Employee of the Month – Tyeisha Ross
Congratulations to Tyeisha for being selected October Employee of the Month! How long have you worked for us? 1 year and 10 months Do you have any pets? No Where did you go to high school? William M. Raines What degree are your working toward? I plan to start a Licensed Practical Nurse (LPN) program in May 2015. Eventually, I will become a Registered Nurse. What is your favorite part of your job? Interacting with the kids brings me so much joy! I also love my co-workers. They are easy to work with and very entertaining! It feels good to work for a company that supports its employees and makes you want to strive for even more!
Differences in Organic, Natural and Health Foods
Differences in Organic, Natural, and Health Foods Although these terms are often used interchangeably, they have different meanings. Organic foods are grown without artificial pesticides, fertilizers, or herbicides. Organic meat, eggs, and dairy products are obtained from animals that are fed natural feed and not given hormones or antibiotics. Natural foods are free of synthetic or artificial ingredients or additives. “Health foods” is a general term that may be applied to natural or organic foods, or to regular foods that have undergone less processing than usual, such as stone-ground whole-grain flours. Although some have claimed that organic foods have a higher concentration of some nutrients, the evidence is mixed. The nutritional content of foods also varies greatly according to when the food was harvested and how it has been stored or processed. Unless they are fresher, there is also no evidence that organic, natural, or health foods taste better than regular foods. However, taste is determined by plant genetics, rather than by whether the crop is organically or conventionally grown. Harvesting and handling also affect taste. A peach or tomato that is picked when it is too green will never develop the full taste of fruit that is allowed to ripen on the tree or the vine. Although the type of fertilizer may not affect taste or nutrition, it does have an effect on the environment. Many people prefer to pay premium prices for organic foods because their production does not cause environmental damage from pesticides and herbicides, and composted fertilizers help restore soil and are not as damaging to the environment as artificial fertilizers. However, simply stating “organic” does not protect the food from being contaminated from field to market. Last Updated 7/9/2014 Source Nutrition: What Every Parent Needs to Know (Copyright © American Academy of Pediatrics 2011)
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.
100 Free (and almost free) Things to Do In Jacksonville this Summer
At this point of the Summer, you may be running out (or have already run out!) of things to do with your kiddos. Luckily, Jacksonville Mom has the perfect list chock-full of free or cheap activities to help keep you and your kids enjoy the rest of the Summer season. Check it out below and make this Summer one to remember! Summer Bucket List: 100 Free & Cheap Things to Do In Jacksonville
Florida Newborn Screening
Most babies arrive into the world healthy, but some have a rare health problem that is not outwardly visible. Florida screens all babies for over 36 different conditions, unless a parent objects in writing. Before leaving the hospital, a few drops of blood are taken from the heel of the baby and the ears are also tested for hearing. The hospital sends the blood sample to the Bureau of Public Health Laboratories in Jacksonville which screens over 1,000 blood samples per day. All results are sent back to the hospital and then forwarded to the baby’s doctor. Doctors can also get results for their patients from the Florida Newborn Screening Results website. If the screening results are abnormal, the Newborn Screening Follow-up Program which is a part of Children’s Medical Services will contact the parent and\or doctor about additional testing and continue follow-up until the disorder is either ruled out or confirmed. The screening process helps find and treat conditions early which can prevent serious problems like intellectual disabilities or death. The Department of Health currently screens all babies born in Florida for the following disorders. Disorders PKU (Phenylketonuria) CAH (Congenital adrenal hyperplasia) Congenital hypothyroidism Galactosemia (G/G) Hb S/Beta-thalassemia HB S/C disease Sickle cell anemia Hearing loss 3MCC (3-Methylcrotonyl-CoA carboxylase deficiency) 3-OH 3-CH3 glutaric aciduria Arginosuccinic acidemia Mitochondrial acetoacetyl-CoA thiolase (beta-ketothiolase) deficiency Biotinidase deficiency Citrullinemia Glutaric acidemia type I Homocystinuria Isovaleric acidemia LCHAD (Long-chain L-3-OH acyl-CoA dehydrogenase deficiency) Maple syrup urine disease MCAD (Medium chain acyl-CoA dehydrogenase deficiency) Methylmalonic acidemia Propionic acidemia Tyrosinemia type I VLCAD (Very long-chain acyl-CoA dehydrogenase deficiency) Carnitine/Acylcarnitine translocase deficiency Carnitine palmityl transferase deficiency type I Carnitine palmityl transferase deficiency type II Multiple acyl-CoA dehydrogenase deficiency SCAD (Short chain acyl-CoA dehydrogenase deficiency) Tyrosinemia type II Carnitine uptake defect Methylmalonic acidemia (mutase deficiency) Multiple carboxylase deficiency Trifunctional protein deficiency Cystic Fibrosis Severe Combined Immunodeficiency (SCID)
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