	15 months old	18 months old
2 years old (24 months)	2 ½ years old (30 months)	3 years old
4 years old	5 years old	6 years old
7 years old	8 years old	9 years old
10 years old	11 years old	12 years old
13 years old	14 years old	15 years old
16 years old	17 years old	18 years old
19 years old	20 years old	21 years old

 

In addition to immunizations, well-child visits track growth and development. Your child’s nutrition, growth milestones, social behavior, and learning are noted. Parents can discuss any concerns they have about their child’s health and well-being with their child’s physician on a regular basis, allowing for intervention measures to be taken in a timely manner if needed.

We’re here to support your child’s well-being, both during this crisis and in the years after. If your child is due for their well-child visit, please schedule their appointment today. Concerns? Please call 469-425-3600. We are happy to answer any questions you may have regarding how your child will be kept safe during the visit.

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Strep Throat vs Sore Throat: How Can You Tell the Difference?

STREP THROAT.

The boogeyman of sickness for parents everywhere, strep throat is one of the most unpleasant illnesses your child can experience. Just the words, “My throat hurts,” from your child can strike terror in the calmest parent. However, not all sore throat illnesses are strep throat. How can you tell the difference?

Strep Throat

Strep throat is an infection in the throat and tonsils caused by bacteria called group A Streptococcus (group A strep). While a common illness for children, strep throat is not as common in adults. It is most common in children 5 through 15 years old. It is rare in children younger than 3 years old.

Symptoms of Strep Throat

In general, strep throat is a mild infection, but it can be very painful. The most common symptoms of strep throat include:
• Sudden onset of a sore throat
• Pain when swallowing
• Fever
• Red and swollen tonsils, often displaying white patches or streaks of pus
• Swollen lymph nodes in the front of the neck
• Tiny, red spots (petechiae) on the roof of the mouth (the soft or hard palate)

Other symptoms of strep can include headache, stomach pain, nausea, or vomiting. Occasionally the illness can also present with a rash known as scarlet fever (also called scarlatina).

How Strep Throat is Spread

Group A Streptococcus is found in the nose and throat. It is easily spread to other people by coughing or sneezing, which creates small respiratory droplets that contain the bacteria. The incubation period of group A strep is approximately 2 to 5 days.

People can be infected with the bacteria if they:
• Breathe in infected droplets
• Touch something with infected droplets on it and then touch their mouth or nose
• Touch sores on the skin caused by group A strep (impetigo)
• Share drinks or utensils with an infected person

While uncommon, it is also possible for Group A Streptococcus to be spread via foodborne transmission.

Close contact with another person with strep throat is the most common risk factor, but it is important to note that not all of those infected display symptoms of illness. As a result, schools and daycares are often unknowing facilitators of the illness’ transmission. Parents of school-age children and adults who work in these environments are at more risk of contracting this infection than other adults. Infectious illnesses are most likely to spread wherever large groups of people gather together.

Treatment

Strep throat is treated with a course of antibiotics. For children who are not allergic, penicillin or amoxicillin are recommended, but your pediatrician may use other antibiotics to treat those who are.

Doctors and clinicians can use a rapid antigen detection test (RADT) or throat culture to confirm group A strep infection. A throat culture is considered the gold standard diagnostic test, as RADTs have high specificity for group A strep but can have varying accuracy when compared to a throat culture. A person who tests positive for strep throat, but has no symptoms is referred to as a “carrier.” A carrier usually does not need antibiotics and are less likely to spread the bacteria to others. If a carrier gets a sore throat illness caused by a virus, the rapid strep test can be positive. In this situation, it can be hard to know what is causing the sore throat. If your child continues to get repeated sore throats after taking antibiotics, they may be a strep carrier with a viral throat infection.

Other Sore Throat Illnesses

A sore throat can be caused by pollen, dust, and food allergens. It can also be the result of a bacterial infection. Viruses are the most common cause of sore throats. Viral symptoms include:
• Swollen, scratchy throat and tonsils
• Cough
• Rhinorrhea (runny nose)
• Congestion
• Hoarseness
• Oral ulcers
• Conjunctivitis
• Moderate fever
• Earache
• Moderate rash
• Lump on the neck (caused by swollen glands)
• Difficulty breathing

Flu and viral infections do not respond to antibiotics. Medicines that ease symptoms may be prescribed or over-the-counter versions recommended, as home treatment is usually all that is needed for patients suffering with a viral infection.

Other recommendations often include:
• Gargle with warm salt water (1 to 5 ratio of salt to water) to help reduce swelling and relieve discomfort
• Warm liquids, such as honey & lemon tea or a broth soup
• Warm or cool mist using a humidifier
• Medicated throat lozenges
• Throat sprays containing phenol

If your child’s illness returns or lasts for longer than a week, or if your child seems dehydrated, you should contact our office and make another appointment with Dr. Leung as soon as possible.

 

 

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Fighting Off the Flu

Flu is the short term for influenza. It is an illness caused by a respiratory virus. When someone with the flu coughs or sneezes, the influenza virus gets into the air, and others nearby, including children, can inhale it through the nose or mouth. The virus can also be spread by touching a contaminated hard surface, such as a door handle, and then touching your nose, mouth, or eyes.

When is flu season?

Flu season usually runs from fall into the spring. The illness can spread rapidly through the schools in a community. Because children are contagious in the first few days of the illness, parents and caregivers are easily exposed and infected with the flu.

