Category Archives: All ages

Help your child want to wear a mask

A year ago, no one could have guessed that a back-to-school list would include face masks, but that’s definitely where we are in 2020.

The school year is starting soon, with some huge changes. Many people are more than a little anxious about what the classroom will be like, and how students and their families, faculty, and staff will be able to navigate this new landscape of social distancing, extra hygiene, and mask-wearing.

A recent article from the American Academy of Pediatrics discusses the whys and hows of wearing masks.

Here are some guidelines.

Follow school rules. You always teach your child to respect the teachers and staff, and to obey school rules. Rules about mask wearing are no different. You may not agree with every rule, but it’s important that you support mask wearing if the school requires it.
Make sure the mask fits well. One that is too tight, too loose, or doesn’t cover both nose and mouth is not very effective.
Practice wearing at home. The whole family can wear masks for an hour, making everyone more comfortable with the sensation. Wear when you go into a store, and keep masks by the door so you don’t forget to take them when you go out.
Use age-appropriate talking points like, “Masks help us keep our germs to ourselves.” For teens, remind them that they are part of the solution for keeping themselves, their friends, and their families safe—they are being good citizens.
Avoid creating fear and anxiety. For young kids, here’s a great song video with Sesame Street characters about how we care for each other by wearing masks, washing hands, and keeping social distance.
Make mask-wearing fun. For younger children, put masks on their favorite stuffed animals. Give the child a gift of a mask you know they’ll enjoy.
Consider your budget and provide your child or teen with masks they’ll love showing off at school. Even though spending $10 or $15 for a mask sounds like a lot of money, think of it as an article of clothing. A purchase of two masks allows you to rotate them through the laundry each day. Buy masks that are washable, reusable, and that demonstrate individualism. From Amazon to Old Navy, there are masks that show support for your favorite team, are in a special color or design, or make you into a super hero. Your child or teen doesn’t like masks? Consider a neck gaiter instead; they also come in a variety of designs.
Find more ideas here from Norton Hospital in Louisville.

It takes all of us working together to keep our children, teens, and adults as safe as possible until a vaccine is widely available. We know you care about your family and your community, and we’re here to help you navigate this uncharted territory together. Call us if you have questions.

Measles

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You’ve almost certainly heard about measles outbreaks in the news lately. Also called rubeola, measles is a highly contagious respiratory disease caused by a virus. It causes a rash over the entire body, a fever and runny nose. According to the Centers for Disease Control and Prevention, “About one out of 10 children with measles also gets an ear infection, and up to one out of 20 gets pneumonia.” Encephalitis is another severe complication that can occur. Measles can also, rarely, be fatal. Between one and two children in 1000 who get the disease will die from it. The disease can also strike adults.

Measles, as you can see, is more than just an annoying rash. It can be quite dangerous.

If you thought measles was a disease left in the past, think again. Outbreaks this year in New York and other states have health departments all over the country concerned, because such an event can happen anywhere. Over 1000 cases in nearly 30 states have been reported, the most cases since 1992—and this year is only half over. In 2000 the US was declared free of endemic measles, but this designation will soon be lost if the current epidemic is not brought under control.

Outbreaks typically begin when unvaccinated people travel abroad to places where measles is more common because a larger percentage of the population is unvaccinated.

It’s no coincidence that we used the word “unvaccinated” twice in that last sentence. The reason measles is spreading again in the United States is because of a drop in MMR (Measles, Mumps and Rubella) vaccinations.

Those who decide not to be vaccinated (or to have their children vaccinated) put themselves, their families and their communities at risk for dangerous diseases. As with most diseases, those at highest risk are the very young, the very old, and those with compromised immune systems.

The MMR vaccination is required for students in Scott County Schools, and HIGHLY recommended for all other children. The State of Kentucky requires two doses of the MMR vaccine before your child can enter school.

If you have concerns about vaccinations, talk to your pediatrician.

Remember that the extremely rare risk of a reaction to a vaccination is much smaller than the risk of being unvaccinated against a dangerous illness.

