My Blog
By The Child & Adolescent Clinic
August 27, 2020
Category: Child Health Care
Preventive CareWhat parent doesn’t want to protect their child from getting injured or sick? While it will happen at some point, there are certainly ways that both you and your pediatrician can work together to ensure that your child doesn’t have to deal with completely avoidable injuries or illnesses. One way to do that is through regular wellness visits with your pediatrician.

What is a wellness visit?

While you should bring your child into the doctor’s office when they are sick, this isn’t the only time that they should be visiting a pediatrician. Regular wellness visits allow your child’s doctor to continue to monitor their health and development throughout their childhood and teen years. A wellness or well-child visit typically involves:
  • Recording your child’s height and weight
  • Providing a detailed medical history of your child
  • Checking vital signs
  • Hearing and vision screenings (depending on the age)
  • A full physical examination (painless and non-invasive)
  • Additional testing or blood work, if necessary
  • Vaccinations, as needed
  • Answer any questions that the parent may have about their child’s health and provide information and advice on ways to keep your child healthy
Once your baby is born, they will come in regularly for wellness visits (nearly every month until they are three years old). Throughout these wellness visits your pediatrician will continue to monitor their development and pinpoint any issues early on when some problems can be treated or even reversed.

Furthermore, children will need to go through a series of vaccines during the first few years of life. Vaccines are one of the best ways to protect your child from serious and potentially life-threatening diseases such as polio. By keeping up with your child’s wellness and vaccine schedule you ensure that you are providing your child with everything that they need to stay healthy.

Why are wellness visits so important?

As you can probably assume already, these checkups are the best way to prevent health problems from happening in the first place (which we can all agree is so much better than just treating the problem once it comes along). Other benefits of wellness visits include:
  • Providing parents with support, peace of mind, and advice regarding everything from sleep schedules and diet to medications and behavioral concerns.
  • Catch problems early on, whether physical, mental or behavioral, when they can easily be managed and treated through simpler and less invasive treatment options
  • Having a doctor that becomes an important part of your family; someone you can trust and rely on to always be there for your child. After all, knowing that you have a doctor that you can turn to in an emergency is invaluable.
A wellness visit is one of the easiest ways to keep your child healthy. If it’s time for your little one’s next checkup call your pediatrician today. 
By Blaine E. Tolby, MD
July 28, 2020
Category: Child Health Care
Pediatric Regular Check-UpsTo ensure that your child grows up healthy and strong, they need to see a pediatrician for regular check-ups, screenings, and vaccines. These well-child visits are incredibly important for your child’s health and wellbeing and begin within the first week after your child is born. Since your child will be visiting a pediatrician regularly, you must find one that fits your family’s needs. Even before your baby is born you should shop around for a pediatrician so that once your baby comes into the world you can start giving them the routine check-ups and care they need for a healthy and long life.

Getting Regular Check-ups
These routine check-ups with the pediatrician are incredibly important for your child’s health and development. Within the first few years of life, your child’s development is rapid and these check-ups allow our pediatrician to spot problems or developmental delays early. These check-ups are also focused on preventive care, which means providing your child with vaccines and screenings early on to prevent health problems in the future.

These check-ups are also important for parents, as it gives them a chance to ask questions they may have about their child’s sleeping and eating habits, or other behaviors their child may be displaying. During your child’s regular pediatric checkups, your doctor will check your child’s height, weight, vision, and hearing. These visits begin within the first five days after birth and will continue at:
  • 1 month old
  • 2 months old
  • 4 months old
  • 6 months old
  • 9 months old
  • 12 months old
  • 15 months old
  • 18 months old
  • 24 months old
  • 30 months old
  • 3 years old
Once your child turns 3 years old, they may only need to visit their pediatrician once a year for a check-up. Of course, children dealing with certain health issues may still need to come in more often for care.

Getting Vaccinated
Vaccines are also an important part of these visits, and immunizations are truly one of the best and most effective ways to keep your child healthy and free from potentially dangerous diseases such as measles, polio, and hepatitis B. Your pediatrician can provide your child with all the vaccinations they need, particularly before starting school.

Looking for a pediatrician? Need to schedule your child’s next check-ups? Our pediatric team is here to address any questions and concerns you may have. From immunizations to sports injuries, we handle it all.
By Blaine E. Tolby, MD
June 29, 2020
Tags: Brushing  

So, your child’s teeth just started to come in. We know that this can be an exciting milestone for parents. Of course, this also means considering your child’s oral health. Just as you brushingbrush and floss your teeth every day, you will now need to begin brushing your child’s teeth. While the techniques and practices will be a bit different and probably less time-consuming (seeing as your child probably only has one or two teeth at the moment), here are some tips for how to brush your child’s teeth properly,

  • Even before your child’s teeth start to erupt it’s important to keep their gums healthy and clean by wiping them with a soft, damp cloth after each feeding and right before bedtime. Your child will get their first tooth between 6-14 months.
  • Yes, even children’s teeth can develop decay. As soon as the tooth is formed it can develop decay, so it’s important that you start brushing it as soon as you see it.
  • Purchase a child-sized toothbrush from your local drugstore and wet the soft-bristled toothbrush with water to brush your child’s tooth or teeth (at this point you don’t need toothpaste).
  • Your child won’t start needing toothpaste until they are 2 years old. From 2-3 years old your child only needs toothpaste the size of a grain of rice in order to clean their teeth. After 3 years old, you can upgrade to a pea-sized amount of toothpaste.
  • Just as you do for your own teeth, you should also brush your child’s teeth twice a day (once in the morning and again at night right before going to bed).
  • Use soft, circular motions when brushing the teeth and the gums. Again, just as you do your own teeth, you should brush for a minimum of two minutes. Don’t forget to brush their tongue and roof of their mouth, too.
  • We know that your child may not fully understand the brushing process, so it’s a good idea to tell them what you are doing and the importance of brushing their teeth. Even though they can’t brush their own teeth yet it’s still great to show them how to brush so that when it’s time to start brushing their own teeth they understand how to do it.
  • Most children can start brushing their teeth around 7-8 years old, but still need to be supervised by an adult until around 10-11 years old.

