Sports Injury Prevention Tips
More American children are competing in sports than ever before. Sports help children and adolescents keep their bodies fit and feel good about themselves. However, there are some important injury prevention tips that can help parents promote a safe, optimal sports experience for their child. Please feel free to use them in any print or broadcast story, with appropriate attribution of source. Click here for the Spanish Version. Injury Risks All sports have a risk of injury. In general, the more contact in a sport, the greater the risk of a traumatic injury. However, most injuries in young athletes are due to overuse. Most injuries occur to ligaments (connect bones together), tendons (connect muscles to bones) and muscles. Stress fractures can also occur from overuse. However, the areas where bones grow in children are at more risk of injury during the rapid phases of growth. In a growing child, point tenderness over a bone should be evaluated further by a medical provider even if there is minimal swelling or limitation in motion. Most frequent sports injuries are sprains (injuries to ligaments) strains (injuries to muscles), and stress fractures (injury to bone) caused when an abnormal stress is placed on tendons, joints, bones and muscle. Contact your pediatrician if you have additional questions or concerns. To reduce the risk of injury: Time off. Plan to have at least 1 day off per week from a particular sport to allow the body to recover. Wear the right gear. Players should wear appropriate and properly fit protective equipment such as pads (neck, shoulder, elbow, chest, knee, shin), helmets, mouthpieces, face guards, protective cups, and/or eyewear. Young athletes should not assume that protective gear will protect them from performing more dangerous or risky activities. Strengthen muscles. Conditioning exercises during practice strengthens muscles used in play. Increase flexibility. Stretching exercises before and after games or practice can increase flexibility. Stretching should also be incorporated into a daily fitness plan. Use the proper technique. This should be reinforced during the playing season. Take breaks. Rest periods during practice and games can reduce injuries and prevent heat illness. Play safe. Strict rules against headfirst sliding (baseball and softball), spearing (football), and body checking (ice hockey) should be enforced. Stop the activity if there is pain. Avoid heat injury by drinking plenty of fluids before, during and after exercise or play; decrease or stop practices or competitions during high heat/humidity periods; wear light clothing. Sports-Related Emotional Stress The pressure to win can cause significant emotional stress for a child. Sadly, many coaches and parents consider winning the most important aspect of sports. Young athletes should be judged on effort, sportsmanship and hard work. They should be rewarded for trying hard and for improving their skills rather than punished or criticized for losing a game or competition. The main goal should be to have fun and learn lifelong physical activity skills. Copyright © 2014 American Academy of Pediatrics – See more at: http://www.aap.org/en-us/about-the-aap/aap-press-room/news-features-and-safety-tips/Pages/Sports-Injury-Prevention-Tip-Sheet.aspx#sthash.ZhqXakkz.dpuf
August Employee of the Month – Norma Carrangian
Our Employee of the Month for August is Norma Carrangian! Norma was the first employee Dr. Benitez hired when he opened his very first practice in Neptune Beach in 1987! She was his nurse, receptionist and billing department! Dr. Benitez likes to say she looked after his money better than he did. In the early years, when he would try to give her a raise she would tell him, “no, he couldn’t afford it”! She now works in billing and is an encyclopedia of knowledge when it comes to coding, claims and insurance. Thank you for all you do! How long have you worked here? 27 years Tell us about your family? My husband Rey is retired from the Navy. I have two daughters and one son and three grandchildren. What is your education? I went to Calauag Central College in the Phillipines and I received my Bachelor of Science in Elementary Education. What do you like to do when you are not working? My husband and I socialize with our friends, go to parties, play mahjong and baby sit our grandkids. What do you like best about your job? I love all aspects of my job and I will miss those when I retire.