Viewing the solar eclipse safely

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On Monday, August 21, a partial solar eclipse will cross our path here in Scott County. Even though we won’t experience the total eclipse (you’d have to travel a few hours south or west of here for that view), it’s still an exciting phenomenon that is a rare occurrence. It can also be very dangerous to the eyes without special ways of viewing it.

The eclipse here will be about 95% complete, with the height at around 2:30 PM, but the event begins at about 1:00 PM and ends at 3:50 or a bit later, depending on where you live. Children and teens will understandably be tempted to look at the sun during the partial eclipse. Because many of them will be on their way home from school, talk to them ahead of time and warn them of the danger to their eyes.

Looking directly at the sun, even briefly, can cause serious eye damage. The only safe way to look at the eclipse is through special sunglasses. Even extremely dark sunglasses are not safe.

Here is important information from an article by the American Academy of Ophthalmology:

Staring at the sun for even a short time without wearing the right eye protection can damage your retina permanently. It can even cause blindness, called solar retinopathy.

There is only one safe way to look directly at the sun, whether during an eclipse or not: through special-purpose solar filters. These solar filters are used in “eclipse glasses” or in hand-held solar viewers. They must meet a very specific worldwide standard known as ISO 12312-2.

Keep in mind that ordinary sunglasses, even very dark ones, or homemade filters are not safe for looking at the sun.

Steps to follow for safely watching a solar eclipse:

*Carefully look at your solar filter or eclipse glasses before using them. If you see any scratches or damage, do not use them.

*Always read and follow all directions that come with the solar filter or eclipse glasses. Help children to be sure they use handheld solar viewers and eclipse glasses correctly.

*Before looking up at the bright sun, stand still and cover your eyes with your eclipse glasses or solar viewer. After glancing at the sun, turn away and remove your filter—do not remove it while looking at the sun.

*The only time that you can look at the sun without a solar viewer is during a total eclipse. When the moon completely covers the sun’s bright face and it suddenly gets dark, you can remove your solar filter to watch this unique experience. Then, as soon as the bright sun begins to reappear very slightly, immediately use your solar viewer again to watch the remaining partial phase of the eclipse.

*Never look at the uneclipsed or partially eclipsed sun through an unfiltered camera, telescope, binoculars or other similar devices. This is important even if you are wearing eclipse glasses or holding a solar viewer at the same time. The intense solar rays coming through these devices will damage the solar filter and your eyes.

*Talk with an expert astronomer if you want to use a special solar filter with a camera, a telescope, binoculars or any other optical device.

For information about where to get the proper eyewear or handheld viewers, check out the American Astronomical Society.

Some Scott County retailers are carrying the filtered sunglasses for very reasonable prices (as low as $1.00), but you’ll want to get them before they sell out. They have cardboard or paper frames.

Please talk to your children about viewing the eclipse safely. It’s a great opportunity to discuss the movement of earth and moon, along with the thrill of science.

Be safe, and learn.

Our patient portal is for YOU

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You may already know about our patient portal, but do you know about all the benefits of using it?

The Georgetown Pediatrics Patient Portal is a secure way to check on your child’s health records and even download and print them for school, sports, or your home records. You don’t have to be a computer genius or internet guru to use the site. It’s now more user-friendly than ever, so if you haven’t checked it out in a while, we hope you’ll do so soon.

If you haven’t registered (or don’t remember if you have or not), make sure we have your current email address. Then go to the portal’s website, www.healthportalsite.com/georgetownpeds, to sign in. You’ll need a separate password and username for each child, so be sure to record them somewhere in a secure place.

How and why might you use the portal? Here are a few things you can do easily on your child’s portal page:

verify appointments;
view and print immunization records;
receive documentation from our office (school notes, medication forms, FMLA forms, etc.);
direct communication with your child’s physician;
refill medications;
see a list of all medications;
view lab and diagnostic results;
update personal information (address, phone number, emergency contact).

As you can see, the convenience of the patient portal is a great addition to your busy life.

