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Recent Blogs

  • Here is a link to an article by the American Academy of Pediatrics on introducing foods your your baby.   http://www.healthychildren.org/English/ages-stages/baby/feeding-nut
  • The head louse is a tiny, wingless parasitic insect that lives among human hairs and feeds on extremely small amounts of blood drawn from the scalp. Although they may sound gross,

Recommended Reading

guide-child-symptomsGuide to Your Childs Symptoms by American Academy of Pediatrics.
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Pediatric Childcare & Wellness

Our blog featuring Dr. McKillip and Shelly Nalbone. Email topic requests to shellynp@totdoc.com

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Lice

Posted by Shelly
Shelly
Shelly Nalbone is a Pediatric Nurse Practitioner who has worked with children fo
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on Monday, November 11 2013
in Info on illnesses

The head louse is a tiny, wingless parasitic insect that lives among human hairs and feeds on extremely small amounts of blood drawn from the scalp. Although they may sound gross, lice (the plural of louse) are a very common problem, especially for kids ages 3 years to 12 years.

Lice aren't dangerous and they don't spread disease, but they are contagious and can just be  annoying. Their bites may cause a child's scalp to become itchy and inflamed, and persistent scratching may lead to skin irritation and even infection.   Though very small, lice can be seen by the naked eye.   The adult louse is no bigger than a sesame seed and is grayish-white or tan.  Lice eggs (called nits) look like tiny yellow, tan, or brown dots before they hatch. Lice lay nits on hair shafts close to the scalp, where the temperature is perfect for keeping warm until they hatch. Nits look sort of like dandruff, only they can't be removed by brushing or shaking them off.

You want to treat head lice quickly as soon as you notice them because they can spread easily from person to person.  Lice are highly contagious and can spread quickly from person to person, especially in group settings (schools, childcare centers, slumber parties, sports activities, and camps).

Though they can't fly or jump, these tiny parasites have specially adapted claws that allow them to crawl and cling firmly to hair.  They spread mainly through head-to-head contact, but sharing clothing, bed linens, combs, brushes, and hats can also help pass them along. Kids are most prone to catching lice because they tend to have close physical contact with each other and often share personal items.

We recommend that you use a medicated shampoo, cream rinse, or lotion to kill the lice. These may be over-the-counter (OTC) or prescription medications, depending on what treatments have already been tried.  Medicated lice treatments usually kill the lice and nits, but it may take a few days for the itching to stop.

Here are some simple ways to get rid of the lice and their eggs, and help prevent a lice reinfestation:

  • Wash all bed linens and clothing that's been recently worn by anyone in your home who's infested in very hot water (130° F [54.4° C]), then put them in the hot cycle of the dryer for at least 20 minutes.
  • Have bed linens, clothing, and stuffed animals and plush toys that can't be washed dry-cleaned. Or, put them in airtight bags for 2 weeks.
  • Vacuum carpets and any upholstered furniture (in your home or car).
  • Soak hair-care items like combs, barrettes, hair ties or bands, headbands, and brushes in rubbing alcohol or medicated shampoo for 1 hour. You can also wash them in hot water or just throw them away.
  • Because lice are easily passed from person to person in the same house, bedmates and infested family members will also need treatment to prevent the lice from coming back
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New Pediatric Urgent Care in Our Area

Posted by Shelly
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Shelly Nalbone is a Pediatric Nurse Practitioner who has worked with children fo
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on Friday, November 08 2013
in General Info

If your kids are sick in the evening or on a weekend, check out Urgent Care for Kids. This is an after hours urgent care clinic specifically for children.

URGENT CARE FOR KIDS urgentcare

1640 Lake Woodlands
The Woodlands, TX 77380
281-367-0010
3pm-10pm Mon-Fri
9am-9pm Sat-Sun
www.urgentcarekids.com

 

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Puberty

Posted by Shelly
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on Thursday, November 07 2013
in Teen Info

Your daughter is asking about getting her first bra, and your son comes home from soccer practice smelling like he's been digging on a road crew all day. What's going on? Welcome to puberty, the time when kids sprout up & fill out. Pubertal changes usually happen between ages 10 and 14 for girls and ages 12 and 16 for boys.

