Watch the Bald Eagle Babies Be Born!

The Minnesota Department of Natural Resources has done it again! This time they have a live webcam focused on an enormous bald eagle’s nest with 3 eggs. Watch with your children as this mother lovingly turns the eggs and cares for them. Will you be lucky enough to see the eaglets hatch? This is a wonderful insider’s look at nature. Google www.webcams.dnr.state.mn.us/eagle today.

Healthy Hearts and Happy Heads for Girls Ages 9-11

The spring session of Healthy Hearts and Happy Heads is scheduled for March 24th , March 31st, and April 7th. This is a wonderful opportunitiy for girls ages 9-11 to get together with their mother or another adult female to learn, share, and have fun. During this session, Jenny Hanlon will be presenting a talk on the media and body image. Please see their Facebook page for more information.

Marked Rise In Influenza Illnesses

Early January of 2014 has brought us a steep rise in the amount of Influenza activity throughout our community. We’ve seen several cases of Influenza A which is thought to be the H1N1 strain. This particular strain is the one responsible for the large outbreak of “swine flu” 2 years ago. It is not too late to get your children vaccinated. Please call 651-256-6714 to make an appointment. While the vaccine is not 100% effective, children who have had the vaccine but become ill, typically have less severe symptoms and a shorter duration of illness

ADHD PRESCRIPTION HOTLINE

651-256-6796

Pediatric and Young Adult Medicine refill voicemail line is now available. You may now call and request your refills when it is convenient for you 24-hours a day/7-days a week.

To use this service, we ask that you review the following procedures to ensure that we receive the proper notice and information to guarantee the prescription(s) for your child is ready when you need it.

  1. We will have your prescription ready within two business days for pick-up and 5 days for delivery to a pharmacy. If there is a problem with your child’s present dosage, please speak with your primary provider by calling 651-227-7806.
  2. Please provide all of the information that is required to process your request. We have provided you a template on the back of this sheet. We suggest that you write the information in the blanks that are provided so you will be able to read it over the phone.
  3. This service will be available to request your refill for ADD/ADHD RX only.
  4. You may request them 24 hours a day, seven days a week. Please remember we can only fill the prescriptions during regular business hours.
  5. At this time, no other prescriptions can be filled using this line. Other concerns or topics should be addressed with your provider by calling 651-227-7806.
  6. All voice mails will be listened to and processed daily during regular business hours.
  7. All ADHD/ADD patients who are on prescriptions are required to have a medication check-up every 6 months. lf you are a patient either starting a new prescription or are restarting a prescription you must be seen 2 weeks after you have started your new prescription. Failure to do this may cause your refilled to be denied.

Thank you, Pediatric and Young Adult Medicine, PA

adhd_checklist.pdf Use this checklist to collect the information you need before you call in and make your request.
To view this file you will need to have Adobe’s Acrobat Reader. Its a free download and is available for both the Mac and Windows.

 

PYAM ADHD HOTLINE

News Release: Online Parenting Resource for parents of 10-16 year olds

We’re excited to announce the release of a new University of Wisconsin, Cooperative Extension online Parenting resource. It’s called Parenthetical and it’s available to educators and parents throughout the state at http://www.myparenthetical.com. Parenthetical is a combination blog, website and social network for parents of 10-16 year old tweens and teens designed to provide parents and other caregivers with ongoing education, support and networking.

Happy New Year!!!

From all of the doctors and staff at Pediatric and Young Adult Medicine, we wish you a really happy and healthy 2014!

Bullying = A World of Hurt

Which phone call is more disturbing for a parent, one informing you that your child is being bullied or one telling you that your child is the bully? Surprisingly, most children will experience both roles at some point on the road to adulthood. Either way, as a parent, you have to respond quickly. The sooner you get involved the better it will be for your child, no matter which role he happens to be playing at the moment

Why kids bully
Many factors contribute to bullying. First, children are not born with social skills. They learn through trial and error. In addition each child needs to find out how he fits into his peer group. Throughout elementary school and high school children learn how to deal with others in a variety of situations and they don’t always get it right. Sometimes a child might feel threatened by another and resorts to bullying to feel ‘safe’, or to maintain his perceived position in the group. Another child bullies in order to get the attention he is not getting elsewhere. Lastly, a child could be modeling his behavior after a parent or older sibling—are there any bullies in your house? Even too much teasing constitutes bullying and should not be tolerated at home or anywhere else.