Flu symptoms include:
• A sudden fever (usually above 101°F or 38.3°C)
• Chills and body shakes
• Headache, body aches, and being a lot more tired than usual
• Sore throat
• Dry, hacking cough
• Stuffy, runny nose
• Some children may throw up (vomit) and have loose stools (diarrhea).
• The flu can last a week or longer.

Difference Between a Cold and The Flu

Because colds and flu share many symptoms, it can be difficult (or even impossible) to tell the difference between them based on symptoms alone. A flu test can indicate if a person has the flu, but it usually must be done within the first few days of illness. Cold symptoms are usually milder than the symptoms of flu. People with colds are more likely to have a runny or stuffy nose.

Flu treatment

Children may benefit from extra rest and drinking lots of fluids when they get the flu. If your child is uncomfortable because of a fever, our office can recommend doses of acetaminophen or ibuprofen appropriate for their age and weight to help. Ibuprofen is approved for use in children six months of age and older; however, it should not be given to children who are dehydrated or who are vomiting continuously.

It is extremely important never to give aspirin to a child who has the flu or is suspected of having the flu. Aspirin during bouts of influenza is associated with an increased risk of developing Reye syndrome.

Antiviral medications are available by prescription to treat an influenza infection. Dr. Leung can help you decide whether or not to treat the flu with an antiviral medicine. Antiviral medications work best if started within the first 1 to 2 days of showing signs of the flu. However, in some children with increased risk for influenza complications, treatment could be started later. Call our office within 24 hours of the first flu symptom to ask about antiviral medications if your child:
• Has an underlying health problem like asthma or other chronic lung disease, a heart condition, diabetes, sickle cell disease, a weakened immune system, a neuromuscular condition such as cerebral palsy, or other.
• Is younger than 6 months old.
• Is younger than 5 years old, especially if less than 2 years old.

The Flu Vaccine

The American Academy of Pediatrics recommends that an influenza vaccine be given annually to all children starting at six months of age. Children 6 months through 8 years old may need two doses of the vaccine given at least four weeks apart. Children 9 years of age and older only need one dose.

Flu vaccines are especially important for children at high risk for complications from the flu such as those with a chronic lung disease such as asthma, heart disease, a decreased immune system function due to a primary condition or from medications such as steroids, renal disease, or diabetes mellitus.

All adults should also receive the flu vaccine yearly; this is especially important for adults who live in the same household as someone who has a high risk for flu complications or who care for children under the age of five.

Side effects from the flu vaccine:

The flu vaccine has few side effects. The most common side effects are fever and redness, soreness, or swelling at the injection site for the flu shot, or runny nose, congestion and sore throat for the nasal spray vaccine.

Although most flu vaccines are produced using eggs, influenza vaccines have been shown to have minimal egg protein so that all children with presumed or confirmed egg allergy may still safely receive the flu vaccine unless they have had a severe allergic reaction specifically to the flu vaccine in the past. Talk with Dr. Leung if you have any questions.

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Seven Super Snack Options for Summer

The kids are out of school for summer and eating you out of house and home. You’d like them to not binge on junk food constantly, but the fruit in the fridge is going bad and the granola in the pantry will turn to dust long before they are willing to reach for it. There are a million and one lists of healthy foods on the internet, and most of them include options that would send my kid screaming into the hills (possibly followed by me and my husband.) The following is a list of possible snacks that most kids are willing to eat. (I say most because if you were lucky enough to have birthed the child willing to eat cottage cheese, peanut butter on celery sticks, and the like – you don’t need this list. Live long and prosper.)

Yogurt

Ah, yogurt. The snack item we try to sell to our kids as an ice cream alternative. They are not fooled, but depending on their texture tolerance, they may be willing to partake. A good source of protein and calcium, yogurt is a solid option for kids and provides calcium for their developing bones. Yogurts containing probiotics are especially good because of their benefit to digestion. (Klein K., 2008) Avoid the yogurt options with candy added and be sure to check the sugar content: some brands have multiple types of added sugar, even though marketed to children.

Popcorn

This whole grain is a healthy and filling snack option. Steer clear of the microwave versions (avoid the dreaded burned popcorn smell in your house) and buy an inexpensive air popper at the local grocery store. Not only is it cheaper in the long run, you get to skip all of the chemicals and preservatives. You can add a little butter or olive oil, sea salt, or parmesan cheese for flavor options. Popcorn can be a choking hazard to young children, so you may prefer to make it available when you know you’ll be close by.

Trail mix

If your child has a nut allergy, this one is not an option, but if your child is free from that danger, then trail mix can be a good snack choice. Many commercial trail mixes include candy, so a homemade version is healthier. A mix of nuts, pretzels, dried fruit, and whole grain cereal pieces can be a filling, low-sugar snack.

Frozen fruit popsicles

In the summertime, who doesn’t love a nice, cold popsicle? Frozen fruit popsicles are one of the healthiest snack options around and kids can have a little fun making them. Skip the store-bought versions, which can be full of artificial colors and flavors, as well as various types of sugar. Put frozen fruit or berries and a small amount of fruit juice in a blender. After reaching the desired consistency, you can pour the mixture into a popsicle mold. (If your child will eat chunks of fruit, you can add some pieces to the puree before pouring it into the mold.) You can also make your own using paper cups and wooden popsicle sticks. Cover with plastic wrap and insert a popsicle stick into the liquid through the wrap. Freeze for several hours or overnight.