  • In females:
    • The first sign of puberty is usually breast development.
    • Other signs are the growth of hair in the pubic area and armpits, and acne.
    • Menstruation (or a period) usually happens last, about 1-2 yrs after breast development begins.
  • In males:
    • Puberty usually begins with the testicles and penis getting bigger.
    • Then hair grows in the pubic area and armpits.
    • Muscles grow, the voice deepens, and acne and facial hair develop as puberty continues.

Just as those hormones change the way the body looks on the outside, they also create changes on the inside. During puberty, kids might feel confused or have strong emotions that they have never had before. Kids might feel overly sensitive or become upset easily. Some kids lose their tempers more often and get angry with their friends or families. They also may feel anxious about how their changing body looks. Sometimes it can be hard to deal with all these new emotions. It's important to know that the your body is adjusting to the new hormones, so is the mind. You can remind your child that people usually aren't trying to hurt their feelings or upset them on purpose. It might not be the family or friends — it might be your new "puberty brain" trying to adjust.

For more info check out this link. http://kidshealth.org/parent/growth/growing/understanding_puberty.html

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Over the Counter Meds- What is What?

Posted by Shelly
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on Wednesday, November 06 2013
in Info on illnesses

With so many medications available over the counter (OTC) how do you tell what is what?  Many parents have a hard time making sense of it all.  Below is a breakdown of the common ingredients & classes of OTC meds and what they are used for.

Fever Reducers/ Pain Relievers – These medications work to reduce fever and treat pain.

Antihistamines –Antihistamines counteract the effects of histamine, a chemical released by the body during allergic reactions.  They can make people sleepy, but many infants and children sometimes become irritable after taking antihistamines.  Diphenhydramine, Brompheniramine, & Chlorpheniramine are common OTC antihistamines.

Decongestants - Decongestants are the medications that treat stuffy, congested noses.   It's important to note that decongestants do not relieve a runny or itchy nose.  Decongestants can make some children irritable.  Pseudoephedrine and Phenylepherine are common OTC decongestants.

Cough suppressant - Cough suppressants are intended to decrease coughing by acting on the brain to suppress the urge to cough.  Dextromethorphan is a common OTC cough medicine.

Expectorants – Expectorants thin mucus and make it easier to cough up.

Many cold, cough, and allergy products are a mixture of 2 of the above medications.  When choosing a cold medication for your child, remember…

  • For infants and children under age 4, use a cool mist humidifier in their room, normal saline & nasal suctioning as needed.
  • Cold medications are not recommended for children under age 4.
  • Children may have reactions to medications that alter their temperament.
  • Select meds that treat the symptoms that your older child is having.

If you have questions about medication dosing, visit our the “Resources” section of our website www.totdoc.com

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Happy Halloween!

Posted by Shelly
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on Thursday, October 31 2013
in General Info

Have a safe and Happy Halloween from all of us!!!

20131031_102851

 

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Vomiting and Diarrhea

Posted by Shelly
Shelly
Shelly Nalbone is a Pediatric Nurse Practitioner who has worked with children fo
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on Wednesday, October 30 2013
in Info on illnesses
Vomiting can be caused by many things. Most of the time, vomiting in children is caused by gastroenteritis, usually due to a virus infecting the gastrointestinal tract.  Gastroenteritis or stomach virus can also cause nausea and diarrhea.  Vomiting and diarrhea usually do not last more than a few days.   Oral rehydration is something parents can do at home to help prevent dehydration or treat mild cases of illness.
Here are some tips:
  • Offer your child small amounts of oral electrolyte solution frequently.  We recommend giving about ½ to 1 ounce every 20-30 minutes.  If you offer too much, too soon, it will upset your child’s stomach and they can vomit.  Frozen oral electrolyte solution popsicles are also a good choice for children.
  • Once your child can keep this amount down for about an hour, you can gradually increase the amount of solution you're giving.
  • After your child goes for about 6-8 hours without vomiting, you can begin to reintroduce formula and/or solid foods slowly.
  • If your infant is exclusively breastfeeding and vomits (not just spits up, but vomits what seems like the entire feeding) more than once, then you can decrease the amount of time that you breastfeed by half.  You should offer feedings more frequently than usual.  (For example, feed for a total of 5-10 minutes every 2 hours)   After about 6- 8 hours without vomiting, you can resume breastfeeding normally.
  • For older children (over age 2) appropriate clear liquids include:  : ice chips or sips of water,  oral electrolyte solutions, frozen oral electrolyte solution pops, Gatorade/powerade, and Ginger Ale/7-up/Sprite.
Signs of dehydration:
  • Fewer than 4 wet diapers/day in infants or no urination for 6-8 hours.  Children should urinate at least once every 6-8 hours.
  • Dry mouth that looks sticky inside
  • Few or no tears when crying
  • Fussy behavior in infants
  • The soft spot on an infant's head that looks flatter than usual or somewhat sunken
  • Sunken eyes
  • Appears weak or limp
Vomiting due to gastroenteritis can spread to others, so your child should stay home from school or childcare until there's been no vomiting for at least 24 hours. And remember that hand washing is the best way to protect your family against many infections.
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Head Injuries

