Monthly Archives: April 2009

How Could You Let Me Go Out Like This? (Boogers On My Face: What Will My Public Think?)

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Top 10 Child Health Articles of 2008: The Science of Medicine

Physicians are always trying to stay abreast of the latest news in order to provide excellent care for their patients.  Parents, too, can learn from cutting edge medical news.  

Do you want to know what your child’s doctor is reading about?  Here is my take on the first five of top 10 most read online pediatric and adolescent medicine stories of 2008, according to Journal Watch.  Stay tuned for my thoughts on the 2nd half later this week.  

  • Regularly Eating Breakfast Reduces Weight Gain
    • Breakfast really is the most important meal of the day.  This one we’ve known for a while.  So get up a few minutes earlier to make sure that breakfast fits into the morning rush every day. Continue reading

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Filed under Common Illnesses, Healthy Eating, In The News

Rubber Duckie, You’re the One….

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Are Cloth Diapers an Option For Working Parents? Tips From The Experts: Working Moms!

“Why can’t we seem to interest him in the toilet?” the parents of a 26-month-old patient recently said to me, “We were assured that he would be potty trained at least 6 months earlier than kids who wear disposable diapers.” 

Parents choose to swaddle their little ones in cloth rather than disposable diapers for many reasons:  most would like to raise their children with the least environmental impact possible; many worry about rashes or other conditions caused by the chemicals and fragrances in disposable diapers; others have done cost-effectiveness calculations and found that cloth diapers may be more economical for their family; and many are hoping that, yes, cloth diapers would lead to earlier potty training.

Reusable diapers can, however, seem like more effort than disposable.  For families in which both parents work outside the home, however, time is precious, and the potential for added labor in an already stretched family may be just too much.

Here are some tips from working moms (and dads) who are making washable diapers work for them: Continue reading

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It *Was* Mr. Plum, With The Knife, In The Drawing Room

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Fairy Dust or Wizardry: What Are Those Crystals in My Baby’s Diaper?

While innocently changing their infant’s diaper, many parents come upon a curious thing: small clear crystals are scattered in the diaper of their perfectly healthy appearing babe.  

These parents often head straight to the internet, and come upon a host of potentially anxiety-provoking information.  Parents may read that crystals in an infant’s diaper are a sign of dehydration, which is worrisome enough.  But urinary crystals can also be associated with dramatic sounding diseases:  liver failure (yikes!),  congenital cystinuria,  tyrosinosis, or the intriguingly-named maple syrup urine disease.   Urinary crystals are made of different elements:  calcium oxalate, triple phosphate, cystine, and uric acid.  And they come in different shapes: some are hexagonal, others are shaped like diamonds, while some take on the shape of a square envelope or even a coffin lid. 

Continue reading

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Weeeeeeee!!!

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It’s All Fun And Games Until Someone Pokes An Ear Out

I have been getting great pleasure from parents telling me about how their children evoke my name at home (ah, the ego).
 
A 3-year-old patient of mine recently got a *very* small splinter and said to her mother:  “If this doesn’t get better soon I’ll have to go and see Dr. Kim.”  I think she is displaying excellent judgment in her self care, quite precocious in fact.
 
Sometimes, however, it seems that my name is a source of less positive behaviors.  A mother told me that her 2 1/2-year-old son was playing with another child’s doctor kit at a party.  As he placed the toy stethoscope on his playmate’s chest, my patient said “I’m Dr Kim, and I’m going to listen to your heart.”  It turns out that I am the pediatrician for both of these children and thus ensued, the mother related, quite a struggle between these two doctor proteges about who was going to be my namesake in their games.  Not exactly the way that I used to imagine boys fighting over me, but beggars can’t be choosers.
 
Today, however, a story from a mom gave me pause when thinking about the power that my words may have on the actions of my patients.  While playing, her 4 year old attempted to stick a carrot into his ear.  “Don’t do that!” she scolded.  “But Dr. Kim does,” he replied, quite pleased with himself.
 
In my attempts at distraction, I do frequently search for carrots in the ears of small children.  A word to the wise:  I think I’ll switch to butterflies.
 

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Filed under General Commentary, Kids Say the Darndest Things

I’ll Bet Barbie Wishes She Were A Redhead….

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The Best Cough Medicine? A Spoonful of Honey

Home remedies are often more effective than expensive medications.  A recently published study showed that honey provides better control of cough in children over the age of 1* compared to common over-the-counter and prescription medicines!  In fact, several studies have shown that cough medicines do not work at all, either to decrease the cough or to help kids (and their parents) sleep through the night:  not great news for exhausted parents with sick children. Continue reading

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