Thursday December 4th – Closed from 10:00-2:30

Bayshore Pediatrics will be closed from 10:00-2:30 on  Thursday, December 4th so that the entire clinic staff can attend training.

We know that this is unusual for us to be closed.  We feel that investing in our team will help provide you with the best care possible.

We will close at 10:00 and reopen at 2:30 in order to provide care during the day.  Thank you for your patience and understanding during this time.  We look forward to providing better service in the future.

Finding the Beauty Within Everyone

Hello again from San Diego and the AAP national conference. I am sitting in the airport while I write this, and reflecting upon the amazing conference I was lucky enough to attend. As many of you know, leaving work and four kids for almost a week is a feat! I had a two page list of activities that multiple babysitters and my parents had to take the kids too. There were many highlights of this conference, the top three being Zachary Lystedt with the concussion I already blogged about, hearing Hillary Clinton speak (love her, hate her- she is an amazing speaker), and then this fashion photographer who started the organization “Positive Exposure.” He is a famous New York City photographer named Rick Guidotti who has been over the world photographing the most beautiful models in the world like Cindy Crawford. As he tells it, one day he saw a beautiful 12-year-old albino girl at a bus stop and decided he wanted to photograph others like her. He called the albino foundation, and was turned down repeatedly because albinism has always been portrayed  in the media as evil or villains. He persisted, and they finally let him photograph a 20 something girl. As he describes it, she came in all scrunched over, poor eye contact, and very timid from year of bullying at school. During the session, he was able to show her how beautiful she was, and she walked out of their with a new-found confidence. That photo shoot blossomed into an entire photographic book on people with albinism from all over the world. The albino foundation uses it for their information book. He didn’t stop there, but went on to photograph multiple genetic disorders. As he describes it, they are all kids at heart, and they are all beautiful. He has redefined for these kids the ways they perceive themselves, and also the way we define the beauty within. His motto, “Change how you see, see how you change.” Check out his website at positive exposure it is truly inspiring!

No game is worth a child’s brain- the story of Zachary Lystedt

I am at the American Academy of Pediatrics National Conference in San Diego, the annual conference to learn from the best physicians in the country. I had the honor of hearing the story of Zachary Lystedt from his doctor, his parents, and himself. Zachary was 13 when he suffered a concussion playing football. He came out briefly, and then was sent back in to complete the rest of the game. At the end of the game, he told his Dad he could no longer see. It took 9 months before he was able to speak again. He had to have parts of his skull removed from both sides of his head, and blood clots removed from his brain. He suffered permanent physical and mental damage. Through many years of therapy, he is able to talk and walk a little. After his accident, his parents did not want another family to suffer what they had. In conjunction with their physician, they worked to get a law passed in their state of Washington stating that in any “suspected” concussion, the player had to be removed immediately from the game and could not come back until medically cleared. The Zachary Lystedt law is now in place in all 50 states!

His story is heart breaking, all the more so because it could have been prevented. The second hit insult is generally what can cause severe damage and even death to a player. 3 high school football players died in the past month from concussions. I diagnosed 3 nine and ten years old in the last 2 weeks with concussions from football. Football is not the only sport causing concussions- female soccer players have almost the same rate of concussions as football players do. The answer is not to stop athletics, but to take concussions seriously. If you see a player hit in the head, they should come out and be evaluated immediately. The player is unable to say they are OK. They should not be able to play again until cleared by a physician. Sometime, this can be weeks to months. We get a lot of pressure to return kids to play, but it is our job to make sure they are truly cleared. No game, no season is worth their brain.

You can see the video of Zachary’s story by googling is name- ESPN had a great story on him.

 

Forever Young

The other day I was grocery shopping and Forever Young was playing. It was the Bob Dylan version. I still remember my High School English teacher playing this song for us prior to graduation and referring to it as “a great song by Bob Dylan that was ruined by Rod Stewart.” That comment still makes me laugh.

That day at the grocery store was right at the start of the school year. I was feeling especially nostalgic because this is the first year all four of my kids are going to school. Of course the song is not about staying young in age, it’s about staying young at heart. One of the things I love the most about my job is how being around children and young adults all day keeps me feeling young. Although, there is nothing wrong with getting older, because, as someone pointed out to me once, what is the alternative?

This summer I taught my two older daughters to water ski, and I learned to wakeboard. It was the perfect mix of getting older and staying young. I hope as parents we can all set good examples and help our children stay “forever young.”

Enterovirus D68 – What’s going on

If you have been watching the news on TV or reading it on-line you cannot escape having heard about enterovirus D68. The past 10 days the news stations have been talking about this virus and sharing all of the scary facts about it. But that is what the media does with a story. They let us know what is out there and often give us only the scary details and not the full story. Hopefully I can give you a little more information I also have the time and space to do that which the news people cannot.

Enterovirus D68 belongs to a group of viruses called enterovirus. This family includes over 70 different viruses. To those of you with kids in school or daycare there are a few more well-known enteroviruses that you may be familiar with – polio and coxsackie- otherwise known as the hand, foot and mouth virus. This enterovirus D68 is just one more in the family. It was first discovered in the 1960s and we haven’t seen a lot of it over the years but when we do see it, it can cause some significant illness.

Symptoms of enterovirus D68 can mimic the common cold. A child will start with cough and congestion and may also get fever. For many people who contract the virus these are the only symptoms that they will have. Others will get pretty sick from it and develop a harsh cough, wheezing and breathing problems. These are the kids they have been talking about on the news. Again, I will emphasize that not everyone ends up with these more significant symptoms.

How can you help your child? First of all, what do we always say at Bayshore Pediatrics- the best way to help your child is to make sure they are resting and drinking lots of fluids. If they are younger nasal saline and suction can be helpful. Nasal saline also helps older children as does a humidifier (cool mist of course) in their room. We are not able to distinguish between this more mild form of the illness and the common cold.

It is important to watch for worsening or changing symptoms, that can happen quickly. We want to see them if they are having difficulty breathing or wheezing or have a new fever. We also would want to see them immediately if they have any of the following symptoms:

  •                 Turning gray or blue around the mouth
  •                 Pulling in by the ribs while breathing
  •                 Difficulty speaking because they can’t breath
  •                 Not drinking much and little urination

While watching the news makes it seem like all children should be seen, if their symptoms are mild and more like a cold they do not have to come in. We do not have a medicine that will make it go away and treatment is supportive only. At the same time, if you are worried or you think they do not look right we absolutely want to see them.

How can you prevent this virus? This virus is spread like most other respiratory viruses you need someone who has the virus to cough or sneeze on you. So if your child is sick keep them home from school AND activities. Good hand washing is also important. Also, although this is really hard with kids, remind them to try not to touch their face frequently, especially their eyes, nose, and mouth .

I always try to remember that the media is helpful in spreading news about what is going on. I also want to help our patients see our take on the news and hopefully help provide you with some more information. This is a serious virus and many kids are getting really sick from it. Many of those are just getting cold like symptoms. A smaller percentage are going to the hospital and needing supportive care. So please don’t immediately get worried if your child starts with cold like symptoms. Watch them closely and if you are worried or they showing concerning symptoms call us or come in and be seen.