Posted by Shelly
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Shelly Nalbone is a Pediatric Nurse Practitioner who has worked with children fo
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on Wednesday, October 23 2013
in Info on illnesses

Recently there has been a lot of media attention given to head injuries in pre-teen and teen athletes.  Schools, HealthCare providers, & Coaches all have a heightened awareness about this dangerous condition.  As a parent, what do I need to know?

A concussion is a form of mild brain injury that can occur after a blow to the head, such as a fall, but is most commonly associated with hits to the head during sports.  After the hit or blow to the head, a child with a concussion may lose consciousness, may forget things that happened before or after the injury (amnesia), could have a seizure, or could have one or more of the classic concussion symptoms described below.

•Physical symptoms - headaches, nausea, fatigue, visual problems, balance problems, sensitivity to light or noise, numbness and tingling, vomiting, dizziness

•Mental (thinking) symptoms - feeling mentally foggy, having problems concentrating or remembering, feeling slowed down

•Emotional symptoms - irritability, sadness, nervousness, or simply feeling more emotional

•Symptoms that affect sleep - drowsiness, sleeping more or less than usual, or having trouble falling asleep

More severe "red flag" symptoms that might indicate your child needs immediate medical attention might include a worsening headache, seizures, repeated vomiting, increasing confusion, or unusual changes in behavior, etc.

Parents, teachers, coaches, trainers, and a child who has had a concussion should be aware of all of these possible symptoms as he or she returns to school and sporting activities and should understand the importance of reporting all symptoms.  Experts now recommend a six-step gradual return to play plan for kids who have a concussion, with athletes moving to the next stage only if they remain free of all concussion symptoms.  Using this plan, the earliest a player with a concussion would be back in a normal game would be six days.

These return to play guidelines includes:

1. No activity - a recovery stage with complete physical and cognitive rest. This means no exercise or sports, but can also mean not going to school, or having a shortened day. This is a time to get lots of rest, get plenty of sleep, and eat well.

2. Light aerobic exercise to increase their heart rate (keep to less than 70% of maximum predicted heart rate), including walking, light jogging, swimming, or stationary cycling, but no resistance training.

3. Sport-specific exercise to add movement, such as skating drills or running drills, moderate jogging, brief running, moderate-intensity stationary cycling, but no head impact activities.

 4. Non-contact training drills to raise exercise, coordination, and cognitive load, including progression to more complex training drills and resistance training, sprinting and running, high-intensity stationary cycling.

5. Full contact practice to restore confidence and assess functional skills and following medical clearance may participate in normal training activities

6. Return to play

Keep in mind that you shouldn't move to the next stage until you are symptom free, which can keep some kids in the "no activity" stage for several days or longer.  And if the athlete develops symptoms while doing any of the stages, they should drop back to the previous stage and try again. Concussion symptoms should not come back during or after any of the exercises or activities during these return to play stages.

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Tips for a Safe and Fun Halloween

Posted by Shelly
Shelly
Shelly Nalbone is a Pediatric Nurse Practitioner who has worked with children fo
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on Thursday, October 10 2013
in General Info

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Halloween is an exciting time of year for kids, and to help ensure they have a safe holiday, here are some tips from the American Academy of Pediatrics (AAP).

