Two Peds in a Pod®

How to sit at the computer: Ergonomics for kids doing schoolwork at home

#homeschooling #computer ergonomics #COVID #admireteachers

Oh my aching back…

Right now, with schools closed, kids of all ages are doing schoolwork at home. Technology has allowed continuation of learning and even face-to-face check in with teachers. But it also poses some challenges. School classrooms are designed for children; our kitchen tables are not. How to sit at the computer? Just as we require ergonomic workstations for our jobs; we need to consider proper fit and alignment for our children as they learn virtually. The following are basic ergonomics for kids doing schoolwork from home that can prevent muscle aches and fatigue.

Where to place the computer screen:

Place the computer screen directly in front of your child with the eyes level with a spot about 2-3” below the top of the screen. In addition, place the keyboard so that the upper arms and shoulders are relaxed. The forearms should be parallel to the floor and the elbow bent less than 90 degrees. The chair should have back support and allow the thighs to be supported parallel with the floor. Knees should also be bent to 90 degrees or a bit less with feet supported. This can be a challenge for our elementary school kids who are trying to work at home. The Canadian Safety Council suggests: “choose a chair that places the child at the proper height in relation to the equipment. If that means a higher chair, provide a footrest to support the feet and a pillow to support the back.” Continue Reading

April 10, 2020 by twopedsinapod

Vaccinate your children during the COVID-19 pandemic

Social distancing? Take the time to immunize

Parents are calling us and asking to cancel their well baby visits to the pediatrician. Tempted to cancel? Think again. If families allow their babies to get behind on their vaccines, we will risk other epidemics. It is important to vaccinate your children during the COVID-19 pandemic.

Before vaccines, babies died of polio, bacterial meningitis, pneumonia, blood infections, measles, and whooping cough. All of these infections are contagious. Babies need to stay on track to get immunized against these potentially lethal illnesses.

Vaccine preventable illnesses such as polio are still alive in the memories of those now experiencing the COVID-19 pandemic. Pictured to the right is a photo of members of Dr. Lai’s family. Great-Uncle Holloway, with the broken arm, and his cousin Billy were slated to go swimming soon after the photo was taken. Cousin Billy went, was exposed to polio at the pool, and died shortly after. In a twist of luck, Great-Uncle Holloway was spared because he had broken his arm and thus did not go to the crowded swimming pool that day.

Billy (L) and Holloway (R) in the 1930’s

We understand your fear of leaving home with your baby. We know that some families have difficulty obtaining transportation. But we know also that vaccine preventable illnesses are MUCH more dangerous than COVID-19 for our youngest children.

One day socially distancing will end, and on that day, babies will be more vulnerable to vaccine preventable illness. We cannot possibly catch up every single baby on our first day out of isolation. It is far better to keep your babies up to date on vaccines all along.

In the US, our American Academy of Pediatrics strongly urges pediatricians to continue to vaccinate our infants and younger children on time.

Pediatricians across the country, and the world, are adjusting how they see patients in their offices in order to protect their patients, as well as themselves, from acquiring COVID-19 in their offices. Ask what steps your baby’s doctor is taking to provide extra protection for your family.

Vaccines not only protect your own children, but they also protect everyone around them. Remember that some babies with immune system disease or other underlying medical reasons cannot receive some vaccines. Immunizing your child can protect these children as well as themselves.

We cannot stress more how important it is to vaccinate your children during the COVID-19 pandemic. Please share this post with anyone you know that has young children, especially babies, who are due for vaccines.

Julie Kardos, MD and Naline Lai, MD
©2020 Two Peds in a Pod®

April 5, 2020 by twopedsinapod

The lesson of coronavirus

For my college graduate whose graduation ceremonies will most likely not happen, and my other kid who is now online and vacating her school, I think it will be the best lesson of their lives …how privilege can be taken away in an instant. A privilege to learn, to travel, to breathe…many people have never been on an airplane or ever lived in a dorm room. As a pediatrician, I am surrounded by worried families. Tell your kids that we’re all in this together, this is the time to use their youth and creativity to spark good-although they may not have our wisdom, they are not locked in an adult mindset of how things “should be.” There is much to be done-an economy to revive, cures to be found. Somehow they have been blessed with an illness that is kinder to the young. The time they have ahead of them may look different than what they expected, but it is the same…full of hope and promise that they will use their energy and creativity for the greater good.

Naline Lai, MD

March 14, 2020 by twopedsinapod

How to tell the difference between spring allergies and coronavirus disease (or any other respiratory virus)

spring allergies or novel coronavirus?

Every spring I find bunched up tissues wedged everywhere- in the cup-holders of the car, in couch crevices, and in the bottom of back packs. Yes, beautiful flowering spring is here in the United States along with lots of pollen to tickle everyone’s noses. But this year, along with the pollen, the coronavirus disease, aka COVID-19, has swept in.

So how can you tell when your children’s noses become congested and they start coughing, if your child has spring allergies or coronavirus disease? While there is an overlap in symptoms between allergies and viruses, there are a few distinguishing features:

Allergies Itch

Itchy nose, itchy eyes, itchy throat. If your child is doing a lot of facial rubbing or throat clearing, you can fairly accurately blame allergies. If needed, treat these annoying itches with allergy medicine such as cetirizine (brand name Zyrtec), loratadine (brand name claritin), or fexofenadine (Brand name Allegra). You can also read our prior post about spring allergies. Allergy medicine does not improve these symptoms if your child has a virus.