Cheese

Everyone loves string cheese: it’s portable, easy, and tasty. Why is it a good option? Cheese is mostly made up of protein and fat, which help kids feel full in between meals. Full-fat dairy foods contribute to a child’s nutritional requirements for calcium, magnesium, and vitamins A and D. Another bonus: some studies suggest that children who eat cheese get fewer cavities! (Herod EL, 1991)

Raisin snack packs

Raisins are a convenient and healthy snack option. Raisins are dried grapes that retain almost all of the nutrients found in fresh grapes. They also contain a fair amount of iron, which is needed to transport oxygen throughout your body. Oleanolic acid is also found in grapes, which may protect teeth from cavities by preventing bacteria from adhering to them. (Wong A, 2013)

Healthier Chocolate Chip Muffins

Muffins get a bad rap for being high in calories, fat, and sugar. However, they can be a healthier snack than cookies and cakes while still providing that fresh-from-the-oven enjoyment. Reduce the sugar, use whole grain wheat flour, and substitute apple sauce to replace the fat in your recipe for a tasty, but less junk food-ish treat.

Works Cited

Herod EL. (1991, April). The effect of cheese on dental caries: a review of the literature. Retrieved from PubMed.gov: https://www.ncbi.nlm.nih.gov/pubmed/1877906
Klein K., S. R. (2008). The clinical use of probiotics for young children. Retrieved from PubMed.gov: https://www.ncbi.nlm.nih.gov/pubmed/18512639
Wong A, Y. D. (2013, June). Raisins and Oral Health. Retrieved from PubMed.gov: https://www.ncbi.nlm.nih.gov/pubmed/23789933

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Managing Springtime Allergies

Ah, spring…time to stop and smell the roses. Or perhaps not! When winter ends, most people want to be outdoors as much as possible if the weather is conducive. However, you may be so affected by seasonal allergies that you want to avoid spring flowers, not enjoy them! Each spring, pollen spreads through the air and fertilizes plants. When people with allergies breathe in this pollen, their body identifies it as a threat, which can trigger an allergic reaction.

Allergy Symptoms

Pollen allergy causes a person to experience any or all of the following symptoms:

• itchy or watery eyes
• itchy throat
• rhinitis (runny or stuffy nose)
• sneezing
• a stuffy nose
• wheezing
• fatigue

Symptom Management

The cause of a patient’s symptoms should be confirmed through in-office skin testing. Once a patient’s allergens have been identified, a physician can provide the appropriate treatment recommendation. Knowing which pollen types a person is allergic to can guide them in determining when to start taking medications and the best times to avoid the outdoors, because in general, the first level of treatment is avoidance. However, if avoidance is not practical, there are a number of medications now available over the counter which were previously available only by prescription. Appropriate treatments to manage seasonal allergies can include:

• Antihistamines such as cetirizine (Zyrtec) or loratadine (Claritin). A person should start taking these medications two to three weeks before allergy season begins.
• Nasal sprays to temporarily relieve the itching and congestion. These include decongestants, which are only a short-term solution for swelling. (Note: nasal decongestants should be not be used for more than three days due to the risk of rebound or worsening nasal congestion.) Nasal saline rinses are helpful in relieving the irritation to the nasal tissue and flushing out mucous and trapped allergens.
• Immunotherapy tablets or shots to desensitize the body to pollen.
• Nasal corticosteroid sprays are effective in reducing inflammation, sneezing, watery eyes, post-nasal drip, and other related symptoms.

Most treatments only help manage allergy symptoms, but cannot cure them. Immunotherapy may be helpful for long-term allergy management but can take several years to complete.

If you are dealing with seasonal allergies this spring, there are ways you can manage them so that you can enjoy this time of year more.

• Know your triggers. The American College of Allergy, Asthma, and Immunology reports that more than two-thirds of spring allergy sufferers actually have year-round symptoms, but their symptoms just aren’t as noticeable during other times of year. Know what triggers your allergic reactions and make plans to help manage your symptoms.
• Check weather reports. Pollen.com provides a daily/weekly pollen and mold count. Checking this report can help you know what to expect when you need to be outdoors, as well as if there are certain days or times during which avoidance may be your best defense against an allergy attack.
• Take precautions. Take the medications prescribed by your doctor or the OTC versions recommended by them. If you know you are going to be outside for an extended period of time performing tasks such as mowing the lawn or cleaning a pool, consider wearing a mask to help reduce the amount of allergens you inhale.
• Shower often. Taking a shower, washing your hair, and changing clothes after being outdoors can help minimize your exposure to allergens.

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March is National Reading Month

Why are we talking about reading in a pediatric blog, you might ask?  This isn’t a medical topic…it should be featured in a school or library blog!  Because reading is such an important component of childhood development, we’d like to talk about it!

Reading contributes greatly to those growing brains we care so much about, and it all starts as early as infancy.  Neural connections are constantly being formed in the developing mind, so starting early with reading, talking, and singing to babies and toddlers help establish and reinforce those connections. Reading at all stages of childhood help with bonding between the parent and child. As the child matures, it helps enhance language, emotional, and social skills.

How reading is performed varies with the child’s age.  With babies, it’s more about the experience – even if the baby is more interested in putting the book in his/her mouth, it’s ok. Your voice, the time you spend with your child, helps with emotional development and sets the building blocks for language.

During the toddler years, you can turn it into a more interactive activity.  Ask them more direct questions when they are younger – “Can you point to the balloon?” “What sound does a dog make?” “What color is this?”  For older kids, ask more open-ended questions: “What do you like to eat for breakfast?” “Where is your favorite place to be?” Use books and stories to teach lessons or concepts.