ALL DRESSED UP:

  • Plan costumes that are bright and reflective. Make sure that shoes fit well and that costumes are short enough to prevent tripping, entanglement or contact with flame.
  • Consider adding reflective tape or striping to costumes and Trick-or-Treat bags for greater visibility.
  • Because masks can limit or block eyesight, consider non-toxic makeup and decorative hats as safer alternatives. Hats should fit properly to prevent them from sliding over eyes.
  • When shopping for costumes, wigs and accessories look for and purchase those with a label clearly indicating they are flame resistant.
  • If a sword, cane, or stick is a part of your child's costume, make sure it is not sharp or too long. A child may be easily hurt by these accessories if he stumbles or trips.
  • Obtain flashlights with fresh batteries for all children and their escorts.
  • Do not use decorative contact lenses without an eye examination and a prescription from an eye care professional. While the packaging on decorative lenses will often make claims such as “one size fits all,” or “no need to see an eye specialist,” obtaining decorative contact lenses without a prescription is both dangerous and illegal. This can cause pain, inflammation, and serious eye disorders and infections, which may lead to permanent vision loss.
  • Teach children how to call 9-1-1 (or their local emergency number) if they have an emergency or become lost.

CARVING A NICHE:

  • Small children should never carve pumpkins. Children can draw a face with markers.  Then parents can do the cutting.
  • Consider using a flashlight or glow stick instead of a candle to light your pumpkin. If you do use a candle, a votive candle is safest.
  • Candlelit pumpkins should be placed on a sturdy table, away from curtains and other flammable objects, and should never be left unattended.

HOME SAFE HOME:

  • To keep homes safe for visiting trick-or-treaters, parents should remove from the porch and front yard anything a child could trip over such as garden hoses, toys, bikes and lawn decorations.
  • Parents should check outdoor lights and replace burned-out bulbs.
  • Wet leaves should be swept from sidewalks and steps.
  • Restrain pets so they do not inadvertently jump on or bite a trick-or-treater.

ON THE TRICK-OR-TREAT TRAIL:

  • A parent or responsible adult should always accompany young children on their neighborhood rounds.
  • If your older children are going alone, plan and review the route that is acceptable to you. Agree on a specific time when they should return home.
  • Only go to homes with a porch light on and never enter a home or car for a treat.
  • Because pedestrian injuries are the most common injuries to children on Halloween, remind Trick-or Treaters:
  • Stay in a group and communicate where they will be going.
  • Carry a cell phone for quick communication.
  • Remain on well-lit streets and always use the sidewalk.
  • If no sidewalk is available, walk at the far edge of the roadway facing traffic.
  • Never cut across yards.
  • Only cross the street as a group in established crosswalks (as recognized by local custom). Never cross between parked cars or out driveways.
  • Don't assume the right of way. Motorists may have trouble seeing Trick-or-Treaters. Just because one car stops, doesn't mean others will!
  • Law enforcement authorities should be notified immediately of any suspicious or unlawful activity.

HEALTHY HALLOWEEN:

  • A good meal prior to parties and trick-or-treating will discourage youngsters from filling up on Halloween treats.
  • Consider purchasing non-food treats for those who visit your home, such as coloring books or pens and pencils.
  • Wait until children are home to sort and check treats. Though tampering is rare, a responsible adult should closely examine all treats and throw away any spoiled, unwrapped or suspicious items.
  • Try to ration treats for the days following Halloween.

HAVE FUN!!

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Encouraging Kids to Eat Healthy

Posted by Shelly
Shelly
Shelly Nalbone is a Pediatric Nurse Practitioner who has worked with children fo
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on Monday, October 07 2013
in Parenting Tips

Many parents struggle with getting sufficient fruits and veggies in their child's diet.  Here are some ways to try to increase fruit and vegetable intake in kids.