Pinkeye (Conjunctivitis)
Pinkeye (Conjunctivitis) is the inflammation (ie, redness, swelling) of the thin tissue covering the white part of the eye and the inside of the eyelids. What are the signs or symptoms? There are several kinds of pinkeye, including: Bacterial Red or pink, itchy, painful eye(s). More than a tiny amount of green or yellow discharge. Infected eyes may be crusted shut in the morning. May affect one or both eyes. Viral Pink, swollen, watering eye(s) sensitive to light. May affect only one eye. Allergic Itching, redness, and excessive tearing, usually of both eyes. Chemical Red, watery eyes, especially after swimming in chlorinated water. Immune mediated, such as that related to a systemic disease like Kawasaki disease. What are the incubation and contagious periods? Depending on the type of pinkeye, the incubation period (the time between being exposed to the disease and when the symptoms start) varies: Bacterial The incubation period is unknown because the bacteria that cause it are commonly present in most people and do not usually cause infection. The contagious period ends when the course of medication is started or when the symptoms are no longer present. Viral Sometimes occurs early in the course of a viral respiratory tract disease that has other signs or symptoms. One type of viral conjunctivitis, adenovirus, may be contagious for weeks after the appearance of signs or symptoms. Children with adenovirus infection are often ill with fever, sore throat, and other respiratory tract symptoms. This virus may uncommonly cause outbreaks in child care and school settings. Antibiotics for this condition do not help the patient or reduce spread. The contagious period continues while the signs or symptoms are present. Allergic Occurs in response to contact with the agent that causes the allergic reaction. The reaction may be immediate or delayed for many hours or days after the contact. No contagious period. Chemical Usually appears shortly after contact with the irritating substance. No contagious period. How is it spread? Hands become contaminated by direct contact with discharge from an infected eye, or by touching other surfaces that have been contaminated by respiratory tract secretions, and gets into the child’s eyes. How do you control it? Consult a health professional for diagnosis and possible treatment. The role of antibiotics in preventing spread is unclear. Antibiotics shorten the course of illness a very small amount. Most children with pinkeye get better after 5 or 6 days without antibiotics. Careful hand hygiene before and after touching the eyes, nose, and mouth. Careful sanitation of objects that are commonly touched by hands or faces, such as tables, doorknobs, telephones, cots, cuddle blankets, and toys. It is helpful to think of pinkeye like the common cold. Both conditions may be passed on to other children but resolve without treatment. Pinkeye generally results in less symptoms of illness than the common cold. The best method for preventing spread is good hand hygiene. Additional Resources: Hand Washing: A Powerful Antidote to Illness Eye Infections Specific Eye Problems Preventing the Spread of Illness in Child Care and School Last Updated 7/31/2014 Source Managing Infectious Diseases in Child Care and Schools, 3rd Edition (Copyright © 2013 American Academy of Pediatrics) The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
Tips for Soothing a Fussy Baby
Written for www.confessionsofadrmom.com blog on May 7, 2014 by Melissa Being a newborn can be hard work. Being a parent of a newborn can be even harder. It’s exactly like everyone told you it would be, except now you’re living it. It’s overwhelming. Exhausting. All Consuming. But also the most beautiful, amazing, and important moment of your life. Parenthood certainly changes you. And just when you feel like you’re easing into your new role…the crying begins. And it only seems to be getting worse. Your beautiful bundle of joy has taken to distressing bouts of crying. She often looks like she’s in pain and no matter what you do, the crying continues. Sure, it could be “colic” which is really a non-descript term that, by definition, follows the rule of 3′s: crying for more than 3 hours per day, for at least 3 days per week, and for 3 weeks or longer. We know all babies go through a phase of increased crying. This crying peaks between 2 weeks of life up until 3 months of age. After which, the crying dramatically improves. Their digestive and nervous systems are still maturing, not yet completely ready to take on all the sights/sounds/tastes that the world has to offer. And some babies are simply more sensitive to these outside stimuli. Here are some ways to help your little one through this increased crying phase: Swaddle: Invest in a generous sized/thin swaddling blanket and hone those burrito wrap skills. Most babies dislike the process of swaddling, but once they’re snug and secure…they love it. Give it a try. And try again. Have a seasoned mom friend show you the way or ask your pediatrician to show you. Rock/Walk/Sway. Get moving. Babies love to move. Find your rhythm with your baby. And remember, this is a soothing and gentle process. Never shake your baby. Non-nutritive sucking. Sucking is soothing for babies. So if you know your baby is full and/or has just been fed; offer a pacifier to help calm him down. Side or tummy hold. While you should always place your baby on his back to sleep to decrease the risk of SIDS, try holding your baby on his side or tummy and rub his back. Or do the bicycle legs while talking or singing to your baby. Get outside. A little fresh air and change of scenery does everyone good. I recall vividly how well this worked for my own little one. It was amazing to see that the crying instantly stopped the second we stepped outside. Warm bath. Every baby is different and some dislike this completely while others love it. Give it a try for your little one and see how she responds during her fussy period. Quiet or soft/soothing white noise. Some babies just need to be. Turn down the loud ambient household noise and turn on some soothing background white noise (think sound machine or relaxing music) to help your baby feel calm. It might just work for you too. Take care of yourself, take a break! Crying can weigh on our souls as new parents. No matter how hard we try, we can’t help but take the persistent crying personally. It’s distressing to us. So, ask for help. Put your baby down in a safe place like a crib or bassinet and take a breather. Take shifts with your partner. Go for a walk and take that overdue shower. A little self care will go a long way in getting through the crying spells of infancy. Remember, you are a good parent and your baby is a good baby. Crying is not bad. It’s a normal development process for our newborns. And yes, you can be a baby whisperer too. Always talk to your pediatrician about your baby’s crying and bring him in to be checked if you’re worried about the crying. Infant reflux, food sensitivities, and other conditions could exacerbate this period of crying. Medication such as gripe water, “gas drops”, and probiotics have not been proven to help but some parents swear by them. Above all, remember, that this too shall pass. It will. There is a light at the end of this crying tunnel…and that light is the bright smile that suddenly greets you one fine morning. The smile that beams pure love. From your beautiful baby. And it’s all for you.
