A flood of (mis)information: parenting in the digital age

photo by Heath Brandon

These days, when we have a question or doubt about our health or our child (or about anything really), our first thought is not likely to get out a book, or make a phone call. It is to search the web.  The internet brings answers to our questions within a few seconds.  This is an amazing thing- patients bring questions to clinic about things they have read, the patient/physician relationship becomes less paternalistic, e-patient communities are formed.  Patients and health care providers are more well-informed and empowered.

But what happens when the information we find is not correct? Continue reading

One bad burger: Is it food poisoning?

Staph aureus: Cool to look at. . . not so cool to have.

Recently I’ve taken care of a few kids who came into the clinic with vomiting that suspiciously started soon after eating a hamburger (two at school and one at a fast food restaurant).  Is this food poisoning or a routine viral infection?  What is “food poisoning” and what causes it?  What should parents do if they suspect their child has food poisoning?  Read on to find out. Continue reading

Feeding Toddlers, Part Two: The Picky Crowd

Photo by Martin Cathrae

After a lovely holiday hiatus, I am back, as promised, with part two in the series on feeding toddlers.  Today I’ll focus on kids who are choosy.  For this post I lean on professional experience.  We have no shortage of patients in our practice whom one could describe as “picky eaters” or who are sometimes diagnosed with “feeding problems”.  I have trouble with the diagnosis “feeding problems or mismanagement”, as it comes up in our electronic medical record.  Why?  Well, and this hopefully serves as a bit of comfort, toddlers who are picky eaters are pretty much the norm.  It is, in fact, an expected developmental stage.  If you have a toddler who refuses dinner, but then begs for chicken nuggets, this post is for you.  If you have a toddler who only takes two bites at each meal, and then runs off to play, this is for you.  If your child seems to refuse all vegies, this is for you.  If, on the other hand, you have a child with true “failure to thrive” or difficulty gaining weight and growing well, please consult with your pediatrician, as I won’t be addressing those problems here. Continue reading

Feeding Toddlers, Part One: The Cheese Stands Alone

Photo by Christian Bauer

Our son has always loved to eat.  In the hospital after he was born, the lactation consultant called him the “barracuda” breastfeeder.  He ate vigorously and often.  While this made for some sleepless nights, it also meant we didn’t have to worry too much about early weight gain, which I was initially concerned about as a first time mom.

As a 21 month old he still loves to eat.  We haven’t found much that he doesn’t like, but he’s definitely starting to have favorites.  Early on my prescient husband nicknamed him “ratón” (spanish for little mouse), a name all too fitting as cheese now seems to stand alone at the top of the list of favorites for our little guy.  He recently has taken to standing in front of the refrigerator saying “cheese, cheese, cheese” and, if that doesn’t work he’ll switch to “queso, queso, queso”.    Perhaps this has something to do with being half-Wisconsinite.  We do love our cheese. Continue reading

Step Away from the Cell Phone

It happened again three times in clinic today.  In the middle of a patient visit, a parent picked up their cell phone.  To answer a call, to text a friend, to read their email.  The trend of being always connected and available has reached the exam room.  When this first started happening I was sort of incredulous.  I mean, I’m there, talking to you about your child’s health, and you’re taking a call? 

Then something interesting happened. I got a smart phone, and I started to get more connected myself.  I downloaded a few apps.  And, it was great.  I could read my email or the newspaper anytime.  I could use the phone during a clinic visit to check a drug dose or potential side effect.  Eventually, and here’s the confession part, I found myself start to be sort of drawn to the phone.  I pull it out while waiting in line at the post office.  I take it out of my pocket at work to use the calculator and suddenly find that my email is open and I am reading it.  This seems to happen as if all on its own. I have to close it, remember what I was doing, and move on.  I even sometimes have to consciously stop myself from grabbing the phone while driving.

Continue reading