Tick Talk

IMG_0074 3Better weather means kids and pets outdoors. Don’t forget to check for ticks!

The tick you find will be the tick you don’t have to remove.

Tips on preventing tick bites from the CDC are here.

Check out the CDC’s Tick ID site.

Village Pediatrics in Connecticut has an excellent information page.

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Party Details for Teddy’s 2nd Birthday

Monday 2/18/2019 TeddyRosesSmall is President’s Day–and Teddy’s 2nd Birthday.
We’ll have cake and fun for kids starting around 2 pm with Teddy’s cake after 3 pm.
Stop by and celebrate our shot dog with us!
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Oh, Baby! This Saturday March 9, 2019

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Happy Birthday Teddy!

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Day Night Reversal in Babies

happy-babyNewborns can sleep up to 20 hours a day, but most of them are born wanting to sleep more during the day. Who can blame them when an active mom rocked them to sleep with the her busy days? Once baby is born, who doesn’t want to come and hold the baby? Getting put down to sleep is like losing your seat warmer!

To help baby make the transition to a diurnal mammal, keep daytime bright and nighttime dim. Give your baby tummy time during the day to develop a strong back, neck and arms, but never let your baby sleep unattended on the tummy. Read more about day-night reversal from the AAP here.

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We offer telemedicine appointments.

Please contact the office to schedule.

We use the Doxy.me platform.

Sign up here.

Find our waiting room at


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Essential Oils for Kids?

purple hyacinth in bloom

Photo by Peter Fazekas on Pexels.com

The short answer is well controlled studies do not show the benefits that many of these products claim. It’s important to know that the FDA doesn’t regulate over the counter supplements and herbs, and that they are allowed to claim health benefits as long as the seller doesn’t claim they treat disease. So you can see claims like “supports a healthy immune system.”

There’s a comprehensive article about essential oil in pediatrics here.

Pleasant scents like lavender may make you feel more relaxed. And the placebo effect is high–a third of people report improvement to many sugar pills and even sham surgery. An excellent book on complementary medicine is Snake Oil Science by R. Barker Bausell.

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Children Testing Positive for Marijuana


 A study in the December 2018 Pediatrics found that nearly half of hospitalized children in Colorado whose parents enrolled in a smoking cessation program tested positive for marijuana exposure. Authors of the study, “Marijuana and Tobacco Co-Exposure in Hospitalized Children” (published online Nov. 19), said findings suggest prevalent co-use of tobacco and marijuana in the state that could expose children to harmful effects of both. The research involved a secondary analysis of data and samples collected as part of a study to test the effectiveness of a tobacco smoking cessation program offered to parents.  All families were recruited after recreational marijuana use became legal in Colorado.  Parents in the study reported being current tobacco cigarette smokers, and some also reported using marijuana.  Among those who used both there was significantly variability- some primarily used tobacco with occasional marijuana use, while others reported more marijuana and less tobacco use.

Testing the participating children’s urine, the researchers discovered that 46 percent of them had detectable levels of the marijuana metabolite tetrahydrocannabinol carboxylic acid (COOH-THC). In addition, 11 percent of children had detectable levels of tetrahydrocannabinol (THC), which is used to test for active marijuana use, and suggests a higher level of exposure.

While 3 of the 9 study participants who tested positive for THC were adolescents, and potentially marijuana users themselves, 6 of the THC-positive children were ages 7 and under–most with parents who reported marijuana use “some” or “every day.” Study authors said they were not surprised that children with detectable levels of COOH-THC were more likely to have parents who reported smoking marijuana daily in the home, and in a different room if their child was there rather than outside.

They pointed out that tobacco smoke and marijuana smoke contain similar harmful chemicals, and smoking in the home–even in a different room–can result in significant exposures to children. Parents and caregivers should be encouraged to avoid smoking tobacco, marijuana, or both in the home, they said, to help reduce exposure to infants and children living there.

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Welcome Dr. Naho Taguchi

NahoTaguchiNaho Taguchi, MD will be working in the office to increase availability of afternoon appointments.

Dr. Naho Taguchi was born and raised in Tokyo, Japan and came to the US where she earned her B.A. at Vassar College. She went on to study Medicine at St George’s University School of Medicine in Grenada and did her Pediatric Residency at SUNY Downstate University Hospital in Brooklyn, NY. Dr. Taguchi spent a year as a chief resident in the pediatric department at Lenox Hill Hospital in Manhattan, NY. She joined a private practice in Brooklyn for 3 years and then moved to Orange County, CA where she was working in the pediatric urgent care at St Joseph’s medical group for 6 years. Dr. Taguchi and her family moved to San Francisco 2 years ago and she worked for Golden Gate Pediatrics until her recently move to Piedmont. She is excited to meet new people and learn more about the East Bay. She enjoys yoga, snowboarding, and traveling with her family in her spare time.

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Wild Fire Smoke and Kids


Do NOT rely on masks to filter contaminants, since masks do not work when not fitted correctly. Smaller sized masks may appear to fit a child’s face, but no manufacturers recommend their use for children. If your children are in an area with bad air quality, take them to an indoor environment with cleaner air, rather than give them a mask. Humidifiers or breathing through a wet washcloth do not prevent breathing in smoke.



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