Finding the Right Read ~ from Kids Health from Nemours
Books make great gifts for kids, but it’s important to find reading material that fits a child’s interests, maturity, and reading level. Before you set off to the bookstore or library, here are some guidelines. Babies and Toddlers Until kids are about 2 years old, think tactile and short. Thick board books with bright colors, bold yet simple pictures, and few words are ideal. These books may include interactive elements, such as parts that move, items that invite touching, and mirrors. Books with different textures, fold-out books, or vinyl or cloth books also are appropriate for babies and toddlers. Books that can be propped up or wiped clean are excellent choices. Look for books about bedtime, baths, or mealtime or about saying hello or goodbye, especially if they’re illustrated with photos of children. And if peek-a-boo is your little one’s favorite game, books with flaps are a perfect choice. Many older toddlers (2- and 3-year-olds) start to understand how reading works and will love repetitive or rhyming books that let them finish sentences or “read” to themselves. From colors to numbers to how to get dressed, older toddlers love books that reinforce what they are learning every day. And if you have a budding ballerina or animal enthusiast on your hands, look for books about these (or other) passions. Preschoolers Around the time kids are 3 or 4, they start to enjoy books that tell stories. Their increasing attention spans and ability to understand more words make picture books with more complicated plots a good choice. Stories with an element of fantasy, from talking animals to fairies, will spark their imagination, as will books about distant times and places. Try nonfiction books about a single topic of interest that the child likes. Since many kids this age are learning the alphabet and numbers, books with letters and counting are ideal. Those dealing with emotions, manners, or going to school can help kids navigate some of the tricky transitions that happen during this time. Electronic books (e-books) are becoming more common these days. There isn’t enough research yet to know their full impact on reading development and comprehension. But whether your child is reading a traditional book or an e-book, it’s important to stay close. There is no substitute for your presence and for quality parent-child conversation. School-Age Kids For kids entering school and starting to read, look for easy-to-read books with vocabularies they know so that they can read them independently. Many book publishers indicate the reading level of books on the cover and may include a key to help you understand those different levels. You can also choose books that are above a child’s reading level to read aloud. Look for books that relate to kids’ interests but also encourage exploration of new interests through reading about unfamiliar subjects. For example, if a child is interested in cowboys, look for books that talk about the days of the Wild West, what cowboys are like today, or historical fiction set in the 19th century. Kids this age might like reading with an e-reader, and choosing e-books is really no different from picking a traditional book. Consider the child’s interests and reading level. When young kids use e-readers, parents should still be nearby to talk about the book and help extend the child’s thinking about what was read. Kids of All Ages All kids love to giggle, so books of silly poems, jokes, or songs are sure to be a hit. Collections of fairy tales, children’s stories, poetry, or nursery rhymes offer a wide variety within a single book. Wordless books with imaginative illustrations can be fun even for kids who know how to read. Looking at pictures and creating a story develops imagination and broad thinking. And don’t forget the books and stories you loved as a child. Chances are, you had good reasons to love them — and your kids will, too.
