Winter Break Hours

First Aid NeonWinter Break: kids are home! We are open 12/26-12/30/2016 for well care and urgent care. Please call to schedule to catch up on physicals, flu shots, asthma care. Stay well!

For our college students, this is a good time to get in for an annual physical and to renew medications.

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Baby’s First Thanksgiving

Green and Yellow VegetablesFeeding baby this year? The traditional Thanksgiving foods can be enjoyed as soon as baby can eat off of a spoon, which is usually around 4 months of age. Foods like turkey and vegetables can be blended into a puree. A more chunky consistency can be offered as the weeks pass. Your 7 to 9 month old baby can start to pick up small, soft pieces of food.

Nutrition-rich meats and beans are excellent sources of iron and protein. Vegetables are chock full of vitamins. Limit starches like potatoes and sweet potatoes to 1/4 of the meal. They add calories without providing the nutrition that growing babies need.

When first introducing solids, offer one new food at a time for a few days to watch for oral swelling or hives.

Babies under 12 months of age should not eat honey because it can be contaminated with botulism spores that cause paralysis.

Foods like eggs and nuts can be given in the first year, in fact allergists recommend introducing these foods as it has been shown to reduce food allergies.

For more about introducing solids to your baby, read the  Feed the Baby post.




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Baby Intel: the new generation montiors

There’s an article out today in Atlantic Magazine online about smart monitors for babies that Dr. Asta was interviewed for.

Green Baby

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Sports Rule!

SportsKeep it fun and learn lifelong skills to stay active.

Mix it up and participate in multiple sports until puberty to avoid injuries and burnout.

Early specialization may not advance athletic goals.

Take three months off each year in increments of one month while staying active for mind and body fitness.

Taking one or two days off each week can decrease the risk of injuries.

Read the AAP clinical report Sports Specialization and Intensive Training in Young Athletes.


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Vomiting and Diarrhea 101

happy stomach home-care-for-stomach-viruses for Dr. Asta and Casa Verde Pediatrics

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Baby Mani Pedi

clippersBabies grow fast! They double their size in the first three months, and that means cutting baby’s nails every few days. The best time to do this is when the baby is sleeping because the hands (and feet) will be relaxed. Consider doing it right before baby wakes from a nap, although sometimes you may only one hand at a time.

Clippers are a good choice. They come in different sizes as your child grows. You can also use safety scissors. Emery boards and nail files also work, but they take longer. Biting your baby’s nails can cause infection. Peeling lacks precision.

Cut straight across the nail and leave enough white–a millimeter or two–you don’t want to cut the nail too short. Avoid angling the sides. This is where parents sometimes get into trouble. If there is bleeding, apply pressure with gauze or a clean cloth and monitor the area for infections. Bandages  don’t work well on baby since they put their hands in their mouths and the bandage can be a choking hazard.

Whatever tools you use: keep them clean. Consider keeping baby’s set for baby. Follow the manufacturer’s instructions or wipe with rubbing alcohol and air dry to avoid rust and damage.

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Battle to Beat the Germs

Come play Vax Pack Hero vaxpackherowith us!

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Top 10 Things that are Normal in Newborns

Happy BabyBabies are cute; there’s no denying it.  But our mental picture of what a baby “should” look like comes from glossy magazine photos of babies between six and nine months old.  When your baby is born, he or she will look very different.  Your newborn will also act different than older, more settled babies.  Some of these natural adjustments to living outside the womb can concern parents.  The following list provides a head-to-toe guide to what’s normal for your newborn baby.

1.  For starters, your baby, especially is she is your first born, may have a cone-shaped head after traveling through the birth canal.  The bones of the skull are designed to ride over each other during labor; afterwards, the head gradually rounds down again.  Labor can also cause swelling and bruising on the scalp, which resolve in the first weeks after birth.