Who are bullies?
Since most kids are a bully sometime during childhood is it fair to say that there is a ‘type’ of child who bullies? While all kids might try out bullying once or twice there are kids who habitually use this behavior in their dealings with others. Generally speaking, habitual bullies fall into one of two categories. One group is made up of the popular girls, the athletic, good-looking boys—members of the in-crowd. Kids in the other group tend to be children who have been marginalized themselves, possibly through bullying, and are typically kids with poor grades who aren’t involved in sports or other school activities. However, just because a child fits into one of those categories doesn’t mean he is a bully.

Signs Your Child is Being Bullied

Complaints about headaches and stomach aches

Unexplainable injuries from self or others

Changes in attitude, behavior, and achievement at school

Lost or damaged property

Changes with friends and social circles

Changes in sleep or eating habits

Reluctance / avoidance / inability to talk about it

Expressing no interest in anything

Intense feelings of hopelessness, shame and depression

Who gets bullied?
Here again, most kids end up on the receiving end of bullying at some time. There are, however, certain traits that predispose a child to being a target. Kids are quick to pick up on any physical or cultural difference, which can be useful tools for bullies. Children with physical and learning disabilities can be at risk. A child who stutters, or is extremely shy or even kids who dress outside the norm can be bullied. Kids who stand out by excelling in sports or academics can be targeted. More subtle targets are the children who have trouble reading and responding to social cues, like children with Asperger’s.

Defining bullying
Bullying can take many forms. It can be teasing that goes too far, name-calling, stealing or breaking another’s belongings—even physical violence. Another form of bullying is spreading rumors about, or excluding a child from the group. In recent years, technology has put a dangerous edge on bullying through the use of smart phones and the Internet. Whatever form it takes, though, bullying makes children miserable and fearful for their own safety. If bullying is allowed to continue a child can suffer negative consequences for life with problems like depression and low self-esteem.

Where does bullying happen?
Bullying can happen anywhere at any time, but it most commonly occurs in the absence of adult supervision. Think about the times during your child’s day when he is with other kids and there are few or no adults around: playgrounds, cafeterias, the neighborhood, or public places like skating rinks, libraries and swimming pools. Does your child walk to and from school? That is a prime opportunity for bullying to occur.

Boys tend to be more physical bullies.
They often target smaller, weaker kids who are less likely to fight back. Stealing money, lunches or property is more common with boys. Threats of violence or actual physical harm, is more likely to happen with boys.

Girls on the other hand, tend to bully in less overt ways.
They frequently use tactics like telling others not to talk to or play with their victim, excluding them from social activities or spreading damaging rumors about another. In junior and senior high school, girls are more likely than boys to use electronic devices and the Internet to bully, although boys are catching on to this as well.

Why victims remain silent
Children who are being bullied frequently remain silent or are reluctant to talk to anyone about what it going on. First, they are afraid of retaliation. Secondly, some believe that they have done something to deserve the treatment, and will be further punished if they go to someone in authority. In fact, many parents and teachers hold the belief that if a child is being bullied, he has done something to warrant it. Little wonder that children keep quiet, desperately hoping it will just stop. Adults need to make clear that bullying is not acceptable at home, school or anywhere, including the Internet

Cyber-bullying: the ultimate torture
If you think bullying on the Internet is the same as a shove on the playground you’re wrong—cyber-bullying triples the risk of suicide in teens. Middle and high school age kids are well aware that images and text on the Internet or cell phones, is indeed, available to the entire world. There is no place for them to escape the notoriety that has been pinned on them. It is easy to understand a victim’s sense of helplessness and hopelessness.

Cyber-bullying allows bullies and their followers to cause unbearable pain to a classmate without being able to see their victim as they are acting. Without the consequence of seeing the victim’s pain, kids can go too far. This is obviously bad for the victim but it is also bad for the bullies. Children need to see the consequences of their actions, hopefully before it is too late.