Our brochure with more information is attached. Please take a few moments to look it over and start accessing your child’s medical information anytime, anywhere from your computer or smart phone.

patient portal pamphlet- BACK patient portal pamphlet- FRONT

Important EpiPen® recall information

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The FDA (Federal Drug Administration) recently issued a voluntary recall for certain lot numbers of the injectable EpiPen® and EpiPen Jr. This is due to a possible problem with the injector itself.

EpiPen® contains epinephrine, a drug used to treat severe allergic reactions. In a couple of cases outside the United States, the injector failed “due to a potential defect in a supplier component,” according to the FDA.

The affected lots were distributed between December 17, 2015 and July 1, 2016. Not all lots are affected, and you don’t need to replace any EpiPens that aren’t on this list.

If you do have an EpiPen® on this list, don’t get rid of it until you have obtained a replacement. Any time you use an EpiPen®, you should seek emergency medical help right away, especially if it did not activate.

Mylan, the company that distributes EpiPen®, has this information on its website (from the manufacturer Meridian):

If you think you may be impacted by this recall, please follow these steps:

STEP 1: Check the lot number on your carton or device to see if your EpiPen^® Auto-Injector is affected by the recall.

STEP 2: If your EpiPen^® Auto-Injector has been recalled, contact Stericycle at 877-650-3494 to obtain a voucher code for your free replacement product. Stericycle also will provide you with a pre-paid return package to ship the product back to Stericycle.

STEP 3: Visit your pharmacy with your voucher information to redeem your free replacement.

STEP 4: Send your recalled product to Stericycle. Do not return any devices affected by the recall until you have your replacement in hand.

Contact your pharmacist if you have questions, or if you’re unsure if your current EpiPen® is on the recall list.

Good eating habits as a way of preventing obesity and eating disorders

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Back-to-school time involves changes in just about everything: schedules, homework, sports, family time—even eating. Being rushed in the mornings makes having a decent, healthy breakfast a challenge. Families have to decide if kids will take lunch or buy the school lunch. Then comes the evening meal with people going in different directions, and often little time to prepare or eat a meal together. It’s no wonder that healthy eating and family time often take a back seat to homework, sports, and other activities.

As we all know by now, obesity among children and teens in our country is a widespread problem, and eating disorders (EDs) are also more common than before.

An article published last week on the website of the American Academy of Pediatrics (AAP) discusses how the same attitudes and habits can lead to both obesity and EDs. According to one study, dieting can actually be a precursor to obesity and EDs. Dieting “was associated with a twofold increased risk of becoming overweight and a 1.5-fold increased risk of binge eating… Another study found that normal weight girls who dieted in ninth grade were three times more likely to be overweight in 12th grade compared with non-dieters.”

In addition to dieting as a cause, “weight talk”—no matter how well-intentioned—and “weight teasing” can lead to EDs and obesity. “Weight talk, or comments made by family members about their own weight or to the child to encourage weight loss, has been linked to both overweight and EDs. Teasing children about their weight also has been associated with the development of overweight, binge eating and extreme weight-control behaviors in girls and overweight status in boys. Body dissatisfaction is a known risk factor for both obesity and EDs.”

So, how does a parent help a child be satisfied with her or his body? How do you encourage your teen toward a healthy relationship with food? “Adolescents who are more satisfied with their bodies report parental and peer attitudes that encourage healthful eating and exercise to be fit, rather than dieting.”

The article contains recommendations for pediatricians, and that guidance also applies to parents:

“Discourage dieting, skipping of meals or use of diet pills to lose weight. The focus should be on a healthy lifestyle rather than on weight.
Encourage more frequent family meals, which provide an opportunity to model healthy food choices and provide time for teenagers and parents to interact.
Promote a positive body image among adolescents. Body dissatisfaction should not be used as a reason to lose weight.
Encourage families not to talk about weight but rather to talk about healthy eating and being active to stay healthy.
Carefully monitor weight loss in an adolescent who is obese or overweight to ensure the teen does not develop the medical complications of semi-starvation.”