These concepts continue to develop and mature as your child becomes school-age and can help them academically, socially, and emotionally. If it’s not yet part of your daily routine with your child, start today!  Pick up a few fun books from the bookstore or check them out at your local library!

For more information:

https://www.healthychildren.org/English/ages-stages/baby/Pages/Healthy-Children-Radio-Reading-Aloud-to-Infants-Audio.aspx

https://www.healthychildren.org/English/healthy-living/nutrition/the-very-hungry-caterpillar/Pages/A-Guide-to-Reading-With-Your-Child.aspx

https://www.healthychildren.org/English/healthy-living/emotional-wellness/Building-Resilience/Pages/Books-to-Build-Character-Teach-Important-Values.aspx

 

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Treating The Common Cold

Tis the season for cough and colds! Young children oftentimes will get several respiratory illnesses during the course of a winter season, and those coughs and runny/stuffy noses can be quite annoying! While the common cold is caused by viruses, and otherwise healthy children typically will overcome the illness with a little bit of time, there are some things that you, as parents, can do to help alleviate some of the discomfort.

Cough

The cough that accompanies the common cold can be frustrating for the child and the parent, as sometimes it is seen as a disruption in the classroom or disturb the child’s sleep. The American Academy of Pediatrics discourages the use of cough and cold medications under the age of 6 years old, as there is insufficient data to prove their safety and efficacy in this age group. DO NOT give a smaller dose of an adult medication to a child, as this can potentially result in harmful effects on the child. Honey may be used for children older than a year of age (babies should never be given honey due to the risk of botulism); studies have shown honey to be an effective natural cough suppressant. Sometimes the cough is worse at nighttime due to postnasal drip; elevating the head when sleeping may improve the cough. Avoid secondhand smoke exposure, as it can cause further irritation to the airways, thereby worsening cough.

Children with a predisposition to wheezing or a history of asthma should be monitored for worsening cough, wheezing, or shortness of breath, and be evaluated by their pediatrician when appropriate.

Runny & stuffy nose

Nasal drainage and congestion are both common manifestations of the common cold. Mucous may be clear, yellow or green, depending on the stage of illness the body is going through. A few days of yellow or green nasal discharge is completely normal with a viral infection, and not necessarily indicative of a sinus infection.

Use of a humidifier in the child’s bedroom is helpful, because breathing in moisturized air helps to soothe the nasal passages and lessen irritation. Nasal saline sprays or rinses can help loosen mucous and soothe the nasal tissue. Suctioning of the mucus will help your young child remove the mucous blocking the nose; older children can blow their nose. Vicks vapor rub can be used for congestion – apply to the bottoms of the feet in babies and toddlers, chest and back on older children.

Sore throat

Some children may experience a sore throat along with their cold symptoms. They may not eat as much as a result of this. Ensure your child stays well-hydrated despite the pain. Some children prefer cold fluids or popsicles to ease the pain, others prefer hot fluids, like tea or soup. Honey and lemon water/tea can help soothe a sore throat. Occasionally, the child may have a concurrent throat infection – if you see pus on the tonsils, it is best to have your child checked by the pediatrician for strep infection.

Fever

Fever is often seen by parents as a scary or concerning symptom when a child is ill, but keep in mind that it is one of the methods the body utilizes to fight infection. However, high fever can make a child uncomfortable and increase risk of dehydration, so use of a fever reducer is warranted in these scenarios. Low-grade fevers may be monitored if the child is comfortable and hydrating well. Other ways of bringing down a fever may include cool towels to the forehead and warm baths (never bathe a febrile child in cold water).

Viral respiratory illnesses typically are worse during the initial 4-5 days, then gradually improve, usually resolving completely in two weeks, on average. Make sure your child gets enough fluids and rest in order to allow the body’s immune system to be fully equipped to fight the illness. If your child exhibits any concerning symptoms (i.e. worsening cough, wheezing, ear pain, etc), be sure to have him/her checked out by the pediatrician!

For more information:

https://www.healthychildren.org/English/health-issues/conditions/chest-lungs/Pages/Coughs-and-Colds-Medicines-or-Home-Remedies.aspx

https://www.healthychildren.org/English/health-issues/conditions/ear-nose-throat/Pages/Children-and-Colds.aspx

https://www.cdc.gov/antibiotic-use/community/for-patients/symptom-relief.html

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How To Prepare Your Child for a Healthy School Year In Texas

A healthy child for a new school year is important. Some children are excited to be back in school. For others, it can be stressful and overwhelming. Read below for some useful tips to help your child prepare for a healthy school year in Frisco Texas.

 

Get back on schedule

Summer days are more relaxed and filled with lazy days. To get back on schedule, let your child know what time school begins and ends. Start their sleeping schedule a week before school starts. If school starts at 8 AM, have them go to bed at 9 PM and wake up at 6 AM. This gives your child 8-10 hours of much-needed sleep, as sleep is important in maintaining focus and concentration. Having your child wake up at least 2 hours before school starts gives you plenty of time to prepare for school. A healthy child with enough sleep is a happy child who can learn efficiently.

 

Have a nutritious breakfast 

It’s important for your healthy child to have a strong immune system. Start by making a nutritious breakfast that includes protein and complex carbohydrates. It’s a healthy option & a great source of energy. It can be part of a quick meal on the go or a sit-down breakfast.