What recourse do parents have?
If the phone call you receive tells you that your child is being bullied there is a great deal that you can do to help him. First though, take a deep breath and try to take in the information, calmly. Maintaining your composure will help your child as much as anything else you do. Actually that is good advice for the parents who receive the other phone call, the one telling them their child is the bully.

Help for the victim

Find out who is doing the bullying and where it is happening. If it is at school, you can arrange to meet with your child’s teacher and devise a plan to help keep him safe. Do not suggest a meeting at school with the bully and his family. Those meetings get heated and out of control; in the end little is accomplished. Still, it is your duty as a parent to approach the bully’s parents if the problem is in your neighborhood, but if it is at school have the administration do that.

You can advise your child to avoid the places where he might encounter problems and you can teach him ways to respond to bullying. Sometimes simply telling the other kid to ‘knock it off’ or by making a joke of the taunt, your child can defuse the entire situation. What about fighting back? That sometimes makes bullies back off, but unfortunately, your child needs to know that he then risks being punished as well. It needs to be stated for parents of both bully and victim that parents are legally responsible for their child’s behavior and assault is illegal at any age.
Lastly, bullies seldom target a child with a circle of friends. Even one good friend can be enough to discourage a would-be bully. If your child struggles socially, help him find that one friend through play groups or other activities.

Help for the bully
Bullies need help too. They attempt to control other kids through dominating, hurtful behavior. If left unchecked, they can assume that pattern for life. If your child is the perpetrator, you want him to understand that what he is doing is wrong and it won’t be tolerated. He will likely try to shift the blame and make excuses for his behavior, but he needs to acknowledge that he has hurt another person and that his behavior was not acceptable. If talking and reasoning don’t work, rescinding privileges, grounding, keeping him indoors when other kids are out playing are all strategies that help modify behaviors.

The important role of bystanders
In most episodes of bullying there are more kids present than the two main participants. The other children might be friends of the bully, the victim, or they might be bystanders not associated with either child. But the bystanders are the key to ending bullying. Bystanders have tremendous power. They can tell adults what is going on and they can let the bully know that they don’t approve of his actions. Fitting in with other kids is crucially important to school age children and they do not want to risk the opinion of others by backing a bully. Sometimes the disapproval of other children is enough to discourage the bully as well.

Discuss bullying with your kids. It is important that they know how to respond to bullies and that they can help other kids. It also lets them know that they can come to you for help if they need to.

Slow Down with Slow Cooking

This School Year: Breakfast is for Champions

This School Year: Breakfast is for Champions

No one needs to be told the pace of living is just too fast. From the time the alarm clock (or the baby) starts the day, until bedtime, parents have a daunting number of things to attend to—rushing from jobs to games, lessons, and practices, then back home and ‘what-the-heck’s-for-supper’?

If you don’t already own a slow-cooker, think about investing in one. You won’t believe how many uses you will find for this inexpensive and indispensible kitchen appliance. If you have one, start using it more. The Internet has hundreds of free recipes. Since we are focusing on breakfast we chose three recipes that cook overnight while you sleep.

This won’t completely remedy your busy life but it can help slow things down a little, and put a nutritious breakfast on the table that will give your champions a flying start to their school day. If you are really short on time, use a crock pot disposable liner to spare yourself the clean up.

Deluxe Crockpot Oatmeal

  • 2 C. cow’s milk, almond milk or coconut milk
  • ¼ C. brown sugar
  • 1 Tbs. melted butter
  • ¼ tsp salt
  • ½ to 1 tsp cinnamon
  • 1 C. oats (old-fashioned is best)
  • 1 C. finely chopped apple
  • ½ C. raisins, dates, dried cherries, or craisins
  • ½ C. walnuts or almonds

Grease the inside of crockpot. Put ingredients inside crockpot and mix well. Cover and turn on low heat. Cook overnight or 8-9 hours. Stir before serving. Makes 4 Cups, or 6-8 servings.

slow-cooking2Breakfast Cobbler

  • 4 medium apples peeled and sliced
  • ¼ Cup honey
  • 2 Tbls. melted butter
  • 1 tsp cinnamon
  • 2 C. granola cereal

Spray inside of Crock-Pot with nonstick spray. Place apples in slow cooker add in remaining ingredients. Cover and cook on low 7-9 hours, or overnight. Serve with milk or a dollop of Greek yogurt. Real maple syrup can be substituted for the honey.

