Do you have a gassy newborn? Please read our tips on how to help your gassy baby in the Children’s Hospital of Philadelphia’s Health Tip of the Week.
Trust us, it’s a gas!
Julie Kardos, MD and Naline Lai, MD
© 2022 Two Peds in a Pod®
Now that the excitement of the first weeks of college have gone by, your first year college student may be homesick. What can a parent do? We point you to last year’s timeless post which is still relevant today.
©2022 Two Peds in a Pod®
As the lazy, hazy days of summer wound down in August, the “Back to School” commercials began in full force. TV and print advertisements from major retailers showed smiling students and adults buying colorful backpacks and school supplies . This is in contrast to the past two years when TV brought no shortage of bad news about the global pandemic, its impact on education, and news about horrific school shootings. It’s not just a commercial, we do have the ability to help our kids move through this school year with a positive mindset.
Now that we are into September and the school year is underway, one of the most important things we can do with our students is talk with them. Engage in dialogue about what they are excited about, what concerns they have, and their overall thoughts and feelings about the upcoming year. Nervousness, excitement, anxiety, and anticipation can make up a child’s emotional mix at the start of the year. Open conversations will help identify and address any negative thoughts or feelings that our kids may harbor. Conversations will help our students focus on strengths and internal and external resources .
Remind them of times when they showed grit, recovered from a poor grade, navigated a tricky peer situation, or made a new friend. Revisiting the past will reinforce that those skills are still present inside of them and ready to be used when needed. For teens, often you will help them by simply lending an ear and listening to their concerns.
Itching to learn about lice? Check out our recent contribution to The Children’s Hospital of Philadelphia’s Health Tip of the Week!
Julie Kardos, MD and Naline Lai, MD
©2022 Two Peds in a Pod®
Croup is an often-suprising middle-of-the-night malady that produces a barky seal-like cough in children who seemed just fine at bedtime.
Any virus that causes cold-like symptoms of runny nose, cough, runny eyes, and sometimes fever, can also cause croup. Think parainfluenza, influenza (flu), RSV, adenovirus, rhinovirus, and now Covid-19. Any of these viruses can land in a child’s larynx, or voice box, and cause hoarseness, barky cough, and a weird gutteral sound on breathing inward, called “stridor.” Croup is the name we give the constellation of symptoms, not the name of the virus that causes it.
An adult with the same exact illness would sound hoarse, but would likely not have the strange barky cough or noisy breathing.
We have a great podcast on this subject, but for those who prefer to read medical advice, please read on.
Ways to help your child when they wake up with croup
Have you wondered, when your child gets a headache or suffers a sprained ankle, if you should give your child ibuprofen (e.g. brand names Motrin or Advil) or acetaminophen (e.g. brand name Tylenol)? What about for those middle-of-the-night fevers? Does it matter which one you give?
This post address these very questions.
Julie Kardos, MD and Naline Lai, MD
©2022 Two Peds in a Pod®
Back by popular demand: how to start baby food! Enjoy our podcast and learn when to feed, how to feed, and what to feed your hungry baby when they join you at the family table.
You can also listen to our podcasts here, as well as on any major streaming service.
Julie Kardos, MD and Naline Lai, MD
©2021 Two Peds in a Pod®
“My daughter called me from the stairwell of her dorm crying.”
“My son is texting me and wants to come home for the weekend. What would you do?”
“Does anyone else have a kid who is struggling?”
These are quotes from actual parents, posted in online forums for the collegiate Class of 2025. After the stressful application process during the pandemic, the preparation, the move-in process, and the emotional goodbyes, many adults are blindsided by the homesickness that their newly minted freshmen may experience. This issue is not just limited to freshmen. Students who spent last year doing college virtually may be away from home for the first time. Seeing our children unhappy after so much eager anticipation leads to worry, sadness, and a general uncertainty among us parents about what to do. This bodes the question: How do we best support homesick kids?
A recent article written by Amy Baldwin, founder of Higher Ed Parent, talks about what she describes as “the three pillars of a satisfying and successful college experience” – Emotional Support, Social Support, and Academic Support. Having worked with many teens and college students in my practice, I agree that these areas are all essential for a smooth transition to and overall positive experience of college life. While we want to foster independence in our young adults, we most likely will need to guide them through building each of these pillars.
Wondering what to do when your child has a fever? With schools and daycares now back in full swing, many more illnesses are circulating. Please read our fever advice in the Children’s Hospital of Philadelphia Health Tip with updates on what do do when your child has a fever.
Be well, wash your hands, and wear your masks!
Julie Kardos, MD and Naline Lai, MD
©2021 Two Peds in a Pod®
More often than not, splinters are teensy-weensy and too small to grab with tweezers. Wondering how to remove tiny splinters? If the splinters in your child are near the skin surface and do not cause much discomfort, simply soak the affected area in warm soapy water several times a day for a few days. Fifteen minutes, two or three times a day for four days, works for most splinters.
Our bodies in general dislike foreign invaders and try to evict them. Water will help draw out tiny splinters by loosening up the skin holding the splinter. Soaking works well particularly for multiple hair-like splinters such as the ones obtained from sliding down an obstacle course rope. A helpful old home remedy is to put a paste of baking soda and water over the splinters for a few hours, which also softens the skin around a tiny splinter. Oil-based salves such as butter will not help pull out splinters. However, an over-the-counter hydrocortisone cream will help calm irritation and a benzocaine-based cream (for kids over two years of age) can help with pain relief.
If a splinter seems easy to grab, then first gently wash the area with soap and water and pat dry. Don’t soak an area with a “grab-able” wooden splinter for too long because the wood will soften and break apart. Next, wash your own hands and then clean a pair of tweezers with rubbing alcohol. Use the tweezers to grab hold of the splinter and with the tweezers pull smoothly. Take care to avoid breaking the splinter before it comes out.
If the splinter does break, or if you cannot easily grab the splinter’s end because it does not protrude from the skin, here is another approach:
- Sterilize a sewing needle by first boiling it for one minute.
- Next, clean the needle with rubbing alcohol.
- Wash the area with the splinter well.
- Using the sterilized needle, pick away at the skin directly above the splinter. Use a magnifying glass if you have to, make sure you have good lighting, and for those middle-age parents like us, grab those reading glasses.
- Be careful not to go too deep- you will cause bleeding which makes visualization impossible.
- Continue to separate the skin with the needle gently until you can nudge the splinter out with the needle or grab it with your tweezers.
Since any break in the skin is a potential source of infection, after you remove the splinter, wash the wound well with soap and water. Flush the area with running water to remove any dirt that remains in the wound. See our post on wound care for further details on how to prevent infection. If the splinter is particularly dirty or deep, make sure your child’s tetanus shot is up to date. Also, watch for signs of infection over the next few days: redness, pain, or thick discharge from the wound are all reasons to take your child to his doctor for evaluation.
Some splinters are just too difficult for parents to remove. If you are not comfortable removing it yourself of if your child can’t stay still for the extraction procedure, head over to your child’s doctor for removal.
The splinter near the baby’s eye pictured above did not bother her, but it certainly frustrated the child’s mom and the Emergency Room doctors who finally plucked it out.
Julie Kardos, MD and Naline Lai, MD
©2021 Two Peds in a Pod®