Fever: Viruses can cause fever. Allergies do not.

If your child has a fever along with their runny or stuffy nose, coughing, sore throat, and watery eyes, think VIRUS. Also, think “contagious.” In contrast, allergies do not trigger fevers. So if your child has sudden onset of respiratory symptoms WITH FEVER, you can’t blame it on allergies.

Age

If your child is younger than a year, it is unlikely that they will show signs of spring allergies because they have never been exposed to spring pollen. A person needs to be sensitized to something before they can be allergic to it. If it is only your child’s first spring, they will not show signs of allergies. Usually, cold symptoms in a child this young means that your child does, in fact, have a cold virus.

While we do have medications to treat allergies, respiratory viruses, including the one caused by covid-19, have to run their course.

The following are helpful websites to keep up with emerging information about the novel coronavirus disease, or COVID-19:

Centers for Disease Control (www.cdc.gov)
Your state’s Health Department (You can click here for the PA Health Department)
World Health Organization (https://www.who.int/)

Julie Kardos, MD and Naline Lai, MD
©2020 Two Peds in a Pod®

March 10, 2020 by twopedsinapod

“Take heart” as we explain heart murmurs

First, tell your children that you love them. Then, read this post where we explain heart murmurs.

We hope you have a Valentine’s Day that can’t be beat!

Julie Kardos, MD and Naline Lai, MD
©2020 Two Peds in a Pod®

February 14, 2020 by twopedsinapod

Teen vegetarian diet basics

veggies, veggies, veggies

“Monitor your child’s diet closely to make sure they are getting enough calories… Some teens need 4,000 calories a day when they’re in a growth spurt!”

Check out the Children’s Hospital of Philadelphia Tip of the Week- a post on vegetarian teen diet basics with input from Dr. Lai!

Julie Kardos, MD and Naline Lai, MD
©2020 Two Peds in a Pod®

February 4, 2020 by twopedsinapod

Halt the effects of Adverse Childhood Experiences: #findyour3

participating in sports can alleviate effects of adverse childhood experiences Substance abuse, bullying, poverty, violence, chronic illness— all adverse childhood experiences that can lead to toxic stress in children. Sounds overwhelming, but there are ways from the CDC (Centers for Disease Control) to prevent adverse experiences in childhood from causing lifelong trauma. Bloggers like us are teaming together with the American Academy of Pediatrics to spread the word about one method which carries the hashtag #findyour3.

Toxic Stress

Adverse childhood experiences (ACEs) can cause unremitting stress. Termed “toxic stress,” this type of stress will actually change a child’s brain structure. This stress can lead to health and social problems such as depression, substance abuse, diabetes, heart disease, chronic lung and kidney disease, and even unemployment.

Finding three

Identifying just three people or organizations that kids can turn to for help, can build resilience in the face of adversity. The three can include a parent, grandparent or other relative. But the three do not have to be biologically related. Pediatricians, therapists, teachers, counselors, neighbors, sports coaches, or youth group leaders are all examples of possible positive adult influences. Encourage your own child or children you know to engage in school or community related activities in order to help them to find their three.

For a more comprehensive review of ACEs and the prevention and treatment of toxic stress please see this review article from the NIH (National Institute of Health).

More resources on navigating adversity

You can also read some of our earlier posts for more ways to build resilience in your children and ideas on how to explain scary news to your children. Also, read on how to tell your child about an impending divorce and tips on how to communicate effectively with your young children.

Spread the word #findyour3 #preventACEs

January 26, 2020 by twopedsinapod

Is it a cold or the flu?

A cold or the flu? Both can get out of control

“Remember: colds = gradual and annoying. Flu = sudden and miserable.”

Please read here for our post of how to tell if your your child has a cold or the flu.

Stay well, may the new year bring you neither one.

January 5, 2020 by twopedsinapod

The winter cold virus

Believe it or not, pharmacies sold this “cold remedy” until the 1960s!

Honey, tar, and alcohol, oh my! Tucked away in a display at the Mercer Museum of Bucks County, Dr. Lai found this old bottle of cough syrup from the late 1800s. While we do NOT recommend this type of medicine for children of any age for any condition, it does remind us that we wish we had the perfect cold remedy to offer our patients who have a winter cold virus.

Whether your child caught their cold from the infant room in daycare or the high school hallway during change of class time, kids with colds suffer similar symptoms in a similar time course.

Kids can start out feeling extra tired or out of sorts for a day or so, then they may develop a sore throat, runny nose, maybe a fever, and then the cough sets in. Fever from a cold virus starts within the first two days of a cold. Younger kids sometimes develop loose bowel movements or vomit mucus. Colds can cause watery eyes. Symptoms from a winter cold virus interrupt sleep and disrupt appetites.

What can parents do to help their children feel better from a winter cold virus?

December 17, 2019 by twopedsinapod

Tribute to Big Bird and 6 year olds

We were thrilled to hear Caroll Spinney, a.k.a. Bird Bird and Oscar the Grouch, address the American Academy of Pediatrics National Conference back in 2011 (Dr. Lai’s iPhone 3 or 4 captured this “high” quality photo).

Caroll Spinney, the late puppeteer who was both Big Bird and Oscar the Grouch on Sesame Street, had the idea back in 1969 to make Big Bird a forever 6 year old. We were sad to hear of his passing today, but glad that Big Bird’s portrayal of 6 year olds lives on. Please read our post to learn more about 6 year olds.

December 8, 2019 by twopedsinapod

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