Money Saving Pediatric Hacks

We know how it’s easy to spend money on the kids- just wait until they are old enough to get Venmo. Here are some money saving tips for parents to save a little dough and put that saving towards the next family vacation and orthodontia!

Julie Kardos, MD and Naline Lai, MD

©2024 Two Peds in a Pod®

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Managing anxiety in children

Parents local to Northampton Township, PA: We welcome you to come hear local pedatricians from The Children’s Hospital of Philadelphia and mental health experts talk about basic ways you can help manage anxiety and some information about medications for children and teens on February 8, 2024 at 6:30pm in the Northampton Library.

The talk is free and there will be time for questions. Please register so we set up enough chairs!

Special note: your Two Peds will be in attendance. Hope to see you there!

Naline Lai, MD and Julie Kardos, MD

©2024 Two Peds in a Pod®

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Holiday Gift Ideas for Babies, Toddlers, and Preschoolers

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According to recent US Census data, 30 percent of households have a child under six years of age. So there is a good chance that you are wondering what to get a baby, toddler or preschooler for the holidays. Before you give up and fall back on electronic screen ideas like you did when you last took your toddler to a restaurant,  here are holiday gift ideas for babies, toddlers, and preschoolers from your Two Peds, by ages and stages of development:

0-3 months: Babies this age have perfect hearing and enjoy looking at faces and objects with contrasting colors. Music, mobiles, and bright posters are some age-appropriate gift ideas. Infants self-soothe through sucking—if you can figure out what your nephew’s favorite type of binky is, wrap up a bunch—they are expensive and often disappear mysteriously.

3-6 months: Babies start to reach and grab at objects. There are all sorts of crinkly, textured baby toys out there for babies to enjoy.  Give items big enough to hold onto but safe enough to put in their mouths. Remember that any object small enough to fit inside a paper towel tube is small enough to be a choking hazard.  Personalize a cloth or vinyl book. The baby will appreciate the book and parents will enjoy the personalization and ability to clean the book.

6-12 months: Around six months, babies begin to sit up. Intellectually, they begin to understand “cause and effect.” Good choices of gifts include toys that allow a baby to activate- to make sounds, play music, or cause animals to pop up.

For a nine-month-old just starting to pull herself up to a standing position, a water or sand table will provide hours of entertainment in the upcoming year. Right now you can bring winter inside if you fill the water table with a mound of snow. Buy some inexpensive measuring cups and later in the summer a toddler will enjoy standing outside splashing in the water. 

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Protection against severe RSV-we finally have it!

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Finally!

Pediatrician and parents have waited patiently for effective protection for babies against severe RSV (respiratory syncytial virus) infections, and we finally have it.

Welcome, nirsevimab – otherwise known as brand name Beyfortus.

Nirsevimab protects against RSV, which is a nasty cold virus that attacks young lungs fiercely. While many babies with RSV end up with “just a cold,“ 20% to 30% with a first time infection end up with lung infections. Year after year hospitals fill with babies battling RSV. An additional problem with RSV: babies sick with RSV have a greater risk of developing asthma than babies who were never infected with RSV.

This viral season every newborn and any baby younger than eight months of age is eligible for a one time shot of nirsevimab. The shot gives protection in the form of antibodies to RSV. 

Not a new type of medicine

A similar medication called palivizumab (brand name Synagis) has been around for years. However, only certain high risk babies, such as those who were born very prematurely, received it. Palivizumab consisted of monthly injections during RSV season (typically October through March).

Conveniently, one dose of nirsevimab gives protection against severe RSV for five months.  All babies under eight months of age during RSV season will be eligible to receive this new protection.

Be sure to discuss nirsevimab with  your pediatrician this fall.

For a more detailed account of nirsevimab recommendations read here.

The arrival of nirsevimab will make every pediatrician and lots of babies breathe a little easier this fall and winter.

Julie Kardos, MD and Naline Lai, MD

©2023 Two Peds in a Pod®

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The truth about the first day of school for parents- from kindergarten to college

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The first of many first days of school.

Parents, let’s admit it. Many of the tears shed on the first day of school are our own. The first day of school for parents is not easy. There is genuine sadness and ache that goes beyond the bittersweet as our kids approach momentous milestones such as kindergarten entry and college send off. As our pediatrician friend Dorothy Novick posted on Facebook, “Because here’s a thing no one ever says out loud on Facebook: as all the balloons and congrats explode on our feeds, many of us parents of graduates are experiencing some pretty serious grief. There’s true pride in the photos, yes, but there’s also honest to goodness grief.” Continue Reading

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What to do if your child is choking

Perfect timing. I have been seeing a lot of kids starting table foods in the office lately and my sister (an Emergency Medicine doctor) just came out with a video on what to do when someone is choking. She goes over what do with any age group, so worth a peek even if your kids are bigger than you are.

Prevention hints: As a toddler parent you will find kitchen shears perfect for cutting up food into bite sized pieces. But watch the number of little pieces that your child eats at one time- kids get into trouble when they scoop a pile into their mouths. As for toys, anything that can fit into a paper towel roll is a choking hazard.

Hoping you will never have the opportunity to use the information in the video!

Naline Lai, MD with Julie Kardos, MD

©2023 Two Peds in a Pod®

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Vacation packing tips

Worth the packing !

When preparing to travel with your kids, do you sometimes you wonder if it’s worth all the time and effort? Click here to find an article from the Children’s Hospital of Philadelphia where your two Peds and colleagues give some tips to get you through.

Happy travels!

Julie Kardos, MD and Naline Lai, MD

©2023 Two Peds in a Pod®

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Anxiety in kids and everyday calming techniques

anxiety in teens and children Bucks County talk
This upcoming week-register above

Wondering about signs of anxiety in your child or teen? Interested in everyday ways to help calm them? Take a peek at this post that one of your two peds contributed to: When Your Child’s Anxiety Is Worth Worrying About — and How to Help in The Children’s Hospital of Philadelphia’s Health Tips.

A Bucks or Montgomery County, Pennsylvania parent or caretaker? May is mental health awareness month and NAMI Bucks County and CHOP Primary Care, Doylestown have teamed up to give an in-person talk this week! Registration information above- hope to see you there!

Julie Kardos, MD and Naline Lai, MD

©2023 Two Peds in a Pod®



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Seasonal allergies: a review

selective focus photography of woman and toddler on flower bed. Unfortunately for some, flowers contribute to seasonal allergy symptoms
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Everything has a season, incluing seasonal allergies.

In our area near Philadelphia, we associate spring with the Phillies opener and also with the onset of spring allergies.

Here is a nice summary of how to treat allergies, from The Children’s Hospital of Philadelphia (note that one of your Two Peds was a contributor). And following are some of our prior posts that can help you treat your child’s seasonal allergies this spring:

The Best Allergy Medicine for Kids

The Best Allergy Medicine for Kids aged 2-5 years old

Allergy Eyes: when spring rubs you the wrong way

How to tell the difference between Covid (or any viral cold) and allergies

We hope this post answers all that you are itching to know about seasonal allergies.

Julie Kardos, MD and Naline Lai, MD

©2023 Two Peds in a Pod®

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