kids_frugal_food1

  • Play with your food:  Serve fun and colorful appetizers such as carrots, cucumbers, and red or yellow bell peppers. Let kids dip there veggies in ranch or hummus.  Don’t be afraid to have a little fun making designs or shapes with food.
  • Open a restaurant:  Let your child help plan the meal, shop for the ingredients, prepare and serve the meal.  Kids love to measure and stir so get them involved in the kitchen.  If they spent the time preparing the food, they are more likely to try it.
  • Travel the World:  Be adventurous and cook around the world.  Have your child choose a country or location and find recipes for common foods for that location and start cooking.  This is a great way to introduce your child to different flavors and cultures of the world.  You can have your kids tell family member something interesting about the country.  This is great dinnertime conversation and a fun learning experience.
  • Be a Scientist or Engineer:  Kids usually love gadgets and science.  Teach kids how things work in the kitchen.  Make a fruit and yogurt smoothie while teaching them how the blender purees fruits.  You can also weave a science lesson in and discuss how a fruit is changing from a solid to a liquid.  Always incorporate a safety lesson too!
  • Play the Name Game:  Help kids create fun names for veggies.  If your child does not like carrots, he may like dressing up as superman for dinner and eating “x-ray vision carrots” or “power punch broccoli”.  Your little princess may love the “Princess peas”, “Beauty and the Beast beans, or “Snow White spinach”.
  • Be a Farmer:  Set up a garden and grow some veggies.  Kids will enjoy planting the seeds or plants, and watching them grow.

These are just a few ways to encourage your kids to eat healthy.  If you have an idea, share it with us.

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Flu

Posted by Shelly
Shelly
Shelly Nalbone is a Pediatric Nurse Practitioner who has worked with children fo
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on Thursday, October 03 2013
in Info on illnesses

The flu is caused by a virus and usually occurs from October through May.  The rates of infection are highest among children, and flu symptoms can last a week or longer. For most people, the flu can cause fever, cough, sore throat, headache, chills, muscle aches, and fatigue.  Some people can get much sicker, and can develop symptoms such as high fever or pneumonia. On average, about 36,000 people die each year from influenza.  Because influenza viruses are always changing, scientists work every year to match the viruses in the vaccine to those most likely to cause flu that year.

The Centers for Disease Control and Prevention (CDC) recommends a yearly flu (influenza) vaccine for all children 6 months and older, given as soon as the vaccine is available each year.   To allow adequate time for production of protective antibody levels, vaccination should occur before the onset of influenza activity in the community and should be offered throughout the influenza season.

Depending on your child's age, you might be able to choose between a flu shot and the nasal spray vaccine:

  • Flu shot: Flu shots can be given to children 6 months and older.
  • Nasal spray:  The nasal spray flu vaccine (FluMist) can be given to children 2 years and older.

 

Information for this post was obtained from the following sources:  American Academy of Pediatrics, American Academy of Family Practice, and The Centers for Disease Control and Prevention.

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Strep Throat

Posted by Shelly
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Shelly Nalbone is a Pediatric Nurse Practitioner who has worked with children fo
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on Monday, September 30 2013
in Info on illnesses

Strep throat is a bacterial throat infection that can make your throat feel sore and scratchy. Compared with a viral throat infection, strep throat symptoms are generally more severe. 

In general, signs and symptoms of strep throat include:

  • Throat pain
  • Difficulty swallowing
  • Red and swollen tonsils, sometimes with white patches or streaks of pus
  • Tiny red spots on the soft or hard palate — the area at the back of the roof of the mouth
  • Swollen, tender lymph glands (nodes) in your neck
  • Fever
  • Headache
  • Rash
  • Stomachache and sometimes vomiting, especially in younger children

It's possible for your child to have many of these signs and symptoms, but not have strep throat. The cause of these signs and symptoms could be a viral infection or some other kind of illness. That's why there are tests specifically for strep throat

If your child has any of these symptoms, call the office for an appointment.

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Roseola

Posted by Shelly
Shelly
Shelly Nalbone is a Pediatric Nurse Practitioner who has worked with children fo
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on Thursday, September 26 2013
in Info on illnesses

Roseola is a mild illness caused by a virus. It is generally harmless and is most common in children 6 months to 2 years of age.   The virus is spread through tiny droplets of fluid from the nose and throat of infected people when they laugh, talk, sneeze, or cough.   Roseola often starts with a sudden high fever that lasts 2 to 3 days, although it can last up to 8 days. The rapid increase in temperature may be the first sign of roseola and often occurs before you realize that your child has a fever. The fever ends suddenly.   After the fever ends, a rosy-pink rash may appear mostly on the trunk (torso), neck, and arms. The rash is not itchy and may last a few days.   A child with roseola may appear fussy or irritable and may have a decreased appetite, but most children behave almost normally.