AAP Advises Parents against Using Retail-Based Clinics
AAP Advises Parents against Using Retail-Based Clinics Families may decide to use a retail-based health clinic because they believe it is convenient and less expensive, but according to the American Academy of Pediatrics (AAP), these clinics do not provide children with the high-quality, regular preventive health care children need. In an updated policy statement published in the March 2014 Pediatrics, the AAP emphasizes that retail-based clinics are an inappropriate source of primary care for children because they fragment children’s health care and do not support the medical home. The policy statement, “AAP Principles Concerning Retail-Based Clinics” released online Feb. 24, updates the Academy’s 2006 policy statement, which expressed strong opposition to the use of retail-based clinics. The AAP acknowledges that the number of retail-based clinics has grown to more than 6,000 as of 2012. Surveys indicate 15 percent of children are likely to use a retail-based clinic in the future, although the majority of patients are adults. “The AAP recognizes that convenience and access to care will continue to be important drivers of how health care is delivered,” said James Laughlin, MD, FAAP, lead author of the policy statement. “However, the expertise of the pediatrician and the medical home should continue to be recognized as the standard for care of children, and we encourage all AAP members to provide accessible hours and locations as part of a medical home.” Pediatricians are specifically trained in child health issues. They know each child’s health history, and are best equipped to take care of both simple and complicated problems comprehensively within the medical home. As young patients and their health issues become more complex, the possibility arises that even a simple complaint may be related to a more serious, underlying condition that could be overlooked by someone who is less familiar with the patient, according to the AAP. While the AAP believes the medical home is the optimal standard of care for pediatric patients, and does not recommend that parents use retail-based health clinics, it is understood that the services of these clinics may be used for acute care outside of the medical home. If parents choose to use a retail-based clinic for their child’s illness, they should ask if the clinic has a formal relationship with their pediatrician, if the clinic will communicate with the pediatrician about the visit, and what the protocol is for following up if the illness does not resolve or the clinic is closed. Parents should consider only using retail-based clinics that have a formal relationship with their child’s pediatrician
Meet the Team: Tiffany Daniels
Tiffany just had her 2 year anniversary with us! She is a Medical Assistant working weekends and the Wednesday night shift. Q: Where are you from? A: I’m from Hinesville, Georgia Q: Where did you go to school? A: I graduated from Trinity Baptist College and majored in history. Q: Do you have a spouse, children or pets? A: I have a husband and two children. A girl that is 4 and a boy that is 3. Q: How do you spend your time outside of work? A: I love to read, mostly classic literature and mystery. I also love to cook, but I HATE baking. Q: I understand you are very crafty, and even have your own Etsy store. A: I love craft projects to the point of obsession. I am a master at party streamers! I love holidays and celebrate as many as I can, much to the annoyance of my family. Q: How would you describe your job at Pediatric Care Center? A: I love my job and my co-workers!
Meet the Team: Amanda Boggs
Amanda has worked as a front desk receptionist for 2 ½ years! On her first weekend working she didn’t want to call in sick so she came into work with stomach pain. As the day went on it became worse and the provider working was so concerned she sent her home. An hour later her husband called that she was going into surgery for acute appendicitis! From that time on we knew we had a dedicated and hard- working employee! Let’s learn a bit more about Amanda. Q: Where are you from? A: I was a military brat so we moved around but I graduated high school in St. Louis, MO Q: How long have you been in Jacksonville? A: 14 years Q: Do you have a spouse, children or pets? A: I have a husband and two children ages 5 years and 2 months. And a Pomeranian named Static. Q: How do you spend your time outside of work? A: I have two more years of college to earn my Bachelor’s degree in Health Administration. I spend time with my family. I do Cross-fit and enjoy throwing the football with my husband. Q: How would you describe your job at Pediatric Care Center? A: Fun and interesting. I’m still learning new things Q: What’s the #1 question you get asked most in the office? A: What time do you close?
