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Summer 2011 Newsletter   

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In This Issue
Vitamins
Second-Hand SMOKE
CELL phones & Kids
Overseas TRAVEL
US Travel & Sick Care
ILLNESS or INJURY at home

Help Prevent Drownings!  Pool Safely!    

 

 

Practice Supervision

· Never take your eyes off children in the water-not for a minute!  

Always designate a "pool watcher."

Strongly consider hiring a lifeguard for parties. 

Install Barriers

· CPSC strongly recommends that all residential pools have a 4-foot barrier, such as a fence with self-closing and self-latching gates. If the house is the fourth side of a barrier, secure doors with alarms that prevent children from wandering into the pool area.

Avoid Entrapments

· Suction from a pool or spa's drain can be so powerful it can trap an adult underwater. Do not use a pool or spa if there are broken or missing drain covers.  

Know Life-Saving Skills

· Teach your children how to swim

· Know CPR so you can help save a life if a water emergency happens

· Understand the basics of life-saving so you can assist  

 

For more information and resources for pool and spa safety and the Pool and Spa Safety Act, visit: www.PoolSafely.gov 

Vitamin & Mineral Supplements:   fruit/vegs

 

We now understand that preventing chronic illness in adulthood may have roots in childhood. For example, calcium and vitamin D to prevent osteoporosis, antioxidants to prevent atherosclerosis and strokes, among many others, and folate to prevent Spina Bifida.  

 

We now recommend all children receive a supplemental Multivitamin with Iron daily. This may start as early as two weeks of age. Any of the standard OTC brands (Poly-vi-sol, Centrum, Flintstones 'with Iron') are acceptable as long as you follow the package guidelines for age and dosing. Usually this will be drops for infants and toddlers and chewable tablets for preschool and school age kids. Middle schoolers may begin taking adult or teen one-a-day vitamins. All of these products will provide adequate amounts of the necessary vitamins and minerals (except Fluoride) for all children, with the exception of girls >9y. 

 

Girls in the teen and pre-teen years need more Calcium than the standard multivitamin will provide. We recommend that in addition to a multivitamin, they also take a separate Calcium Supplement (Citracal, Caltrate, many others) in a dose of 800mg daily.

 

Fluoride is best given alone, at bedtime, separate from the multivitamin (which should be given with a meal earlier in the day).  Therefore, we prefer Dentists prescribe Fluoride as a separate medication.

 

 

Around 700 million children - almost half of the world's children - breathe air polluted by tobacco smoke.

 

Second-hand smoke, also called environmental tobacco smoke, is a combination of two forms of smoke that come from burning tobacco products.

  • Sidestream smoke: the smoke that comes from the end of a lit tobacco product
  • Mainstream smoke: the smoke that a smoker exhales

Second hand smoke is made up of particles and gases containing thousands of chemicals, including carcinogens and toxic chemicals.

 

Certain harmful health effects of second-hand smoke are specific to infants and children. Babies born to smoking mothers have on average lower birth weight than those whose mothers do not smoke during pregnancy.  Infants exposed to second-hand smoke are at increased risk for sudden infant death syndrome (SIDS), and both infants and older children exposed have increased rate of respiratory infections, asthma, cough, wheeze,and middle-ear infections.  

 

Children are exposed involuntarily to second-hand smoke because adults smoke in the places where they live, work, and play. While more and more countries are banning smoking in public places and workplaces, children remain unprotected from exposure in homes, cars, and other locations where they spend their time.

 

Please do not expose your children to second-hand smoke.

 

Need Help Quitting?

 

 

Cell Phones

Copyright Microsoft Clipart


Cell phones are an integral part of kids' lives. According to research, 22 percent of young children own a cell phone (ages 6-9), 60 percent of tweens (ages 10-14), and 84 percent of teens (ages 15-18. And cell phone companies are now marketing to younger children with colorful kid-friendly phones and easy-to-use features. According to market research firm the Yankee Group, 54 percent of 8 to12 year olds will have cell phones within the next three years.

 

What can parents do? Check out  Center on Media & Child Health 


International Travel              Please Plan Ahead!

 

Many of our patients come from and travel to all parts of the globe. Just as our goal is to keep your child healthy on US soil, we are happy to provide you with travel safety information, preventative vaccines, and appropriate medications for international travel as well, through a visit with Dr. Summers. 

   

Many vaccines appropriate for international travel require several months "lead-time" between administration and efficacy. Furthermore, when traveling with an infant, we can often give standard vaccinations slightly earlier than the normal schedule in order to provide maximum protection.   

 

For these reasons, we encourage you to plan ahead, and consult with us about your travel plans as far ahead of time as possible.  

 

Want more information?  Check out the CDC travel website 

Travel by car

Traveling with a Sick or Injured Child?
 

Ask relatives or your hotel for the name of a board-certified pediatrician, or the ER of a Children's Hospital or major teaching hospital. 

 

Click here for Children's Hospitals   Listed Geographically by State (Also try the more complete listing at the National Association of Children's Hospitals and Related Institutions (NACHRI).  


Any hospital in this list is going to be much better for children than a
random community general hospital.  Hospitals marked by an asterisk (*) are well known by us and recommended by our CMO providers.

 

(Insurance note:  Call your insurer within 24 hours of a visit, if required) 

  FOR AN ACUTE ILLNESS OR INJURY at home: 
 

In a life threatening emergency call 911 for an ambulance to your nearest Emergency Room.


During Office hours:    Call the office at 978-975-3355

-You will be offered a same-day appointment.

  • -If your question cannot be answered by the ACUTE ILLNESS GUIDE, we'll want to examine your child.
  • -Visits will be booked with any available provider.
  • - Walk-in hours  for sick visits Mon-Fri 7a-745a (no appointment required) 

  • After Hours:      Call the office at 978-975-3355
  • -Your call will be forwarded to our on-call provider, who will call you back within 30 minutes.
  • -Before you call, consult the ACUTE ILLNESS GUIDE 
  • -Call if the situation is URGENT and CANNOT WAIT until the next Office Hours. 
    -IF you haven't heard back within 30 minutes, you may use the hospital pager at 617-339-4348 (enter your call back # and hang up).  


    24 HOURS/7 DAYS: CALL US FIRST AT 978-975-3355 

    BEFORE SEEKING URGENT CARE!

    ERs are not the best care for routine illness.  

     

    Have a Safe & Healthy Summer!

     ~ Children's Medical Office providers & staff ~  

    978-975-3355