 

Hydrate & drink more water

Staying hydrated in Texas is important when your child is active & playing outside. To keep your child healthy while playing sports, ensure adequate access to fluids. Water is the best option to prevent dehydration. Drinking a soda will not help to replenish water. Water is the best option to prevent dehydration.

 

Encourage your child to wash hands frequently

Your child has a less sophisticated immune system and is more susceptible to cuts, scrapes and dirty hands. If your child needs to see a pediatrician from a minor cut or laceration contact us for an appointment. Hand washing will protect your child from getting sick and bringing bacteria & viruses home. Not only will this be helpful in childhood, it’s useful for life. Encourage them to wash hands frequently by washing your hands together. Make hand washing fun by singing a fun song together.

 

Make sure immunizations are up to date

Some schools require your healthy child to have immunizations before they can go to school. Make sure you check your child’s Texas school requirements.

Having immunization is important because it protects your child from diseases. It helps them get to know the bacteria or virus before getting exposed. If the bacteria or virus comes in to contact again, your child’s immune system will be ready for it.

We offer vaccines for your child, so if he/she needs immunizations, contact us for an appointment.

 

Remember if your child needs to see a pediatrician we offer same day appointments.

 

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Fruitful Tips for Children Proper Nutrition | Kids with ADHD in Frisco

Kids with ADHD in Frisco Guide

When you have a kids with ADHD in Frisco that has been clinically determined, you have to pay attention to their diet plan and nutrition. Anything they eat could have a actual impact on their symptoms, so try to comply with an organic diet, focus on fruits, fruit and vegetables and health proteins. It may possibly take a while to sort out what their activates are, but when you have taken out them out of your child’s diet plan, it may definitely assistance with managing the signs.

With a healthy diet, your child will be capable of focus and control impulses. Avoid certain kinds of species of fish that are loaded with mercury ranges, and see to it to supply your son or daughter an organic and natural diet program. Focus on necessary protein and foods that contain Omega-3 fatty acids, and offer a multivitamin each and every day.

Read more: Allergy and Asthma Management

Children Proper Nutrition Tips

Use vegetables in unusual strategies to increase the amount your children consume. Utilizing veggies in food that typically will not call for them, such as lasagna or home made pizzas, can make mealtime fun for youngsters.

Children’s flavor buds will not operate the same as they grow. Allow your Kids to make the choices of food for themselves but make sure to assist them on the kitchen on preparation then add some healthy ingredients ex. Pizza instead of just plain pepperoni,ham, and cheese that kids usually crave for add some mushrooms, bell pepper, eggplant, pineapples, and fresh tomatoes and onions. Then for the drinks instead of sodas, introduce them a healthy drinks like fresh fruit shakes ex. lemon,melon,watermelon,banana,apple,and orange etc..just make sure they are the one who will make their own fruit shakes it is  very healthy way of enjoying while being healthy at the same time.

Start on your kids proper proper nutrition especially kids with adhd in frisco. Earlier diet strengthens healthy eating routine. Supplying directly into your child’s demands for top sugar, fatty and fried comfort meals is only going to established them on a route for being overweight and poor nutrition afterwards. Insist which they take in fruits, veggies, healthier low fat protein and whole grains.

As stated well before, appropriate diet is important for all. Having appropriate nutrition is crucial if you would like stay a lengthy and healthful life while getting the most from it. Should you remember the recommendations based in the post previously mentioned, then you can certainly have correct nutrients and acquire the most from daily life.

Schedule an appointment today at Entirely Kids Pediatrics We offer appointments for well-child visits and immunizations, same-day sick visits, as well as prenatal consultations to expecting parents. Please contact our office at (469) 425-3600 to schedule or visit our website https://www.entirelykidspediatrics.com for more tips.

Here is our exact location:

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Some Advice On Common Allergies

Unfortunately common allergies can affect people of all ages, and whether you are born with specific ones or develop them as you age, allergies can be a major roadblock in many ways. There are a few important things to always remember if you have a child with severe allergies when you have to leave them in someone else’s care. Here are some tips to help you feel more comfortable when others are going to be supervising your child.

C”Every season can be allergy season, depending on what you’re allergic to.”
— Clara Chung

Guide for Common Allergies

• Whether severe or moderate-make sure your child’s allergies are known and listed
• If any medications or inhalers are used make sure to inform the caregiver whom is watching your child of directed dosage and frequency
• Always include your Physicians contact information when leaving your child with someone just in case of an emergency
• List any allergy triggers ahead of time so they are known
• If at any time there are any changes in medications be sure you inform the caregiver of changes too

No matter if a food allergy, dairy, outdoor seasonal, insect, nuts, skin or certain products, always be aware of situational elements at your child’s daycare, school, field trip, a friend’s birthday party, and more that could directly affect a negative reaction! Being proactive and keeping your friends and family aware of certain triggers can ultimately save a loved one’s life!

Common Allergies : Social Interactions

Allergies don’t have to spoil the participation in specific activities for your child or family. Be prepared in advance and on top of planned social interactions and activities before common allergies take place.  A little precaution on your part can make a big difference in battling common  allergies for you and your family. At your next Pediatric visit make sure you address any allergy concerns you may have with the Doctor and if allergy testing may be necessary for your child.

Remember if your child needs to see a pediatrician we offer same day appointments.

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Take The Healthy Approach With These Kids Nutrition Tips

When considering kids nutrition, it is important that you incorporate foods that you love because there is no better way to get nutrition than when you are enjoying it. There are many ways that you can add extra nutritional benefits to foods you love simply by adding in or leaving out key ingredients. Searching for low fat recipes will provide many good results.