If your child has roseola, keep him or her at home until there has been no fever for 24 hours and he or she is feeling better.   Roseola does not usually require medical treatment and will go away in a few days. 

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Yay Crystal!!

Posted by Shelly
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Shelly Nalbone is a Pediatric Nurse Practitioner who has worked with children fo
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on Monday, September 23 2013
in General Info
Congratulations to Crystal (front office staff) on the birth of her baby. Welcome to the world Saige!! Crystal, we will miss you while you are on maternity leave.
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2 years of our Blog

Posted by Shelly
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Shelly Nalbone is a Pediatric Nurse Practitioner who has worked with children fo
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on Monday, September 16 2013
in General Info

It has been 2 years since we started our Blog "All About Everything and Then Some".  Our blog  highlights frequently asked questions, common topics in pediatrics, illness, growth and development, and even kid friendly recipes.  Subscribe to our blog feed by clicking on the subscribe to feed link in each blog post.  Comment on posts or email us and tell us what you think or what you would like to see!  Thanks to everyone for reading and keep those ideas coming.

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Cauliflower Bread Sticks

Posted by Shelly
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Shelly Nalbone is a Pediatric Nurse Practitioner who has worked with children fo
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on Monday, September 16 2013
in Recipes

Here is a good recipe to try.

  • 1 large head of cauliflower
  • 2 cloves garlic, grated or minced
  • 2 large eggs, lightly beaten
  • 4 oz low fat mozzarella cheese
  • 1/2 teaspoon onion powder
  • salt 
  • pepper
  •  
    • Preheat oven to 450 degrees.
    • Chop the cauliflower into chunks and place into microwave for about 5 minutes or until soft
    • Place the cauliflower into a food processor and blend until it's a mashed potato texture
    • In a medium bowl, stir together cauliflower, eggs,cheese, and seasonings
    • Lightly spray a baking pan with spray oil and coat with the mixture (about 1/2 inch thick)
    • Bake at 450 degrees for 20-25 minutes or until the top starts to brown
    • Add additional cheese to the top and enjoy!
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    Pertussis

    Posted by Shelly
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    Shelly Nalbone is a Pediatric Nurse Practitioner who has worked with children fo
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    on Thursday, September 12 2013
    in Info on illnesses

    Pertussis is a very contagious disease spread through aerosolized droplets from person to person. People with pertussis usually spread the disease by coughing or sneezing while in close contact with others, who then breathe in the pertussis bacteria.  Pertussis (whooping cough) can cause serious illness in infants, children and adults. The disease usually starts with cold-like symptoms and maybe a mild cough or fever. After 1 to 2 weeks, severe coughing can begin. Unlike the common cold, pertussis can become a series of coughing fits that continues for weeks.  In infants, the cough can be minimal or not even there. Infants may have a symptom known as "apnea." Apnea is a pause in the child’s breathing pattern. Pertussis is most dangerous for babies. More than half of infants younger than 1 year of age who get the disease must be hospitalized.  Pertussis can cause violent and rapid coughing, over and over, until the air is gone from the lungs and you are forced to inhale with a loud "whooping" sound. This extreme coughing can cause you to throw up and be very tired. The "whoop" is often not there and the infection is generally milder (less severe) in teens and adults, especially those who have been vaccinated.

    Early symptoms can last for 1 to 2 weeks and usually include:

    • Runny nose
    • Low-grade fever (generally minimal throughout the course of the disease)
    • Mild, occasional cough
    • Apnea – a pause in breathing (in infants)

    As of 9/10/2013, there were 2,160 pertussis cases reported in Texas.  The best way to prevent pertussis (whooping cough) among infants, children, teens, and adults is to get vaccinated.

    If your child is not vaccinated, call the office to schedule an appointment.

