September 6, 2018 – As more information about children and automobile safety is gathered and analyzed, the American Academy of Pediatrics (AAP) is becoming more convinced that rear-facing is the safest seating position for a child riding in a car.
Prior to 2011, the recommended age to transition from a rear-facing to a forward-facing car seat was 12 months old. The AAP in 2011 moved that recommendation to 24 months.
That same group – in an effort to make recommendations based on the best and most up-to-date information available – continues to monitor crash safety data and now is recommending that children ride in a rear-facing car safety seat as long as possible – up to the limits of their car safety seat.
Most rear-facing car seats have a maximum rear-facing weight in the 30 pound range – the average weight of a 3-year old. Convertible car seats – seats that can be used both rear-facing and forward-facing – have a maximum rear-facing weight in the 40+ pound range – the average weight of a 5 year old. This new information will therefore include virtually all children under 2 years of age and most children up to age 4.
Car seat product listing – a 2018 listing from HealthyChildren.org that includes a comprehensive car seat listing that includes maximum height and weight limits – the new recommendation is based on those numbers (you can also find this information in the handbook that came with your car safety seat).
We welcome summer, and – with summer – we welcome a new summer website banner picture: “Welcome” we say to ‘three children at the pool with a pink floaty’.
A few things going on this summer at Raleigh Children and Adolescents Medicine:
CHECK UPS: Did you know that your teenage child’s well visit (a.k.a. “checkup” or “complete physical”) meets the requirements for participating in school sports? At that visit, we can complete your child’s school sports form (and in Wake County that will cover the next 13 months of athletic participation). If you need a form completed and you have already had a check up this year – no worries – we can complete that form based on information gathered at that visit. There is no need for a ‘Physical’ at an Urgent Care or a Pharmacy Clinic. Just send us your school’s sports form with your portion already completed. You can drop it by, mail it, or send it to us through your email or fax.
NEW PEDIATRICIAN joining RCAM! Dr. Emily Rossbegins August 1st. More about Dr. Ross later, but we are excited for her to join the RCAM-ily for the next 40 or so years (imagine the stories she will tell at RCAM’s 90th anniversary).
ePRESCRIBING MEDICATIONS that previously required a hand-delivered, paper hard copy: For over 10 years, we have been able to send most prescriptions electronically directly to your pharmacy. This practice reduces transcription errors and typically is more convenient for our patients. However, certain medications have continued to require a paper hard copy that must then be hand-delivered to the pharmacy. The Pediatricians at RCAM are currently working through the authorization process for sending these prescriptions electronically. We are happy to offer a service that improves patient safety and convenience.
PAYMENTS THROUGH THE PATIENT PORTAL: Do you prefer electronic bill paying? Coming in July, payments on your account will be able to be made electronically through our Patient Portal.
CHINI WAPI DONATIONS: Many will recall Dr. Rick Gessnerand his family spent 2 years on a medical mission in Kenya. His daughter Anna returns there this month and she has been collecting women’s underwear to distribute to women there living in prisons or remote tribes. You may have seen signs in our office about her trip. She collected more than 800 pairs. We estimate 200-250 were donated by families at RCAM. Thank you for your contributions.
And now, what would summer fun be without your pediatrician there to remind you about safety?
A brief video from the AAP about sun protection:
If you like lists (I know you are out there), here are some tips from the AAP’s website: healthychildren.org: Summer Safety Tips
Finally, from our local paper, The News & Observer, here is a video about what to do should you find yourself in a rip current. A terrifying thought, but more proof that having the right information can save your life:
RCAM hopes your family makes memories of a summer full of good health and good play!
April 1, 2017 – So this is 12 days late – spring officially began on March the 20th – but can you blame someone for being a little confused about the change of season around here?
It is our tradition to change our website banner to match the season, and in that spirit we remove the sledders – that seems like a pretty foreign concept at this point – and introduce the family walking on the partially tree-shaded path (is it half-sunny or half-shaded? What kind of person are you?).
Dad appears pretty casual. Mom seems to have kept her options open for the day with her choice of clothing. All three seem to be fully participating in each other on this beautiful day (do those assumptions make me a half-sunny kind of person?).
You could imagine as they walk the parents might gently lift their son by his hands and swing him back and forth (WARNING: don’t fall for it – it’s a trap).
Let me take this opportunity as your pediatrician to provide this public service announcement: SWINGING OR PULLING A CHILD BY THEIR EXTENDED ARM IS NOT A GOOD IDEA.
The possible resulting condition described above is Nursemaid’s Elbow. You can find more information at the link provided.
In short, it is a painful yet fortunately treatable (and preventable) condition – don’t let it mess up your half-sunny day.
June 21, 2016 – At Raleigh Childrens, we love the change of season.
In the spring and summer, it is always good to say “goodbye” to flu season and “hello” to a time that is generally healthier and when we are more physically active. It has become our tradition here to change the banner at the top of our webpage with each season, and – with that change yesterday – we officially welcomed summer.
At Raleigh Childrens, we also love children being active – particularly if they are enjoying themselves because that means they are likely to do it again and take some steps toward developing a good habit. With that in mind, it seemed appropriate to highlight this delightful young lady with her multi-colored fingernails who is pictured here and clearly having fun at the pool.
A few things to keep in mind for the summer:
We are pediatricians, so we will always highlight safety. Here are some summer safety tips from our friends at the American Academy of Pediatrics.