Kids Nutrition : Low Fat Recipe

Create fruit smoothies. Self made smoothies aren’t as healthy. When you make smoothies yourself, you can ensure that they’re very nutritious. Plus, it is easier to fit into your eating plan. Ingredients worth considering are ice, bananas or other fresh fruit, yogurt, and skim milk.

Instead of milk or even white chocolate, opt for the healthier dark chocolate alternative. The dark variety is good for your heart as it aids in controlling your blood pressure. Eating foods rich in antioxidants will help you keep your cholesterol under control. Just be sure to choose chocolate that contains at least 70 percent cocoa to maximize the benefits. Don’t overdo it with the chocolate as it still contains a lot of calories.

Nutrition for Kids with ADHD

If you have a child that has been diagnosed with ADHD, you need to pay close attention to their diet and nutrition. What they eat may have a real effect on their symptoms, so try to follow an organic diet, focusing on fruits, veggies and protein. It might take a while to work out what their triggers are, but once you have removed them from your child’s diet, it could really help with managing the symptoms.

Children with ADHD’s parent should pay careful attention to their diet. It should be with a healthy diet, your child will be better able to focus and control impulses. Avoid certain types of fish that are high in mercury levels, and try to feed your child an organic diet. Concentrate on proteins and foods that contain Omega-3 fatty acids, and provide a multivitamin on a daily basis.

Now that you have read a few tips describing how to eat healthily, all that remains is to get started doing it. There is a lot of temptation in the form of fast foods and a vast array of processed junk sold at the supermarket. But with a solid nutrition plan you can rise above that temptation and forge a new, healthy you.

Schedule an appointment today at Entirely Kids Pediatrics We offer appointments for well-child visits and immunizations, same-day sick visits, as well as prenatal consultations to expecting parents. Please contact our office at (469) 425-3600 to schedule.

Here is our exact location:

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Nutritional Tips For Frisco Families During The Texas Summer

It’s summertime, and school is out. What does this mean for kids? A lot of chill time and spending time with the family, no doubt. However, we, as pediatricians, often see this time as one of noticeable weight gain in some children. Why? Texas summer heat tends to keep a lot of children indoors and inactive, as well as drive us to indulge in more high-sugar sweets like ice cream and thirst quenchers such as sodas and lemonade. Family cookouts often make way for foods high in calories, sodium, and fat, like hamburgers and hot dogs. Therefore, even though summertime is usually time for fun and relaxation, we still encourage parents to be cognizant of their children’s nutritional intake.

Watch out for the sweets

Sweets are not completely discouraged – we definitely don’t want to take away the fun of an ice cream treat or a nice glass of lemonade when it’s so hot outside! Just remember to limit serving sizes and to encourage adequate physical activity in order to burn off those calories! Consider offering frozen yogurt, “light” ice creams, fruit popsicles or homemade popsicles as alternatives; frozen fruit can be yummy to munch on as a healthy snack as well (frozen grapes are actually quite good)!

In the sweltering heat, water itself probably isn’t as attractive as something tasty like some ice-cold lemonade, iced tea or fruit juice. Once again, moderation is key, especially with all the sugar that goes into making the first two taste so yummy. Consider flavoring water with fresh fruits like orange slices or berries. Watermelon is also a great thirst quencher (it’s >90% water) and low in sugar too!

From the grill

Family cookouts are fun and sometimes frequent during the summertime, especially when we have Father’s Day and Independence Day coming up! Beware though, of our two all-time grilled favorites – hamburgers and hot dogs, as they can potentially pack on quite a bit of sodium, fat and cholesterol. If you make your own burger patties, consider using leaner ground beef or mixing ground beef with some ground turkey to cut down on the fat. Veggie patties on whole-wheat buns are another healthier option. Switch things up a bit with grilled chicken breasts with a teriyaki sauce or cajun seasoning to boost the flavor a bit. Throw in some grilled veggies – zucchini, onions, bell peppers – they taste great with some olive oil and balsamic vinegar. Grilled pineapple is amazing too!

Movie time

Your children may be watching a few more movies in the summertime than usual, since movie theaters usually have great air conditioning and many children’s movies do get released in the summer! Who doesn’t like to munch on some buttery popcorn while watching the latest new release? Be mindful though, of the calories contained in those movie theater popcorns – if you get one of those big buckets, make sure the kids share; otherwise, buy smaller sizes for each child. Having movie night at home? Pop your own popcorn! And dress it with whatever flavorings you so desire – a butter and honey drizzle, parmesan cheese, garlic powder, a little bit of sea salt and caramel…the possibilities are endless!

Remember if your child needs to see a pediatrician we offer same day appointments.

For more information:

https://www.webmd.com/food-recipes/features/healthy-summer-foods#1

http://www.superkidsnutrition.com/summer-time-when-kids-gain-weight/

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Proper Nutrition & ADHD

Many people tend to associate the use of medications in the management of children with attention deficit hyperactivity disorder (ADHD). Did you know that proper nutrition can potentially help with ADHD symptoms as well?

                                                      What To Avoid

Sugar is commonly known to be associated with hyperactivity, but what many people do not realize is that other foods consisting of simple carbohydrates (i.e. white bread, waffles, pop-tarts) can also contribute to hyperactivity initially, followed by irritability when blood sugar dips later on. Therefore, it is not only important to remove excess sugar in the child’s diet (i.e. sugary drinks, processed foods), but also to ensure their meals consist of high protein foods and complex carbohydrates. Together, this combination allows for more steady blood sugar levels that allow the child to concentrate better.

