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StethoScoop: Medical Musings from Kids First Providers

Kids First Podcast: Toddler Discipline

If you’ve raised a toddler you know how difficult it can be navigating their mood swings, temper tantrums, and temperaments. In this week’s episode of the Kids First pediatric podcast, Pediatric Nurse Practitioner Karen Gentile sits down with Pediatrician Cathy DiVincenzo, MD to discuss discipline techniques. Dr. DiVincenzo has 20 years of experience as a pediatrician and also raised triplets! She often lectures on the topic of discipline in our community and offers expert advice on how to tackle this difficult stage in parenting. In this episode we discuss time-outs, time-ins, spanking, redirecting, speaking to your children, and the best techniques to avoid the dreaded public meltdown! 

Resources:

https://www.healthychildren.org/English/family-life/family-dynamics/communication-discipline/Pages/Disciplining-Your-Child.aspx

Books:

Toddler 411, by Denise Fields and Ari Brown, MD

Happiest Toddler on the Block, by Harvey Karp, MD

Parenting with Love and Logic, by Foster Cline, MD and Jim Fay

1-2-3 Magic: 3-Step Discipline for Calm, Effective, and Happy Parenting, by Thomas Phelan, PhD

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Kids First Podcast: Anxiety

On this special episode, Nurse Practitioner Karen Gentile is joined by Licensed Clinical Psychologist Dr. Denise Gardner, PhD to discuss anxiety in children. The topics we touch upon include:

  • The difference between every day stress and clinical anxiety
  • The prevalence of anxiety in children
  • How anxiety develops
  • Common co-occurring disorders such as depression, ADHD, eating disorders
  • Common emotional and physical manifestations of anxiety
  • Preventing anxiety
  • How parents can help the child manage anxiety
  • When should we consider seeking therapy for my child
  • How can therapy help my child

Parents interested in scheduling therapy with Dr. Gardner or learning more about PCPA can find this information on http://www.pcpachicago.com

Additional resources:
– Book recommendation: What to do when you worry too much (Huebner; ages 6-12; workbook for parents and children)
– Apps – Head Space, Calm, Breathe2Relax
– Websites: Anxiety Disorders Association of America (adaa.org)

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Developmental Milestones

Pediatric Nurse Practitioner Karen Gentile reviews developmental milestones for each new stage of your child’s growth starting at two months through ages five years of life. Learn what to expect your child should be doing with social/emotional development, language/communication development, cognitive development, and physical development. Karen reviews when you should talk to your pediatrician or nurse practitioner if your child is not meeting certain milestones.

Resources: 

https://www.cdc.gov/ncbddd/actearly/milestones/index.html

https://brightfutures.aap.org/Bright%20Futures%20Documents/BF4_POCKETGUIDE.pdf

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Hand, Foot, and Mouth Disease

Previously recorded in 2018: Hand, Foot, and Mouth disease has been very prevalent in our community this year so Nurse Practitioners Karen Gentile and Jean Russo discuss this common virus also known as the coxsackie virus.  The following topics are discussed in this episode:

  • Differences between Hand, Foot, and Mouth disease vs. Herpangina- both of which are caused by the Coxsackie Virus
  • Signs and symptoms of the Coxsackie Virus
  • What age group does it affect?
  • Clinical presentation
  • Incubation period
  • When are children contagious?
  • How is Coxsackie Virus transmitted?
  • How can we prevent Coxsackie Virus?
  • When can children can return to school
  • Sequelae of coxsackie virus- peeling of the hands and feet, nail matrix arrest
  • Complications of the virus-> Dehydration
  • Adequate pain control & hydration as the treatment method
  • Can sometimes affect adults

More information can be found at: healthychildren.org

https://www.healthychildren.org/English/health-issues/conditions/infections/Pages/Hand-Foot-and-Mouth-Disease.aspx

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The Immune System & Fevers

Special guest Dr. Karina Gobin, a Board Certified Allergist and Immunologist, joins Pediatric Nurse Practitioner Karen Gentile to discuss our children’s immune system! In this episode we will cover:

  • How many illnesses are expected per year/month
  • When do we need to worry about fever
  • When should we consider an immune deficiency
  • Why we get fevers after vaccinations
  • How to “boost” the immune systems and whether vitamins are recommended
  • Special precautions to protect our newborns fragile immune system, especially when considering travel

Dr. Gobin can be found at Allergy, Sinus, & Asthma Professionals

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Safe Infant Sleep Practices- Product Recalls and SIDS reduction

In this episode of the Kids First pediatric podcast, Chicago-area Pediatric Nurse Practitioner Karen Gentile discusses the recent recall of the Fisher-Price Rock ‘n Play Sleeper and how to get a refund if you own the product.  

Additionally Karen reviews the recent journal article in the May 2019 publication of Pediatrics that discussed recent findings on sleep-related infant suffocation deaths. Karen will summarize how to keep your newborn baby safe while sleeping and how to prevent sudden infant death syndrome and suffocation. 

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Kids First Podcast: Food and Drug Allergies

On this week’s pediatric podcast, Dr. Karina Gobin, a Board Certified Allergist and Immunologist, joins Pediatric Nurse Practitioner Karen Gentile to talk about food and drug allergies in kids. In this episode Dr. Gobin discusses some of the signs and symptoms of food allergies, the age of presentation, and how food allergy testing is performed. Dr. Gobin reviews the most common allergic foods and how food allergies are managed. In the second half of the episode we discuss drug allergies: the signs and symptoms of a drug allergy, if testing for drug allergies is a possibility, and how we manage drug allergies.  

Dr. Gobin can be found at Allergy, Sinus, & Asthma Professionals

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Kids First Podcast: Exercise and Weight Training for Kids






In this episode Pediatric Nurse Practitioner Karen Gentile discusses safe forms of exercise for children and how the AAP views weight training. We also discuss exercise safety and observing for red flags.

Resource:

www.healthychildren.org

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Kids First Podcast: Environmental Allergies






Dr. Karina Gobin, a Board Certified Allergist and Immunologist, joins Pediatric Nurse Practitioner Karen Gentile to talk about environmental allergies.  In this episode she discusses the difference between indoor and outdoor allergies and when to expect each of these to strike.  The presenting symptoms of environmental allergies are reviewed and here’s a hint…it’s itchy!  We review when allergy testing should be considered and how allergy testing is performed.  Dr. Gobin recommends over the counter antihistamine to trial as a first line treatment for seasonal allergies as well as other allergy control options.

You can find Dr. Gobin at www.asapillinois.com

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Kids First Podcast: Public Tantrums






In this episode Pediatric Nurse Practitioner Karen Gentile provides a quick pediatric pearl on how to hand the dreaded public tantrum! Karen provides quick tips on how to handle the situation and create boundaries for future conflicts.

References for this podcast include Toddler 411 by Denise Fields and Ari Brown and 123 Magic.

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