Have questions about caring for your baby’s developing smile? Keeping your child’s smile healthy is so important for their development and practicing good oral hygiene at home will ensure that your child’s smile stays healthy.

By Blaine E. Tolby, MD
June 01, 2020
Category: Children's Health
Tags: Autism  
Autism Spectrum Disorder (ASD) is a developmental condition that affects how a person views and interacts with the world around them, including other people. In most cases, differences become apparent by the time your child reaches 24 months. Mainly, parents notice behavioral differences and language delays. If you suspect that your child has ASD, schedule an appointment with your local pediatric office. We work with you to figure out what to do next.
 
Signs of ASD 
Every child with ASD is different. Not everyone will have the same symptoms or experiences. With that in mind, here are some summaries on social, communication, and behavioral differences. 
 
Social Differences
  • Your child doesn’t keep or make eye contact
  • They don’t respond to your facial expressions or smiles
  • Does not reciprocate facial expressions or have the appropriate ones
  • Doesn’t respond to parent’s pointing 
  • Has problems making friends
  • Shows a lack of concern for others
Communication Differences
  • Your child hasn’t spoken by 16 months
  • Repeats or parrots what others say
  • Doesn’t feel the need or want to communicate 
  • Starts missing language and social milestones after 15 months
  • Doesn’t pretend play but does have a good memory for numbers, songs, and letters
Behavioral Differences
  • Has an affinity for routines and schedules and does not like altering them
  • Likes to twirl their fingers, sway, rock, or spin
  • Has strange activities that they enjoy doing repeatedly
  • They are sensitive to sounds, lights, touch, textures, and smells
  • They are more interested in the parts of a toy instead of the whole thing
Common Examples
Don’t feel overwhelmed by the information listed above. As mentioned, a child can have a mixture of any of these behaviors. There are a few other common examples that your pediatrician sees. These give you insight into how a neurotypical child reacts in certain situations versus a child with ASD.  
 
By the age of 12 months, your child should turn their head when they hear their name. A child with ASD won’t respond even if their name is called multiple times.
 
By 18 months, a child with speech delays finds accommodations through gestures, facial expressions, or pointing. Children with ASD find no reason to compensate for speech. 
 
After 24 months, many children enjoy bringing their parents objects or toys to look at or play with. A child with ASD may bring their parent an object but will not play with their parent or respond to their reaction.
By Blaine E. Tolby, MD
May 04, 2020
Category: Children's Health
Tags: ADHD  
ADHDParents want the best for their child, which is why check-ups and appointments with their pediatricians are so important. Yet your pediatrician isn’t just available for when your child is sick or has physical ailments. They can also help with mental and behavioral conditions, including the diagnosis and treatment of ADHD. If your child struggles with focus, impulsivity, attention, or hyperactivity, schedule them for an evaluation. It’s also important to note that children must be at least four years old for a diagnosis.
 
The Three Facets of ADHD
There are three parts to pediatric ADHD: impulsivity, inattention, and hyperactivity. Each of them is signs and are necessary for a diagnosis. Here is some information about each of them.
 
Inattention: your child spends a lot of time daydreaming or not paying attention, struggles to listen, is easily distracted, makes careless mistakes, rarely finishes tasks, and is disorganized to the point of losing or forgetting important things. 
 
It’s important to understand that children with ADHD can pay attention, it’s just harder with topics that don’t interest them. They can tune out when tasks get repetitive. Working with them to organize their schoolwork and tasks is essential. Try to provide them with a quiet and calm environment to work in.
 
Impulsivity: your child can’t wait or acts without thinking, interrupts others, and has problems taking turns.
 
Children with ADHD have trouble with self-control, which leads to the impulsive characteristics mentioned above. They have a harder time censoring themselves. This results in them invading people's personal space or asking overly personal questions. Impulsivity problems also lead to moodiness and overreactions. 
 
Hyperactivity: your child seems to constantly be moving, without being able to sit still without squirming. They also talk too much and loudly, often playing in areas that aren’t permitted. 
 
It’s normal for younger children to have high energy levels. It’s only when your child seems to be constantly moving that it could be an issue with hyperactivity. When they do sit still, they are still moving. They may tap their fingers, shake their legs, or move their feet. 
 
Diagnosing ADHD
A diagnosis won’t happen right away. There are many steps in the process before an accurate understanding is available. Your pediatrician will most likely want statements from not just you and your child, but other caregivers and teachers. 

At the appointment with your child’s pediatrician, they’ll want you and others to fill out a questionnaire about your child’s behavior. Symptoms need to be present in multiple settings, like at home and school and cause issues at both. 
 
The criteria change depending on your child’s age, so it isn’t one-size-fits-all. Your pediatrician will work with you to get an accurate picture of your child’s situation. 




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