Dogs & Pups—Safety in Summer Time

There are close to 5 million dog bites each year in the United States (!!!!) with 800,000 requiring medical care; half of those are children. Dog bites are most frequent in summer months, likely because children are outdoors more often and playing in environments where dogs are present (parks, beaches, etc). Also, dogs themselves can have moods—and hot weather may lead to increased agitation and aggression, So, however cute and adorable doggies are, there are also important safety considerations—and summer is a great time for us to explore safety around doggies on the One Sassy Doctor blog. Here are some interesting facts and tips!

Realities of Water Safety

Water is fun! There’s a whole lot of developmental exploration and play that takes place in a bathtub or swimming pool. As we all know, however, water and safety are two words that go back to back.
As we’d expect, babies who are under 12 months of age are most likely to drown in a bathtub, toilet or a bucket. Babies can drown in just a teeny bit of water and can happen in seconds.

Drowning is the second cause of unintentional injury-related death among children between the ages of 1 and 14 (2005-U.S. Centers for Disease Control). In 2005, drowning accounted for 30% of unintentional deaths in children ages 1 to 4 years old. In University of Chicago economist Dr. Steven Levitt’s book “Freakonomics: A Rogue Economist Explores the Hidden Side of Everything”, the professor says that children are 100 times more likely to die in a given year from swimming pool accidents than gun accidents.

How to Protect Babies from Overheating

Over-bundled babies concern me more than babies who may be a little bit “chilly”—overheating can lead to unnecessary fever evaluations (checking blood, urine and spinal fluid) because of elevated body temperature as well as serious medical issues. In fact, over bundling and excessive overheating is a risk factor for unexpected infant death. Summer is a time to think about the appropriate amount of clothing for babies and toddlers.

Signs of Overheating in Babies & Toddlers

Summer is a time to learn the signs of overheating (also known as heat stroke). It doesn't take much to offset overheating, and it’s an important issue for parents to be aware of. Heat-related illness results in many children being admitted to emergency departments each year and also is a cause of infant and child mortality. This can happen in babies, toddlers and parents—and the symptoms are actually quite similar. In our next post we will explore some easy ways to avoid overheating—today we will share some tips on recognizing overheating or heat stroke:

How to Choose and Use Sunscreen

When my now 5 and 9 year old twins were young, sun screen before 6 months was a huge no-no —now the American Academy of Pediatrics is recommending sunscreen for infants under 6 months because the risk of skin cancer outweighs the concern over possible irritation of the skin. According to the American Academy of Pediatrics:

“For babies younger than 6 months, use sunscreen on small areas of the body, such as the face and the backs of the hands, if protective clothing and shade are not available”

Sun Protection in Infants & Toddlers—The Evidence: Part One

It is widely known that sun exposure is closely linked to skin cancer in adults. What about babies and toddlers? With information being relayed to parents about the importance of sun exposure for small babies with elevated bilirubin, and for the Vitamin D required for healthy growing bones, it can be confusing. How much sun is healthy and okay? What are the true risks of sun exposure in young children?

In the next two postings on One Sassy Doctor, we’ll review the fantastic research article from the 2011 Dr. Amy Paller published in the journal Pediatrics: "New Insights About Infant and Toddler Skin: Implications for Sun Protection." There is tremendous evidence support from research linking excessive sun exposure in the baby and toddler years to skin cancer later in life. Some interesting facts:

Healthy Bodies—Stay Active!

Positive Modeling & Promotion of Healthy Bodies – A Four Part Series with Pediatric Obesity Specialist Dr. Dyan Hes

Part Three—Stay Active!

In our last installment of this four part series with Dr. Dyan Hes, we learned about portion control and how to model this for children starting from the time they are babies. Today, we’ll focus on being active!

Dr. Jen: Parenting is so... tiring! Dr. Hes, how do you suggest parents of young children model exercise and even get kids moving the appropriate amount?

When In Doubt, Get Out!

This is our #1 family motto in the Canter house. When those winter days are getting to you, get out of the house! When it is spring or fall, and you can take a leisurely stroll, do it! When it’s summer and you can get into some safe water play, or have a social interaction with friends/family outdoors, motivate. I am a big believer in getting outdoors—for your own enjoyment and to set an example of healthy lifestyle.

Playground Safety: Dr. Jen's Take on the New York Times Piece

A repost from www.playthisway.com.

As a pediatrician with a sub-specialty in child abuse, and a mother of two sets of twins, I read the New York Times article Can a Playground Be Too Safe? with significant concern. In this piece, John Tierney explains the history of New York City’s playgrounds and safety. Specifically, regarding a 10-foot-high jungle gym in Manhattan near his childhood home, he explained that as long as he was the parks commissioner, the monkey bars were going to remain in place. This was despite researchers at the time, who cited accident statistics and the importance of safer playgrounds. Fast forward to 2011, and this article, in accordance with Mr. Stern’s 1990’s edict - critics saying that playgrounds may “stunt emotional development, leaving children with anxieties and fears that are ultimately worse than a broken bone”.

Wow, do I disagree.

Toddler Play & Fun Tips

A repost from www.playthisway.com.

It’s not easy to be alone with a toddler all day long, but you can spice it up and still stick to the routines that are so important to children. Here are Dr. Jen’s tips on toddler play, fun ways to engage with your toddler more, and some ideas on toddler activities!

Dr. Jen's Tips for Water Play & Safety with Children

Summer time means more water play! One Sassy Doctor wants you to hear loud and clear: Water can be a lot of fun, but safety should be number one! (A rhyme, remember, bear with my goofy sense of humor!)

Here are Dr. Jen’s Tips for Water Play & Safety with Children:

Outdoor Play

My husband often says, “When in doubt, let’s go out!” I believe getting outside, even for a brief period of the day, is a very important part of raising healthy, active, adventurous children.

But it’s not always easy! In my stomping ground, good old New York, it’s cold for a fair portion of the year. We all have our own reality—mine in the winter is:

1. 12 boots 
2. 12 gloves 
3. 12 hats 
4. 12 scarves 
5. 12 coats 

Although we do engage in fun winter outdoor play (stay tuned, we’ll write about that on One Sassy Doctor in the future!)—the start of spring & summer really do boost the mood of the entire family. Welcome sunshine and warm weather! Whoo hoo!