Bambini Newsletter   June 17, 2012

Life-Saving, Painless Newborn Test 


Screening for CCHDs

This month, Dr. Malak interviews Bambini's nurse practitioner Somer Delsignore, PNP. Somer, as you will learn, has an extensive background in critical care and pediatric cardiology. She speaks about the latest CDC recommendation to screen all newborn infants for critical congenital heart diseases (CCHDs).

 

Can this painless, non-invasive test be potentially life-saving? Was your infant likely tested? Should she be? Click on the image to find out.

When Should Kids Eat Fish? 


seafoodLast November, Dr. Emma Goksor from the University of Gothenburg, Sweden reported her analysis of 4,171 families with young children studied by questionnaire.  The incidence of wheezing in the previous year was 1 in 5.  Eating fish before nine months of age reduced the likelihood of recurrent wheezing by almost 50%!

 

Three years earlier, she had studied the effect of early fish consumption on eczema.  Again, in a large cohort of 8,176 families, the incidence of eczema was 1 in 5.  Early introduction of fish notably reduced the incidence of eczema.  Interesting...

We have been skittish, frankly, to encourage parents of infants with eczema to offer fish so early.  Dr. Goksor just might get us to adjust our thinking on this!  
Preserving Eyesight -- And Sanity        

scenicRecent studies have show that children need a minimum of 10 to 14 hours per week spent outdoors to reduce the risk of myopia.

 

With summer just a few days away, the opportunities for outdoor activities abound.  Did you know that Scenic Hudson now has created or enhanced more than 50 parks, preserves and historic sites for public enjoyment.  Nineteen of them are right here in Dutchess & Ulster.  Imagine the view from the newly restored Mount Beacon fire tower, where on a clear day you can see from the Big Apple to Albany!  

Should Parents Have the Tick Tested? 


tickLyme season is upon us.  In the last month, we've seen about 10 children with Lyme, including 3 with multiple rings.

 

Last year, the Connecticut Agricultural Experiment Station tested 3,240 ticks.  About 90% of these turned out to be Idoxes (deer) ticks.  22% of these deer ticks wer positive for Lyme -- down considerably from 38% two years earlier.   

 

When parents call us about a tick bite, many ask about getting the tick tested.  A number of state agencies and commercial labs offer testing. 

 

The one that seems to have been used most frequently is New Jersey Laboratories.  Turnaround is about ten days; cost is $60.

 

But we don't generally encourage this for a few reasons:

1.  Studies have shown that only about 2% of tick bites lead to Lyme.  If a tick tests positive, that is certainly not a guarantee that Lyme will ensue. 

2.  Ticks transmit other bugs (Anaplasma, babesia, bartonella, and the latest -- Borrelia miyamotoi).  Testing is available for them, but is pricey.

3.  Some children get bit multiple times over the course of a summer.  Testing can quickly become impractical. 

Office & Apothecary News 


deoderantPlease note that the office will be closed on Wednesday July 4th (Independence Day) and Saturday June 29th (doctor vacation).

 

Bambini's Summer Smell-Good Sale has begun!  Please be careful what your teen is applying to her / his underarm.  Most anti-perspirants contain aluminum compounds.  Many contain parabens and other dubious synthetic chemicals.  The Bambini apothecary stocks a wide array of essential oil-based deodorants.