Food additives, especially food coloring, has also been associated with worsening ADHD symptoms. Take the time to read the ingredients label on packaged foods and try to avoid those with artificial coloring, artificial flavorings, and preservatives.

Some research suggests that food sensitivities can worsen ADHD symptoms. Common foods that cause sensitivities include dairy, wheat and soy. Keep in mind though, that food sensitivities are not the same as food allergies, as allergy testing on these children usually are negative. It is best to discuss this with your child’s pediatrician if you are considering seeking out food sensitivities as possibly contributing to your child’s symptoms, so that he/she may guide you in trialing an elimination diet.

What To Encourage

Other than a diet consisting of high-protein and complex carbohydrates, omega-3s have also been shown to have beneficial effects on the symptoms of ADHD. Omega-3s are an essential fat that aids in brain function, so regular ingestion can help with concentration, hyperactivity and impulsivity. Unless your child can eat fish regularly in their diet, fish oil supplements are a great way for them to reap the benefits of omega-3s.

Iron is also an important element to maintain in your child’s diet. Even if your child is not anemic, their iron level may be a little lower than average, hence contributing to some of their ADHD symptoms. Since ingesting too much iron is dangerous, it is best to consult with your child’s pediatrician before starting any iron supplements.

Zinc and magnesium are two other minerals that may have an effect on ADHD symptoms, although current study results do not provide as strong of a correlation as those for omega-3 and iron.

In Summary

Since many children with ADHD undergoing medication therapy tend to have decreased appetites, it is extremely important to make the calories they put into their bodies be of value – healthy and nutritional.

Meal ideas:

https://www.additudemag.com/adhd-diet-brain-food-health/

For further information:

https://www.additudemag.com/adhd-diet-for-kids-food-fix/

https://www.additudemag.com/adhd-diet-nutrition-sugar/

Remember if your child needs to see a pediatrician we offer same day appointments.

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Family Fun Around Frisco

Things to do in Frisco when you are not at the pediatrician’s office

 “Never, ever underestimate the importance of having fun.” Randy Pausch

Frisco, Texas is one of the fastest growing cities in North Texas, and with that the activites & places to go are abundant as well. Residents have lots of choices when heading out for family adventures around this booming city, and here are just a few things paritcularly aimed at those with younger children. A few of these are sure to bring memories and photo opportunities of smiling faces! Remember to use sunscreen on family members when heading outdoors this summer, take along lots of hydrating liquids, and even pack insect spray to have on hand if needed!

On-Going Fun For You & Your Family This Summer

Barnes & Noble bookstores offer free story times Wednesdays at 10:30 & Saturdays at 11:00am Check store for other events

Pottery Barn Kids offers free story times every Tuesday from 11:00-11:30am

Crayola Experience Willow Bend  – Open 365 days a year with on-going events for children to engage in http://www.crayolaexperience.com/plano

The Little Gym of Frisco, TX. Offers a variety of classes, camps, and has now teamed with Kindermusik and will soon be offering 3 dimensional classes for multiple ages https://www.thelittlegym.com/friscoTX/classes/kindermusik

Astronomy Night at Frisco Commons Park – Frisco StarFest is a once a month event that starts at sunset and ends at 10:30pm, every second Saturday of the month. The unique draw about the event is that about a dozen telescopes are set up for viewing. The best part is that it’s FREE!

Frisco Music in the Square, Simpson Square – Recurring weekly on Friday eve’s now throughout June from 7:30-9:30 & it’s FREE – Plus, different vendors and/or food options available too!

Pack up the kids & the strollers & visit the Frisco Farmers Market every Saturday through October 27, 2018, 8:00 a.m. until Noon for fresh veggies & fruits, local crafts, occasional live music, and more!  8821 4th St,Frisco, TX.

Play Street Museum Frisco Texas – On-Going Open Play is Mon-Fri 9:00-5:00 – 1^st Sunday morning of each month is Open Play by reservation only https://psmfrisco.com/frisco-events

“There’s no fear when you’re having fun.” – Will Thomas

Remember if your child needs to see a pediatrician we offer same day appointments.

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Your Frisco Public Library

Frisco is blessed to have a tremendous public library system that offers a variety of activities for all ages. From story times, special classes, arts & crafts, guest speakers, etc., a visit to the library can add something for both you & your child to enrich your days. “I have found the most valuable thing in my wallet is my library card.”–Laura Bush

During the heat of the summer, the Frisco Public Library is also a great place to keep cool indoors while expanding your child’s knowledge.

• Expose your child to the resources available to them at an early age and they will use it throughout their growing years. Not to mention, getting lost in a good book or magazine for moms or dads-can be a nice treat during the day to day business of raising a family.
• Movies & magazines can also be checked out from the Frisco Library, and make for a great way to save on additional expenses if you are frugal-minded!
• Story times are free and are offered on Tuesdays from 10:30 to 11:30, and are listed on the Friscolibrary.com website calendar for your easy access.
• Summer camps and activities for Frisco residents

There are a number of other resources available to you though the Frisco Public Library that you can find on their website or at askus@friscolibrary.com! www.friscolibrary.com to include free parking, free wifi, computer & print resources, and more.

“Bad libraries build collections, good libraries build services, great libraries build communities.”–R. David Lankes

Happy Reading, from you Frisco Pediatrician.