Don’t forget family meals. Though your children and teens may roll their eyes, the time spent together around the table is a time to connect over healthy food and discussions about topics great and small. Turn off the television and cell phones (including yours!) and enjoy each other’s company. It will make all of you healthier.

Drugs and young brains

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According to the American Academy of Pediatrics (AAP), one in four young people (ages 12-17) who uses illicit drugs will also develop a dependency. This is a much higher rate than that for adults.

Why? No one is certain, but there are some known factors.

Heredity is one of those factors. Is there an addict or alcoholic (recovering or otherwise) in your family’s history? If so, be aware that this one factor can greatly increase your child’s chances of developing an addiction to drugs or alcohol. You should talk to your teen about this with the hoped-for effect that she will choose to be more careful.

Here are some other factors listed in an AAP web article:

“Untreated psychological conditions such as depression, anxiety, conduct disorder, oppositional defiant disorder and personality disorder. For these youngsters, as well as for those with untreated attention deficit hyperactivity disorder (ADHD) and other learning problems that interfere with academic and social success, taking illicit drugs may be their way of self-medicating.
Temperament: thrill-seeking behavior, inability to delay gratification and so forth.
An eating disorder.
Associating with known drug users.
Lack of parental supervision and setting of consistent limits.
Living in a family where substance abuse is accepted.
Living in a home scarred by recurrent conflicts, verbal abuse and physical abuse.”

Start the conversation about drugs and alcohol early on, in age-appropriate ways. And don’t assume that just because you’ve had this talk once, that’s good enough. Young people are confronted with opportunities on a regular basis, so make sure that you leave the door open to talking with you about it.

Not sure how to begin? Here’s another great AAP article entitled “Talking to Teens about Drugs and Alcohol.” It gives great advice about a conversation that is essential to your child’s health.

Educate yourself about drugs and alcohol. Have open conversation. Don’t abuse substances. Help your teen stay healthy and free from addiction.

Sun(ouch)burn

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Everyone now knows how important it is to limit sun exposure, especially in children. Being exposed to the sun’s rays can lead to skin damage and skin cancer later in life. It’s very important, then, to use sunscreen and to cover up while in the sun, and to limit exposure when possible.

Even so, just about every child will get sunburned at some point, and experience pain, blisters, or worse. When that happens, what should you do?

According to this article from the American Academy of Pediatrics (AAP):

“The signs of sunburn usually appear six to twelve hours after exposure, with the greatest discomfort during the first twenty- four hours. If your child’s burn is just red, warm, and painful, you can treat it yourself. Apply cool compresses to the burned areas or bathe the child in cool water. You also can give acetaminophen to help relieve the pain. (Check the package for appropriate dosage for her age and weight.)

“If the sunburn causes blisters, fever, chills, headache, or a general feeling of illness, call your pediatrician. Severe sunburn must be treated like any other serious burn, and if it’s very extensive, hospitalization sometimes is required. In addition, the blisters can become infected, requiring treatment with antibiotics. Sometimes extensive or severe sunburn also can lead to dehydration and, in some cases, fainting (heatstroke). Such cases need to be examined by your pediatrician or the nearest emergency facility.”

In our office we sometimes get requests for Silvadene (silver sulfadiazine) for sunburn or other burns, but we no longer use that topical medication. There are other products that are better, more effective, and easier to use at home.

Burns of any kind are no fun. Protect your child from the sun when possible. Use the AAP’s advice above when there’s a sunburn, and contact our office if necessary.

Talking to children after a tragedy

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The recent shooting in Orlando leaves every parent—and anyone who cares about children and teens—in the position of wondering what to say and how to say it. You are reeling from the news, and you want to protect the children you love from being hurt by it.

There is no perfect way to handle tragedy with youngsters, but here are a few basic guidelines. All of the quoted information below comes from an article you may want to read in its entirety, from the American Academy of Pediatrics (AAP).

