Categories
Medications

Pill Swallowing Tips

One of the biggest challenges for some people (not just kids) is swallowing pills. At some point transitioning to pills is important. Some medicines don’t come in liquid or chewable form – and if they do, they might taste awful. Some kids simply get so big that the volume of liquid they need to choke […]

Categories
Food Allergy Infants

Introducing Peanuts

For years I’ve been recommending peanut products to infants who are low risk for peanut allergy due to growing evidence that it’s beneficial. What do studies show? Studies have highlighted the benefit of early introduction of peanut product decreasing peanut allergy risk, so more parents are wanting to know exactly how to give a baby peanut products without […]

Categories
Cough and Colds

Cough until you puke

This is the time of year it seems everyone’s coughing. I’ve heard from more than one worried parent that their child coughs to the point of vomiting. In the medical world, we call this post-tussive emesis. Post = after, tussive = cough, emesis = vomit Kids tend to have a very active gag reflex, so […]

Categories
Insurance Medications

Affording Medications

Another family called this week to ask if I could change their daughter’s asthma prescription to something cheaper. After looking into their insurance plan’s formulary, there really wasn’t anything cheaper. Every inhaled corticosteroid (which is the first-line medicine recommended to prevent asthma attacks) was expensive – even the generics. This family has to either find […]

Categories
Cough and Colds Fever Illnesses Sore Throat Uncategorized Vaccines

The flu shot doesn’t work

I’ve seen a few kids this season who have influenza despite the fact that they had the vaccine. When the family hears that the flu test is positive (or that symptoms are consistent with influenza and testing isn’t done), they often say they won’t do the flu shot again because it didn’t work. How do […]

Categories
Infants

Flat Heads in Babies

Babies often get misshapen heads from laying on one side or even from being squished while still inside mom. The misshapen head is referred to as plagiocephaly, scaphocephaly, or brachycephaly — depending on the overall shape (see photo under “Diagnosis” below). These head shapes, especially plagiocephaly, are very common. If I knew I’d one day have a […]

Categories
Parenting

When should you potty train your kids?

It’s common for parents to ask for help with potty training. Sometimes they’re just done dealing with diapers. Or there’s another baby coming soon. Often it’s tied to wanting to be able to start preschool. Most preschools in our area require 3 year olds to be potty trained. Even daycares often require toddlers to potty […]

Categories
Fever

Fever: How High is Too High?

Despite having fever information on our website and blogging about it many times, including here and here and here, parents often call in or bring their child in with excessive concern for fevers. (Note: paracetamol is the same as acetaminophen and Tylenol in the linked article.) The information here is only for infants and children over 3 months who are otherwise healthy […]

Categories
Cough and Colds Medications

Cough Medicines: Which One’s Best?

I get a lot of requests for an over the counter cough suppressant suggestion or a prescription cough medicine for kids so they can sleep. Despite my attempts at educating the family about why I don’t recommend any cough medicines, many parents are upset leaving without a medicine. I have collected numerous articles that show […]

Categories
Business of Medicine Insurance Medical Home

Convenience Care

Healthcare is available at many locations, such as in the medical home (primary care office), at a specialty clinic, in a hospital or a surgery center, freestanding urgent cares, pharmacy based urgent cares, emergency rooms, telehealth companies, school health clinics and more. Convenience care is what I use to describe the care people desire here […]