Dysfluency

Dysfluency is the technical term for stuttering. Repeating words and sounds can be normal for toddlers; older children should be evaluated and assisted. Information

The Stuttering Foundation has a website, videos and tips for parents.

 

 

 

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Paging Dr. Web

First Aid NeonHow good are online resources for diagnosing? A recent article tried to tackle that question. The chance of getting the right diagnosis range from 30-60%.

One of the best resources for parents that we recommend is the book Healthy Children written by Barton Schmitt, MD. Dr. Schmitt developed the telephone triage practices that pediatricians use. Another good place to start is HealthyChildren.org from the American Academy of Pediatrics.

Phone advice is available by calling the office. During the day Dr. Asta takes calls; after hours, the advice line provides advice and recommendations.

 

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Back to School

Lots of good information for the first day back to school and the new school year from the American Academy of Pediatrics is here. Includes information on that first day, backpacks, traveling to and from school, bullying and aftercare.

Child's Drawing

 

 

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When to Keep Your Child Home

Mom TattooMedical reasons your child should not attend daycare from the American Academy of Pediatrics are here.

 

 

https://www.healthychildren.org/English/family-life/work-play/Pages/When-to-Keep-Your-Child-Home-from-Child-Care.aspx

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Riding Toys

Ride On Toy

Wheels. What fun!

Ride on toys are terrific for toddlers. Look for low, stable toys, and a helmet.

While balance bikes are the latest craze, learning to pedal is an important developmental achievement for your three year old. Again, low, stable three wheeled tricycles are best.

tricycle

Questions about selecting the right bicycle for your child? There’s information here.

Need help with the helmet habit? Read more here.

 

 

 

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Sleep 101

sleepdog

Sleep hygiene information from the CDC is here.

Cognitive Behavioral Therapy for sleep problems and insomnia information link.

Quick start for teen sleep issues is here.

 

Infant Sleep handouts for night criers and feeders are on this post.

How much sleep does my child need? Stats here.

Medication and supplements for sleep and their limitations are discussed here.

Good night, Teddy!

 

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Forget me not: Poison Oak

IMG_0074 3
The dogs and I had a big Tilden hike this morning, and I had an unexpected brush with some twigs, which on closer inspection were budding with shiny leaves of three. Poison oak!
 
There are three options with poison oak:
1. avoid it
2. pre-treat skin before going out with a product like Ivy Block
3. wash the area of contact with soap and water (my solution) or a product like Technu. Make sure you wash balls, toys, clothing and pets (sorry, Teddy).
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Valentines Day Love

Mom Tattoo

Here are some Valentine’s Day tips from the American Academy of Pediatrics (AAP).

  1. Use plenty of positive and encouraging words when talking with your child. Try to avoid using sarcasm or mockery and get rid of put-downs from the words you use as a parent. Children often don’t understand your purpose, and if they do, these messages can create negative ways of talking and connecting with each other. Be a good role model by treating others how you would like to be treated.
  2. Make an extra effort to set a good example about how to connect and talk with other people at home and in public. Use words like “I’m sorry,” “please,” and “thank you.”  Children learn a lot from observing and imitating their parent’s behavior.
  3. Respond promptly and lovingly to your child’s physical and emotional needs. Be available to listen to your child when he/she wants to talk with you even if it’s not the best time for you.  Ask your child “How was your day?” and listen to the answer. If you see signs of anxiety or depression, ask your pediatrician for advice on how to help.
  4. When your child is angry, grouchy or in a bad mood, give him a quick hug, cuddle, pat, secret nod or other sign of affection he responds to and then consider talking with him about the event when he’s feeling better. Never respond in violence if your child is in a bad mood.
  5. Use non-violent forms of discipline. Parents should start using both rewards and restrictions many years before adolescence to help establish ways to encourage strengths and address concerns during the teenage years. Allowing children of any age to constantly break important rules without being disciplined only encourages more rules to not be followed. No matter what your child has done, keeping an open line of communication with the child is crucial.
  6. Make plans to spend time alone with your young child or teen doing something she enjoys on a regular basis. Encourage your child to be active by going on walks, bicycle riding, or playing ball with you.  Consider sending a Valentine’s Day card to your older child or teen. Think about making Valentine’s Day cards together with your preschool or younger school age child.
  1. Mark family game nights on your calendar so the entire family can look forward to having ways to enjoy spending time together. Put a different family member’s name under each date, and have that person choose which game will be played that evening. Turn off cellphones and/or tablets during these family times.
  1. Consider owning a pet if possible. Having a pet can help make some children, especially those with chronic illnesses and disabilities, feel better by increasing their physical activity, enhancing their overall positive feelings, and offering another way to connect with someone they care about.
  1. One of the best ways to have your child learn more about good food choices is to encourage him to cook with you. Let him get involved in the entire process, from planning the menus to shopping for ingredients to the actual food preparation and its serving. It is wonderful when families eat together as much as possible. Good food, good conversations. These are excellent times to model healthy food choices.  Refrain from using any electronic device, including your own phone, during meals.
  1. As your child grows up, she’ll spend most of her time improving upon a variety of skills and abilities that she gains in all areas of her life. You should help her as much as possible by encouraging her and providing the tools and teaching she needs. Start reading to your child beginning at six months. Avoid TV in the first two years, monitor and watch TV with your older children and use TV time as one topic for conversation time with your children. Limit computer and video games.
  1. Your child’s health depends a lot on the care and support you offer during his early years. By taking your child to the doctor regularly for well child or preventive health care visits, teaching him how to be safe from injuries, providing a healthy and nutritious diet, and encouraging good amounts of sleep, physical activity, and exercise throughout childhood, you help protect and strengthen his mind and body. Model these behaviors for your child(ren) on a daily basis.  A good place to start is by the use of seat belts or child passenger safety seats every time you are in a car.
  1. Help your child foster positive relationships with friends, siblings and members of the community. Consider inviting friends or neighbors to spend time drinking tea, having a meal, playing a game, or helping others in need.  Encourage your child to play sports or be involved in activities that show teamwork.
  1. One of your most important gifts as a parent is to help your child develop self-esteem. Your child needs your steady support and help to discover his strengths. He needs you to believe in him as he learns to believe in himself. Loving him, spending time with him, listening to him and celebrating lessons learned from his mistakes and successes are all part of this process.
  1. Don’t forget to say “I love you” to children of all ages!

American Academy of Pediatrics, 2/18

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Who Takes my Child’s Insurance?

IMG_7705We currently accept the following:

 

 

 

Alta Bates Medical Group

Brown and Toland

Hill Physicians Medical Group

John Muir Physician Network

Network Select John Muir

Sutter

Aetna

Blue Shield

Cigna

Anthem Blue Cross

Health Net

Humana

Multiplan

Tricare

UnitedHealthcare

Children’s First: Anthem Blue Cross

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4.5 out of 5 stars

Blue RibbonHave you gotten a health insurance questionnaire asking you to rate your doctor’s office?
 
Insurance companies withhold payments from doctors’ offices for the care we give and release it based on the results of questionnaires.
 
Please complete these questionnaires so that the insurance companies pay your doctors’ offices. That money goes into staffing the office and making improvements to care for you and your children.
 
If you can’t give us a good score (insurers don’t pay for any scores less than a 4.5 out of 5 and Contra Contra folks are known to be tough graders), please email us at contact@cvpediatrics.com or call us at (925)939-7334 about your concerns.
We want the best in health and wellness for you!
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