- Warts
- Sinusitis
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- Pediatric CareClinical Training: Completed over 600 hours of PNP clinical training and has 8 years of RN experience working in Pediatrics, specifically in the Pediatric ICU and Neonatal ICU
- Primary CareYou guys, I have a confession. Well, maybe not so much of a confession as much as it’s an admission. I don’t do vomiting. The sound of retching and subsequent vomiting makes me turn on my heels and run as quickly as I can in the other direction. I am fully aware how this is somewhat problematic in my line of work because I evaluate a lot vomiting children, but most don’t vomit while I’m seeing them. Thank goodness! We all have our strengths and weaknesses, and my friends, vomiting is NOT my strength, I’ll admit it. I’m even more acutely aware of this after taking care of my sick toddler over the past week that culminated in vomiting. He didn’t even vomit on me. He vomited on my husband. But just the idea of being puked on had me dry heaving and rendered me useless in helping to clean up the mess. Diarrhea, no problem. Removing sticky, caked on boogers to the face, I’m a pro. Vomiting, no thank you. Taking care of a sick child is tough. Believe me, I know. When you add vomiting and diarrhea to the mix it’s not only tough, but it can be scary as well. Please read on to find out how you can help your children when they get stomach bugs and when you should worry and have him or her seen by their primary care provider (PCP).
- Ear InfectionsAlong with the aforementioned symptoms, children can also experience vomiting and diarrhea while sick with the flu. Furthermore, flu symptoms will typically last one week (7 days) or more. I’m often asked in clinic how parents can know if they or their child has the flu, and my answer is often “Oh, you’ll know.” What do I mean by that? Well, the symptoms of flu are typically much more severe and last longer than a common cold virus. Believe me, if you have ever had the flu, you know you never want to get it again. The flu makes you feel miserable. Your child is also at risk for complications from the flu, like secondary bacterial infections such as an ear infection, sinusitis or pneumonia. If your child is complaining of ear pain, has a lingering cough that’s not getting better, or a fever that persists or suddenly develops again after not having one, you should take your child to see their primary care provider (PCP).
- Emergency CareWith the long, holiday weekend approaching, it's the perfect time to discuss firework safety. While the fireworks of the Fourth of July are beautiful and fun to watch, fireworks can cause severe injury, even death. Fireworks that are traditionally thought to be safe for children, like sparklers, can cause severe burns to both the person handling them and others around them. According to the United States (U.S). Consumer Product Safety Commission, firework related injuries accounted for an estimated 10,500 emergency room visits in the
- Constipation
- Infectious Diseases
- Flu ShotsPRE-TRIP: Once you’ve figured out where you’re going, it’s time to get excited and start doing your research as to what you’re going to need to do to prepare for your trip. A good place to start, especially if you’re traveling internationally, is to make sure your family is all up-to-date on all immunizations. Also, if you’re traveling internationally, you will want to make sure you don’t need any additional vaccinations in addition to the routine school immunizations. The Centers for Disease Control and Prevention (CDC) is a great resource for travel advice and needed vaccines ( see here ). You can also contact your local health department’s and make an appointment with a travel clinic. Finally, don’t forget to have your entire family get their flu shots if you’ll be traveling during flu and cold season. The more you can do to stay healthy and prevent illness, the better.
- Diarrhea
- Pneumonia
- ImmunizationsThese things being said, we recognize that there has always been and will likely always be controversy surrounding vaccination. Indeed, Benjamin Franklin, persuaded by his brother, was opposed to smallpox vaccine until scientific data convinced him otherwise. Tragically, he had delayed inoculating his favorite son Franky, who contracted smallpox and died at the age of 4, leaving Ben with a lifetime of guilt and remorse. Quoting Mr. Franklin’s autobiography...
- Cervical CancerHuman papillomavirus is a virus that is most commonly acquired through sexual contact. In fact, it’s the most common sexually transmitted infection (STI). HPV infection is so common that almost everyone will be infected at some point in their life. According to the Centers for Disease Control and Prevention (CDC), approximately 79 million Americans are currently infected with HPV and there are 14 million new cases each year. In many cases, fortunately, HPV will go away on its own and not cause any long-term health problems, but when it doesn’t, it can cause genital warts and cancer. The most common cancer caused by HPV infection is cervical cancer, but it can also cause cancers of the vagina and vulva in women, cancer of the penis in men, and cancers of the mouth, throat and anus in both men and women. The scary thing is most who are infected with HPV aren’t even aware they have it and it can take years for someone with it to develop cancer. Prior to the HPV vaccine, the only ways to prevent acquiring HPV and the health problems it can cause was to use protection such as latex condoms if sexually active, but even that can't offer full protection. Other means to prevent it are 1) to be in a mutually, monogomous relationship and, 2) to be screened for cervical cancer if female. Fortunately, now (well, actually for the past decade), we have another means of prevention and that's through the HPV vaccine.
