by Lori Brizee MS, RDN, CDE
Pediatric Nutrition expert and guest contributor
plements other than vitamin D, and possibly fluoride. If your child is a very picky eater, has multiple food allergies, or has a condition that causes poor nutrient absorption or increased needs for certain nutrients, supplements may be needed—talk with your pediatrician or ask for a referral to a pediatric Registered Dietitian-Nutritionist. A complete multivitamin that includes iron will meet the needs for most of these kiddos.
The start of school is just around the corner for the Bend-Lapine and Redmond school districts (and maybe for you homeschoolers too!). This is the third of 3 blog posts on getting ready to head back to school. You can find part one (about getting back to good school year habits) here and part two (about getting medical and dental needs taken care of) here. Now, we will focus on how to manage once school has actually started. Are you ready for school anxiety and behavior problems? If you need help figuring things out, talk to your child's doctor.
The start of school is just around the corner for the Bend-Lapine and Redmond school districts (and maybe for you homeschoolers too!). I am going to write several blog posts on getting ready to head back to school. This is part 2 of 3. As the summer rolls to an end, it’s a good time to take advantage of having (relatively) more free time to take care of healthcare needs.
The start of school is just around the corner for the Bend-Lapine and Redmond school districts (and maybe for you homeschoolers too!). This is the first of three blog posts on getting ready to head back to school. It’s hard to come back from the free-for-all that is summer break. Families are traveling. School year limits on sleep and screen time and meals go out the window in favor of long days, vacations, and time with friends.
Understanding your insurance policy is vital to coordinating your child’s health care. Your insurance policy is a contract between you and the insurance company. Our payment for services provided is also based on a contract between Erika Beard-Irvine MD LLC and your insurance company. We are obligated to report all services provided and to bill for them in accordance with our fee schedules. Much as it would be a contract violation for you to refuse to pay your insurance premium, it is also a contract violation not to charge or to undercharge for services we provide.
We’ve been hearing a lot about measles in Oregon in the past couple of weeks. There has been a lot of discussion online (and a lot of misinformation). What is it? Is it really that bad? Why is it spreading all of the sudden?
The American Academy of Pediatrics just released a new policy statement recommending against corporal punishment (define as “noninjurious, open-handed hitting with the intention of modifying child behavior”) and nonphysical forms of punishment “that are cruel and degrading and thus incompatible with the convention include, for example, punishment which belittles, humiliates, denigrates, scapegoats, threatens, scares, or ridicules the child.” The statement also includes things like forcing children to hold uncomfortable positions and forced ingestions (like washing a child’s mouth out with soap). What does this mean for parents?
Parents and schools tend to have a strong reaction to finding out a child has head lice. I hear “burn down the house” often given as a recommendation for dealing with lice. Head lice aren’t a health hazard or a sign of dirtiness or poor hygiene. They are, though, one of the most common causes of school absenteeism. Despite not causing any actual medical problems, those little bugs cause a great deal of anxiety among parents and schools. Grab a drink, y’all, because there is a lot to talk about.
Ear infections happen when infected fluid builds up in the space behind the ear drum (or tympanic membrane), called the middle ear. Fluid in the middle ear usually drains out the eustachian tubes, which connect the middle ear to the back of the nose. These tubes are soft tubes (like a sock with the toes cut off) rather than a hard tube (like a straw). Eustachian tubes open and let fluid drain from the middle ear when you move your jaw around talking or chewing, when you yawn, or when you hold your nose blow to “pop” your ears. If there is swelling or mucus around the opening of the eustachian tubes, like from allergies or a cold, the fluid can’t drain and will build up in the inner ear. If you have ever had a cold and felt like your ears were “stuffy” or your hearing was muffled, this is probably what was going on. Kids tend to get more fluid behind their ears than adults, because kids’ eustachian tubes are more horizontal. As people get older, their eustachian tubes get more vertical, which makes it easier for the fluid to drain.
A study was recently published in the Journal of the American Medical Association (JAMA) looking at unnecessary antibiotic prescription practices in different medical settings: doctors’ offices, emergency rooms, urgent care centers, and retail based clinics (clinics inside of stores like Walmart or CVS). Antibiotics are used to treat bacterial infections. The study found that nearly half (46%) of people seeking treatment in urgent care centers for viral illnesses like colds, flu, bronchitis/bronhiolitis, ear infections without pus behind the ear drum, and viral pneumonia and for things like asthma and allergies were prescribed antibiotics. That is nearly 3 times the rate of inappropriate prescription in medical offices (17%) and twice as high as emergency departments. Retail clinics actually had the lowest rate of inappropriate antibiotic prescriptions at 14%.