 

slow-cooking3Overnight Egg Bake

  • 32 oz. bag of frozen hash brown potatoes
  • 1 lb. cooked ham, cubed
  • 1 chopped onion
  • 1 chopped green bell pepper
  • 1 Tbsp. olive oil
  • 1 ½ Cups shredded cheddar cheese
  • 12 eggs
  • 1 cup whole milk
  • ½ tsp. salt and pepper

eggs, milk and seasonings until well mixed. Pour over the ingredients in the slow cooker, cover and turn on low. Cook for 8-10 hours, until casserole is set and eggs are thoroughly cooked. Check the temperature of the eggs to be sure it’s done.
If you have a new, hotter cooking crockpot, you’ll need to check this after 6 hours and it will probably be done after 7 hours. Eggs should reach a temperature of 160° to 165°.

Ask a Provider about Breast-Feeding

If you are pregnant and would like to breastfeed your baby or if you know of someone who does, PYAM is pleased to announce that Caylynn Wallace-Marcelle A.R.N.P. has expanded her training to become a Lactation Specialist.

Breast-feeding can help establish a strong bond between mothers and newborns—how long you continue to nurse is your choice.

Breast-feeding can help establish a strong bond between mothers and newborns—how long you continue to nurse is your choice.

Besides the recommendation by the American Academy of Pediatrics, there are many excellent reasons for mothers to nurse their infants: Human milk is designed for human infants; nursing stimulates mild contractions that help shrink the uterus to pre-pregnancy size; milk production burns calories; and mothers’ bodies make milk free of charge. But for many mothers it’s the quiet moments they share with their baby that matter most.

While breastfeeding is the most natural method of feeding an infant, mothers today face some challenges that can make it difficult. Many women have not been exposed to breastfeeding before they become mothers themselves, and don’t know who to approach for advice. Mothers who want to successfully nurse their infants shouldn’t rely on old wives tales and hearsay. While books and Internet sites can offer excellent information it is just not the same as being able to sit down and talk to a knowledgeable and caring professional.

A Lactation Specialist can begin advising moms before delivery, then, after birth, answer questions and give mothers down-to-earth solutions for any problems they encounter. In the early days of breastfeeding mothers need to acquire some ‘technical’ skills like helping baby latch on and off; they might have concerns that baby is getting enough milk; and they will want to learn the proper way to pump and store their milk.

breast-feeding2

Later, when many moms return to work, a Lactation Specialist can make the transition smoother for everyone whether a woman decides to continue nursing or chooses to wean the baby to formula. Having a Lactation Specialist available and on the PYAM staff is an exciting opportunity and valuable resource for new mothers.

A new provider for PYAM

Who knew physicals could be so fun? Dr Hecker lets this four year old try out a   stethoscope and his medical skills on her.

Who knew physicals could be so fun? Dr Hecker lets this four year old try out a stethoscope and his medical skills on her.

For as long as she can remember, Kate Hecker knew that she would someday be a physician. Perhaps she was influenced by her grandfather, a general practitioner in Spring Valley, Wisconsin, where she grew up, perhaps not.

She graduated from the Medical College of Wisconsin in Milwaukee in 2010 and then attended the University of Minnesota for her residency in pediatrics. Late this summer, Dr Hecker joined the providers of PYAM and it seems her destiny has been fulfilled.

Eager to begin practicing, she joined the staff during the always hectic school physical season. When not busy at work, she is busy with her husband Aaron, and sons, Trey (age 4) and Jax (age 2). Her many interests include: baking, yoga, volleyball, and of course playing with her sons, whom she says “are amazing.”

Dr. Hecker is now seeing patients in the Saint Paul & Maplewood offices and will also be practicing in the Hudson Wisconsin office with Dr. Kelly Delahunty and Dr. Tammi Plotnik. Please join us in welcoming her to Pediatric and Young Adult Medicine.