“No matter what age or developmental stage the child is, parents can start by asking a child what they’ve already heard. Most children will have heard something, no matter how old they are. After you ask them what they’ve heard, ask what questions they have.”
“In general, it is best to share basic information with children, not graphic details, or unnecessary details about tragic circumstances. Children and adults alike want to be able to understand enough so they know what’s going on. Graphic information and images should be avoided.”
“Keep young children away from repetitive graphic images and sounds that may appear on television, radio, social media, computers, etc.”
“With older children, if you do want them to watch the news, record it ahead of time. That allows you to preview it and evaluate its contents before you sit down with them to watch it. Then, as you watch it with them, you can stop, pause, and have a discussion when you need to.”
“Today, most older children will have access to the news and graphic images through social media and other applications right from their cell phone. You need to be aware of what’s out there and take steps in advance to talk to children about what they might hear or see.”
“The reality is that even children as young as 4 years old will hear about major crisis events. It’s best that they hear about it from a parent or caregiver, as opposed to another child or in the media…

The underlying message for a parent to convey is, ‘It’s okay if these things bother you. We are here to support each other.’”

What if you have an older child or teen? “After asking your child what they have heard and if they have questions about what occurred during a school shooting, community bombing, natural disaster, or even a disaster in an international country, a parent can say something such as: ‘Yes. In [Orlando, Florida]’ (and here you might need to give some context, depending on whether it’s nearby or far away, for example, ‘That’s a city/state that’s pretty far from/close to here’), there was disaster and many people were hurt. The police and the government are doing their jobs so they can try to make sure that it doesn’t happen again.’”

If your child seems to be overwhelmed with anxiety after a tragedy, and that feeling doesn’t get better with time, talk to your pediatrician. You may also request our office to refer you to a counselor who specializes in working with children or teens. Signs that they are having trouble coping include problems with sleeping or eating (too much or too little); physical symptoms such as tiredness, headaches, digestive issues; or behavioral changes.

It is only natural to be upset when a tragedy occurs. Every adult feels that way, and so do children and youth. If you haven’t had a conversation with them about it, today is a good time for that discussion.

Mosquitoes are back!

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During our recent warm spell, you may have heard the distinctive, high-pitched buzz of a mosquito passing by, and you realize that this is the beginning of several months of those little pests.

Pests they are, yes, but mosquitoes can also carry serious diseases. Some of the mosquito-borne illnesses are limited to tropical or subtropical areas, but some can also affect us here.

West Nile Virus, for example, is carried by mosquitoes and can infect humans and animals. It usually causes no symptoms at all, but in some instances can cause encephalitis, which can even be fatal.

Recently we’ve heard about the Zika virus. It is spread by mosquitoes (and can also be sexually transmitted). So far, the virus hasn’t come this far north except by someone who has traveled to an affected area, and those who returned infected from their travels have not spread it to others. To read about the possible spread of Zika to new areas this year, and to learn about its symptoms and results, you can find a series of informative articles by the Centers for Disease Control and Prevention (CDC) here. Zika is especially dangerous in pregnant women because it can cause very serious birth defects.

Good health means good prevention, so it is always advisable to keep insects at bay.

Avoid mosquitoes by remembering that they are most active at dawn and dusk, and they love damp, dark areas like woods, mulched gardens, areas around ponds, etc. Wear long-sleeved shirts and long pants when you think you may be exposed to mosquitoes, and use repellent. Never use a repellent on a child younger than two months, and never spray directly into a child’s face (spray it on your hands first, then rub onto the face). An article about insect repellents from the American Academy of Pediatrics (AAP) gives great information about repellents and children.

Be proactive in eliminating as many mosquitoes as possible from your home and yard. The Health Department of Northern Kentucky gives these suggestions on their website:
- Survey property for areas of standing water. Dispose of tin cans, old tires, buckets, unused plastic swimming pools or other containers that collect and hold water. Do not allow water to accumulate in the containers for more than two days.
- Install or repair screens. Some mosquitoes like to come indoors. Keep them outside with well-fitting screens on both windows and doors.

And, Dr. Riebel in our practice says that her favorite form of mosquito control for our area is the purple martin! These lovely birds love to fly around your yard in the evening, scooping up insects.

Have a safe and healthy warm-weather season, and try to keep mosquitoes and the diseases they carry at bay.