- Urinary Tract InfectionAnother problem that may arise after toilet training are the occasional daytime wetting accidents. Picture this, your son is watching his favorite show when he comes running to you saying he’s had a “pee” accident. Or, your daughter is running around outside playing with her cousins and you notice that the front side of her pants are all wet. While frustrating for us as parents, these daytime wetting accidents are pretty common. The reason is that toddlers and preschoolers have difficulty sorting and prioritizing the enormous amounts of information and stimuli around them. What seems obvious to us as adults, “I have to go pee, I’ll stop watching my favorite show and do that quickly”, is not so obvious to toddlers and preschoolers. Just be sure that when they do have accidents, you don’t punish them for it, but they should take responsibility for it. What I mean by that is don’t make it too easy on them either. When they have a wetting accident they must stop what they are doing and help you change their clothes, put dirty clothes in laundry, and clean up any other mess, etc. This gives them ownership over the situation and may help them remember that the next time they feel like they have to go potty they will stop what they are doing to go do that because it’s much quicker to go pee in the potty than deal with an accident. While these occasional distracted daytime accidents are normal, what would be abnormal is if your child is complaining of urgency, is frequently having to go pee or is having pain with urination. Sometimes these symptoms can be indications of a urinary tract infection, constipation, or other disease processes. If your child is experiencing the aforementioned symptoms, please call us to schedule an appointment.
- AutismWe firmly believe, based on all available literature, evidence and current studies, that vaccines do not cause autism or other developmental disabilities. We firmly believe that thimerosal, a preservative that has been in vaccines for decades and remains in some vaccines, does not cause autism or other developmental disabilities.
- Attention Deficit Hyperactivity Disorder (ADHD)Do you have a child that is always on the go, talks too much, won't sit still, can't seem to follow directions or complete tasks, doesn't pay attention, can't keep track of his or her things, cannot play quietly, or is forgetful? Sure, many of these qualities are just kids just being kids, especially if they are younger in age. However, if these symptoms don't improve over time and are beginning to affect your child's school, family and social life, they could be due to something called Attention deficit/Hyperactivity Disorder (ADHD).
- PsychiatryParenting a child with ADHD can be difficult, confusing and stressful. Parents may have to change the way in which they rear their children in some instances. There are a wealth of resources available and I will often direct my patient's families to the Children and Adults with Attention Deficit/Hyperactivity Disorder (CHADD) website (click here ) and if you live in Utah, the Utah Academy of Child and Adolescent Psychiatry (UACAP) (click here ) is great as well.
- Insomnia
- Anxiety
- Diabetes Care
- Otolaryngology
- Skin CancerSince it is sunny nearly year-long in Utah, daily sunscreen use will minimize the damaging effects of sun exposure and likely skin cancer risk. Shade is clearly the "best" sunscreen, but protective clothing and wide-brimmed hats -- especially white and light blue in color -- is the next best option. Sunscreens are often applied improperly and in inadequate amounts. Sunscreens need to be applied onto cool and dry skin at least 15 minutes prior to sun exposure to allow for adequate skin adhesion of the product's active ingredients. As a general rule, adults need 1 fl oz, children 1/2 fl oz and infants 1/4 fl oz per application. Our advice for some good sunscreens are below...
- Acne Treatment
- Cyst
- EczemaThere also is a lack of evidence for the efficacy of probiotics for many diseases such as eczema, chronic inflammatory bowel disease, irritable bowel disease, infantile colic and cancer. That being said, just because there is a lack of evidence currently, does not mean that with further study, potential benefits won't be established. However, for right now, the area in which probiotics have shown the greatest benefit is with the treatment of acute diarrheal illness and the prevention of antibiotic-associated diarrhea.
- LesionsSo what to do? Honestly, less is more. Make sure your child keeps his skin well-moisturized. That way he will be less inclined to scratch at the bumps and spread them to other places. Also, pay attention to where and how many lesions he has. If you start noticing more lesions appearing or if they spread to other parts of the body, you should make an appointment with his PCP for further evaluation. Your PCP can assess the situation and decide whether or not your child can continue to wait it out or if treatment is necessary. While there are many treatment options available, there aren’t any that are approved by the Food and Drug Administration (FDA) for children, and none are guaranteed to speed up resolution. Nonetheless, and depending on the comfort level of your PCP, some treatment options include destruction of molluscum lesions with liquid nitrogen or cantharidin. Liquid nitrogen causes destruction of the lesions by using extremely low temperatures to destroy the tissue at the cellular level. Cantharidin, on the other hand, is a colorless, odorless, terpenoid that is secreted by blister beetles. This causes the skin to blister and in turn, theoretically, destroys the tissue onto which it is applied. Both of these treatments, while effective, can be painful and often leave a pinpoint scar behind after they heal. Other treatment options include application of topical imiquimod or retinoids, oral cimetidine, and Candida antigen injections.
- Skin CareIt is important to have a good skin care routine as well. Make sure your teen is gently washing (not scrubbing) her face with a mild cleanser at least twice a day and then splashing her face with cool water and patting (not rubbing) dry. I find that many teens are excessively scrubbing their skin which can cause further irritation and makes things worse. If your teen is using an acne medication, apply it sparingly to affected areas as directed. It is important to stress to your teen that they need to give things time to improve. Unfortunately, there is no magic, overnight fix. To make matters worse, acne often gets worse before it gets better, especially when starting an acne medication. The time frame typically goes like this: things usually worsen around weeks 1 to 2 into treatment and then things gradually improve from there. Your teen should allow up to 8 weeks to see a difference in her skin. It is sometimes helpful to take a weekly photo and you can both monitor progress (this helps your practitioners out as well!). Make sure that any lotions and/or make-up your teen puts on her face are “non-comedogenic” (meaning it won’t clog pores). Finally, if your teen participates in sports or is very physically active, make sure that she washes her face after activity as well as in the morning and evening before bed.
- Burns
- Allergies