 

 

 

 

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A Day in the Life | Pediatric Clinic

 Today I have Christie of Mama OT stopping by to share what a typical day in a pediatric clinic setting is like for her. Christie works in both school and clinic settings and I'm so happy that she is sharing what a "typical" clinic day looks like for her.

Life as a pediatric occupational therapist is anything but boring! I currently work as an OT in both the clinic-based and school-based settings, with one day per week being in the clinic, and the rest of the days being in a nearby school district. Each setting involves different task and scheduling demands. It’s so hard to provide ONE example of what my day is like in either of these settings because there can be so much variation depending on the day of the week and time of year. That’s something I love about this job – variety in the midst of the routine. I’m the type of person who craves routine but also needs variety to keep me engaged and on my toes, so it’s a great fit for me.

For the purpose of this post, I’m going to walk you through what a “typical” day might be like for me in the pediatric clinic setting. The clinic I currently work for provides pediatric OT, PT, and Speech within the clinic setting, plus we are also an insurance vendor for in-home ABA (behavioral) services for children with autism. We also routinely host OT observers, volunteers, and fieldwork students. Because of this, our clinic is typically filled with lots of different types of individuals from a variety of disciplines, which is awesome for collaboration and professional growth.

“Typical” Clinic Day:

8:15-9am – Admin time. Arrive, settle in, grab charts for clients I’ll be seeing that day, set up mats in the OT gym for the day, prep any materials or activities needed for morning clients, gather any swings or other therapy equipment I might need for the morning, check email if time.

9-9:50am – Provide treatment to a 4 ½ year old child with fine motor delays and low muscle tone/endurance, focusing on postural strength and control, hand strengthening, and dissociation of the two sides of the hand for improved tool use. Talk to parent for last 5 or so minutes of session to review how last week went for them at home, share some highlights from the session, and discuss what they can do at home during the rest of the week to support progress on OT goals.

9:50-10am – Write as much of the treatment note from the previous session as possible while also grabbing the next client’s chart and setting up for that session.

10-10:50am – Provide treatment to a 2 ½ year old child with a medical diagnosis of Autism who presents with limited attention to tasks, low frustration tolerance, lack of verbal language, tactile defensive and vestibular and proprioceptive seeking patterns, and generally disorganized and injurious behavior to self and others (head banging, biting, scratching, pinching). Fine motor and self-help skills are significantly delayed as a result. Session focuses on organizing behavior through sensory and behavioral strategies to extend ability to engage in functional and meaningful tasks in order to support progress on self-help goals. Parent is present in therapy room for duration of session and participates in training opportunities throughout session as it relates to encouraging participation in fine motor and self-help activities, as well as related to meeting/addressing sensory needs.

10:50-11am – Clean up room, take a quick breather.

11-12pm – Admin time. Finish treatment note from 10:00 session. Write up a home program for a client I started working with a few weeks ago, as mandated by the insurance provider. Check and respond to emails. Make sure materials for afternoon clients are available. Collaborate with other therapists if needed/available.

12-1pm – Clinic closed for lunch. Sometimes my husband and two little ones come have lunch with me and my co-workers at the clinic, which my boys love because they get to play with fun stuff while they’re there! Usually I stay at the clinic for lunch and powwow with the other therapists, or we’ll take a walk to the nearby coffee shop to fuel up for the afternoon stretch of clients.  

1-1:50pm – Provide treatment to a 4 ½ year old child with a recent diagnosis of Autism, along with challenges with sensory processing, motor planning, and self-help skills. Parent is present for full session and participates. Session focuses on sensory diet activities, fine motor development, practicing self-help skills appropriate to the setting, parent education, and collaborating on ideas for home carryover.

1:50-2pm – Decide I’ll have to get to my 1pm session note later and move around mats and materials for next session.

2-2:50pm – Provide treatment to a 5 ½ year old child with global developmental delays and medical diagnosis of Autism. Parent is present for full session and participates. Session focuses on overall strength and stability, motor planning, fine motor development, and practicing self-help skills appropriate to the setting. Parent education and collaborative planning for home carryover occurs throughout session.

2:50-3pm – That note will have to wait as well!

3-3:50pm – Provide treatment to a 10-year-old child with Asperger’s and Developmental Coordination Disorder who presents with delayed self-help skills, sensory processing challenges, and difficulty with emotional control. Session focuses on overall strength and control, praxis, sensory diet activities, practicing self-help skills appropriate to the setting (such as tying shoes), and addressing emotional control with the Zones of Regulation program to support progress on goals. Talk with parent for last few minutes of session.

3:50-4pm – Write part of that 3:00 note and get set up for the last client of the day.

4-4:50pm – Provide treatment to a 6 ½ year old child with no formal medical diagnosis, but who presents with challenges with social interactions, sensory processing, emotional regulation, praxis, and fine motor skills. Session focuses on sensory diet activities, fine motor development, and working our way through the Zones of Regulation curriculum. Talk with parent for 5-10 minutes after session about how things went last week and additional suggestions for the coming week.

4:50-5pm – That conversation runs long (they always do!).

5-5:30pm (or whenever I finally finish) – Finish up treatment notes from earlier in the day. Send follow-up emails to parents from today as necessary. Respond to any final emails that can’t wait until tomorrow. Make a list of what I need to get done when I work in the clinic again next Monday since I only currently see clinic clients one day per week (e.g., home programs, progress reports, etc.). Return clients’ charts, lock up, and head home. I don’t take clinic work home with me.

Article Source: A Day in the Life | Pediatric Clinic