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    Crispy Zucchini Chips

    Posted by Shelly
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    on Thursday, September 12 2013
    in Recipes

    Crispy Zucchini Chips

    1/4 cup  dry breadcrumbs 

    1/4 cup  (1 ounce) grated fresh Parmesan cheese 

    1/4 teaspoon  seasoned salt 

    1/4 teaspoon  garlic powder 

    1/8 teaspoon  freshly ground black pepper 

    2 tablespoons  fat-free milk 

    2 1/2 cups  (1/4-inch-thick) slices zucchini (about 2 small) 

     Cooking spray 

    Preheat oven to 425°.

    Combine first 5 ingredients in a medium bowl, stirring with a whisk. Place milk in a shallow bowl. Dip zucchini slices in milk, and dredge in breadcrumb mixture. Place coated slices on an ovenproof wire rack coated with cooking spray; place rack on a baking sheet. Bake at 425° for 30 minutes or until browned and crisp. Serve immediately

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    Measles

    Posted by Shelly
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    on Thursday, September 12 2013
    in Info on illnesses

    Measles, once a common childhood infection that killed up to 500 Americans a year.  Measles was declared eliminated in the U.S.  But in recent years, the highly infectious disease has cropped up in communities with low vaccination rates.  There is currently a measles outbreak occurring in North Texas and there was a confirmed case of measles in the Woodlands this summer.  Measles is so contagious that if one person has it, 90% of the people close to that person, who are not immune, will also become infected with the measles virus. The virus lives in the mucus in the nose and throat of the infected person. When that person sneezes or coughs, droplets spray into the air and can infect people around him.

    A typical case of measles begins with mild to moderate fever, cough, runny nose, red eyes, and sore throat. Two or three days after symptoms begin, tiny white spots (Koplik’s spots) may appear inside the mouth. Three to five days after the start of symptoms, a red or reddish-brown rash appears. The rash usually begins on a person’s face at the hairline and spreads downward to the neck, trunk, arms, legs, and feet. When the rash appears, a person’s fever may spike to more than 104 degrees Fahrenheit.

    Immunization is the only way to prevent measles.  If your child is not fully vaccinated, please call the office to schedule an appointment. 

    Information for this post was obtained from the Texas Department of State Health Services

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    Yay Audra!!!

    Posted by Shelly
    Shelly
    Shelly Nalbone is a Pediatric Nurse Practitioner who has worked with children fo
    User is currently offline
    on Tuesday, September 10 2013
    in General Info
    Congratulations to Audra (back office nursing staff) on the birth of her baby. Welcome to the world Logan!! We will miss you while you are on maternity leave.
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    The Flu is Here!

    Posted by Shelly
    Shelly
    Shelly Nalbone is a Pediatric Nurse Practitioner who has worked with children fo
    User is currently offline
    on Tuesday, September 10 2013
    in Info on illnesses

    There have already been confirmed cases of the flu in the area.  Here is some info on the influenza virus. 

    Influenza, or the flu, is a very common illness that is caused by the influenza virus, which strikes most commonly in the winter.  Although children get more mild flu infections than adults, rates of flu are much higher among children. Flu symptoms usually develop 2-3 days (incubation period) after coming in contact with someone else who is sick with the flu.

    The most common symptoms of the flu are the sudden onset of a runny nose, nasal congestion, sore throat from post nasal drip, cough, fever, which can be either low grade or very high, chills, muscle aches and pains, fatigue, headache, nausea, decreased appetite, vomiting, diarrhea and abdominal pain. Symptoms usually worsen over the next 3-5 days, and then gradually improve over the next few days without treatments.

    Although antibiotics do not work against the flu, there are some things you can do to make your child more comfortable as he recovers, including bedrest, plenty of fluids, a pain and or fever reliever, or use of a humidifier.

    Remember that since the flu is caused by a virus, your child will not need an antibiotic as treatment to get better. Antibiotics do not kill the flu virus. There are some antiviral medicines that may help your child get better quicker if they are started within 48 hours of the first signs of illness.

    Since the flu is spread by coming into contact with the secretions of someone who is already infected, the best way to not get the flu is to teach your children to wash their hands often, especially before eating and after using the bathroom, to not share cups or glasses, and to cover their mouth and nose when they cough or sneeze. Also wash toys and other objects and surfaces after someone with the flu (or any other infection) touches them.

    www.keepkidshealthy.com

    Call the office to schedule an appointment to get your child vaccinated for the flu.

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