What you should know about the Affordable Care Act (AKA – Obamacare)
Since it took effect in 2010, the health reform law, otherwise known as the Affordable Care Act or ACA, has made important changes to the way health care coverage works for children and families. Starting October 1, 2013, you can compare insurance options to find the right plan for you and your family. The American Academy of Pediatrics (AAP) has created this list to explain some key things you should know. 1. Benefits and protections are already available. Expanded Coverage: Children under age 26 can be covered by a parent’s health insurance policy. Youth under age 26 who aged out of foster care at age 18 or older will be eligible for Medicaid coverage effective January 1, 2014 (enrollment begins October 1st). Children under age 19 can’t be denied coverage because of a pre-existing condition. Benefits: Families can choose a pediatrician as a child’s primary care doctor. New private health plans must cover the cost of preventive care. Out-of-pocket costs are capped at $5,950/individual/year and $11,900/family/year. Protections: Insurance companies can no longer set lifetime dollar limits on health benefits. Insurance companies can no longer drop people if they get sick. 2. Having health insurance is now a requirement. As of January 1, 2014, almost all Americans will be required to have health insurance or pay a penalty. If you have access to affordable insurance through your employer: You do not need to change insurance coverage if you don’t want to. If you do not have access to affordable coverage: You can get health insurance through your state’s marketplace. Enrollment for new coverage begins October 1, 2013. 3. The marketplace is a new way to get health insurance for you and your family. You can buy insurance directly from an insurance company or through a broker, or you can sign up through your new state marketplace. Through the marketplace, you can also find out if you qualify for Medicaid or the Children’s Health Insurance Program (CHIP). Through the marketplace, you can also find out if you qualify for Medicaid or the Children’s Health Insurance Program (CHIP). 4. Your application in the health insurance marketplace will tell you if you are eligible for financial assistance to help you buy private insurance. The amount of assistance depends on your family’s yearly income. You may also have no cost if you qualify for Medicaid or CHIP. 5. The marketplace offers a number of different health plans, and families should compare plans to ensure they meet their needs. The marketplace offers 4 different levels of health insurance plans. Those least expensive (bronze) have fewer benefits and higher out-of-pocket costs. Those that are the most expensive (platinum) have more benefits and lower out-of-pocket costs. Make sure you choose an insurance plan that works for your family’s needs. Families, especially those who have children with special health care needs, need to make sure the plan they purchase includes: Access to pediatric specialists and pediatric surgical specialists. Preventive care, such as well-child check-ups and immunizations. Habilitative services to help a child keep, learn, or improve functioning. Rehabilitative services such as physical or speech therapy. Vision and dental care (dental plans may be sold separately) 6. Make sure your current pediatrician is included in the plan you choose. Choosing a plan that includes your pediatrician will allow you to stay within your current medical home. 7. Have questions? There are people who can help. Your state’s marketplace has people who can help you compare plans and enroll your family in coverage. Information shared from: https://www.healthcare.gov/what-is-the-marketplace-in-my-state/ Contact via phone (available ): 1-800-318-2596
New Years Resolutions for Kids!
We’ve found some great resolutions for kids of all ages. Pick a few with your kids for 2014! Preschoolers I will clean up my toys and put them where they belong. I will brush my teeth twice a day, and wash my hands after going to the bathroom and before eating. I won’t tease dogs or other pets – even friendly ones. I will avoid being bitten by keeping my fingers and face away from their mouths. I will talk with my parent or a trusted adult when I need help or am scared. Kids, 5- to 12-years-old I will drink reduced-fat milk and water every day, and drink soda and fruit drinks only on special times. I will put on sunscreen before I go outdoors on bright sunny days. I will try to stay in the shade whenever possible and wear a hat and sunglasses, especially when I’m playing sports. I will try to find a sport (like basketball or soccer) or an activity (like playing tag, jumping rope, dancing or riding my bike) that I like and do it at least three times a week! I will always wear a helmet when riding a bike. I will wear my seat belt every time I get in a car. I’ll sit in the back seat and use a booster seat until I am tall enough to use a lap/shoulder seat belt. I’ll be nice to other kids. I’ll be friendly to kids who need friends or who may have a hard time making friends – like someone who is shy, or is new to my school. I’ll never give out private information such as my name, home address and school name or telephone number on the Internet. Also, I’ll never send a picture of myself to someone I chat with on the computer without asking my parent if it is okay. Kids, 13-years-old and up I will try to eat two servings of fruit and two servings of vegetables every day, and I will drink sodas only on special times. I will take care of my body through physical activity and eating the right types and amounts of foods. I will choose non-violent television shows and video games, and I will spend only one to two hours each day – at the most – on these activities. I will help out in my community – through giving some of my time to help others, working with community groups or by joining a group that helps people in need. When I feel angry or stressed out, I will take a break and find helpful ways to deal with the stress, such as exercising, reading, writing in a journal or talking about my problem with a parent or friend. When faced with a difficult decision, I will talk about my choices with an adult whom I can trust. When I notice my friends are struggling or making risky choices, I will talk with a trusted adult and attempt to find a way that I can help them. I will be careful about whom I choose to date, and always treat the other person with respect and without forcing them to do something or using violence. I will expect to be treated the same way in return. I will resist peer pressure to try tobacco, e-cigarettes, drugs or alcohol. I agree not to use a cell phone or text message while driving and to always use a seat belt. The preceding New Years resolutions for kids are from the American Academy of Pediatrics (AAP).