2.  It’s okay if your baby’s eyes cross.  Over time, your newborn will develop the fine-tuning he needs to move his eyes together and focus on things.  But make no mistake: your baby sees quite well immediately after birth and focuses best on objects that are nine to fifteen inches from his face.  Sometimes a blood vessel in the whites of the eyes breaks from all the pushing during labor, and you may notice a patch of red.  These subconjunctival hemorrhages are common and resolve completely.

Many babies have eyes that water or accumulate mucus.  Rarely, this can be a sign of a serious infection such as chlamydia or gonorrhea.  The most common cause of gooey eyes, however, is the small diameter of the tubes at the inside corner of the eyes that drain the tears.  These tear ducts grow as your baby grows, and by the first birthday this problem will take care of itself.

3.  Newborn noses are sneezy and stuffy by design.  Sneezing is a reflex that clears the nose; it’s not a sign of a cold.  Your baby’s tiny nostrils are easily blocked by mucous, and it will take a few months before he learns how to breathe out of his mouth when his nose is clogged.  Until then, clean his nose before he nurses or tries to sleep with the bulb syringe from the hospital and salt water drops.

4.  Hiccuping, like sneezing, is a reflex.  Your baby may have hiccuped quite a lot before she was even born.  Hiccuping spells diminish over time, and it’s often helpful to let the baby nurse when hiccups strike.

5.  When your baby yawns or cries, you may notice small, white nodules on his gums or the roof of his mouth.  These harmless collections of keratin are called Epstein’s pearls, and they will wear away.  Your baby can also have sucking blisters on his lips.  These can dry and peel and dry and peel again.

6.  Most babies have dry patches of skin that peel shortly after birth.  Peeling is the result of spending nine months in water, and no cream or lotion will speed up the process.  Newborns also have a common rash with an uncommon name: erythema toxicum neonatorum.  The rash looks like tiny bug bites, and it comes and goes for a few days before fading.  By the time the bug bite rash fades, you will start to see baby acne.  These little bumps on the face, chest, and back are caused by the pregnancy hormones.  Clean your baby’s face with warm water, and by the time the acne fades, she will have enough head control for her first formal photograph.

7.  The umbilical cord can take a week or two to fall off.  Clean around it with alcohol on a cotton swab, making sure to get at the gooey parts at the base.  Cleaning the cord more than four times a day can slow healing.

8.  Whether your baby breast feeds or formula feeds, you can expect up to three months of tummy troubles with gas and straining.  You wouldn’t expect your newborn to pick up a pencil and write his name any more than you should expect his digestion to progress flawlessly.  Breast-feeding mothers should modify their diets according to the pediatrician’s recommendations.  If mothers avoided all the foods that supposedly make babies “fussy,” there would be nothing left to eat!  Likewise, consult your pediatrician before changing formulas.

Once feeding is established, a healthy baby can have a bowel movement anywhere from twelve times a day to once a week.  As long as your baby’s stool is not hard, little balls, he’s not constipated.

9.  In the first days, you may notice a brick red tinge to your baby’s urine.  Newborn urine is concentrated, and urate crystals cause the red color.  Little girls can also have a milky vaginal discharge or some vaginal bleeding–like a mini-period–caused by the hormones of pregnancy.

10.  Baby legs are not straight because they’ve been curled up tight in the uterus.  As your baby stands and jumps on his legs, he will strengthen muscles and straighten bones.  Special shoes, bars, and casts are rarely needed.

There are many more things that are normal in the newborn period–too many for most lists and books.  Your pediatrician doesn’t expect you to learn everything about pediatrics in a few weeks, so call if you have any questions about your new baby.

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Saying Bye-Bye

Teddy BearWe say goodbye all the time–some of those separations are brief, others longer, some longer still. Parents of a new baby can learn about Separating-from-Infants-and-Toddlers in this article.

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My Kid Ate a Bug!

spiderI’ve been a spokesperson for the American Academy of Pediatrics since 2003, and I get calls and emails from reporters all the time, and this was a fun one to do. My Kid Ate a Bug Should I Freak Out?


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